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0455 SCUDDER AVENUE
.�.; ^' - - � � ;;r , t k . +. y ; �, J '� } MAR 2 0 2020 LCI ': TOWN OF BARNSTA�LF 1411moy f�NS 378 Route 130 Sandwich,MA 02563 PH:774-205-2001.844-90-AUDIT Permit Affidavit . - 1 Permit#:,For Kain Permit#-B-19-515-1 x _ y I,Craig Bishop,confirm that the weatherization and air sealing work completed at 455 Scudder Avenue, Hyannis, for Vecchione Permit has been completed in accordance with 780 CMR. ^ a Signature: 1 - Date: _ 3/16/20 rt n y 4 v } • A-. it • ' {_ a _ Town of Barnstable �. _ Building s Post:This Card So That it is Vis�ble;From the Street-Approved;Plans Must be;Retained on lob and this Card Must be Kept BarABt aanns� Posted Until Final Inspection Has.Been Made �� ern11� 1639.8. i 111 Where a Certificafe:of Occupancy.'�s Required,such Building sh'a11 Not be Occupied until a Final Inspectwn has been made Permit No. B-19-515 Applicant Name: Craig Bishop Approvals Date Issued: 02/20/2019 Current Use: Structure Permit Type: Building-Insulation- Residential Expiration Date: 08/20/2019 - Foundation: Location: 455 SCUDDER AVENUE, HYANNIS Map/Lot: 288-141-001 Zoning District: RF-1 Sheathing: Owner on.Record: VECCHIONE, RICHARD&JOYCE E Contractor NameCraig P Bishop Framing: 1 Address: PO BOX 865 J 511 Contractor`',L-icense: CS=109777 2 HYANNIS PORT, MA 02647 Est. Project Cost: $4,794.00 Chimney: Description: Air Sealing&Weatherization Permit Fee: $85.00 Insulation: Project Review Re Fee Paid'a , $85.00 Pro 1 q " Date. 2/20/2019 Final: 'Plumbing/Gas � --- - Rough Plumbing: n - - -Building Official, Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized.by this permit is commenced within`six months after;issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and.structures shall be in compliance with the local zoning by-laws and codes. l Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open four public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued.until all applicable signatures by the Building and Fire Officials-are provided on th s$permit. Minimum of Five Call Inspections Required for All Construction Work: p� Service: 1.Foundation or Footing "` Rough: 2.Sheathing Inspection - °- 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health 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 - & 3i d t.y Sql, i"w K' 11 . L x i� Sv?Nsr LOCUS 00 ASSESSORS 5�0��0 o�eAv E LOT 140 N �i LOT 1 ASSESSORS LOT 141-1 �� I P,mwL y AREA=44,850-- SQ. F.T. _ ✓ s uEam+Ew Na 22M LOCUS S • t iOF,Q -_-___ �� �• ; y����ali-,y RES. ZONE. f?F 1 FLOOD ZONE.- B" PLAN REF. 372118 ASSESSORS MAP 288 DMJXEA (PLR 0WER) - . �• \ , o tip. �� 1 PROJECT LOCATION 455 SCUDDER AVENUE LC)Cu S HYANNISPORT, MA. 44 APPLICANT' LOT 2 �' �� / �� ROEERT SPILLER ASSESSORS LOT 141—2 yXX YANKEE SURVEY CONSUL TANTS P.O. BOX 265 �30. /�joO4 O O ROAD MARSTONS MIL LS, MAY 02648 r w 4 `X PH. 508 428-0055 - FAX(508)420-5553 GRAPHIC SCALE SCALE. 1'=30' DATE. 112412000 REV REV. ( IN FEET ) \ JOB N0.5•9246 DG SHEET 1 of 1 is I Inch 30 M , TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION 'Map Parcel ILf ( —00 1 Permit# '/7�( _ Health=Divisiorry �� s� �, Q�'1j� Date Issued G� ConservationDivision ° ;l ® �©�w Fee ' U TaL x-Co111r#cr6r1 SEPTIC SYSTEM DUST sE Treas ru erg 0-1-.. "s INSTALLED IN COMPLIANCE t. WITH TITLE 5 ENVIRONMENTAL CODE AND rn ive Ian Approve y TOWN REGULATIONS &-QK Preservation/Hyannis ' Project Street Address �7 7C U f717C<Z ;'4 V e ,Village (4`1,'/U!N IS C6X-1 .14 6 Z-G (4 7_ F y 'Owner (6OA►zt7 k Ja"IC VECC(41dPJG' Address j p Tele hone Permit Request '12Ec.I.c � J2y t L-T- � - 5 L,!(a 14fL Y L A96elZ • ti E .l �/y� cEN�-t.(-��nr�� Gu r J7T�-� .-�--o w a yz a , uJ efi c-A rJ h5 -14C S/,4 mc- Square feet:ltt loor: existing proposed 2nd floor: existing proposed Total new Valuation ,7� a a Zoning District ^/7ES. Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: * ❑Yes 5(No If yes, attach supporting documentation. Dwelling Type: Single Family �l Two Family ❑ Multi-Family(#units) Age of Existing Structure & Y2S Historic House: ❑Yes ZAo On Old King's Highway: ❑Yes -®No Basement Type: 29 Full ❑Crawl (Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1 yo y 50-rIt Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new F 'Total Room Count(not including baths): existing new First Floor Room Count x. Heat Type and Fuel: XGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes *No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:4Kexisting ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:Xexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# 'Recorded Cl Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use. BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE % DATE ,6 4 E t � • FOR OFFICIAL USE ONLY w" . PERMIT NO. t 4 DATE ISSUED .- t MAP/PARCEL NO. ' i1 r ADDRESS` ' T VILLAGE s t . • OWNER c z DATE OF INSPECTIOIIT t FOUNDATION � �' FRAME _ INSULATION t FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING • ,, OL f ! DATE CLOSED OUT b� ASSOCIATION PLAN NO. ,. j The Commonwealth of Massachusetts = Department of Industrial Accidents OECD atIV059939ONS 600 Washington Street Boston,Mass 02111 — Workers' Compensation Insurance Affidavit name: �1C.L.�td�l•b O!/��. location: L4 Fq e>G V weie— A u city 4-Y A iN Iv 1 5 PO fZ-t— m/ Q Z.(P `C vhone# I am a homeowner performing all work myself I am a Pnetor and have no one worldn in anv acity ❑ I ami an employer providing workers' compensation for my employees working on thus •ob. name:: :>x•:'};:%;+ :;>;.