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HomeMy WebLinkAbout0374 OLD STRAWBERRY HILL ROAD 3'I y N I tv Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 7/18/17 Thomas Perry CBO Town of Barnstable Building Division 200 Main St. f3� Hyannis,MA 02601 ' ,p7 __ cn RE: Insulation Permit 17-1973 Na Dear Mr. Perry This affidavit is to certify that all work completed for 374 Old Strawberry Hill Road,Hyannis has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey 0 Town of Barnstable " 200 Main Street,Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-17-1973 Date Recieved: 6/22/2017 Job Location: 374 OLD STRAWBERRY HILL ROAD,HYANNIS Permit For: Building-Insulation-Residential Contractor's Name: WILLIAM J MCCLUSKEY State Lic. No: CSSL-102776 Address: West Yarmouth, MA 02673 Applicant Phone: (508) 398-0398 (Home)Owner's Name: STONE,THOMAS M&DEBORAH Phone: (352)556-9006 1 (Home)Owner's Address: 374 OLD STRAWBERRY HILL ROAD, HYANNIS,MA 02601 Work Description: Add R-14 cellulose to the attic.Air seal the attic plane with expanding foam: N r � r� w M rn Total Value Of Work To Be Performed: $2,700.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: William McCluskey 6/22/2017 (508)398-0398 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : .$2,700.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $85.00 6/22/2017 $85.00 X)M-XXXX-XXXX- Credit card 0299 Total Permit Fee Paid: $85.00 I . IME, � TOWN OF BARNSTABLE Building Application Ref: 200702767 m it BARNSTABLE. Issue Date: 05/23/07 PeCI , I MASS. 9�Ar16 �a� Applicant: SPRINKLE,BRAD Permit Number: B 20071157 Proposed Use: SINGLE FAMILY HOME Expiration Date: 11/20/07 [Location 374 OLD STRAWBERRY HILL MiQg District RC-1 Permit Type: DECK/PORCH RESIDENTIAL Map Parcel 251239 Permit Fee$ 30.00 Contractor SPRINKLE,BRAD Village HYANNIS App Fee$ 50.00 License Num 006643 Est Construction Cost$ 8,875 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND WINDOWS AND A DECK, 24'X12' THIS CARD MUST BE KEPT POSTED UNTIL FINAL AND GAZEEBO INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: ROTHBERG, PAUL M ETAL TRS BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 118 TREMONT ST INSPECTION HAS BEEN MADE. NEWINGTON, CT 06111 Application Entered by: PR Building Permit Issued By: THIS PERMITCONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PARYTHEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED,BY THE JURISDICTION: STREET ORALLY GRADES AS WELL AS DEPTH AND LOCATION OFPUBLIC`SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT.DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTTTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). 4 ® ®Now ® � BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health TOWN OF BARNSTABLE ' Building Application Ref: 200702767 RMMSTABLE, Issue Date: 05/23/07 Permit 9 MASS. 1639• Applicant: SPRINKLE,BRAD Permit Number: B 20071157 RFD MA't A Proposed Use: SINGLE FAMILY HOME Expiration Date: 11/20/07 Location 374 OLD STRAWBERRY HILL RDA*District RC-1 Permit Type: DECK/PORCH RESIDENTIAL Map Parcel 251239 Permit Fee$ 30.00 Contractor SPRINKLE,BRAD Village HYA_N.NIS App Fee$ 50.00 License Num 006643 �— Est Construction Cost$ 8,875 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND WINDOWS AND A DECK 24'X12' THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: ROTHBERG, PAUL M ETAL TRS BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 1 18 TREMONT ST INSPECTION HAS YkEN MADE. NEWINGTON,CT Obl 1 1 � ��- Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLYTERMITTED UN DER:THE.BUILDING CODE,MUST BE'APPROVED BY THE JURISDICTION. STREET ORALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM.THE DEPARTMENT OF PUBLIC:WORKS. THE ISSUANCE OF.THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY,APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). pp r. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 OK- 2 7. o7 2 2 �U 3l 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health 7 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 251 Parcel 039 Application# �co / Health Division Conservation Division Permit# Tax Collector Date Issued C� d Treasurer Application Fee IV� Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 17 4 0 S)(I 5 4_1 N N 1 S Village Bper m __v C)i" Owner o Address t t ?s T Re mogw S`fi. Mo—Ww - p ,CT Telephone 66111 Permit Request ix6cjMk1@ma& / Dec K 2�14 12- 0 jF� Square feet: 1 st floor:existing ilg b proposed 5mxxQL 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay o � k!Pr�ol�ectValu�ation 9 7� ` Construction Type Lot Size U . cal, Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 1 Cl$ b Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new © Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths):existing (o new First Floor Room Count Heat Type and Fuel: 52'6as ❑Oil ❑Electric ❑Other Central Air: Cues U No Fireplaces: Existing New 0 Existing wood/coal stove: ❑Yes Ur o Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:61lexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Ao If yes, site plan review# Current Use _ Proposed Use �-' BUILDER INFORMATION Name 43PZ1 _Tu.,94b4&b^"q%;5_Telephone Number �vb�` tT�> '1'T73 Address License# 00 6kLl 3 Home Improvement Contractor# 103"2'Z-5 7 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �I26 I;6-2 a. i FOR OFFICIAL USE ONLY V PERMIT NO. t DATE ISSUED MAP/PARCEL NO. 1 I r ADDRESS VILLAGE t OWNER F DATE OF INSPECTION: n FOUNDATION 7 O 0 FRAME `7 INSULATION FIREPLACE s ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL F GAS: ROUGH _ FINAL FINAL BUILDING 17 DATE CLOSED OUT ASSOCIATION PLAN NO. } 2U 77`7 f a AINI 278' �y�sts Gacwe p' L Sv G-�ub2.s _ o' DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES I authorize Sprinkle Home Improvement to act on my behalf in all matters relative to the work to be performed on this job (i.e. permits, applications etc.) if necessary._ Paul or&arolftle Rothberg Brad Sprinkle Date Date S F f t ,t i (J\.Ar--el All � r 7 w t ` S yF - <�a t ne commonwearrn of lvluazucrcu yeus� Department of Industrial Accidents. Office of Investigations 600 Washington Street Boston, MA 02111 ,,. www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluffibers Applicant Informaltion Please Print Legibly Name (Business/Organization/Individual): Address: 119 City/State/Zip: - VA Phone #: S o S 7-?S i 7-7 F Are you an employer?Check the-appropriate box: Type of project(required): 1.DI am a employer with 5 4. ❑ I am a general contractor and I 6. ❑New construction employees (M and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. # 7. ❑ Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for mein any capacity. workers' comp.insurance. g, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.7 Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp.insurance required.] 13.❑ Other 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I am an employer that is providing workers compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: N*-)flSs A c�a sQ A4-s Policy#or Self-ins.Lie. #: R.w C o o `( � 0 1 aoo-7 Expiration Date:5 13)0-7 Job Site Address:_�7 o�°� S'11?� "+�D3�� pi tt City/State/Zip:_0°atR"Vty GAG a t Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500;00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert', u er the pains and penalties of perjury that the information provided above is true and correct Si ature: Date: Phone#: 5 05 `17 S— l7 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Towu Clerk a.Electrical inspector 5.Pluumbing Inspector 1 6. Other , Contact Person: Phone#: °FTMIE Town of Barnstable ti Regulatory Services &A MASS. Thomas F.Geiler,Director y nsass. $ � 039. Building Division Tom-Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: --TxC)K_T�-1�7 ��-�l Estimated Cost Address of Work: 3"7q Ott T Owner's Name: Date of Application: 12.4.1 d_ I hereby certify that: �i---� Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied El Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED , CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. i SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the a er: Date Con actor Signature Registration No. OR Date Owner's Signature Q:wpfiles.forms:homeaffi day Rev: 060606 J/ie �a7Y7lJ24lLl!PlXLUG a�✓�la%uacluiael 5. , BOARD OF BUILDING REGULATIONS I rt License CONSTRUCTION SUPERVISOR Number. CS 006643 I;�� BirEhdate= �. 