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Home My WebLink About0222 PRINCE HINCKLEY ROAD IWQ g VA .- M , , ". . .1T.", I. I ,, 1 (k to ��414 E-. Af VrY 0:, 'low it 11,fi 'slim MUM' WM41 Mot "A R RIP I N M, A'31N �"ri, W Mi, '144 Oif—W—"Sl iwp -My hq All ,Mf 'mm WO Ip IR: or, NMAV� All, .................. MW NAWA-Mv —90 I NO ME Al.y At NO ,01 =Wool gm qj� ............ ........... T„E r Town of Barnstable *Permit# Z Expires 6 months from issue date Re ulatory Services Fee aAxxszA oias F.Geiler,Director MAss `� 9 1639• Building Division �iOlEn MP'l A 2 4 20 1 APR @p`om Perry,CBO, Building Commissioner Street,Hyannis,MA 02601 TOWN! OF BARNISTW'tmwww.town bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press imprint / Map/parcel Number ��f � l l / Property Address 2zz 'a I N6ie 120 } C 0—NT . >ZV i L Z L .i]Residential Value of Work' 1 ACC Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name ` 1 30 Telephone Number t��j^�b( `�✓ ! Home Improvement Contractor License#(if applicable) ❑Workman's Compensation Insurance Check one: \ ❑ I am a sole proprietor I am 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 G ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ - Replacement Windows/doors/sliders.U-Value (maximum 361%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 copy of the Home Improvement Contractors License is required. SIGNATURE. Q:\WPHLESTORMS\building permit forms\EXPRESS.doc Revise020108 Town of Barnstable OF 1HE tp� Regulatory Services saxtvszna[a Thomas F.Geiler,Director + j MASS. �* Building Division �1E0 �n Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 vc'ww.town.barnstab l e.ma.us Office: 508-862-4038 Fax: 50. &790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: / /' ,` /I JOB LOCATION: 2 Z.Z ��-1KGG K hA �G C=�r(< Q~yl.` number street village- "HOMEOWNER!':— 6o3-36(6(7_5 ' name home phone# . work phone# CURRENT MAILING ADDRESS: 3�� 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 'fined,"homeowner"certifies that he/she understands the Town of Barnstable Building Department m pection procedures and requirements and that he/she will comply with said procedures and r q it ents 11 rgnature 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. f 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 persons)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. x °F1HE, Town of Barnstable Regulatory Services BAIMBIA MASS. j Thomas F. Geiler,Director plF039. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.toWn.barnstable.ma.us Office: 508-862-4038 F 508-790-6230 Property Owner M=ust Complete and Sign This Section If Using A Builder Cam'" Q``y , as Owne of the subject property hereby authorize L✓ vl �'i-5 �Z, to act on my behalf, in all matters relative to wo autho ' d by this build' permit application for: (AdIdre o1j10I &7 ZS�� Signature of O er �.� Date r LASE-2b►, ��41/ Print Na. e If Pro a Owner is applying for permit please complete the Homeowners License Exe on Form on the reverse side. !l•1a1R rAC•(1WTTI=R PFR MT.CCTIIN t i i t i i 1� { f } t ,� �' i r i •� �t _� ..7. _. _ _� .� _ �_ _ _ �.--.. _. ...� ._ _ _ ._ ..1._ �._. _v -.�...___�_+� _� _ � � __ .. �. F... �- �..e..�.j. ....��...�._ .�---�.�� ...��__� ..�.,....-f� ..�•.-....�.��-+�.,�� -.mow �—.r-- -� .....�� ti�� .4�.�..` � ��.. �.. I � r ..� .. _ T .�_ � —....�..�-_�...�� _�.....`_-.t.�— �.._ �._.._._ — ..�_--_.. _ _.-.e.._.... -�..._._.. �.�..-.�. _�. �..b.�.. ..._� —� _. _ ..__. a 1 1 7}} i 2 .. �' t � c. � .. -'„ --....r�'„"� __. �.._ _�........+.__.+-. --...e..-.�.ti ..Y _ �_�...��.--.+w...�...,.�...�...`.�.�... ,�� ..-...yam.....-_'___.�.._.. -_ ... _ .� - � -.. i 4 ._._.� t,._._�_ r_ _��_._ �..�. _.__..�..__ _ .__ �._.,.__�.,�.��_._._ �,�T ._.__..�__.��._�_� Assessor's map and. lot number ......................... THE THE Sewage Permit number ........... . . .............................. SEPTIC SYSIEM MUST INSTALLED IN r,0MPL1A 33ARNSTIBLE. House number .........../... ...................................... "LE 11 STATE NAM WITH XqTl' 039. 