<.:::><:;::::;:::::::;:::;':>.;;:>::>:::::{}:>;;:x•{;{:i::;:}Y::;.;:....:,::....:.. comvanv ..: . .... ., :: . .......:•:::..;.:;:{.::•}:.};::.>::{;.;:r:-;Y:.;:.:sir•}:;:.;:.::-;::..�:...::::._:::::•::.�: .................. :.:.;. ...:•:.•:,: .. . ,..:::::..,:,:,.......,.:>:.:•.;,:.:.;�;•:{•:{;>:•>:;>;::fir?{•:;•::;;;:.:?:{•:•:�:.::.:::::;;:i;;::::<.:�»»:::.,,,,,.>:-« •xht• IX ................. .............. ::.};}}::{::;.;•:::.........::.:.:.:.;.:_::.:::::.:::::::::>::•._::.::::::::::.ter::::{{•;;:.;�::::.. :. :........::......... : :•..... ❑ I am a sole proprietor,general contractor cle one)and have hired the contractors listed below who have the following worm' compensation polices: .................................. .::......�::.�.... ... :. .,- .:......,.:::.:,.,,.::...,:'.:.}.,..,;,k:,r}�:.}}%}}}>::?{:.,}:. :fir{.}}:•r,}}nY}t..Kfr:•}:�?�e�}:ro.,.{,,,�..tt.:::.t,::...x,• :;i:;<:}`::::{:ii}}::};}:;:;}{%vi i i::•}yi'i}i:b}:{{G"'-ii}}::iiii}:{O:G:i:ti:`.is"'iSJ}}:4i?i??Si::i:`{:?::y> ii yt:ii::•:•}i:•i::'::i::::Sii::: : :i:•:•iiii:�i: ;.•,:....;..:..:�:.�:.:::..:::v.;�Ya:. �:::i:::v:i`v��:�>:.:�;::iii:'4i:i}".:.:�:}.>..;:{:?•: '::C:•::•YY::i?vY}:fii::^Y:?i?;{:;:;:;:;{:v:: :�ii:ii>i. 4.::::i{?)i:::::::.::: :...::::::•::.�:•::w:::;:.;.},..:..�.:.:::�.�::... ..:..:::.-:.::::::•:::,v:v:.v:•:::.::::::::ti4:?!{v.v:::::::::v::...........................................................::•::�. .... ...:'.;::n�;{•::^:�::nv:••-,..;:';{<•:;::::::;;::.:�..?.�•:,v6:�:!?:h;:?}}}}}•:}:::{:9}•.v4::••:fi•.:::::j{v}:;i::}:;i?ii}i:v{{•:\.;.•:::::,v:.r.w. amen �:::.�.:::::}.:{:::.;;;::.;}:>:;{•}}'.}:.}>:.:.;:.;:.;:.:>:.:'.:.::.;;:.Y;:;.;:;:-;:�:.;;:;.:.;:.;:.;:::. :;:;::::::::{.:{::.>:{::::<.}:.:-;;:-::.;:.;>;:.;;:;;;.>'.>:.;>;::.:;;>:;::;:::.;:;;.:;.;?.::;;.;;;;:Y;:.:;.} :{.Y;;i;;;:::<{:},:.:«fi}}:;•}:fir:.}:;;;:»:::}:{�}{::::.:.:;::::;;.:;'::'. ...................... ................. ... ....... .. ..................................:•::.::::.•:...........1.... .::}::}::::.,.fi...^... .t:,.:fi. :•::::•:.-max.:fiv::::.v•. •n,•:.v.......rr•::.,:.v:.v::.v::::•:.�:.. >}:•>::{firfir..?;;::::v�:::?•>:•:••::..........................:.:..::::.::•... ..... ......sac.. ...t •{-:•::::•:::::.,,:::::•::.;{;;:�>;'::.;:�:;;;;, ,`.::;:: :::::::.�r•::.::......................................................:::.:�.,•.,:•:•::}.�:•.w•.,.. £ •:.o-.......... .ta":.'^�w}?c .Y":,`r''�tat....... ..:. ..,.. .:.�..:. 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I understand that o copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage ve incati m. I do hereby certify the purses 7Vdes of peUury the the mfonumon provided above is&w and corred Signature Date T�6 /G Print name lZ(CY A n 9 V C—�C.�410 wL— Phone# 7 71=9 otSdal use only do not write in this area to be completed by city or town otnelal city or town: permlNicrose# QBuilding Department mg L]Licensmg Board (O,heck if immedLte response is required ❑Seleeanen's Ofses ❑Health Department contact person: phone ❑Other__ _ Qewao 9n5 PIA) 1 . . 11111 i• . . 1• :11 1 / / =I • ' •1/i1 / 11 • •) • •/ - / • •M . •1 • •• . • 1 • • 1 :1.1• s • • • • 11• - • • � • - • • 1 • :1• J: • • 11 • 111 :111 I 1 • II • 11 • 1 �: • - �IU✓. • • • ' i• (• • • 1 • ' • 1 1/ • •1 • - 11 1 1• •M • •II • • / �1 " 'Y- :1111 :1/11• • 11 • ://11• • • • / • • 1 it • 11 • 1• 1 11 • 1 • $11044 daki,0 111 .1• .1 •11-/11k .11 • 1 • •• 1.1 11 • 1•II •J • 11• •) • 1 • . • �I/ 11 1�1 - /• 1 I 1 • •iv:l • 1 -1111• • 11-111 • - •i�111 i• • • 1 .IIII• • �1 - 1. • wt • •IIPITI • Y./1 ilk i -1 •:1 1 1 ' 1 1 1 11 1 1 / 1 1 -+� 1 1 1 1 1 1 1 1 1 I / 1 • • 1 1 ' 1 1 r' 1 1 11 1 1 •1 11 11 1 1 • • • •• • •I1 1�tl/1� 1 of to•11 • lose 1 • .11 • 11, 1 • is W. 1 itTo i kip L'I role 1 - I -1III-1 III • 1 •III■ - • 1 • • II 1 - • • • • • ., 1.1■ ' • • •�11 V • •11111 .11 4' • III II 11 It .11 �' �• III M11 w11♦ • / 1 • -1 / • �1/ • �1.1 1 • / •111• •11 1• p • 1 A 11 11 11 ••• •.�-1►. •11111 w1 w-1• •11 ■• 1 ' 1 V•1111/ ..11 1 • 1 ,•11 • •1 •• 1 .1 • 1 • • Y111 .11 •11 .11 1 •/B 11 • •11t1• .11 1 .111 w, / •1 w. .11 1 1 1 •II 111111 • -1�. •II ' ' Ilt 4-1 ••• V:1(" • 11 /1 .11 M' .• • 1 11 1 II • i• • 1 1 1 .1 •11 wll /1 1 11) ••V- Vrl • wll•. 1.1 4.111.1.$1Y,1• •IIN*)*11 i is,.11 4- • a •1 1 1 1 � JI l 1 1 1 1 1 ■1 • ' I 1 • 1 1 -1111.1 �• 1• 11•' MI •I 11 •• 1 II .t 11 - .1• I W.1■ •II • 1 - •-1.1111 • -•1 � was . �• w, /i• 1 1 11 IY.1 /11 wll •I 11 •11 •• VM • w11 I- 11 1 1 1 •• 1 / 1 ,11 1 :.� • •11 r •111 • 1 •1 1 • w II i• 1• • • ✓.111 '•11.•-1•. V11/111 w/ w,l■ •II 1 • I 1 W. I 1 1 - - / ./ 11/wll -1 /1 III111 •.•1 �• • p • • .1 1 - •• • ' 1 4.1111• -11 .11 • • •1111�• J 1 1 , • •yy • • :1I • 11 11 I/ w/l •1 , ■1 V • II w, • •Y.11 •11 1 I• V•111 Y. • y • II • it' .1• I M:111 • ■1 11 11 /-1.111) wl 111111 •./ ' 1 1 I 1� 1 -1/-/ -0 V 111111 I-/ 1 .. sk 6 1•. Ilk I1 •1111 �• ' • 901,6401 • 11 • 111 w, • •1-1 -1• .11 • -1//-111♦ 1 1 1 wl 11 • • •� • 1 • . • •11 • • • 1 1 • 11 1 .11 • • •• •.1 .•• •/ 1• •• • • 1 / • w, • • •• •• 1 Y Y.11' • JJ,61 - I ��jM/������/� M��������j��jjjj�j/�/�j������j��j 11 11 11 1 1 1 1 1 i I 1 1 I I / 11 ` 111 11 1 1 1 1 1 The Town of Barnstable ssaivsreu.e. = . y 1 � Regulatory Services �o ram' Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner . 