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Home My WebLink About0022 NATHAN ROAD :� n ., .. �- � 4 �� b � .. .. - o � _ � d Town of Barnstable Building s Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job'and this Card Must be Kept ! eAsaysrn�Y e !Posted Until Final Inspection Has Been Made. I'.. Where a Certificate of Occupancy is Required;such Building shall Not be Occupied until a Final Inspection has been made. rermit Permit No. B-19-700 Applicant Name: Roland Langevin Approvals Date Issued: 03/08/2019 Current Use: Structure Permit Type: Building- Insulation--Residential Expiration Date: 09/08/2019 Foundation: Location: 22 NATHAN ROAD,CENTERVILLE Map/Lot: 230 032-001 Zoning District: RD-1 Sheathing: Owner on Record: DIETZ,JAMES W& PAMELA C Contractor Name: ROLAND LANGEVIN Framing: 1 Address: 22 NATHAN ROAD Contractor License: CS-103861 2 CENTERVILLE, MA 02632 Est. Project Cost: $6,640.00 Chimney: Description: Install kneewall hatch, install ventilation chutes in rafter bays, install Permit Fee: $85.00 4 x6 soffit vents, install R-19 and rigid boardk Insulation:to kneewall slope, Fee.Paid $85.00 remove existing insulation,home air sealing '' Final Date: 3/8/2019 Project Review_ Req: 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 theapproved 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. 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 Final Gas: 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. Minimum of Five Call Inspections Required for All Construction Work:g Service: 1.Foundation or Footing I ii , ,. , 2.Sheathing Inspection t r _ _ .__ _ Rough: 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 00L-z^Z11Z Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT r-z� X,a; i . V r Town of Barnstable *Permit# , off'� ,^ 6t•611��Ip'� Expires 6 months from issue date Regulatory Services Fee BARNszmIZ r AR 28 2U�u 6 - v� •� Richard V.Scali,Director Ar� �la`111 0F B AHNS IABU Building Division 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 Map/parcel Number Property Address [(Residential Value of Work$ a,jM .QQ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ��fYl P I Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable)Z 80�g I Email: ,� fj Z �� ,A d✓� Construction Supervisor's License#(if applicable) - ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ lam the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) FVrRe-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoicide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A'copy of the Home Improvement Contractors License&Construction Supervisors License is required. - SIGNATURE: ---- QAWPHLESTORMS\building permit forms\E)PRESS.doC Revised 040215 s 'k c�pa6 EA 0 ME . onme rinoroVTlv\of�s -rnc sok(ODLLC:�nc, I<Clr- 1 cl� rn no o rl - cn <4�uc-4� on K- �= be- don e C, e ,� i i , I ✓/eOffice ofC oppns mmaAffairs hdes�mess1 i License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: R 5 Registration:..4,180881 Type: Office of Consumer Affairs and Business Regulation Expiration: ..,1/2ii2017 Corporation 10 Park Plaza-Suite 5170 r Boston,MA 02116 M• OME IMPROVEMENT= - r MICHAEL BERNSTINz 53 CONGRESSIONAL`DR1,�'; YARMOUTHPORT, MA 0287b!' Undersecretary Not valid without signature d I 7Tze Commonwealth of Massachusetts Department cif Industrial Accidents - - _ Offw.e o lnmfi adeyis - , { 600 Washington Street r_ti Bastwn, MA 02111 wnnv mass gov/din Workers' Campensat an Insurance Affidavit:Budlder-JCotntractarsAEIectricians/Plumbers Applicant Information Please Print LeQibIy Narw dual , �o�,,c .t ✓�no��/�,rc��/°h Address- 5- /22SS D�i Cityf tatel ip= Phcne'� �� 7 L I -2 q 9 b6 . Are you an employer?Check the appropriate om: Type of project(required): 4. I am a general contractor and I T.❑ I am a employer veitlz � g * Have hired.the sub-condractoas 6 ❑New construction.employees(fun andt`orpirt--Time)_ 2:❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees. These smb-con ractors have g. ❑Demolition worldng for me in any capacity. employees and huge workers" [No�,orkers'comp insurance comp.imsurance.l 9. ❑Building addition required-] 5. ❑ We are a corporation and its 10❑Electrical repairs or additions 3.❑ I am.a homeowner doing all work officers have exercised their 11-0 Plumib ng repairs or'additions myself [No workers'camp- right of exemption per MGL 12_❑Roof repairs insu mcerequired.]F c.152,§1(4h and we havens employees-[No worlmrs' 13.❑'Other comp-insurance required-) ` *Any applic=dwt checks box#1 nmst a]sa fill out the section below shuning d:i&vAx&ex'compensation policy information_ 1 Homevamers who submit this af#idatgf indkatmg ihv_y are doing all wal and&m bhm outside contractors amst submit anew affidavit indicatm,sucbL fConttactors-a=check this boa must attachedd au additional sheet showing the name of the sub-contractorx,and state whether or not those entities ham aWluyees.Ifthesub-cost®ctars have employees,they n=pmvidetheir workers'tomp.,policymmrher- I ant an employer that is prm ding workers'conrpensadan insurance for my enl hI wes $e1vov is floe porky and joh site infonnatiom Insurance Company Name: Policy,or self-ins.Lic:4: Elipiration Date: Jab Site Address .