HomeMy WebLinkAbout0208 SCUDDER BAY CIRCLE Town of Barnstable ¢Permit 3 cD 3 S
Expirrs gurautks 1 issue datr
Regulatory Services Fee
r Thomas P.Gei1w,Director ,
Building Dm§aon
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601 NOV ® 2 206
www.town.barnstable.ma.us
Office: 508-862-4038 (OWN owA E
EXPRESS PERMIT APPLICATION - RESIDENTIAL QNLY
Not Valid without Red X-Tress Imprint
Map/parcel Number �� '
Property Address
Residential Value of Work f' Idlinimum fee of$25.00 for wort under$6000.00
Owner's Name&Address /
Contractor's Name � j (�L rl Telephone Number e-�- 6 9,1-112
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable) (. 10KZ
AWorkman's Compensation Insurance "
Check one: ,
❑ I am a sole proprietor
❑ I am the Homeowner
544 have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy# J
Copy of Insurance Compliance Certificate m st be on tile.
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 A4)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,Le.Historic,Conservation,etc.
***Note: Property ust Pr y ner Leto<bfPermission. '
y In cut out ctors icease is required.
SIGNATURE;
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CONTRACT �j3o jC�
:92 Park Placeway '
Mashpee, Ma 02649
508-477-4596
Proposal Submitted To-�- lie Job Location '�+M, Estimate Date
Address ` � �1C & ' & i d 1 11 c MA
Phone# 778 " q Fax#
'� r A anjza
tr►'i at L
CONTRACT SPPCMCATIONS -
o O
w p pose hereby.�o furnish terial and labo -co plete in acoo wi a abov spe ' cations for the sum of: '
� S da of rs
with payments to be made as follows: j 1 I—
An alteration or d tion above cations involving extra costs wilt be Respectifuliy 4 �d
executed orgy upon written order,and will become an extra change over and submitted
above the estimate.All agreements contingent upon.slrikes, accidents, or
delays beyond our control. Note-this proposal may be withdrawA by us if not accepted within days.
Acceptance of Con ct
.The above prices,specifications and con 'bons arefUsfactory and are Signature
hereby accepted.You are authorizedto workasafied.
Payments will be made as outlined ab e.
Signatu
Dated of Acceptance
r
A•. C)6 t [ O s ss -
of r Town of Barnstable *Permit#
Regulatory Services Expires 6monihsfrom issue date
>�xsrwsrU,
}
nswss. Thomas F. Geiler,Director
s6gq.
ATEo ,, � [ 0f10 a
Building Division
Tom Perry, CBO, Building Commissioner - RA
200 Main Street;Hyannis,MA 02601
www.town.barnstable.ma.us 1(,T
Offide: 508-862-403 8
EXPRESS PERMIT APPLICATION RESIDENTIAL (` loTI;Y '
Not Valid without Red X-Press Imprint
Map/parcel Number ��/ Q
pe Address '
eG Ile-
es e ^
Value of Work b i O 0 a Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address ��ra
Contractor's Name
—Telephone Number f0 -72I
Home Improvement Contractor License#(if applicable)_ zoo,
Construction Supervisor's License#(if applicable)
❑Workman's Compensation.Insurance
Check one:
❑ I am a sole proprietor
❑ the Homeowner
I have Worker's Compensation Insurance
Insurance Company Name /lw
Workman's Comp. Policy# hVC Z 3 %S- 3 l7 z,)) 3
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request ck 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
#of doors
❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows
*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.
IGNAT
\WPFILES\FO \building permit farms EXPRESS.doc
evised 070110
Town of Barnstable
• Regulatory
to rvices
a<+axsx�ta. • � Se .
M.+es Thomas F. Geiler,Director
019
Foy'' Building Division
Tom Perry,Building Commissioner,.
200 Main Street,Hyannis,MA 02601
www.town.barnstable.maxs
Office: 508-862-403 8
Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I, o/ '0 "r- V as Owner of
/ the subject property
hereby authorize ,a (� to act on nay behalf,
i
in all'matters relative to work authorized by this building permit
(Address of Job)
Pool fences and alarms are the responsibility- of the applicant. Pools
ols
are not to be filled before fence is installed and pools are not to be
utilized until all final inspections are performed.and accepted.
Signature of Owner tore of Applicant
V en
Print Natae Print afne
/d Z�
Da e
:FORMS:OWNERP Q ERMISSIONP 00 LS
THE i*, Town of Barnstable
Regulatory Services
1AExsTA LE, Thomas F. Geiler,Director
y tw�ss.
