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0037 SETH GOODSPEED'S WAY
� 7 rs'� G��f�� � TOWN OF,BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # �r 0 Health Division Date Issued Conservation Division Application Fee 1. Planning Dept. Permit Fee . Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis .lid Project Street Address pr Village Owner_ S'�Gl��x/ r��/�('!')�� Address_o7SC� 141 �S'T o- T Telephone C27- Permit Request i�SlSc-( .4TC ��131L' !�l GL Azo i&_*2 ALL Dom- Square feet: 1 st floor: existing J96M proposed 2nd floor: existing proposed dotal neWnv Zoning District Flood Plain Groundwater Overlay- M Project Valuation - co �.� Construction Type > o Z. r`a Lot Size Grandfathered: ❑Yes ❑ No If yes, attach suppdrtiniocum entation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) c m Age of Existing Structure Historic House: ❑Yes gVlo On Old King's Highway: ❑Yes XNo Basement Type: Dull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) 14u/ Basement Unfinished Areas ft 1�11. r Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 17,12, existing _new Total Room Count (not including baths): existing new First Floor Room Count �5 Heat Type and Fuel: I(Gas ❑ Oil ❑ Electric ❑I Other Central Air: ❑Yes � /No Fireplaces: Existing New Existing wood/coal stove: ❑Yes No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes �$INo If yes, site plan review# Current Use 4L6', �� Proposed Use : f;O* APPLICANT INFORMATION / (BUILDER OR HOMEOWNER) Name L-G� 2 �._ Telephone Number _ 508, 6 8 Address =ta7iJ �[�,� 1 � License# _ T rr, A1k 41P9&_*W 91�Zdy�'Home Improvement Contractor# AC1,�3 Email Jt.Cl� o CC ,l "p�a�/ ,¢z A/L j Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. r , X t t • ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION A. FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL 141 FINAL BUILDING 3G` � I r DATE CLOSED OUT ASSOCIATION PLAN NO. j - ?Rze Cowniorrivealth of Massachusetts Department of r4dusa id Accidents Qffl-ce of',£n»estigatiozu {;y 600 Washington,street :...z , Boston,MA 02111 }4'fVtt:lllfl�g'flY�ll�lfl Workers' CGmpensafian Insurance Affidavit Builder-JContracitrrs/EIechicianslPlu nbers Applicant Info=atian Please Print Le:?ibly Name�BrrsiIIesstDrganiza4ion/Indav�dual� ?2 Address: A.ddress: -, , ✓C Q ::�L `-I:::>6 City/Statel G''�a l�b`G� � d d 6 y Phcne4k- 8 Are you an employer?Check the appropriate box: ' Type of project r I am a general contractor and I YPe P J ( �1��'= I-❑ I am a employer with ❑ 6. ❑New construction employees(full and(or part-time).* 11ave hired.the sub-contractors 2.[o I am a sole proprietor orpartner- listed on.the•attached sheet. 7. Remodeag ship and have no employees. These sub-contractors have 8.,❑Demolition working for ire in an i employees and have workers' b y capacity. 4. ❑Building additian. [No u-odmrs' camp.insurance comp.rom rartmi required-] 5- ❑ We are a corporation and its 10_❑Electrical repairs or additions 3111 aura homeowner doing all work officers have exercised their 1L0 Plumbingrepairs or additions myself, o workers' �t of exemption per MGL v �5' � �F- L.❑Roofrepairs . insurance requiredji c.I52' §1(4),and we have no employees_[No workers' 13.El other comp.insurance required. 'Any Wicmteiatcberks box AlEst also fM out the section Wow shmEingt6airwoAerecompmsati apolicyiaEorma6on Homeowners who submit this affidmif md=nng they aredning allwoA and then hire outside contmaor'samst suhmit anew affidavit iadif9*�rmch rCanttadnrs that check this box must attached as sddirianal sheet showing the name of the sub-contuctDrs and state whether.or not those entities have employees.Ifthesub-cantmctaes have entpioyees,theymmstpmvide•their workers'ramp.porkynumber. .ram art etttplger that;isprouiding markets'conrpertsationr inmirauce f'or my enrpinyees $eNv is the policy and job site information Insurance Company Name: Policy ter^pelf-ins.Iic_ EkpiratiouDate: Job Site Address: CityfStawzip: Affarh a copy of the workers'campensationpolicy-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$1,50a 00 an1tor one-year imptisonmeat,as we11 as civil penalties.in the form of a STOP WORK ORDERand a fne of up to$250-00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIAL for insurance,coverage verification. .Ido hereby cetftfy cinder d 'cis andpentaltr'es ofgerjuty tltat$re irtforrrtafiar>Prot tied above is true and correct Sionature: eliv Bate: ©6 'v20�7Z- Phone ik ��,g O's C�) 0jokial use aptly. Da not ivrke in this area,to be campletesd by city ortopril oiciat City or Town.. PertmtMicense# Issuing Authority(tdrde one): 1.Board of Health 2.Budding Dt parlmen 3.Cityl TosQn Clerk 4.Electrical Inspector 5.Phimbing Inspector 6.Other Contact Person: Phone#: ormation and last'ucti-ons ; ~ Massachusetts General Laws chapter 152 regaes all employers In provide workers'compensation for their empIoyees. p m this statute,an employee is defined as-".-every person m the service of another ceder any contract of hie, express or implied,oral or wriffieaf An vnproy,!�r is defined as"an i adividnal,partnership,association,corporation or other legal euthy,or any two or more . of the foregoing engaged in a Joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees- However the owner of a dwelling house having-not more than three apartments and who resides therein,or the occupant of the - dwellmg house of another who employs persons to do mairrf$nan ce,contraction or repay work on such dweIlmg house or on the grotmds or building appm-Eenarrtthereto shaIl not because,of such employment be deemed to be an employer." MI GL chapter 152,§25C(S)also sues that"every state or local licensing agency shall withhoId fhe issuance or renewal of a license or permit to operate a business or to construct buildings in the commonweal'th for any applicant who has not produced acceptable evidence of compliance with tbLe insurance.coverage regaired_" es-Neither the commonwealth nor any of its political subdivisions shall Additionally,MGL chapter 152, §25C(�stat enter into any contract for the;performance ofpublic work until.aecepfable evidence of compliance with the iumn:dace.. r ents of this chapter have been presentsd to the contracting author" equirem , Applicants , Please flI oirt the wows'compensation affidavit completely,by checki g the boxes that apply to your sitnation and,if necessary,supply sub--contractor(s)name(s), addresses)and phone number(s) along with their cerlifacate(s)of i,-,cr=ca. Limi:tedLiabBity