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least ope 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: Nt ,��? � Estimated Cos 6 640 Address of Work: 14 P�;_ SCV t7 (Z AU(r ,j t4mimII T 7 Owner's Name: Rt L4A✓_Q V ec-cW to ric— Date of Application: I hereby certify that: Registration is not required for the following reason(s): MWork excluded by law []Job Under$1,000 ❑Building not owner-occupied SOwner 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 for a permit as the.agent of the owner. Date Contractor Name Registration No. OR Date Owner's Name 71 44AP V LzCU4,vov cam' q:forms:Affidav oFt�r� The Town of Barnstable BAMSrABLE, 9 Regulatory Services 4'ArEDMA'IA,O Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print r7 lb DATE: C t� JOB LOCA ION: J SGU n 1 Aa Je YANKS r � ll ! _ �' number ,� street 2 C� villapge Z �} "HOMEOWNER": E-C 1a I O �I"O ?I 1 l J 1 name home phone# work phone# CURRENT MAILING ADDRESS: U� 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. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building D e p ent minimum inspection procedures and requirements and that tie/she will comply with said pro a and req r ments. Signature of Homeo her 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 109.1.1-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:FORMS:EXEMPTN r nil. 1 - El Q a � F Vot 1.0 CIL t hie, V, G- vV4, a0- Lq *L4* p vdtelvl� 1 mod k 's 6 CopI......... a f iN� f-ep�s �1, r p � © - 7L✓6t`"s,-- 1) 3 � i ;v e Town of Barnstable- *Permit# � Expires 6 months from is d e -PRESS PERMIT Regulatory Services Fee 5 2005 Thomas F.Geiler,Director TOWN OF Building Division BA RNSTABLE Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint -Maplparcel.Number ..;M 001 Property Address J V4'esidential Value of Work U Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name aula -Telephone Number��CI Home Improvement Contractor License#(if applicable) ComstTuction Supervisor's License#(if applicable) 4w__O_rkman's Compensation Insurance ne: I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance r,�) Insurance Company Name ' s W orkman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) e-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 ( •44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Property***Note: ***N Pro Owner must sign Property Owner Letter of Permission. o I vement Contractors License is required. SIGNATURE: QTorms:expmtrg Revise071405 Board of Building Regulations and Standards One Ashburton Place = Room 1301 4. Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 134313 Type: DBA Expiration: 10/24/2007 DAVID SAWYER CONSTRUCTION DAVID SAWYER 318 MEIGGS BACKUS RD. SANDWICH, MA 02563 Update Address and return card Mark reason for change. Address [] Renewal ❑ Employment Lost Card ;-CAI is 5OM-04105-PC8648 /ae'foam-�nonu�ealrl�t a�✓`�-aauu�uaek`a Roard of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards - - - Registration: 134313 One Ashburton Place Rm 1301 Expiration: 10/24/2007 Boston,Ma.02108 Type: DBA DAVID SAWYER CONSTRUCTION DAVID SAWYER 318VEIGGS BACKUS RD. SANDWICH,MA 02563 Administrator Not valid without signature Ukkq U David Sawyer Construction 318 Meiggs.Backus Road Sandwich, MA 02563 (508)-539-1992 Pr9posal Submitted To: Work Place: Date •city 0 qT?" ?W- os--�4 - �S S ' ;. emove,and Haul Away all old roof and or si ewall shingles. SUPPLY&INSTALL: COLOR: �e W h k a4w I*"A 04k-P Cod'-bye, P pt Y/CLEAN&REMOVE ALL DEBRIS FROM WORK PLACE AFTER JOB IS �L COMPLETED. ALL DEBRIS TO LANDFILL. TOTAL nwESTMENT FOR MATERIAL&LABORS j�I, LSD-UL> Ail matenal�s guaranteed to be as specified,and the above work to be performed m accordance with the specifications submitted for the above work and com leted in a s=�� manner. Payments to be made as follows , n of /h ,r.l 1 2,Any alteration or deviation from the off+ rk specifications involvingexe acosts will be executed only upon written order,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control.Please remove and/or secure any fiagde household items. Not responsible for broken or damage household items. 10YEAR LABOR WARRANTY/PLUS MANUFACTURES SHINGLE WARRANTY. This==X e withdrawn by us if not accepted within 30 days. Respectfully submitted ACCEPTANCE nV PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified.Payments will be made as outlined above. Date Signature --- --- n � ��5� �-s �� � � i 4 F -c�v __ - ��� � _ � _ I - �� � � � r .r � � � � � ���' � � a �a� � � � j _ � t - � � , � � � �� � � _ � w - � - ---� � �5 � o � � � 'e� ?� � S �� _ . � • ° �'. `- 0 ��/ .. (,t . _ � . . -. � - _ - � 'C � '. � ,, ;_ .. �� < � O � O #, e � r � Y �_ __ 1 i• — nY � ., TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map Parcel Permit# ?- Health Division Date Issued Conservation Divisi�n_ �o �7-/d� �� 0l 017 Fee Tax Collector Vf�` .S'..�'' SEPTIC SYSTEM MUST SE INSTALLED IN COMPLIANCE Treasurer WITH TITLES Planning Dept. ENVIRONMENTAL CODE AND TOW - Date Definitive Plan Approved by Planning Board N REGULATIONS Historic-OKH Preservation/Hyannis a. Project Street Address 5S S d e -;nn l (,i� M/3 Village _ Cf.Y)I��l GV� v Owner 1o�.1C1� �[�{�1 CYI Address ywct: PU -Telephone - �� �� I�aJl � o Permit Request Shy _.Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation(, S 0G Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ) Two Family ❑ Multi-Family(#units) � Age of Existing Structure 5 _ Historic House: ❑Yes ANo On Old King's Highway: ❑Yes XNo Basement Type: W-Full ❑Crawl ❑Walkout ❑Other J sP Basement Unfinished Area(sq.ft,) x C U Number of Baths: Full: existing new ' Half: existing new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing C6 new First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 9 No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing -❑new size Attached garage:existing ❑new size 21-xZ5—Shed:❑existing ❑new size Other: neLA). va.