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HomeMy WebLinkAbout0055 SETH GOODSPEED'S WAY �V�/® 1 � �' .� . :.�. ,•----y —,�•--...-.r. ,.;....�.......• +�,� r .--....e.*....r�.�—w�.�-.�+ --,- ----�-�.,r--..r ,._ ,.• „�';yam--��`�.-,..ram.. _ i Town of Barnstable �t U 1 �C( Regulatory Services Expires 6 nt « rs fl; «edare Fee ✓. ` g,gRVSfABLE, n� 0� Thomas F. Geiler, Director i619- ��TE7 IM'�a Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstab le.ma.us Office: 508-862-4038 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ax: 508-790-6230 f/°^�� Not Valid)Pithorrr Red X-Press Imp rinI Map/parcel Number_ ` ?Z2 V(� Property Address -p �. Residential Value of Work4l 4,�610Minimum fee of$35.00 for work under$6000.00 Owner's Name & Address vJ y -P Tr!J� C-.P Contractor's Narne j �d Telephone Number 7� Home Improvement Contractor License #(if applicable) Construction Supervisor's License#(if applicable) 57 / �._ ❑Workman's Compensation Insurance � �� � �� Check one: a�' RM I am a sole proprietor ❑ lam the Homeowner AUG 13 0L�10 ❑ I have Worker's Compensation Insurance N OF BARNSTABLE Insurance Company Name Insurance 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 ❑ #of doors Replacement Windows/doors/sliders. U-Value (maximum .35)#of windows +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. IGNATURE: AWPFILESTORMSIbuilding permit forms\EX PRESS.doc evised 0721 10 -r The Conrnroirwealth ofMassachusetts m DepartmenI ofln dt.istrial Accidents - Office of Investigations �=�• 600 Washington Street - Bostozi, AL 102111 -w'isnn.mass.g ov1dia . vAfGrlters' Compensation Insurance Affidavit: Builders/Contractors/E.lectricians/Pl;umbers Applicant Information Please Print LegibIN Name (BusinesvOrgm=ationrIr6vid rai):�/ Address: t. City/State./Zip: Phone 4-.- Are you an employer? Check the appropriate box: Type of project(required: L❑ I am a employer with 4. ❑I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors6• ❑New constnrctyou ' ,)NY I am a sole proprietor or.artner- listed on the attached sheet. 7. ❑Remodeling sliip.and have no employees These sub-contractors have g. ❑.Demolition working :for.me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance.. I 9. ❑.Building addition required.] 5. ❑ We are.a corporation.and its ME]Electrical repairs or additions 3.❑ :I am a homeowner doing all work aff►cers have exercised their 11..❑Plumbing repa•iri or additions myself [No workers' comp. right of exemption per MGL 12.EJ Roof repairs insurance required.]t c- 152, §1(4),and.we have no employees.![No workers' 11❑'Other comp. insurance required.] •Any applittmt that checks'box#1.rant also fill out the section below showing their workers'compensation policy information. Y Homeowners who submit this.affidsvit indicating they are doing all work and then hire outside contractors must submit.a uew affidavit indicating suclL iCoatractors that check this boot must attached an additional:sheet showing the osme of the sub-cautrac ors sad state whether or not those entities have employees. if the sub-contEactors:have employees,they.must provide their workers'comp.policy number. I a1z1 an e1ilplgyer tliat is pro>>iditig ttaorkers'conrpelrsation iltslrrarrce for trey erllplopeTes. Belom is the policy an:d job site inform atLO11. Insurance Company Name: Policy#or Self--ins.Lic.'#: Expiration Date: Job Site Address: City/State/4: Attach a copy of the workers' compensation policy'deciaration page(xhoudng the policy number and expiration date). Failure to secure coverage as required under Section 2.5A 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'VV0RK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a cop),of this statement may:be forwarded to the Office of Investigations of the D.IA for insurance coverage verification. I ado hereby certify under thepains and pe hies of p t.Irat f11e iatforlraRtian provided above is true and correct. Si lure: Date: Phone M Q,�cial.nse only. Do not.tnrite in this area,to be collipleted by city or town officiaL City or To-wn: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4,Electrical Inspector 5.PluEInspector 6. Other - Contact Person: Phone#. 6 pf THE ram, Y i Y • HARNSTAHLE, • Ass. i639• Town of Barnstable �� ArFD Mp`I A Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnsta ble.