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Town of Barnstable *Permit
E�Tres 6 months from issue date
Regulatory Services Fee
BARNS1ABLE, : r��1 y�
MASS. Richard V.Scali,Director !�a`],/ �� U
Building Division O A
Paul Roma,Building ComAnom,
er 9200 Main Street,Hyannis, l
www.town.bamstable.ma.us
Office: 508-862-4038 ii� aa�: 508-790-6230 ✓
EXPRESS PERMIT APPLICATION RESIDENTIAL ONU
? �/ b Not Valid without Red X-Press Imprint
Map/parcel Number J �,�/
Property Address q 6 5 13�i y�D j LA "19- a cz-_,,v\ 1 L
dResidential Value of Work$ 7 DO®, pry Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address � - W,LK)
Contractor's Name ryl• 114 Telephone Number '7°7
Home Improvement Contractor License#(if applicable) 102o0 7 Email: pakLSr�, o t�► ®�('D►a1C�lSl hit
Construction Supervisor's License#(if applicable) 0,33 9'0 G
❑Workman's Compensation Insurance
Check one:
I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's 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
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side
ZZeplacement Windows/doors/sliders.U-Value 0- Z - (maximum.32)#of windows 1 3-
#of doors:
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
*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:
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doe
06/20/16
IL - ' -
-1
Town of Barnstable
Regulatory Services
KAM �, Richard V.Scali,Director
i63o.
► Building Division.
Paul Roma,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable-mans
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using; A Builder
I G VJ ��. ,as Owner of the subject property
hereby authorize Fft L Sm i T7+ t M«fll �*' ab on my behalf,
in all matters relative to work authorized by this building permit application for:.
(Address of Job)
**Pool fences and alarms are the responsibility of the applicant Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
Signature-of Owner Signs a �Jpplicant
CAveA yi t c,lC-( /) G M 6 ,gm 4— L SAfJ P
Print Name Print Name
Date
QYORMS:OWNERPERMISSIONPOOLS
Town of Barnstable
Regulatory Services "
dFt Richard V.Scali,Director t
Building Division
* > = t Paul Roma,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-86274038 /Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number �, street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
cityhown state zip code
The current exemption for"homeowners"was eate\ed
ude owner-o u ied dwellings of six units or less and to allow
homeowners to engage an individual for hire who dsess a licem ,provided that the owner acts as supervisoN OF HO OWNER
Person(s)who owns a parcel of land on which he/shr intends reside,on which there is,or is intended to be,a one or two-
family dwelling,attached or detached structures accuch use d/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered ar. Suc "homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shallible f r all such work Rerfofmed under the buildin ermit. (Section
109.1.1) I
The undersigned"homeowner",assumes responsibility for comp ce with the State Building Code and other applicable codes,
bylaws,rules and regulations.
r
The undersigned"homeowner"certifies that he/she unders ds the'To of Barnstable Building Department minimum inspection
procedures and requirements and that he/she will comply said proce ores and requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containin 35,000 cubic feet or larger will be equired to comply with the State Building Code
Section 127.0 Construction Control.,
HOMEOWNER'S EXEMPTION
The Code states that: "Any home ner performing work for which a build' permit is required shall be exempt
from the provisions of this section(Sectio 109.1.1-Licensing of construction Supervis rs); provided that if the homeowner
engages a person(s)for hire to do such rk,that such Homeowner shaft act as supervis ."
Many homeowners who use t is exemption are unaware that they are,assuming the esponsibilities of a supervisor
(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) his lack of awareness often
results in serious problems,particularly when the homeowner hires unlicensed persons. In this ase,our Board cannot
proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner ac 'ng as Supervisor is
ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities r quire,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page
this issue is a form currentl/used by several towns. You may care to amend and adopt such a form/certification.for use in
your community.
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
06/20/16
L S 3 OJT. /Z�.I�• !�/��.
Assessor's'map and lot number ...............Jam...—........
THE
,%NVge Permit number, -!lLn. .. . .. "';$� SYST RI i p
1f�e�. .� S.�e,.! fp C� G .w
4 !/ MS A LED y IN O�N.�i t BAREST LE. i
House number .....:.........:. 7 Ss
ENVIRONMENTAL
TOWN O BARNSrkITH TITLE 039.
B�LE
-' BUILDING INSPECTOR
APPLICATION FOR PERMIT,TO ,� l ��" ���C6, �c� �y✓� / .�": .......
.... ...........................................................................................