-r A-1*"/ c 4c--0 Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION -GLt,�1lLr� Name_ C..) AJ P Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ex/ yl r FOR OFFICIAL USE ONLY PERMIT-NO. •DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTICK.- FOUNDATION + 7L FRAME INSOLATION + FIREPLACE ' : ` P, -! j - • r. ELECTRICAL: RO GI1 FINAL PLUMBING: ROUCH- �- :,,,_ *- FINAL; _ - Imo' ' r " 4 .. . .. "' • GAS: ROUGH; r.1 "' FINALz Fr- _ F 2 FINAL BUILDING ' -i DATE CLOSED OUT ����V- ✓ V - ASSOCIATION PLAN NO. ` r .w -- _ The Commonwealth of Massachusetts .' _ Department of Industrial Accidents ��'�:�=" =��� Offrca ofln,vestigations 600 Washington Street = �•+r Boston,Mass. 02111 Workers' compensation Insurance Affidavit �I117t:G:Iii'LTLfOCiIi�ilIItLY '���jjj�/j'//j�j/ name V�I("�� l C/ 11a) e' j�()d r)er Rm ire i0C3Ll^^ v flu rmn J 41 phone# -03 city ' I am a homeowner performing all work mvsd E I am a sole 13=rietor and have no one . workin p/act/y/ ,>,;//% r r////%/ZIX/" %/O / 1/// r ,,•,. [� I am an emplover providing workers' compensation for my employees working on this job. :::.: .................. .. ....... ;.. comnnnv name: address: :......:,......:::.::..;:..::..,:.....::.....::.. one .#. city . :.. ins urnncc co. Q I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below�•.. haze the:ollo%%ing workers`Compensation polices: ::... . comnanv name- ... .. ..: ..:.... -...;:,..:.:.::ti::-:iv:: :;:•:'T,"nY^::;}:;::}':5.`.}:::?;'i::J?%L:i}::i>:}:{:}isi•:.:...:.}:`v,`:j•:i;::::.y:'�:�>ii::Y:::::::. :.x.. address: .. .. ....... ........,............. .. ......... ,......n...::... •v:/.•::h-0,W�,:'•nv.vAv::.�.}},:..'v'.•:i?ti�'v:'\Yi::jiri:}iii:i�jiiii4i}ii:�:.w. ..... :........::::.,,.,.........................::-r:•:.,.... ......,..:.�.�::.:.. :...t+fi:<.:;...::::.,•:::...,-.�,,,...:. ,co-:,;.;..... : cites msor^n ce co. G.%//%////,%/ n...: carnr snv name: -. address: :.;... ....:::....:..:. :.::;::...:... .:.: -• ' :- insurance CO. "'a!::;,,,•::;.;.;. ... y.:•:.•::.:>:: ;:::x:..... . MEMME�� //����/��/�ii . ,4z s,-ssiltsirz #e �� imposition of crbuinal penalties of a fine a to SI.500.00 and/or Failure to secure coverage as required under Section 25A of MGL 152 can lead to the p one Team'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Oince of Investigations of theDIA for coverage verification. I do hereov certify the pains enalties ojperin that the information provided above is truce and correct Date - Sirnature ,p , f�1C�nt"Am `�C �t(�1�1P Ph.# -7�I 31G Print:.ame - �nIlcial use only do not write in this area to be completed by city or town ointdal s permitNcense 0 - ❑Building Department city_ or town: QI.icensing Board QSelectmen's Office check if immediate response is required ❑Health Department phone i!; contact person- ❑Other__- 1 1ME TOE The Town of Ba rnstable • aAaxsTnsz.E. • " : A10 Regulatory Services rEc t6l;9 Thomas F. Geiler, Director Building Division Ralph Crossen, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax' 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. C �1 Tye of Work: 7 rT��� _ I 00 • od YP Estimated Cosf, S Address of Work: S �U t�l��' Ty� ��/�(/V,/t' fS Owner's Name: Date of Application: U -- - I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law C]Job Under$1,000 []Building not owner-occupied gowner 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 for a permit as the agent of the owner: Date Contractor Name Registration No. X /0 GCS O Date Owner's Name q:forms:Affidav 0 ASSESSORS LOT 140UN � x L01 1 ra cF ® ,, �. ASS` gave ARL'A=44,850 f s'Q. F _ _ j ►& +Ew Y - r RES. 701 FLOOD Z PLAN R-k ASSSFSS6 �2• \ �rr.,elvD 00~ y Db'LfNFA' A{ PLAGS O1A' m) !'ROJE LTA OCA T101 455 SCUD) HYAIt11VISPt cp. IN AP�PLICCAN T. LOT 2 A� ®� 0 �* ��� ��►� ` YANKEE .SU ASSESSORS .LOT 141-2 Y P. 6 UNIT r, 40i Q .{}� MARS TUNS a, W > PH.(5178)428_00: Q SCALE.' .1'- 30' Q j GRAPHIC SCALE ,p ; t9 JO 60 120 ,108 No. 52246 °FIB ram, The Town of Barnstable M' g Regulatory Services �A .i63q 10 IE1639 A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION / Please Print' L DATE: 5 JOB LOCATION: 4 U(u� number ` / 1 street village "HOMEOWNER": g i Gi4w l? V E7 4/0 yy C' name— G home phone# work phone# CURRENT MAILING ADDRESS: �( S- — 4YAW11Vrs PL Z` city/town state o L(o y 7 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. 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 requiremen . Si at re 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 109.1.1-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:FORMS:EXEMPTN _ j 4 oD� d —� aa uc i r UpP .. 1'IlGflae1r u , ,, I � I� J , � I I tll � i f - �'� 1� jf t t • , iji41 f OCT-17=2000 11:27 SHEPLEY WOOD PROD 509 862 6012 P.01i01 r v < < IQUOiTE } SHEPLEY WOOD PRODUCTS,INC. Quote # 0100014792 216 Thornton Drive Hyannis,Massachusetts 02601 1-508-862-6200 FAX 508-862-6012 B Customer No. RICSTE Jab No. 00Ul S STEVE RICHARDSON H QUOTE-DICK VECCHIONE SHED L P 0 BOX 4G7 P T WEST HYANNISPORT, MA 02672 T o O SPECIAL QUOTATION INSTRUCTIONS ACCEPTED BY X Q nteo`?. ?:.