Companies(LLC)or Limited Liability-Partamships(LLP)withno employees other than the members or partners,are not mquked to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is requued. Be advised that this affidayA maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affitdavit The affidavit should be-retrmmed to the city or town that the application for the permit�or license is being requested,not the Department of „ ,siT;ai A ccidmfs. Shouldyou have any questions regarding the law or ifyou are required to obtain a workers' compensation policy,please in call the Department at the number listed below. Self- sured.companies should eater their self-insurance license number on the appropriate line. City or Town OfEldals Please be sine that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regmdmg tb e applicant- Please be sure to fi11 in the perr t/ crose number which will be used as a reference number. In addition, an applicant that must submit multiple pemlit/Iicense applications i a any given year,need only submit one affidavit indicating current policy information(if necessary)and under"lob Site Addmss"the applicant should wute'all locations in or town)_"A copy of the-affidavit that has been officially stamped or maEked by the city or town maybe provided to the • applicant as proof that a valid affidavit is on file for f am'pamits or licenses Anew affidavit must be fiIIed out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial vent D. a dog license or pemut to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would hike to thank you i a advance for your cooperation and should you have any gn estions, please do not hesitate to give us a call. The Departnenfs address,telephone and fax mmnber: 'Ihe Canmanweattir of Massach setts ' Dapai went cif Industdal Ac�cidenta O, Mce of Itveg6gatio-= (50a-Wa$hi Gu Strut Boston=MA Q I I I T(�L 4 617- -•900 cxt 06 ar 1-97 M&&�A� Fax#f 17-`27 7M Revised 4--24••07 mas, �Qgfdrd J AWC Guide to Wood Construction in High Wind Areas:110 mph.Wind Zone Massachusetts Checklist for Compliance(780 CIVrx 5301.2.1.1.)1 E� chwi< Compliaocc 1.1 SCOPE WindSpeed(3-sec.gust)..._.............................................................__.......................... .... ...110 mph — WindExposure Category............................................._......................_....................._......._._..... ._.._B 1.2 APPLICABILITY Number of Stories ............_..._................_.....................(Fig 2). ............_........... stories 5 2 stories Roof Pitch ....._.. .__...... .. S 12:12 ......_......................_._........._.._.(Fig 2).................... MeanRoof Height _.....................................................(Fi9 2)-._.. ......_........:_.._............ ....—ft 5 33' — BwWrngWidth W....._........_....__....._...:_......_.._._..__..(Fig 3)..._........_........._..-.._......_..._ ft s 80' BuildingLength,L ..........................................................(Fig 3)..........................................._It 5 80, Building Aspect Ratio(LAY) ......................................_.(Fig 4).............................. < • — Nominal Height of Tallest OpeningZ ......(Fid 4).....................:.... ' 1.3 FRAMING CONNECTIONS General compliance with framing connections.........._........(Table 2)...................................._...._..._....._....... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete..............................................................................................................._............. _ Concrete Masonry............................................_......._.......... 2.2 ANCHORAGE TO FOUNDATION1'' 5/8"Anchor Bolts imbedded or 5/a"Proprietary Mechanical Anchors as an alternative in concrete only . BoltSpacing-general... .....................................(Table 4)........................................... in. Bolt Spacing from endroint of plate ._......_.............._..(Fig 5)............_._._._......»..._. in.5 6"-12" —_ Bolt Embedment-concrete.._......................................(Fig 5)..........................._.._..._._......_in.z 7" Bolt Embedment-masonry................................. ...(Fig 5)._.............................._....... in.Z 15' — Plate Washer._................_...................................._.._(Fig 5)................................................z 3'x 3'x'/," 3.1' FLOORS Floor.framing member spans checked ....................._.......(per 780 CMR Chapter 55)....._............................. _ Maximum Floor Opening Dimension_........._.......................(Fig 6)....................._.._..�ft s 12'or L/2 or W/2 _ Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6).................................. Maximum Floor Joist Setbacks — Supporting Loadbearing Walls or Shearwall................(Fig 7).........................................._.......—ft 5 d _ Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8).................................................... —ft 5 d Floor Bracing at Endwails.........:......................................:..(Fig 9)......................._.._...................... — Floor Sheathing Type .....................................................(per 780 CMR Chapter 55)....................__.. Floor Sheathing Thickness (p Chapter 55)....................... -in. ........_...._..__. ......_...._..._.._..(per 780 CMR Ch ter — Floor Sheathing Fastening......._........._............................(Table 2)__d nails at—in edge/ in field 4.1 WALLS Waif Height Loadbearing walls...._........I.................. (Fig 10 and Table Non-Loadbearing walls.............................._......._..(Fig 10 and Table.5)..................... _ft 5 20'Wag Stud Stud Spacing ......(Fig 10 and Table 5)..................._in.s 24"o.c. Wail Story Offsets ......................................._..............(Figs 7 ri 8)......................................._.—ft 5 d 42 EXTERIOR WALLS' Wood Studs able -Loadbearing walls....................................................(T 5).........._.........._.......2x _ft_in. . Non-Loadbearing wails....._............_................._........(Table 5)........_.._......:.........2x -_ft in. Gable End Wall Bracing i FullHeight Endwall Studs....................................._.(Fig 10)......_._.. ..._.. ................ . ._.._............. WSPAttic Floor Length.............................................(Fig 11)..........................................