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Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 14 ZQf�� www.town.barnstable.ma.us " Office: 508-862-4038 M- MOSI ANax 508-790-6230 PERMIT PERT APPLICATION - I S"`I'UNTIAL ONLY � Not Valid without Red X--Press Imprint Map/parcel Numberx� del{ 0 Property Address [irResidential Value of Work rr LLMinimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name�t 01(0/2 D� Telephone Number C�Vd- Home Improvement Contractor License#(if applicable) Email: 4,4rt 1V!1;;L k�3@- l//4 60o.C®k,,-, 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 &M 0 al( yl d M Workman's Comp.Policy# & , l0O Kid 01 1/ae 20/7 yQ" Copy of Insurance Compliance Certificate must accompany each permit. Permit Requ t(check box) y 5 EYRe-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑ e-roof(hurricane nailed)(not stripping. Going over existing layers of roof) 02,& 3 [v Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #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: t, -- QAWPFILESTORMS\building permit forms\EXPRESS.doc 06/20/16 i AWE Town of Barnstable Regulatory Services KAM ` Richard V. Scali,Director aG39. Nun Building Division, Paul Roma,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 I, s][Ze d 4 / , C niJ Y1�—L02— , as Owner of the subject property hereby authorize to act on my bebA in all matters relative to work authorized by this building permit application for: '2 � s (Ce.r),.e_ (AV&ess 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. S' tare of Owner Signature of Applicant Print Name Print Name Date Q :FORMS:OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Serices .. dF Richard V.Scali,Director y� Building Division • r r • BAaNeTAI= ,,Paul Roma,Building Commissioner MAES. 059. A�i� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 /Fa3xc: 8-790-6230 HOMEO R LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street vill e "HOMEOWNER": - name home phone# ork phone# \ — CURRENT MAILING ADDRESS: " city/town state zip code The current exemption for"homeowners"was extended to include o er-occu ied wellin s of six units or less and to allow homeowners to engage an individual for hire who does not possess a li ense, rov' ed that the owner acts as su ervisor. DEFINITION OF HO OWN Petson(s)who owns a parcel of land on which he/she resides or intends t resi ,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use an or structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"h owner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be res onsible for all `h work Derformed under the building ermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance th the a Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands Town of B le Building Department minimum inspection procedures and requirements and that he/she will comply with sa' procedures and re ements. Signature of Homeowner t Approval of Building Official Note: Three-family dwellings containing 35,0 0 cubic feet or larger will be required comply with the State Building Code Section 127.0 Construction Control. OMEOWNER'S EXEMPTION The Code states that: "Any homeowner erforming work for which a building per 't is required shall be exempt from the provisions of this section(Section 109. .1-Licensing of construction Supervisors); p vided that if the homeowner engages a person(s)for hire to do such work, at such Homeowner shall-act as supervisor." Many homeowners who use this ex mption are unaware that they are assuming the resp sibilities of a supervisor (see Appendix Q,Rules&Regulations for icensing Construction Supervisors,Section 2.15) This ck of awareness often results in serious problems,particularly hen the homeowner hires unlicensed persons. In this case our Board cannot proceed against the unlicensed person it would with a licensed Supervisor. The homeowner acting s Supervisor is ultimately responsible. To ensure that the homeow r is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeo ner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used y 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 Engineerrifig.Dept. (3rd floor) Map 2_f r /Parcel 4fo7 1*"-00Z_Permit# 3'3. House# Date Issued 2: 8' Board of Health(3rd floor)(8:15 9:30/1:00-4:30) '- I FAO ; Conservation Office(4th floor)(8:30-9:3.0/ 1:00-2:00)" 44 t9lls Planning Dept. (1st floor/School Admin. Bldg.) Definitive Plan Approved by Planning Board 19 �19331BLE. ! '� D TOWN OF BARNSTABLE r _ Building Permit Application Project Street Address �- ��•� � `T Village Owner Address j 7,f` �`S Telephone ' Permit Request /�}/.