HomeMy WebLinkAbout0039 MIDWAY DRIVE �9 M/d(AJO-tj �nU2.-
E Town of Barnstable *Permit# _
�0,�, :••_.. ._ _. ._, Expires the from date
•Regulatory rvi Seces ..... Fee
• BARNIMBLE, n
'MASS. :;;.:._:::__.Thomas F.Geiler,Director
59.
Division-
-'Tom Perry, Building Commissioner
200 Main Street,- Hyannis,MA 02601.
office: 508-862-4038 ®PRES
e r=
:.
?arc: 508-790-6230 : .:....�,.
EXPRESS.PERT T AJPPUCAT10N = RESIDENTIAL O Y '
2TZ0 7/
Not Valid without RedX-PressImprint TOWN OFBARNS�"A@i.
/parcel Number.
��
perry Address �� AQ41 /Lt
Residential Value of Work 2 'z 0
Minimum fee of$25.00.for work under$6000.00
ner's Name&Address
itractor's Name 44r, yr &�F LOI Telephone Number
me Improvement Contractor License#(if applicable)
astruction Supervisor's License#(if applicable)
Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I e Homeowner
have Worker's Compensation-Insurance
surance Company Name
orkman's Comp.Policy#
)py of Insurance Compliance Certificate*must be on file.
xmit 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)
❑yRepl'acementWindows-
e U-Value �J (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation;etc.
***Note: Pro rty , t sign Pr9orty Owner Letter of Permission.
menu Con ors License is required.
�ignature
�:Forms:expmtrg
Levisc063004
ofrti Town of Barnstable
°;. Regulatory Services
s _ Thomas F.Geller,Director
f 3 oil Building Division
Tom Perry, Building Commissioner
200 Main Street, $yannis,MA 02601
www.town.b arustable.ma.us
Office 5• 08-862-4038 Fax: 508-790-6230
.
Property Owner Must
Complete and Sign This Section
If Using ABuilder
as Owner of the subject property
r
hereby authorize i to act on my behalf;
in all matters relative to work authorized by this building pe 't application for;
( ss of Job)
• y Lf,�
atare Date
t
Print Name
-....+..rn.nl2rwTCaCL'VI.RTQCTf1N .
I
4 ^ r
' � ✓i�e'�o�eosFrnwal/0E�a�dda�IrIP6 "
Board Of REMBB Rqplsdon aW FAM&"
HOME IMPROVEMENT CONTRACTOR
�vb�ruoN: 12as3
= zoos
Tjip :; ptemertt card
THE Home Depoi.A
WRK AUDF .
3200 COBS GAUAlq#A p2ftilrlGm
RLTANTA,GA 30339
AdMIQh for
LI.M"or uO vad for lndlvhw an only
beforc Mt a}d &UM data If fo"d reW"tr
Board of BubdWg RM9Wmtl0M sad standaT*
Out A hborten Plant Rm 1301
Boston,Ma.Ox108
Not M M wtWmt slPatare
Town of Barnstable *Permit#
Expires 6 months from issue date
Regulatory Services Fee95-•
Thomas F.Geiler,Director
Building Division ,T
p,4
Tom Perry,CBO, Building Commissioner OCT 0 5 2005
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us TOWN OF BAR NAB �0 -�-p�'-
Office: 508-862-4038 90-6230
EXPRESS PERMIT APPLICATION - 'RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
lap/parcel Number
C
'roperty Address 1 �° 1
S
residential Value of Work 0 d Minimum fee of$25.00 for work under$60 .00
Nmer's Name&Address n CL'V l c!A&.S-e-
3 A)t?t.c Y Uf
:ontra or's Name �" P C� Telephone Number 5 Ol') �, ? (, �Z
lome Improvement Contractor License#(if applicable)__
;onstruction Supervisor's License#(if applicable)
L3<orkman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
�ave Worker's Compensation Insurance
nsurance Company Name
Vorkman's Comp.Policy#_ ^��.� ykZ
.opy of Insurance Compliance Certificate must be on file.
'ermit 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
2 R placement Windows. U-Value 3S (maximum.44)
Y)6 S-yLjav� es
*Where required: Issuance of this permit does not exempt lompliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
Home Improvement Contractors License is required.
