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0109 ZENO CROCKER ROAD
n k ¢ . . .. .. F III) a .. .. ;�. ?l °FTHE Tpk, Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee * aARNSPABLE, A`0� Richard V.Scali,Director 1 If-PRESS 39. Building Division PERMIT Tom Perry,CBO,Building Commissioner DEC 18 2014 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us OW N OF SA RNST � Office: 508-862-4038 Fax: 508- 30 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �� ���Map/parcel Number p Not Valid without Red X--Press Imprint 1 Property Address,,Oct 0 Residential Value of Work$ s1607 0 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address S- 0A_Sz C Contractor's Name Telephone Number 60K 50!1. Home Improvement Contractor License#(if applicable) Email: 14LLJJ \k� CAjo qJS Construction Supervisor's License#(if applicable) Q U61 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name U 0, ,( Workman's Comp.Policy# b$Q y � Copy of Insurance Compliance Certificate must accompany% each permit. Permit Req (check box) Rte-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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&Construction Supervisors License is required. SIGNATURE: J" !:z, -I \,Cal QAWPFILESTORMS\building permit forms EXPRESS.doC Revised'061313 * ELAJIMA13M ,e$ E .Town of Barnstable Regulatory Services Richard Scali,Director Building Division Thomas Perry,CBO 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 k as-Owner of the subject property hereby authorize�c.ty V _` to act on rap behalf, in all matters relative to work authorized by this building peinait application for: 101 2t-t4o CAoC uDe- p-p Ci3- j le -QlW (Address of Job) Signature of Owner Date L Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPHLESTOR Wbuilding permit formslsmokecarbondetectors.doc Revised 050412 '1,own of Barnstable Regulatory Services C. Richard V.Scali, Director Building Division sAxxsresra. Tom Perry,Building Commissioner MASS. 1639. .200 Main Street, Hyannis,MA 02601 A www.town.barnstable.ma.us Office: 508-86 -4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: ity/town state zip code The current exemption for"homeo ers"was extended to inclu a owner-occupied dwellings of six units or less and to allow homeowners to engage an in 'vidual far hire who doe not possess a license,provided that the owner acts as supervisor. DEFINITION OF OMEOWNER Person(s)who owns a parcel of land on wh' h he/she resid s or intends to reside;on which there is,or is intended to be,a one or two-family dwelling, attached o etached s ctures accessory to such use and/or farm structures. A person who constructs more than one home in two-ye period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Offici on form acceptable to the Building Official;that he/she shall be responsible for all such work performed under the din ermit. (Section 109.1.1) The undersigned"homeowner"assumes responsi ili\thathe/s liance,with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that a/she uthe Town of Barnstable Building Department minimum inspection procedures and requ' in an will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family ellings containing 35,000 cubic feet or larger. be required to comply with the State Building Code Sectio 27.0 Construction Control. HOMEOWNER'S EXEMPTION The Code state that: "Any homeowner performing work for which a bu' ding permit is required shall be exempt from a provisions of this section(Section 109.1.1-Licensing of co truction Supervisors); provided that if the omeowner engages a person(s)for hire to do such work,that sue Homeowner shall act as supervisor." Many omeowners who use this exemption are unaware that they are assuming th responsibilities of a supervisor ee Appendix Q,Rules&Regulations for Licensing Construction Supervisors, ' ction 2.15) This lack o awareness often results in serious problems,particularly when the homeowner hir unlicensed persons. this case,our Board cannot proceed against the unlicensed person as it would with a 'ceased. Superv' or. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities re uire, as part of the permit application,that the homeowner certify that he/she understands the responsibilitie of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amen and adopt such a form/certification for use in your community. r. •TM� TOWN OF BARNSTABLE Permit No. __27886 Building Inspector t s,orrn i Cash --___-- ' eta OCCUPANCY PERMIT Bona Issued to S L S Trust Address A* Lot 624, 109 Zeno Crocker Road, Centerville Wiring Inspector j j �. � _ Inspection date `G Plumbing Inspector .ti. 1� v Inspection date Gas Inspector d h�c� �`rR , ' � A /; Inspection date Engineering Department " C df f r Inspection date 7—ZJ -a _ Board of Health � ���An Inspection date 56w ks iva � r � 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. Building Inspector Y ti jo LOT GZS - - o • :LOT�23. 43 3Z.3 N EX/.5T. FouND. .N 0 4�' LO T �24 w W /50.00 iP= ¢36.87' Ag O F y 4SS9�y v WILLIAM 0- WAR 910Ao s GrSTER�`�O`�a� • L LA��S on the;:basis. "of my-knowledge, information and belief, I'certify to The Town of Barnstable, The Boston live Cents Savings Bank and Ticor Title Insurance, Co. that as a.,r-esult. of a %OUNDAT lON CENT/FICAT/ON. survey -made on the ground on 4/�io ' , I find . ' that: _ The :structure (s) are located on the site as ; zOT 624.. ZENO CRoCKER shown. i The title lines and lines of occupation of the site are-as shown hereon. ENTL�,rC'V/LL.F� �i�1s.S The site is situated .in Sloo-d .Zone �r1_� LieCommuni _1axLel.�Io. Date: i A.V 2, I oJBS SGALF = 2d Date: ri �i . William M. Warwick,RLS ; L_. 1..�. Asse`ssor's map and lot. number. ........ ............... ....... ,. �'�� ,-�c F?MET �o o� Sewage Permit number ................C�. ...... . .y.'. �j� ® ' `BARNSTULE, i House number ../.... . g CN I� vo a .. . ........... ./................................. G TITLE 39. OWN OF BARNSTABLE '° '{ BUILDI G INSPECTOR APPLICATION FOR PERMIT TO cam"" +?a.a-A I. . I.r/. ................................................. TYPE OF CONSTRUCTION ...LV1/. RA)....... f....19.E�� :.................................................................. ............... .1��..................19.S.5 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followi i rmation: Location ... ... ... .................... ........L. ?. .........�6........................ ................................................0 rl.. ............... ProposedUse .... �-�/� ....................................................................................... ................................... ..................................Fire District Zoning District .......... ..... ..(,,....-:::...., ..................... ..... .. .................. Name of Owner � r� ................:.............Address � �. ... 1... ....1iY1"��N�s Name of Builder) �lpws 1C � � •c 1 � _........................................Address .... ............................................. .........f..... Name of Architect . .. . .. ems....U�4*/ress (� ...TT!!. �`.......... 1...... Number of Rooms .................: .........................................Foundation (Z.00.cu-,�................ rExterior ...... ..............................:..............Roofing ..... -..,................................................... Floors , . .........................................Interior ......� r'� .. .: ................................. .!S. ..... g'—'Fieatin� ............ .. ........................ .........................Plumbin ... �..Cannz Fireplace .........yz,7.5..........................................................Approximate Cost It.b...puD // d / Definitive Plan Approved by .Planning Board 1!____ ______________19� _ Area ......./.Q.��..s�.....�..... d Diagram of Lot and Building with Dimensions Fee ............. ......................... SUBJECT TO APPROVAL OF BOARD OF HEALTHor� J �L OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . .................................... + Construction Supervisor's License ....................................�© �1 �l L S TRUST No 27886.. Permit for ...S.t Q..r y.......... .. .......... Single Family...L?We.j) jug........... .................................. Location ......Lot...6.2.4......1.0,9...Ze-na...Cr-ocker Rd. ' Centervil.l.e............................. .......................................... e-1-I Owner ...........S..L...5......rX,,,,,.t........................ Type of Construction .....Fr.aMe........................ ..........I........................... ......................................... Plot ............................ Lot ................................ M y 16 Permit jGranted ........:�...........f..................1,9 85 Date of Inspection ....................................19 Date Completed ........19