� ��,� �� OGiS•' 6d f C% First Floor square feet Second Floor square feet Construction Type /%%,1 -dr Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) 1 Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half- Existing New \ No. 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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) tr ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ . Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name A&,yw� lit/ &,Jeaye.e� Telephone Number X 2— Address ®® 4G,i9 5 License# 9 Home Improvement Contractor# AD80 l 5 l 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 SIGNATURE;:? GL� DATE o,O BUILDING PERMIT DENIED FO T/H OLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT_ ._ DATE ISSUED- MAP/PARCEL NO. ADDRESS s a; VILLAGE `OWNER - • . } �; � : r i 1 A:� '1=� l � ' " ' � ..� u;' Y �� a, DATE OF INSPECTION:?r — - FOUNDATION FRAME 'INSULATION FIREPLACE _ELECTRICAL: .. ROUGH FINAL PLUMBING:) ROUGH FINAL GAS: - ROUGH FINAL _ FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO t ws f t L.oT �Z 1 s'n vc aweWN6 � I M M �zrSTiNG � b i Ago. 00 rf: 'Tl! .CCl,, � En n n_r nli_A R� � i_ a_V � �! 1 i HI�. LOCATION SCALE . ./ .... DATE.SLTL3 PLAN REFERENCE OFLLEY /a S S1NN dam/ �L B� 35'0 EDwA No. 26100 ssi STE I CERTIFY THAT THE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE-TOWN OF SB.97?!✓STf4Q,�•,�?" , , , ,WHEN CONSTRUCTED. CV V7SIX DATE 4, io-7- REGISTERED LAND SURVEY R hd.?CH 6n�� ?YP `�cl'C,tCiLYI�N.P eS-9 I'9� :W%i&,,cox sW'?, !o°INTO E><,w Z�Os 9 e.It,"0&. m. r4.1 Q Ksr 1 I I i 612''.OcG-,. Km4c 6v '?�BL�.IG"OL i wlVx'cw S4dy - LP fvj xe''R cow— hwm moor, T f sGVL/5oPfi f 1 L11f y77yN PI•rCM 9 b3 K[O. Exls, �. ' t'uC?CNCaC1 yC P _ 51xe. q(p Nc. c� YlArct+> uer MIN. f 1 s Tit°.6'corvc.7�1 55 �Y z— �L u., o.x _�.- ...._-------._..-_...........--� - -- Gor.'i. 24'0 -ITnC1&L `7 CTtON 10''OikZ2.:Lj' Cy.ls�':i!s,AGrTIO.N: 2.s.:'�K+ecGts.us^It•f "ts RSLE I ta. ts:y?75.9� aavmao •a �Nti��1e7'{pn[ -f`Ff�.L' tG1'f7.b i rc- �c ecc' �c �o �K Z,T / �G, c 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 ivov Z7 ifs/ CERTIFIED PLOT PLAN LOCATION Cdcriyrn f1%%�, SCALE . .�... �o' .... DATE n/oY Z7 Reg. hand Surveyor PLAN REFERENCE . . NG LoTZ g /as Alo WAY G.v Icertify to its title insurance company that there are no visible encroachments I CERTIFY 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 THE SETBACK REQUIREMENTS OF THE TOWN OF supervision. .8.�a+vsr�/3oE WHEN CONSTRUCTED. DATE .T�oi7t1 A. W47.4,1 a —P477T/o../tM REGISTERFn LAmn S RJ R TOWN OF BARNSTABLE Permit No. __ -_- „a„T� s Building Inspector .... �, Cash eO ----------------- A -- 'r0 YPY�\ OCCUPANCY PERMIT Bond ----_------- -v "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 Address Wiring Inspector Inspection date Plumbing Inspector 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. ...................................................... 19 .._ ................................................................................_.........._......._........_ Building Inspector FrK ...�' 3 AAssessor's, map and lot number ...�. . ......t SEPTIC SYSTEM UST BE Sewage Permit number ............ag:....C7..1..�.................... -' INSTALLED 1N COMPLIANU I 33AUSTADLE, • House number .. iyn ........................I........................ . i19!'ITHe TITLE 5 ro MAes t ��r1 �oj�2639,�\e0� 0 MA`I TOWN ®F BARNSTABLE BUILDING INSPECTOR = APPLICATION FOR PERMIT TO .......:4,� / ©.............................................................................................. r TYPE-OF CONSTRUCTION ........ � /� . .