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0098 RUDDER ROAD
- tin .... .. Assessor's map and lot number . .. 311VIm Sys" 1INSTALLE,,!) Sewage Permit number .... .;..t�.:..�C�.......... .... ......... WITH A SARI IT Y CODE / D TOWN TOWN OF BARB o- 9�ABLE y0 f TH E TOE, . • i BMSTABLE, i "6 BUILDING INSPECTOR APPLICATION FOR PERMIT TO .................. Sy%: . ............................. :..:.......................................... TYPE OF CONSTRUCTION �>.... .•..••...••••...•••••.••.•..•••.•. ............... . % ... ........192:. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for permiitft__according toy the following information: Location ........................ ........t ( Z ' }. � ............... . ..........., .. �,1/ t�IZ.t,i��B ProposedUse ........................... 41 ........................................................ ............................................................ Zoning District ........ y ::.:...................................................Fire District .......,.` ....................... yl .�............. (i 'R.~"�� ..Address ....��. �.U.��.edz�':............. ��.......................... Name of Owner �.. .... :!!�•:a�:..... ........ .......... ....... Name of Builder Address ' �' ......... ..... ................. .....................................- ............ . ... Nameof Architect ...............................................................:..Address ...................................................................................... Number of Rooms /............................Foundation Exterior .................... .......:. ....... ,...........Roofing ......................... .. ............ .. ............................. Floors J�-f��� ....................Interior - . .................................................................. .................................................................................... Heating ...............................'7/ ..................................Plumbing ............rP.:. /................................................ Fireplace . .. ...........................................................Approximate Cost .. o�7-0 ......r Definitive Plan Approved by Planning Board ________________________________19________. Areal? 'Y /.. ..:..... ...... r �r Diagram of Lot and Building with Dimensions Fee .... ..7........... SUBJECT TO APPROVAL OF BOARD OF HEALTH �1 r i I hereby agree to conform to all the Rules and Regulations of the To n of B nstable regarding the above construction. .. Name ....... ........................t... ............................................. Karamankaa* I. & .8. . / No for —..��KaM-----.. ' � --------'---.—....-----------. ' Location ............. 8..R:Vd..6��..Roa d_______ � ............... I. &D. Karaaaukam {Jvvne, ( - frame Type of Construction .......................................... � � ............................................................................... , . � Plot ............................ Lot ___________ _ � Permit Granted ---' .7--.]9 74 � Date of Inspection -- -----lA Dote Comp|ete6 -----1q ^ ' � PERMIT REFUSED ' ` ' .----_--------------- lV . ----.-------------------.--. � ^--------'---------`-------' ' —'-----~-------^^^'--`—~--'—r— ------------^-----^'------`— ~ ` Approved ................................................ lQ - � _._____________~__.,____,,__.. ' ----------------------.—.—.. ` ^ - � � _ ^ . , r,;,�ti Town of Barnstable ui ing �WP4\tl(anRaneLe�,I B side Post This Card So That it is,Visible.From,the Street-:Approved Plans Must be Retained on Job.and this Card Must be Kept t 1 N I'A t Posted Until Final Inspection Has Been Made. Permit Where a Certificate of Occupancy is Required;such Building shalt Not be Occupied until a Final Inspection has been made. Permit No. B-17-3684 Applicant Name: todd leduc Approvals Date Issued: + 11/02/2017 Current Use: Structure, Permit Type: Building-Insulation- Residential Expiration Date: 05/02/2018 Foundation: Location: .98 RUDDER ROAD, HYANNIS Map/Lot: 247-175 Zoning District: RB Sheathing: Owner on Record: DRAGUNEVICIUS, ELENA G, PETERS, RITA& ' Contractor Name: TODD LEDUC Framing: 1 Address: 746 MAMARONECK AVE,APT 1114 Contractor License: CSSL-106019 2 MAMARONECK, NY 10543 Est. Project Cost: $3,000.00 Chimney: Description: Air sealing and insulation of attic flat. Permit Fee: $85.00 Insulation: Project Review Req: Fee Paid: 585.00 Date: 11/2/2017 Final: Plumbing/Gas 4 Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within sixrnonths after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for.public°inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: . Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection °* Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health 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. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 1,=P,Ff TL s+W r . A TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �� Parcel :Application 33 2 "7 Health Division Date Issued Conservation Division Application Fee of Planning.Dept -'Permit Fee f�D Date Definitive Plan Approved by Planning Board P Historic - OKH Preservation/ Hyannis Project Street Address Village k(4414 1 1 S Owner ail G. /�lG� U 1 C I.VS Address S a Ah Telephone `1I4 —. II1P.3 t Permit Request 2E I�t© yE A"t—R_1E P i c eF r p-D r ,7- (P0P.c H - N 0 C-9A 6-G— P s c 2� ® For A 4tfr Square fee . 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family( units) Age of Existing Struct e 3 Historic House: ❑Yes ®'No On Old Kin 's Highway: ❑Yes ❑'No 9 9 � 9 Basement Type: Full ❑Crawl Walkout ❑ Other Basement Finished Area(sq.ft.) ��`'�- Basement Unfinished Area(sq.ft) Number of Baths: Full: existing f new Half: existing new Number of Bedrooms: _� existing _ne Total Room Count (not intruding baths): existing 5— w First Floor Room Count Heat Type and Fuel: 2, ❑ Oil ❑ Electric yp � ❑ Other ❑Central Air: Yes // o 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 _ er: Zoning Board of AppealsAuthorization ❑ Appeal # Recorded ❑- Commercial ❑Yes Uf/No If yes, site plan review# ; .w Current Use Proposed Use r� E� APPLICANT INFORMATION "" ' (BUILDER OR HOMEOWNER) ° �w? =✓ i ame k/mi , DPAa1N,6V1 C l U S Telephone Number �I�I (G�'�) � 2 ` jC3 Address 0 License # aft n � �5 1 I , ®z 6 I Home Improvement Contractor# i Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO n SIGNATURE 4e f DATE r I . FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE - h OWNER DATE OF INSPECTION: FOUNDATION FRAME - INSULATION L FIREPLACE - ELECTRICAL: ROUGH FINAL '► PLUMBING: ROUGH FINAL i - GAS: ROUGH FINAL- FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. � r Town of Barnstable zepjatory Semces =. Thomas F. Geiler,Director 46�fg in 0 :Build Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 ®� www:town:barnstable.ma,us•' Office( 508-862-4038 FIX: 508-790-6230 PLAN REVEEW Owner: � DRAGutf� Vlcl�S - Map/Parcel: Pzojcct Address Ubb The following items were noted on feviewing: ----------------------- © 5-1-0tc /Cb0 whf c o H 0 E Et s0Vr6 -rx-).Ai�-7 CDS7 XX ,- TZ. �I S 7-• � G-f P—T o tf K f c'Ta H-Z L)S C G6v( t! �f yz� y S - Sf�-(�L r��}df ) IL. - Renewed by: Date: F' e T`fse Corrs�rGo etrs ofIccssdc�susefts • Depdrtrnerst of Industridl;4ccidents" Office of rrtvestiga2ion9 ash.in on Street . 60 0 13� 13os4011; M 02rr1 ` fy}-SwX),1,,asg.gov1dia Workers' Compensation Tnsrtrance Aff davit: Builders/Contractors/ Iectrieians/Pluinber: Please Pant]Je 'b] Appia.cant Informatioxi ��� G(.J � r, y � �• � � 5 Name (BusinosslOrganizgtion/Lvdividuel): i�(� City/State/Zip: N Are you an employer? Check the appropriate box: Type of project(require(i): l ❑ am a to cr with 4• ❑ ram a general contractor and 1 6 .❑grw construction 7 '� cd the slab-contractors employees (full and/or par(6mc).* have hu 7 Rcmodcling listed on the attachcd sheet ❑ 2.❑ 1 un a•sole proprietor or partacr= Thcsc sub-contractors have g, ❑ DGrnoliti3On ship amd bavc no employees ' V oDEl ng for me in any capacity. employees and have workers' 9. ❑ Building addition wrap. insurance.$ [NO 'wOArLS' comP.•insurancc 10.� Electrical rcpails or adds r�quircd] S. ❑ We are a corporation and its y ofhctrs have cxcrcietd their 11_Q PIumloing repairs or addi 3,LYE T am a homeowner doing all work a myself, [No workers' comp. right of exemption per 1v1GL 12.❑ Roofrcpairs c. 152, §1(4), and wo havt no incnranccrcqu rcd]f 13.