—ft>W/3 Gypsum Ceiling Length(d WSP not used).....__.:....._.((Fig . ............................ ft_ft z 0.9W 2 x 4 Continuous Lateral Brace @ 6 fL o.c...(Fig 11).:............................_..._................_:_. Double Top Plate Splice Len ................:....................................(Fig 13 and Table 6 Splice Connection(no.of 16d common nails)..............(Table 6)................_.......................... I 1 ' AWC Guide to Wood Construction in High end Areas:110 mph Wind Zone Mass achasetts Checklistlor Compliance(7so omR 5301.2.u)t Loadbearing Well Connections Lateral(no.of endnailed 16d common ......._......................................... Non-Loadbearing Wall Connections Lateral(no.of endnalied 16d common nails).._...........(Table 8).............._.......................... _._... Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ................................................(Table 9):._..»._....................._ft_in.s 11' Sill Plate Spans _..._......._.._. »........:. ._..___.....(Table 9).»_»».....»__ ....... ft_in.511' Full Height Studs (no.of studs)___._.....__...._..__.»..(Table 9)....................................»....... Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans.._.........»_............._.............................(Table 9)__...__»..._._.........___ft_In.5 IT SillPlate Spans............». ..._..._..............._..........(Table 9).............................. ft_in.512' .__.._.._. Full Height Studs(no.of studs)._........ ....__...(Cable 9)...._.».»..........._......._.. .... _... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W Nominal Height of Tallest Opening2 ........................ .»...... _.... ».:.._......._..........�.._....._s 6'8' Sheathing Type........._...............................(note 4)...........__...............................». Edge Nall Spacing.............................__(Cable 10 or note 4 if less) -_- in. Field Nail Spacing..........__......................._..(Table 10)......................_..............._........ in. Shear Connection(no..of 16d common nails)(Table 10}_.__.._......_._...._..........._....._........ Percent Full-Height Sheathing.........--..__....(Table 10)»...»:.....».............................._..._% 5%Additional Sheathing for Wall with Opening>61.(Design Concepts)........__. ». Maximum Building Dimension,L Nominal Height of Tallest Opening....»......»............................................... 6'8' Sheathing Type._..»........_._............_......_(note 4) ..._...._. ........... »....... _s Edge Nall Spacing...................._..............(Table 11 or note 4 If less)......_......:......_. in. Feld Nail Spacing....»..............................»..(Table 11).................................... in. Shear donnection(no.of 16d common nab)(Table 11).......___................ .........__....._....... Percent-Full-Height Sheatt>mg...._.....»_ .......(Table l l)..._....._»..._......».._..........._....... 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts).......... Wall Cladding Ratedfor Wind Speed?.............--..............................»...._».........__.:....._.. ...... 5.1 ROOFS Roof framing member spans checked?..... ..._.._.._..(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ....._............................................(Figure 19)........... _ft s smaller of 2'or L/3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift...........................................(Table 12).........................................U= pif Lateral----_._...................................(Table 12)..........................................L= pif Shear ..»......... ...».._.._......»._.._..(Table 12).............................. - plf Ridge Strap Connections,If collar ties not used per page 21.....(Table 13).......... »..__........._.T= plf Gable Rake Oufik�oker...................................... (Figure 20). ........ _ft s smaller of 2'or L2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors ' Uplift.............. (Table 14).............._................_......._U= ib. Lateral(no.of 16d common nails)...(Table 14)...............................+...:.:L= Ib. Roof Sheathing Type._._»..»................._......._...._..... r 780 CMR Chapters 58 and 59)......... Roof Sheathing Thickness_.................. _........_•....__.........._in.a 7/16*WSP Roof Sheathing Fastening..........................._...........(Table 2)...»..._ Notes: ._..».......».._.._ _ 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 530121.1 Item 1.if the checklist Is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate In exterior walls shall be a minimum 2.in,nominal thickness.pressure treated#2-grade. I • AWC Guide to Wood Construction in Sigh Wind Arens: 110 mph Wind Zone Massachusetts Checklist for Compliance(790C1TR5301.2.1.1)i C . a. From Table 10 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing requirements b. Wood Structural Panels shall be minimum thickness of 7/16'and be installed as follows. t. Panels shall be installed with strength axis parallel to studs. I All horizontal joints shall occur over and be nailed to framing. ill. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row'of lad staggered at 3 inches on center per the Figure, Ve'Vcaf and Horizontal NarTing for Panel Attachment AWC Guide fo Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(7so cMRs3o11.1.1)' 1 -rim,THIS EDGE MM ON FfVMW EMESdwALS. AT6b= ' 11 11 11 11 1 Y 11 • 1 /1 11 / 11 I r ' 1 i1 11 d � • 11 /1 C oil H ;F 1 1 'a 46 I t T! I I I IEl n v z ii I 91 pps d M J- 1i 1 ?W 11 rr i 11 11 1 j e ' MMSPACIfJl3 i EANId L �I See Delall on Next Page Vertical and Horizontal Nailing for Panel Attachment EVE� Town of Barnstable ti Regulatory Services BARNSTABM +` MAS& Richard V.Scali,Director 039. `0� Eo +" Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601_ www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, Sl/E3 1� �C1(��' , as Owner of the subject property hereby authorize LFo jnoz1 Y w 1�t3�L L/ to act on my behalf, r in all matters relative to work authorized by this building permit application for: (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signa . e ofeOwer Signature of Applicant a Print Name Print Name Date Q:F0RMS:0VNERPERMISSI0NP00LS Town of Barnstable Regulatory Services pUIK Richard V.Scali, Director Building Division t MUMSrestA Paul Roma,Building Commissioner 3 ���� 200 Main Street,-Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village ' "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to.engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to -be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. . i The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official I Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor- The homeowner acting as•Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many.communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Office of Consumer Affairs and Business Regulation w y" 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home ImprovemerWCentractor Registration Type: Individual Registration: 184153 LEONARD DELOREY i Expiration: 1 211 5/201 7 P.O. Box 46 Mashpee, MA 02649 ' Update Address and return card. Mark reason for change. SCA 1 C. 20M-05/11 ... .... ....1-1 AL x�3....LS Da^n""^�_n_Cr.!