(..,..'POUM82R'," ".. ''S4l AoE L�,NI E9►1Aw• "R6F N0 TERMS :1-, 10f17/20 JUDY GGETCHIUS 1 OUANTl7Y; U/M D64CRIDTION UNtF.PAiCE' ' UIM Amoup 5.00 PC LSP734ULPT PLYWOOD 3/4 UL PT .40 37.86 PC 189.31 2.00 PC LP0614 PT 2X6X14 41 .40 ' 9.78 PC 19.56 17.00 PC LP02*10 PT 2X6X10 #1 .40 6.85 PC 116.44 28.00 EA LVH020600 HANGER LUS26 2X6 SINGLE JOIST 0.51 EA 14.29 20.00 PC LF020608S 20" 8 SPF KD STUD 3.31 PC 66.27 50.08 PC LF020408 2X4X 8 SPF KD STUD 2.24 PC 112.04 6.00 PC LF820414 24014 SPF KD #2 & BTR 3.83 PC 22.98 &N PC LF020410 2X4X10 SPF KD #2 & BTR 2.74 PC 21.88 9.00 PC LSP512CDX F PLYWOOD 1/2 CDX 4 PLY FIR 13.63 PC 122.70 1.08 PC LTPP®10814 PINE IXBX14 SHEPLEY PRIMED 18.52 PC 18.52 12.00 PC LSPT111 PLYWOOD T-111 4X8 5/8" 8"OC ROUGH FIR 33.53 PC 402.41 8.00 BDL LRIACDW IKO ARISTOCRAT DRIFTWOOD 39DL/50 10.61 BDL 84.91 1.00 RL LQAFELIS FELT PAPER #15 432 SO FT 10.53 RL 10.53 3.00 BOX LNISDGC05 NAILS 16D COMMON GALV 5LB 5.96 BOX 17.88 3.00 BOX LN08DEM NAILS 8D BOX GALV 5LB 6.76 BOX 20.26 3.00 BOX LN01256RF05 NAILS 1-1/4 ROOF GALV 5LB 7.00 BOX 21.00 2.80 BOX LNIODJH5 NAILS 10D JOIST HANGER 5# 13.51 BOX 27.01 1.00 BOX LN16DEC50 NAILS 16D COMMON BRITE 50LE 19.17 BOX 19.17 2.00 BOX LNOEDEC03 NAILS 6D COMMON BRITE 5LP 4.69 BOX 9.39 QUOTE XPIRES 11/1E 2000 CONDITIONS OF QUOTATION SUBTOTAL $1316.57 THIS IS AN ESTIMATE ONLY AND SHOULD BE CHECKED FOR ACCURACY. IT IS NOT A GUARANTEE TAX 65.83 DF TOTAL JOB COST,QUOTE IS GOOD F09 30 DAYS.THANK YOU. FREIGHT 0.00 DEPOSIT/PAYMENT TOTAL 5138 .40 TOTAL P.01 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel I On Permit# -5OV412 Health Division fl 1 f-v Date Issued 161(v( O Conservation Division FS., 11* Qa �1AOR �°���!�� �� Fee Tax Collector�,. - C `� `� SEPTIC SYSTEM mUST OF Treasurer INSTALLED IN COMPLIANCE. WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN.RWLATIONS.. Historic-OKH Preservation/Hyannis 91 S 5(wcidy- Auenuo Project Street Address `i91 Village s �(,� t-- / . 4 �I I.Y x,� C,� {�Ul �� Cr�'ll(.�� Address r Owner Telephone Permit Request did =aElct f _,--Ma I 1 dcd (4 mcdjer r on- Square feet: 1 st floor: existing proposed 2nd floor: existing I ZQ proposed Total new Valuation 11206 Zoning District Flood Plain Groundwater Overlay r Construction Type Lot Size Grandfatliered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure v) Historic House: O Yes fA No On Old King's Highway: ❑Yes io No Basement Type: 4 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) I K 0 Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: lGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes i(No Fireplaces: Existing Z New Existing wood/coal stove: ❑Yes 4No Detached garage:Aexisting ❑new size Pool: ❑existing ❑new size Barn:❑existing) ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Dmk Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name �C!/tiC2 Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE —DATEl�� ,6� . FOR OFFICIAL USE ONLY PERMIT NO. 3 k DATE ISSUED MAP/PARCEL NO. -� ADDRESS- VILLAGE OWNER DATE OF INSPECTION ; a FOUNDATION ( FRAME INSULATION - FIREPLACE - 1 ELECTRICAL: ROUGH FINAL• PLUMBING: ROUGH'- FINAL, GAS: ROUGH-` FINAL FINAL BUILDING •�z "� O /// f DATE CLOSED OUT a � 4`b f ASSOCIATION PLAN NO. -- r' -r v i The Commonwealth of Massachusetts Department of Industrial Accidents 0JfCV otloYestigaM VA75 —�L== •. 600 Washington Street Boston,Mass. 02111 , Workers' Com ensation Insurance davit .' ' name: location: ci �\ ohone# v I am a homeowner performing all work myself I am a sole proprietor and have no one working in airy capacity �a�,,,':'///l%%/%/%%///////d//// �///� 0/� � , '�//Old/%/%/////!G"/ ///�i ////,i ///////"��//%/G/%/% ;,;;;,:,,... /r,,,/i/// I am an employer providing workers' compensation for my employees working on this job. comonm•name: : :'. address: ...::.:......,:..;..... .::� ...... city ins+srnnce cn. I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below have the following workers' compensation polices -. ::. : .. :: : ::... mnanv name• :::::.. address. .. ............ ..... ............................. ....,:.......:.v:::::nv...n.M+.`..b.n...:4:.v:-:}..•. .\v.:. rii;•Y.:i•::::.:J:::::::.v:::::. ..,.. .. .;.:::....... ........:.}:.::v::::.v:••:::::......;:'•.:•::F..�::::........ .<•::. .;.:..n:....................v::�•:•.:.......v vv.v:}.:•:::'>:}:irk:JkS<?•ii ::v�:�:�:i:i:�i{:j}{::::i:�i<:�:{ij:�:�:;`:_.�: .....:.::............ city: ::::::... .. . :. . ... .:. ..... ":'<: :i:ri: >:::;> :ii<:::;: .......... in su r^n ce co. cartinanv name- ..: address: ,:... . ::••..: :.... ... �.�. ��>s:'• hone' ..::....:.:::..:... . . ..:.:...........: .. > "�ssltsv$s3s ? / Failure to secure coverage as regttired under Section 25A otMGL 152 caa lead to the 8npoaitioane eritainal penalties of a Hoe up to 51r'.00.00 and/or one wean'imprisonment as well as civil penaldes in the form of a SLOP WORK ORDER and a Hoe of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the office of Investigations of the DIA for coverage verification. I do herenv certif•under the pains d penalties of pedury that the information provided above it tru.and correct l Si=ture t Phtme# Print:.ame l�i�.l �� ... .......;.. . {,)t*pcl use only do not write in this area to be completed by city or town official permit/license# ❑Building Department city or sown: ❑Licensing Board ❑selectmen's Office, _; citecic if immediate response is requited ❑Health Department s contnct person: phone#; ! i' ` ❑Other_ S Information and Instructions ter 152 section 25 requires all employers to provide workers' compensation for their Massachusetts General Laws chap to ye is defined as every person m the service of another under any conz~-- emplovees. As quoted from the"law",an emP y of hire, express or implied, oral or written. oration or other legal entity, or any two or more c An employer is defined as an individual,partne�P, associaxian, Corp a the foregoing engaged in a. Joint enterprise,and including the legal mpg ves of a deceased employer, or owner re.