1;0/08/200 r.no: 663 Constr`u.ction-'CS, fr`' Restricted .> fq. BRAD`K SPRINKI E Nf I00:'LOTHROPS IANE W BARNSTABLE; MA.02668 Commissioner f °1 , •s . a� ;..�J ;/he �aowa���oozcue� o�✓�aasac�iaaeaa � ' Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR. r, . Registration: Expiratio 71972008 TvP� Pn� tY poration SPRINKLE HOMEiIIMPR� INC. Bead .Sprinkle %Y 199 Barnstable Rd. Hyannis,MA 02601 Deputy Administrator I Y, 16,2007-11:41AM---AIM MUTUAL J_ NO.549 P.2 CERTIFICATE OF IN$URANCE ISSUE DATE � 051161200 7 � RO DUCER' TFII CFRTIFICATE IS ISSUED AS A MATTF,R Of INFORMATION ONLY AND firyden&Sullivan Ins Agency CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATF'. Inc DOL 9 NOT AMEND,EXTEND OR AI,'I-ER THE COVERAGE AFFORDED 13Y THE 88 Falmouth Road POL CIES BELOW, hlyanlu4,MA 02601 COMPANIES AFFORDING CO'VERAGFi INSURED prinklc Home Improvement Inc 199 Barnstable Road COMPANY A.T.M. Mutual Insurance Co Hyannis,MA 02601 LETTER I COVERAGES 'PHIS IS TO CL;RTII,Y THAT TH8 POLICIES OF INSURANCE LISTED B w HAVE WIEN ISSUED TO THIi INSURED NAMED ABOVE IIOR THE POLICY PER1013 INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM Oli CONDITION OT•'ANY CONTRACTOR OTHER DOCUMENT W1TII RUSPF,CT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,TIHE INSURANCE AFFORDED BY THE POLICIES DESCRIBED IIERON IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMIS. Lma TVFF OR INSURANCE 1.OI,ICY NUNI8RA FOLIC jY EFFECTIVE POLIcv&XPIRATION PAT((mmiaO/YY) nATE,'MMIOWYY) LIMITS CIENERALLIADILITV UUNF.PALACCRaOAT� �` ~ F �COMMFRCIALCENERAL LIAO1LfrY urcUOut:T3•COPoIPIOPOce, Q CLAIMS MAOC�OCCUR PCRSONAF&ADY.INJURY [�DWPIfiRtS A CONTRACTOR'S TROT. P.ACN CCCVRrLNCV e i FTRO DAMAGE(AftopGIirl) $ MtP.}IXPCNSB lA wnne Pew) AUTOMOOiLIt LiApIT,ITY I coMDlNeoyrNnl-B �x 41MIT' ANY AUTO .._. ALL OWNED AUf05 60DILY NJIIRY SCNUC111 yn AUTOS (Per paNm) N(RF.O AUTOS NON•UWW.D.AtITOS sonlLV INJURY GARACL'LIARI),ITY (Per ac6i11eIu) I MTOFURTY PAMACB excF,SS UMRDL URBL LAFORM LlrY aACM 0C,..URjWNCC i OTHIA THAN UM(1RELLA FORM AOaRECATU WORKERS COMPENSATION AND STATUTORY LIMITS 'T'li),R EMPLOYERS IJABIUITV \ X NFFatSRFXR .r EACHACCIDPXI' S 500,000 A PAaNNTtSIFxFK'tRrva D INCars�Am 700494?G12007 GS! 3/2 07 OS(13/2008 u1sP.Asr.--roL,cY fa1MIT INCL �]axcur $ 500,000 L DISr:ASE--EACII ' SOU,GGO COMMENTS/DESCRIPTION OP OPERATIONS OR LOCAT"IOV4: NT1�Yrrs CEATII 1^ATE HOLI)m CA11COLIT ATION !HOL;4t) NY OF rim ABOVE DC,9CRtnUI)POLICIP,S I)F CANC'ELLTM. 3P.PCRIi 7'riE I?X(•fRATI<)N OA'I"Q OAN PET II'IIIEUA)F THE ISSUINU COMPANY WTLI,ENOEAVOR TO MATL LWRITTEN NOTICE Tn THE CLRTIMCATP. IHULDRR NAMED TO THE LEFT•,RUT FAILURE TO MAIL SUCI-I NOTICE SHALL IMPOSE NO OBLIGA"rION IR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AOLNTS OR REPRE$LNTATIxrrs, IZ57 TLATICKET pA1'Y� ''A,ST FALMOUTH,MA 02536 A-UTHONZED1iFPRFSF.NTATIVB Y� 1 i I P�0F'TFI Tay Town of Barnstable *Permit# hllTt" " � 1 L C Exptres 6 months fro ue date :Regulatory Services Fee4-1 hiss -J �},omas F.Geller,Director �p 1619' 6 "~ FTI Building Division Tom Perry, Building Commissioner (Pt Lem � 100 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNHT APPLICATION - RESIDENTIAL ONLY Not Valid without Red%Press Imprint Map/parcel Number Property Address SL 2esidential Value of Work �� S0C) • .0 C) 1fOwner's Name&Address -5 -T j\.o Arne) &ix 54 Contractor's Name � � M4 mDnoU� Telephone Number �05 S— 1-7-79 Home Improvement Contractor License#(if applicable) 1 b 3 C ' ❑Workman's Compensation Insurance Check one: I am a sole proprietor ❑ I am the Homeowner [-I have Worker's