^In�I�'e►i 0 1 nett I�a►!1_..... 9 Massachusetts -Department of Public Safety Board of Building Regulations and Standards License: CS-070862 LEONARD D DElfiR19=6. PO BOX 46 MAMPEE MA 9264 , Expiration Commissioner 061=017 • �y` �Q, _ Town of Barnstable Regulatory Services anx MtasresrE. t n 9 S& �* Richard Scali,Director • � s3g.6 �� �DrE 39 a Building Division Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601 . www.town.barnstable.ma us Office: 508-8624038 Fax: 508-790-6230 Building Permit Procedure for Residential Addition Or Remodel Or Dock ❑ Determine map and parcel number and enter it on application. ❑ Historic District Commission,200 Main Street, approval required prior to construction/demolition for any properties located in a Historic District: • Old Kings Highway Historic District(north of the Mid Cape Highway) • Hyannis Main Street Waterfront Historic District(See map for boundaries) • Historic Preservation(if applicable). ❑ If ZBA relief(Special Permit or Variance is required for Project): ❑Copy of ZBA decision ❑Documentation proving that decision was recorded at the Registry of Deeds w/in one year of ZBA decision date ❑ Approvals from the following departments are required and can be obtained at 200 Main St.: ❑Health Department• (8:00—9:30 AM&3:30—4:30 PM {as of March 2°d,2005} ❑Conservation Department (8:00—9:30 AM&3:30—4:30 PM) ❑Tax Collector {can be obtained from Building Department} ❑Treasurer {can be obtained from Building Department} ❑ Permit must contain complete owner information,full description of project, correct square footage of project,valuation of project(must agree with Total Cost from Project Worksheet), building detail for Assessor's Office, complete builders information,including signature and date of application. ❑ 5 sets of reduced house plans measuring II"x 17",scaled 1/4"=V &fully dimensionalized are required. Plans must include a foundation,cross section,framing schedule,insulation.detail & floor plan showing location of smoke detectors (located with a Red `S'.), ******IF USING ENGINEERED LUMBER AND/OR STRUCTURAL,STEEL,ENGINEERING DATA MUST BE PROVIDED""" ❑ PIot plan or mortgage survey required for.any addition. ❑ Home Improvement Contractor's Affidavit ❑ Workers Compensation Insurance Affidavit form must be submitted for any workers hired. In the event the homeowner takes out the permit,subcontractors hired must supply this. Copy of Insurance 'Compliance Certificate must be on file. ❑ Energy Compliance Form ❑ Construction Supervisors License&Home Improvement Contractor's License OR ❑ Homeowner License Exemption Form must be submitted if homeowner is acting as general contractor or builder for the project. ❑ Property owner must sign Property Owner Letter of Permission. ❑. All Building Permit Fees must be paid upon submittal of application. All checks should be made out to the Town of Barnstable ❑ CHIlV MYS: Need Home Improvement License,no plot plan required ❑ PARS AND DOCKS:Need Construction.Super License AND Home Improvement License. OWNER CANNOT PULL OWN PERAHT. ❑ Projects requiring the use of a crane must complete the forms issued by the Aeronautics Commission .Q:forms r-addalt 03060 'P TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel. a Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee �S Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address -,�7-W Village Owner ����_y��l�� 9� c�?� Address Telephone 6�;tJ (}V;L Permit Request 720,S1 1,37— Square feet: 1 st floor: existing proposed 2nd floor: existing :proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 6OConstruction Type Lot-Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes C!No On Old King's Highway: ❑Yes ❑ No Basement Type: $Full ❑ Crawl ❑Walkout ❑ Other Basement'Finished Area (sq.ft.) IVO/C/eL-:' Basement Unfinished Area (sq.ft) /1jC2-Q Number of Baths: Full: existing / new Half: existing new Number of Bedrooms: c9-- existing _new Total Room Count (not including baths): existing S new First Floor Room Count Heat Type and Fuel: 4 Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes C�-No Fireplaces: Existing 1 New Existing wood/coal stove: ❑Yes (ANo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new . size _Shed: ❑ existing ❑ new size _ Other: `r Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ MAR. 17 2017 0 Commercial ❑Yes ❑ No If yes, site plan review# TOWN OF BARNSTABLE Current Use �JNCQ(1- ,�v� Proposed Use APPLICANT INFORMATION // (BUILDER OR HOMEOWNER) Name Lg-e e tor, V Telephone Number Address License# OwAorne Improvement Contractor# Email alrOCC Coh4C?V5r&=6 Worker's Compensation #ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE", FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED �- MAP/PARCEL NO. i - • ; ADDRESS I VILLAGE OWNER ' DATE OF INSPECTION: 4 >" FOUNDATION FRAME i - INSULATION ' fly.' = FIREPLACE ELECTRICAL: ROUGH FINAL j - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Y7w Curt momtpeah*ofMssrtr.hmetts Deparbwentcrfrt d-=hialActide7rtr 600 WaslahWon S`freet Baston,MA 02HI ' 1.4`FVI4LTIJQss`�a9�l�lll Warlors' ComzpensabbnInsurance Affidavit Bmlders(ContmciurslEIecfricians/Phunbers A. Please Flinf F�'bTv •I�'ame�Hnga�onual� �-�� �J � (� Aidressr S �)k. za ;5a o yC� c�fs �L .4'V � Phone, L5 08 &S5 Are yatr an employer?Check the appropriate bom Type of project(reTai ed): I.❑ I am a employes tivith 4. ❑I am a general contractor and:I employees(full amdfor part-#ime). * leavehiredffiesulr-contractors 6. Newcoustractiora 2. I am a sole propAetorr orpartaw- listed oathe arched sheep I_ ❑RemodeEng ( ship and have do emplcywr. . These sub-caruractors ham g- ❑Demolition loading far m.e in•any capacity. employees and bare wazkers' -ITo wodmrs't:onz p.issuance comp.Msuranicr 1 9. 