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Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Owner wd(I&T. �AMG4- C �,rrc.Gl Address WV W4X*&— Telephone 6 17/ 73Y- 7 X? a--77Z mod- 7d—C Permit Request tkla-� 0&�E_— "(/A) Square feet: 1st floor: existing proposed /3,q 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay — Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family a_,*� Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes R*�o On Old King's Highway: ❑Yes B'No Basement Type: ❑Full ❑Crawl O'�alkout ❑Other -- Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft.) Number of Baths: Full: existing / new Zl Half:existing / new Number of Bedrooms: existing_3 new t Total Room Count(not including baths): existing new_� First Floor Room Count Heat Type and Fuel: ❑Gas W'OiI 3tlectric ❑Other Central Air: ❑Yes C<000 Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No 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 Appeals Autthhoorization ❑ Appeal# Recorded 0 Commercial ❑Yes Flo If yes,site plan review# Current Use -a.07 Proposed Use y -.s, pe,V-�/� BUILDER INFORMATION Name ('�i� % Telephone Number ��-77j���,�� � Address �� I-At— MC� License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO L4"Al/I A SIGNATURE tilL s DATE - FOR OFFICIAL USE ONLY PERMIT NO. } - DATE ISSUED MAP/PARCEL NO. .t ADDRESS VILLAGE ti OWNER . DATE OF INSPECTION: FOUNDATION FRAME i :r - INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING y DATE CLOSED OUT ASSOCIATION PLAN NO. r r The Town of Barnstable Regulatory Services Thomas F. Geller, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 iffice: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION / Please Print DATE: JOB LOCATION: N "•TGze 0/t/ut, number street ,� village "HOMEOWNER!' i rl( • �G�64Gi� .5-0 77/-d 7S b C/,?-�pd'o)t�o� name home phone# work phone# CURRENT MAILING ADDRESS: 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 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 andir7771 Signature 6f meoWner - 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 person(s)for hire to do such work,that such Homeowner shall act as supervisor." ' Many homeowners who use this exemption aie 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 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 fnr•m currently used by several towns. You may care t amend and adoot such a form/certification for use in vour community. Assessor's Office 1st flooi Map . J 0 Lot 5-2- Permit# , ; 7 5,Z/ Conservation Office Oth floor Date Issued '7 //19.5� Board of Health 3rd floor 7 En ineerin De t. 3rd floor House# t floorlSchool Admin:'Bld�.): BMWsreets. _ NAM . p Definitive Plan Approved by Planning Board 03�. (Applications processed 8:30-9:30 a.m.&'1:00-2.00 p.m.) SEPTIC SYSTEM MUST SE INSTALLED IN COMPLIANCE TOWN OF B TABLE NTH TITLE 5 Building Permit Application ENVIRONMENTAL CODE AND TOWN PFCULATIO S Proiect Street Address Village C' h'TEG�Li/Ll�' Fire District Owner Gn/��!/.4 i dp✓ 1c?/l/l� C o�'G'�Yti�Address of c? Telephone / } J— Permit Request: '����4 �' y: /J �a'r" zb Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of ApMls Authorization Recorded Current Use Proposed Use Construction Type Eaistin2 Information Dwelling Type: Single Family Two family Multi-family Age of structure Basement type Historic House Finished Old King's Highway Unfinished Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name�� �� �C�®�D'�� Telephone number 5-0 P ��' o O 7 Address �� �'�Tii� �� License# Home Improvement Contractor# -1I Worker's ComMusatiotr # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. �-'e-'. • "o vj`i 01 odc' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO y-d�• g�sA�vJ'''d Proiect Cost Az Fee C'0 SIGNA BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T FOR OFFICE USE ONLY 4/11/95 ._a7.6� '1 188.052 r ADDRESS 49 Pine Tree Drive VILLAGE Centerville William & Patricia Coughlin t OWNER ' DATE OF INSPECTION: FOUNDATION FRAME7Z INSULATION 9 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH F FINAL GAS: ROUGH FINAL * ' FINAL BUILDING: ' DATE CLOSED OUT: ASSOCIATE PLAN NO: ■■■■■■■■■■■■■■■■E■■■■■■■■■■■■■■.■■.■J�mm-ffi ■■■..■...■■■■■■■■■.■■.■■■■■■■■■■■■■■■■■■ ONE.■■■■■■■■■■■■■■■■■■■■■■■■■■■.■■■■■■■■■■ � SEE i■■■.■■■■■■■�.■■■■■_■■■■■■■■■■®■■.■■■■■ ■■■■■■■■.■.■■■■■■■■■���■■■■■■■�■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■i■■iie: l ■■■�■■■■■MENNEENEENE ■ ■■■■■■■■■■■fie■ ■■■■■■■■� ■■■■■■■i�i■■■■■■■ ■■■■■■moss■r■■ a ■■■■■■�iii� ■■■-111■■■■■■■■■■■■ ■■■■[!�■ ■■■■■ ■■i■■■i1�■��■�®[Ills �I_[6i11■■■mama■■■■■ ■■.■■■■■■■■■■■■■■■! 1Ir! yt/�■■■■■[■■■■■■■■■■■■ ■■■■■■■■EN■■■■■■■i1 ■■■■■ ■■■� ■■■■■■■ ■■■■■■■■■■W■■e■i■ : � ®�i�i�=�■i�ii■■■1 ■■■■■■■I ■■■■■■■■■[1■■■■■® lum sommommoommmums [ I■■■■■■■■■■■■r ■■■■■■■f ■■■■■■■■■■m■■■f■■■K"N■'!![ ■■■■..■■�,■■■ �■■■■■■ ■■■■■■■■■■tl■■.®N■■�■■11■.■■■■■■■■■■■ ■■■®®■■■■■■■■■■■ ■■Ili, ■■ ■■■.■.■I�� ■■■■■■■I ■■■ll�li■■■■■■■■■■■ _ ■ii ��?■■M!■■■■■■till�■■■■■■■I ..■C�'©■■■■■■■■■■■■■■€ ■�,����■■■.■■■dill■.■■■■■I _� e©®■■■■■■■■■■■■.■.■■■■.�■■■■■■■■■■■■■■■■ ■ ©■.■.■.■■■■■■.■■■■■■■■■■.■■.■■■■■■■■■■I ■■■■■■■■■■■■■■■.■■■■®■■.■■■■■®■■■■■■■■®■■® d ,I y rg; i a , 0 .. 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