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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION.
Map Parcel 0 L4 Permit#
Heealth Division s4, � , y�17laUD1 Date Issued rO�'�
i i /1 6 ! w
Conservation�Division � / Fee � ��
o it
Gl°l.�'�G
Tax C"ollector �l �'7
�C)B SEPTIC GYSTEh El"J A ,n
easurer�l` r INSTALLED IN CMPLI'AN
`�
qlanni g t. WITH TITLE 5
ENVIRONMENTAL CODE AND
Date Definitive Plan Approved by Planning Board TOWN REGULATIONS
Historic-OKH Preservation/Hyannis
Project Street Address 1 k6 1._)h: C>lc. -7
Village Le
Owner Address o.cl c� Lh l,� �on•.s �
Telephone - L a&-
Permit Request 6e_C_Y_
Square feet: 1st floor: existing*' proposed 2nd floor: existing proposed Total new a14 05q--�
Valuation Zoning District Flood Plain Groundwater Overlay
Construction Type k,O
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family a-' Two Family ❑ Multi-Family(#units)
Age of Existing Structure 15 � Historic House: Cl Yes *No On Old King's Highway: ❑Yes �&No
Basement Type: $4 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 3 new
Total Room Count(not including baths): existing new First Floor Room Count.
- Y
Heat Type and Fuel: 06as ❑Oil ❑ Electric ❑Other
Central Air: ❑Yes LV o Fireplaces: Existing New Existing wood/coal stove: ❑Yes O N
ic Detached garage:4/isting ❑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
BUILDER INFORMATION
c:�Nam0, Telephone Number
Address License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
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{ FOR OFFICIAL USE ONLY `
PERMIT NO. '
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER'. ..
DATE OF INSPECTION: `
FOUNDATION-
FRAME
3
INSULATION
FIREPLACE
r ELECTRICAL: ROUGH FINAL
a -
PLUMBING: ROUGH FINAL ,
S GAS: ROUGH. • FINAL ,
} FINAL BUILDING
{
DATE CLOSED OUT
,
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ASSOCIATION PLAN NO.
'00 12/27 10:49 #0781 826 4823 COLONIAL SURVEY 444 BtTMTT 002/002
1
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Amin: Carrewo QhvestwrtS c.tG 10 m of.property: Gen I&P vi 1�
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he cAv t&,* u tW 1'i'�Ot Vcw M' SwtfoY1.wxs-pmptli'+6C 40r v GROVER
✓I/c0�� " "orey , LGP �► No 31311 0
She awcum shown.h�¢ wm proes not-ail itt d Spa CiL food• Po �+a
cmeoc with.ari.of F'ec�cve ante o� s-i�-eland.�dt¢locafi�'on� aF'
the dwelling of ocs Gar ortn rto the Ipc ut caning 6y Uo sS
at*tune oFconnruaioa wift mpect-tD horizontal di to Scale: V
setbackrtguranatts or 1s ewnwr fnom ViOlab.on ert>f ot�eet�rt,eMeDate_ 12
=twty unAer MASS. GaumL laws Chtxpter-40A-SmftL rV 7. File No._6tY 7-AL4a
PLEASE NOTE! The structures as shown on this plot plan arc approximate curly. An actual survey is necessary for, a precise
determination of the building location and encroachments, if any exist, either way across property lines. This plant must not be
used for recording purposes or for use in preparing deed descriptions and must not he used for variance or building plan
purposes. This plan,must not he used to locate property fines. Verification of building locations. property line dimensions. ,fences
or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information thari what
Is shown he.TCon. Please note that this is "NOT A BOUNDARY SURVEY- and is "FOR MORTGAGE PURPOSES ONLY'.
COLONIAL LAND SURVEYING COMPANY, INC.
$ 20 Hanover Street Hanover,Mass. 02339 - Phone: 781-826-7186 Fax: 791$26AS23
3
t�►sivszw8t.�
• e -tovm
9� ��� Regulatory Services
& t,9. ° Thomas F. Geller, Director
Building Division
Elbert Ulshoeffer, Building Commissioner
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION p
Please Print
DATE:
JOB LOCATION: I(O If e—
number street— village
..HOMEOWNER": C,
name home phone# work phone#
• CURRENT MAILING ADDRESS:
f
city/town stare 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 minimum inspection procedures and requirements and that he/she will comply with said
procedures and requirements. /
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.
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 cue,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:EXEMPTN
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
A-
DATA
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TOWN OF BARNSTABLE
I EAHBST ME, i
"639.
o w BUILDING INSPECTOR
pv a
APPLICATION FOR PERMIT TO .... � C� ....../..:�1 `.5... ..../4-&/XO/i�... ..............
TYPEOF CONSTRUCTION ....... ........................................................................................................
...../...... ......./ .......19.... ?i
TO THE INSPECTOR OF BUILDINGS:
The undersigned herebbyy�applies for a permit according to the folio wi information: / r
Location ..../((.........5 (/f....................................../ / ................................................./. J/ ..................
ProposedUse ..... �� /................. ........ .....................................................................................................................
ZoningDistrict ........................................................................Fire District ...............................................................
Name of Owner �'r� �� ....CX/�r(f-7X.....Address . �.. ��.. ....................
Name of Builder /../G / �a/G Address ...z1 /. .....
.............. .. ..... ................ . .. .... ....... ......
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ........ �'6 .Foundation
Exierior .......4� / .. r1%c.................................Roofing ......... ..........................................................................
Floors ...�/'C.�..�,�7�',,%C/rKhterior .... `Z'....... !✓ ....................................................
`,.
HeatingfT� >... .................................................. ..... ................................................... . .................
Fireplace ..................................................................................Approximate Cost ............./.��.. ................................
Definitive Plan Approved by Planning Board ---------------____-----------19________.
O� 7
Diagram of Lot and Building with Dimensions
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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I hereby agree to conform to all the Rules and Regulations of the nZofBarnstable regarding the abo
construction.
Name .l �..:...�. ..................
Cliggott
, Edward
No ' ._ Permitfor .......add
..to....____family dwelling
. , .
--...................................._---.----.---..
16 White Oak Trail
Location, _ --..~-----------------..
Centerville
----------------------.----
Owner .........Ed»waod.CIiggott________
_-
Type of Construction frame �
..........................................
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� Plot ---------' Lot ----------''
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Permit Granted --��� �° — 73 `//�'z�^ ��
Date of Inspection .-...........--.-'---.]
Dote Completed 19
PERMIT REFUSED .
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-----'------_--.-----.—.. 19
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