0 B•uildmg addition required-] 5. 0 We are a-corporafian and its 16-0 Electrical repairs or ad&fi s 3.❑ 1 am a hotmemmer doing all work officers leave exercised their ME]Plumbing repairs or adc itiam mys�lf[No wcrk '0DMP- right of exemption per MGL 112.0 Ito of repaim iw a rued.]i c.152,§1(4h and we have no employees.[No wadoe& 13.0.Other •Allyw5mt&xtcheds box ftlumstalsafMoutthesecdcmbelowslia gtbeirv;uaejecompemmfimpa&cyinffimm-dart Mmeawnemwho subardi dams afGdaoii iaffcatMg they axedain;all Wca and&Mhire aatsidecnataactnrsmast submit a newafd:eit in6cmino smeh rContzscros•ffut,-bw1 this box mast atfadMd tm.addiliansl sfieer sbncvFngthenzmeof the sub-ceaacsctosand state whethet arnatff ase eadtiesha, mwkgees.Ifthe ms+-r ,.t��+=,�btre empIoFtvs,theymastgmride tb!9x trerl£_'comp.paTcg—Mber- I am art erriplal�err fl►atis pruurdircg tvarkets'catrrperfsrttrrt ursrirasca for xip etmgvlvy�e¢s BeLnly is fliepalicy cued job site frt,joe-rrratiarL ' InsuM a companyNarne: 'Policy 4 or Self-m s.Tic- Expiradas Date-_ Job Site Address: CiiylStatelzp, Attach a copy of the worlrer a comp ens atlQap.olicy decarafion page(showing the policy member and expiration date).. Failum to seems coverage as repaired unde r Section 25A of MQ.m 1P—can had to the imposition of criminal ptmalties of a fine up to$1,5t}a OQ sailor one-yearimprisonmeut,as well as civil peualtiesia tare farm of a STOP WORK ORDER•and a fine of up to$Moo a clay against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA far instmce coverage vreEification. Ida keraby csrlrfy wrier Sta permsZd p8rraffes ofFmJzuy 8ratfJrs inforwafitrr>•prm Tod abate is true and carrect Tate_ —/d ,20111 Phone A-7 027ciad use only. Do not Emits in flds of ea�to be camLeted by ciiP or to tFn a,LfrcrQL City or•Fawn: PermifffIcense f Iss»g-AM11oiity(tdrrk one): L Board of ReaI& y BuffAmg Department 3.Cftylrown Clerk 4.Electrical Inspector S.Phrm-bing Inspector 6.Other Contact Person phone 9: Taformation and Mstructions M ��3 eiis ewer d Laws chapter 152 rues aU=Play=to provide:wna�'mmpepszdcm far their empIoyees. FMSUM±-tv this sfai�,an=Troyee is defined M'` .every person in$ie srdvice of aai7thtr Mder any contract ofl , express or implied,oral or wrift=f art a associaf cm c�rpmsfion or other legal a y,or any two or mare An erslvya is defined as_an indxvidrlal,p , �tiv�of a deceased employer,or tie of tine Rx egoing wed m a Jomt ,and mclndmg the legal repZes receiver or tro s of an kffVidnaI,per,assoeiaiion or other legal eaniiy,employing�lDy - However the cc�t ofihe owner of a.dwelling house havmgnot more than tbree apadmmts and who resides tiiercm,or the o dwriling house of another who e03PIoys Persons to do mHfi tMLmCB,c on or repair wo6c an such dwelling how D or on.the grOMI& or buV=g Wxt-ena� t$e-uto shalln,otbmause of sarh employmentbe deemedto be an.emploYeL" MG �Imo'I.chap §25C(6)also sirs that¢every sfafa.or local H=xsIng agency shall wrfhhold 1$e issuance ar the coIImonwealth for rap renewal of a&cease or pexmi�to operate a business or to construct bindings in covex-age required." a-PPhcanfvj-h.o has notproduced acceptable evideum of compliance with fihe h saran A orgy,MGZ chapter 152,§25C(7)s ah-s-Neifber the nor any ofits political subdivisions shaI1 enter into any contract for the performance ofpnblic WoIkuabI acceptable evidence of compliencewith.the msur�mce. reqaa-ajems of this chapter have been presented to the contacting aufhoav-' Applicants let eI by eheg tie boxes that apply to your situation and,if Please fill oil ae,wodsra ,compensation affidavit comp y, necessary,necessary, r(s)�e(s)' es)and phcme— m(s).along with flea Certificates)of nec msm�ce. Limited Liability Campauies(LLC)or L>�d Liab�ity Part=ETs.(LIT)wrthno e%PIoyees other than the mertLbers or partners,are not rbed to carry workers' compensaiicm If an LLC or LIP does have e Ioyees,apoIicY is required- Be advised.thAthis affdayk may be snbmitiedto the De, of Industrial Accidents for cont3rmafM of in=M a COverage- A.Tso Be sure to sign and daferthe affitdavn The affidavit should be retied to the city or town that the application for&a permit or Iiceose is being rcquest� nof#heDeparfinenf of Sbouldyou have any questions regarmg the law or ifyon are requzned to obtain a woria=' campPnsa:ti ,,pofieY,pleasecallthoDepartmeotatthennmbrrlistedbe.loop self-msmedCampanies should enttrtheir self-m ,ran ce Hccase number on rite appiepaain Ime- City or Town.Officials Please be sure that the affidavit is camplett and prktedlegibly- The Depa imea a thas provided spare at,the bottom of the affidavit for you to fM out inthe event the Office oflnv has wniBc f y°ttr the applicant Please be sure to fM in the p=/Iicrose rnunber which wM be used as a reO rence npmbcr Iu-addition,an applicant that must sabmit multiple pexmhJUcense applibafi=in BUY given yea,need only submit one affidavit i ndicatmg cm tat p olicy information.(if necessary)and under'Job She Ada=e the applicant shoild v z>fe"a,'locathns in (CaY or- town)"A copy of-the:affidavit that has been offjcbI Y stnaped cs madced by the city or tnvm may be provided to the " applicant as proof that a valid affidavit is on fle for pemits-or licenses. A new affidavit must be iMed out rack year.Where a borne owner or citize n is obfaming a license or permit not xe7ad to any business or c�mmercaal ve�i� e or peanit to bum Ieaves etc_)said person.is NOT r segmted to curaplete thi affidavit a dog licens The Office ofluvest gaons wouldl�to thankyou.ii.a&mce foryour cooperation and shoIIldyonhav$any questions, please do not hesiiatr-to give us a CaI- The 1 qe rtn emfs aridness,telephone mud fax rmmber_ - th of Ma��bps Dement of IY Aocidents �man Sfre�t BwtDz6 MA Oil11 Ted.iP 617-727-4 F9ft 4€6 w 14777 M SR� Fay 9 617 727'749 Revised 424-07. � PkVAFa li Town of Barnstable Regulatory Services • • BARNMBIA • MAES Richard V.Scali,Director s63¢ �0 Nua Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize /—L� S to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. em L SignAte of Owner Signature of Applicant rev 1,VCarZI-I Print Name Print Name Date- Q:FORM&OWNERPERMISSIONPOOLS Office of Corisuiner Affairs& Business Regulation-Mass.Gov Page 1 of 1 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Consumer Affairs and Business Regulation Home Consumer Rights and Resources Home Improvement Contracting HIC Registration Complaints s' Registration# 184153 Home Improvement Contractor Registrant LEONARD DELOREY Registration Home Page Name LEONARD DELOREY Address 5 MEADOW HAVEN DR. City, State Zip MASHPEE, MA 02649 Expiration Date 12/16/2017 Complaints Details No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search ©2012 Commonwealth of Massachusetts. Mass.Gov®is a registered service mark of the Commonwealth of Massachusetts. https://services.oca.state.ma.us/hic/licdetails.aspx?txtSearchLN=86144 3/17/2017 Massachusetts -Department.of Public Safety. Board of Building Reguiations and Standards ". License: CS-070862 r' LEONARD D DEL3b PO BOX 46 MASHPEE MA (W164 c�.