Loading...
HomeMy WebLinkAbout0051 JACKSON AVENUE 4 0 o� r Town'of Barnstable Expires 6 mont rs fron 's ate Regulatory Services Fee • eaittvsrnsr�, 1 163 Thomas F.Geiler,Director Q�f q11 J1 0 • Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.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 �! L Property Address �� G!C Soh In 1-{ '[�/�/ %P gResidential Value of Work �9 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name h �� 1 / /� �CY Telephone Number ��� ` yo� 4_?,7 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance -PRE S PERMIT: Check one: I am a sole proprietor MAR 2 10 I am the Homeowner. ❑ I have Worker's Compensation Insurance TOWN OF BARNSTA13L Insurance Company Name Workman's Comp.Policy# r V 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 ❑Re-roof(not stripping. Going over existing layers of roof) �( Re-side { #of doors 1� 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. A copy of the Home Improvement Contractors License&Construction Supervisors License is. required. SIGNATURE 7 C:\Users\decollik\AppData\Local\Miemsoft\Windows\Temporary Internet Files\ContentOutlook\4STGU5QO\EXPRESS.doc Revised 090809 r - i'f- .. f * HARNSTABIE, � .1 639. Town of Barnstable �� Regulatory Services Thomas F.Geiler,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 as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) 3 3llO i ature of Owner Date 3'eQni 11 Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Usm\decollik\AppData\LocaAMicrosoft\Windows\Temporary Internet Files\ContentOutlook\4STGU5QO\EXPRESS.doc Revised 090809 L.� t. • :��-CID .��;L� oFTKET 'Town of Barnstable *Permit# Expires 6 months from issue date anRN5rA6[.E, • Regulatory Services Fee 06 ,erg Thomas F. Geiler, Director ` \ 'ATFor�p�a Building Division Tom Perry, CBO, Building Commissioner /jam 200 Main Street, Hyannis, MA 02601 www.town.barnstab l e.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 , Property Address LZ e cl�,P7-jlef' V` V1 e 114,4 0, 2� Residential Value of Work 6-1C,p Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name �� rv��1, C ©V�'` Telephone Number L�,.Q �G Home Improvement Contractor License #(if applicable) Construction Supervisor's License# (if applicable) �tr� ❑Workman's Compensation Insurance MIT Che one: W PRESS PE [ am a sole proprietor ❑ I am the Homeowner ,)UL 2009 ❑ I have Worker's Compensation Insurance TOWN OF BARNSTAWL , Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-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. U-Value yo (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, Home Improvement Contractors License& Construct Supervisors License is required. SIGNATURE: Q:\W PFILES\FORMS\Express\EXPRESSPERMIT.DOC Revise06O4O9 STD Town of Barnstable Regulatory Services 9 HARNSTAULF- ; Thomas F. Geiler,Director 16 gL aim Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section if Using A Builder TQ,i� S . •~ , as Owner of the subject property hereby authorize k d to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of,fob) _ T n 9 Sip V tune of Owner a 1 Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. �s r ` a r Town of Barnstable 'THE Regulatory Services t ^Thomas F. Geiler,Director saatvs-usr.e, = z, Mwss � Building Division sa Tom Perry,Building Commissioner -200 Maiii Street Hyannis;MA 0260 _.. www.town.barnstable tna.us cc: 50 8-862-403 8 Fax: 509-790-6230 C ffi ; i HOMEOWNER LICENSE EKE TION Please Print DATE: ' JOB LOCATION: number street village "HOMEOWNER': name home ph c# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire w)o oes not possess a license,provided that the owner acts as supervisor. DEFINITION)of H OWNER Person(s)who owns a parcel of land on which he/she resides or tends to reside, on which there is, or is intended to- be, a one or two-family dwelling, attached or detached,siructures a cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period sha not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptab to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Sec 'on 109.L 1) The undersigned"homeowner"assumes responsibility for compliance with e State Building Code and other applicable codes, bylaws,rules and regulations. 1% The undersigned."homeowner;"certifies that.he/she understands the Tpwn of B table•Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. { Signatirrc of Homeowner i i i Approval of Building Official Note: Three-family dwellings containg 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 ConstructionjControl. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner perfornring work for which a building permit is required shall be exempt from the provisions meo of this section(Section 1 o9.1.1 -Licensing of construction Supervisors);provided that if the homeowner.engages a persons)for hire to do such work,that such Homeowner shall ad 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 awarcncss often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proccod 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 conununitics require,as part of the permit application, that the homeowner certify that hdshe understands the msporrsibiliti.es of a Sup.ervisor. On the last page of this issue is a form currently used by several towns. You may caret amend and adopt such a fonri/certification.for use in your cormnunity. .a OFTIiP Town of Barnstable *Permit# gS E.rpites 6 nront6s jrom issue dale y3 Regulatory Services Fee CE SARNSTAB 6& g Thomas F. Geiler, Director 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 - RESIDE I ONLY Not Valid without Red X-Press Imprint Map/parcel NumberL Property AddressA . J Residential Value of WorJ1 AM Minimum fee o 25.0 or w\o�lrk under$6000.00 Owner's Name&Address 14,0011 Contractor's Name _ Telephone Number77e-1 "� d Home Improvement Contractor License#(if applica Construction Supervisor's License#(if applicable) ❑Workman's Compensatio Ins nce )(-®pV Check one: r If�� ❑ I am a sole pr rietor JUL _ OOg I am the Ho e er I have Wor is mpensation Insurance _ BA TAB - TOWN Insurance Compan Na e _ s Workman's Comp. Po # Copy of I ance Com iance Certificate must be on rile. Permit Request(c ck box) . Re-roof tripping old shingles) All construction debris will be taken to ❑ oof( t stripping. Going over existing layers of roof) Re ide Replacement Windows. U-ValueTLf D (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. Ho I Im vetment ontractors License& Construct Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\E ress\EXPRESSPERMIT.DOC Revise06O4O9 THE' yn TOWN OF BARNSTABLE ,EARNSTADLE, i 9� 1639. ASIL l► BUILDING INSPECTOR APPLICATION FOR PERMIT TO !''