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0144 NOTTINGHAM DRIVE
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' � , iRi d Mt 1it, i' ,.1I a u .:I �.- >9i�.7f.�f.,;:(>. 1 .ae.4I945 . 4:'ri n 1,.. b 1. ,, 1, qr. -.1.. .. ._.. _ r A"_._ *.., r_a„_' _ R".._ __ '.a.s,.. 4, et ..; w L...a. . <'. ....,,..., ,,..m ,I.. _ Town of Barnstable_ - ---.-, Building �ARNSrAHLE Post This t d Until Final Inspection Sio tis 'Has Been Madetreet-Approved Plans Must be Retained.on Job and this Card Must be Kept ' Musa s 639.•° [Where a Certificate of Occupancy is Required, such Building shall Not be Occupied until a Final Inspection has been made. i Permit ~ Permit No. B-19-1437 Applicant Name: ACETO, DENNIS J Approvals Date Issued: 04/29/2019 Current Use: Structure Permit Type: Building-Smoke Detector- Fire Alarm Dection Expiration Date: 10/29/2019 Foundation: System Ma L p/ ot: 172-020 Zoning District: RC Sheathing: Location: 144 NOTTINGHAM DRIVE,CENTERVILLE Contractor Name . Framing: 1 Owner on Record: ACETO, DENNIS J Contractor License: t 2 Address: 28 HAYNES ROAD - - m---. - 4 Est. Project Cost: $ 1,500.00 Chimney: CENTERVILLE, MA 02632 Permit Fee: $35.00 Description: new smoke detectors ; Fee Paid:A $35.00 Insulation: s ° Date: ` 4/29/2019 Final: Project Review Req: . Plumbing/Gas i Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six`months`after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning-by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same._ Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and-Fire Officials are provided on this permit.• - Electrical Minimum of Five Call Inspections Required for All Construction Work:? 1.Foundation or Footing ° ` Service: 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining'is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: ` ;T Y :-_ _ Application Number. MASS. � Permit Fee.............. ..........Other Fee....................:... i639. FO N1�A Total Fee Paid.......................... TOWN OF BARNSTABLE Permit Approval by.. ...............On... 1.14...... BUILDING PERMIT / ' Map..............`:...�.............. .Parcel.......... ............. APPLICATION s Section 1 — Owner's Information and Project Location Project Address _ (� t �, Village �n uU •Q Owners Name -2 V� V-, Owners Legal Address City ��?,n .� ��c State Zip G 0-(0 3 — Owners Cell# ©p �C?�"Ir � ' E-mail C t- cal-q c Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description P Li C S Application Number.................................................... Section 5—Detail Cost of Proposed Co truction / S0� Square Footage of Project Age of Structure r°a,J Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No r act n anm Q The Commonwealth of Massachusefft Department of IndustrWAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass-gov/dia Workers' Compensation Insurance Affidavit:Balders/Contractors/Electricians/Plumbers Ap,plicant Information Please Print Lep-ibly Name(Business/Organize mlindividual): i c Address: City/State/Zip: Phone#' FYJ Are you an employer?Check the appropriate box: ro' 4. am a general contractor and I �a of ]ect P (required): 1.El I am a employer with- I❑ g 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling . ship and have no employees These sub-contractors have 8. ❑Demolition working for mein any capacity._ employees and have workers' $ 9. []Building addition [No workers'comp-insurance cow' =. 10.❑Electrical ens or additions } 5. ❑ We are a corporation and its rep 3: I am a homeowner doing all work officers have exercised their 11.❑Plumbing repass or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance revel t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other . comp.insurance required-1 *Any applicant that checks box#1 mast also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such. TConbactors that check this box must attached an additional sheet showing the name of the sub-contracbors and state whether or not those entities have employees. If the sub-oDntractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/Suwzip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration 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$1,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for instnance coverage verification. I do her fy under the and a of pediny that the information provided a' and correct Si Date: Phone#: Off` Ial use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person k the service