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder /- /X-`-`- � 1, Z , as Owner of the subject property pill hereby authorizeL✓ to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) 3 6 0/(� Signature f w Date P t Name If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on the reverse side. I ' QAWPFILESIFORMSIbuilding permit forms EXPRESS.doc Revised 072110 � D P�ol► r � Town of Barnstable Regulatory Services * w iRA LA Sa w Thomas F. Geiler, Director $� .6-19. Alm Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnsta ble.ma.us Office: 518-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER" name home phone N work phone N CURRENT MAILNG 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 performedAunder the building permit (Section 109.1.1) Y, 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 procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building 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 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.I -Licensing ofconstruction 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:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 072110 Office of Consumer Affairs&B usiness Reg License or registration valid for individul use only, . HOME IMPROVEMENT CONTRACTI"?R before the expiration date. If found return to: ReaistraUonc 164505 Office of Consumer Affairs and Business Regulation Expiration-.10/13/2011 289749 10 Park Plaza-Suite 5170 Type: individual,-,-,, Boston,MA`v',116. ANDREW REED ANDREW REED 100 SETH GOODSPEED'WAY' 4 , OSTERVILLE, MA 02E55 Undersec eta'ry - Watu Not valid without 'iVlassachusetts- Department of Public Safety ` ,Board of Building Regulations and Standards Construction Supervisor.License R. License: CS 102575 Restricted to: 00 j ANDREW REED d9_n 'a 100 SETH GOODSPEED WAYS;' ; J OSTERVILLE, MA 02655 ........._......... _ Expiration: 7/13/2012 Commissioner Tr#: 102575 J Assessor's' map and lot number ............ 10 THE O Sewage Permit number ......,-4-410!w,un..( Z BAHHSTODLE, i Housenumber ........................................................................ y Mae& �p s639. \00 �10 MPY a' TOWN OF ,BARNSTAELE DMLDING INSPECTOR APPLICATION FOR PERMIT TO ....... . ................................................................................... TYPE OF CONSTRUCTION ........... ..:... Z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .S J� ......5 e 7.H......G�o�...:5.!a.�..'P..�<�................©..5.�..f'. ,�....��..�..�:..�.?�........ . .... - ; ProposedUse .... ............d../p..o../l....................................................................................................................... Zoning District Fire District Name of Owner R6..S:. ......4....... ........1: ....Address ..S S...... l H.......GG0 ,0 .5: iC' L ............... .................... Name of Builder ..............Address , :�.. 'loo. ! �, ,r�-i v../Vrv. P..G ,r,,�1"f�:e�.,W.K t Name of Architect P ..............................................Address ............................................:....................................... Number of Rooms ... .. .. ................................................Foundation . l Exterior ...............................................................Roofing .. .-r... ..N. .. ..1 ............................... 1.;:.............. Floors 6^/ `12 ..........................................................Interior ......./ �4 k Heating �fJ. ✓.. -...............................................::........Plumbing .. ^�../a.. �f..` ........................................................ .......... OOo Fireplace r.✓...�..�....�f..-...................................:..........�......Approximate Cost ......��.}. ...........�.............................\.......... UU _ Definitive Plan Approved by Planning Board ---------------_---------------19--------. Area �...r.. ...:`. ..... ..1........ Diagram of Lot and Building with Dimensions Fee I SUBJECT TO APPROVAL OF BOARD OF HEALTH TZ A rZ S j )o c� 4�f C2C � r o Sig ,I � . 1q .4 �� l✓� s 7 00 I hereby 'agree toyconform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ,J�!�� r 7 ......:....... . P., ! .