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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
( TOWN OF BARNSTABLE �j( Q
Map' 'y, �t Parcel L i Application # ►_ I �" - Z U
Health Division 2OD MAY 23 fD 03 Date Issued _ '2•548
Conservation Division Application Fee
�i
Planning Dept. Permit Fee O
DIVISI
Date Definitive Plan Approved by Planning Board OC S-Z� Pr 3
Historic - OKH _Preservation / Hyannis
Project Street/ Address 2O £1i . , a(2c�. / M /Qe /1
et
Village / Ja)2- -t -
Owner /. a5cl Address ao M94 , aafaidee
Telephone 50 g - - `70 711
Permit Request
'Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation!! yq, Yg Construction Type,
Lot Size _ Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Cl Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full U 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 _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas XOil ❑ 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_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded CICommercial ❑Yes ❑ No If yes, site plan review#
Current Use _ Proposed Use - - __
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name i C - due fi-02, Telephone Number 60 - 7-7 oI/ I
Address `7q ,g Mc/ License # (13 06905
ilerA ndLecx , M/7 024'7-5 Home Improvement Contractor# /c / O'7 5
Worker's Compensation # 1C! 5oOJ3011OI2-
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS P:•JECT WILL BE TAKEN TO /U y yU4 and- d)A
97916 f2d7e ; l�, ago s , / 0217.E
y
SIGNATURE DATE
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
E .
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
'SF
w •
F FOUNDATION -`
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING •
}
DATE CLOSED OUT
6 •
ASSOCIATION PLAN NO.
i .
7
OWNER AUTHORIZATION FORM
I, \ �I
y 1
,
(Owner's Name) -
owner of the property located at
G 4cre� '7/ /, ,,( 1
(Property Address)'
OR050 . . . . .
(Property Address)
hereby authorize • IL) e ( OrnAs-},(ucl w
(Subcontractor)
an authorized subcontractor for RISE Engineering, to act on my behalf to obtain.a building
permit and to perform work on my property.
t a:).
,
3 • - . .
Owner's Signature
: . iiiC ' Lj / 3 . ' . ..
Date
f
fi 05/21/2011 18:01 5087785010 TUPPERCO PAGE 01/01
11
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6524/1.1
. di TUPPER
` ,, CONSTRUCTION CO_Lac
796 MID-TECH DRIVE,WEST YARMOUTH,MA 02673
PHONE: 508-778-0111 FAX: 508-778-5010 G. ‘—7—/3 f,e
WWW.TUPPERQQCOM
Date: 4 /---
Town of'Barnstable
Thomas Perry CBO
200 Main Street
Hyannis, Ma 02601
(508) 790-6230 fax t
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Mir. ,
Re: Insulation Permits w
u
..3 :j
Dear Mr. Perry ,
This affidavit is to certify that all work completed for permit application
# �o 1a 4 i
Issued. on 1/2 I//, has been inspected by a certified
Building Performance Institute (BPI) inspector. All work performed meets
or exceeds Federal and State requirements.
Sir
i 4
• •hn
Y
Ri hard Tupper
Lice. - # CS-69058
r •
Town of Barnstable •
�t Regulatory Services
ii '►, Thomas F.Geiler,Director
F9.
Building Division TB
* BARNSTABLE, 1.
*639.' �" Tom Perry,Building Commissioner •
�� �: t
200 Main Street, Hyannis,MA 02601OCT s't
www.town.barnstable.ma.us -
Office: 508-862-4038 ¢(` ivlsrofoFax:"508=790-6230
•
Approved:
Fee: ..1g3 "-s 61-0
Permit#: 1 S LQ D--
HOME OCCUPATION REGISTRATION
Date: 0/ /( CO b — t!v " 9 .9�+ ` C
! r
C( r77 �7 �>Name: (� /62tti/zO. D �aAI 1- /�'��' ne#: 54 rT J 3(v 2 -'7 6 d j
Address: c:72.0 G- f/I LL /Z., Village: , /i r a y 6 Le //I' K_ d?31�
Name of Business: — l2-/CA/ -21) ,DI " ?teVfF 7 �6,e#dAk-
I
Type of Business: i- /f�� Map/Lot: 98//7
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity
shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the
premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;
and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located within
that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and there is
no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,
odors,electrical disturbance,heat,glare,humidity or.other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of
normal household quantities. •
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
•. There are no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• • No sign shall be displayed indicating the Customary Home Occupation.
- • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
I,the undersigned, have read and agree with the above restrictions for my home occupation I am registering.
c� �j
Applicant: 2�/� 1 r �„ ______________Date: _e"
Homeoc.doc Rev.01/3/08
(:,----
_
•
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by M.G.L.-it does not give you permission to operate.] You must first obtain the necessary signatures on this form at 200 Main St., Hyannis.
Take the completed form to the Town Clerk's Office, 1st Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is
required by law.
. T DATE: /b(5-4-d�/ Fill in please:
Raft ��' Y APPLICANTS YOUR NAME/S: tZt G l �D E�G �/b7 i�L
BUSINESS YOUR HOME ADDRESS: cZ/r L
x -575S—774 -5/9,g 3iq2N5777)3 1,,1-. 3 O
" . a � TELEPHONE # Home Telephone Number $6 S -- 3 — '70 7 R
niff
NAME OF'CORPORATION
NAME OF'NEW BUSINESS /ZtG 4-,t� . 4' )'fl � A{6k TYPE OF BUSINESS
IS THIS,A HOMEOCCUPATION? YES NO4r1 G/N
ADDRESS:OF;B.USINESS O,yq-(jZ i,f-f(,( _; ? �� MAP/PARCEL NUMBER oLgB l,l. / (Assessing)
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth
Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING COMMISSIONER'S OFFICE MUST COMPLY WITH HOME OCCUPATION
This individual has b�informed oQpermit requirements that pertain to thisdai fkuimuLTg.Kratill ULATIONS. FAILURE TO
uthorized Si nature* COMPLY MAY RESULT IN FINES.
COMMENTS:
2. BOARD OF HEALTH
This individual has been informed of the permit requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
3. CONSUMER AFFAIRS(LICENSING AUTHORITY) •
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
.Z#1
t
/0/6'
K1.,0*IHEro Town of Barnstable *Permit# 7 ? ? 9
. 1.f � Expires 6 months from issue date
• snxrr•sresr.E. Regulatory Services Fee g7'. 70
� MASS. �� Thomas F.Geller,Director
s6g9• 4
ATfD "D�`a Building Division
Torn Perry, Building Commissioner X-PRESS PE- IT
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 2.9 -rigI_O 189i BARK;
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENRi;D1T/ 'ARNSTABL
Not Valid without Red X-Press Imprint ex,
Map/parcel Number /
Property Address ( Ai - 4 V( ?a &i.Js-T A 3 L E
ki4Residential Value of Work E000----
• Owner's Name&Address I Y 1(0 YYVA S A� a c . tit AU94kv
(,to A-ctcor \ )kL.1 Akm) O2.Ca01
Contractor's Name 9 Telephone Number
Home Improvement Contractor License#(if applicable) 0
Construction Supervisor's License#(if applicable) 0' t.p 3 S
Workman's Compensation Insurance
Check one:
0 I am a sole proprietor
❑ I am the Homeowner
74 I have Worker's Compensation Insurance
Insurance Company Name rAVt?A,Vt.C) C
Workman's Comp.Policy# PSA)(a — 5 g (ol-AO 4-
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
W:LRe-roof(stripping old shingles) All construction debris will be taken to l
❑Re-roof(not stripping. Going over existing layers of roof)
Re-side
❑ Replacement Windows. U-Value (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.
Signature
t}14me Improve
Iment Contractors License is required.
Q:Forms:expmtrg
Revise053003
r~
/�/oFSHE ram, Town of Barnstable
9. Regulatory Services
BARNSfABLE, r Thomas F.Geiler,Director
Mass. a �
fo;�.,p`�� Building Division
Torn Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must Complete and Sign This Section If Using A
Builder
I <796S (_t V/V 4 Ll0 /772Wl , as Owner of the subject property
hereby authorize C 2 EA L"i-r# 50/,/5 eatTrI i/ to act on my behalf,
in all matters relative to work authorized by this building permit application for (address of
job)
�2o
y
Signature - f Owner Date
8,m v 67NV VP /l/
Print Name
•
Q:FORMS:O WNERPERMISS IO N
ox - //9-3 Asstssor's Oflice,(1st floor) Map�(727cP- Lot ./2/ C.L Permit#.
