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0003 ACRE HILL ROAD
• • • 0 • .> F _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2,1 g Parcel C TOWN OF BARNSTAB 20I J5 UO(o i Application # Health Division ' M $2 '6 Date Issued c"--(1.-157 c / Conservation Division Application Fee 5D • oD Planning Dept. t': --- Permit Fee ' '9° EP Date Definitive Plan Approved by Planning Board ' Historic - OKH _ Preservation/ Hyannis Project Street Address 3 ACl't_ `-- k,\ o6ot Village 3fAr-n5kGJoLe-- Owner ezcA r',t 0do"o 1& i-- Address 3 Acre ‘A-ak 4A Telephone 11`t- °el Li s 14114 ti k s,6,hA__ A 01636 Permit Request Lo e.e.1-I. :i 2a.KoAr1v6.,lag?" ; A rs j a --c .�1rori ¶Z +f ce(10(0f.4..._ r- z . C � �l : venfi( Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 7 G - Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑I Two Family ❑ Multi-Family (# units) Age of Existing Structure [I l-7 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other 1 Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No- Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size Barn: ❑ existing ❑ new size / f c- Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 31 o If yes, site plan review # Current Use V-t 5 t' Proposed Use ‘tA-+mot CA.._ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ,J Name (��d�T^1_r r..�'� �O u,i,d.,.c. Telephone Number �� -1 2� " Address 9 2 tkotripikcIN Ro G.pt License # t 05 14 $6tAt-S)r-Ciri 6A/A o [t(33 1 Home Improvement Contractor# \ (,O C-1 Worker's Compensation # V iNC,- )N-60[511 S-2 6[c4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 5 7 / r- � FOR OFFICIAL USE ONLY #; `APPLICATION# t. }t DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER • DATE OF INSPECTION: t. FOUNDATION^;u= -_i_ v if y FRAME -._ . .� :INSULATION.. FIREPLACE ELECTRICAL: ROUGH FINAL _ PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT__ ASSOCIATION PLAN NO. • - • • Town of Barnstable Regulatory Services • s Richard V Scan;Director Biilding Division Tom Perry,Baiidlng Commissioner 200 Main Shed;Hyannis,11A 02601 www,townlarnstaOle mama Office: 508462-4038 Fax: 508-790-6230 P e Own rMust, Completes°S gn This Section If Us' ABuilder _ I,___ etrj ,as Owaer.af.;fo t svbpcpr property - ,, heiebyawhoiize cc p�4-1-F?t � � to act oz inybebalf, in all matters relative:to.work authorized bp this building • • i application for g7/ g sarx$ #?7a , O26ID (AddressLofJ b)• ** Fool fences and:alarms.are the of tbe-a} licant:, :'ools axe.not:to be filled;orutiliZed before fence is.instilled and nit final inspections are pezfOrMed 4134acc9 )1w g-e44(A •• . . 0 .a Signawce:of Ap • . let-tiara( .U1 (2170/4 ,ohwe Print Name: ty :Prim Name Q: oNPOOLS pFtne r Town of Barnstable -Permit# C���v� �' )9' Expires 6 moni rom issue dal ' Regulatory Services Fee * BARNST + MASS1 Thomas F. Geiler, Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis, MA 02601 www.tovvn.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 Z —/ S [/ Property Address 3 /TC / // C P, 34r vis'APez' ' per e,263v esidential Value of Work �j®� vv Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Fei?jwar' e9P Z l2tir�% eta frf7/ /cf' t ` =arv4574 /� /74 , e.).2 , e) Contractor's Name Telephone Number • Home Improvement Contractor License# (if applicable) Construction Supervisor's License#(if applicable) XPRESS PERMIT ❑Workman's Compensation Insurance 9 Check one: AUG d. 2 2010 ❑ m a sole proprietor am the Homeowner TOWN OF BARNSTABLE ❑ I have Workers Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to t/244' t /7 C�L ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side • #of doors • . Replacement Windows/doors/sliders. U-Value (maximum .35)#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: `� 1a� ir 1s✓�i Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 072110 • HErati Town of Barnstable Regulatory Services BAItsTnst.t;, IASS, Thomas F. Geiler, Director re1r,Nt Building Division Tom Perry, Building Commissioner • 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 598-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 8 tp2/02z9747 JOB LOCATION: J Akre 4 /,K� , , ro!� Q 1 �µnumber - street / village "HOMEOWNER'i%�r C'Lrd �P ®_Pa O ./4? name J ham* phone# work phone# CURRENT MAILNG ADDRESS: 3 AiG"4� -4/ ,?