Compensation Insurance Insurance Company Name_ SSoGd Workman's Comp.Policy Permit Request(check box) []'Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) 6 ❑ Re-side, ❑✓Replacement Windows. U-Value ®L�✓3 (maximum.44) *Where required: issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. Signature °� a QTorms:expmtrg Revise053003 t ne L ommunweairn vJ lnuszucnuYL-my Department of Industrial Accidents Office of Investigations W 600 Washington Street Boston, MA 02111 y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluffibers Aplolicant Information Please Print Legibl Name (Business/Organizationllndividual): Address: 1 `�9 �•rv,-rcQ� c� City/State/Zip: s Phone #: Are you an employer? Check the-appropriate box: Type of project(required): i.D1 am a to er with 5 4. ❑ I am a general contractor and I employees and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.El am a sole proprietor or partner- listed on the attached sheet t Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working forme in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp, insurance 5. ❑ We are a corporation 10.❑ Electrical repairs or additions and its required.] officers have exercised their . 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12. Roof repairs, insurance required.] t employees. [No workers' 13.2 Other Lu B v'63,wS comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information' t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such rContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Pf rx1 fl5s 14 C. v s Policy#or Self-ins.Lie. ##: o(3`E 9 Expiration Daie:5J5 13)Q-7 Job Site Address: �d City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500;00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance erage verification. I do hereby certi e a nd penalties of perjury that the information provided above is true and correct Si afore: Date: y a o o Phone#: 5 oS S— l7? Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk a.Electricai Inspector S.Plumbing iaspector 6. Other Contact Person: Phone r: .. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES F I authorize Sprinkle Home Improvement to act on my behalf in all matters relative to the work to be performed on this job (i.e. permits, applications etc.) if necessary. Paul or&AroliAe Rothberg Brad Sprinkle Date Date i' I ' I i i I I I i I I , i N1AY. i3, 2006 10:20'All, ASS'JCIATtD 1NSI1RANC' 2/2 CERTIFICATE OF INSURANC,`E IBSUE DATE(MMIDD/YY) 1212,006 06 ''PRODUCER IS C%TI CATE IS IIWED AS A MA•TTF,R OF INFORMATION ONLY AND CON EPS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE B-vden&Sullivan Ins Agezzy DOES NOT AMEND,EXTEND Ok ALTER THE COVERAGE AFFORDED BY THE Inc - PnT,ICIIES BELOW. — -- 88 Falmouth Road � _ COMPANIES AFFORDING COVERAGE Hyannis, MA 02.601 I ...... INSURED Sprinkle Home Improvement .Inc !COMPANY A.I.M. h4umal Insurance Co 199 Barnstable Road LETTER A Hyannis, MA 02601 I COVERAGES __ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANNC£LISTED SBLOW HAVE BEEN 1SSUED'TO THE INSURED NM4IiD ABO'�E FOR THL POLICY PERIOD INDICATED,NOT'Nii HSTANDING ANY REQU MNIENT,TERM OR CONDrrION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE I35I,ED OR MAY PERTAIN,THE 1NSURNNCE AFFORDED 3V THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEP.M.4. EXCLUSIONS AND CONDITI:ON,54 OF SUCH POIX133. Ln4rrs SHOWN MAY HAVE BEEN R.CDUCED BY PAID CLAINIS. col kOLICwE IC ILiCY EXPtR1T[0. i-- -- -- LTR I TYPE Or INSURANCE POLICY NVItJNBR I LIMITS UATS(MMiDD!)'Y) fDDfYt') +» C1;IVEKAL LIABILITY — GF.NEP..^.L ACGk.EGATE � S COMMERCIAL GENERALLIADILI^Y PRODVCTS•UOM—PJQPAGG-.