o other under any contract of hire, express or implied,oral or %di An employer is defined as"an rtnership,association,corp or other legal entity,or a�two or more of the foregoing engaged in a joint ,and including the legal repres es of a deceased employer,or the receiver or trustee of an individual, association or other legal ,employing employees. However the owner of a dwelling house having not Tore than three apartments and resides therein,or the occupant of the dwelling house of another who emmpl ersons to do maintenance, 'on or repair work on such dwelling house or on the grounds or building thereto shall not because of employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that ery state or local lice g agency shall withhold the issuance or renewal of a license or permit to operate a nsiness or to co ct buildings in the commonwealth for any applicant who has not produced acceptable 'dence of comp nce with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states either the co onwealth nor any of its political subdivisions shall enter into any contract for the performance of p work:until acceptable evidence of compliance with the insurance requirements of this chapter have been presented the contracting authority." Applicants Please fill out the workers'compensation affidavit coin letely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),addresses) d phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or L' �' iability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' pensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this, may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. be re to sign and date the affidavit. The affidavit should be returned to the city or town that the application for a or license is being requested,not the Department of Industrial Accidents. Should you have any questions ding a law or if you are required to obtain a workers' compensation policy,please call the Department at a number.' below. Self-insured companies should enter their self-insurance license number on the appropriate ' e. Jand City or Town OfficialsPlease be sure thatthe affidavit is completinted legibly. The artment has provided a space at the bottom of the affidavit for you to fill out in the eveffice of Investigations to contact you regarding the applicant.Please be sure to fill in the permit/license hich will be used as a ference number. In addition,an applicant that must submit multiple pmmit/license ans in any given year,n only submit one affidavit indicating current policy information(if necessary)and undeite Address"the applicant ould write"all locations in (city or town)."A copy of the affidavit that has beally stamped or marked by city or town may be provided to the applicant as proof that a valid affidavit is or future permits or licenses. A ew affidavit must be filled out each year.Where a home owner or citizen is ob license or permit not related to y business or commercial venture (i.e.a dog license or permit to burn leaves d person is NOT required to co ete this affidavit The Office of Investigations would like thank you in advance for your cooperation d should you have any questions, please do not hesitate to give us a call. The Department's address,telephone 4d fax number: Thy Commonwealth of Mas.seahusefts Dgwtment of IndusftW Accidents Office of Ianvestigatlow 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext 4.06 or 1-877 MASSAFF, Fax#617-727-7749 Revised 4-24-07 www.mass.gWdia Application Number............................................. Section 9 Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentati required by 780 the wn of Barnstable. Si tore Date of APPLICANT SIGNATURE Sign tore Date Vb-5,)/� Print Name Q 1 S A-c--Aj Telephone Number ��3(� Y, R�l ,,E-mail permit to: C C H—�O C vvl C1�S4 F h Section 12—Department Sign-Offs Health Department © Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13 —Owner's Authorization i i I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name i "1 qv JF DETECTORS REVIEWED �� r LE DI GDE ATE DEPARTME T "' j PDAPE - UIRED FOR PERMITTING n� Barnstable Bldg.Dept. 4 a ' APProved by: WK Permit#: j•°XNioet�tF��S,�' �1p ryo_.,.o.,'�,,,ai �^'S?�",54V ca- `L a � 77 ( � .- :.} �' r. 46 1-5 r .. tcxid � 'V�4v3lV`1ulJctblsS.�^�.