;IGNATURE:
!:Forms:expmtrg
.evise071405
Renter =d
Home UwRow*l"wrcomTpjwm
war
Types: &VPW oW CA"
THE Mom Depot "weft*
#BARK AUDEM
3M CXM GALLIMA PKM M
RLTAWA.GA 3LKi39befM
de u °ec
(Wdbson% ` „"°'
,.*nos
OF11HE lqy, Town of Barnstable
Regulatory Services
BAMSTABLE.
y MAW g Thomas F.Geiler,Director
t639.�ArFDMA'1A,0 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
Property Owner Must
Complete and Sign This Section
If Using A Builder
hlShA CL C., as Owner of the subject property
hereby authorizeGt,IrjL- � to act on my behalf,
in all matters relative to work authorized by this building permit application for:
- II
(Address of Job)
b'
Signature of Owner Date
Print Name
Q:FORMS:OWNERPERMISSION
L' A.
r-
Town of BarnstablePermit:
ZHE Tpk� Regulatory Services ate:
Thomas F.Geiler,Director
ee: 5
BARNSTABLE, : Building Division
y rtnss. $
1639. Tom Perry, Building Commissioner
.D 200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
TOWN OF BARNSTABLE
SOLID FUEL STOVE PERMIT
Owner: erilqA C6 c,S_e Phone: r6A- 2 75 -6 077 1C_
Install at: 3 Q �w i vi Q Village:
Map/Parcel: Date: 1 117103
Stove
A.G�/Used
B. Type: Radiant Circulating
C. Manufacturer: V evvv\on� Lab. No.
D. Model No.:
Chimney
A. New Existin (If existing,please note date of last cleaning)
B. Flue Size
C. Are other appliances attached to Flue?
D. Pre-fab Type and Manufacturer
E. Masonry: Line nlined
Hearth
A. Materials: -T e ,` fr\' V, Pu v x le,,)5 i al
B. Sub Floor Construction: Uv4,ec 1\(f o_( -k G.rnCr e le
Installer
Name: CniANt* ( CA ire_ Address:
Phone:
Location of Installation:
APPROVED BY:
Please make chec payable to the Town of Barnstable
*This constitutes an official stove permit after inspection,photographed, and approved by the
Building Inspector
Q:forms:stove
Rev 122801
Town of Barnstable
FZHE Tp��O Regulatory Services
Thomas F.Geiler,Director
BARNSTABLE
9 MASS. . $ Building Division
.i6gq ♦0
pTED 39 A Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
PERMIT# ? FEE: $ �� ®o
SHED REGISTRATION
120 square feet or less
t
C
Location of shed(address) Village.
Property owner's name Telephone number
I
Size of Shed Map/Parcel#
r�
r7/0
Signature Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
Conservation Commission(signature required)
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN
Q-forms-shedreg
REV:121901
The Town of Barnstable
Regulatory Services
Thomas F. Geiler, Director
Building Division
Tom Perry, Building Commissioner
200 Main Street,Hyannis MA 02601
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: ; 1 3G ,rtn c0hh\ 5
JOB LOCATION:
number street T1p village
�49C
"HOMEOWNER": S 1► 1
,/� oe Y �I 775-Lpy l"
name home pho'nnee'# work phone#
CURRENT MA=G ADDRESS: 39
Da(P32
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 B arnstable Building
Department minimum inspection procedures and requirements and that he/she will comply with said
procedures and req ' ements.
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.
r
n
�'.w_ ��— L � ...� ^5 fir•$" .
"e F
gip' ltil, r
&I. GO ----------�r--
i
� h
i r
ram/7 ;
l2..s t
ol
ol
.,
v
OF At
39 o'z GEORGE yG
LANIDES h
No.22723 �
dt.3 �C/ST6P�pQ`
D SUVN
6 7 '�/G�
ti
BdOa
Az-o Al A A/ C'A 717to L./G o
/.; 1;'G' .t�"• /f�' fy
P/,lr,,Ac'tiOGC�-oUr�d�4
14 ,ti
t r_ r :c .3 M)D K/,4 Y D P I Vz- 16 T 0/G
d h iv,
C,F a. T. L ,4)V/DES +P&FC, Z V6:,e fa&,e vF yo�►
4 ef 72rw A IM k/, �'A PM 6 0 7