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!70
cDo/ 003a--? ?
op THE r� Town of Barnstable -*Permit# .
y Expires 6 monthsfrom issue dole
o Regl.11atOYy $erlvjCeS Fee . / . e
r BARNSTABLE}
�.$$ "" m�as F.Geiler,Director �. rfl�/0V
lFD 9..{
ERWI
AN 3 0 Zp'��(� Building Division.
* TomtPerry, CBO, Building Commissioner
}s � (jF. Main Street, Hyannis,MA 02601
BARN,5Tria.
wwtiv.town.barnstab le.ma.us
Office:, 508-862-4038 _ Fax: 508-790-6230
EXPRESS PERMIT APPLICATION -' RESIDENTIAL-ONLY
J Noi Valid wishoui Red X-Press tmprinl
Map/parcel Number
Property Addressi✓/
Zesidential Value of Work .C�Uy IYlinimum See of$25.00 for work under'S6000.00
Owner's Name & Address 14�"1
Contractor's Name rj�t
'�� Telephone Numbed
Home Improvement Contractor License# (if applicable)
Construction Supervisor's License# (if applicable)
❑Workman's Compensation Insurance e
Check one: ESS❑ I am a sole proprietor Y PER,
❑ I am the Homeowner
'I have Worker's Compensation Insurance SUN 3 0.20,10
Insurance Company Name i i � OVVN OF QgRN,37-
Workman's Comp.Policy 6
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
e-roof(stripping old shingles). All construction debris will be taken to
❑ Re roof(not stripping.. Going over existing layers Tof roof)
Re-side ide
# of doors
❑ Replacement Windows/doors/sliders. U-Value (maximum .44)'4,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 oft e Home Improvement Contractors License & Construction Supervisors License is,
required
SIGNATURE:
. a
n:\WPFTI.F.S\FORMS\buildine oerrnit forms\EXPRESS.doc
lie
L .
ofJNFT� Town of Barustable
Regulatory Services
�xxsr{sue Thomas F. GeUer, Director
Asa
1619. 16 Building Division
RFD µAS R
Tom Perry, Buil din g;Commissioher
200 Main Street;Hyannis,MA 02601
ww-yy,town.barnstable.ma_us
Fax: ,508-790-6230
Office: 508-862-4038
i
Property- mazer Must
Complete and Sign This Section
if Using A Builder
x>
o ,
as Owner of the subject property
to act on my.behalf;
hereby authorize
la all matters relative to work'authorizcd by�thi . building perrrut application for:
^ (Address of Job)
C_
.. to
Signa o. er
Print Name
f Pro e Owner is applying for permit please complete tie
�omeowners License Exemption Form on tbe. reverse side.
,f
J�
Town of Barnstable
P o� o
0 Regulatory Services
Thomas F. Geiler,Dir for
i BARNSTABLE,
MASSBuilding Divi on
`�Fn MAC a Tom Perry,Building C,mrriissioner
200 Main Street, Hy s,MA 02601
www.town.barn able.ma.us
Fax: 508-790-6230
Office: 508-862-4038 _
B EOWNER Ll NSE EXEMPTION
Pleas Print
DATE:
JOB LOCATION: village
number eei
"HOM EOWNER": work phone#
name me phone#
CURRENT MAILING ADDRESS:
city/town
state zip code
The current exemption for"homeowners"was ext ded to inc de owner-occupied dwellings of six units of less'and
to allow homeowners to engage an individual for e who does of possess a l 1.icense,provided that the owner acts as
suvervisor.
• DEFIN IDN OFHOM WNER
Person(s)who owns a parcel of land on which he he resides or in rids to reside, on which there is, or is intended to
be, a one or two-family dwelling, attached or de bed structures a essory to such use and/or farm structures. A
person who constructs more than one home in a o-year period shall of be considered a homeowner. Such
"homeowner"shall submit to the Building Offic 1 on a form acceptab to the Building Official that he/she shall bp,-
responsible for all such work performed under e buildin ernik (Se` 'on 109.1.1)
The undersigned "homeowner" assumes respo sibility for compliance wi the State Build.i g Code and other
applicable codes,bylaws,rules and regulatio
The undersigned "homeowner"certifies that e/she understands the Town of stable Building Department
minimum inspection procedures and require eats and that he/she will comply th said procedures and
requirements.