❑ 0thcr . employees. INN wnrkcrs' comp, insurance required.] *Any appSicanl that ehccla'box,#]must ako fill out the rm6on below ahowing thcix worker%' compensation* Siey bTTR IL nCo ` t Homcownert rho rubroit this g$tdavit indicating tbry rite doing ow°ykz dnamc of fhcusu'b-t:rC)n Ltrn t and stain whether or ihosc cotidcs hgV0 XConlraelors fhat check thlt box must attached an additlonal.shect h g anployces, Ifthc sub conhactDrshaVc rmploycci,thcymut{prwid6 their workers' cotTrP.policy rfurT'bcr. ram an empfoyer L/trd is ptov&&Vvorkers'cornpertsatwn insurance for}ny ernployee� 8efatV [s the paLicy artdjo6 sit info rm elo n , lwurancc CompanyNanic: Expiration bate. Policy# or Sclf-ir1S. Lic. #:` Job Sitc dress: City/Statc/Zip: Ad Attach a copy ofthe'workers' compensation policy declarabon.page (showing the policy nnmlier and expiration da Failure to socirrc tovcrago as roquircd und.cr 5cction 25A ofMGL G. 152 can Icad to'thc imposition of erimJnal penalties r 5nd iip to 31,500:00 and/or ono-year imprisonment, as well,as civil penalti'tg in the form of a STOP WORK ORDER and of up to $250,00'a day against thq violator. Ec advis cd that a copy of this statLment may be forwarded to the O�cc of .Tnvcsti ations of the bLa for iUu ancc contra c vcri5cation I do here by certify under the prliris•altd pertaltles ofperjury (Acrf the irrformatiots provided above is true and co�reci D ate; , J Phone#: / �o Offuial.use only. Do not wrr�e in.thU area, to be complefed by city or town official City or Town: Permit/License# Issuing Autbority (circle one); 1, Board of Health 2, Building Department 3;,;City/Town Clerk 4.'Electrical Inspector 6, Pl,umbing rnspec_{or 6. Other ` Informationas - cha ter 152 r sires all employers to provide workcrs' compensation foe h-iiVc s` Massachusetts Gcncral Laws p crson in the scrYicc of anothcrundcr y Pursuant to this statute, an employee is defined as "...every P cxpress or implied, oral or written-" eo oration or otbcr legal entity, or any C�ry) or more An eMplDyer is defined as "an individual,partnership, ass ociatio rp Of the forcgoing.cngagcd in a joint cntrrprisc, and including the legal rcprescntativcs of a dcccaslod cP1How vcr the artncrshi association or other lcgal entity, employing P y receiver or trusteo of an individual, P p owner of a dwelling llouso having not more than thtcc apartments and who resides thcrcin, or the occupant of o l SUL dwelling house of another who cPlDys persons to do maintenance of such emon.loor P yrncnt be deemod to bcdan e PgoYo�c or on the grDIrnds or building appiLtcnant thereto shall not becats P MGL chapter 152, §25C(6) also states that` eYery strafe or local licensing erg ency shalt ifithhold the issuance or in the regepf al of a license or permit to aperate a busli race of corn li race or to congtrbuildings rns''r e °oe age ��r d" applicantwho has notproduced•acceptable cYt P of its optical gabdlvisiDns shall AddildonaIly, MGL chapter 152, §25C(7)states 'Neither the commonwealth noz any P enter•into any contract for,nc�performance of public work until accoptablc evidence of eDP1ie..ncc AZth flit in ura�1ce g authority. ' zcquirements of this chapter bane bccn presented to the contractin AppLl cants• PI ease fill out the workcrs' compensation affidavit completely,by chcclring the boxes that apply to your situation and, . necess supply sub-contractors)namc(s), address(cs) and pbone numbcr(s) along 1 e�oy es Cher than the atY, insurance. Limited Liability Companics•(LLC) or Limited Liability Paztncrslups( • rnemb crs or partners, arc not.TaT od to carry{ozk affidavit may. sub to the D p.rtm ratt of Industrial crsrployecs, a policy is required )3 p advised that this Accidents for confirmafiDa of msurancc coverage. Also be sure to sign and dateeucstcA a t th p��cntOf bo returned to the city or town that the application for.the permit Dr 1icr sc is g q dus to obtain a wflrkcrs' Intrial Acciden an ts. Should you bavc y questions regarding the law or if you arc rcgwz cd co cnsation poXic}',please call the Department at the nurpbcr listed below. Sclf-insured companies should enter their self-iaasvranFo license a unbcr oa the a ropriatc lint. City or ToYPp offir:ials utmcmt has dthe bottom Please be sure thattho o-fidaYit is'conzplctc and printed legibly. TIc Dcp o contact You ggr�g ° ppli of tho affidavit for you to fill out in the even t the Off co of Investigations h c will be used as a reference number• In addition, an applicant caJa c numb cr whr h current ffl r-d Please bo sure to fill in the permit/liccns submit onp a$idavit indicating Ebert must submit multiple permit/liccnse applications in any given),car,na-ad. only policy information(if pccessazy) and under"Job Site Address" Cho applicant should wor toye11 loea b p i yidcd to th tY or to ),"A cbpy of the eff davit that has bccn bffrcially stamped or marked by the city or town may p applir�as prDDf that a valid affidavit is on file for future permits t u latcd'tD any incss or scobznm al Y nUc year.