- h ��10 G&fi CitylS#ateJTp: 02��— Attach a copy of the workers'compensation policy declaration page(showing the policy number and espi ration date). Failure to secure coverage as required.under Section 25A of MGL c 152 can lead to the imposition of criminal penalties of a fine up to$000 00 and.For one-yearimprisortrnenty as well as cMl penalties.in the form of a STOP WORK ORDERand a fine of up to$250-00 a day against thoe violator. Be adtdsed that a copy of this statement maybe forwarded to the Office of Investigations ofthe DIA for insurance coverage,.wifrcatim- I do hereby certify under the pants andpenatties ofperfury thatthe ittfbnuafian-prm dedabore fg true and correct SiEmattire: Date: � � , Phone� a , Official un only. Do itat ivrtte in fh&area,ter be-completed by city ar toom offrciaL City or Town: PerruitUcense if Issuing Authority(circle one): 1.Board of$ealtb 2.Building Department 3.CitylTown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone 9: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their empIoyees. PMMIZntto this site,an.mpkyee is defined as."_.every person in thO service of another Under any contract of hire, r express or implied,oral or wut[nn." An mTlgy�m-is defined as"air individual,partnership,association,corporation or other legal entity,or any two or more of the fo en regoing gaged in a joint=ter use,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,pmtnersbip,association or other legal entity,employing employees_ However the owner of a dwelling house having not more than three apartments and who resides herein,or the occupant of the - dgFe ing house of another who employs persans to do maintenance,construction or repair work on such dweIIi ag house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§2SC(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license'or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the mksm-A+ce.coverage required." AdditionaIIy.MGL chapter 152,§25C(7)states"Neither the commonwealth nor iay of its political subdivisions shall mtex, MtD any contract for the perfounance'ofpubho work until acceptable evidence of compliance with the insur-a c6._ r eats of this chapter have been presented to the contracting arrthoziiy." egt�em , J Applicants , Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name,(s), acidress(es)and phone riumber(s) along with their certificate(s)of fijn ance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,ale not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of inset ance coverage. Also be sure to sign and date the affidavit. The affidavit should be retuned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Shouldyou have any questions regarding the law or ifyou are required to obtain a workers' compensation policy,please call tie Department at the number listed below. Self-in�d companies should enter then seIf-fi sUra:aCe license number on the appropriate line. City or Town Officials . Pleas be sure that the affidavit:is complete and pried legrbly. The Department has provided a space at the bottom e of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the penit/license number which will be used as a reference number. In addition, an applicant that must submit multiple p=Itllic ens 5 Epp libations in any given year,need only submit one affidavit indir atiag c¢a-ent p olicy information(if necessary)and under"Job Site Ad.dress"the applicant should write all locations in (city or town)_"A copy of the affidavit that has been officially stamped or.madced by the city or town may be provided to the ' applicant as proof that a valid affidavit is on file for future permits cen or lises A new affidavit must be fined out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture Ci-e. a dog license or permit to bun leaves etc.)said person is NOT reqmr(--d to complete this affidavit The Office of Investigations would like to thank you in a.dvaace for your cooperation and should you have any gamlions,' please do not hesitate to give us a cal The,Departmenfs address,telephone and fax number: -Ihe C0mMMWmjtbL of Massa chussj--tts . • Ilegazfimeut caf 1nd�trial A�ci�lents , ., . fffice Of fl vesEgat'to= 604,w tQu Strut o tau,MA E1i11F T(,-L 617-727-4940 Qxt 406 or 14M-MASSAFE Fax 617-727 7M Revised 4-24-07 €� gotr� ia Massachusetts -Department of Public Safety Board of Building Regulations and Standards -i0iZ+ti'�iiiitan uNrr"vi56r License: CS-102185 KARL T SPAIK 46 Main Sheetlima Sandwich MA 02563 Expiration Commissioner 12IM016 Vlze �pomvnzancaea /a�Claa�ecc/ucreCfa License or registration valid for individul use only Office of Consumer Affairs&Business Regulation -- HOME IMPROVEMENT CONTRACTOR p before the expiration date. If found-return to: — Registration; 177767 Type: Office of Consumer Affairs and Business Regulation Expiration°=2/3l2Q1:8 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 NSTU_CT O e-"s_==-�-`K.T.SPAIN CO R,.. ,IN. _._. 1-, _--_' KARL SPAIN 46 MAIN ST. SANDWICH,MA 02563 - Undersecretary "withoute • snxxsr�sis, _ r '� ,m� Town of Barnstable ATED�A .. „ Regulatory Services Richard V.Scali,Director " ' - Building Division Thomas Perry,CBO M1 Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section.,, If Using A Builder as Owner of the subject l property . . , . 