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0157 POND VIEW DRIVE
r 0 �a o o a a 0 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION OF BARNSTABLE �1 ` 1 l Map Parcel Application # Z� 6 Health Division ' r . ,_ Date Issued 7/ Z-9 15 Conservation Division Application Fee C�7 • y Planning Dept. Permit Fee ✓�`�-�" Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 6 P Village Owner VeIeAea L=remae Address P5 _1 VIA A) D_r. Telephone r ` Permit Request S Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 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 01`4 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: '4 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) l Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 1 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: XGas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ;4 No Fireplaces: Existing New 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: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ( Telephone Number Q Address S License # - 4 Home Improvement Contractor# l 0 Worker's Compensation #GU('�: 65q. p)2 A ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I FOR OFFICIAL USE ONLY APPLICATION# } _-DATE ISSUED { MAP/PARCELNO. G ADDRESS * VILLAGE OWNER I DATE OF INSPECTION: fOUNDATI0N3�? FRAME t INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL k GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. { I 'row . o.- arms-able Regulatory Services r +, HAM Richard V.'Scali,Director Building Division ti T'ocn'Perry,Building Commissioner 2fYJ P iu:Stzeet,Hyannis,Alk 0260) wwv�.toWti b:,irnstable_ma.US Office: 5084362-4039 fax. 508 779076230 . Complete and Sign This Scction ; If. Usina A Builder F`t: ip�r ><!{ .►cam ,as C nnc die subi rt Mpt"rry l:croby acrdiojvze ��¢x �/Y� �} [ iit or.M': beh'aJf; as au watters rM+a&c to York authonzed by this budding pemit appEcaion for. , Ifi2vl� AAA- 3Z (Address of,ob) -Pool fences'and. alarms the reS onsi sli of the appbcaat. f?o(As " r art not to be filled or u bef re fence is iusta e.d,and,aUfii , inspections, are peno vied and accepted Si=t. we o`f" - slipature.of Ap�yawn Print Name � Prim Nang: .._. Q:FfjRIAS O';;N1;R1-: A15S10NPWI-S , 50 of�HE r Town of Barnstable Permit# � uronths from issrr d Regulatory Services Expires 6 Fee _ Y » + BARNSCABLE, + v MASS. S. � Thomas F. Geiler,Director ry hAq Building Division Tom Perry,CBO, Building Commissioner 200,Main Street,Hyannis,MA 02601 www.town.b arns table.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid ivithout Red X-PressImprint Map/parcel Number Property Address _ I Fc> lcl V t f b1 ['Residential Value of Work 570 Minimum fee of$25.00 for work under$6000.00 Owner's Name &Address lie b eC ak L kw W ey),ce. / -rV- ( (Mctvrcc�4•ra Qed LAcZz lv a Sz Contractor's Name Tr't�4- R --+�'r--- � W Telephone Number 54� - Home Improvement Contractor License#(if applicable) -�- Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance � � Check one: ❑ I am a sole proprietor Pn am the Homeowner OE `" Zoog 0 I have Worker's Compensation InsurancevOWN OF BARN5A BLE Insurance Company Name _ Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) [91"ke-roof(stripping old shingles) All construction debris will be,taken to d U r ❑ 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 Dome Improvement Contractors License & Construction Supervisors License is required. SIGNATURE: r � i Q:\WPFILESVORMS\building permit forms\EXPRESS.doc Revised 090809 Town of Barnstable Regulatory Services 'Thomas F. Geiler,Director ' r3ARNSTABLE, • - Mi"S9 Building Division ATFD �a 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: c 1 JOB LOCATION: �� ! �D�'lA� V i�1%J BY" Co' �t ��— number s reet village "HOMEOWNER":f�cc a 1. name r1 .�, home phone#n work phone#1 CURRENT MAILING ADDRESS: 1 "I1 ©r1d , V t cw a-✓c' — Gfy tit r y'i i� in�r o L(o 3'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 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 t6the 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. f ` 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 re uirements. ignature of Horr�Per 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 o£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\homeexempt.DOC Irv•- o °pTHE r Town of Barnstable y Regulatory Services $" ' "gam' a ' Thomas F. Geiler,Director .� uas: � 9;. A 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 S ction If UsingA Build I, f4��6 r?Cc t . L.a r f n c� , as Owner of the subject property hereby authorize -T v Q V rr� sor) to act on my behalf, in all matters relative to work autho by this building permit application for. -7 Pr nd v i eV ddress o ob) lgnature vner Date RebeLl(a � awV-e C-p— Print Name If Property Owner is applying for permit please mplete the Homeowners License Exemption Form on the reverse side. Assessor's map and lot number .... / O�T E TOE 4iQ y0 ✓� Sewage Permit number ... ... .,.�.........1.... ... ` be ! Q�1.G� �YY v& L�'�'I�L�I�Ii/��Ei98 an�LE' House number ......... ... .. ..... .. �..... o pow s63q. `0� "! ,m CFO YPY a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... W.'). d.......0...... ..h9.�............................................................................... TYPE OF CONSTRUCTION ......... Q 0 ....1��r!:1.g........................................ ✓ 2..(- 9..g/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies `for a permit according to the following information: j Location ............i.5.7.... p�G7.ln.4..../ul1 ..w.....Qavlf! ...'. ..G .....P10.2-...................................... ProposedUse .........U!�g........ a �c q 2i.............. ............................ .......................................I......................... ZoningDistrict ..................../..)....C.r.r......................................Fire District .............................................................................. /Name of Owner :.!ram!.end...f..:'..:..f.:.l..CG/�IGI:/I• !'I........Address .� 7. ohC1„�eGs/� i///& 6n1&,-P1'1/� Name of Builder .... �.!` !V r. ..............I�u.i;.4aLe�!5......Address t� 2 J' �c-a S's��.. �J/�; U G3 ,y z c ...................... +.... ................... ... Nameof Architect ....................... .... ....................................Address ................................................ ............................... Number of Rooms ..................................................................Foundation ....... .. .........L�b!'�.e{� e�f. Exterior ...:.Roofing ......... dos..� f...... .... .k�.)........................ Floors ...........9;L......................................................................Interior ..................................................................................... Heating .......... / ............................................................Plumbing ,............... .. .. ......................................................... Fireplace .......f !f....................................�........:...............Approximate Cost ................................................:................... / Definitive Plan Approved by PI Wing Board _______G _____________19________. Area j..li ... .... (J .......r Diagram of Lot and Buildi •g with Dimensions\mod/ Fee `�-- SUBJECT TO APPROV OF �%D � FILTH � r - I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Na ...................... r � . 2 3200 ~u-^- | Pepnit - ` ^ Tool- Shed -'--'--'------------------ - Location 15 ' Pond `�~~ ~^ ' ~ -- ' C_� Centery i le ...................................... ............................... ru Owner . ' _�___.. ^ Frame Type of Construction ....... � ............................................... .�---. ...................... Plot ............................. Loi ..r..--...--.�--- _ � m Permit Granted _..�JooeI��____. 8l Dateof | .................................... ~ ` .. ~ ~��'�� � Dote Comul�a6 —..�.`�-^-------l�� ' . PERMIT REFUSED � ! ' ` ' .. ' ...................................--''. -' ---- ' � ' .�..................................' l ~--.-.--,_.----. . . ^ -._----__----.-----..-..--- --. , . � . . ` -...---..-.-_----.~...^.---.~- ........ Approved ................................................... l� � . -----_-..-------....-.---... --... ------....---..--.-------...'�.~-. ` ' ' ` , / � � �