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Home My WebLink About0020 PRINCE HINCKLEY ROAD �� t-� n C.,� � �nc�C�� ., �� ', c o -� .� - f, ,. _ - d � .. f --!PRESS act 23 PERMIT Town of BarnstAble "Permit# Eralres 6'VIDWIs;roar 14Jue dare 4 2 Regulatory Services Fee �- °,-OWN �' Thomas F. Geiler,Director BLE Building Division .Tom Perry,C130, Building Commissioner 200 Main Street,Hyannis, MA 02601. www.town.barnstable,ma.us Office, 308-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY N01 Valld)PIrltoul Rr4 X-Press IlrlprinJ Maplparcel Nuniber Property Add rest Residentiai Value of Work Minimum fee of$35,00 for work under$6000.00 J Owner's Name d Address Contractor's Name Tel Number 2 Home Improvement Contractor.License#(if applicable) /0/2 ?12-�Z. Construction Supervlsor's License#(if applicable) �JP ❑Workman's Compensation Insurance . Check one: ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name ZZLE S � Workman's Comp. Policy f1 Copy af insurance Compliance Cert skate must accompany each permit Permit Request(check box) ❑ Re-roof(ltu.rricane nailed)(stripping old shingles) AIt construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going.over" existing layers ofroof)y. #'of doors _ YReplacement Windowildoorslsliders U-va)ue r Tj (maximum.35)#of windows - --. •Whererequired: bsuonee of this parmIt doas not exempt compliance wuh other town depahmentmgulurions,i.e. Historic,Consetvntiort,.Wc. *-No;e: Property Owner must sign Property Owner Letter of Permisslon. A COPY ofthe Home Improvement Conrractors License& Construction,supervisors License is ragalred, SIGNATURE: Q:\WPFit.F WORMS%building permit formslEXPRESS.doc �o $ARNSrAOLE, q� `S& 'Town of Barnstable arED MAC s Regulatory Services Thomas F. Geiler, Director Building Division Thomas ferry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.mtt.as Office; 508-862-4038 Fax: 508-740-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize _.f7!/'0Z/A0 r �X to act on my behalf, in all matters relative to work authorized-by this building permit application for: (Address of Job) Signature of Owner _- 'fat Print Name If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on the reverse side. Ft►,E T Town of Barnstable *P�`e?rrut�# Expires 6 OW from issue date Regulatory Services Fee o" * BARNSTABLE, "'A 1639. A (0$ Thomas F.Geiler,Director Q G ) prfD MA'I X_PS Building Division PgRUg • KT,CBO, Building Commissioner O C T _ 8 2009 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-86T 44 �V QFJRSl-,�c�� Fax: 508-790-6230 EXPRESS PERMI'IP PLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number M Property Address " ❑Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Y+ L 1 L + 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 E21 am the Homeowner ❑ I have Worker's Compensation Insurance. Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ER/Re-roof(stripping old shingles) .All construction debris will be taken to c� � w y)(S ❑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.l4istoric,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Ho a Improvement Contractors License&Construction Supervisors License is re'uired. i . SIGNAT Q:\WPFILES\FORMS\buildin e rms\EXPRESS.doc Revised 090809 Town of Barnstable o Regulatory Services T nnxxsrABLe Thomas F. Geiler,Director MASS. 1639. ,m� Building Division ATED MA't 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 fj�� R Please Print DATE:O � O I JOB LOCATION : �Rd - l� )�nvmQb_er _ / / street (� 2) L�- village "HOMEOWNER": Y V r' jt� l V �_ / 00./ V v 1 name N ome phone# work phone# CURRENT MAILING ADDRESS rl ( � 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"ccrpfies that he/she understands the Town of Barnstable Building Department mutimum inspection pro edure an requirements and that he/she will comply with said procedures and r rements. Signature of o e caner 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/certifrcation for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC Town of Barnstable Regulatory Services MAM Thomas F. Geiler,Director 16;,�►�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 l� Property Owner Must. Complete and Sign This Seaction If Usin &A Builder ,y,, i /as Owner of the subject property x � hereby authorize to act on my behalf, in all matters relative to work authorized byknis building permit application for. M, (Address of Job) f Signature of.Owner Date Print Name If Property Owner is applying for pen-nit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:0 WN ERP ERM IS S 1 ON Town of Barnstable Regulatory Services „ Thomas F.Geiler,Director BARNSTABM MASS, . $ Building Division s6 � �pTe0 � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PERMIT# /�Z— FEE: $ SHED REGISTRATION 120 square feet or Ie Location of shed(address) Village. Property owner's name Telephone number I(� x ( 2- Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? tl OA4- - Conservation Commission(signature required) ! 