HomeMy WebLinkAbout0121 RUDDER ROAD i� � ��
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FIKE T Town of Barnstable *Permit# -�
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C Expires 6 montks from issue date
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Regulatory Services Fee
NAM
Thomas F.Geiler,Director
Building Division
Tom Perry, Building Commissioner S S E .- J 9
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 APR 1 2004
Fax: 508-790-6230EXPRESS PERMIT APPLICATION - RESIDENNA WNL§RII L*,LE
Not Valid without Red X-Press Imprint
Map/parcel Number 9, �t a / //,' / / l9�J L
Property Address a a E r CL �'�lSr / a _5 Ur L
Residential , Value of Work
Owner's Name&Address /TC 1^!✓ I V jC0 h Q 15
Teo'
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Contractor's Name (C Telephone Number .5'P'f
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Worlanan's Compensation Insurance
Check one:
❑ I m a sole proprietor
m the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
R/Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement 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.
***Note: Property Owner must sign Property Owner Letter of Permission.
Home Impprovement Contractors License is required.
Signature 1 �r
Q:Forms:expmtrg
Revise053003
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ADDRESS'
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a PERMIT#_ J .`e- { ' LS
PERMIT DATE:
. ` h LARGE PLANS ARE FILED, IN:
BANKER_ S BOX y. -
FILED ALPHABETICALY BY STREET t± }
INFORMATION SHEET FILED IN STREET FILE
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Engineering Dept. (3rd floor) Map. 1/7 Parcel /F0 Permit# v7c13 o�
House# ' /a I Q/�_ Date Issued 917
4
Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30 FeeS
Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) cl 1Z
19 '
SEPTIC ST E
TOWN OF BAB�ISTABLNsTwLLE PLIANc
WITH TITLE 5
Building Permit Application ENVIRONMENTAL CODE AN"
7' reetAddress Z ( U D w�_R \2oftt 1 N REGULATIONS
Village t SPokT—
Owner _ w& tv I Utz ddress it
Telephone — 2 6 G I
Permit Request
4
First Floor �� d--p square feet Second Floor square feet
Construction Type
Estimated Project Cost $ 9.7 5'0--dD
Zoning.District Flood Plain Water Protection
Lot Size e- Grandfathered ❑Yes ❑No
Dwelling Type: Single Family W--l"Two Family ❑ Multi-Family(#units)
Age of Existing Structure Q- Historic House ❑Yes P No On Old King's Highway ❑Ye's o
Basement Type: Urf'll ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing_� New Half: Existing O New 4
No. of Bedrooms: Existing 3 New 0
Total Room Count(not including baths): Existing New ® First Floor Room Count
Heat Type and Fuel: as ❑Oil ❑Electric ❑Other
Central Air ❑Yes @-Ko Fireplaces: Existing I New 4 Existing wood/coal stove ❑Yes & -
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
.41 ❑Attached(size)) ❑Barn(size)
V one ❑Shed(size) "
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review# -
'Current Use Proposed Use
/ Builder Information
J Name �` 1 l S Telephone Number :2
Address ��- �T' �il�r l�� I�, License#
Z Home Improvement Contractor#
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE 1(7-
BUILDING PER ENIED FOR THE FOLLOWING REAS .(S)
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FOR OFFICIAL USE ONLY 'z-
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PERMIT NO.
DATE ISSUED g t
MAP/PARCEL N,
ADDRESS VILLAGE _ <'
OWNER ~`
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROLH:, FINAL.
GAS: ROUGI FINAL
FINAL BUILDING `'� 0 ; ;r i
Y'l
DATE CLOSED OUT v fin,
ASSOCIATION PLAN NO., €
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The Town of Barnstable
sntuvsresM
9ebA 16 9. ,0�' Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
- Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
For office use only
R .
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements.
Type of Work: G Est.Cost "2 co
Address of Work:— i k I ti:V ���� 01()Alb
Owner's Name "'c,� k. k� ,
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under$1,000.