�.. ,1l ems= .��'►s'�� Expiration Commissioner 0612=017 sr , lime Town of Barnstable *Permit# Expires 6 months from issue date ` Regulatory Services Fee • Richard V.Sc Director `J`� . D ab, Building Division lip Tom Perry,CBO,Building Comm isR h r 200 Main Street,Hyannis,MA 02601 R�A�` www.town.barnstable.ma us Office: 508-862-4038 T�I `�o`v� ax� 508-790-6230 EXPRESS PERAUT APPLICATION - RE ' " `NTIA�L��ONLY Not Valid without Red X-Press LnpriM MapfparcelNumber (/�Q1 �J _l U �C Property Address S� �5 Residential Vahie of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 001 CS Contractor's Name Telephone Number g Home Improvement Contractor License#(if applicable) )6-3 Email: Construction Supervisor's License#(if applicable) �S (0 —2 ❑Workman's Compensation Insurance Check one: I an a sole proprietor I an the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side A[r Replacement Wmdows/doors/sliders.U-Value , (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. •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. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: QAWPF]IM\FORMS\building permit forms\EXPRESS.doc Revised 040215 The CMMOM yeah*0fMwMff&=e& D4wtment ofrndm%trid Accidkx& Offwe Of -— - BosmN MA V2.U1 svrvMmas gM1d,a Workers' Cumpencafnr4n InsuranceAffidavit:Buaders/CmtrachumM ers AmEcan#Iufarmataon Please Print Env 7® 7 e4 Are you an empk►yer?Qmeckthe appropriate ba= Type of project(raguired): L❑ I am a am player*itm 4 ❑I am a general ccnhmetm and I' 6. [:]New eons employers C:EuU actor pat�j.* have hin d1he sub-contracts 2.[P I am a wle proprietor orpartmer- listed onthe aftached sheet. 7- ❑Rem deHng �ese sub-coaftwI rs hwve ship and 1raQe no employees � & ❑Demalifioa wodzng forme is airy capacity. enqAayew andbave was 9. [1 Buddaag addition [No 'comp.i ce comp-ksu ancf regmired-] 5. ❑ We are a corporation and its ME]Ekdriral repairs cr additims 3.❑ I am a homey doing all ww k offi=shavecm=sed dmw I L❑F1nad)agreP2e=or a ms d&d myself[No work='gyp- of es ag Per M H. I?-El RoofrgMirs iaimrnm a regYsir ]i c.M§1(4),andwe have no emplOye=-[No woADE ' 13.0 Other cam-insurance require&] •bapapp �arcbed,box 91mast RIM finautthesecinabeIawshuwizCfimkwo&eecmmpoatio-apaHcyiufi=wFion_ T�a�ea�aers�osn6�iirisx�dat�ela gdep8MdaiZJ.-9H. mdBimbimaatsi&eadmL==amstsobs,anewzMdaVkma;fMfiMrnrs, ZCaa=rVsfhm?cbPrkfl k bax ddiff—I did sLoariagibe—of&a SMVCM1=CtDMxnd stslavhetm or=tme a bay employees.Ifthesnb-cad mhave emapdoyws,dieyamsipmWd&fiw r Bates'cmmp puHU ahec I ara are curplirFsr flint is prQuidiirg�vnrkers'to saiiiarr irmsuratres f ar earPTny�ees. BeTvw is tfle paTicy avert jab site irrforasafrors Insurance CMMP3nYN3Ma 'Policy:9 of Self-im Lin 4: FspiratioaDa Job Site Address: Gify� : Attach a cape aEf the workers'compensation policy decimation page(shag the policy,number and eipir ation date). Faslnre to secure coverage as require undw Section 25A of MQ.a 15 can lead to the imposition of criminal penalties&a fine up to$1,50QOa andlof one-yewimprisouaueuk as win as civs1 penalties in the form of a STQP WORK OF=and a fine of up to MOO a day agga and the vioLdnr. Be advised that a mpy-of tbils st demerd maybe forwarded to the Offim of luveutt�fi�ofthe DIA for insumaw coverage verification. 1 do hereby remit6 Paws andpmah6ri ofperju7 tW flre irfarmmb�=prnaeded abmw is bus and avrr=t AUSinn +* Dt,- a( 7 f C%-.j Phone 0,07dad use only. Do oat wrier in firs area,fri be canq*ted by city arkln a�j`rciaL . City or T'a ww PerEdtMiaemse f Ding Axrflu *y(dude floe): L Board of Health'I Bu ifing Departmmt 3.CR-yY own clerk 4.Electrical I'aspector S.Pbmmbmg L=pectDr 6.Other Contact Person Phone 0: 6 .JII . .. -of lie, a < r rec •� .1•.�.■• ..■• •. ■•. ■ •.• •nc u•■r +.•.+ u• • r u-..: ■■ ••. '■.-o •. ..• . .... 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' .. • I!■..• .•■ ••• �.• •■■.0 ■■ .• ■I■.r • 1■1■r :r _ +■■• 1• Il•.■:JN•1Y• •1 ■Yr■■ l'• .I■t. ■■.I II: • _�■ ■ ■ • r• r •1■�1• •• .••II! .+ t +. : • v.■I:.t.r`u t■ ■■ •/1.11 •t ■1.- _Y.I. r.1/r lu • .I ■+.:r•1+ ..I. _ f•l t■ • t•■■ •1• •..- .■.: :• t■t" _ i!•.• 1• .t.0.'Afm• /•. ■I•II:.N.`w: ..1.Y'r•■ .:1• :l.0 ■•■I .I' : •+({■l=■ lie .. •1■tr 1 _■i 1.1 ■1•■■:h■r 41..1...1 `46al•l• ■Ill! _ ri O4 . • sA8r1bTA8L=, • .• MAM Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 F= 508-790-6230 Property Owner Must Complete and Sign This Section. If,Using A Builder I, l�V 4:::,' r KI e'n-T/1 ,as Owner of the subject property hereby authorize D91 eiiIZ61 s to act on my behal. in all matters relative to work authorized by this building permit application for: 3r7 L=7 a a-L-X9 iF> (Address of Job) Signs of er Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPFn ES\FORMnT@dmg pe®it f=\EXPRESS.dnc Revised m2is Town of Barnstable Regulatory Services �ptr Richard V.S=Ii Director Building Division BABY&MAIM, Tom Perry,Budding Commissioner MAM 200 Main Street, Hyannis,MA 02601 www.town.barnstable.nuLus Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXE1VlMON Please Print f DATE. :1 JOB LOCATION: number stied village "HOI,.MWN�: name home phone# woric phone# . CURRENT MAIIING ADDRESS: - city/6own stale zip code The current exemption for"homeowners"was extended to include owner-oggWied.dwellines of sic units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFT MON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,'et ached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section , 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procediaes and requirements and that he/she will comply with said pmcedares and requirements. Signahue of Homeowner Approval ofBtulding Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXF.1 EMON The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. .The homeowner acting as Supervisor is ultimately responsible. , To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of,a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFH.F.STORMS\bm7dmg permit fora UMRESS.doe Revised 040215 _ , - - Massachusetts -uepanment or f uouc sawe y n Board of Building Regulations and Standard`s• • I ,' r Construction Sunerviior License: CS-070862 NN- LEONARD D DEWREIr. PO BOX 46r Ai s • MASHPEE 6164 �- IVIA O` Expiration Commissioner r 06/22/2011 r YUn4stricted—Buildings of any use group which�i contain less than 35,000 cubic feet(991iri3' {e�6iosed Space. 