--�S AIMSA(ADG�CCT;RI I PERSONAL8AUV.INJURY 3 ;OWNER'S G CONTRA('fO0.:S PR(.r^. I I ACH OCCURRENCE $ FIRS DAMAGE(An)one lire) —*13 _ MED.EXPENSE(Arty one Iw-an) I S UTObIOILC LIA BILTY INED SINGLE ANY4UT0 LIM1 _ TS I ALI.OWNEC AUTOS 80DILY INJURY I S SCJ(BPULED AUTOS I I(To<peeson) HIRED AUTOS -.. MODILY INJURY S NON•OWNFO AUTOS � j I PCr wmem) ; L ARAGBUA.DILITV I i PROPERTY DAMAGE I S I � �F,.XCFSFLIARIL:TV Q.ACHOCCURRGNC6_ S R MBRELLAPORM AOGREGATBTITER TI{A.4 UMBRELLA.FORM - ORX¢R'SCO>7PRIJSATIONn1ID I V!1;5TATU- IGTH•. EMP U LOYERS' ADII-ITV T RY "M' LIMIT'_, Xj Eg 1 10(1494,V)t2006 05113/SW6 05/13,2007 Ft.EAMI ArQrrNT _ s — A TI IE PROPRICTM LX If CL I I EL DISEASE..POUCY LIMIT S 500 000 PARTNERS EXECUTIVE OFFICERS ARE: ;'�FK..I j _ EL DISL^'ASE-TA E PL0}'6F^ § 50 000 �OTIaR DCSCRIrTION OF 014:RATIONS,rLAC1,TIGNSNCNLCLES/SrECIAL ITEMS CERTIFICATE HOLDER CANCMLATION STIQULD ANY OF THE'ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THERECT, THE ISSUING COMPA14Y WILL ENDEAVOR 'TO NfATL 10 DAYS A'FITTEN NOTICE TO TIME CERTIFICATE.FTOLDER NAMED TO THE LEFT,BUT FAILURE TO MATL.SUCH NOTICE SHALL IMPOSE NO OBIdGP,TION OR Brad$grin kle LIABILITY OF ANY KIND TYPON THE COMPANY, ITS AGENTS OR REPRP.SENTATIVES, 199 Barnstable Rd. AM,IORIZPD REPRFSFNTATIVE �-- Hyannis,MA 02601 q�i �- _ - ✓fie �arrvriaaruuP.aL� a�✓��cnuac�uae�Gi 4� y BOARD OF-BUILDING REGULATIONS., License: CONSTRUCTIONS * Number CS 006643 *; Birthdate 10/08/1955``` - - Expires 10/08/2007 Tr.no:=6638 0 _ Construction CS Restricted 00 BRAD`K SPRINKLE 100-LOTHROPS LANE: G- il W�BARNSTABLE, MA.:02668 �'�'�` Commiss1oner Fi �� fee iJarnirnoraurea`C1t o�✓�aaaacfuuselta �; e� - K Board of Building Regulations,and Standards HOME IMPROVEMENT CONTRACTOR.. Registration-*,-...103757 =ry Expiration 7/9 j2008 f Type SrLPmate Corporation Ell §- V SPRINKLE HOME1IMPRO�CEMENT-INC. t Brad.Sprinkle ,Fr? 199 Barnstable,Rd. Hyahnis,MA 02601 Deputy Administrator ! J i O�INC TOWN OF BARNSTABLE Permit No. .2K-3.7...... BUILDING DEPARTMENT Hew. ■MIL I TOWN OFFICE BUILDING Cash ............. 39 HYANNIS,MASS.02601 Bond .....X X. . CERTIFICATE OF USE AND OCCUPANCY Issued to Capricorn Realty Trust Address Lot #6, 374 Old S trawber_ry Hill Road: Hvannis, idassachusett-s USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. 19....R7......... l :f.// if - .... Building Inspector yS TOWN OF BARNSTABLE BUILDING DEPARTMENT ! asaaeT►aL : TOWN OFFICE BUILDING � rua t639' HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: ZISI� An Occupancy Permit has been issued 'for the building authorized by< j BuildingPermit $ .................s` .. /..3 ........................................................................./................................... ................. ..........._ 116 issued to C.... . `../"i 't?/�1-7../..`.. ...... ��....? .�7�` ./'-� �...„ Gr/�a_Cr�1'`� 1i Please release the performance bond. 1 -1'I i yr qa.•". 1 *F � "�tr'�'�%�,., r} I., YZ h. iw�tw�yt t .f� .nfa u (1 afil�a ad w`yMTC+ u.y� ,t sr1ax, . 7 '.,-, Plfln'.. ErI..CFI .::.. `. _ r, .4; n4 f S ;-;. ,, rt.,,,l '�b ?,L.ti,aa{., f d, zi ,K"a ,Tt „a. + ,�, . # LE COPY/WHITE MELD COPY/'YELLOW-IAPPLICANT•COPY s 4 1u Z'D ;,;{,. },5r j , °:G F,f r s ' tAgg! � � .} y> n.: Yty`n,$ rr -; ` f a O arstts)� Fes$ �i �''* , BUILDING ( " f I. FrB,d►RNSTABLE, MASSACHUSETTS x v.. yY u,5•. hfi ''+'rA ,s _ x E, 4 _.;' r 3., v '�'� 3 i�'�; �4ss , •t. . . DYF yJ, t .:.• PERMIT yyy 7A/ VALIDATION' t? l+ �Jr 5 �m2 1_.' t t ` 5 .7. t Jt t'' �+ ! � (' ��,- o f DATE April'.3 19 86 ? PERMIT NO: ��: ��1-7�.-.APPLICANT FT$nco R@$1 :E�t$t@ 8@V•K Co. ADDRESS 765 Falmouth Rd. , H $nnia , 000989 f ' ..:. '� ,' :� .., (N0:)r (STREET) , b (CONTR S LICENSE) ' ^ t PERMIT TO Build dW@]]il]@ ( ] ) STORY''r SinQle f$mily dw@11itiR NUMBER OF x'" f{ (TYPE.OF IMPROVEMENT) NO -(PROPOSED USE)I DWELLING UNITS �.. ��1.fl �, a A (L6CATION) ? lOt' El 174' Old Strawb�rr Hill:'Road:':H annis` ZONING 77 4 ' y �' i.• (NO) , (STREET)' t " DISTRICT RC l.- t�r `�RAy IiBE�WEEN 0 AND 'St s. ,(04 _ .1s (CROSSQ STREET) - � 9. _ - 5r, e),_ ik tt n�..:.5�r a;}-.r S -. b t -'f'P f (CROSS.':'STREET):.; - 4 r SUBDIV)SION a LOT � t �.y y; 1>> a r y LOT BLOCK SIZE �� ' rBU1LDINGrIS TO BE FT WIDE BY FT'. LONG BY %x r v } f' ` �. F, IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION _1 I �`„1. ,TO TYPE USE GROUP T BASEMENT WALLS OR FOUNDATION t S A3Sf P �:. )11* s� r, aREMARK$ (TYPE) f z 2f R rtV)t{`l,d:+S 7# ;�.1 t 1 I f,,,r 1 f. f �, a rZI- 11 � tY? .fs� IZ�i,°° whir (C,UBic SQUARE EET) ESTIMATED COST �Dy �o FEEtv11T BOND Hey} ( - ,j F. �'.t r Y{94 a..r .iYv. �° r` 2-t v a b I s,�,. L .7 L.2 V ,'OWN ERr�. Y,s 2. s I b It -..