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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map - Parcel Application'# C (1 "NI-1
Health Division Date Issued It lei
Conservation Division" Application Fee
Tax Collector 'Permit Fee
Treasurer
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address / 4 &
Village
Owner L'/7a.Rle5 ✓e& l S urz Address.5-3 0e eel
r
Telephone o �f' �f 7� 70 g �
Permit Request a C Re m 0We- ® 10�e3
9 w�
Square feet: 1 st floor:existing Q00 �f-proposed f 2nd floor:existing proposed ( °Total new
Zoning District Flood Plain Groundwater Overlay 5-1
Project Valuation /D ( �?I ��p��Construction Type '
D r—
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documerifation'.`'
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes allo- On Old King's Highway: ❑Yes B'No
Basement Type: O Full C-Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) `fG'p So f>r
Number of Baths: Full:existing f . 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 C>�'Electric ❑Other
Central Air: ❑Yes S o Fireplaces: Existing New Existing wood/coal stove: ❑Yes ZNo
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing ❑new size Shed:a/existing ❑new size ,A' Z0 Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes �❑No If"yes, site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name 6 �l /--/,f Telephone Number
Address d�✓�llLicense#,
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE bt /d ;2
/ ' •
. FOR OFFICIAL USE ONLY .
\ APPLICATION*
DATE ISSUED
U»PZP RCELNO
# .
\ ADDRESS VILLAGE » .
OWNER
: `
�
DATE OF INSPECTION: .
FOUNDATION
x
FRAME
�
INSULATION
� , . .
FIREPLACE
ELECTRICAL: ROUGH FINAL .
PLUMBING: ROUGH FINAL . .
GAS: ROUGH FINAL
: ,
FINAL BUILDING .
\
( DATE CLOSED OUƒ .
$ ASSOCIATION PLAN NO.
/
�
oF1HEr . Town of Barnstable
Regulatory Services
BAMSTABLE, i Thomas F. Geiler,Director
�bp1i6 9 A��� Building Division
ED µA'I
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
// Please Print
DATE: / O/�f (O
JOB LOCATION:
/�huumberr / street village
"HOMEOWNER":C_&Y/EI5`L/ ,_VSh ✓k-,- 4_0 S -1174— 7 0 7`Z/, D K 4/4"9 3e'l
name home phone# work phone#
CURRENT MAILING ADDRESS: .J_ �Ipi/�OP [� 6
r/4,4 f, 1-1-
city/ton 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.
requirem ts.
— 0az
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.
OWNER:
CHARLES M. FLANSBURG
53 MONROE STREET
EAST DOUGLAS, MA 01516
(508) 476-7084
SCALE 4" = 1'-011
SITE LOCATION
186 PINE STREET
CENTERVILLE, MA 02632
jEXISTING DOOR 5'-0"
36"P.T.RAIL
XISTING STRUCTURE 2X8 P.T.LEDGER BD.
W/ 1/2"BOLTS STAGGERED
EXISTING FIRST FLOOR ELEV. 2X8 P.T.FLOOR
JOISTS @ 16"O.C.
OMPOSITE DECKING
c "P.T.POST BADE
STOOP r,
36"P.T.RAIL
" SONOTUBE 4'-0"(MIN.)
_ BELOW GRADE
—�" SONOTUBE 4'-0"(MIN.)
_0l 2 BELOW GRADE
XISTING SLIDER
[---EXISTING STRUCTURE
"P.T.POST
OMPOSITE DECKING
0
1
"P.T.POST
DECK
EXISTING 2X10 P.T.FLOOR JOISTS ` � "
2°
0
c OMPOSITE DECKING
j4t36"P.T.RAIL
"P.T.POST
6'-0° 4'-0° 6'-0" OWNER:
CHARLES M. FLANSBURG
16'-0" 53 MONROE STREET
EAST DOUGLAS, MA 01516
(508)476-7084
SCALE 4" = 1'-0"SITE LOCATION
186 PINE STREET
jCENTERVILLE, MA 02632
/ 11 11
5-0 41_0 51_ 110
::t-36"P.T.RAIL
EXISTING FIRST 2X10 P.T.FLOOR
FLOOR ELEV. JOISTS @ 16"O.C.
OWOSITE DECKING
T. STAIR
EXISTING GRADE
t S,
"SONOTUBE 4'-0"
(MIN.)BELOW GRADE
OWNER:
CHARLES M. FLANSBURG
53 MONROE STREET
EAST DOUGLAS, MA 01516
(508) 476-7084
SCALE 4" = F-0"
SITE LOCATION j
186 PINE STREET /
EXISTING DOOR 3'-0"
CENTERVILLE, MA 02632
36"P.T.RAIL
EXISTING STRUCTURE 2X8 P.T.LEDGER BD.
W/ 1/2"BOLTS STAGGERED
EXISTING FIRST FLOOR ELEV. 2X8 P.T.FLOOR JOISTS @ 16"O.C.
