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‘oFz r Town of Barnstable *Permit#, d/OOQ j7
Expires 6 months from issue date
7i' Regulatory Services Fee
....rrsrnar E,
k. ,:639: Thomas F. Geiler,Director
. r V"-------
Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street,-Hyannis,MA 0260.1
www.town.bamstable.ma.us -
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
�j Not Valid without Red X-Press Imprint.
Map/parcel Number '35
O3 -1 15t7 b'
Property Address 13 T)1(\1 be k.k1 LI f Gmeaviortit-PrA Pt CI C 3•7 '
[ Residential Value of Work $" 1 346 , 00 Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address - e l k_ + l (t°t C.y CAA sknaki
• /3 Nikki Li\) , C4 MVIPt9.,1), rAA 0a031
Contractor's Name ?ee k J . Soyk ,`k Telephone Number 3 0 " 3(.1.
Home Improvement Contractor License#(if applicable) 41 15o 1cO
Construction Supervisor's License#(if applicable) 41 79 tf gU
iWorkman's Compensation Insurance
C�h.,�k one: JAN 2 2 2010
j[ I am a sole proprietor
❑ I am the Homeowner - TOWN OF BARNSTABLE
❑ I have Worker's Compensation Insurance
Insurance Company Name i..,t 6QQt IA U ,U A t
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
[r 'Recrroof(stripping of shingles) All construction debris will be taken to Idu;,Ai yA cmakitX Di5?oik(
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
#of doors
❑ Replacement Windows/doors/sliders.U-Value (maximum .44)#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: ,.
,,e,cd6,441-1-\ .
:\WPFILES\FORMS\buildin ei'rrit forms\EXPRESS.doc
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Revised 090809
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re-fr:ffibENTown of Barnstable
p:,! Regulatory Services
Thomas F. Geller,Director
�o huz 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
Property Owner Must
Complete and Sign This Section
If Using A Builder
(7)I, j C a,,,, , as Owner of the subject property
hereby authorize • cf Sor) � �-( to act on my behalf,
in all matters relative to work authorized by this building permit application for.
(Ad-dress ofb)
zi , o
Signature of Owner ate
CE 74irvietin
Print Name
If Property Owner is applying for permit please complete the.
Homeowners License Exemption Form on the reverse side.
Q:FORMS:OWNERPERMISSION
•
Town of Barnstable .
Regulatory Services
•
•
t3nxwsrnsLe, : Thomas F. Geller,Director
t�tass
•
Building Division
\�
AIFb Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
•OMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
• number - street village
•
"HOMEOWNER": '
name ho, e phone# work phone#1
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to • clud owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who foes no .ossess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMED t ER
Person(s)who owns a parcel of land on which he/she r: ides or intend to reside, on which there is, or is intended to
be,a one or two-family dwelling,attached or detache. structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two , ear period shall no'be considered a homeowner. Such
"homeowner"shall submit to the Building Official In a form acceptable to the Building Official, that he/she shall be
responsible for all such work performed under the .wilding permit. (Section 109.1.1)
The undersigned"homeowner"assumes respo :ibility for compliance with the tate Building Code and other
applicable codes,bylaws,rules and regulatio :.
The undersigned"homeowner"certifies th. he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requ'' ements and that he/she will comply with s.;d procedures and
requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family swellings containing 35,000 cubic feet or larger will be required to omply with the
State Building Code Sectio 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states th,• : "Any homeowner performing work for which a building permit is required shall be exempt ' .m the provisions
of this section(Section 104. .1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)f. hire to do such
work,that such Homeow - shall act as supervisor."
Many homeo ners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see •ppendix Q,
Rules&Regulations f•- Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems particularly
when the homeown- hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
• Supervisor. The•.meowner acting as Supervisor is ultimately responsible.
To—nsure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit ap 'cation,
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:\WPFILES\FORMS\homeexempt.DOC
Town of Barnstable Permit:
S33 o�
6.1HE Toy, Regulatory Services Dat
,C�5 �o� Thomas F.Geiler,Director /0 7/0 2-
Fee: X2 S d-r0
STABLE, ; Building Division
N 39 �0� Peter F.DiMatteo Building Commissioner
Tft) 200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
TOWN OF BARNSTABLE .