--�.i'-- association or other legal entity, employing employees. However the owner of a trustee of an individual,Partnership, or the occupant of the dwelling house or dwelling an house having not more th three aparttneats and who resides therein, house or on the grounds another who employs persons to do maintenance, caisson or repair work an such dwelling building appurtenantthereW shall not because of such employment be deemed to be an employer. appurtenant MGL chapter 152 section 25 also states that�'m'y state or local licensing agency shall withhold the issuance or reneF of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who c: fiance with the insurance coverage required. Additionally,neiti=The not produced acceptable evidence of come shall enter into any contract for the performance of public work un"- commonwealth nor any of its political subdivisions of this chapter have been presented to the coatr.z- ; acceptable evidence of compliance with the insurance authority. _ Applicants �1w ��p� checIdng the box that applies to your situate on and �411wo&=, ensation allies �`•J7 m.`,be n `"►= Please fill In the YtNioY�� pie�b �g�a certificate of insurance as all affidavits k ers o inPP y� Accidents .; an �:. {� of insurance coverage Also be sure t sip ' submitted to the Department of_bukmtnal - of Lcy= be retained to the city ar town that application for the pe*mti date the affidavit The affidavit should have any quest=regarding the"law"o:i c not the Departcneat a�Industoal��• Should you requested,bring obtain a,workers' �p�on policy.Please call the Department at the member listed below. City or Towns and printed legibly. The Department has provided a space at the bottom of Please be sure that the affidavit is comnp has to contact You g the applicant Ple affidavit for you to fM out in the event the Office of member. The affidavits may be=nmciR in be sure to fill iatlLe petau�licease maabec wI wffibe used as areference thte Department by mail or FAX unless other arrangements have been made• The Office of Investigations would like to thank you in advance for S'ou cooperation and should you have any questions. please do not hesitate to give us a can. The Department's address,telephone and fax member: The Commonwealth Of Massachusetts Department of Industrial Accidents office of invesdUations 600 Washington street - Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 THE►per „AMSMB The Town of Barnstable 9` . �0� Regulatory Services �''°'Eo,�►+° Thomas F. Geiler,Director Building Division Ralph Crossen,Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax' 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: ZGV_ Estimated Cost ( Q Address of Work: 1 _SS 5CU* POGO ,tlyLJ Owner's Name: �ZCU4nn o UDC N/p `✓�� Date of Application: b U _ I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 F]Building not owner-occupied 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 for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name �r c44 ll 9 :forms:Affidav sHiTy sr LOCUS ' ��� P Obi 00 �� o�_ ASSESSORS �o j�CE9N �0 �0. LOT 140 LOT 1 ASSESSORS LOT 141-1 AREA=44,850 f SQ. FT. j PAUL mepA. rrmEw LOCUS. RES. ZONE. 'RF-1 FLOOD ZONE. B -__ , , . w PLAN REF. 372/18 ASSESSORS MAP 288 WETLAND l 01 FLACSEAT/ N 0 � { �13 , _ (PER OWNER) �o 'P �. PROJECT LOCH TION �N 455 SCUDDER A VENUE HYANNISP0RT, MA. � / � APPLICANT.• RT SPILLER LOT 2 . o, ROBE ASSESSORS LOT 141-2 0 / ti O YAWEE SUR VE Y CONSUL TA N TS P.O. BOX 255 ��J 0�4 O RAD MARSTONS MIL LS, MAY 02648 �X \� PH.(508)428-0055 — FAX(508)420-5553 V GRAPHIC SCALE SCALE. I"=30' DATE. 1/24/2000 w 00 0 15 JO 60 1I0 - 1 I - i REV.• REV. ( IN FEET J✓Oa NO. 52246 DG sHEEr 1 OF 1 I inch = 30 M °Fw�ram, . .�°� The Town of Barnstable • BARMABM • MASS. g Regulatory Services E16 o.�6, Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: l O O JOB LOCATION: q ^S 5 C y n O GA- `��� t4Y,4'vW1 s P,a K. ' number street lage "HOMEOWNER": E nVC-cc work hone# name home phone# CURRENT MAILING ADDRESS: Q - a S 1�1/ �D�ZsSS 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. DEFIIVITION 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. 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 proce es and requir ents. a re of Homeo 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 109.1.1-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 forrn/certifrcation for use in your community. Q:FORMS:EXEMPTN r ' Z ♦ b .� OP � � n N r 1� t TI ' I I1- 7 � p�l� � I I I�I • O .10 _ G ODED CI 0C f I ' � II I , C m } - -- _ :..ti �.� i -c fit•' F o f�,�;.. �. Assessor's map and lot number ....P.t�L...��y� d �pf THE TO L t . cu . Sewage Permit number ......................A....�.c�:.::,:.,.,.f...........�. d� �+► Z 89HB9Ta LE, i Hot*e number ......................... ....:� ?'.........................., me 1639. TOWN OF BARNSTABLE cc� S 3 -1b4-S BUILDING INSPECTOR J-D 02. APPLICATION FOR PERMIT TO �� .. .............................................................................................. ......... TYPE OF CONSTRUCTION .. r`.�r7�/( !..............................................................................1..................... r ' • TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: LocationnT. . ./......:. ('�� �?'. .....1 .��°.............. .......................... ................................... ProposedUse .... ��.<..'..%,? `.��.............................................................:............................................................................. ZoningDistrict ...............C��. ............................................Fire District ................................................ Name of Owner J�g1.11,(,)„1-,�-,, 0( t.�I S' . ` .........Address .l<��. C!�...SU/l/FLI�Lc)(rt/�f/, /�TdW!✓/T/J /(J Name of Builder .? .U.�l..:..!� ..