/ • o......r �� ............. ............. ` ..... TYPEOF CONSTRUCTION ...............W..a Q..o.................................................................................................. ............. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following infor tion: Location .......V.eC 0• id...A.�. ...:....................:4.Q. ...... ... r� ...........�............�, ........................ Proposed Use .....AE S E D c IV T ( 4-g--- .................................................................................................................................................................... ZoningDistrict ... ../.............................. . Fire District .............................................................................. Name of Owner , ...PT. E, ' .AtW:l.l?:qA.L.Address �C-........�4 V 1� �...O..IA�SI.. 1��► .. • !f...0�f- �`` �� aj(Kame of Builder �A.�:T.vR�.....Address ................. ......... ........... , Nameof Architect ...........t i ..................................Address .................................................................................... ,..! ........F Number of Rooms ....... ................................................Foundation ...... .............P. OYAP 0........ E ... ...a.�.T Y.....� .....ll�.. . ........... xterior .(A�®..R...........Roofing ..,t� s.%�1�/��� Z ..................................................... Floors ....:P/ .".................................................................Interior ....DAY.....LIPAA-L............................................... Heating 1 ..%. 1.. ........Plumbing ....... VF- S Fireplace ........ !!...............................................................Approximate Cost / .. .. .. ...:.. �• Difinitive Plan Approved by Planning Board ---_----------_------_-------19________ . r? F Diagram of Lot and Building with Dimensions Q� .-] Ld w UO1I m U 0- 1— w 000 Lu W O 0 ti O ® 1 �. o � �, � U) w W w� z U) 0 � o U) ��a�c j Z d i LLJ / 0 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. NameG��% 1. ..... ........... ................. Montuori, Mrs. Amerigo E. No ...1 ?�... Permit for one story..... single family dwelling ............................................................... LocationJackson Avenue -j .............. ......................................... Centerville ............................................................................... Owner ..........Mr.s....Ame.rig.a...E. Montu.o.ri... .... ... ...... ...... . .. ........... . .... Type of Construction ........frame....................... ......................................................................... .... � ;� Plot ............................ Lot ..........+8.................. Permit Granted ........July..28 19 71 Date of Inspection .... .... ...19 ,:date Completed .... . . ......................19 PERMIT REFUSED ................................................................. 19 ............................................................................... ....................................................................... ............................................................................... ................................................................................ Approved .............................................. 19 ............................................................................... ............................................................................... Assessor's map and lot number SEPTIC SYSTEM MUST BE / INSTALLED IN COMPLIANCE WITH ARTICLE 11 STATE Sewage Permit number .......................................................... g _ � SANITARY CODE AND TOWN i . = REGULATIONS° �Qyo�7NEro�, = TOWN ®F �ARNSTA.H�E i • i IAWSTME, i AG 1639 , BUILDMG INSPECTOR r APPLICATION FOR PERMIT TO .. ...: .. ........ ........ .... ......... .... ..... .. .i... ...... TYPE OF CONSTRUCTION � .U..L.4.........1...!.�/ �. ...... ....!......... ry ...........�.............................19.1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........S..T......... -.4. 7 ... ...P........................................................................................................... ProposedUse .... ...................................... ................................................................................................. vl�- . �i c,2 V i C c L Zoning District ...�.: ......�.....................................................Fire District �..c.,,ttl...�:�,1�..............~"..................7................ Name of Owner ��/.L..c.I .�..!v.7.v..... ........................Address Name of Builder .......h. .....:..........Address ..:.!. ........f!.... .................. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...J ...........................................................Foundation a.L.! ./......... .. ..! ......................... Exterior ... /././.........................................Roofing .A—.101.�� ..T /5�%NCA'�.c......................... Floors ...f/r/O D .Interior ....i-...P. ..................... HeatingL...T..!?.l..G......................................................Plumbing ..Q.N.. ... .......!..L..'..........................!.................. Fireplace r .0.............................................................................Approximate Cost .. .A �. "!?.................................... .. i2 ?a s Definitive Plan Approved by Planning Board -------------------_-----------19_______. Area ......................�.5............. Diagram of Lot and Building with Dimensions Fee ..........c± .... • SUBJECT TO APPROVAL OF BOARD OF HEALTH / a 44 J •�9 1 b 3g � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..4, .....c... :Q.... ............................. A. EL ! . 165=6. Permit �xmm ' ` single ily ...............................................................�� . � Lpconon ---...���.�.'������—!l .. / \ / | ------'..��.�����r���---____.\`�_.. v `^ ' ! A. E. Owner -------����..����w�mr�.------. ' Type of Construction ---..�����------. . . ` --------------------------. .. � . . [ Plot -----____� �t ____��_____ ^ ^ ' . � 20 �� � Permit Gnon*»6 ---.������---.--]g ^~ Dote of Inspection lg 1 ' � ~... Completed ` . . PERMIT REFUSED ---------.----------- lV . ' . --------------------------. .—_.----.~------.----.----.--. / ^ ...--.—.-------------.—.—..--.. ^ ----.---,—.-----.--..-----~—. ` . Approved ................................................. 19 , . � -------.---------------.---. - ^`^^^---^----------~^^^—^^~^^^— ` . ^ /