6 t 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-fomu-shedreg REV:121901 �{ r r to a � � f NNI � EX� x/F M i 1 UDC. �5E;�,rnw TA w. a Vq cEcz �F� � /l0 29iy�.SF � -- ' f -� .a ( -- t aaa SA4. SE7mc- Tawas i coo cec. Lc-w t4 ?(T ~ W(T► i oca 'o r cPA�►4 iotJ c?a/ RrcH,.,�i*" , �h.2WG,M w CSV-TtFtf=- ID PLC>'1- A-I 1-i6{Z CGiJ Gc:n t�LYS W i TIA TOG: 'Sl DE L;tJE: aI- I PL. P>v 3t71. Pam. Z4 DATc Tl-l1S VL.AW 1S WOT lF54e>a'O AW US'TE2\/it_LLC u :�rC1�.S�i6 NGT ea I:SCo To DGTm`Mi wiE i.al L.I k4a5 lt�"Ili/ Assessor's map and lot:-number _ t 100-1\ PTIC S SY TEM MUST BE INSTALLED IN COMPLIANCE WITH A Sewage' Permit number ..........................., .... . STA SANITARY CO E AND TOWSF BARNSTIff'r QUO Obi t: -- •*!��BISHSTADLE,OS y NSTA Y fi oo' E619,MPY RI LfD 1• G INSPECTOR c APPLICATION FOR PERMIT TO } •.• •••. ••.•.•.•..•.••••.••.••..••.. TYPE OF CONSTRUCTION .......... ..19.,;;2 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit ac ording to .the following information: Location ..... .. ...... ........... ........1! ..... .....:.. ......... .....,....:..... ............................................................... ... ProposedUse ........................................ ................................................................................................................................ Zoning District .....................Fire District .... Nameof Owner/. .. ........: ......... ..... . ...... . ........................Address ......� ............................... Nameof Builder ...............................................................:....Address .................................................................................... Nameof Architect ............................:.......:.............................Address .................................................................................... Number of Rooms ............. .............................. Foundation ...�� ................................: Exierior ......................................................................................Roofing E.11-7.. ..................................................................... Floors Interior ............ .................................. ;�:-*.....CSC/. .................................. Heating .�..., - r...l ........................................Plumbing .... ....... . ......... ... .........:.............................. Fireplace :'...................:.....Approximate Cost ...... ..�.. p .. Definitive Plan Approved by Planni oard ________________________________19---------- Area Diagram of Lot and Building with Dimensions Fee 47 . l— SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regard g the above construction. Name ........... I. ........................................ 8mall.- Alan E. ` one story No ,��....-' Permit for ------------ ' . . sinkle family dwelling --..=.—.---.—.—.----,.-----..~—,' ' ' ^ 'wiv 9r1ooe Hinckley Road Location ............................................................ ' CmntarV1Ila , --^~^^--'—_^`--'---------'—~''—' ` r�~"�, ___..Alau..8�..S�uull_________ ' ' . ^ Type of ---..�rm�m___.____ � . _.—/,�—.--..--.—.—.~.-----.—.!.--.. - ' #llQ Pl� -�.---.---- Lot —..�.�--',---_.. ' February I8� ' �7 . ^ � .Permit Granted -- -.. ----!.]g ' . . / , ,Date of Inspection .]A 77 ' Date Como��a6 .^��.� uc—'�--�|]V Completed7 '' ' ^ � ,PERMIT REFUSED --~—.,~....�.—,.—.--.------.. lg � . ....................................... ..`..-_.—.__.,....—...—~—..—.---~.--.—.— ' ' ................................................................................ `-.—.....—.,.....—......—....,.~.,....;`. ^ � -^ ` ^ ~ ................................................. 19 ~ ------^-------.-----,~.--.--. . � - � ' . . , / ~ � ,/--'`'�'�-----"--------~^'^^^^^'"r ' '