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Home My WebLink About0104 WILD WAY �a v C�.<-�d/ u� � a �, % ..° °�. TOWN OF BARNSTABLE BUILDING DEPARTMENT BARI°T TOWN OFFICE BUILDING �g 9 HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued or the building authorized by, y BuildingPermit�$k........»......._.,_. ..»...»..»......._....�.....................................................».......».............».........»»»»._.»...»»....... »».»»»»»»»» issued to !/Ca'/ G/ {6///1/L1/!... !�// .. !......�/� ... ......_.»..».»...»» » Please release the performance bond. "(WETp - TOWN OF BARNSTABLE _Permit No. 31384 BUILDING DEPARTMENT" I ' I TOWN OFFICE BUILDING Cash ............ .Yl HYANNIS,MASS.02601 Bond ...........!.:.. CERTIFICATE OF USE AND OCCUPANCY ` Issued to Margaret & William Flynn Address Lot #3, 104 Wild Way Cotuit, Mass. 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 REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. September 5, 19 89 Building Spector 11 A6WN•OF BARNSTABLE, MASSACHUSETTS BUILDING.''' PERMIT -y=0.2.7-137 . .. DATE -APPLICANT" r 19 r— _, PERMIT � � ADDRESS " PERMIT TO (S7gEETlI �nn� . _ 2 -lc:- S.LI E "S�I O IM O STORY NUMBER OF ELLING UNITS' AT (LOCATION) D STR CT-R�' BETWEEN (CROSS STREET) AND dCR055STREET) _SUBDIVISION - "LOT BLOCK LOT --SIZE BUILDING IS TO BE FT, WIDE BY FT.' LONG 8Y FT. IN HEIGHT AND SHALL CONFORMIN'CONSTRUCTION .TO"TYPE USE GROUP BASEMENT WALLS OR FOUNDATION REMARKS: (rrpE)" I ' AREA OR F bnd VOLUME i-4- ICU I /SOUARE FEET) ESTIMATED COST 60 000" .00. L FEEMT �. OWNER — .� r _ n ADDRESS BUILDING.OEPT,. I BY MINIMUM OF THREE GALL INSPECTIONS REQUIR ALL CONSTRUCTION EO FOR APPROVED PLANS MUS T' OE R � M THE COND171i7 WORK: RETAINED ON JOB78EEN E APPLICABLE SEPARATE CARD KEPT POSTED UNTIL FINAL INSPECTION I• FOUNDATIONS OR FOOTINGS. MADE, —�—"-- 2. PRIOR TO COVERING STRUCTURAL 1'VHERITSMEMBETO COVER TO QUIRED, E A CERTIFICATE OF OCCUPANTRICAL, P UMBIN D FOR 3. FINAL INSPECTION LATH). SUCH BUILDING SHALL NOT BANICAL INSTgMBING AND ocCUpaNCv, BEFORE FINAL INSPECTION HAS BEEN MADE EOCCUPI INSTALLATIONS. POST T1-dBS CARD SO IT ! BUILDING INSPECTION APPROVALS •S VISIBLE FROM � 1 S T E E T _PLUMB__�NG INSPECTION APPROVALS R ELECTRICAL INSPECTION APPROVALS AkeOr-L/�SC, u 40 2 -� 2 2 HF.ATINGINSPECfl0N." - ---- ENGINEERING DEPARTMENT OTHER _ - _ J S- J" 427 Q i Q BOARD OF HEALTH i,2 WORK SHALL NOT PROCEED UNTIL THE INSPEC. PERMIT ',v! TOR HAS APPROVED THE VARIODUS STAGES OF W L L B,COM E N CONSTRUCTION. ORK IS N NULL AND VOID IF CONST ! NOT STARTED WITHIN SIX MONTHS OF RUCTION PERMIT IS ISSUED qS NOTED qg V DATE THE INSPECTIONS INDICATED ON THIS CARD CAN BE 0. E. ARRANGED FOR BY, TELEPHONE OR WRITTEN NOTIFICATION. T �. i r TOWN OF BARNSTABLE BUILDING DEPARTMENT . HOMEOWNER LICENSE EXEMPTION Please print. DATE C) JOB LOCATION 40 T um e r co treet a ress ection o town "HOMEOWNER" �/ / 'G' ��7Z 3 ame e pliulle WorK p on PRESENT MAILING ADDRESS 3 A?I";r 1 Cy/town.. �' 6 Z 7 Late ip co- e The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or ess an to allow such homeowners to engage an in- 151 ua for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six 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 bui•ldin g permit. (Section . The undersigned "homeowner" assumes responsibility for compliance with Building Code and other applicable codes, by—laws, rules and regulations. SLaLe s. The undersigned "homeowner" certifies that he/she understands the Barnstable Building Department minimum inspection procedures and re uiremen and that he/she will comply with said procedures and requirements. , ts HOMEOWNER'S SIGNATURE G'(/ APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet," or ,larger, will be ruired to comply with State Building Code Section 127.0, Construction ControlQ • v 8 HOME OWNER 'S EXEMPTION The Code state that : "Any Home Owner permit Is re ulred performing work for which a building q shall be exempt from the provisions of this section (Section 109. 1 . 1 — Licensing of Construction Supervisors) ; provided that If a Home Owner engages a per' h son(S) for hire to do suc work, that such Nome Owner shall act as supervisor . Many Home Owners who use this exemption are unaware that they are the responsibilities of a supervisor (see A assuming, for Licensing Construction Supervisors, See Appenion dix Q, TRules and Regulations often results In serious problems, lack of awareness. unlicensed persons. particularly when the Home Owner hires unlicensed In this case our Board cannot proceed agalns-t the person as It would with licensed Supervisor . The Home Owner acting as. supervlsor Is ultimately responsible. To ensure that the Home Owner Is full Tomensur es require, Y aware of his/her responsibilities, many certify that he/she understands fthe eresponsib Permit ppitieslof �a su ery that the Home Owner last page of this . issue is a form current ) supervisor . care to amend and adopt such a form currently used by On the Y several towns. You may use In your cominunity. C ti f i v J4 - LOT �s r� _1 i f 19G.4-H N x tK U r` o ti O za�r IS �4 2 o, + L. D T 3 -�� 22, 881sF r I —233.95 . OPEN SPACE PREPARED FOR .50U—FI—I CAPS" REALTY CERTIFIED PL 0 T PLAN L OCA.,TION• MA RSIONS Mill s l"/A. SCALE °= 0 DATE Oc-r Z.8 8 Z_ R£f ERENCE! LOT 3 PS.� P. 3 L. C. P. f'L000 ZONE `SN of I HEREBY CERTIFY THAT THE BUILDING / p pRG . SHOWN ON THIS PLAN IS LOCATED ON THE JR. GROUND AS SHOWN HEREON AND THAT IT V , 27807 y D0E'S CONFORM TO THE ZONING < BY-LAWS OF THE-TOWN OF BA 5 AB1-5 WHEN CONS TRUC TED. s �. LOW d W£L[.ER, INC. 714 MAIN STREET QC 7:?._g 1'ARMOUTH, MASS. DATE '34 -094 Assessor's offioe (1st floor): ofTMEto Assessor's map and lot number .... ... !. Board of Health (3rd floor): Sewage Permit number TT ............................ : BAga9T/1DLE, . Engineering Department (3rd floor): /a y r�S oo 0}}9, em' Housenumber ........................................................................ �Fo ray a� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00•2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........6 U..R........ ........ ..j....... .. ...... .............`........ .....#V : ........... ff .� TYPE OF CONSTRUCTION ........1 �.........\... �! . !' .:............................................ ......................... .................. .... .... (...........19.k.7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... ... . . .......A)..( (In, .................... Proposed Use ........ • ` Q 5� 'Q �' /PF" Zoning District ......... ......................Fire District -... ?'`'�.!.�. .......... .....Address Name of Owner ... :. .......... .. ..�j�/...rf�a.l.�:...G1. 4?... ` ............ G2 '! Name of Builder . ddress �Q K 6�d..w S�bUOi'f � w� 9 ( ..... .......... ........... cl . ,$ a a s' Nameof Architect ................................................ .................Address .................................................................... ..........Plumber of Rooms .......... ............,� ..............................Foundation ......... ....074............... Exterior ............. ... .................... .:. ............... .........Roofing �. ...... ....... ........... VE'.� Interior ............. .Floors 1 f / . ........... .... .... ... ..... . 4.................... Heating ........... .. ...°'."..................................I.....I.......Plumbing ..............y�..✓ V��yy"...... Fireplace . `... .......................................Approximate Cost ........to.....b............. r� �// • Definitive Plan Approved by Planning Board ----�`-------�--��-- 19 Area '. S..o...1.................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to qll the Rules and Regulations of tWTown of Barnstable regarding the above construction. Name .. ..� ..... .. .. Construction Supervisor's License ... ..1.. .,1...}.. . • � t HILARY-LAUREN R1. E. TRUST A-027-137 No 313 8 ..... Permit, for ...l Story .........Single Family..Dwelling._.... Location ..Lot..,#.3........10.4. Wild..Way..._„ Cotuit Owner ....Hilary-Lauren R. E. Trust Type of Construction, .Frame ............................................................................... Plot ............................ Lot ................................ November 5 87 t Permit Granted ...............................r........19 r Date of Inspection ....................................19 Date Completed 19 4 ' DD � I ` `Assessor's offioe (1st floor):- �J Assessor's-map and lot number ....I�G�T../.. .../..,.7./...�t./ "E Board of Health (3rd floor): Sewage Permit number ....0 ..- ............!......................... Z BAUSTSELE, engineering Department (3rd floor): - ''`` r—_ °o 050. House number ................................I0../......................... ..• � cYpYa' APPLICATIONS PROCESSED 8:30.-9:30 A.M. and 1:00-2:00 'P.M. only TOWN OF BARNSTABLE BUILDING 1-NSPECTOR 1 APPLICATION-FOR PERMIT TO ....... ...V...�:. ........ J..:.... ......1 r � . ......... ...��.......... TYPE OF CONSTRUCTION ........LN.0. .�./..... !'. . ...................................... ....................... .. . .... .c..........19-k7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information. Location ./ ....... .e:..................... ........ .�.� .W ... `'"'. ....... .C.f? IT .................... Proposed Use .......... .QS4 .Q. �/+ /.................... Zoning District ...... Fire District � U�\l•• • Name of Ow r .. G . ...... .. ..Address ... ...� /.. 1 /`...L7....L�................. ..��1..`.. . ..�. .. l Name of Builder . ........F. ddress P� d. ..O�.D.. ?. .JCIO•Lt/ UOt. I 6UAI�,c 9 U 12 Name of Architect ..................................................................Address ....................................................................................... Number of Rooms ........... ............ Foundation ................................ ... �<<............. Exterior .......... . �� ...................Roofing ...............l� ............ Floors ......................72. ........ ....... ....... ..... ...... Interior .................... rteating .. ..!! '....:.......... ................. . ............Plumbing ............. o�-................. 10 Fireplace ......... .. .......................................Approximate Cost O Q .0........... S f Definitive Plan Approved by Planning Board _-_- ®_ --r�___19 Ara .........