7 t '7, 'Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license: ' For DPS licensing information visit: www.Mass.Gov/DPS, , L . r m V/ce (pomvnaowtvealC�a�C�/j/�iieaacluc�eCld Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration: t841.53 Type: Expiration-.— M7 Individual (P LEONARD DELOREY LEONARD DELOREG 5 MEADOW HAVEN MASHPEE,MA 02649 Undersecretary 1 License or registration.valid for individul use only I before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation ' 10 Park Plaza-Suite 5170 Boston,MA 02116 Not valid without signature 4 �oF,►,E, Town of Barnstable *Permit# r O* Ezpbe 6 months from Law date Regulatory Services Fee /d MASS Thomas F.Geiler,Director QED.19.t • Building Division X�PRES PERMIT Perry,. Building Commissioner 200 Main Street, Hyannis,MA 02601 0 C T 13 2004 Office: 508-8624038 Fax: 508-790-6230 TOWN OF BARNSTABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY /. Not Valid without Red X-Press Imprint Map/parcel Number / 0 Property Address d 5 residential Value of Work �i O11� Minimum fee of.$25.00 for work under$6000.00 Owner's Name&Address S:5 U.&eq zlw Contractor's Name J d4-nA9 D_ A ,4.4"4, Telephone Number_ <-D Home Improvement Contractor License#(if applicable) 7Ar Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check pe- a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance V� Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate'must be on file. i o Permit Request(check bo ) � ��-�� o e-roof(stripping old shingles) All construction debris will be taken to `- cc y. 14s : ❑Re-roof(not stripping. Going over existing layers of roof) ©-I(;side -_ co n cement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. e ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. Signature � • Q:Forms:expmtrg Revise063004 a 80�d uildiu9 Regulations end Sta HOMEIMPROVEMENTCON7RgCTOR adards Registration: 141385 f Expiration: 4/20/2006 J.D.ASHLEY TYPe: DBA JAMES ASHLEY 362 PINECREST BEACH DR. _ E.FALMOUTH,MA 02536 Z-+ Admi mstrator. � T� ���� !o�✓�¢aoac/zuaeC�a BO A,RP:OF BUILDING REGULATIONS License. CONSTRUCTION SUPERVISOR i Number�CS� 01603 Birthd to 10/24/1966 , �._ _ Expiresi G/24 2005 Tr.:no: 76973 ; Rest]edt00 , I JAMESD:ASHLEY,JR 3t 2 PINECREST8EAC*H;DR' E FALMC�IUTH MA 02536`- '� �� ! Acting Ce ,mis ones , d t J. D.' ASHLEY, JR. Quality Remodeling Cell: (508) 274-2314 Proposal Submitted To: Work To Be Performed At: Steve Cincotta Seth Goodspeed property Date: September 26, 2004 We hereby propose to furnish the materials and perform the labor necessary for the completion of: =Strip existing roof of all shingles,tarpaper,and flashing -Replace rotted rake/trim boards, repair rot around chimney and construct cricket for water runoff by chimney -Apply new flashing,#15 felt and Architectural shingles,color to be chosen by owner -Repair rotted plywood on exterior end walls -Install new comer boards, 3 new vinyl windows, I new steel door, 2 new vinyl vents, and apply white cedar shingles to end walls -Replace trim around garage door,install new 7X9 aluminum insulated garage door with windows, and apply white cedar shingles to area around garage door and up end wall to chimney -Remove front steps, repair rotted sill area behind steps,flash and install 1X10 trim board to 6' area behind steps -Clean job and remove all debris As with any exterior wood rot it is possible that there may be structural damage that can not be seen until area is open. Minimal structural damage will be repaired at no cost. Major structural damage, if any,will only be repaired after discussing with above client. All material is guaranteed to be as specified,and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of: Eleven Thousand One Hundred Seventy-five Dollars ($ 11,175.00) with payments to be made as follows: $6,175.00 to start, $5,000.00 upon completion Respectfully submitted: James D. Ashley, Jr. Acceptance of Proposal: Signature: Date: OCNSURETY 1-800-331-6053 Fax 1-605-335-0357 P.O.Box 5077 Sioux Falls SD 57117.5077 www.cnasurety.com September 21, 2001 Agent Code: 20-00283 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN HALL 367 MAIN ST. , 4TH FLOOR HYANNIS, MA 02601 Re: Bond No. 42467246 Penalty $160 P. SCOTT CAMPBELL - 37 SETH GOODSPEED RD. OSTERVILLE, MA 02655 SITE IMPROVEMENT CITY OF BARNSTABLE We wish to take advantage of the cancellation provision pertaining to this bond or policy. You are hereby notified that this bond or policy is cancelled and voided as of November 02, 2001, or the earliest time permitted by applicable law, whichever is later. This bond or policy has been cancelled or nonrenewed because of nonpayment of premium. cc: P. SCOTT CAMPBELL BRYDEN & SULLIVAN INSURANCE AGENCY, INC. 88 FALMOUTH ROAD HYANNIS, MA 02601-2792 Underwriting Services SEP 2 '" 2801 -- --- i i TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN HALL 367 MAIN ST. , 4TH FLOOR HYANNIS, MA 02601 kc 4f`"rN C G O 7 771 ST 30 �'l{/..� •O' /S' -� .. + 'K� ''tip��_� Sri Q _- _ y •�I _ I ._ . . � •,F �• t (� T 1 Z�1 ii11.. t I • t. rs ° 70 I ' i+[ e �� `ks JLrti k 717 F 1 DF5T�. sc ---/DOD ` Gf�G:; EV7"<<= T�9/✓.c� ; G•,C>T /S^- L A,t/O G L--)U'E 7 .Of T G/.t/.c a !•✓IT. ' 1'�iY!<,[/� Gs d - t NE�EAF31/ CEET/FY TN�iT T.iIE 6lJ/Ll�/VG ; ij 40C-0977EZ� OA/ 77NE. T 6 " uI✓� A9W NOW.�/ NB�E3o�/ AND TNgT IT T ��_� co�✓For�.✓s re rs•�,� zo.vi.`/C� � 4�t� q�,s ��., P;s"�' �ct� ` F3Y� L;egN/.9 C,= rNE -row" OF iNf,✓C'M CG,.A/ST TE D. T �� 'ARNE + � � �t,'t, ',i ���''' itj z r 'g } u A r hrti N ¢JAL#S� f'r fib; . 634 r Z-.* e Assessors map and lot number :.�. .�..... 'q K; SYSTEM,MUST 13L N CO' ��IARI�IE_ Sewyge.A�rmit number ....................... ....Q.. ............. ��UhJ 8A',N,1ITX.'�Y AVIL, TOWN' "E.r TOWN OF BARN�S�l �� �'t IE . BUI:LDING INSPECTOR A APPLICATION FOR PERMIT ,TO ....... . ............ ... ..... .. .. . .............. .. .. ........... ....................................... TYPE OF CONSTRUCTION ............. 