Building not owner-occupied
i�Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply fo a permi as . e agent of the owner:
_ l
Date Contractor Name Registration No.
OR
��Lam: I✓<
Date Owner's Name
1411�1
The Coninioniveahh of Atassachuscas
Department of Industrial Accidents
�- OficeolinvesMat/ons
6011 11'ashitrrtuit Street
Boston, Atari. 02111
` Workers' Compensation Insurance Atfitiavit
�pnlicant information: PlW a PRINT le-NE�• —
./name'
i/locition-2
✓cLy nhonc
1 am a homeowner performing all work myself.
I am a sole proprietor and have no one working_ in any capacity
. :.-.... �._e....--�.—,-.v.................-•.....-.. rev.++ —•.�,.w,,,�-....--.....:.
..... ..�. .
I am an empiover providing workers' compensation for my employees working on this job.
contn:tm• name:
address•
cih: phone#-
insurance co. noficv#
[) I am a sole proprietor, beneral contractor, or homeowner(circle one) and have hired the contractors listed below who have
the following workers' compensation polices:
comnanv n•tmc-
address•
city: nhonc#:
insurance co. noiicw•#
a.::• .,w.. _ _ •Z':Y•^- =- __ -Wit^-r-:,::�.'n;�ca•^r�n�sl..!• .^�r,•c.r.` _ ...e.-., .�._.i.-..._.•e_
conipany n-Iine'
addressC
rite- nhone#•
insurance co policy#
Attach additional sheet if neccssatX, =• :r^_=_ --+�' - _ _ •_ T�"%� '—�`'^"^-�
- ....,..,::. ..
:a ��.....d.z........::::si:t� ,,.... .�e: iairtt��ie•.w.r::n:
Failure to secure coverage as required under Section 25A of AIGL 152 can lead to the imposition of criminal penalties of a tine up to S1.500.00 andiur
unc wears' imprisonment:ts well:Is civil penalties in the form of a STOP NVORK ORDER and a title of S100.00 a day against me. I understand that a
cope of this statement may be forwarded to the Olfcc of Invcstigations of the D1A for coverage verification.
!clo Irerchv cerri ulcr the pai 'mrd p tics of perjun•that the information provided above is tru and correct.
Si_nat r �' G� Dat u �
Print name Phone#
official use unit' do not write in this area to be completed by city or town official Y•
city or town: permit/ficcnse# MBuilding Department
Licensing Huard
I]check if immediate response is required E3Selectmen•s Officc f
C311calth Department .
contact person: phone#: rJOther
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MORTGAGE INSPECTION PLAN OF LAND
IN
VV. KYANN!5Po2?� MA.
SCALE: 1"= ,3.O DATE: M,4 l�1�. 199�
• N
O�FENCE THIS SIDE .
/O
FENCE ON PROP. LINE
LOT 17 FENCE THIS SIDE
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• JO
I CERTIFY TO: C E• CAD F/.VF AaC> 17-5 7-/7-LE
!V S• .CD.•. . . . . . . . �`1N OF Mir^
THAT THERE ARE NO VISIBLE BUILDING ENCROACHMENTS OR EASEMENTS PMR cy�
AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION. W. r.
SOULE y
LOCATION OF THE DWELLING SHOWN ABOVE EITHER WAS IN COMPLIANCE No. 28719
WITH THE HORIZONTAL SETBACK REQUIREMENTS AT THE TIME OF
CONSTRUCTION OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION fESS1���
PER M.G.L. CHAPTER 40A, SECTION 7.
��. FLNGL- UIV NIZUP. LINL
a
LOT 17 FENCE THIS SIDE
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ERTIFY TO: CAPE COD FIVE A!vD 1TS T/TLE
of
Co. . . . . . . . . . . . . . ' PETER
. . . . . . . . . . . . . M
o� yo
T THERE ARE NO VISIBLE BUILDING ENCROACHMENTS OR EASEMENTS
THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION. W.