-......:...... i' ✓ �l v' DeYOUNG, ROSA L. A=122-62 No .....32..... Permit for ..Add...T.A.................. Single..Famij y..AW.ell.i.ng............. ; Location .5.5...Sgtb...GAQdsjpeed..Road..... ............. SerV.].l.le................... Owner ..Rosa Lt....AQXourig..... ................... Type of Construction Frame............................. y •Plot ............................. Lot .. .... .................. Permit Gro ,ted ......July 13 r..............19 81 Date of Inspection .... ..................19 Date Completed ......................................19 PERMIT REFUSED ...................... ..................................... 19 .. ................ .............................. � ........! ................e ................................................................................ Approved ................................................ 19 .tom r .......................... .................................................... ............................................................................... Assessor's map and lot- number ...... ..................... ......... ; )1? Sewage,-Permit number ..........................:............. .......:....... 1 n O r L TOWN- OF BARNSTABLE' �F THE T� ' .M6 9 BUILDING ' INSPECTOR . .. 'ED YPY►►' .. ±� r �V.' .APPLICATION FOR PERMIT TO .............................................. •'�'/ �'�'�'� ` TYPE OF CONSTRUCTION ..................................a ,Vt,4e I.. /l - ... ......................................... c2 .............19z? ................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to the following information: Location ........ ..................... ;..... .... ..........v................................. ProposedUse ......�?� ./,, .t ..............r:.............. ................. ....................................................................... Zoning District .......... Fire District ! ��� ................................... P.. ..............................................4............. (--r 'D .... .....................Address ....../ .................................................................... Name of Owner ............::............./....... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect. ............... ............................................Address ..................................:................................................. Numberof Rooms ..................................................................Foundation .........................?.........or....................................... �� Exterior ..........: ......... ..`...................................................Roofing ........:.......:........... ....................................................... el .Floors ........................ .....................Intenor ....... .. ....,................................................................. Heating ...>..� /„ � :.. .............Plumbing ..........-r1:;................................................................. Fireplace ........./..............................:.....................................Approximate Cost ....:.... � Definitive Plan Approved by Planning Board -----------_------_-----------19________. Area ....... Sly r2r2�' Diagram of Lot and Building with Dimensions Fee !~ SUBJECT TO APPROVAL OF BOARD OF HEALTH • t ' r t. 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. t _Name ........... . ...... ................................... Capewide Develo ent M-1.46—D9 No L8993....... .Permit.for-..one,•story siugl.e.. ,ar�t �y.:.dWe 1. ing........................ Location Lot...#13...$.A.0.GV.4.d.SPe�dS...1i�aY..:.. , .............Q s itery is l le.............................. ............ Owner ..CapeW�de..Ren��oPm�nt.................... , Type of Construction ..btRQ4...f 14Am9.....:........... Plot .................................L. ........:........... V Permit Granted ....Ma.lh..8.....................1977 Date of Inspection .......19 ' Date Completed .........'.............................19 PERMIT REFUSED ...........................:...............................:.... 19 ....................................... ...................................... •- , 4 ..................... ................'................ } • - '� . .�. .....:........... .. r Approved ....................... ........................ 19 ... .................................................... Assessor's map and lot number ....1....................................... OFTNEt� SEPTIC SYSTEM M Sewage Permit number C�i�,..,�.w... ........... : J G "�` INSTALLED IN COMP TABLE, i House number ................................... VM TITLE E 90 rasa ENVIRONMENTAL COD ° 'b aY'a�e TOWN :OF BARNSTT�'D��"`�'TIONS BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....