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Home My WebLink About0192 ZENO CROCKER ROAD �. ��, zed �'�C;��- 2 .. ... . .. ......... ... �� , �� (o of THE r Town of Barnstable" *Permit# Expires 6 months from issue date a Regulatory Services Fee Z BARNSTABLE, v� MASS.itigq. �� Thomas F. Geiler,Director � AlfO MA't A - Building Division - Tom Perry, CBO, Building Commissioner 200 Main.Street, Hyannis, MA 02601 www.town.barnstable.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 `-� f� ^ J Property Address —- ---- - -------- ---------= ---- EYResidential Value of Work y� Minimum fee of$35.00 for work under$6000:00 Owner's Name& Address t, 1\t Contractor's Name l;Ate_ �C�L i ;�. Telephone Number Home Improvement Contractor License#(if applicable) :y Constructiop'Supervisor's License#.(ifapplicable) [ 'o kman's Compensation Insurance :m �RS PERMIT . Check one: ❑ I am a sole proprietor C 2 _0jf3 ❑ I m the Homeowner [have Worker's Compensation Insurance ;-OW OF BARNS'ABLE 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 be taken to t. ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side a #of doors EU/Replacement Windows/doors/ iders. -Value e 3 O (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. A copy of the.Home I .p.ove ent Contractors icense& Construction Supervisors License is J require SIGN AT Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised-070110 ILI' �FFICE: (508) 997-1111 �•-`� :: MA. Builders,Lic. #021330 FAX: (508) 997-1297 Home Improvement TOLL FREE: 1-806-407-1111 CARE FREE Contractor's License = WEBSITE: ®�� IxiC; #100503 MA. www.carefreehomoscompany.com `239 HUTTLESTON AVE. (RT 6) • FAIRHAVEN, MA 0271.9 #15179 R.I. NAME !j DATE ADDRESS �7 r ZIP COD ADDRESS OF JOB + T L1p7 JOB DESCRIPTION 4 Of f ' ZZ all t Scheduled Start � (�� Scheduled Completion A. Replacement of missing or rotted lumber is not included unless specified. B.All start&completion dates are approximate and could change due to weather conditions. C. Stripping of roof includes removal of up to two(2) layers of shingles, each additional layer to be charged @ ft2. D. Replacement of rotted roof boards/plywood to be charged @ F a12 ftz. E. Exisiting chimnet flashings will be reused; replacement, if necessary, is not included. F. Care Free Homes, Inc. is not responsible for mold/mildew conditions that are pre-existing or result from leaks not brought to the attention of C.F.H., Inc: promptly. The Company hereby proposes to furnish labor and material to complete the above work for the amount herein. Fulfillment of this order is contingent, however, upon the want of strikes,fires, and any natural disasters,the ability to obtain materials, or any other conditions beyond the control of the Company. Cost of Project$ C1� PAYMENT TERMS s� Date 1. You,the Owner may cancel transaction at any time prior to midnight of the third business day after the date of this transaction. 2. You,the Owners agree to pay any and all expenses incurred by Care Free Homes, Inc. in collecting money due under this contract and enforcing the terms of this contract, including but not limited to, reasonable attorney's fees, interest and court costs. , DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SP&QES ' CARE FREE HO WiCCEPTEL - Buyer acknowledges Owner: By. receipt of fully completed copy of this Areement Owner. All contractors and subcontractors shall be registered by the director and any inquiries about a co ractor or subcontractor relating to a registration should be directed to: Director, Home Improvement Contractor Registration One Ashburton Place, Room 1301 Boston, MA 02108 Tel. (617)727-8598 I oFIKE T T Town of Barnstable *Permit#Q Jo 6 f Expires 6-months from issue date Regulatory .Services Fee _ sn MAS&Le, PRESS Thomas F.Geiler,Director MASS. v� i639• �� M Wilding Division plED MA'S A i NOV 2 Perry,CBO, Building Commissioner c�!-S/ov 200 Main Street,Hyannis,MA 02601 TOWN OF S RNSTAE3,�X.town.barnstable.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 l —?Q Z�o Q C1 Prope Address ��o� zero �r�C%kL e P -Residential Value of Work '7�0 • D O Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address t2e ze-op Contractor's Name f )1(' Telephone Number__�_S-a ' 13�� y Home Improvement Contractor License#(if applicable)_ ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner t , I have Worker's Compensation Insurance Insurance Company Name 1F�t1 K11.�.� L'; �l L r u..� Ulit o!`4? Workman's Comp. Policy# -i ------ ) 31(, Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) VRe-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.44) *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 Cont1factors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revise020108 *f . s► Tati Town of Barnstable Regulatory Services. • s�xxsres[.e. MASS. Thomas F.Geiler,Director i63q. '�Eo►;°` 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 I, t,, as Owner of the subject property hereby authorize &-27—dAU 6' 0 G7� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) ture of Owner Date f Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. QTORMS:O WNERPERM ISSION �oFzKKE r�� Town of Barnstable o„ Regulatory Services �R,,STABLF- : Thomas F.Geiler,Director MASS 039. �0� Building Division PTfD a Tom Perry,Building Commissioner _.