50ULE H
ATION OF THE DWELLING SHOWN ABOVE EITHER WAS IN COMPLIANCE No. 20719 ►�
THE HORIZONTAL SETBACK REQUIREMENTS AT THE TIME OF ESSI���
STRUCTION OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION
M.G.L. CHAPTER 40A, SECTION 7. �aNO SUR���4
BUILDING(S) SHOWN HEREON DO NOT FALL WITHIN A SPECIAL FLOOD
ARD ZONE AS DELINEATED ON A MAP OF COMMUNITY #
THE F.E.M.A.
NT: MYER R. $jwC-E2 E sca. PROFESSIONAL_ LAND SURVEYOR
ER: PIMLIS N. RYAAl
LICANT: ACR1V1 Cr. VL AHA YIS SOULE LAND SURVEYING
US ADDRESS: 121 f2UDDz-:R Rp. 103 VESPER POND DRIVE
D BOOK:39 BREWSTER, MA. 02631
78 z31 CTF: ASSR'S. MAP: ` PARCEL: (508) 255-4728
N BOOK: Z3Z/lay =-y
LC PLAN: FILE: y5S
ES: 1. The declarations made above are on the basis of my knowledge, Information, and belief as the
It of a mortgage plot plan Instrument survey made to the normal standard of care of Registered Land
veyors practicing in Massachusetts. 2. Declarations are mode .to the above named client only as of this
e. 3. This plan was not made for recording purposes nor for use In preparing deed descriptions.
re TOWN OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
' /Please print. .
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JOB LOCATION / CIQ&
Number Street address Section of town
'HOMEOWNER" GYI V �/ /!,� {'la /-5
Name Erome phone Work phone
PRESENT 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 such homeowners to engage an in-
dividual 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 re-
side, 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 OfficiE
on a form acgeptable to the Building Official, that he/she shall be responsibl
for all such work performed under the building permit. (Section 109. 1. 1)
The undersigned "homeowner" assumes . responsibility for compliance with the Sta
Building Code and other applicable codes, by-laws, 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 compl ith said procedures and requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING. OFFICIAL
Note: Three family dwellings- 35,000 cubic feet, or larger' will be .required
to comply. with State,,-Building Code Section 127. O, ,Construction Control.
HOME OWNER'S EXEMPTION
The code state that: "Any Home Owner 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
Home Owner engages a person(s) for hire to do such work, that such Home Ownez
shall act as supervisor. "
Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor (see Appendix 0, Rules and Regulations
for . licensing Construction Supervisors, Section 2. 15) . This lack of awarenes
often results in serious problems, particularly when the Home Owner hires
unlicensed persons. In this case our Board cannot proceed against the
inlicensed person as it would with licensed Supervisor. The Home "dwner actin
as supervisor is ultimately responsible.
To ensure that the Home Owner is fully aware of his/Aer responsibilities; man
coriumunities require,
q as part of the permit application, that the Home Owner
certify that he/she understands the responsibilities of a supervisor. On the
lazt 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.
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r Asseor's map and lot number
'SEPTIC SYSM- W1ST BE
INSTALLED IN `A ANCE
�v` V,11 T I-I ARTIC:I,.E II '°ATE
Sewage Permit number .... ......: .. ........... � •••••
"r'NU T IURY C/;�C ERAilDT QWN
OF THE TO OF BA
/�TOWN ® � S'Tr1.� JJ 3J�j
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DAWSTODLE, i
90 MU& $b DUILDING INSPECTOR
i639. `00
�0 MpY Or•
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APPLICATION FOR PERMIT TO ..... 1��4.�.. r�° ..............� ....... ....... .�!Z.� !. ..........
TYPEOF CONSTRUCTION ........................ ........................................................................................
��. ..... .vG.Y......192
TO THE INSPECTOR OF BUILDINGS:
The undersigned
// hereby applies for a permit according to the following information:
' Location ..........l... ../............. ...... .. ............. / ', f......��y��Jl//I���. �.......
Proposed Use .. �r ............ �1�L��1�y ..../d.�1� ....ax: ... j� .. �...........