�. GL�/LLt.t�Y � ........Address ../✓...... !p......r � ...... a�� Nameof Architect ..... ..........................................Address ..................... ............................................................. Number of Rooms .......6�1)....................................................Foundation ...(/�D.?a ... ...................0.................. Exterior ...../O(„3( .. ...............................................................Roofin /��%5...� ..............�5�/�� g Floprs �(� C' (�'fI/�P �� f2CG zt, C................................. :.../. ............�......... -.........................Interior .............-,......��... .......... r " = w, fir /' _. / Heating .....::f� ........................................................... ....Plumbing ......�. ... .............................................................. Fire.place�: ........ E-s I..............................Approximate. Cost ......q..,1. U Definitive Plan Approved by Planning Board -------------------_-----------19________, Area .................. ................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH /��yd 2lsrR Y.t I! r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name �..................... Construction Supervisor's License � .�!..�C� .......... P -__ .`-288_1*1 xn No -' .2(.4 -b�o�le Location - ----.-.. ------ � nuer . Owner -..;qamkel.Bordinsky......................... Frame � Type of Construction -------------- --------------------------. � � Plot ............................ Lot ................................ � ^ ; Permit Gnonha6 ........ �K44.KY..l9........lV 85 Date of Inspection ------------lA Dote Completed ------------..lg ' � | � ~»� Cot . . . ' - . ' - . . ' . ' | | Ahsesger's map and lot number .......... ..... SEPTIC SYSTEM. MUST FJ 111 E P. LIAN Sewage Permit number. .............. .......... INSTALLED IN COM .. . .... ..... WITH TITLE 5 t 13AUSTAXLE 6 SUL House number .............. ............. ENVIRONMENTAL CODE. 1639. 'GULATIC-W a N TOWN RE 7k TOWN OF ,BARNSTABLE A11FIF01 T, TO A BUILDING - INSPEVIT, C0 M N!I S 3 APPLICATION FOR PERMIT TO A44-. ........................................................................................................... TYPEOF CONSTRUCTION ................................................................................................. ...........;....... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 407 ...... .......2CA54�r....z.w. ............... .. ............................................................ ProposedUse .(!.e......................................................................................0........................... ........................ District ..... 4. ....................Fire D ................................. Zoning ......... .. ........................ istrict .... ................ Name of Owner ..........Address .43.7,6... F44W. Name of Builder"*�� o L) Ae kJ ........Address ......./.2�.Cr ...... .Name of Architect ..........................................................................Address .................................................................................... Number oi Rooms .......J8....................................................Foundation ..jeaqneoce............................................. Exlerior ..... ....................... j................... .....................Roofing ....... ............. el .........................Interior (12C ....... ................................ Floors ............ .......... Heating .............................................Plumbing .......2-1 .............................................................. �yFireplace ......./.*.,:..................................(..............................Approximate Cost ..... .... ..ao ........................................ -------- Area ......IA05� Definitive Plan Approved by Planning Board -------------------—--- ............. Diagram of Lot and Building with D /eqv imensions Fee ............ . ........... SNBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........ ....................... Construction. Supervisor's License .......... �ORDINSKY, SAMUEL, •27520 _ No ............... . Permit for ....2..Story 3; s z Single Fami ly Dwelling....................... _ ......................... '� Lot 1 455 Scud Location ............r.......................d��..A.venu.�..... - •, _ ... Hyannisport......................................... ' Owner ..Samuel Bordinsky................. .. .. Type of Construction .....Fri.......................... ............................................... ' ............................ f, Plot ........................... Lot ...... - r 'Feb uary 19, Permit Granted ........ ............. 9............19 85 =' tf Date of Inspecti leo..19dr�� Date Completed .....:...../7... .......19 S)6 i P� • q - 10 319 \ fP� C5 W 33 - E N I � - �, /- e4z is N /p G X /JO t, /LovT 30' J / A PLOT PLAN THE STRUCTURES SHOWN WERE LOCATED ON THE GROUND / IN ON 8 i % S 7'H15 SKETCH /5 FOR PLOT PLAN PURPOSES ONLY AND SHOULD NOT SE USED FOR ANY OTHER PURPOSE . CAP RE915TERED LAND `SURVEYOR o c. cya E COD SURVEY c FRANK �^, \---C O N S U LTA N TS o WHITING v� No. 29269 � cn c �F ��° RO✓ECT NO 03 - /�:/_ QY `;.