- 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 oft oTown of Barnsta le re rding the above construction. Na\ Constructi n Supervisor's License ... . - � - Y 6 F-LYNN, MARGARET & WILLIAM No• 3I 84. Permit for ...�.i...��J.X.. ........... ...�ingie..:F7,�.y...R�ve.J.], .xl ............r Location .....4Qt....tU........ W.11d...Vi1 .y..... .:v .........................dotni,t....................................... - Owner ...H.?„y.t - .1�X X1...R..:..E......'�'z.u.�t v` . .X... '~ Type of Construction ...Fname.......................... j 4 ........... ........!�...........................................:............ Plot .` .......:. ............. ........................... . ^Lot Permit Granted ........Novemb r--:5•,... 19 7 r —" Date of Inspection ..................................19 • Date Completed 2,: -.—a ''19 Ra k. � 10/06/2011. 13:25 5087789312 BARNSHOUSAUTHORITY PAGE 01/01 », Leased Housing Dept: .508.771.7292 . Telephone - Barnstable phone 509.771.7222 $ �. FAX: 508.778.931,2 M . A Housing Aut6ority - v14G South Sta'eer.•H anus,MA 02601 ZONING VERIFICATION TO: Linda/Robiln. FROM: Kim Gomez, Leased Housing Coordinator, PHONE NO#: 508-771-7292 FAX 508-778-931.2 RE: LEGAL RENTAL UNIT VERIFICATION DATE: zO ADDRESS: / y ' ^ZI .b VILLI�.GE;�� c / 2 - UNIT TYPE J/ BEDROOM SIZE MAP & PARCEL NO: 61�'7 _ 13 The owner of the above listed property is entering into a coi tract with us for rental of the property listed above. Please verify by sigani.ttg below that the unit is legal and meets all'zoning reqiAirements for a rental its tl town of Barnstable. IT it does not, please list the reason below: 41 S ou for your assistance.its.tlli,s tnatter. Signs _ Print name Date: VIA. FAX: 508-790-6230 Equal'Housing Opportunity Agency P. 1 -= Communication Result Report ( 0ct, _6. 2011 3:46PM ) 2) Date/Time: Oct, 6. 2011 3:45PM File Page No. Mode Destination Pg (s) Result Not Sent -----------------------------------_----------------------------------------=------------------------ 3602 Memory TX 95087789312 P. 1 OK ---------------------------------=------------------------------------------------------------------ Reason for error - E. 1) Hang up or 1 i n e fall E. 2) Busy, E. 3) No answe E. 4) No facsimile connection E. 5) E x c e e d e d,m a x. E—m a i l size - 16/65/2611 13:25 5OBTIM12 1aWWai JsanFiojII7y rWfE 61/61 t arced Hon t 56r.771.7292 Barnstable Tol rolghsoa.nt.rza FAX".7rt.93t2 . Housing Authority 14fi 3outl�Saeet-Hy urms A4A02M] ZONING VERtIBICA,TION TO: Linde/Robin. FROM:IGm t7omez,Leased Housing Coordinator PHONE NO#:508-771-7292 FAX 508-77"312 RE: LEGAL RENTAL UNIT VERIFICATION DATE: O�Zlit ADDRESS: /O y /t).Z- VILLAGE;Zc0a T /— UNIT r BEDROOM SIM 2 Z MAP&pARCELNo: 6X7- 13 I The owner of the above listed prop"is entlaing into a coritlact with 115 for rental of tho paoprcty listed above.please verify by signing below that the unit is legal and meet all zoning regq�ements for a rental in rl town of Barnstable. If it does uo[,please list the reason below: —I Yiis is c�S��l�,r, hid ran, ha�t�. �rt✓from ou for your amstame in this matter, y ` - o -n Signs Print name Dates 1 b 6 r ViAPAX:509-790-6230 Equal Housing Opporkwity Agwy { .p 10 09 12:37p p.1 i•� 1 Leased Housing Dept: 508.771.7292 - Beirnsta6le Telephone 508.771.7222 • "IN LE. • u FAX: 508.778.9312 U 16so �� Housing A t6orlty 146 South