•
ZoningDistrict ......................../.......... .......................................Fire District ........................................................,......................
Name of Owner l......... /'........Address /.aZ1 .��....Gr�...�y......
.. ,
Name of Builder 17/.....5 � /!..� ....e��..........Address
........ .......... >
Name of Architect .................. / ..........................Address .......................................:............................................
Number of Rooms ................?d1 1 ..............Foundation ... ........................
1 ......... ......................Roofsn ..:.................
Exlerior .......eeZ .... ...... . .... .... g
Lev 9 /�
Floors /��✓...r�/ .............................../s�........Interior ...............:..il....... .......................................................
Heating ......................................�y.��t �..........................:........Plumbing ...................�C✓.�J,'.1;Tf.��............................ I
Fireplace ....................../ �............................................Approximate Cost ........../
...0 ............. ..11
Definitive Plan Approved by Planning Board ----------------------_---------19--------. Area -?.� ....5 .:.
r so
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF ARD OF HEALTH
Iq
I hereby agree to conform to all the Rules and Regulations of the Town f Barnstable rega ding the above
construction.
N me .�. ...............
Foley, Bernard
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17849 add to single
Np Permit for
t '4 family dweilling'
...............................................................................
121 Rudder Road
Location ................................................................ —
West Hyannisport { !!
................................................... f
Owner Bernard Foley
Type of"Construction frame
................................................................................ r
Plot ....*....................... Lot ................................
Permit Granted ...........JWy...25.......:.....19 75
� -
Date of'Inspection .... . /_. ......................
Date Completed �,/. .. ..................19
PERMIT REFUSED `
................................................................ 19
...............................................................................
................................................................................ r,
.............................................................................
4
.............................................................................
t
Approved '
r`
...............................................................................
M
A`
Assessor's map and lot number ..........................................
Sewage Permit number ....1.«.`.l.l�.G�G.... `� �..• .'I }9J y !, t
! � . r ..• .. .�•.).. a .'V i+i
�oFYHETp�4 TOWN OF RAR.NST"ABLE
P
Y $AHASTABL%MASEL
i
APPLICATION FOR PERMIT TO .....4"6.t4. ...............G..`. 5..`....:. .... .N.. t .�r. -, .............
J ,
TYPE OF CONSTRUCTION �r �:� .......
.......................... .................................................................................
.....:j. L .....19.�..l��- I
TO THE INSPECTOR OF BUILDINGS:
The undersigned her ebjjy applies for a permit according to the following information:
L"ocation ......... .. ..
!) .r ':: /r'. ..'. � ..,.......
/�
Proposed Use ... r...........,
Zoning District .................................Fire District ...:............
....................................... ...........:......................:........................... .
Name of Owner ..Z?469l.YW�P.:......60 4 t'........Address l2/.....z111..V
Name of Builder f!7 5 � `C....a�/ ......Address ,r�...s.11�l3�/i�5� i1/f� a�..�7.. •��is
Nameof Architect .........................le/....................................Address ................... ...................f.......... .................
Number of Rooms .? ?". '.`........... ....Foundation .._�� �" �< 4- 4?5! ..........................
.............
Exterior ....... ...:. tY.k.r:........ ....................Roofing ...
Floors ....... /..../.�!✓.. ✓;1................. `� Interior: -'
./1....... ....�r. .......... _.. ...
Heating1! A1.1............................................� Plumbing .............:. .
Fireplace :?A,J(............................ ............Approximate Cost ..............
Y
Definitive Plan Approved by Planning Board. _ ________________________19._______. Area f f......................................�� S
Diagram of Lot and Building with Dimensions Fee :......................:'.../ S____
SUBJECT TO APPROVAL OF BOARD OF HEALTH a
•
hereby agree to conform to all the Rules and Regulations of the Town f Barnstable rega ding the above
construction.
Name ...... ....................
Foley, Bernard A=247-180 '
Permit #17849- 'Add to single
family dwelling
121 Rudder Road
Wett Hyannispor
July 25, 1975
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