� CgByy y�.. - ff �2 34 ` r 3 A, A two of s AMOCO i � x is WORt 'W -4]1 Town of Barnstable *Permit# Building Department a 6monthsjrom issue date ILMMST.1014 : Brian Florence,CB6 v� 16 Building Commissioner {{��( 'OrFc nuc+° 200 Main Street,Hyannis*a;us%' , pmw www.town.bams tab I Office: 508-862-4038 �4 Fax: 508-790-6230 �i'� EXPRESS PERAUT APPLICATION - Not Valid without Red X-Press Imprint Map/parcel Number l � G Property Address / i_l / 4 V d At .;� �G residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ` ❑Workman's Compensation Insurance "AY Check one: 1'OIA�n �4 2®18 El am a sole proprietor OF D���� Rr I am the Homeowner TA o R ❑ I have Worker's Compensation Insurance OLE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) I b�ne-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to - ❑Re-roof(hurricane nailed)(not stripping.-Going over - -existing layers of roof)- ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *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. SIGNA E:. Q:IWPFILESTORMSTXPRESS2017 The Commornveakh ofMassadiusetts Department ofIndusdria1Accid- - OffWe a,f m?eNfigatiew 600 Washinglon&reet _ Boston,MA 02HI mvxu massgvv1dia Wa}rkers' Compensation InsBrance Affidavit BmYder-dCunfractursMectdcians!Plumbers � AppHcant InfurmafIlou Please Print 1`I $II1g Acl&ess: l� c city/state i phone-tak-' 6 3 4'Y/ Are you an employer?Checkthe appropriate boy: Type of project(required): I.❑ I.am a employerwith 4. ❑I am a general contractor and I 6. ❑New eonsfructicm employes(fall amdfor part-#ime).* have hired the subs contmctoas 2.[1 I am a sole proprietor or partner- listed on.the attached sheet. 7. ❑Remodeling ship and have no-amployees These sub-conlractars have 9-,❑Demolition wordag for me in any capacity- employees and have wodaTe INo Wodmrsofficers have exercised fir'comp,insurance comp.insoranr�l 9. ❑Building addition r ] 5_ ❑ We are a corporation and its 10❑Electrical repairs or adc�aas 3_ am.a lwmemwaer doing all vrark. 1L❑Plutabiag rep airs or additions. ' right of exemption per MGI. f o woikm - C. §1(4),andwehavenD try[�]'I�oafregairs ��+s+n *+�erequired.]t 13_�ther �� • employees-(NO workrss' s� cow.insnrauce required.] ;Any Wimstdmtchedabosftl— also fMootthesedionb9awsb=iugt'mkvmdaecompeL%&uperkyin5mmffad Hamemnexs Who submit this afiidat t is g di ey ne doiag 80 wa*am&m hum autd&coat xctots— submit anew sdffdaest iadi—ling sacTL fCon=c1vm ifs check this hmc mast=mbe d an addiiianal slime Oming ftnme of the snb-c�sc0o¢s sad stale whether or natfhose eutideshsve emphryees.Ifihesub-contras mhaveemployee-%&eynMSrpmvide&dr worker'—p.paliyavmbez I am an einployer that ispro ding ivarkets'compensrdian f z=rance for tzzy*errrp&a ves Below is tlrepnticy and job site fnformcrhbtt. . France Company Name: Po-ficy#or Self-ims_Iic-4: Expiration.Date: Job Site Addis - - -CitylStatd -. - - Attach a copy of the workers'compensationpolicy-declaration page(showing the policy number and expiration date). Failure to serum coverage as required under Se-ciioa 25A of MOL r-M can lead to the imposition of,criminal penalties of a fine up to$1,54a OD andfor axle yeas imprisommet�,as well as civil penalties.in the farm of a STOP WORK ORDERand a Rw of up to$250-00 a day against the violator. Be advised that a copy of this shatemed maybe forwarded to the Office of Investigations ofthe DIA for insarance coverage vedfim ion_ I do here natefter tke pains an taifizs afp uty fJtatfJte fnformt affwt p=--h d abm7 is h7w and correct Date: Z,3 11 Phone Ir.: —3 Offidal um anlp. Do atat write irk tttis area,to be cvinpfeted by diF ortoorn ojgL-iat City or Town- Peratitll icense# !suing Authority(tm•cle one): L Board of Health 2.Building Department 3.Citflrowa Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Oither Contact Person: Phone#: ormation and 11astruc was . eusafian far f Cir I Ma ca�-l�e4ts Geu�I Laws cbaptet 152 requires all employers 7n provide wa�eas'camp emP o3'=- Pmsuantto this sty,an errVlayee is defined as.