Street•Hyannis,MA 03601 `rEo �' ZONING VERIFICATION TO: Linda/Robin FROM: Kim Gomez, Leased Housing Coordinator PHONE NO#: 508-771-7292 FAX 508-778-9312 RE: LEGAL RENTAL.UNIT VERIFICATION .DATE: ADDRESS: riff✓� '�-� VILLAGE: , UNIT TYP BEDROOM SIZE MAP & PARCEL NO: The owner of the above listed property is entering into a contract with us for rental of the property listed above. Please verify by signing below that the unit is legal and meets all zoning requirements for a rental in the town of Barnstable. If it does not, please list the reason below: Thank you for your assistance in this matter.. "n Signature Print name • = c� Date: wr VIA FAX: 508-790-6230 Equal Housing Opportunity Agency ep0 09 12:37p p.1 ■ ■ ' cy� Leased Housing Dept: 508..71.7292 Barnstable Telephone 508.771.7222 • BAA°'"'� � iOUS�ng Authority FAX: 508.778.9�12 146 South Street Hya=is,MA 02601 rEp n�,r ZONING VERIFICATION TO: Linda/Robin FROM: Kim Gomez; Leased Housing Coordinator PHONE N09: 508-771-7292 FAX 508-778-9.312 RE: LEGAL RENTAL UNIT VERIFICATION DATE: - 1 ADDRESS: &IG�✓� ' VILLAGE: UNIT TYP BEDROOM SIZE MAP & PARCEL NO: C�a�'►-I_ � '� The owner of the above listed property is entering into a contract with us for rental of the property listed above. Please verify by signing below that the unit is legal and meets all zoning r uirements for a rental in the town of Barnstable. If it does not, please list the reason below: S C� Sin - m i � ham�. • - ajRtcr Qr(- i k f 4g'n you for your assistance in this matter. C) re I Print name CD 9-to-off Date: N � - .G rhIT VIA.FAX: 508-790-6230 r is �3�U ��Vel✓�� , • V Equal Housing Opportunity Agency a P, 1 Communication Result Report ( Sep, 10, 2009 1 : 01PM ) 1) 2) Date/Time : Sep. 10. 2009 1 : 01PM File Page No. Mode Destination Pg (s) Result Nat Sent ---------------------------------------------------------------------------------------------------- 5345 Memory TX 95081789312 -- P. 1 OK Reason for error E. 1) Hang up o r .l i ne fa i 1 E. 2) Busy E. 3) No answer E. 4) No facsimile connection E. 5) Ex c e e d e d max. E—mail size p 10 09 12:37p p.t - - - a Barnstable l.emrd Hwsino l)epe 708.`771.7= tt TtjePf ne 503.771.T222 Housing AUtbority FAX".s0MA 02601 � - 786 S WCl Sheet•Hyannis.MA D_'+6U1 ZONING VERIFICATION TO: Lindalitobin FROM:Kim Gomez,Leased Housing Coordinator PHONE NOik 508-771-7292 FAX 508-778-9312 RE: LEGAL RENTAL UNIT'VERIT'ICAITON DATE: _ }}1J1� Ids 1?00? ADDRESS: VILLAGE: NIT TYP BEDROOM UNIT ✓ MAP&MCEL NO: Oa`i—Ia7 The owner of the above listed property is entering irrto a contract with us for rental of the property listed above. Please verify by-signing below that the unit is legal and meets all zoning utrGq 'cements fora rental in the town ofBamstable. If it does not,please list the reason below: l s.a S—in - hame.- rtau_C",4I ,-LPr m_KtJe%here+-was_ .�� 7� ftSi tn++M ers.�+t'an col U4.�s�ct reef�doio. .gyp U T you for your assistance in this metier. v SigNture p Print name a o Date; io-o FP VIA FAX:508-790-6230 i,)O-k-'cL r��' r�'�°'� �'`4'F`uS ^°r•is 3 ZU ��liar ri esJ,M oF,r+E Town of Barnstable *Permit 196 v��! Expires 6 months from issue date „WMAZA : Regulatory Services Fee 0 9. `0$ Thomas F.Geiler,Director Building Division X-PRESS PERMIT Tom Perry, Building Comanissioner 200 Main Street, Hyannis,MA 02601 S E P 2.4 2004 Office: 508-862-4038 TOWN OF BARNSTABLE Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint ap/parcel