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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
ly q � T®���v tl�
Map Parcel Permit# �
Health Division -�V-20 � *- �� 8' Date Issued t ' -2- Q 2—
Conservation Division 2 Fee LlDI
Tax Collector�,s--o>=o �/</,� IWCOMPL@A�-` .- D`----"
Treasurer S(? = ti a f�Z`� WITH TITLE 5 �.
ENVIRONMENTAL CODE
Planning Dept. TOWN REGULAT.MINS
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address f'1 ��� � oa , 1 y u t
Village Cey)ItN
Owner Cawl 60tloihf, Ie3b " Address 6yht,
Telephone W 71- q3 8/
Permit Request VMIA Act 0( (� is i-1 n baberw -- - >r PqM1A rbo tom.
Square feet: 1st floor: existing proposed 0 2nd floor: existing 3w proposed Total new
Valuation 3
' y 5G Zoning District Flood Plain Groundwater Overlay
Construction Type 1
Lot Size e 5o A-C Grandfathered: ❑Yes Cl No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure 6 \1 0 Historic House: ❑Yes o On Old King's Highway: ❑Yes ❑ No
Basement Type: 12 Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.)l Qtif0,0 20 5f1 C�- Basement Unfinished Area(sq.ft) ��� G Eo)(
Number of Baths: Full: existing _�new _ Half: existing new_(
Number of Bedrooms: existing_ new 0
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑V_ N
s 6d Oil ❑ Electric ❑Other
Central Air: ❑Yes o Fireplaces: Existing New Existing wood/coal stove: ❑Yes I/N p 9 g o
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 Appeal7NO
thorization ❑ Appeal# Recorded❑
Commercial ❑Yes If yes, site plan review#
Current Use �e5�IVA-C-A Proposed Use '54 m o
AlBUILDER INFORMATION ,,gy�pp
Name 9�;qr) 0 k.-� Telephone Number J5-06 — 7yo ��� 711
Address C l L�� t 4 �� �G License# G5 07 b l
` 6
- yi'1`e. 1 �Zb 3� Home Improvement Contractor# 131 q 2 7
Worker's Compensation# o `o 1>, cw5� rJ
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO
SIGNATURE t DATE
FOR OFFICIAL USE ONLY
PERMIT NO. '
s
DATE ISSUED --
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER,
DATE OF INSPECTION:
FOUNDATION
i
FRAME
INSULATION 4
FIREPLACE • -
ELECTRICAL: ROUGH FINAL
3
z PLUMBING: ROUGH FINAL ,
GAS: ROUGH FINAL
=I �
FINAL BUILDING
DATE CLOSED OUT
5 ASSOCIATION PLAN NO. '
'r
f
RESIDENTIAL BUILDING PERNIIT FEES ..
APPLICATION FEE
New Buildings,Additions $50.00
Alterations/Renovations $25.00
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
square feet x$96/sq.foot= x.0031=
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
f � l^
U s feet x$64/sq.foot= 0 S" x.0031=
plus from below(if applicable)
ACCESSORY STRUCTURE>120 sq.
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>150 sf- 1000 sf 75.00
>1000 sf-1500 sf 100.00
>1500 sf-Same as new building permit:
square feet x$96/sq.foot= x.0031=
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck x$30.00=
(number)
Fireplace/Chimney x$25.00=
(number)
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable)
Permit Fee
ptojcost
'Eng4neering Dept. (3rd floor) Map Parcel 9? OA- rmit# f
� House# ��� Date Issue 1`1
Board of Health(3rd floor)(8:15}-9:30/1:00-4:30) ' Fee
Conservation Office(4th floor)(8:30- 9:30/1:00 2:00)
SEPTIC SYSTE .
X. m ALLED IN C
19 �
Et3YCRONAIE6VTA(. .
aid a
TOWN OF BARNSTAIMINN REGU�A
/ //--Building Permit pplication
Project Street Address
Village
Owner ( ,G4 ® � /l e . LSo/1Gt/rll 141eSJ%+Address // /& /`)ke.
Telephone
Permit Request �GO
First Floor �� square feet Second Floor Lo® square feet
Construction Type
Estimated Project Cost $ e4 a el$&�
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family a/ Two Family ❑ Multi-Family(#units)
Age of Existing Structure D d Historic House ❑Yes & o On Old King's Highway ❑Yes 31<o
Basement Type: ull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing New Half: Existing A a New
No. of Bedrooms: Existing :Z- New d
Total Room Count(not including baths): Existing New First Floor Room Count
Heat Type and Fuel: ❑Gas �il ❑Electric ❑Other
Central Air ❑Yes 4<0 Fireplaces: Existing New Existing wood/coal stove ❑Yes Q,pdo
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
.❑Attached(size) ❑Barn(size)
done ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes W110 If yes, site plan review#
Current Use Proposed Use
Builder Information
Name 0 c.e�,� Telephone Number
Address License#
Home Improvement Contractor#
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
a
SIGNATUR DATE /�G
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
1 I� —
PERMIT NO.