1
39.t. � Building Division
Tom Perry,Building Commissioner
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:
JOB LOCATION:
number street
village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFIMTION 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,
Signature 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:homeexempt
TOWN-OF BARNSTABLE BUILDING PERMIT APPLICATION
Map IRS Parcel 1 r)J r Permit# 4 Q (7 7
Health Division Date Issued �d ��A ow
Conservation Division', Fee .
Tax Co to
llector
� R1
Treasurer
Planning Dept: I
Date Definitive Plan Approved by Planning Board ,
Historic-OKH Preservation/Hyannis
Project Street Address Q08 Sc - C IqCLE
Village n zF1
Owner OEoRA c- R,&,Ar,8 6ewirnArkl Address 1�
Telephone `
Permit Request f)of EL 6� W 6. 'V rL 0 to-C R,6o f ME R hT�!2 nn i� lh t iC P
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Estimated Project Cost) Zoning District ' Flood Plain Groundwater Overlay
Construction Typ -9) Soo
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation:
p Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
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: ❑Gas ❑Oil ❑ Electric ❑Other
Central Air: ❑Yes ❑No Fireplaces: Existing New Existing,wood/coal stove: ❑Yes ❑No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:O existing ❑new size
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded U
X
Commercial ❑Yes ❑No If yes.,site plan review#
Current Use Proposed_Use
BUILDER INFORMATION
Name 8t p,6. ?rA-ddoLiC Telephone Number ya -k" q �
Address ',�,4 D e b b 7ES L-1 DOE License#. 0!/!�0'5(o
fr e c,fie)YIJS M(als , tfr.p• Home ImprovementContractor#
Worker's Compensation# W C� '6%9.3 60
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Mutt) OF bn wSTJ46LE
SIGNATURE - DATE /0'9-
FOR OFFICIAL-USE ONLY �-
TERMIT NO. _
DATE ISSUED°
MAP/PARCEL NO.
' -F4• i k- 1 . • T K
ADDRESS + r # VILLAGE
OWNER" -
G DATE OF INSPECTION:
FOUNDATION
�• FRAME •.•_ _ i •+ - � f
.' -
INSULATION -
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH , FINAL
GAS: ROUGH FINAL
r , FINAL BUILDING
x
DATE CLOSED,OUT
` ASSOCIATION PLAN NO.
�"E r�
The. Town of Barnstable
MAMS&y I lf� �
�m� Department of Health Safety and Environmental Services
59.�► Building Division
367 Main Street,Hyannis MA 02601
Office: 508-8624038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
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.
Estimated Cost
Type of Work:T U� Rno�e Yvh r
Address of Work: is 68 5 C U d Cl E k. P�A`! C I kC L
Owner's Name: 0 E bb i F 2 R C h AKC1
Date of Application: _ j p_�(�D O
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job Under$1,000
Building not owner-occupied
Owner pulling own permit .
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME E"ROVEMENT 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.
- 16 q oo ����r���P�d�lvc(
Date Contractor Name Registration No.
OR
Date Owner's Name
q:forms:Affidav
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t ...�yEN�S OF Th�E Toryc/o�,�g4P✓.STABLE- �• ,
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-� - u5957
TOWN-.OF BARNSTABLE , Permit No. ---------------------------
Building Inspector
'3y
7us IL S 3 j� Cash — —
'eb ,
OCCUPANCY PERMIT Bond
t F -
Issued to Lymri.k 'Trust:. Address r
Lot 66, 208 Scudder Bay q rcle, Centerxli:kl,e
Wiring Inspector 'f (UGC Inspection date
Plumbing Inspector. ]�!`f,(`�j/� ' Inspection date
Gas Inspector. ( ^ c ,+�s Inspection date
Engineering Department r Inspection date �.-.
J.N/tfl
Board of Health . e_ Inspection date ,a
v U
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.
? 19:?! / rt . / ...........................................................
-
f Building Inspector
->.k.l ., . r•-"' R r fi�2.r y...F'a"'s1,ro Vbx ." '�r` 9
V.
p
Assessor's map.-and lot number"....1.p.�1.'..� ''
IV
Sewa"ge Permit number ...
BASB9TAXE
House Tnumber. ................ G .......6 ....... 9�O Mb 9
Co
vasl"A
TOWN OF RA;R � � � r�E
NSTABL - ..
t y_. .. ;.
'BUILDING r.IHSPECTOR �.
APPLICATION FOR PERMIT TO ... .. �.� ..:. :....................................... `....
TYPE OF CONSTRUCTION !�. '
............................ .................19. .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby-applies for a permit a5ccordirig to the following information:
Location .... ..... !.... � .. ......�/ i2 A/ ....�. ?' 1... ..... .......