Number d 2 opertyAddress J Residential Value of Work 5300 Minimum fee of$25.00 for work under$6000.00 wner's Name&Address I G �d� to 7 vc a- CPy� ontractor's Name Telephone Number ome Improvement Contractor License#(if applicable) onstruction Supervisor's License#(if applicable) ►J ]Workman's Compensation Insurance Check one: ❑ I am a sole proprietor r s ❑ I am the Homeowner N M- I have Worker's Compensation Insurance isurance Company Name c� rorkman's Comp.Policy# opy of Insurance Compliance Certificate'must be on file. mnit 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) I ®Re-side [Replacement Windows. u-Value '3 (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. *** ote: roperty Own t sign Property Owner Letter of Permission. ome Impro em nt Contractors License is required. ignature - - -� - �t Town of Barnstable Regulatory Services swxrrsTna�, Thomas F.Geiler,Director 3 p.0� 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: JOB LOCATION: number street _ p village "HOMEOWNER':Z/" lam„.. 'Y/v'/v .S d name ( home ph on work phone# CURRENT MAMING ADDRESS: I elW d I Q �— 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 minimltu' ction proce es requirements and that he/she will comply with said procedures and Zrequir _ 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 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. 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:fomrs:homeexempt TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Ll 37 Parcel SEPTIC Permit# SYSTEM MUST S7 Health Division - SY z INSTALLED IN COMPLIAN ,Cate Issued WITH TITLE 5 Conservation Division ENVIRONMENTAL Fee Tax Collector f TOW _9 REGUL Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board ; Historic-OKH Preservation/Hyannis Project Street Address G e L✓ P � Village C-0 " Owner W [ r E�Y� Address �d Telephone Permit Request G 3� Square feet: 1 st floor:exjsting proposed 2nd floor: existing proposed Total new 56 Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family L ' Two Family ❑ Multi-Family #units Y( ) Age of Existing Structure Historic House: ❑Yes W,Pd"o On Old King's Highway: ❑Yes 2-eo Basement Type: ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing �' new Number of Bedrooms: existing .3 new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: as ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 143 o Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new. size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:t/existing ❑new size Shed:❑existing ❑new `size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATIO�i Name TeleNhoneNumber Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO.- DATE ISSUED • MAP/PARCEL NO. x ADDRESS VILLAGE ' OWNER 4 DATE OF INSPECTION: - FOUNDATION �» /(C t FRAME ,r >, r: -3-000 a" INSULATION ' FIREPLACE. p ELECTRICAL: * ' ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ; DATE CLOSED OUT ' ASSOCIATION PLAN NO. Department of ln&abial Accidents �• _ Otllce of/oyestigatloos a - 600 Washington Street c- Boston,Mass. 02111 , Workers' Com ensation Insurance Affidavit name: W / !Q!i✓� Cl—Y!v/ — location: a1AL4 city / " 2,4 3 phone# d _Zola-33-I 2`11 am a homeowner performing all work elf ❑ lam a sole etor and have no one workin is aav aj achy / iloyees working on this job. �� /�%�%%/ I MIMMME aman em P g......................... P.... ...... cum anv name:. .. .. . 34 ss: aan ..:............ .. :::.:::::::.;...::..:. ::.:. .::....::.... -'.::.:::.::.:;:::.... . :::...:.............:::..::.:.. Citw. vii::ti•::-:is ii:i .. y,r tiiii i':::%i:%i:%:%:%:.:.::;ii: {::'is�'::?%:ti:i:(%:i:%:%:':;i:.'i:i::�i:%i:%: ?ti{4i::�%ii: is4i:%:;i::ii:'r:%i::%'%ti::i?%iii"'::%:::. :;: . i +4ii!{:Y::iiiiiii'T::?..:^i:•:: r`i}:,; - •..• insurance co. 0 CV :... ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have ' thefollowing workers' compensation olices: g .....:..:.:::::.:................::...: . .:::....::::.::.:..: :.;:.:..:...:,,::.:::.:::;;.::::::::::,:...;:.:<.;;::._:::::.:.:::::::::.::.:..:.::::.::.:.::.:. e m a n vn am . .......................... ............................ d s ad re .....................................,. ... <........ insurance ca;:: ..:; :::jki:;:;:?:;:$jii.'•�i:�:`%�ii''•:ii'.vi:�i:}{%:ii`S 2%i:�:�>::- ..........•**i;:*i.i4Y b.:y}— •::::•:;:...:. .:.; ::.�.,....:..::+�:+.,.;.,..:�iii{;ih:i::!�:i•:i:i$;:!i:i::'v:is�ii}iivi'ri:::is i::•:iii: comnanv nam address: :.....:........ ... ..... .:..:.... .......................::::::::::.. ............... city- ................ .......: ... .... .....:.........:::::::.............................:::::ii•:}:i:i•i:i::::i::::.�:::•i:L:i::::.:v.,r 4'4}:::v.�. ........... :::}:ri': ....v:.v:•:::::....;..... :�.�............:.....:.. .......;.v. ........:.:v::::.v:::................................. f...::w:-::•.v [J.k,.,{j>.?.Si:�'.::i:hyy;??�:,{y::r.;:-:::.:.:.:...;.:.;;..... .: in]nrance CO. Fauum to secure coverage as required under Section 25A of MGL 152 can lead to the impos ion of ati do d penalties of a line up to 51,500.00 and/or one yearsy imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a 9ne of S100.00 a day against me. I understand that it copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage vetiiicatioa I do hereby certify under the pains and pen oPf that the infonnation provided above it tn, coned 7� j Date Signature ' Print name C.v,P ( ( � Gam- �v/cv Phone# ofacial use only do not write in this area to be completed by city or town of rl"I city or town: permitNcense 0 ❑Bing Department QLicensing Board response b required ❑Selectmen's Office ❑chsck if immediate po req ❑gealth Department contact person• phone#; ❑��'�'� (tenam 9/95 PIA) �p THE T . . °� The Town of. Barnstable w 1AMSrABLE. • Q MAC Department of Health Safety and Environmental Services -Op i639. �0 rEo 59r a Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit not. Date u fAFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO.PERMIT APPLICATION MGL c. 142A requires that the`reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to. such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: C®��G 7 G-oft-n Estimated Cost Address of Work: /- Owner's Name: Vv ' ` &3d= � Date of Application: O O I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 EBOui got owner-occupied caner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED. CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE . ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. 00 *De Owner's Name q:forms:Affidav t ESTIMATED PROJECT COST WORKSHEET Value LIVING SPACE square feet X$55/sq. foot= GARAGE (UNFINISHED) square feet X$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Cost WA9 , y990915b &�JNGLE:S i MATC- r dos 7 �� V <a I(- t1-1 C c3 -7 c0 + 3 0 `C - L to OD W CD D7 Ci GDr< C .