� e % r .t t ADDRESS ze °5 'j`4`ite'' y.><�e, ''i''t�L.xr �.1 f 11 B ILpING DEPT h t/ 1 t f 4 f L } '� y by �) #�,'t k�`i'AF 4°�D" .h'y ZitF slr t , ,'Z , t BYc� f y ,t ,�'r•C '�+i§j�r�, 3':V,wl yLF: H Op , , , '2 r .4'S`' G k�'Y ki r 4&R, a 4t , " ,J ; f x. :r , d t ( I %11 ♦' �`tQ a h 1 ' Y d 1 "r va k { .Is.„`),(2L 3'7 '�'Tr�tfle( :4-* 5 Y 'y. s t % d: { ; , ,t 't�s z� h�-ur �rf�r' 4 , l y 54 % t + s a f G�i n yad$ 3 sun z <� ra � t. f t}f ff .-F4, L' a$C i�'t %a 1, .kt- n ',,,,- ,y i , JS t ,j , p .� b c t r J r t°'r� Ai \ 1 i. •J: 1 ..Qv. j .?..fY .vtt 3 V Y 1* 4 r_94 ' , . FOUNDATIONS OR FOO64zTINGS . , th„ •ti" :�ctx, M r r °11' J Z PRIOR'TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL''NOT BE OCCUPIED UNTIL g a MEMBERS(READY TO LATH) h 't� ✓ 8 FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN M_ ADE ;.t'i OCCUPANCY .,-.-Ao 7 V, + t-- :;., , - {r ,��% '' POST THIS `CARD SO IT IS VISIBLE FROG STREET �. ta> .,, '` "�BUILDINGINSPECTI N PP V �L ,`, ': � NIB ' Y -� RLU2ABING INS ,ECTION APPROVALS EL&CTRICAL INSPECTION APPROVALS a r 1 I- a ,/I� I. j11-If" z t1 �� (9 ' Gam, � � 'L % ey e V .1 I , r. . I T ��'� C'.,_,,,_,�, � I �\ . 4�.-� I - x _ `` 3 ' - - I, HEATING INSPECTING APPROVALS R SPECTION APPROVALS•' t 'HER.--1949W =_'-AA II max__=-= - -- 2L � &�� 2 TOWN Off' ��2R TABLE r =1�.x # F. . : � - ��a � L'dLRK SnALL NCT PP.00E�� — z 3 L,. � A �JNT L THEY PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION NSPECTIONS INDICATED ON THIS CARD C►EftQH ti �a I " 'PI RM}t S ED f ';W -- E�A 0 f rk3 r ,x . � , E i1�N" I'I - �' v `M' -..._- .. s 5- 4�*' '2. e. r,.uf`.,��x ,t0�w")�1�,JN f, or Toe ?� :)` ... ,h. y r s' +s'>b.,yy, FK' ' Y .r, �. Sate'-' x '" r s. L, ,M.m.'nti?` �+�n..,+{r..:' - .�• `" �Jy-*.-�.�x+..Arnru� si.# .,t ,X.> - �. ".wi.. r< .: p- er............. ....................... .... THE t0� Assessors ma and lot numb tewage 'Rermit number 6X.,�ia�o.J' ..... ...... .. Z BAWSTADLE, i ,louse number ...:....:::..:... 7. G�:.�/���... �p t6 q 0� (i r - O 3 �0 I �11 MAI At TOWN OF BARNSTABLE BUILDING INSPECTOR Construct Single Family Dwelling X APPLICATION FOR PERMIT TO ....:............................ Wood Frame ; TYPEOF CONSTRUCTION ......................................:.............................................................................................. September .. 61� 8-- 5 ............................. ...............19........ . I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Lot # 6 Old Strawberry Hill Road Hyannis MA. Location ....................................................................................................................................................................................... ProposedUse .....:...............................................:....................................................................................... R C=i- Hyannis Zoning 'District ........................................................................Fire District ..................................... Capricorn Realty Trust 265 Falmouth Road Hyannis. Mass Nameof Owner ......................................................................Addre ...........................................f......................1............... FX*anco Real Est.Dev.Co. ,Ino, Same Nameof Bui er ....................................................................Address ......... ....................................... Nameof Architect .............................................:....................Address .................................................................................:.. Numberof Rooms six..........................................................Foundation ...P P.C................................................................... Clapboard and,/or Shingles Roofing As hat Shi Exierior ......................................................... .....p....................... ............................... 