¢—every person m$fie service of der under aay cont-act ofhirey e express or implied,oral or written.." An errpTvys-is defined as"aa mdxeidnal,pa tuersb3p,association,corporation or egal citify,or any two or more of the foregoing=gaged in a Joint entapiise,and including the legal representafiv of a deceased employer,or the receiver or trustee of an individual,p ;association or oilier Iegal eufitL loping employees. However the owner of a dwelling house having not m than.tbree apartments and who therein,or the occupant ofthe - dw ding house of anotber who employs p to do make, or repair woik on such dwelling house or on the groumds or budding appmtcnant th to shonotbecanso of such Ioymentbe deemed to be an employer." MGL chapter 152,§25C(6)also states that"every sfate or local agency shall witbhoId$e issuance or renewal of a Hcen a or permit to operate a business or to construct dings in the corumGnwealth for any. applicant Who has notproduced acceptable evidence of cdmp&an ePith the nix Qra.nce coverage require& AddhionaIly,MCrL chaptnr 152,§25C()states fiTm'Ither the _ alth nor a"ay ofifs political subdivisions sbaIL enter into any contract for the performance ofp Llio until table evidence of ccmpH4ncewifi the msrnsnce;. re:a-MiCUts of this cbagtrr have Been presented to the authoit:, Applicants Please fM out the worm'compensation ar�dav$comp. ;by coking the boxes that apply to your sifnation and,if necessary,supply sub-conixad r(s)name(s), addresses) Phone ez(s) alongwlihthea cent cate(s)of imsrrance. Limited Liability Companies(TLC)or - - firty-P s(LLP)wifhno employees other than the members or partners,are not rbquimd to cant'workers' ensafion ce. If an LLC or LLP does have employees,a policy is required. B e advised that this YY¢maybe to the Department of Industrial Acrid for confirmation of insurance coverage. o be sure to sign an date the afa-davit The affidavit should be retied to me city or town that the application for a permit or license is eing requested,not the Department of . Tnrhlstrlal 14�den-!s. qumIc-you have any gnEsti rcgmdmg the law or ifyo are re:gcdred to obtain a workers' compsati-onpolicy;plmsecalltbcDepartm-eotat mm�berlistcdbelow ms<aed�PaniesshonIden rtheir en self-h corance license number on the appropriafu: " e. City or Town OfEicials t - Please be sure that the affidavit is complete and IegilIy. The Department has prove a space of the bottom of the affidavit for you in f 01 out in the event the Office oflnvesdga inns has to contact you- the applicant Please bom=tofMin the pebmitlliceosenumb WHchwillbe used asarefa'reacertmaber In ad on,En applicant $at must submit uiulliple pennblliceoseapple -one in any given year,need only submit one of R -fig etmeat policy ii�ii ation.Cif necessary)and mider`Jo Site Address"the applicant should water"all locati�ns ( 'or town)--_"A copy of the-affidavit that has been o ciallp stamped or madced by the city or town may be prove to the applicant as proof that a valid affidavit is on ED for fat m permi s or licxnse& Anew affidavit must be filed eiarh year.Where a home owner or citi=is obtainiz g;--license or permit not mated to any business or commerzial,4 _ a dog license or pem ik to bum Ieaves eta.) person is NOT regnaed to complete this affidavit The Office of ink would like to thani you in advance for your cooperation and should you have any questions please do not hesitate to give us a call The Department's address,telephone and fax MT=- / TIC CGMinMV?e@I E of ctLmss:etfs Degazb3�eM±of Ia&isfd I Aocidenta Tc,-I.4 617 727-4 cxt 4-06 car 1977-IMSAFF, Fax9 617 727'749 ww Kevised 424-D7g� OpTHE rqa Town of.Barnstable ti Building Department • RAM sTAsLE, . NAM Brian Brian Florence,CBO pi 1639' a`m g Buildin Commissioner Ec r�nar 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must omplete,and Sign'Phis.Secti If Using A Builder Owner of the subject property hereby authorize to act on my bebop in all matters relative to work authorize \ythisb ding permit application for: (Address of Job) **Pool fences and alarms are the respoInsib 'ty of the applicant. Pools are not to be filled or utilized befor C fence 's installed and all final inspections are performed and accp pted. Signature of Owner Signature of Ap 'cant]-..ci Print Name Print Name Date J Q:FORMS:OWNERPERMISSIONPOOLS ` Rev:10/17 1 V vv u V 1 "a1 ua La uxv �oFTi+e rq,i� Building Department Brian Florence CBO II sUxsrAsrn. ; Building Commissioner M'�� 69. 200 Main Street, Hyannis,MA 02601 y i3 1�� 'iDrE a www.town.barnstable-ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEowNER LICENSE EXEMPTION, /�/�/ � Please Print . DATE: S I JOB LOCATION: /`/Y number street 1 village / (/ •`HOMEOWNER" ` )- i� v� i S A-C 2° h� `► `I Q' // name home phone# work phone# CURRENT MAILING ADDRESS: ti city/town state np code The current exemption for"homeowners"was extended to include owner-occupied.dwellinas 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 Persons)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 buildine 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 ,—'TeqWKments. ignature 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 