�0)0_�+o _ C en— CO (f�,f i �'Z-�. A—G �sts � ✓r't� �(,Q p�tS>C ' ex ( ' , S'@ GTE o-f (Lcj VV y kJ y , 1 (cam `� (N�- [ d� rjC/��'% �c� �"✓ � � G Z� ( �j � C.-c f. 1 Ho v L xS C. o C �3a ' a d lam'IJ1 v v D / I - � S a�a.✓ �v� t,✓t� � x l o S f S �O GT Q G F-�!fig G C." Ie T'Q°I^i` '`ti( 3 S/ Co J-e� i di �+-�-cam_ : ��-� -�o ` --'' ffi�P `X ` e,1 I� wti I ( L c)-f �'°� oj co Building Division • trrrstARi P ' 367 Main Street,Hyannis MA 02601 ,sess. 9�A t61y � TEO r,AA'i Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commis_ dv HO1IE0%VNER LICENSE EXEMPTION , Please Print DATE: i v JOB LOCATION: / 0 /fir yet. /f villa;e�� "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: 14 �2 city/town state rip 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. DE INITTON 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 and re ents. 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 EXEMMON . 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. 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 to amend and adopt such a form/certification for use in your community. Q:FORMS;E_XEMM,' d • - RO • • s`_ l s. v yE.o'Qb UL L. K£RR/GAN dye' I qw r ar. 9J 6 L` tie b cs.� - Z. S° ,. •� �,5� Z• LINE--- �- � _a, b ► .- t.b by�Y 1 ,1� • . JJ ee � /_ N a9 ad?9 C—_ i0000 N!7_---- ..-' S -- ---------------- ---- ------ ----- OPEN. ` - N 8 53 z% E _ zfo.09 N - A•JO.00 lb P '�'•w � �pytiti ye 0 ° e J.. r -•f 00. � �a� r 10 0 It eJ. w�N C•. 00 r 1�ti ti lOJy ., t.33. - rt a n` .10 e 20,596 S.F 3 _ K \ 190C C. \ ,0 APPROVAL REQUIRED UNDER SUBDIVISION CONTROL LAW. BARNSTABLE PLANNING BOARD CGS - �3 5 P�0 AT $�� _ C.B. 65 �0�,. C�rt A.M. R7 PARCEL I32•III, GROSS AREA OF SUBDIVISION 415,935 S.F ZONING DISTRICY. ' RF GROSS AREA OF ROADS $3.794 S.F LOW Q WELL£R INC 714 MAIN STREET YARMOVTN MASS. a 7-o P OF /aNNoAYIoN. 4,-15+/. 90.5o D iv'1 Pe,-2 'Du�l t 4j l 1410 Id LA`DI S 7L( i -2C7 NOTE: . - — - - - - ex/sf/nc� c�/-ound fro //e - „_ � •,- E}CTE-il/D F�L,L APPL/CF-?'BL.E f 7- 0A-/ VE /PT. SGHLE : / /O /"lRA1f-IOLE COUE;25 TO w/TH//v o—o—o—o— /proposed ground Prof'/le =j /2" OF F//V/SHED G.2F/0E; FL o '� j �m/n. %4•pel- �.f� FL D/.�/ 2- la er o f+ scHED. 4o F,iV IC. o,e CMIn/mum %" Pl,r• f oOf) s/e"pe asfone / EQUr9L To SEP Tf�NK-• P/PE To BEr-1 / —�3-M�AJ. —/�_it . — LEVEL F0 Z'.,2 . '- -� L/QUID �weL D/ST. 8 OX 6LOT :5 ' washed stone c —:'000 GAL. SEPT/C . TAtJIZ a� r ICE- TAIL S LEACH IP/7_ / I I ' D LG -7--E S 7- �--/ O L E- L O G S / G /�/ 3 t3 EAR oar HOUSE DATE: Z- 10-86 TEST 6Y= L ow •� �,./��R INS �r7 O d/SP Q✓ !^ WIT/�./E S S.• T % / G KE E/V {/A FC'.a`• �9.'OF`-/�Q c Tf{ ,> /. � GAO N u5c- _ 00 GA4.. TAti//� ctir-1 S TO TOTAL `S G.P.D. N1Ev� �U't •ni r I � . 0 � 1 ' - 1 C E/2T/FY THAT THE BU/L D/NG /vo WAT E R _. i'ti,2OpO5ED ON 7 -1E G�2oUtQ0 AS CNGOUN'I` R�� 3 !.>HOWAJ Ow ?H/S PLAN 17ofS 77�10 + ' •O&/F0,2M TO THE .BU/LD/lVG 5E7= ,j/ TE S E�.JF-� G E PL A �''I --- i ` _ z ' E,�F�GIG ,QE G?U/,2EMENTS OF THE Ore ,� P N O F _ 7?,4.R N s F T.�.S�. E _ o T'�` 3 OF STONS MILL,.'S I GEORGE LOW : �^ PREPARED FOQ: .50ur-1 cAP E R A TY- F v 27807IS 96 PAUL yN o , ,SI M / ,i AR ,. D PLA A SCALE: /" • O I E / N AT6jo .o 0.247 CIVIL 0. 00 _ e x/S-hr7 eleva- iOn 8L DG. 5E7-13ACK o.00 Proposed e /ovation /2E0Ul2E /"JE'll 1T S'' � 'O _ n ILAPPl/ED-' -- — e xlSti n con-four-s 9 BOA,20 OF HEALTH S/ de l5 7/4 /" tglAi ST2EET e._._a — — e— propo d confour-s a _ ASS• YAQMOUTH PORT,, M,4QSS . .:. , pRoFE55lO,VAG:ENGlNEEF25 If4.19AJD SU2VEYOA25 --