Signattire of Homeowner
Approval of Building Oflrcial
Note: Three-family dwellings co taining 35,000 cubic feet or larger will be requ ed to comply with the
State Building Code Section 12TO Constru tion Control.
OMEOWNER'S EXEMPTION
The Code states Thal: "Any homeowner pe o 7r»ng work for which a building permit is required shall be xempl from the provisions
of this section(Section 109.1.1 -Licensing of construe n Supervisors);provided that if the homeowner engages a p�rson(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption a c unaware that they arc assuming the responsibilities of a supervisor(see Appendix r
ly
Rules&Regulations for Licensing Construction Supervi ors,Section 2.15) This lack of awareness often resuhs in serious problems,parti.cula
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 responsibrc.
e of his/her responsibilities,many communities require,as part of the permit application,
To ensure that the homeowner is fully awar
that the homeowner ccrdfy that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a farm currently used by
scvcral towns. You may care t amend and adopt such a form/ccrtificarion for use in your community.
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map P 7 L Parcel I Application# QXJ ZO6— 6,
Health Division
Conservation Division Permit,#
Tax Collector Date Issued -
Treasurer Application Fee
Planning Dept. Permit Feex`2,6J• C
Date Definitive Plan Approved by Planning Board c '�1�/6.7
Historic-OKH Preservation/Hyannis
Project Street Address -:5&
Village 0e/�, i`y /e--
Owner ,#►-L V11-109 3& ("A �'d Address _ _ �122 P
Telephon
Permit Reques /� h a 'n ) � ' 7��� �f
fu
ejej .� Y��(1 .lam- C66
SgIfloor:effr'ig �d� Od floor:ex si ting ropose ota�new �''�'��
Zoning District Flood Plain Groundwater Overlay
c
Project Valuation Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes,attach supporting documentation.
Dwelling Type: Single Family ) Two Family ❑ Multi-Family(#units)
f
Age of Existing Structure / Ve a✓J Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No
1
Basement Type: XFull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
`v
Number of Baths: Full:existing new "° Half:existing new
X
Number of Bedrooms: existing new
r
Total Room Count(not including baths):existing new First Floor Room Count
Heat Type and Fuel: Was ❑Oil ❑Electric ❑Other
Central Air: ❑Yes 14 No Fireplaces: Existing _ New Existing wood/coal stove: ❑Yes ❑No
Detached garage:O existing ❑new size Pool: existing ❑new size Barn:U existing ❑new size
Attached garage:A existing ❑new size Shed:N existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use ZE
BUILDER INFORMATION CZLE `,4)u-
Name �.`h�� 0 cJ.n ��,. TelephoneNumber
Address License#
Home Improvement Con racto r IMP Liu
Worker's Compensationwl)4k.> t
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE :) �'` - DATE c
i
3
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED {
4 ,
MAP/PARCEL NO.
ADDRESS VILLAGE.
OWNER
DATE OF INSPECTION:
FOUNDATION `
3
f FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
j GAS: ROUGH FINAL
t FINAL BUILDING
r DATE CLOSED OUT
ASSOCIATION PLAN NO.
h
M1..
.� Town of Barnstable
THE
Regulatory Services
Thomas F.Geiler,Director
. RAM sra13
9� MAS& ��� 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
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: �— - ! — 07 �'
IVTIJ
JOB LOCATION:
— A C I&
number / sstreet village
-V"HOMEOWNER": / �`' 1//G,!/ G`
name home phone# work phone#
CURRENT MAILING ADDRESS: Gam!/ e S 2s`—P/'-/
Ft Gs A Js t OZ 3C2
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 of 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
i 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
reqrts.
a
Signature of omeowner
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 case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
r
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 fomi/certification for use in your community:
Q:forms:homeexempt
,.