4 Floors Carpet............ .......................................................................Interior ........5he8tr0ox.................................................. r. . Gas—,~----F-.W.A -- - _ 'f Heating ............... ................................................................Plumbing .......`rW4......"......Qopp.ar..................................... None40 000.00 4 Fire lace ..................................................................................Approximate. Cost i. Definitive Plan Approved by Planning Board ------------_-_----__-_______19________, Area1072- �.: .•............. 42, f, Diagram of Lot and Building with Dimensions Fee 75— 25' ................................. 1 i SUBJECT TO APPROVAL OF BOARD OF HEALTH f . . d � i - OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS A N I, hereby 'agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction., r x Name �' �� TI Construction Supervisor's Licenseo CAPRICORN REALTY TR A 3 ,S 2 31 .?�-�3 7' story single No ........ Permit for A family dwell ' ................................ !ig..................................... Location ...To.Q t...#.6......3.7...1...QJ1-d..'S.trawberr!. Hill Road, Hyannis .............................................................................. Owner ..C.apr.ic.o.rn..)�9�c4lt.Y...T:K11P.t.:........ ..I... .... .. ..... Type of Construction .....................fr.ame......... .............................. .... .............. ........... .................. .. Plot ............................ Lot ................................ Permit Granted ............aP.K.U.-.3..........19 86, Date of Inspection .....................................119 Date Completed .....I .....19 - V . I� , � I _,�o , - � i J ° F •.✓...(vima t � � .i}.r { ¢ ♦ r - ';1 :k I '•T Assessor's'map and_lot number; F, �• oFTNE'ro. I; ' .'..,�,�,..��-_,..��.�1.,.i",...,-�'I:"�.. .�'�I*—-I.��,zi-..,..,�.'',1,.I I-,'.-�,.I.�,��,�,7Il.I,��.-.�.*,I_--�I,I.4.­"��I---,.,,._',�,-�.:�--,%-,:.��.�,�x,.I*�",oI- Ig 111, II 1. Sewage Permit number•, �.2n �V� .. 661- d , II 1/ t e r E House number '.... ... 3.7 �,... ........ ':. ..i. Sao r_a :� , '"!, ;. . a ,. # T9WN F. BAR-INSTA L �F °�� d� "t'���,A`4 �� + ."i.,•t r.w.. }. f f j ,r Yt- ♦" <t _ c>A "A 1 ty > l -,:, �r�<,awT.. ,'' s y r4 . � x BU1 -: 1•HG , � yINSPECTO R .` -r � , " r t APPLICATION FOR PERMIT.'TO,Cori$tz'UCt Si2�g1@ Fam13 T DWQ ,. ,g Z; 3 ' ` ' •Y r t YII O O d 1'r � i�- ,a , .� s F *s."k�a �ap �_ TYPE ,OF CONSTRUCTION' t t x ' ". ,1# t t �x >� - `+ "" „. . i r. .i•'F , ! •"'s F Y :,, 4• •' Se tember • 6! 3 i rt k85 }`�h a" ` a n s a k t:'� t "''c 8 ,,x r,�^� t Wit RZ , .- x F.. a t" a' ,y ` "` ,`t Y•• •' ,,,. ,,z„� k ts� I t,,x -)f S b t ', ? z 3± i,+ "" •'IY_-t-y`'^}1 ".,„, 5e_.t, ,., t�. TO..THE JNSPECTO'R OF BUILDINGS x j t` x _ 'x The;`undersigned,'e.'e '`"applies;�for a permit accardmg to,the following information,:.' -� 4� ` ' r l n 'k,- �` '. • l Z. `- t j. 'Sy .T pR' ! v� < r - }y f a yn y'si�.x `y -.,F �' >r* :rr:`f r h5"."" ,..-.., x°. k a. yf; " .4f d` 4 r ^,..* d v s..h'- 'r 1,t n�F Y''`t f -r.a, n" `�'ik''It s: Location � #6 O1c1 S vy e.xxy `XU-1-J1 °$oad Hya inns AAA "„ ��� �'°*' z-, r ,.. n't r , ' Y. k €' + r, c� t. r" ,x^ k a ,♦s� .. `y -x.r �v.4.3,^', .xu rr t l.- c x. •�-. fig.# 5'.Y* �,Ary�rrKa fi1+�' ,ak+tn ,••- i. s i ..-a. fs >fr' �, t+,r i"a.' , h':yrK+r +♦.� «3•l.,3 e`3 ,s'•r `ac. Proposed Use1 r• a x Ya c... � 1-,r r °_ r r 5 •-°4 i f 'Yt; t 't - ",+t..; F J h"r-e."3"r+�`- {- s 3 ', ?". a� a ,* y`r .1 x"t.. F r x r �• ¢ yY{ F �4 ^''.t s*j 3T' e ,.♦ J ; ✓ d f.»vF '4�k }.e! •x k .�a i F d' AHr* id 9 Zonrng Di'stnct R C s� r Fire�bistnct�- ra '�,g y < i x y Name of Ovvn r�3JZ'*tt3�1•_.E F-,Tr-L18 {Address 'l45_ cg�j0 it 03T�i 82ii1 8i g$'� ;.. 