•Whero a horse owner or citizen is obtaining a licGn-3 c or permi i o. a dog 1iccnse or-pcMdt to bum leaves etc.) said persoA is NOT required to complete this affidavit ( ucstions, anec for cooperation and should you haYc any q Tho Officc Oflnvcstsgabons would hkc to thank you in adv , 7our please do not hcsitafo to give us a call. Tho Department's address, telephone-and fax number. Tllb Cbmmonvu�alth P Mt 1G11U5�ttS C4 t Of iadiUSt1 4 Arcldc;nts Office of IrLycstiptiu 600 Washington Street $pstOn, MA 02111 T41; # 617-727-490.0 cxt a06 Rr 1-877-MASSAFE Fax# 617-727-7749 RcYiscd 11-22-06 y{.rrragS..goY�dle Town- of B an astable of7HE rr . Regula.lt ry services , Thomas F. Geiler, )Jirecfor t aixxsrAe[.s, . Building Division 16 Fo h��A, Tom Ferry,$uilding Commissioner 200 Main"Street,.Hyannis, MA 02601 . KrFYSY.town.barrrstable.ma.us .i Fax; 508-790-6230' . Office: 508-862-4038 j301ZE0Wi\TuR LICENSE EXEh211TTON s Plcase Print !_SLR -/ r �.ei :n' Ylllag� JO$'LOCAT)ON street '/ number ^t 6� 1P�1� ���� py VIClUS C� "HOMEOWNER': home phone N work phone#,. name CURRENT MAILING ADDRESS: stnlc -zip code fix: cityn/tow ts or less em tion for"homers"was extended to include owned_? d� °ended that thelowner acts a The current ex p to allow homeowners to engage an in&idual'for hire who does not possess.a license, rota superYisor. DEMITIM OF Roh9:EO1yj,,?ER - Aich . ho owns+a parcel of land on'which he/she resides or intends to reside, on and/Or efarin a-uctures re is, or is intcn dA ed to Pcrson(s) w P be, a one or two-family dwelling, attached or detached structures accessory to such person who constructs more'than one home in a tisto yaflf nn a eh table to the Building Official, that hell chshall be "homeowner"shall submit-to the Buildiiag OfScia� on. P res onsable for all such work crformcd under the buildin crmit,. (Section 109,1:1) somas zcs onsibility for compliance with the state Building Code and other/ The undersigned homeowner as _ P applicable codes, bylaws; rules and regulations, ing rp '"homeowner''certifies that lie/shc understands the Town of B Stsaid ble Broccdu-Er ardent Th'c undersigned minimum inspection procedures and requirements and that he/she ti�all comp y P requirements, r. Signature of Ho cowncr -tJ A . Approval of Building Official. ' Note; Throe-family dwellings e�ntaiuing 35,000 cubic feet or largrr.w ll be.rcquixed 10 comply wash the State Building Code Section 127.0`Co . t1m HOMEOWNER'S EXEMPTION ' The Code slatrs that "Any bomcownerperforming work for which a building permit is required shall be exempt from the prdoiSUCh a cs a crson s for•hirc to do such. of this sccuon(Section 109 l 1-Licensing of construction Supwvisors);provided chat if the homeowner erg g p (1 work, thal sue h'HomcoiYncrshall Act as superYisor,"' Appendix an horneowncrs who use this exemption arc unaware/hat they are s k of gwarenessooftcn'rtsultsf in serioussprobl �pppcndix Q, M Y '.Rules &'Regulations for Liecnsing.Constrvction Supernsors;Section r-in This when the homeowner hiresynliecnsed persons, Jsi this case,our Soard eannoi proceed against the^unliernsed person as it would With a license. Supervisoi. nL homeowner acting as SuperY sor is ultimately responsible. r. 7o ensure that the homwwncr is fu)ly aware of his/her responsab5lutic sornYOn the 1 sll pzgc of`thisAisss c iss atformp'c current y�uscd by that the homeowner ccrtifythathcJshcunderslands Iherf^—rrriilfitcalion for Psi in yourcommunity. oFrN�r Town of Barnstable Regulatory Services Bk.VNS-rAULE, Thomas . Geiler, Director $pr i639. Building :Division ED NJ+ Torn Perry, building Commissioner 200 Main Street, Hyannis, MA 02601 WWW.town,barnstabte.ma.us Fax: 508-790-( Office: 508-862-403 8- Property Ownct Must camplete ,and Sigl. 'T Section I Us Lng A B �lder as Owner of the.sub'J_e,ctP roperty herebyauthorize to. act on m y behalf, e in all matters relative to work ut c) 2,Ed by this building permit applicatioa for: Address Df Job) Signature of Ow er Date Print Name If Property. Ow & is applyiri� for perrnit please complete the Homeownets License Exemption FOrn7 on th'e reverse, side. r - TI LA Lo • apN i Ls i