6/hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: , 620� (Address of ob) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. , :\WPHLESTORMS\buildin ermitforms\EXPRESS.doc Q BP Revised 040215 Town of Barnstable Regulatory Services THE Richard TwY,r Richard V.Scali,Director Building Division y &U NSUBM '' Tom Perry;Building Commissioner Mass v 0.59• �� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 1 JOB LOCATION:Z kjahon4 number street village "HOMEOWNER":�u hl e�, 1I13-WS7- 1531 name home p�# work phone# . CURRENT MAILING ADDRESS: n4- o(7 ffia 03�31;z, 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 Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. ignature 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:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 Assessor's map and lot number UQT gWPTIC SYSTEM M HE TOIL Sewage Permit n*nber .... -INSTALLED'IN COMP ............................. WITH TITLE 5 I 331AAR"Ws ABLE, o702ENVIRONMENTAL CO use number ............/.77). 163 am Ar, TOWN 'OF BARNSTABLE BUILDING I,NS'PECTOR APPLICATION FOR PERMIT TO ... ....... .. ....... ...... ....... ....... ....... ................. ............. ..... .................... ..... ........I................................ TYPE OF CONSTRUCTION ............. . �.. ................I 9 .�... TO 4,THE INSPECTOR OF� BUILDINOS:��"— The undersigned hereby appl'ies for a pept according to thg following inf?f?pation: Location .........q. ...... ....... ................ v.....�................UIL& . . ....................... .............................. ......... ............. .......... .... .... ..... . 41).... . Proposed Use. ................ ZoningDistrict ................... ....... ... .... ... .... ........................Fire�/�.......... ............Fire District ....... .............7........................... ............................ Name of Owner f .........................................Address ...... ....... ....... Name of Builder . 1-al-f),-� ..............................................................Address ..................................................................................... Nameof Architect ..................................................................Address ......................... ................. ........................................ Number of Rooms .................. clation ... . .. ........................ ... . ........................... ...............................................Foun on ....... ...........CA— Exierior ............. ........................................Roofing ................ ........ ....................................... Floors ......................... ........... ...................................Interior ..... ... ... .. .... ................................... Hedtibg ....... ..................:.........`.......:...:.:.....Plumbing .... .....:: ... .. `. % ...............::.:..........:.:... Fireplace .......................... . ....................... Approximate Cost ........ ..1)....0................ ing Board --------------------------------19--------- Area .......Aj Definitive Plan Approve= .................. .............. ................ Diagram of Lot and Building with Dimensions Fee ..................... ....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH D i° ark'� 7� 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... ........ .................................................. DORRER, ROBERT a2 4' or f Permit 7 1�2 Story ................ ..................................... Single Family Dwelling . ............................................................................... • Location rLot #43, 22 Nathan- Road ,............................................................... &.. Centerville ............................................................................... Robert Dorrer Owner .................I ................................ Type, on..Construction ... Frame................................... . ..............................................................:.................. ewe Plot ................... .� Lot ................................ January 31, 83 Permit Granted ........................................19 4 Date of Inspection ....................................19 Date Completed ................19 PERMIT REFUSED fi ................................................................. 19 ............................................................. ............................................................. ............ ................................................................... Ills ...................................................................... Appr'oved ........ ....................................... 19 . ............................................................................... ........................................................ TOWN OF BARNSTABLE _-_2 4_7 r: '_ Permit No. - -- ----------- a w Building Inspector s,anT►n Cash 9`. OCCUPANCY PERMIT Bond --_-_-----. Issued to ,,ert DOrrF?:. Address T,(,.f- 41 . 2 �-11711-p ?? 7(I . -eriteryi l i e Wiring Inspector �a Inspection date Plumbing Inspector ,� _� i' > % Inspection date Gas Inspector Inspection date S `'� Engineering Department ' � Inspection date r' k,� 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. Building Inspector 44 $o. cva- - .r . RICHARD d ` G6fZTtI~1ED 1p pL.QIJ_ 6UTER, y Na 24048- ao�sTs�`�o� N' LOCATIOW CE tL"VF—R V I LL E Oho suRv Sc-3LIZ t �N =ZOFr�IM IA7/8,3.* GCRTIFY Tti-IAT 'TN•�.��D^T�ot•15�� Mi6Q Go1J GOiN�P�.�'S' AMA SET$ACK REQVIREµENTs OF TNT ToWV oF$P�RNSTABL.� A►.lp ' IS Noy' ' GA►'TE:O WITS-1 F I�: g�XTEtZ . 1JYE tw�G. oQ.t }�GA►TC� I-2'1->�3 . . .ae�lsr�ur�>a . t.�No SuevaY . osTE,Zvt>.�. .o MaSS. THIS D(_AI-1 IS UOT BaSF-P. . �J :. aPPt_t'GA�•.IT Iw "r�vME�JT Sv'QvmY..4 TtAf OFcrSftrS g1401AJO PROBE T a R'�� . uSEo Tca .va:rGlm'ed� :t.1N�:�,_ v