TYPE OF CONSTRUCTION .............:.aT.....Q .. ...�� : ...::............................................................................
1`:..... ......19.. �
TO THE INSPECTOR OF BUILDINGS: t:
The undersigned hereby applies for a•permit according to the following information:
�e� L,q� P......C.i!.�2.�'!. q'F!,�`y .. f + .S 5......... 2 6.3..?,.....
Location ............ 6... ............ ......................
ProposedUse ....................9.....d..i2..C...f....:.........................................................................:.................................................
Zoning District ............. :.�........................................Fire District ........... ..1`��:........................................
Name of Owner .... ddress ....... .............................
G!........:........
Name of Builder ............... .f .................................Address. .......................�.�.'.... .`.:...................:.
Name of Architect .Address `
Foundation e ef Nc
Numberof Rooms ..............................`........................... ............... ............................................................
Exterior ... o cf ......,..Roofing .........Asl �� , r ..................
............f!z` nrJ ./ GY �o- .Interior
Floors ..... ............... .. ....................... ................................... ..................................................
Heating ...................... ..:.. ::..................... ..........Plumbing .............�.. .G� x�2......... ...............................
Fireplace• ...................../Z::e... �...................: , ............Approximate Cost .................:............................................
Definitive Plan Approved by<Planning .Board --------------------------------19________. Area ..... z 6.... . ..................
Diagram of Lot and Building with Dimensions Fee... ............ . .. ...................
SUBJECT TO APPROVAL OF BOARD OF HEALTH, ' 67 I
101 0 PZ1
`. G
Y + /�
Y
-e•
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.
wNam ,. ....... .................... ....................
Construction Supervisor's License ....................................
P,VERY, RAYMOND E. & BERNICE
No .24..4..03.'.. Permit for ADD SUN PORCH
t Accessory - to Dwelling
• ..........................................................
t .46 Bayberry Lane
Location .............................................�.............(........
Y 'F Raymond E. & Bernice Avery
tOwner ..........
•" • . .... Frame Aff/c. `�`• :_ �-i - . <. ._ «' - -
Type of. Construction .......................................... • �^ f r
............... .... .....................
Plot ............. .......... Lot ................................
'
Permit Gran`ed APrl.l...lt.... .!":. -19 83
Date of Inspection
Date Completed «'19
Assessor's map and lot numb.er ....................I......................... . 2-1-f OSTHE
Sewage Permit number ............. ....(D............................
33ARNSTAI]LE.
Housenumber .......................................................... NAM
..... 039
NR I,.
TOWN :OF BARNSTABLE
BUILDING INSPECTOR
1� ;76
APPLICATION FOR PERMIT TO
alall........... ..................... ..
............. .. .............................................................
TYPE OF CONSTRUCTION .......... A.A..........T.- ....... ...............................................
7.......... ....................19.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ........... .........e xv... .. . 19 0.9 t) -9z............0
4
ProposedUse .... .................................... ..............................................................
ZoningDistrict ........................................................................Fire District ..............................................................................
Name of Owner J Address ... 4-
o�x .... ... ...A
ddress
Name of Builder .. 4. .Q.. ............100100!�
. Address ....................................................................................
.....f ...
Name of Architect ..................................................................Address ....................................................n
...................................
/7
.... ..........................
Number of RoomV........�.�<�....... ...............................Foundation ........./........................ ..........
................................Roofing ............*...............=..................................................
Exterior ... ............
.........................Interior ...........Floors ........... X............................. aa ........?.....................
Heating . . ............Plumbing ............ . . ..... .................
Fireplace ................. ............Approximate Cost ...........jffl,/
.............../.........................................
Definitive Plan Approved by Planning Board ------------------------------19--------- Area ...
... ........................
Diagram of Lot and Building with Dimensions Fee ................../0.—.—a-.9..0
SUBJECT TO APPROVAL. OF BOARD OF HEALTH
,_ f
WC
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
con structi on: k;
Name'...ir6z ...............
.. ...... .... ........r--
Conttr uciibln Supervisor's License .....................................
AREY, RAYMOND E. AF=335-46
26462 Add to Dwellin
No ................. Permit for .................................
.........Sir)g1e••F ..y..]Dwelling......................
Location .46..$c1Yb.QATy...L=e...........................
..................: ?At....D $: . �. ...
Owner ...... +Z.W.W............................
Type of Construction ....FraM...............
................................................................................
Plot ............................ Lot .............:..................
Permit Granted .......�W..21!..................19 84
Date of Inspection ....................................19
Date Completed ........:.............................19