1
3`'�'°
fly l � � 8:� I�aSe�+ �►�"�'
1
i
OFIME r Town of Barnstable
Regulatory Services
°A MASS. Thomas F. Geiler, Director
039•
AlFOMCdp Building Division
Thomas Perry, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
t
5/23/07
Jean Shiffinan
Bay View Real Estate
Re: 56 Seth Parker Rd., Centerville, MA 02632 (map 170 par 180)
At your request this property was inspected for carbon monoxide emissions.
I found a gas leak on the union for the water heater. The thermal acting draft
control on the boiler should be serviced to be sure of proper operation.
Please notify me when these have been completed.
Sincerely,
Richard Burnham
Gas Inspector
Town of Barnstable
508-862-4040
Asses or's knop and lot number 6 THE T
EMMLLED IN COMPLIAEV :.' Qom°
Sewage �ermit number ............ ........�1.. WITH TITLE
ENVIRONMENTAL CODE AEK—L :o A"ST,XLE,
House number,.... ........................................................ ®1fl111�1 REGULATIONS 9oo,M639
�E0 YFr a.
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ... Litt: ��1N1eo � ..............................................
....... :.......
TYPE OF CONSTRUCTION ............ ............. ....... ..... ......................................................
...................... ...............19 '' .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following.information:
Location .............N'f(,�7.. 1 ......
Proposed Use '�C'1 :!!L?! E .:................ ......:.........................................
................ ... ............... . ..........................
Zoning District �G .......Fire District `-{--Vzz,7.L .:.Q� . Va!k:
Name of-'Owner i� ......� .4�: .C ........... Address ..... • .................................................. ......
... ....
Name of Builder .. � �. .... r .1 Address ..�� T l �l�- :.. ��1t�� ��'�1. :......
Name of Architect �' Address OA
..................l: .................................. ........ ............... ................
}�" .................Foundation ... ..`..
Number of Rooms ................... .............................. <
Exterior .......................0...t
...................... A .................... Roofing.,..:. ! ..........
.. `` nn ......................................
Floors 4 ..............Interior ... r: .
Heating �}
�.�. .....Plumbing_ � `
Fireplace ...............:. `' ........................................................Approximate. Cost .......: �/ ..... ..........................
Definitive Plan Approved by Planning Board ______________________________19________ . Area ...,`...,...........,�::
Diagram of Lot and Building with Dimensions, Fee .'`
........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I�
*-7Z
•
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the. Town-of Barnstable,reg d ng the above
construction. '
Name/ ............... .. — -.w........... ............ ....
Construction Supervisor's License' PO.'
Dic,hio, Sal
N 30706- swimming pool
Permit for ............... .......... _
k a 1
+t•-— r ........................................................
56 Seth Parker Road
Location ..............................................
Centerville '
Owner ......:.....Sal Dichio
................. .........
g ,' T
:. Type of Construction swimmin pool
:" ................... ................ -� _. ,. � : qz •''�
f...... ............................ r. _ r }S - ... r ••_., 1 _
Plot ............................. Lot.
i 7. _
Permit Granted ' .....: .19 87 = __
Date oflnspection 19
Mae
` ,Date Completed .. . .. ..19
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7 SA04E.0///E ANO SET BA Cl.:::
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USED 74 �E T�P_/1t/�E .�!>T INKS APi�.L
17
Ass ...:.
SEPTIC SYSTEM Pesaa Assessor s map and lot number. ............... ..;............ oF TNET°INSTALLED IPA'COMPLIA5
Board of Health (3rd floor): (7/ �, /S d WITH T,OTLE 5 o�
Sewage Permit; number .:.....Q0 la •
BALSST&DLL,
. ' a
Engineering Department (3rd floor): ENVIRONMENTAL CODE 1639-
House number. ...:.............. ........ .. .:..i.._. 0. °moo v a�e�. . TOWN RVEGULW�I®NS Ya
'APPLICATIONS PROCESSED 8:30'9:30 A.M. and 1:00-2:00`-P.M: only' `
T OWN.•' OF BARNS•TABLE.
BUILDING 11SPECTOR
APPLICATION FOR. PERMIT TO .. ........ ....... !..................................
TYPE OF CONSTRUCTION '............ .....................� ...... •.....................................
,
. .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according the followin nformation:
Location ......... ... ..... ......... .:CQ ..`..... ....