&C.. 11..a.. ... :..'' ..:............................................................................... TYPE OF CONSTRUCTION .....! ...... ....................................................................................... } .....19...L! TO THE INSPECTOR OF BUILDINGS: ` The undersigned hereby applies for a permit according to the following information: Location ' ^ ....... ... . .. ... .. .................�.S./ �. z.... ...... �.S 5....... ProposedUse .....S... ............/.hp...4..h.....................................................................:........................:........................ g .........................Fire District c.f.jv..?..e1Z.Y. /4 :� . S �C4Y1.��.� • Zoning District ............................................... .... ................. Name of Owner Ras-.A.....4;......j)..t�..YQ... ....Address .......�''OG.1� Name of Builder 50.K... ...............Address ,��../�14.®.�./,.�.t✓r�ly �r!!�..��N..l.�!?.!�l...G � � Nameof Architect ..............................................Address .................................................................................... Number of Rooms ...®..LJ...e................................................Foundation ..6.. ............................................ Exteriorlr..Q..o..(,................................................................Roofing ................................................ Floors . ..` .......................................................................Interior ...9�_-.!r..l.......... k................................... Heating ...�...................:......................................Plumbing ../' ..t ......................................................... p n/ 49. ^� e- Approximate j�o D o d Fireplace .:..... . ......................................................................A roximate Cost .......�.............r�>.`...U..................................... Definitive Plan Approved by Planning Board ---------------_---------------19________. Area J.Y.y.....S1: ..FA........ F3 d Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH Le S _P +1 ly 7- I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name D......... ........... DeYOUNG, ROSA L. No 23253..•. Permit for ...ADD...TO ................. SINGLE FAMILY DWELLING ............................................................................... Location . 55. Set:1 Goodspeed Road ................................................ Osterville ........................................................ Owner ....Rosa L. DeYoun�...................... Type of Construction •Frame ................................................................................ E Plot ............................. Lot ................................ Permit Granted .......JulY...l3.r.............19 81 Date of Inspection ....................................19 Date Completed ....................e�0 2 1.9 PERMIT REFUSED M . ..... ...................................... 19 ... ......................... ..................... . .. . ............................................. . ............................................... . ....... .. ............................................. Approved--= ... ................................. 19 > ..L. _. ' ............................................................................... 6 Co i 1 I425 00C) 0 3 (000 Gam 0 L� TA►.t V Io mi�-J — IZ -t-t co �►orG ' a► MWARD A. BAXTER N r-.fW tsP*° CCSIMr-1EL7 RLOT' PL-.Ayl j Poo Su LOEATIOt.1 SiCAL IV S6 Z7'AT m M Az a,19� I C-WZT1F14 T"AT" T146 I-OIJIJDAT101J St4 ww p4_A►J R�1='ctZ�1.1GE 4. S-9 GOO 4COw4APLYS WIT" TaaE 51 UE_LI► F-- AWCP SET$ACK VGQUIIZSMEWTS of TNe -TcwU o� $rq�r.1�TAt- �+Jv CovrzT 3�225 DATE 9ZEG(S*rs9SD LAW-> 15UV-VEYov-S TI-1tS C7°>v.A1.1 l5 LIOT $ASEl::) 0'*,4 A.W OSTEfZV1LLE o A�t/s►SS. 44-9MCJMENT e>uiZVE-{ j T61E APPL.1 GA,"-r I•bT 6E US@O TO DLTezmi%4C L,OT Assessor's map and lot' number , �... ���P1 Y 1 ICLE ',I Sewage Permit number., :............... M ® �. SANITARY cODE A& y�FTNET� TOWN OF BARK19T LE- 9ARtiTADLE; i Es Y: oYtr�O� BULLDING INSPECTOR APPLICATION^ FOR"PERMIT TO .. .. ...... ' : ....................................... TYPE OF CONSTRUCTION ...........4 ..a- -''�.:...