�, ��sTE. o 3261 MAIN ST./ROUTE 6A ,o super BARNSTABLE VILLAGE, MA 02630 ' (617) 362-8133 l FERN, ANDERSON, DONAHUE, JONES & SABATT, P_ A_ ATTORNEYS AT LAW DANIEL U. FERN P. O. BOX SIB RICHARD C.ANDERSON 43S MAIN STREET ROBERT J. DONAHUE HYANNIS, MASSACHUSETTS 02SOI STEPHEN C. JONES , CHARLES M. SABATT AREA CODE S17 775-5625 November 1, 1985 Mr. Joseph Daluz Building Inspector Building Department Town of Barnstable Hyannis, MA 02601 Re: Lot 1, Plan Book 372, Page 18, Scudder Avenue, Hyannisport, MA Dear Mr. Daluz : With regard to the above lot, which is owned by my client, Mr. Samuel Borodinsky, it is my understanding that you have rescinded the Stop- Work Order that was issued with respect to construction on this lot, in August of 1985. This letter will confirm that the Stop-Work Order has now been rescinded. Also, you should be advised that Mr. Borodinsky intends to continue with construction, and will complete the house in accord- ance with the plans originally filed with your office. Thank you very much for your attention to this matter, I appreciate your assistance. VC e�y truly ours, Charles M. Sabatt, Esq. CMS :dml " "R y'1 •'Y ,.. .. a ♦ rh - 7' .. - r '♦• ? Ckr � "._ '' - , ,July 11, 1955 r da y'.• r � t• r > Mr ' Douglas.`Williame Y* w• . :* 156 Sheaffer Road" la.... - : . Centerville,. MA., 02632 Re: ' Lot 11 ' Scudder Av e, Eyannisport Barnstalbe.Building:'Permit #27520 ' ° Dear Mr: Wil'iiams: After eceivi'ng a oom_ plgint Iy reviewed All' information available . re lot #I'- Scudder Avenue',' Hyann sporty A petition ( 1983d07), had been f iled with the Board,of Appeals and foll84in' 'a' ub3l c hearin !h+ k " the"Board'-v6i&d 'to en the' request because the .lot did not meet the s rz 70X upl'aad ,•requiiement s Therefore, iy u aid'here'by ;ordered to,"STOP, ' M WORK""on the`site.: r �'.Yt is: my opinion that ,,should.engineerizag-results.dfffer; . in favor of ou the,zoning requiramenta, you would .havwe to return ;to the-Board of ,{ Appeals to modify or the decision of• the Board of"Appeals. aPpace, . , .r S Gaa.a 4 E ry a. �'."y`. R+•tr' �4� +� ,at x4a .�` � � y 1, rr{ � �r� i+ '� .•L .. y. � ' •.. .f +. • - . SY{ , YF. n tk.• r ' Josephtl D., DaLu2` , 4 Building Commissioner .. - -,� •%a'��.1 _ . it y` �` - - r - / x cc: Toran Gaunsel 1 w A�I'' jr j ra t I � s r c Fps+ # � • � i � � -,,SI x� , , F.r • r r , ww rr«4�+`�.+:cS i a.�,n•,r.-LT#, .,r.s.e'�dt-"--7.�' • :•r « � ` -f a JOSEPH D. DALUZ TELEPHONEi 775A 120 Building Commiuionts EXT. 107 . TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 July 11, 1985 Mr. Douglas Williams 156 Sheaffer Road .Centerville, MA 02632 Re: Lot #1 Scudder Avenue, Hyannisport Barnstable Building Permit #27520 Dear Mr. Williams: After receiving. a complaint I reviewed all information available re lot #1, Scudder Avenue, Hyannisport. A petition (#1983-07) had been filed with the Board of Appeals and following a public hearing the Board voted to deny the request because the lot did not meet the 70% upland requirement. Therefore, you are .hereby ordered to "STOP WORK" on the site. j It is my opinion that should engineering results differ, in favor of the zoning requirements, you would have to .return to the Board of Appeals to modify or change the decision of the Board of Appeals. Peace, i ! sZP h D. Dr woilding Commissioner JDD/gr cc: Town Counsel ' ii F o•„ TOWN OF BARNSTABLE Permit No. __27520_______________ . T _ Building Inspectbr Cash OCCUPANCY PERMIT Bona - r Issued to Samuel Bordinsky Address Lot #1, 455 Scudder Avenue. Hvannisnort Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ,,+ l ' /t, aG.......tag....... 19_ ? f.� .�. p r- Buildin In g s ector n _ TOWN OF BARNSTABLE BUILDING DEPARTMENT S rAaaSxA TOWN OFFICE BUILDING rum HYANNIS, MASS. 02601 �o ror�• I MEMO TO: Town Clerk FROM: Building Departmentle'.r'��" DATE: 6 f An Occupancy Permit has been issued for the building authorized by BuildingPermit �$.... :5 . .. ..................................................................................................................._.................... .. .._ issued to tsaa ,. .L......� .............te? / ..... .1� >'� SC'uclol r� 190C �.. Please release the performance bond. .a...w.,....,:_ i,. _..:,.,,r. ....r.........._.....ti...c....,,.w...:Srk..aa&m�a.,..:.,...�_... �n..u�_ ....xs.6y::., ..�,._.:.,........0.:x:: . z......,a.�... _v..„.. ......,.a. ....tea...,�,... �....<.,,�y... ,.kv..a......._ ._�,....�..... .M�...-..., ....�.„._ .....,...�.:. BLUM Rmu .0-, TOWN OF BARNSTABLE, MASSACHUSETTS m I »I� JOB WEATHER CARD , { - 1 // DATE r 19 PERMIT NO. APPLICANT �C, S L.- W LL ADDRESS, 46Q- ING.1 (53R.EET) (CONTR'S LICENSE) / t j NUMBER OF PERMIT TO` 1 (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING t� AT (LOCATION) DISTRICT No.l (STREET) BETWEEN AND t.. (CROSS STREET) (CROSS STREET) r LOT ` SUBDIVISION LOT BLOCK SIZE i BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION ` (TYPE) REMARKS: - AREA OR PERMIT VOLUME ESTIMATED COST $ FEE I (CUBIC/SQUARE FEET) OWNER BUILDING DEPT. ( ADDRESS BY 1 t THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR ) PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED ± FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEE�J PERMITS ARE REQUIRED FOR f ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND . 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL I MEMBERS(READY TO LATH).3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. i OCCUPANCY. POST THIS CARD S® IT IS VISIBLE FROM STREET I BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS k PI � 2 2 2OA % %y 3 � °SEA?ING !NSPE_T iNG APPROVALS REF IGERATION INSPECTION APPROV. LS f K4��nxav or OV'RK znA'L._ NCT -RO_EE:) 11147:1- THE PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD i NSPECTOF iAS :??RCVEJ 7HE v.o;:US + WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPHONE I OR WRITTEN NO?IFICATION, STAGES JF CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE.