Loading...
HomeMy WebLinkAbout0022 QUISSET ROAD r + /-7 Ae- Town of Barnstable REcaEIPT ,sac 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: B-17-1696 Date Recieved: 5/31/2017 Job Location: 22 QUISSET ROAD,CENTERVILLE Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: SWEET;ANDREW State Lic. No: 112785 Address: 2455 PACES FERRY RD C-11 HSC, Applicant Phone:. (401) 714-6399 ATLANTA, FA 30339 (Home)Owner's Name: JOHNSON,RYAN Phone: (508)648-0412 (Home)Owner's Address: 22 QUISSET ROAD, CENTERVILLE,MA 02632 Work Description: INSTALL(1)REPLACEMENT PATIO DOOR NO STRUCTURAL C Z 9 Total Value Of Work To Be Performed: $1,151.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above,property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have — been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any,other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: ANDREW SWEET 5/31/2017 (401)714-6399 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees - Total Project Cost : $1,151.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $35.00 5/31/2017 $35.00 X)M-XXXX-XXXX- Credit Card 7716 Total Permit Fee Paid: $35.00"7�E, _.._ PEE r Town of Barnstable Bullin Mi*° 'tt&'"°'ss'µ .!:.m ^^;war'* .' V: kgr+m- v,.,wt , , k^,",h.' g rnnxsrwe�e ; Post{This'Gard So:That it;is Visible.From the Street=:Approved Plans"Must be'Retained on Job and this Card Must be Kept .tee Posted Until Finaf;lnspection Has,Been Made � i �� l ' zt{_yz � f • r: �'r 4 T"• •'i . Where a Certificate of:Occu anc is Rey uired,such�Buildm shaIl�lVot,be Occupied�unt�la„q g ;Final Inspection has been made �eY'i111� -�� �.. � Permit No. B-16-2867 Applicant Name: JOHNSON, RYAN Approvals . Date Issued: 10/06/2016 Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 04/06/2017 Foundation: Location: 22 QUISSET ROAD,CENTERVILLE Map/Lot 250-126 Zoning District: RD-1 Sheathing: Owner on Record: JOHNSON,RYAN '� ;w Contractor Name: Framing: 1 Address: 22 QUISSET ROAD r Contractor License 2 CENTERVILLE_MA 02632 � ^ `"� '�'' Est Project Co"st: $0.00 Chimney: Description: 8x10 Shed ;' Permit'-Fee: 35.00 p $ Insulation: Project,Review Req: 8x10 Shed & Fee Paid $35.00 Date 10/6/2016 Final: Plumbing/Gas t aF Rough Plumbing: . Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after`issuance. All work authorized by this permit shall conform to the approved application and the§appr'oved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. - + , a Final Gas: This permit shall be displayed in a location clearly visible from access street or"road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. x . ,. wl, Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire�Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work 1.Foundation or Footing " Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:,6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Finale All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ,. �A Town of Barnstable �" ► ,�, Regulatory Services • �" Richard V. Scali,Interim Director "„ M ' Building Division �g 163,ts`� Tom Perry,.Building Commissioner, 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us h Office: 508-862-4038 Fax: 508-790-6230 PERMIT# J3 FEE: $ �✓ , 00 SHED REGISTRATION M1 RESIDENTIAL ONLY 200 square feet or less Location of shed(address) Village LA I M . Pro Arty owner's name Telephone number F 0 2 Size of Shed Map/Parcel# I co - /.� Sig ture Date Hyannis Main Street Waterfront Historic District? Old'King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old Ving's Highway Conservation Commission(signature is required) 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 forms shedre '061�00 I Al) Q g REV:110413 8 x 11 Landscape.png(PNG Image,2.156 x 1700 pixels)-Scaled(63%) https://gis.townofbamstable.us/Geocortex/Essentials/REST/TempFiles/8 x 11 Landscape.pn... lY S Legend .Parcels Town Boundary, 250151.100 f Railroad Tracks -� #17``` 250150700 CJ Buildings L E #37 250150H00 Painted Lines i#37 Parking Lots t. Paved t �; •'`4,.i. +, Unpaved f Driveways 7 "'••,-i�. - "' ❑Paved Unpavetl , ' 25012 d55 _ Roads ®Badges CI Paved Roads 3 Unpaved Roads , Streams •Marsh 13 Water Bodies I' r 250126 #22 ;' r / <250128 250124 8i t #66 //QC; r• f 2501,27300 250127H00 250065 #28 #1030 250021 -M1 .� i o Ell #46 Map ptinted on: 9/30/2016 This map is for illustration purposes only.His not Parcel litres shown on this map are only graphic Town of Barnstable GIS Unit - - adequate forlegalboundary determination or representntioasofAssessor'stnzpatcels.They are Feet regulatory interprelation.Tltis map does not represent not true property boundaries middonotreprescnt 367Main Street,Hynnnis,MAo_6oi O 42 83 anon-the-ground survey.Itmaybegeneralized,may not accurate relationships to physical objectsonthemap 5o8-862-4624 reflect current conditions,and may contain such asbuildinglocntions. Approx.Scale:i inch= 42 feet O cartographic errors or omissions. gis@town.barristable.ma.us 1 of 2 9/30/2016 15:18 8 x 11 Landscape.png(PNG Image,2156 x 1700 pixels)- Scaled(63%) https:Hgis.townofbamstable.us/Geocortex/Essentials/REST/TempFiles/8 x 1.1 Landscape.pn... 1" r 2 of 2 9/30/2016 15:18 Town of Barnstable oF1HE r Regulatory Services Richard V. Scali,Director Building Division MUMSTABLE, BARNSTABI,E MRN MASS. M470'15I S 6i LL- fi5 5T 0 f 1639. .0 Thomas Perry, CBO 3639-2014 AIED�"p�p Building Commissioner 575 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 April 28, 2014 Ryan Johnson 22 Quisset Rd. Centerville, MA. 02632 RE: 22 Quisset Rd., Centerville, Map: 250 Parcel: 126 Dear Mr. Johnson, This letter is to inquire on the status of building permit application number 201302122 issued to create a bedroom at the above referenced property. The last building inspection was for insulation and took place on or about September 19, 2013 and a final electric inspection was conducted on or about December 18, 2013. A final building inspection is still needed. Please contact this office and arrange for a final building inspection or provide an explanation. Thank you for your anticipated cooperation in this matter. Respectfully, r L. Lauzon ocal Inspector jeffrey.lauzon@towii.bamstdble.ma.us (508) 862-4034 l lO� TOWN OF BAR NSTABLE BUILDING PERMIT APPLICATION Map Parcel 1 °Z� Application Health Division ' ' Date Issued 4 Conservation Division Application Few 7�Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board ylLy1l3 6r_ o� Historic - OKH _ Preservation/Hyannis Project Street Address � %i SfCv . Village Cem;krtri Owner t?" Jvhh fOA Address Telephone y g 1 ®_. Permit Request fi� ara ,�4 irc m .+k rwM. C✓G i'r+oc exlfi) i Cif en oJ ni-0 cr glq Square feet: 1 st floor: existing proposed 2nd floor: existing CO proposed Total new l Zoning District Flood Plain Groundwater Overlay' Project Valuation /S.Qao Construction TypeN Lot Size • VIE acre f Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) .Age of Existing Structure 5- Historic House: ❑Yes 'moo On Old King's Highway: ❑Yes C�lo Basement Type: 3/Full ❑ Crawl . ❑Walkout ❑ Other Basement Finished Area (sq.ft.) ' Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing ! new 0 Number of Bedrooms: existing new Total Room Count (not including baths): existing new S First Floor Room Count Heat Type and Fuel: LFGas ❑ Oil L (Electric' I-❑ Other w ZE Central Air: ❑Yes tiU No Fireplaces: Existing New Existing woo coal stogy: ❑ s &No Risting Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size Barn: _LlI ne vy.- size_ Attached garage: Coexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: con Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes dNo If yes, site plan review # (A N _ ___Current.Use _Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name n,6 Telephone Number J ` L, C4 o— Address r>F,4 License # C_eAr k /1 V 0))6 3 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# f- r DUE ISSUED r MAP/PARCEL NO. E ADDRESS VILLAGE v OWNER DATE OF INSPECTION: f __FOUNDATION FRAME CP—) 911-7 6 Q�rti � 11 } INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL F PLUMBING: ROUGH FINAL r. GAS: ROUGH FINAL r FINAL BUILDING CsT i. { DATE CLOSED OUT ASSOCIATION PLAN NO. SMOKE DETECTORS REVIEWED. /UVllL y13BLIN DEPT. DATE i FIRE DEPARTMENT' DATE ATURES ARE REQUIRED FOR PERMIrTING -4 ; y blkT' O O { � Frori� r _ ,• 0 x cxl Inll�,C� z r J * § `�. i M 1 W 1 z Tmw L4 1 I-y ° ° kJA OWL imP At s 1 �C {+pJ n prbpofe ` Co J ci v ope Ce i) —/V Dory) 4 i �'SHE,�Y,. Town of Barnstable Regulatory Services BMMSTABLE, : Thomas F.Geiler,Director _ .0�A Building Division TFD MA'I 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 �I Please Print DATE: / JOB LOCATION: QtlS fe l '\(�' h"�f ✓1'� number street village "HOMEOWNER": jLi.n t��f�1►1 (r� 1 S�,d �������� �C7� j� ! ��—S na a home phone# work phone# CURRENT MAILING ADDRESS:_ 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"certifies that he/she understands the Town of Barnstable Building Department inimumIM ction procedures and requirements and that he/she will comply with said procedures and requ' Sign &e Rf 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. Q:forms:homeexempt f � I I °FEE r Town of Barnstable Regulatory Services MASS. Thomas F.Geiler,Director 'ArE16 a.�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 Section P g If Using A Builder Y ,fojl , as O net of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this b g p t. (Address of Jo ) **Pool fences and alarms are th responsibility of the app 'cant. Pools are not to be filled or utilized be re fence is installed and all final inspections are performed and a cepted. Si tore of Owner Signature of Applicant PDn Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 6/2012 Commonwealth of Massachusetts ��� � Sheet�Metal Permit Map Parcel Date: ? S ao Permit# a18t/. SNUVE3 JCS NMI„ + Estimated Job Cost: $ S, p Permit Fee: $ Plans,Submitted: YES NO C1UZ S - f1 .PlansReviewed: YES NO Business License# - 11�1nse# �"tom Business Information: Property Ow r/Job Location Information: Name: Name: Street: 3 0 1�,2-��554 Vet/e Street: o��- �vU City/Town: City/Town: C Gl . MA Telephone: 5 4 " 3Lo • S9g6 Telephone: /,5 Do - 7 D 1 Photo I.D. required/Copy of Photo I.D. attached: YES NO Staff Initial J-1/M-1-unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family--)( 'Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept. Approval Institutional_ Other Square Footage: under 10,000 sq. ft.X_ over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney%Vents Air Balancing Provide detailed description of work to be done: }y 0z ;',� 0 NSURA.NCE COVERAGE: have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Ye9f No ❑ f you have'checked llg§, indicate the type of coverage by checking the appropriate box below: �- liability insurance policy Other type of indemnity ❑ Bond.❑., Cr +- } DWNLR'S INSURANCE WAIVER: 1 am aware that the licensee does not have the insurance coverage.required by Chapter 112 of the 0assach'usetts General Laws,and that my signature on this permit application waives this requirement Check One Only Owner Agent Signature of Owner or Owrier's Agent 3y checking this box[], I hereby,certify that all of the details and information I have submitted(or entered)regarding this application are true and iccurate to the best of my knowledge and1hat all sheet metal work and installations performed under the permit issued for this application will be n compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. . � { `• + � •lea Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection r Date Comments Type of License: y Master i 1 q a d Ile ❑ Master-Restricted ity/Town ❑Joumeyperson Signature of Licensee armit# ❑Joumeyperson-Restricted License Number. ydkO :e$ ❑ - Check at www.mass.govldpl soector Sionature of Permit A00roval Print http://us-mg5.mail.yahoo.com/neo/launch?.rand=egald8r8534p8#mail Subject: Re: Heating system replacement �/ Gt SSe' IGr�. From: Luke Cyr(lukecyr2l20@yahoo.com) To: johnsonr88@gmail.com; Date: Monday,June 3,2013 7:43 PM Hit Let me know if you have any questions, thanks. ' Lu ke r A&L A&L Heating Cooling & Home Improvements I would supply and install: Gas Fired Warm Air Heat Furnace Replacement: 1- Carrier 59SP5A080E17--16 with A/C coil installed located in the basement serving the first & second floor on two zones. Zone 1: First Floor Zone 2: Second floor 1- 24ABC636AO03 3 ton 16 SEER outdoor condenser.,Pad, drain, & line set included. nsulated galvanized duct system designed to maintain 70 degree temperature in zero degree weather with 15 mph winds and to maintain 15 degrees below outside air temperature in summer. * electrical work included. • Gas Piping included. Furnace Replacement/A/.C.add on & Duct to second floor Cost. Homeowner would receive $900.00 back in rebate., All heating and air rconditioning items to be installed in a neat, workmanlike manner and to be covered by the usual 1 year guarantee against defective 1 of 3 6/3/2013 743 PM TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map' Parcel TO�Ap icatrM Health Division R Is uedt Conservation Division Application Fe Planning Dept. _Permit Fee VT,, n ,{ Date Definitive Plan Approved by Planning Board I � _ Historic - OKH _ Preservation/ Hyannis 1��Ii3 Project Street Address olaZ Village Owner ,.2i49tl Lz�,4 d.1 Address Telephone j2 d"G Off Z Permit Request zd 4�� P' �'��%/v A� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation o2 Construction Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 14 Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes f d No On Old King's Highway: ❑Yes A No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including bath>): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ 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 4Z C© i�U�L���, i y�1 Telephone Number v''3Y Address Z .1��- �'�cc. 17162 License #�9 Home Improvement Contractor# Jj—_?,�T� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJEECCT�WILL BE TAKEN TO SIGNATURE DATE r C Y FOR OFFICIAL USE ONLY APPLICATION# b DATE ISSUED r MAP/PARCEL NO. S k 'F ADDRESS VILLAGE OWNER r j - f DATE OF INSPECTION: L� _FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: : ROUGH FINAL f FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. OWNER AUTHORIZATION FORM , (Owner's Name) owner of the property located at (Property((Address) (Property Address) hereby authorize O, C-0 lv2s J (Subcontra or) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. v Owner' S,(gnature V I b Date c T CAPE COD 2 7 INSULATION " i r � o REIN" I.—JMSS SeA-W MAYMAM SDSPYND6D YAKS JJRYYS LN4 t 119N ",LIN. 1-800-696:-6611 '-•own of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 r Date: -7111 /3 Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod . Insulation.did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building'Performance Institute (BP-I) inspector. All work preformed meets or exceeds Federal & State Requirements. Pro ert Owner Property Address Village /CY/��► J06i/1fM - Y,zX Qu/sseT 1&iv eoo4 0"Ile A Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes r Floors /4) ( ( ) r Walls — A Sincerely I rA( HJr, President Con, Inc. .. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma p-p Parcel. � �Application # Health Division Date Issued Z Conservation Division Application Fee Planning Dept. Permit Fee 3" Date Definitive PIan:Approved by Planning Board ©K Historic - OKH _ Preservation/Hyannis Project Street Address 2.2 y ( :�S-e-f /�O/Ad Village Ce'Y) kly V1 Owner No rYY7/.�t". P i-(,7Ama In Address I &JtkCCe Telephone of p , ;I rq • �& Permit Request - 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 1q,t3 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (s(` Number of Baths: Full: existing new Half: existing new-C) Number of Bedrooms: c9-, existing _new Total Room Count (not including baths): existing new First Floor Room Count " Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other F Central Air: ❑Yes ❑ 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 d" / Telephone Number 5i2E , )75-- // ZD Address 1 License # Home Improvement Contractor# 1 `737D Worker's Compensation # RX(M L61'o s P0I3 12- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE w FOR OFFICIAL USE ONLY APPLICATION# , 3 DATE ISSUED R MAP/PARCEL NO. t r ADDRESS VILLAGE OWNER DATE OF INSPECTION: ° FOUNDATION , F FRAME P INSULATION (L7tL f• FIREPLACE ELECTRICAL: ROUGH FINAL 7 PLUMBING: ROUGH FINAL. GAS: ROUGH FINAL FINAL BUILDING r6-j-6) D117 DATE CLOSED OUT �r ASSOCIATION PLAN NO. S Apr 19 12 01 : 48a Rafael Mori' 860-243-.1680 p. l ^ k a€ r. Town of Barnstable Regulatory Services ' Thomas F.Geller,Director ►`e 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 Section If Using A Builder live)(MFj ice'11 A ,as Owner of the subject property ' hereby authorize i�� .1% 1 i,� f r,,�-, '1 t'X' �. .U � �,.. 'rt'%. '�L- to act on uiy behalf e - in all matiers relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date 4,r AX01 /5 M 4717 Print Name r ' +w r y : a a Basement 4'8- 4' Craw 14'2" 18'2" 5'3" gL swi—v O 5'4' 5 Bulkhead .................................................................................. ............................................................................. Basement FISHMAN—N—REC 5/17/2012 Page: I Main Level 1 3'5" Y1 0 o K 10'4" 16'4" 10'4" —..—..-----1 }—4'3" 14. -rr 3" L•!`Gln9..ft�! 2'7" d N 9 E. ''T � g �., 1 AtaaaaRcmn� L-.. _ .E. M 1 'v 5. 14'4" �a11�S�4t!1 r 4' 12'6" ......._._....................._............................._ .......���....................._........_......................... ................... in Mtdtea v - OJ 16'8" • Main Leval FiSHMAN_N_REC 5/17/2012 Page: 2 Floor 2 ham, i h 1.4'4" P 13'8` 15'4" I i f 18'4` x 12'3 4.Lt1 I j dd 11'7*' 14' Slssst i�- f` 19, Floor 2 FiSHMAN_N_REC 5/17/2012 Page: 3 . n r q -h � o ( 0( 3 r Town of Barnstable Permit of Erpires 6.monthsfron)issu date ' T Regulatory Services Fee + EA INSTABLE. ' r MASS. g Thomas F. Geiler,Director 1639. Building Division Tom Perry,-CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.towh.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 '5 0. Property Address . J�Y t > /S 1F/7 ���✓ r �i� yl LLB ✓,�o f�. [q'Cesidential Value of Work Minimum fee of$25.00for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) X- - ESS PERMIT ❑Workman's Compensation Insurance APR 2 2120.10. Check one: ❑ I am a sole.proprietor TOWN OF BARNSTABL 01 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) [Re-roof(stripping old shingles) All construction debris will betaken to L't, ❑ 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. copy of the Home Improvement Contractors License& Construction Supervisors License is , required. SIGNATUR Q:\WPFILES\FORMS\building permit forms\EXPRESS.doC Revised 090809 Town of Barnstable Regulatory Services Thomas F. Geiler,Director BnxxsrABLE, irtass. 1639. ,�� Building Division pTE0 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 (� s Please Print DATE: JOB LocnTloN 42yl 5S � � / Y, �!/� 1;� street village ti y� � A I „HOMEOWNER": Afar b r✓a ��r� �V �✓ , naine home phone# " work phone 4CURRENT MAIL_ING ADDRESS: `T AEI/ CN ;g �AfG 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 Ofcial 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' ection procedures an e uirements and that -e/she will comply with said procedures and re e nts. 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: i '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 s when.the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as-it would with a licensed f 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 helshe 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. �IHE rod Town of Barnstable.. Regulatory Services BARNSTABLE, Thomas.F. Geiler,Director 16.39.prEa�y1. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable. a.us Office: 508-862-4038 Fax: 5087790-6230 Property er Must Complete and ign This Secti If Usi A Builder property as Owner of the subject I � ) P P hereby authorize lIWf F to act on my behalf, in all matters relative to work au orize this buildingppe -application for. ddress of Job) Signature of Owne' Da Hie" T C16 to i A) Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. a r ,t moo. TOWN OF BARNSTABLE 25415 . Permit No. ------=------------------- • Building Inspector K ` ","„T.n, Cash •- +eso OCCUPANCY PERMIT Bond Issued to S L S Trust Address Lot 39, 22 Quisset Road, Centerville' Wiring Inspector f Inspection date \ i Plumbing Inspector Inspection date Gas Inspector 4 f//} Inspection date X Engineering Department, ��� �� Inspection date Board of Health ' �l �j Inspection date7////,K3 y 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. n ; Building Inspector to m I Za, 7 7 Y;, s 6 aIL �- 2 4 u ni FDti.I . m S N 0 w � � 0 ``% N h !olop �jl' 3vj " � l t Gj, vo , - �ov�D4•TI t�ti.1 �r�Tl�I c.rs.Tl pti.! 1-0T FT K PA.0 On the basis of my knowledge, information and (eMTCt�VILL��$Alz�JhTAt3Ll:,MQ. belief, Z certify to rm�vn o / ten_ a AUG 1�0, I°) that as a result of a survey made on the around W M wA�� GK p►h50G. l t�.lG on o , T Find that s WY- CVI ►uo. PA I,.MOuT Id , MA The structures) are located on the site as shown./n Cos�lPliar►ca uJi�Li il6ic T wiJ zo^gj, /Sy-Low's The title lines and lines of occupation of the `011TS 4" site are as shown hereon. ����p� U^o�°-�� The site is situated in blood .Gone - �� Community Panel I�o.2 i oa lq Date: f3a ,1. Date: 3 3z v � 1 03 10 William K. Warwick t ILLS OywP Assessor's map and lot number . `�o ���/�............ . �Q . .Sewage P THE y ermit number .1.3 �.. }�lp' !�.....................t. d rO INirALLED Ind C0IAPLIANC Z � BASB9T1►DLE, i House number ............................. ....... .. ............................. ' o WITH TITLE 5 m a m� 9 r .%+ E Rl$o s"fl'�:�>E�NTAL CODE AIN o°�'�o waY°�e TOWN :OF BARN °' A]-�TO"'s BUILDING INSPECTOR r APPLICATION FOR PERMIT TO ....4!.�r .C. . . .��//..[.�� .� ......9t��( �l�4........................... TYPE OF CONSTRUCTION ..........(,Y /................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the fol!owing information: Location ................ (...`------T 67... . (,� /..�� ......4. -'1...!..(.�w/((/ ............................. ProposedUse ....... .... v . �- LPJ�/ ( .. Gj............................... ...................................I......................... Zoning District ........ ... .....- /........................................Fire District .... .. .......................................................... Name of Owner ....:�.. .............r.. ...............Address �.���� i�fl?..��.�yl >°. _ « Name of Builder ......: .............J...........Address ..........................:...................�..../................................ Name of Architect 7� � Address�1/ ... Number of Rooms ............, ................................ Foundation ... .1�: .� � /�G -eT ........ ........... oq— Exterior .,... .... N(�..". .........................................Roofing ......4 .. �................................................... �... Floors ....I ........................ ...................Interior ......5....e:G .t!.L&1- ............................... Heating .-- :(r --` ..............................................Plumbing 1-<2.. .................... Fireplace ..... .. ...............................................................Approximate Cost .......... .. 7®tq�.................................... Definitive Plan Approved by Planning Board --------------_----------------19________. Area ........ ,1 � L-�..1............-.. 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 regarding the above construction. Name ............................... .. . . ... .. :. ........... .. ` '� _25ul.5 Permit l� S ' � - -'-- .'.. -------..---- _._Si .I7anzilv..INy� .............. ' + Location --.2�—{2 U.i S.Qt..]�Qad ----_----..---------------. Owner t - '— --------------- Type of Construction .I7��g� ............................ . ' ---' ~ �—.. = � � . ............................................... .Plot .— ' ~—� Lot ..�.. ----. ----------' Au�oo� 11. ~ O3 PermitGranted _------ —�_._—lV . Dote of Inspection .......... � lA - uo/u Competed PERMI . REFUSED --..-----,.--------�--'n—. -lV . � ...............................................:...................... --- .�.~,~.'_,.—.--,—.--.----.--.----.. - � .---.—..----.------.-----.....--. . . . - ' .—.....~—..—...—~--...---.— ~ , Approved ................................................ lg -- --- ' —...l v ........