—....... .............................-............................................... ...............19 17 TO THE INSPECTOR OF BUILDINGS: The undersigne hereby applies for o'permi according to the following information: Location ..,......... ..... ..3............. �J ...G71....... ....................... ........................... r `� ProposedUse ......I ......... .................:. ........................................................................................ . ZoningDistrict ... ..1 ................................................................Fire District . .................... ......................a...................... J � G�� ...L.............Address .,....A...................Name of Owner ..... .. G....�.. ... ......... L f Nameof Builder .....................................................................Address .................................................................................... Nameof Architect ..................................................................Address ................................................................................... d Number of Rooms ..............�1../................................................Foundation ......o....../..... Exterior / .Roofing ........ . .................................................................. ... .... .. ... . ... . Floors /Ll. .............f.... ................................ ...Interior .... .. . . :....... Heating ... ...� ./ -..Plumbin .....:..... ................................................................. g y! 9 Fireplace .......... ....................................................................Approximate Cost ...� �.. .......,. Definitive Plan Approved by Planning Board -----------_______-----------19_______ . Area .....�..�.�......0........... Diagram of Lot and Building with Dimensions Fee 2 SUBJECT TO APPROVAL OF BOARD OF HEALTH o � ' I hereby agree to conform to all the Rules and Regulations of the own of Barnstable eg ing th��ve construction. �G Name .................... ...................J .................. Capewide Development No .1899.3..... Permit for,..c2Ae...RtQ.Ty............... .......single,.family...date l l img....................... Location Lot.413..Seth..Goodspeeds..Way...... .........As teav i 1.1 e.........................:?........:........... Owner, .Capewide..Development..................... Type of Construction t Plot ............................ Lot . 413......................... Permit Granted .........rarp..8...............19 77 } Date of Inspection 1 O , ...19. ..... .. Date Completed"..././� ... .............19 �• 4 PERMIT a REFUSED .............................................................. 19 ........... ................................:. ..................................... ................................... y................................................ ............................... s ' ti Approved ................................................. 19 .............................................................................. Town of Barnstab_le oFIMEI `ul"r'�a,C-F BARNSTAB!E °''�o Regulatory Services Thomas F.Geiler,;yDi'rector I5 Ph g + BARNSTABM MASS' . Building Division s63q. �0 pTED MA'1 A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 6260 lG Office: 508-862-4038 Fax: 508-790-6230 00 PERMIT# 46—3 S I FEE: $ t SHED REGISTRATION n 120 square feet or less Location of shed(address) Village. Property owner's n e Telephone number /D ' km ` /2,z0 Z. Size of Shed Map/Parcel# 1� Signature Date Hyannis Main Street Waterfront Historic District? V Old King's Highway Historic District Comrission jurisdiction? Conservation Commission(signature required) G� G-�Z PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 i S-XP lam 6e� i PIT 0 (off « , Io MAN � � 12 - ' I ( 4-1 I I �oo l co S�rN �ooL�s7-`� AI/ i n`'lOiARD r q p. 6AXTEP 4 v suar LoCA►Tto1.1 D,r�,/ I t_t_E SAL I 't o vr�T� Mw aA977 I C-MRTIFY THAT' Tldr. I-OUtJDATtoQ 5"0,,Uw 13l_.A1J R��ERE►.iGE N SZ G e*l COAAPLYS W I TN T"G 5 i B'£_LI WF-- AWD SET$ACIC QEQ.UllZENAEkq*S OP TNT: 'Toww- 01-:' r.lSTA"�LE �+J� 6ov2T 3z225� B A.XTEtom . uY� I WC. RE6lS'C��.D 9-.AIJD 5t�2vE.YolzS TI-1�5 D�A�-1 (S +-10T BASE'S phi A•�.1 O'STE�VILL6 o M�4S�S, �S1"QUMEI.!<T SUeV�Y TNt_ pF� cTS �wtaD AP'PL.I CA."-r %k:>T Brx useo To DmTeeMtwf-- Lo-r Li-&aeg p�G t� P�r;� T-7, - Ln