to amend and adopt such a form/certification for use in your community. r n O o REGISTRATION AND CERTIFICATION FORM +� FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 24 y co sections 224-3 and 224-4. Please complete one form for each property in forecl sure (section 224-3)or already foreclosed for which possession has been taken(secti 224- U► r" 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s)and complete section 1 (property information) and the first paragraph of section 2(foreclosing party,court,etc. and foreclosing party representative,but not other representatives and attorney) so that the Town can review the exemption and update its records: Section 1 —Property Information Property Address:144 NOTTINGHAM DR,Town of Barnstable, MA -02632. . .... .......... - - --- .. Assessors Map#: Parcel#:172_020, M_294303_82 Land area and description Building(s)description and contents Occupied: Occupant(s)(if borrowers so state and include name(s)) Phone: email: other: Vacant: ✓ Date: 12/17/2018 Anticipated Length of Vacancy: Last occupant(s) )(if borrowers so state and include name(s)) Phone: email: other: Has possession been taken If so,please explain and.complete and file the maintenance and security plan form(unless exempt as stated above) Section 2—Foreclosing Party Information Foreclosing Party(full name/title)M&T Bank Foreclosure Case Court: Docket# . a Z1 &v ® v f - I rt Date filed: 10/4/2012 Current Status: Foreclosing Party's representative(s) for property(entry, management,repair, etc.)(name, title,):Code Compliance Company(if different from foreclosing party):SAFEGUARD Address:7887 Safeguard Circle, Valley View, Ohio 44125- codedompliance@safeguardproperties.com Phone: 800-852-8306 email: other: If an exemption is claimed,please do not complete the remainder. f Other representative(s)(if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information(i. e. "none"or"see above")). Name,title, other:Grace Wesson Company(if different from foreclosing party):BRON Inc—Registrant on behalf of M&T Bank Address:41951 Remington Ave. Suite-150, Temecula, CA 92590 Phone(s):877-338-3791 email(s): propertyregistrations@bror8 om Name,title, other: Company(if different from foreclosing party): Address: Phone: email: other: Attorney representing foreclosing party Firm name(if different from attorney's name): Address: Phone(s): email(s):' other: I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Name: Title: r M1 I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner,Town of Barnstable y 7 r , For any issues or concerns regarding the registration in this packet, please contact Bron Inc. at: propertyregistrations@broninc.com (877) 338-3791 n ZE: o -n r cn Thank you, m � r �. M Compliance Team Bron Inc. If returning this registration for any reason, please include reason of return. **Please inspect FedEx envelope for registration check** ANY CHECKS NOT PROCESSED BEFORE 120 DAYS WILL BE VOIDED - After 120 days please call Bron Inc at the phone number above. , 41951 Remington Ave.,Ste. 159 Temecula,CA Bron Inc. a I [ ] [R172 020 . LOC] 0144 NOTTINGHAM DRIVE . QTY] 10 TDS] 300 CO KEY] 101071 ----MAILING ADDRESS------- PCN 1011 PCS100 YR100 PARENT] 0 THOMAS, ELEANOR A MAP] AREA136BC JV] 393041 MTG10000 122 WEST SPRUCE ST SP1] SP21 SP31 UT11 UT21 . 34 SQ FT] 1320 MILFORD MA 01757 AYB] 1972 EYB] 1972 OBS] CONST] 0000 LAND 26800 IMP 72100 OTHER 16300 ----LEGAL DESCRIPTION---- TRUE MKT 115200 REA CLASSIFIED #LAND 1 26, 800 ASD LND 26800 ASD IMP 72100 ASD OTH 16300 #BLDG (S) -CARD-1 1 72, 100 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 16, 300 TAX EXEMPT #PL 144 NOTTINGHAM DR CENT RESIDENT'L 115200 115200 115200 #DL LOT 10 OPEN SPACE #RR 1104 0132 COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 12/87 PRICE] 1-15000 ORB] 6051/194 AFD] I 0 LAST ACTIVITY] 02/07/89 PCR] Y r� 4 r R172 020 . A P P R A I S A L D A T A KEY 101071 THOMAS, ELEANOR A LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RC 26, 800 16, 300 72 , 100 1 A-COST 115, 200 B-MKT 94, 100 BY 00/ BY /00 C-INCOME PCA=1011 PCS=00 SIZE= 1320 JUST-VAL 115, 200 LEV=300 CONST-C 0 ----COMPARISON TO CONTROL AREA 36BC ----------------------------- NEIGHBORHOOD 36BC CENTERVILLE PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 268001 LAND-MEAN +0% 1152001 87274 IMPROVED-MEAN -1701 2506 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 10001 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] I` R172 