ProposedUse .:. ...............................................................................................:.............................
Zoning District .....:`.............Fire District .............
Name of Owner t___.... .... ....:......................Address ........... ...... :....................
•
h,
Name of Builder ...Address
. 4
Name of Architect ..... ........................Address ........ ......................................
Numberof Rooms .....................................................:........... Foundation ..............................................................................
Exterior ` ..4.0....... + ....................... .....Roofing .................... ..........
Floors .....L% .................................................'..........Interior
• =
. .........................
Heating ...
..................
. . ......................Plumbing ��
"
Fireplace t .... //.. /... ............. ....APProximate C
Definitive Plan Approved by Plan g Board"'--_----- ______________ _-----19__ . 'Area .... ............ ...................1
Diagram of Lot and Building with Dimensions" • ' Fee .....:.��
�.............P......
SUBJECT TO APPROVAL OF 'BOARD OF HEALTH G✓ v
s + �
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 v`
Y a
SMALY, Af'AN `
'Nj! 3 0 3 2 0 .Permit 'for one ...........
- `
♦.. J
1
Single Family Dwelling
Cocotion t
...,;Lot #6 8 3, 56 Seth Parker ;clad
r Centerville
...................... ............................. .............. ` `:_r •.
Owner .....:.Alan' Small........:.........
Type of Construction Frame -• "'
E[ ... ,
!i• ............. ................................................................. , 'b ~ - _ �.$ r. •. . �� ;+
4.
Plot' ....'.....^...... ... Lot" ............................. T .
,
41
z December 23 _ 86 r r
Permit Granted .......... 1
................19 -
'Date of Inspection ....... ..... . ........ .19
--Date Completed ♦f :I ll�?... l 9$ t .R
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A I. .Nk NF OUIOE kIKE 105641
- 10 X 10 TO THE INCY..
yo�tME TOWN OF BARNSTABLE Permit No. ?n 3`Q.......
BUILDING DEPARTMENT
D°8:a TOWN OFFICE BUILDING Cash
,6S9•
°heiur HYANNIS,MASS.02601 Bond ...... .........
CERTIFICATE OF USE AND OCCUPANCY
Issued to
Alan Small
Address :Lot 4683 , 56 Seth Parker Road
Centerville. Massachusetts
USE GROUP_ FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY ,COMPLIANCE WITH TOWN
REQUIREMENT'S AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
J. 7.,,. 19.... ....... .
Building Inspector
'TOWN OF`ErARNSTABLE, MASSACHUSE T'' �r BUILDING • PIE R111f i 1°
�i�17U-1OO DATE` be'&eIRbck 23, 19 86 PERMIT N ANN
( _ APPLICANT HZC-1n SrCiSl3. ADDRESS'_.. . CC9ntE_1'V7-11F3 (�irj•]57
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Build UW,'�11;1CT (�) S ORY .11i )1(� 1 F� f',am-i 1 .7 p 01 1 '1 rrC9WELLING UNITS
(TYPE OF IMP`+ROVEME NT` N0. (PROPOSED U ) -
AT (LOCATION) Lot. #683 a 56 Seth Park E'.r Road� Co n t c-aYV ZONING
CT IZC
IN0.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT. BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE. USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Sewacje #86-865
Liond
AREA OR
VOLUME 2160 sq• f t-• ESTIMATED COST ISO� UUU• PERMIT qq
(CUBIC/SQUARE FEET) _ FEE
1.+o(�8
. 0
V
OWNER Alan SiTiall
Ldetervi'Lle BUILDING'DEPT.. 1 �'
ADDRESS By
THIS PERMIT CONVEYS NO RIGHT TO, OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL` APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF .00CUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMBERS(READY TO LATH
3. FINAL INSPECTION BEFOREE FINAL INSPECTION HAS BEEN MADE.
OCCUPANCY.
POST THIS CARD SO IT 1S VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
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3 a 4SrHEATINGICUOECTION A PROV LS ENGINEERING DEPARTMENT
OTHER 2 BOARD OF HEALTH
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTEp'WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
CONSTRUCTION. PERMIT IS ISSUED AS NOTED.ABOVE.' NOTIFICATION.
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