• -Conservation Office(4th noon 3A I 15" Date Issued 115--/
Board of Health(3rd floor) Lt., 3- 95 Si°
Engineering Dept. (3rd floor) House# oZC' FJS 411,9 7/0u� '►�
• • - ... C S auwerests,
�-��� ,:•6 dyB-ip Muf+B. -4P
11/7
A..lications .rocessed 0-9:30 a.•'.-& 1:00-2:00 s.m. � ` ?4 ��$
TOWN OF BARNSTABLE
Building Permit Application
Project Street Address -7-.1) NCqjr /1(� I?o,m Up,/ 1-or aD
Village p /Uf T fi L ti Fire District Ii), iY S Y f)0 L-
Owner-TM)YI'1,/Of )) C- fV? t'l, ) Ft ('� Address 7/ ,�•/l 1c N/L PI) / 2�//. -i,e/'Gt(
.3- Telephone GL. - g 6[o S
Permit Request:
Zoning District Flood Plain Water Protection
Lot Size 11 e)0 G j� Grandfathered
Zoning Board of Appeals Authorization Recorded
Current Use Proposed Use
Construction Type
Existing Information
Dwelling Type: Single Family V Two family Multi-family
Age of structure / 7 V 1zi)-c-( Basement type ..F iJ w 19/)J
Historic House AA) Finished \FT)L / 7 G°
Old King's Highway Unfinished
Number of Baths No. of Bedrooms r
Total Room Count(not including baths) c 5 First Floor ...S.--
Heat Type and Fuel 0/L I Central Air 47d Fireplaces 6
1 J
Garage: Detached /1/6 - -YT1 C.4-/-610 Other Detached Structures: 61 Pool 0 Altached ) SS Barn 1 t
None Sheds /(/D
Other
Builder Information
Name R1 T/Er° l+i/L 6 JY f/rm Telephone number -9-0,-3‘,2 a? VC
Address /7 e'Ll`y•ro1U PJ I V+ License#ydv ov r/1 f o I < /42/9 UZ 2,S— Home Improvement Contractor# // P 3 g 2-
Worker's Compensation #
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
x)Project Cost 0Da , cre.)
,) /' Fee cfS'Z�,co
1'
SIGNATURE 1�✓UJ I4 �7J 6:)/////fifv l/I DATE - 3 -_y s
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
j 2 SPERM T
' 14 ' FOR OFFICE USE ONLY -s
.4/5/95 "
%' I i 298. 111
ADDRESS 1 20 Acre Hill Road VILLAGE. Barnstable
1 Thomas H. Connaughton
OWNER ,. '
i
DATE OF INSPECTION: • , _
FOUNDATION •$ •
' .11 1
° �� ,
,,. i 1 ''.
INSULATION
a
FIREPLACE _ 1
ELECTRICAL: ROUGH FINAL , V
- •
PLUMBING: '3 ROUGH FINAL V
GAS: ` ROUGH FINAL '
FINAL BUILDING: ',_ / ..S�4`
DATE CLOSED OUT:' '
. y
ASSOCIATE PLAN NO. .
• ,
at.f ,
F
d
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please print.
DATE �/ j 7-
JOB LOCATION --)4 /`( -C A . // /L-z_ /l.d - e r (J ,j
Number Street address Section of town
"HOMEOWNER" / //i ////'��i �C 77)G1/ / .
\ F ,? -9a-(
Name
Home phone Work phone
PRESENT MAILING ADDRESS �/2 E 4/LL Jo 4_j , 4 je/yrr; Il G,2/� 3 Y
/.'
`p>bx'A/D & Ti01 J f Q Zi 3 c -
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 such homeowners to engage an in-
dividual 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 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 building permit. (Section 109. 1. 1)
The undersigned "homeowner" assumes responsibility for compliance with the Stat
Building Code and other applicable codes, by-laws, 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 complywith said pr edures and requirements.