020 . P E R M I T [PMT] ACTION [R] CARD [000] KEY 101071 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT ' Town of Barnstable *Pernut# (� Expires 6 montlu from issue date Regulatory Services Fee Thomas F.Geller,Director 31%7 Building Division F � � NaL Tom Perry,CBO, Building Commissioner oNNW J ® 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 Z 6 Z D Property Address I VI W. 0 ri V(i [Residential Value of Work 6v O Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address TASjin- +442-- Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor YI am 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) ❑ 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/doors/sliders. 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. op f the Home I rovement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 r � • The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organization/Individual): Vi> Address: C e City/State/Zip: .�f� � o�7.;-Y Phone.#: � Are you an employer?Check the appropriate box: Type of project(required):. 4. I am a general contractor and I 1.❑ I am a employer with ❑ 6. ❑New construction . employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [;(Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers'comp.insurance comp. msurance.1 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.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no ���S� employees. [No workers' 13.❑ Other IM. comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infomnation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration 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$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statemerit maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un a pains and penalties of perjury that the information provided above is true and correct. Signature: — Phon - E — 7 Z Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ( • P i r Information and Instructions - - - - Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is.defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." i An emplo r�is defined as"an individual,partnership,association,corporation or othexAegal entity,or any two or more Of the for ' .engaged in a joint enterprise,and including the legal representatives&a deceased employer,or the recewer a of an individual artnership,association or other legal entity, e;�ioying employees. However the owner of a dweN4 g house having not more than three apartments and who reside therein,or the occupant of the dwelling house oNnother who employs persons to do maintenance,constructi0 or repair work on such dwelling house or on the grounds of,building appurtenant thereto shall not because ofith loyment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licency shall withhold the issuance or renewal of a license or permit to operate a business or to construcs in the commonwealth for any applicant who has not produced acceptable evidence of complianc insurance coverage required." Additionally,MGL chapter 52, §25C(7)states"Neither the commonr any of its political subdivisions shall enter into any contract for,the erformance of public work until accepence of compliance with the insurance requirements of this chapter ha been presented to the contracting au Applicants Please fill out the workers' compensation ffidavit completely,by c ecking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), ddress(es)and phone umbers)along with their certificate(s)of insurance. Limited Liability Companies.(LLC) r Limited Liabili Partnerships(LLP)with no employees other than the members or partners, are not required to carry wo ers'compensa on insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this ffidavit ma be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Al be sur to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the ermi or license is being requested,not the Department of Industrial Accidents. Should you have any questions regar the law or if you are required to obtain a workers' compensation policy,please call the Department at the numbe isted below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed le ly. The De ent has provided a space at the bottom of the affidavit for you to fill out in the event the Office of nvestigations h to contact you regarding the applicant. Please be sure to fill in the permit/license number which ' 1 be used as a refe�ncenumber. In addition,an applicant that must submit multiple