4 TAN�, I E MID TOP% 101 M NITAXZY COD TOWN OF BA6RN -FL-E-'- BU I LD ING . -.1,NSPECTO R APPLICATION FOR PERMIT TO ... . .......... ................................................................. TYPE OF CONSTRUCTION ....... . .............................................. . ... ........................................... ...............................197.5?. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a per it according to the following infration: Location .... 2, ....644414&........... A ............................... Proposed Use . .. .................................. /-,C�.................................................................................................................................. ZoningDistrict ....I....... .................. Fire District .............................................................................. Nameof Owner .....................................................................Address ........�.�— ..................................... Nameof Builder .................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Roo s ..................................................................Foundation .....en't-� ..................................................................... ... ...... Exferior ....... ...if.... ... .............................................Roofing ......... ................................................................ Floors ........0.14............ ...... ...................Interior ...t,�-�- - .................................... Heating .......... 44"o.I........................................Plumbing ......... ....... ........................................ ...... . ...... Fireplace .......... ................................................................................Approximate Cost ..........%.... ;V*—, — **— '/- .......................................i...... Definitive Plan Approved by Planning Board -----------—------—----------- 1�rIe Area ... ............. Diagram of Lot and Building with Dimensions Fee . ............... ......... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable 4rerding the above construction. Name .........&.... .. ................... Z/................. ' ~ / . � . Small, Alan + 2.0941. uue N�-- —_� Parm� for -----..�.��X........ ` �a�i---------'-----'----'~------' / Location ......222.. .Hinckley.. � .�---.--.��!��.��-----------. ' . � . ' �l�� 3��ll {�vvnar -----------.,---------- . Type ofConstu/��ion ---_.. -----. ' � ` -----^---.-----------------. ^ ` . � ^ Plot ............................ Lot ..................#?87..... ^ . ' - ` � Permit Granted -- ..2--`—.]g 79 � - Dote of Inspection ------------l9 - --- Date � . Completed ' ' � PERMIT REFUSED ` � . � ............................ ................................... lV � ^ ~------~..-----------------. � ---'----'-^--^'^-----'^`------- ' ' � ! � � . '`'----^—^^'-----'-------^^^'--- --'------'—`—~^^^----~—^^~---'— ^ ' . ' . ^ ---------------- l9 Approved � ' -------r'------~-----''—"'^^-- ��'�,�_��,��,,�'� � . ' QU L.dl L`! FLUw =- l IC7 K ? :•=:[_% C�.i�.�, �'��r� \ O 1 = 4c�ci C.P.1]. \ ljf? fVf,&L PIT - L-uSE. f C>oo S-t7.�, A LL AREA _ ��►xf 1 St=" ,c 2 3 1S Bur rO,fA sr--. ,y TOTAL �Eswt.f = d25 G.R . •�' �-- ,; �i, -r0-roL t;A�1L�-( r-Lott = 3306Pu. ? PEff1CDLQTl0L1 Q�QTE t� t�l �MSIu 02 LI✓ �� r rrr ? !� s '� PGaP r} is Tt�'T I&• �/ — .; �^�?. r-" Tor p-NG s IPO.O �J ay --Aso I Uc+G� II W. pA o00 i L&Ar •ic/ t-1 :A t ,1 � 4� WASt.IED i STo►-tE �`j,`�? LOCA.TIatij z-_ (•'�t .'`t i s ram" THAT T I-!t _ S t Io.v�.1 Pti._4►.J Q n=E=is re,c 6.1 C E N�.3�t:C�tJ Gca4�PL�(S W ITN TIJ` �jlp� t_1►-IE- _._ AwoJ -r14t� 41 ..... 1^ 1.. - 4is _�C.-iCr L.- 4• �..�. f2CGtS f1:-_2�.t� i�►.�V SUZuE.Yocz,S Tt-115 C?C._Ah-1 f�, LJoT t',A•;L_C7 1iJSC+2t�.t/lE1.i i 1jtJC��li _�' t ltai i.�r=t-'ii='� . •,� t, :Jl.�:r _ - x _< TOWN OF BARNSTABLE Permit No. ----------__-___--------- { »n.>< Building Inspector cash ---- ---_�1 OCCUPANCY PERMIT Bond "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address 'enterville ;:.ervi_I Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date 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. ................................................. 19......_ ..................................... . ......................................_......................._._ Building Inspector