1pg, Name of B�- . ". I c I e`a ,Est•D@Y.GO a--jp i.Address She 4 •> f'' i q .'_,Name of Architect ..... ... ...... -.dress. r,. `sz !, Number of Rooms Si ... '. Foundation P.j_C- k 5 { .. ` J } .a ,y 7'r C - ;• Exiehor- .(',],a, bCa,Y'l aLn O.''.s-h`l•Y� 6$ __ •..'Roofing r�1S k p i pa :Shin le$ -- ,, �" _ s, 7 t" ^ Floors �,'8�P8't Interior : hE:@Y'f3c�C . -: .X y i I. t,. 2 • Y ..r-�...,tri^'sn 5 - _ w.. q,. § d`'"ice ( H a in9 Gf B 'Y .�1..,,. : :. : •�.� »P Plumbing _53, i tea ' x } Fireplace N0ri@ 'y ....... ...... ...... ........Approximate Cost n G OO} .:.Q r a �3 b,:. ., _ ¢, �� Definitive Plan.Approved." by Planni"ng Board•_ ________ ________ _.19 _____. - - Area ^��^�+�_++►�7{- • _ 't Diagram of Lot•and Building`with .Dimensions Fee„ ..... ... v - . . v _ 7� S,ywS .::t . y".it Fi SUBJECT TO APPROVAL OF, BOARD OF HEALTH I. 1 , ,. r - �ht 4 y > •.•' • Ya. c r_- ,r r? v (e .,mot F 'F. "' r. . b } 11� c s 4 0 � 4 `,a r,,_, t f . .:' j ..s t r '' ax w . � •' I;'o.• . •l p - �. ti hl M * t a Y f"3"; K ^' ,s. F^ +si'.:•a.....,. .�r j b t o --i t s¢ $Y --.:w 4, r w y +4..•.-w i+.-v+,L ..,- ..n .L' '"!.°u 1. r j Z'. <1 ,l '( yr -^? •c d y:'n• 1�' 4. " . ♦ .I I _ .F '.j a F - .. + ..4 .. ..•. Y - . . _ OCCU"PANCY PERMITS REQUIRED FOR ,NEW DWELLINGS . . t �_, ' - - . r' . I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above ••, ` . construction. . I , . - 'tw - �. r.. • Name .. ... . ... .... ........... .....:.. I Prey . 1' - - . . _ f, 0 'Construction a Supervisor's License . I. - 000989. ............... CAPRICORN REALTY TR A=.2723 4 -, < _ w 9137. - No ...........::. Permit for 1 story, - `- ''- .. ............ .... ' family dwelling Location ..Lot...#.6.... ...374 Old, • Straw- .. .. ..... y.. ........ berry H 11 Road.....HY.a.?�nis Owner Ca, ricorn„Realty.. Trus. ...... Type of Construction .......frame f- . ............................ .. . .. ..... .•.. I '....:...... Plot .............. ............. Lot ............................. .... w s Permit;Granted .......... ..3�':.....:1.9 8 6 Date of•lnsp�ction i .��/�C`.190060 t i Date Comp_fed ! ...........19,97 z _ 1 Z!_z 30 ., \ tV \ 2Co.p3 N (� � Q • Q 32.02 4•o2 N rn a . N N sce FyT� p 4rueral x � - _____. �� c.n R. - 4 mod• ' � - - � —. .., LoT � /Y TO a � ® v pN L...D T 66 ELEy. 7. Sc> /V G V,p TOWN OF BARNSTABLE ZONING BY.-LAWS DATED ",FE.l3 1985 Z.O.NE: RC- i 9 PAUL cy� SETBACKS M aRLL FRONT 30' r NO. 32448 Q pp� °CfSTER SIDE - 15' Fps/�FE� Q�� I LAO REAR = 15' PROPERTY LINES SHOWN HEREON WERE COMPILED FROM PLANS OF RECORD AND DO NOT REPRESENT PROJECT NO. 3-1348-05 AN ACTUAL SURVEY. ON THE GROUND. THE STRUCTURE DEPICTED ON THIS PLAN WAS LOCATED PLOT PLAN ON THE GROUND BY SURVEY ON MAR 27 1986 in AND EXISTS. AS SHOWN AS OF THE DATE OF LOCATION. BARNSTABLE MASS . THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY AND SCALE: V 20' MARCH 27 1986 SHOULD NOT BE. USED FOR ANY OTHER PURPOSE. - BSC % CAPE COD SURVEY CONSULTANTS 3261 MAIN STREET DATE PRO •ESSIONAL LAN4D =EY OR BARNSTABLE VILLAGE, MA. 02630 (617) 362-8133 �1 N � r s Nx 2C`'03 `N 440 h co C4 32.02 � M �J N S� /10. 9� `— FyT � � o �� . /® 4 d I VV 1 JV,4 >Z- /N /o O N L-.D 7- Co TOWN OF BARNSTABLE ZONING - BY.-LAWS DATED F E.13 19 85. oN of Mgss Z-O N E: RC— I q o� PAPUL cyM SETBACKS RYLL FRONT 30' Ao No. 32448 oQ ( �Fss,�FGSTERE° a°� SIDE 15' °N4I LAND REAR 15 PROPERTY LINES SHOWN HEREON WERE COMPILED FROM PLANS OF RECORD AND DO NOT REPRESENT PROJECT N0. 3--1346--05. . AN ACTUAL SURVEY ON THE GROUND. THE STRUCTURE DEPICTED ON THIS PLAN WAS LOCATED PLOT PLAN ON THE GROUND BY SURVEY ON MAR 27 1986 1Cl AND EXISTS AS SHOWN AS OF THE DATE OF LOCATION. BARNSTABLE MASS THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY AND SCALE: 1" = 20' MARCH 27 1986 SHOULD NOT BE. USED FOR ANY OTHER PURPOSE. - X ' BSC % CAPE COD SURVEY CONSULTANTS 3261 MAIN STREET r` a PATE PRO "ESSIDNAL LAND EYOR BARNSTABLE VILLAGE,. MA. 02630 (617) 362-823 � k 3 �s J k':T