� OMPOSITE DECKING
o STOOP X --,\ � TXYX8"CONC.SLAB BADE
" SONOTUBE 4'-0" " SONOTUBE 4'-0"
3'-01f (MIN.)BELOW GRADE (MIN.)BELOW GRADE
36"P.T.RAIL
Town of Barnstable *Permit#
X-PRtESS PERMIT Expires 6 months from issue date
DCT - 9 2007 Regulatory Services Fee `Z
Thomas F.Geiler,Director ��ut
TOWN OF BARNSTABLE Building Division
Tom Perry,CBO, Building Commissioner LAJ
200 Main Street,Hyannis,MA 02601 fW
www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERIVIIT APPLICATION - RESIDENTIAL ONLY C�4),V
Not Valid without Red X-Press Imprint
Map/parcel Number r2 „ —0 Co
Property Address /� G C4,,jlt S.7` VC—CL
❑Residential Value of Work Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address C y t' _ v— i
1 S'� S-/G
Contractor's Name ` �S°�ti s <a Telephone Number jr �G-7U
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workmen's Compensation Insurance
Check one:
❑ II amA sole proprietor
❑O-1 atn 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)
e-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.
A co y of the Home Improvement Contractors License is required.
SIGNATURE:
Q:Forms:expmtrg
Revise061306
aF r
Town of Barnstable *Permit# �
.y Expires 6 months from issue date
,,,�AB1� : Regulatory Services FeeBAR �5'
v HAS& Thomas F.Geller,Director
Building Division
Elbert C Ulshoeffer,Jr. Building Commissioner
367 Main Street, Hyannis,MA 02601w
Office: 508-862-4038
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION
Not Valid without Red X-Press imprint
Map/parcel Number
• Property Address /2 L. �l `� ��reee,+ l e LAE r VL II'e
M46sidential OR ❑
Commercial Value of Work
Owner's Name&Address l ,�{/'ter-, r�2 h�e_r u
a0AIRD9, .T�
Contractor's Name— Put 0 6 0
S ELL�[ Telephone Number.
Home Improvement Contractor License#(if applicable) 1 3 1 3 7
555& `
Construction Supervisor's License#(if applicable) t
' Compensation Insurance
❑Workman s Comp �.
Check one:
❑ I am a sole proprietor PAN
brhave
the Homeowner ok Worker's Compensation Insurance �r1
Insurance Company Name ran
Workman's Comp.Policy# Vv (A A ��^
Permit Request(check box)
Q/Re-roof(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers of roof)
Re-side
❑ Replacement Windows. U-Value (maximum.44)
k
❑ Other(specify)
'Where required: Issuance of this permit does not exempt compliance with other town department regulations.i.e.Historic.Conservation.etc.
Signature CA
expmtg
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map s `7`�' Parcel 4Al �' Permit# 4 7 Q
Health Division Date Issued ! xsO
Conservation Division )60
's Fee
Tax Collector ; `\ . .
Treasure -4,_ �600 -
Planning Dept. k fY
Date Definitive Plan Approved by Planning Board N
His -OKH N A Preservation/Hyannis N Oil
Project Street Address 1 S .
Village Ce:n71-a'-r y
Owner _ CiJA P_ UES FkA4 J,58 9R6 Address 93 D1 oN RoC 57; E .CpbU6
Telephone S-e) LP-) 6 `-)D S 9
Permit Request IAI1AJQ4W fQc=p ��/���/� I ) imb) 15
A. )Dk::2Sa8 1
Square feet: 1 st floor:existing proposed 2nd floor: existing proposed, Total new
Estimated Project Cost T-0 n Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure �'b YRC Historic House: ❑Yes J40 On Old King's Highway: ❑Yes YNo
Basement Type: VFull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing 1 new Half:existing Q new !'
Number of Bedrooms: existing oZ new CO
Total Room Count(not including baths):existing 3 new 0 First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil Electric ❑Other
Central Air: ❑Yes WNo ' Fireplaces: Existing 0 New mil' _ Existing wood/coal stove: ❑Yes `&No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing ❑new size Shed:d/xisting ❑new size I p a)a Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ( No If yes, site plan review#
Current Use S)n,,6 IE7 P&-�i Proposed Use 'TA M-F:-
r
BUILDER INFORMATION
Nafne nr_Y C rOS �, Telephone Number Sb R 4af3 b 9 0,5—
Address RQ �S o+ /S° z License# O L 7?,S S 6
<2w�12E:7,ry l Ltd ,MA n a Home Improvement Contractor#
Worker's Compensation# C7"0b l S- 0�� l
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO EA2nA STY /34,
SIGNATURE DATE _/3��D
FOR OFFICIAL USE ONLY `
- r
PERMIT NO. ' !
r
ti DATE ISSUED
MAP/PARCEL NO.
F ADDRESS " 11 VILLAGE {1
S
i OWNER
DATE OF INSPECTION:
FOUNDATION
n
FRAME
' INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL r
{ PLUMBING: ROUGH FINAL J
-
GAS: ROUGH FINAL
,- FINAL BUILDING
DATE CLOSED OUT
•
ASSOCIATION PLAN NO.
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