9 TO THE INSPECTOR OF BUILDINGS: The undersigned ereby applies fora ermit according to the following information: Location ..... ....... .. .... ... ... .. ....... .. ...... .................. ..... ............................... Proposed Use ...... 1�. .... ................................................... .......................W .... . ..... ZoningDistrict ..� ...6.�.............. ................ .....................Fire District ..................... . ... .. ..................... ..... r Name of Owner ... ........................ -� ..............Address .......� ..............� / .........t Name of Builder ... ................................................Address' ............. ............................................................ Nameof Architect ..................................................................Address .......................................................... ........................ Number of Rooms .............................................Foundation ....................................7 ...�.'ru� ................. . ..... . Exterior ....... .e /....................................................Roofing ...... .. . .. .. . .............. .............................. Floors ...........!iv... :.....:. ..................................................Interior ......... . . . ........................... ............................... Heating .......f!..,./..Y.T. .... ..... d.5.....................Plumbing ........../................................................................... Fireplace Approximate Cost t2?S'o�� Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ....zg. .......Q ................. Diagram of Lot and Building with Dimensions Fee /.�> � ................ ..... ........... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the T wn of Barnstable regardiFM the above construction. Name .. .... ..... Capewide Development 18624 one story No ........:1>:....... Permit for .................................... single 'family dwelling ......... . . ....................... .................................... Seth Goodspeed's Way Location ................................................................ Osterville ............................................................................... Owner Capewide Development ................................................................. frame Type of Construction .......................................... Plot #15 ............ ........... Lot ................................ i Permit Granted ..............Aug,us�� //t 31......19 76 Date of Inspection ......r .. ..... 19 Date Completed ....�. ..1 76.......19 �,- PERMIT REFUSED ...................................... ................... .. 19 9� i ......................................................... .................. ................................................................................. ......................... ............................................ . y, ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's ,map and lot number Sewage Permit number ........ �a. a.................... . Q f•T"Er°�` TOWN- OF BARNSTABLE .' IM35TODLE, i Mb q MAI BUILDING INSPECTOR APPLICATION FOR PERMIT TO f r.+ ......... GAO TYPE OF CONSTRUCTION .......... ...................................,1../? ,/✓.. ...................................... ............. ..��y...19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location........................................... .... ".. `"�::: i 1�"..p % s' ' '`........ ....:..........................................CC o /il„ -,lid C-� i.�� ProposedUse ......�:... ... ...................................��..........�.............................................................................. ZoningDistrict .....................Fire District .._............................................................................ 4 Nameof Owner.��r...`........I........... ..................................Address ...........,...,..................... ............................................ Nameof Builder .11..................................................................Address ..................................:................................................. Name of Architect ..................................................................Address .................. .......................... Numberof Rooms ...................................................................Foundation .................................................... . Exterior ........ .�.... ....................................................Roofing .......�i(.. .s.�"..•/�.,. �............................. ....................... Floors Interior Heating .......................................... g ...........i. ................................................................... Fireplace ............... � ..................................................................App � Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area zc� az.Q Diagram of Lot and Building with Dimensions Fee 7.,.<........................ ............... SUBJECT TO APPROVAL OF BOARD OF HEALTH 0 I hereby agree to conform 'to all the. Rules'and Regulations of the Town of Barnstable regarding the above construction. Name . ',.<�-'��„ ;9 �� !✓�' �. :......... Capewide Development A=146-9 (not 'plotted) 18624 o� 'to ' No ................. Permit for : j........ .... ............. single. family- dwelling : ..............�2�•Seth Goodspeed's..�ay........... - LocationV................................................................ Osterville Capewide Development. Owner .................................................................. frame f Type 'of Construction ............................:............. : ... ........... Plot Lot ........9�h5.... ` ......... August. 31 . Permit Granted ................:.......................19 76 Date of Inspection ............:.:.....................19 Date Completed ' PERMIT.REFUSED S .................................... ........................ 19 ........... .. : ............... : .................... .................................................................................. r .............. ......................................... .......................... Approved ................................................... 19 .......................................................... 5 1 .... ..... ................:............ .................