/ �rz/1� �Q6/(p 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/s e will comply with said procedures and requirements. Signature of Homeo er • 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.I -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 caret amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 072110 4OF THE T, * BARNSTABLE, * 1, 6 ,.4. Town of Barnstaple rFn ww: . f Regulatory Servi>ces Thomas F. Geiler, Direcior Building Divisio°n Thomas Perry,CBO Building Commissi(oner 200 Main Street, Hyanni., MA 02601 www.town.barnst:ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 • Property 0 ner ►- ust • Complete and ig his Section If Usint A Builder I, ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work, thorized by this b ' ding permit application for: (Address of J► I) • Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. r' Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 072110 ""•o TOWN OF BARNSTABLE. 19596 9/14/77 •`•y •� r Permit No. Building Inspector s,ezrnm,�s Cash ----_----- ♦� �6 p. p wow*, OCCUPANCY PERMIT Bond �A "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Mr. & Mrs. W. Howard JOhnsonAddress ,17 Gross St., Clinton, MA lot 022 Braggs Lane, Barnstable Wiring Inspector �' Inspection date Plumbing Inspector�t1) ,1C " O _w Inspection date Gas Inspector Inspection date Engineering Department 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. l! "/ ritr. 19 _... 67 Building Inspector r b ,.:.„ Illsessor's map and lot'number (Ka �t9 a1 CG` 7 l�� ,; 6 1 :._ 7 1 SEPTIC SYSTEM MUST BE -+ 1� INSTALLED IN COMPLIANCE Sewage,Permit number �� r •KS WITH.ARTICLE II STATE • ,,_� , ,-r,y - SANITARY CODE AND TOWN 0FTNSETs t; TOWN OF -BARN '-�C' 3sLE 4. • i BASBSTAli aE, i v '.l S BUILDINGar INSPECTOR Now a Gl i� � ,t a :. t / i .,, '� tl M ry c: o " APPLICATION FOR;,PERMIT TO COt.Struot...I4u;;e 41 O cry . r.•• 1 �; ;F TYPE OF CONSTRUCTION ('' WO.a....Frra44 -' ,`- Se.t.embex 1419...7.7. N TO THE INSPECTOR OF'BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Iat...22...Bx.aggs Lane, Barnstable Proposed Use Repidential Zoning District ,RP.ailaeX11;.i4 Fire District Barnstable Johnson Name of Owner .Nr... 84 I''a's, W, Howard Address 17 Gross St, Clinton Mass Name of Builder ..J.i l.S...KA...S.nkith Address Barnstable Name of Architect Address Number of Rooms 5 Foundation Poured Concrete Exierior White...Ce.dar...ShingJ.e.a Roofing Asphalt Floors ...Wall to Wail InteriorPlumbing Drywall �;.. . Heating .FVdHW.. Fireplace Yes Approximate Cost 30,000 d Definitive Plan Approved by Planning Board 19 . Area / 0 1 v S Diagram of Lot and Building with Dimensions Fee 3. SUBJECT TO APPROVAL OF BOARD OF HEALTH j I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name y ohnson, Mr. & Mrs. W. Howard ir ' • ' 19596 one story . • . . , o Permit for . single family dwelling 1 Braggs Lane z Location . • , , •Barnstable , . • . . . .. . .• ., . .... ( . . Mr. & Mrs. W. Howard Johnson Owner . ; - , .._ . . . ;..- . . Type of Construction fX.0,144 , ..• -, ' r . ,.. . • . . ' , • 0 - . #22 . ' . Plot • . Lot — . -, .... . .; .. - - , , , September 14 19 77 Permit Granted t • ; . Date of Inspection r 1 19 ) ..• - ' . ; Date Completed 19 i I . , - , . T ; ., . . . . , a iQ 4/4/79 t _ _ • . . ._ . .; • -; :;.• . PERMIT REFUSED :- - ' •. . . . . , 19 . . , . ... .. .. . t .... . . .. Atit ‘ . . ' r . ' . . .. ; • . 7L -Ai gitd , ' . ii' . • . ' . . i i -.'. •7, .. . '' ..,.. . 6Approved 19 , ..._: . , . •; . . . x . r a . ` ^ T�, 4 y 1't I I, 0 4 aTa" t 4"C a--t ,rt fi' ., _ ,.. -"'• _,,_ 14wis•3-a..r+-..rir..74•..• fwr • .- - tOuCp MACI. TYR , - • .• . v . • ^ , R.: _ L0T 2- 2., , y . ra' -+ -ff 1/ 7 . 56J 7 • D-ag LOAM E AnJb SU Sb1L. ,� " • .. • �, Si1 D' AA)D G-hidk4.' 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LOCATTD • . . ti / Y q . ` " ? >,4# 12 1 al,7 f ,-r"")27- AIS' l 8 O✓Ee 6Y5 TEM C!nlLE 5 5 A,'7:00 . . • I26.S/CA./ L'OA4r,hVG /-5 CJSZ>.: '': L t URE1 y*.CERIi-FY f TEAT THE EYIS ii4G• .' ., 0.1 OP , . - • - • ' FOUNDf17(bit)• LOC/IT/O IS CORRECT 6"-S 'SPOL3 ���,t ,,,;'a;, A°,+` $.*.mac,:.. AND U S CON FARM ..W f'2 THE —lit)/t iAi GfOFGE G i 4'` S. LOW,JR, Y . ,- SEt'fif1CK. REcLIIREMeN .T5 -oc,rH.- rqc w H i. ".; -64: I3 `R'R,$rnELE q' s���'``�Q� ti .0r A 7` . HE.AG.7� ,AG�vT f� Lam.--.a t , +... • • ',+ .. '"4. .i'