permit/license applications in a y given year,need obmit one affidavit indicating current policy information(if necessary)and under"Job Site Ad ess"the applicant swtite"all locations in (city or town)."A copy of the affidavit that has been officially st roped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fu a permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a lice a or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said per n is NOT required to complete this affidavit. The Office of Investigations would like to thank you in dvance for your cooperation and should you have any questions please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonw lth of Massachusetts Department of industrial Accidents Office of Investigations 600 Washingto S>reet Boston, MA 02111 Tel. ##617-727-4900 ext 406 or 1-977-MASSAFB Fax# 617-727-7749 Revised.11-22-06 www.mass.gov/dia ' I � 1 �.~1{:C;p:jryvyi}>,isv-�?!" i'�'ii��'�:•�i):`: ':'•:<L'::L{{(:,'.:v���•.r�?•:i I9k: l # > . OM1•>•.................................... ILDIN ERV G � 6 ..........::: .. ........................... ..................: .......................................... ..:..:;..... L RIA :- 2 '.......� .. •.•. ,..fir. O IN H•.:- x:. G AM4DR..•': i' >:CENT.. ...V...• �.: ER IL::: x:.:;;:.�?_.:�!;:.;; NEIGHBOR a . < :`.: :SWIMMING POOL FENCEOWN... ...:::::.:..:....... r,,z >:: ..:...: WILL .:::. CHECK REF.TO INSPECTOR. 3 � w�- u fe ce nn � E � la7 T cti r S T10 faf&40 C 2 a J T r�• —A c,T w T T V r>O q A N t S A T' vv 0 2 T i c l I -e T w� 1 n F� >`#:% 2' s�, r 7 ar r x;".:.`"k. 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P.fo O � `St THErO TOWN OF BARNSTABLE IV i BAHHSTAk • ::l c^ v? o�Ya : BU��SLDING ' INSPECTOR 900 63 ,9� �. ' APPLICATION FOR PERMIT TO TYPEOF CONSTRUCTION ............................................................•.................................. .... .....................................19...: . TO THE INSPECTOR OF BUILDINGS: w Thndersi,g''ned hereby applies for a permit according to the following information:e'y ati6na .I 1... .... ..... .................. ProposedUse .................................................................................................................................................................................. ZoningDistrict ...... .. ...................................... .Fire District .............................................................................. ame of Owner Addres ........................... .....0................... ` ... ....................... ;.............. .. � . � �' `l� Name of .. ......Address (�/ 3 Z _ / N/7c `..................................... Nameof Architect ................................................ ..........Address........ .................................................................................... Number of Rooms ................:............................... ....Foundation Exierior .............................0.................................:....................Roofing .................................................................................... Floors ..........................................Interior .................................................................................... Heating ..................................................................................Plumbing ................... .............................................. ........ ~`� Fireplace ...............................:..................................................Approximate Cost ...............W............................................. Definitive Plan Approved by Planning Board -----------_____�-----------19_--___—. Area / .:.. ........Z ..... ......... Diagram of Lot and Building with Dimensions Fee / 0 SUBJECT TO APPROVAL OF BOARD OF HEALTH 02GK . f WdvsZ, 716 b I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. NameQ................................... Dolloway, Terrance J. ti 19249 swimming pool No ..... . Permit:':for...................................... �%di$Rl�>3HH 144 Nottingham Drive-,, Location' ................................. .... ......... Centerville .............. .................................................. r Terrance J. Dol'loway Owner ............................................." . ........... Type- of Construction " .......... L' •...� Plot ............................ Lot ....................... ....... q r , Permit Granted.... May 26 ....19 77 s a Date of Inspection :.......19 c i ' Date Completed ... .