;Proposed Use %' id2�. .... .. ............................. .......: ....................,... .......
y� }}
Zoning District. .... af... .l.......: r... :.... ........Fire"District C�? :' �!'� l�
Y/f2//C 7'/�C�cfT` �p , :7' t5' ' ?T 65 l�'IAiaJ 7
Name of Owner .... .. ....... .. ... AddressN
..�/. ....... ...... s
Name of Builder /....SC ..............:................Address •.... ..... .. .................. ........ ...'.,.
.. `L .� It Ui
Name 'of Architect �..� .......... ..................Address ................................. ....,..........................................
Number of Rooms .....
� /�
4 � ..........Foundation ......�...
Exierior l lr✓� , :........................Roofing '..............:..............................
.................. ... ... ............. .
Floors .....�-%.�. ...... .�,,.�.......................................................Interior ..... ..
Heating � �1�..�U1'� ....:............. :........ ....... '.:.Plumbing ..:.: i... .....
Fireplace ..._.. . ...... ......... ........................................Approximate. Cost .............a..................................................�
Definitive Plan Approved by Planning Board ___ _ _l_l J'__:_________1 0____. Area -....: 1�4�... -. 1.... "
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO-APPROVAL OF BOARD OF HEALTHc�,cJ�
C
z L%��
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.
OWN
Name 1. ... .. .. .... -
Construction Supervisor's License 1 .6. .....
L"YMRIK (TRUST
�s ,
3'No 2 5 9.5 7... Permit for -.One..Story.. -
Sing1..Fami.jy.. .a.jixj ...............
Location Lot 76, 203 Scudder, Bay Ci rc.
Centerville, '
� ..............Lymrik,Trust............,-,. ..`.........
Owner ....... ........................................
Type. of Construction Frame......... ...... �+ .
' .. .... ... y h. .... .. .... ..........
Plot..... .................. Lot ................................ ! i
Permit';Granted J.dXI zax�r:..1,0.,.. . .19 34
x Ddt f"Ilnspectiori ...................................." 1.9 is r
Date Completed 4 1'9 y
..go -
.............................. ; 4
, D. r > ;
s Assesor's map and lot number, ......%�.C>.".' THE
..1 .. .r.....
}
Sewag Permit-`number
• �r G
B 9flBST ,
U •i Z ODLE, i
House number Mb 9
:..!................ . .......:........................"..... 9
�O 7 9�
TOWN . OF BARNSTABLE .
BUILDING I1 N 0 P E C T 0-R-----__ - -�
APPLICATION FOR PERMIT TO ..... .. J6 .............................................................................................
TYPEOF CONSTRUCTION ......... i. .is .............................................................................................................
6 � � 19.t!�
J; ... ..........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .... .... !........ f�!?/IL ....� ? ......... ... Le !} ?.. .. 2 .. .......................................................
Proposed Use .......... .
Zoning District R .... ...................Fire District .CZaLUL �Qb/iZtlrLLG
Y101/<7� �`o �"�-T�l���n� 'a�s_�iA��S 411Vs
Nameof Owner ........................ .....44C.— ........ .Address .....-................ ,e.. . .................,,. ............................
I
Name of Builder CZI�iL(..................................Address ..................................................1................................
............ ................
-
"Oe /L it
Nameof Architect ............................ ...............................Address ................................................................................
Number of Rooms ..... .........................................................Foundation &Vnlnrl,�.....ca?.�!C/ 1576
l
Exterior C y�
... /!►���L ...........................................................Roofing ....�OS,1/�.1r2! .........................................................
Floorsr1i� .......................................,. ........Interior ..... ....................................................
HeatinglT.. v�'?!J%� .......................Plumbirig - ..................................................
v.Y.
Fireplace .................Approximate Cost '..(U...L)
. .................................................. .. ...
Definitive Plan Approved by Planning Board ___ r__!__//j _...........
19�3____. Area ? ..
...E ..... ........
:.
Diagram of Lot and Building with Dimensions Fee . .................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH �N�
t � ,
01
Q
4
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 67d71.�..�. ?..1..............
LYMRIK TRUST
.......... .
........
...... ... '.-...../.......
....A..
..
=.........1......
....8........8........
1 0 4
25957 t
. Permit for .One... .......... .......
SingleFami
DwellingLocatiofi ... . 208 . Sc. . der Bay C ircle
..................Centerville....... .... .............Owner .
...Ly.MKik -Trust
....... .............................................
Type of. Construction ..DZ4MQ.............
.................................................;...............................
Plot ............................ Lot .................................
Permit Granted .,January 10, 19 84
..............................
Date of Inspection`....................................19
Date Completed .......................................19