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P .fH c s ' ,...- -y l r , I � I , rJ, f,�., ;T. it k , . n t ., a s 1 i. �FTHFT Town f Barnstable ermit N ��O�C� E.rpires 6 uronths jroln issue dale * RARNSTABL- Regulatory Sei-vices Fee NlApa Thomas F: Geiler, Director lFD^�'Ya Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Offi6e: 508-862-4038 Fax: 5.08-790-6230 EXPRESS PERMIT APPLICATION - RESIDE,NTIAL ONLY Y Not Valid without Red X-Press Imprint Map/parcel Number o94b Property Address �j ����(�� ��j�tC T [4 Residential Value of Work 0,p©_ "20 Minimum fee of,$25.00 for work under S6000.00 Owner's Name"&Address V I KD10P,,Gh 1 K R l" MA VlMeA / 8= Contractor's Name Telephone Number `9 Home Improvement Contractor License #(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance SEP` I- Z009 Check one: TOWN OF BARNSTAKE ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name MHj1A _ Workman's Comp. Policy# ' Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Wtll ewe ro na�� Re-roof(stripping old shingles) All construction debris will be taken to P� ' 711 e w i l I've,r /w MC Ot t le` ❑ Re-roof(not stripping. Going over existing layers of room Re-side. ❑ Replacement Windows. U-Value (maximum .44) *Where required: fssuance ofthis 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, Home Improvers nt Co tr t r tense r Cronstruct Supervisors License is required. SIGNATURE: Q:IWPFILESTORMS,Express\EX ES. 1 RMrr.DOC Town of Barnstable y�v-of Yt-ae r��T Regulatory Services :aatttasrtiare, Thomas B. Geiler,Director tb3g. �m Building Division Tom Perry,.Building Commissioner 0 -200 Main=Street,—Hyannis,MA:02501 www.town.b arnstable-rna.us Office: S08-862-11038 Fax: S08-790-6230 HOrTEOWNRR LICENSE EXEMPTION Please Print DATE: t2%—C��—D% �, p JOB LOCATION: �GIGC. , (�N 7r-/� VIZ4A. number / street village HOMEOWNER": ! name //�� Q home phone# / work phone # CURRENT MAILING ADDRESS: 46 A-�E�DECN , "f�' ozfi 1 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. bEFINMON OF BOMEOW ER . �. 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, attiched 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) assumes responsibility for compliance with the State Building Code and other Tb.e Undersigned•"bomeowner" applicable codes, bylaws,rules and regulations. .t' The undersigned."homeowner"certi£es that.be/she undersb-nds the Town of$arpstable.Building Departrnent rr,;,,;,r,um inspection procedures and requirements and that he/she will comply with said procedures and requixrmen 4 - / SignaU=of Homco r- - Approval of Building OfGcial 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 EXEMTTTON The Code states that: "Any homeowocr performing work for which a building prnnit is required shall be exempt from the provisions of this section(section 1o9.1.1 -Uccnsing of construction Supervisors);provided that if the homeowner engages a pesm(s)for hire to do such work,that such HomcowncT shall act as supervisor." . Many homeowners who use this cxernptian are unaware that they arc assurrring the respamsibifitics is a s serious r(see Appcndiz Q, Rulcs&Regulations for Licensing Crmshuction Supervisors,Section 2.1 ) This lack of awareness often results in serious problems,particularly when the hocowncT hires unlicroscd parsons in this case,our Board cannot proceed against the unlicensed person'as it would with a licensed m Supervisor. The homco mar acting as Supervisor is ultimately responsible. To ensure that the bomeowncr is fully aware of'his/hcr responsibilities,many communities require,as part of the prmit.application, that the homeowner certify that hc/she undcrstands the rtsponsabilitiu th of a Supervisor. On e last page of this issue is a form currently used by w several towns. You may care t amend and adopt sucb a forrn/ccr6fication.for use in your community. f r i r Town of Barnstable Regulatory Services a a qMhamq. Thomas F. Geiler,Director o )Building Division 0 Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 wIVW.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790- Property OwnerMust Complete and Sign. This Section If Us ing A Builder X, 09046R41< , as Owner of the subject property hereby authorize t7krV o act oa my behalf, is all matters relative to work au orized by this bull gtion for: T c � .(Adzes of Jo r Signature er Date R e L -VIlW®R i P t Name If Property Qwner is applying for permit lease complete the HomeoVrnexs License Exemption Form o the reverse side. - Town of Barnstable rb&11M i � Pe°FtHE rO`'ti° Regulatory Services Thomas F. Geiler,Director 9�A b 9 �,SS. � Building Division Tom Perry,Building Commissioner r 200 Main Street, Hyannis,MA 02601 �, �.��a F w ' www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 5018VT9' 623( Qa PERMIT -FEE: $ � .q0 a3 SHED REGISTRATION 120 square feet or less ocation of she, (address) Village P-LkNA Z1V-a-9r,-z%k Property owner's name. :" ele hon umber 7/17 Size o d Map/Parcel# 005 //o/A0P Signature Date Hyannis Main Street Wate Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signatur-e, r tis= eyu�ired) Sign off hours for Conservation 8:00-9:30&3:30-4:30 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:042506 Town of Barnstable Geographic Information System June 20,2008 1 ' 246063 #50 246061 246062 #47 #48 IF 7-7 41 �Y, M W 246054 --�-� �e N w 38 1� 24 O60 {n 246063 # < #39 #38 1 _ J J W -4,1 a y Q� 40 00 1 246168 t 246W9 246064 #28 #29 #28 y- DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:246 Parcel:060 Q boundary determination or regulatory interpretation. Enlargements beyond a scale of r Selected Parcel tN 1"=100'may not meet established map accuracy standards. The parcel lines on this map Owner:VIKDORCHIK,RIMMA L Total Assessed Value:$271700 :*v. are only graphic representations of Assessors tax parcels. They are not true property Co-Owner Acreage:0.23 acres Abutters _ w boundaries and do not represent accurate relationships to physical features on the map Location:39 PRISCILLA STREET such as building locations. Buffer Yi �