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Home My WebLink About0008 BOW LANE ARMS 7; 77 Bit hi A uglily �4& all MB Wh mH lot 1 2 IT Nam m", —slog 'Not AIR R Mgt RIF lions to kar.......... ilk All 19 ION new INil' omm moms env -now-- iV t4 .......... 101W Oki "Can, W Sol, . ............ OF SHE rqy, Town of Barnstable *Permit#� Tres 6 mon hs rom issue date Building Department Service r e MUMS ABL& Brian Florence,CBO r 1 ��' Building Commissioner a� O 4Ar�o 200 Main Street,Hyannis,MA 02601 S,c '"Nij www.town.barnstable.ma.us � FP 05 20 Office: 508-862-4038 oWN Of : 508-790-6230 %I'S EXPRES PERMIT APPLICATION - RESIDENTIAL ONCE ---,� I Not Valid without Red X-Press Imprint Map/parcel Number v� 7� Property Address _)„/ ❑Residential Value of Work$Y oc>0. Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address T ,., �✓1'"�t'( ti. Ltn ��sc r✓t.S �L IV A 07-6 3 o Contractor's Name „��( Telephone Number Cl 7 Home Improvement Contractor License#(if applicable) Email: / '^ @.�'►�i�� fyay�•►�� , opt" r Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name ��2�� -,o' S�✓� �^S sY► t�— 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 ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: '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 formsTYPRESS.doc 08/16/17 Town of Barnstable ` Building Department Services Brian Florence,CBO ' Building Commissioner 200 Main Street, Hyannis,MA 02601 KASL www.town.barmtable.ma.us 03� Al M� Office: 508-862-403 8 Fax: 508-790-6230 c, HOMEOWNER LICENSE EXEMPTION DATE: ! 7 Please Print Z 141 JOB LOCATION: number street village "HOMEOWNER": —4 0 ,.�.� 1�5'�� 5&-T 3,C2 1111,7&1/ name home phone# work phone# CURRENT MAIIJNG ADDRESS: st>>C crtp/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 buildingpermit. (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 requirements. 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 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:\WPFII.ES\FORMS\buddmg permit forms\EXPRESS.doc 08/16/17 1 of Town of Barnstable Building Department Services RAJINST`'X4KAS& ` Brian Florence,CBO 163 ►`� Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maus Office: 508-8624038 Fax: 508-790-6230 roperty Owner Must Compl to and Sign This Sec on - I Us' A Builder Owner of the subject property hereby authorize to act on my behalf in all matters relative to work authorized by ' ding permit application for. (Addressob) *Pool fences and alarms are the./ponsibili of the applicant Pools are not to be filled or utiliz±efore fence is ' stalled and all final inspections are performedaccepted. Signature of Owner / Signature of A lic t � PP df Print Name Print Name Date QTORMS:OWNERPERMISSIONPOOLS Rev:09/16/17 r Town of Barnstable �tHE Regulatory Services Thomas F. Geiler,Director " RARNBT"BLE' Building Division �b �. Ar=16 &� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# �V C�� U FEE: S S SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less ,��' CJ : Location of shed(address) Village Property owner's kme Telephone number 16. Size of Shed Map/Parcel# i1 /r1 /t3 gnature 'f Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission(si itirrequired) Sign off hours for C rvation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN �--` Q-forms-shedreg REV:052813 C,vv J j)r n AN/JeS { 0 (oil / r . IX 1+R, 4 , 1 • -� �� of a' / � � a -31 3 2 � l I certify that this property is located in Flood Hazard Zone C (out- side the 500 year flood) as identified by the Department of Housing and Urban Development (HUD) . Date-" '3 zoo C . CERTIFIED PLOT PLAN LOCATION Bi92VsTi�B /�9A:.. SCALE . / =�o.�. .... DATE M9YZ3 20 Reg, n o. e H PLAN REFERENCE , ,Qfc►stc�° S,t�owno a.v Pl„B.L! 7 ft: /aS I certify to its title insurance company that there are no visible encroachments ICERTIFY THAT THE or easements except as shown and that this SHOWN ON THIS PLAN IS LOCATED ON THE GROUND plan was prepared under my immediate AS SHOWN HEREON AND THAT IT CONFORMS TO TILE SETBACK REQUIREMENTS OF THE TOWN OF supervision. I�,9l2rulS!