SOLID FUEL STOVE PERMIT �ays 9
9 L,..,Owner: 1 e f �-k rAs(-,,,,,G • i Phone: (Se'8) 7�r� f�>
` r-x-nSA-czbl�
Install at: '.3 eerr-� L e_ Village:
, � J
Map/Parcel: 2 3 3-0 3 Date: ///s- D 2
Stove •
A. New Use
B. Type: (RadiiCirculating A`�,
C. Manufacturer: Z -to ( Lab. No. . /"
D. Model No.: /A-
Chimne
A. ew Existing (If existing, please note date of last cleaning)
B. Flue Size r ,ec
C. Are other appliances attached to Flue? /0o
D. Pre-fab Type and Mal .facturer
E. Masonry: I nlined
Hearth 1
A. Materials: Zr's r d
• B. Sub Floor Construction: fir/ooe�
Installer Pe-
4Name: Q-c- C.; 5 er-,-, Address: S"- G`s ' -/d v e..
Phone: S
Location of Installation: -Co---------
APPROVED BY:
Please make checks payable to the Town of Barnstable
*This constitutes an official stove permit after inspection, photographed, and approved by the
Building Inspector
Q:forms:stove
Rev 122801
°�4peY° TOWN OF BARNSTABLE
wQ G
e BABHSTLBLE, s Bard of Health
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yocTNEroty TOWN OF BARNSTABLE
i H9HHSTADLE, i
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p� BUILDING INSPECTOR
SPECTOR
MO IV
APPLICATION FOR PERMIT TO CO Ai c-- 2Z t 04 T6- v i c
TYPE OF CONSTRUCTION r2- c / v 121 /'?-K keep '27 '&-z4e.-/Ai6,--
f/ f,/ -26 19..6K
TO THE INSPECTOR OF BUILDINGS:
The undersigned herebyapplies for a permit according to the following information: t
Location I.r?.Gi... ..h (�. ......h: Ave �J .tit m �} q i (.a
Proposed Use S'?& u)-.4-T7O w
T ltaLe% � �2/1.r az--
� Zoning District ....��:1�..� � Fire District -- -
Name of Owner o 6.0 2-T---- ----7-e S S a.v Address / ( S e u 7-1-1- S% /17,9-/4-,rvi S
S
' Name of Builder S �"�'�� Address `��
Name of Architecti 7t2 h elec--s 6.-4 -12=--_A) Address
iUI- L
Number of Rooms Foundation e L ill E.1"-1 / '� 2� n -
Exierior— iC /e- t/E-itiFFi2 -1— 31/i1uGL6-5 Roofing „I_Sir,ff,<- %
Floors 67i9 �'- Interior p(zv I i/4 /e.
Heating 4�CTi i C Plumbing I./J �,- -7 3
h- 1
Fireplace .• Approximate Cost 30, c)C3c3►
Difinitive Plan Approved by Planning Board 19 / £/
Diagram of Lot and Building with Dimensions 21lEial
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70 z trig
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,______________
, ,,....
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
��� ,� ram_
Name - -( ''._:
4.
,
Besson, Robert
. *'" --1 ....'".....
\K
No 12100 Permit for two story, ,
OlAgle family dwelling
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Laication -V Ba.ybArry Lane 75(a-N:n.s.I'LliN41-.1----- ' ' •
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Owner Robert Besson ,N,
N'1,;2 • ------- . . --7--------- '
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Type of Construction frame •cy
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., . Plot 1 —/ e.-- 2-6Lot #7 ,
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• Permit Granted • November 22 19 68 :-
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Date of Inspection •/%r*- /9 19 //9 Alt$- 'Is- . •
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Date Completed / -2--• / 19 -47. -
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PERMIT REFUSED ,1 0 'I,.. 1
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Approved 19
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