�®/.�., ............19 1 C. eC, <PERMITtREFUSED ..................... � r ......... 19 _. `............. ...................................... ........................'� ...... � .. .............. ......... �n i ................ .....` ....... ................;.......'........... ` F 76 ............................ .................................................... - /' Approved .., ........................................ 19 _ T. .................................................................. ' .... -;, • � � 1 , � - t . cj-ltc. Joseph D.DaLuz Hui/ding Commissioner Kct-vn n^o/tcL TOWN OF BARNSTABLE BUrLDING INSPECTOR TOWN OFFrCE BUILDING HYANNIS,MASS.02601 March 20,1985 TECEPHONEi 775-1 t2C EXT.107 Mr.&Mrs.Ferris Stanley 144 Nottingham Road Centerville,Massachusetts 02632 Dear Mr.&Mrs.Stanley; This letter is to reinforce .the importance and directive to repair the existing fence or install a new fence around the swimming pool at this address after the inspection made on Friday,March 15,1985 with Fire Chief Farrington. The Barnstable Town By-Laws,Article XI of Chapter III States: Section (1)Private swimming pools shall be suitably fenced to a minimum height of four (4)feet Such fence shall be con structed so as to prohibit unauthorized access. Section (2)Any person violating the provisions of this By-Law shall be punished by a fine not to exceed $20.00 for each offense. Therefore as stated in the presence of the Fire Chief immediate repairs were to be made as of March 15,1985.Upon completion,please notify this office so that another inspection can be made. JDD/df c.c.Town Counsel Fire Chief Farrington Peace, ph D.DaLtiz ^-Building Commissioner TELEPHONE 42B-Z077 BUS. •428-5514 RES. Sntctiij ^nc. Builder CENTERVILLE.MASSACHUSETTS 02632 November 29,1983 Town of Barnstable Building Inspector Mr.Joseph Daluz Hyannis,MA.02601 Dear Mr.Daluz, I have recently sold lot 18 Ansel Rowland Road,Centerville to Mr. and Mrs.James Morrissey,Jr.Their house backs up to 144 Nottingham Road. It has come to ray attention that the fence around Mr.Dollaway's pool is on Mr.Morrissey's property;the walk around the pool is three feet from the line and the water in the pool is about seven feet from the line. Enclosed is a copy of the permit Mr.Dollaway obtained from the Building Department. Please take the necessary action to have these violations correct ed by owner at his earliest convenience. Sincerely, enclosure Alan E.Small BOX 536 December 13,1983 N&r.Terrance Dolloway c/o Mary Bristoli 1021 Oyster Bay Drive Tampa,FL Re: 144 Nottin^^ain Drive,Centerville,MA Dear Mr,Dolloway: This office has received a complaint that the ST*7imming pool located at 44 Nottinpham Drive,Centerville,authorized by Town of Bams table Building PeiMt #19249 dated May 26,1977,is less than the required distance from the rear line of the property,Ihe application submitted for the permit shw-^s a distance of at least 15 feet. Please have the property surveyed and furnish tiais office with a certified plot plan showing the location of the swindling pool on the lot. If ycHi have any questions,please contact this office. Peace, JDD/gr /1 Joseph D,DaLuz Building Commissioner Assessqr's ma*p and lot number ^O'1 7 -.r^^cc. 'Sewage Permit number ?±^...L...C....^ -.syjn^-^^/;^> TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION TO THE IN3PECTOR OF BUILDINGS: The undersigned hereby applies for o permit according to the following Information: Proposed Use A .19. Zoning District Fire District^Wlllll^l^ldlllWI ^ of bMer(LL(^Cz..Z^/9J.^^.AddressName Name of Architect Address ... Number of Rooms Foundation Exterior Roofing ... Floors Interior .... Heating Plumbing . Fireplace Definitive Plan Approved by Planning Board 19 Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH /O ^1 -ZucaC. y rna^ I hereby agree to conform to oil the Rules and Regulations of the Town of Barnstoble regarding the above construction.' /y/"7 7a*••'yV--.... IOict.j N>}i'-' J" L:I Jt r-j;:: Approximate Cost /C X 22.Area Fee . OO g'!" J'm 1'—-^ r-.tt i V *'A mt 33' Name ..Z..L..LtZiZiZ.....Zi..5.^......Z/. 1^ c, u Si "5 <\j X ^ ^ii Nj \) U) h I s tS ^ d i> V CK VS) p to rl As of 1/4/82 Terranee &Theresa Dolloway 346 Esplanada Apt.#60 Hackensack,N.J.07601 c/o Jaeger <^1 oTi.W»J<*-'W l\^r^ 's/ /72-2^ /'/V AJorT//^<^^ftM • CsA/r€^/c.<-(L^ � I \ zx ti i N 4 ti GL.�ftr"rS Tt� ,C G 7-- / 3 �I l� o vo � N t 1 iv •'� 1, 5 ;40 I4CC1 :�Y �I