DATE ISSUED i
v
MAP/PARCELING
ADDRESS VILLAGE '
OWNER
DATE OF INSPVION: 1
FOUNDATION =
FRAME,
INSULATION
FIREPLACE
ELECTRICAL:, .;,3 ROUGH FINAL
PLUMBING: ROHGH FINAL
GAS: �.1- {X_ �~'� OU,GH FINAL
FINAL BUILDXNGr.
DATE CLOSED OUT N:
ASSOCIATION PLAN NO.
e
• TOWN OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please print.
DATE
JOB. LOCATION
Number Street address Section of town
"HOMEOWNER" .0'a ro l `- less /t �
Name
/,'�/� / Home phone Work phone -
PRESENT MAILING ADDRESS !/" ��r ]�_7
2-
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 such homeowners to engage an in-
dividual -for hire who does not possess a license, provided that the owner
acts as supervisor.
DEFINITION OF HOMEOWNER:
Person(sj who owns a parcel of land on which he/she resides or intends to re-
side, on which there is, or is intended to be, a one to six 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 Officia= l'
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 Stat
Building Code and other applicable codes, by-laws, rules and regulations.
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 requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFI
Note: Three family dwellings 35, 000 cubic feet, or larger, will be required
to comply with State Building Code Section 127. 0, Construction Control.
HOME OWNER'S EXEMPTION
The code state that: "Any Home Owner performing work for which",-& `building
permit is required shall be exempt from the provisions of this section
(Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if
Home Owner engages a person(s) for hire to do such work, that such Home Ownei
shall act as supervisor. "
Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor , (see. Appendix Q, Rules and Regulations
for licensing Construction Supervisors, Section 2. 15) . This lack of awarene;
often results in serious problems, particularly when the Home Owner hires
unlicensed persons. In this case our Board cannot proceed against the
inlicensed person as it would with licensed Supervisor. The Home "dwner- actin
as supervisor is ultimately responsible.
To ensure that the Home •Owner is fully aware of his/her responsibilities, mar_
communities require, as part of the permit application, that the Home Owner
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 to amend and .adopt such a form/certification for use in your community.
LO•.CATION ���
SEWAGE PERM.I.-T . NO.
VILLAGE
INSTALLER'S NAME & ADDRESS
l/�7►aR/dJo �SdPb�t
BUILDER OR , OWNER
DATE PERMIT ISSUED
DATE CQ'MPLIANCE ISSUED
F _ .. ..._. -------------
me SCoo11c 'r'ANK
LeAcN /0/T
O t o Ste".49.a ,�d.
Assessor's map and lot:. number ........ ...............................
` SEPTIC SYSTEM MUST BE
�.a INSTALLED IN COMPLIANCE
'A Sewage Permit number ,. a�� i WITH ARTICLE II STATE
SANITARY CO
AND TOWN
o�THEro {, TOWN OF BARNSA''-B�
8JHH3TADLE, � _
BUILDING INSPECTOR
O� i63q,
APPLICATION FOR PERMIT TO L
V..... ........ .................................................................................
TYPE OF CONSTRUCTION
! ................... ..................... . ....... .....................................
............... (.......................19.�
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereb?applies for a permit according to the following information:
c� •
Location ..................... ...............
ProposedUse .......... 4-�r�...!!.`.......... .........................................................................................................................
Zoning District ...........Fire District
Name of Owner ..........4.v .&/..........1../�.t/.).......Address .....� �..........CT........G.���
Name of Builder ...... ....... `..... ..........Address 6.c"�.t-5.! �` .4.-�.
.........� `........
Nameof Architect ...................... .....................Address ....................................................................................
Number of Rooms ................... ..............................:............Fouridation ..............[.C........
..... ......v��'�!�..`..vX........
Exierior ............... ................ ...........:................................Roofing .......... .. .. / -�1..........................................
Floors E � 1^� f!'"r� ............:..................Interior .............. .2 ... \
..... .�1... . .....................................
Heating6 ........4�. ...................Plumbing .................l....14. .......... .....................
Fireplace .............t.......:"�.X-J..`..�.:�.L.............................Approximate Cost ............... 1• � !1
Definitive Plan Approved by Planning Board ________________________________19________. Area ...?.c
Diagram of Lot and Building with Dimensions Fee ..............v!.........................
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 .. ..... ...... ..............................
Mills, Robert
-
18705 ' one story, .
No « . Parm� fo,.
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Centerville
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' Robert Mills
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frame
Type of Construction .......................................... ^ ' /
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