HOMEOWNER'S SIGNATURE it 074.4°�-G"
� ��U7
APPROVAL OF BUILDING OFFICIAL , -,/ii(
Note: Three family dwellings 35, 000 cubic feet, or larger, will be required
to comply with State Building Code Section 127. 0, Construction Control.
HOME OWNER' S EXEMPTION
The code' state that: "Any Home Owner 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 a
Home Owner engages a person(s) for hire to do such work, that such Home Owner
shall act as supervisor. "
Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor (see Appendix Q, Rules and Regulations
for licensing Construction Supervisors, Section 2. 15) . This lack of awarenes
often results in serious problems, particularly when the Home Owner hires
unlicensed persons. In this case our .Board cannot 'proceed against the
inlicensed person as it would with licensed Supervisor. The Home ' Owner. actin
as supervisor is ultimately responsible.
To ensure that the Home Owner is fully aware of his/her responsibilities, man
communities require, as part of the permit application, that the Home Owner
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.
•
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„ 1
Ill . TOWN OF BARNSTABLE Permit No. 2a201 _
»n.� Building Inspector
Cash ___
°opr.� OCCUPANCY PERMIT Bond xx (Bldg) 3/1
"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. Thomas ConnaughtorAddress
Lot 20 20 Acre Hill Road, Barnstable
Wiring Inspector .)#?, i 4,.`2 ,5,-4---,.. _ Inspection date CY
Plumbing Inspector r ,. Inspection date
i
Gas Inspector iir
Inspection date
Engineering Department l ` inspection date 7
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.
II „7? /(LIL
i/
..................�..`� �..�.........�) t B°wilding Inspector __
tr 1
'-= Assess is map and lot number I-�
fin.:- ��i a�,, ,°� — s-//- 7 p
;) Sew.age:"Permit number • 2 / �I� iu " it STET
cr i �NITA4�'� CODE ANi 7��1�
QyoftEro• h TOWN: OF �BAR1�S�� MICE
BABH3Tsm , I 4 w. •
"A°` Sr1) I. BUFLD�ING E INSPECTOR�O 1'6S9• �g •
0.. �..MP�a J. 1 {p ''-i s1c`
4.., T`'' APPLICATIONIFOR PERMIT TO .Cct T P.1,‘C: 1' T� _I NNG'' :�• TYPE OF CONSTRUCTION L oc' FQa P'1:k
sv q
0 c: a lkl) I 19...�i
;TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location LOT �1
c) L2f. }`! t LL, f orib 4 D 1
Proposed Use 11k--I S r t 07 I ri L
1 Zoning District •. •E-- 1 WyT 1 P),•-- Fire District c )TA-eLE
�1i .. .. . NNA�iC N dd re PCCI S F T Name of Owner ..�j...h�t�....T��a�N►�� Address
2�ISI• a
Name of Builder �N���....� . .��..�.��. Address � Al�lv.�
Name of Architect Address
Number of Rooms ...J. Foundation PcV3f.F D
Exierior C L P P-$1z>f=0.bS SO o LES Roofing PIA PI-L-T
• Floors LPA .....1 D LONt•- - Interior 'DWI' 1r,s41RI4r=
Heating F a1>fs ?. t 4.V.- Plumbing 31y-
Fireplace C.,,t0- Approximate Cost 51O X
Definitive Plan Approved by Planning Board 19 Area // L
Diagram of Lot and Building with Dimensions Fee cs26, `''
SUBJECT TO APPROVAL OF BOARD OF HEALTH Q
of the Townof Barnstabler ardi
I hereby, agree to conform to all the Rules and Regulations 0 regarding the above
t, .construction.
Name . Kt
- --
.,..riConnaughton, Mr. & Mrs. Thomas .
..,
. t , •
. - . .
1 • . 20201 Permitone story , •
' .No for, , . .
. .
, . .
. . single family dwelling . . .
Location . 20 Acre Hill Road
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Chmier Mr. & Mrs. Thomas Connaughton , . -
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' Type of Construction fr _ :-.
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Lot #20 .
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Permit Granted
May 11 - .19 78
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Date of Inspection 19 -.
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Date Completed -A'19 •
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Approved 19 - • . _ ,,
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