----._200 Main Street,_Hy_annis,,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTIO Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name 71- phone# work phone# CURRENT MAILING ADDRESS: cityhown state zip code The current exemption for"homeowners" a tended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an indivi al for ' e who does not possess a license,provided that the owner acts as supervisor. DEFINTTIO OF E014EOWNER Person(s)who owns a parcel of land n which he/she re 'des or'intends to reside,on which there is,or is intended to be,a one or two-family dwelling, ched or detached s tares accessory to such use and/or farm structures. A person who constructs more than ne home in a two-year pe ' d shall not be considered a homeowner. Such "homeowner"shall submit to th Building Official on a form a eptable to the Building Official,that he/she shall be responsible for all such work rformed under the buildin a (Section 109.1.1) The undersigned"homeo r"assumes responsibility for complianc with the State Building Code and other applicable codes, bylaws, es and regulations. The undersigned"homeo er"certifies that_he/she understands the Town Barnstable Building Department.. m;n;rnum inspection pro dares and requirements and that he/she will comp] 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 perfomring 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 persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assurring 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:forrns:homeexempt IF_ - I TOWN OF BARNSTABLE Permit No. '"1_24 4 " Building Inspector cash _ OCCUPANCY PERMIT Bond ____= Issued to S L S Trust Address Lot #226, 192 teno Crocker Road, Centerv-'' ' ? Wiring Inspector Inspection date Plumbing Inspector 1 1414 y,,� Inspection date Gas Inspector � � + Inspection date Engineering Department Inspection date Board of Health �(e,,uv- Inspection date 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. .........�..�/. :... ��.........., 19 y ...«.... :.............r� ' (.::r...................... Building Inspector ....._......................_.. ........_........ ____ -.- I I f 1 rJp, Op ' I I 4 M I � r -a I f t � - f � p �Ah • �r b►..� , 0 ; s I I _ I �11 i �l f Q I Si Y`I I i !` I L O-T- 77 V Z& 1 t I ( oa, ate' j OF P�q�s9 , 1 ''C7� o WILLIAM. M ` � WARWICK No. 19771 Aa`` s On of my. knowledge, information and belief, I certify to The Town of Barnstable, dV N I7 TI p rJ �T I # !C✓�T r-1 The Boston--Five Cents Savings Bank and Ticor Title Insurance, Co. that as a _r_esult of a ZF-C' -e4�--�Ja . purvey made on the ground on G zo , I find G 0 t j r�F?.v i fr L r-- ', A^n y that: '�GAl,P- '1°=ZD' t2A-re s lm/z I %$4i The structure (s) are located on the site as shown. The title lines and lines of occupation of the wAA, M• V JA ;z0 t site are as shown hereon. . . . . . . . x, dpv 0 0, F A 1..M00-V H� , MA The site is situated in Flood .Zone Lz- r G Community_-P-anel.Ito. Date: Date: G zi RS_ zz William M. 14arwick,RLS tAr Assessors map-and lot number ,.... .. ... ...............,f.. SEPTIC . ..... ' `� SYSTEM Sewage' ............................. pf THE TO hermit number ��.... INSTALLED INCOl�rP; IAN ; +► WITH TITLE 6 2 BASH9TADLB, House number .. ...I. ............................................. . r MABa ENVIRONMENTAL CODE At TOW Fd Per TIONS TOWN . OF BARNSTIBLE BUILD MG INSPECTOR APPLICATION FOR PERMIT TO ... ........... . .... .... .....1. r�.l e...................... TYPE OF CONSTRUCTION .......................... ......... .F.Y.1.1................................................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......... ProposedUse .... ........L � /�� ...... . .................................................................................................................... Zoning District ...............................Fire District ............. - �.......................................... Name of Owner .. V..*.j........................Address ,/�.4•...Ll.`.•/•.••% .y' ..... ... .��,�'��5 Name of Builder ...... ........ . ...........Address ..................................... .............................. ..................... Name of Architect / �1.'`.:1..1. %.. r�./ -*.....Address v Number of Rooms �;?...............................................Foundation .... .. Exterior ................��.J/.. ��b .7...................................Roofing ............. . /.. ............................. Floors.�j.............................................................Interior ........... .. .t-�e. � `1.U..... .................. Heating .......Plumbing ..... Fireplace ....... . ..........:.......................................Approximate. Cost . ... . f... ........ . �� . .......... Definitive Plan Approved by Planning Board G�___A ��______________19 �__. Area ......... �r`6..� .............. Diagram of Lot and Building with Dimensions Fee ^ SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regard' g the above construction. i Name ... ..........................................``........... Construction Supervisor's License ....... 1.�.(... ' � ^ ' 28124 l 1/2 story � No -+—.--.. Permit -- ............................ for . . ' single family dwelling ' � --''�.---------------------. . I92 %e�o Czoc�er Doud ~~ ' Location ----------------.----.. ^ �^ Centerville ---..----------.------------. — - ' S L S Trust ~~ [�vher —. ' �-------.-----..------.. frame Type of Construction -------------- ` n ~ ---�----------------------- ' #22� ' P|�� ---------� Lot ----------' . ` � ` . . ' ' Permit Granted ----^Jwl-.Y'I----]V 85 _ Date of-inspection ------------lV ' � ��~ . . ~..~ Completed ^. . � - . . ' . ~ ^ ~ ~ ' . . ^ ' - -~ � . ~ ' . ' - ' -