`tlBGet.,. . . . .WHEN CONSTRUCTED. DATE 96fpa* F,14,41V 71-7k1r REGISTERED LAND SURVEY TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application 0 Health Division Date Issued I� Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address Village it \e_ A I Ia e Owner e- Address 2 �'.Cl Telephone Permit Request beam Gj,L mo a old cLe4 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation O Construction Type Ae wit Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family M'-- Two Family ❑ Multi-Family (# units) Age of Existing Structure �- Historic House: ❑Yes 61 o On Old King Highway�0 Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(S ) ' Number of Baths: Full: existing f/ new Half: existing hN& Number of Bedrooms: existing _new 77 Total Room Count (not including baths): existing new First Floor R om 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_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes �!G `-.if yes, site plan review # , . . Current Use 0"d !Sa 1L-' Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name d a � S �w Telephone Number SZ4- ��►� l�C� 1. Address es" License # lg4(7 Home Improvement Contractor# Worker's Compensation # dyLAl- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �C✓-CJI-ZL 1�.K�/�`V� SIGNATURE DATE 4 24aILS t - FOR OFFICIAL USE ONLY 'APPLICATION# DATE ISSUED F t MAP/PARCEL NO. f , ADDRESS VILLAGE _ .= OWNER. DATE OF INSPECTION: FOUNDATION, FRAME INSULATION FIREPLACE T ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL E GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. TME Two, Town of Barnstable _ Regulatory Services MASS Thomas F.Geiler,Director i0ttb Mq. A'S 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 o 6- , as Owner of the subject property hereby authorize_ L L (f tRC>5 70N to act on nay behalf, , in all matters relative to work authorized by this building permit /Bow LAN t (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. ✓� 7 Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 6/2012 Town of Barnstable Regulatory Services ' MRNWANe, : Thomas F.Geller,Director KAes. 1659. 659. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Fax: 508-790-6230 ' a. Office: 508-862-4038 HOMEOWNER LICENSE EXEMPTION '. Please Print DATE: „ JOB LOCATION: street village number "HOMEOWNER": home phone# work phone# name CURRENT MAILING ADDRESS: ...' state ,,,� ,,r ip code city/townid The current exemption for"homeowners"w does not possess a license p o ded thto include owner-occu ai at theoowne units s as supervisor.flow homeowners to engage an individual for hire DEFINITION i OF HOMEOWNER or two Persons who owns a parcel of land on which he/she resides or intends�o farm slrucide,on itucech sheAperson tyho construre is,or is inteiided to cts more ethan one family dwelling,attached or detached structures accessory to such use an . to the Building eowner"shal home in a two-year perirm od shall not be considered a homeowner. eme o o e ble fohall such work erformed under der the official (Section acceptable to the Building Official,that he/she shall 109.1.1) es responsibility for compliance with the State Building Code and other applicable codes; The undersigned"homeowner"assum 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 requirements. Signature of Homeowner i Approval of Building Official ,000 cubic feet or larger will be required to comply with the State Building Code - Note: Three-family dwellings containing 35 } Section 127.0 Construction Control. • HOMEOWNER,S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit require ed than f shall be homeowner exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provi engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." ilities of a ervisor Many homeowners who use this exemption are unaware Supervisors,tSection 2.1S�ssuming the r This lack of awareness often (see Appendix Q,Rules&Regulations for Licensing Construction results in-serious problems,particularly when the homeowner hires unlicensed persons. w this case, as Supervisor is cannot proceed against the unlicensed person as it would with a licensed'Supervisor. The homeowner acting p ultimately.responsible. munities require,as part of the To ensure fully aware of his/her responsibilities,the responsibilities of a Supervisor.that the homeowner isvisor. On the last page permit application,that the homeowner certify that he/she understand P res 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. RESS.dor C:\Users\decollik\AppData\LocaAMicrosoft\Windows\Temporary Intemet Files\Content0utlook\QRE6ZUBN\E}}tT Revised 053012 k� r