�............................... -'F ......... ................19 92— TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: LocationZ4 1... .........4�� �.... a'.J................................................................................................... ProposedUse .. r......yidJ . .,/"��1�1r .....................................................................I......................... Zoning District l JO .........................Fire District ...1:!Y400-�.1���'. ,--r�.................................... Name of Owner ! ✓1 �'�'.... `^'..SZ ✓r' .......Address �J.....6-. .4. .. ✓ .. .......674` Nameof Builder. ................................................:...................Address .................................................................................... Nameof Architect ..................................................................Address ................::................:................................................. Number of Rooms ......... . .............::....................................Foundation .✓O. .. .. ..' /.'Ol d ..................................................... Exterior ....".'C....s ............. ...........Roofing ........:!9�S.ws�i�1/ .............................................. Floors ....0 ..... ................. .................................Interior ............ .......L...... .5.......... ....... ......... ............................... Heating .... .����� .. IG...........................................Plumbing ......... f....... ............ ............................................. Fireplace .... ...........................................Approximate Cost ......e�000 Definitive Plan Approved by Planning Board -----------_---------_-----_---19________. Area ..........5.' &........ Diagram of Lot and Building with Dimensions Fee ��- '... SUBJECT TO APPROVAL OF BOARD OF HEALTH f� 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. Name ... .... .......................... . SWIFT, WILLIAM F. . 6 23795 One & 1/2 Story eNo ................. Permit for ................................. .........�qi gle Familv Dwelling ............................................................ Location ...Lpt. J.2..... 325. ...Lane ........... ...13.gkK.nAt.4ble ............... . ........................................... William F. Swift Owner .....:............................................................ Type of Construction .....Fra.me................................ . ................................................................................ Plot ............................ Lot ................................ Permit Granted .,,,February 9 , 19 82 ............................. Date of Inspecti ....................19 Date Completed .... ..... .......................19 ir 111'? Z_ Assessor's office (1st floor): �D Pi, Q3� DO o� • oFTMETo Assessor's map and lot number .............................................. Board of Health (3rd floor): �Q o" a ' d , Sewage Permit number SEP1'[ MGM IOU Engineering Department (3rd floor): NSY a 2 ,C r9• 0� House number .........................:.�. .1.g�...... �...... � CYPY a\ Definitive Plan Approved 'by Planning Board _------------____---------------19________ .ENVY CODE AND APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1;00:2:00 P.M. only TOWN PMULATIO14S TOWN. , OF . BARNSTABLE 1 ' t BUILDING,' INSPECTOR APPLICATION FOR PERMIT TO ..:.f.!U4lJ .....5Q,�..Ro­ .f ..:!.� .. ....1 ��................................................. TYPE OF CONSTRUCTION 6.-... .. --.. ........19.. ...1 TO THE- INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit .according to the following .information: Location r........ .... ProposedUse ...... ....I.Root..........:.:.............................:...................................... Zoning, District .......Fire District 1..... .................. � A.;.We Name 'of Owner '.;V..k� . ..!.L[ .:.......'... ..........'.Address .3i�5.... j 41. . S. iU:...lJ.A: /l�.S.��i..J. L-..... � Pam-- �� r Name of Builder l.'l6 le,.G{m f.aw.e,.ml,�? ,—��CI.�IS�S....Agcfress .0. 5 �.�.O�.��j� ..�#AIA&_ ........... Name .of. Architect..........N .......................:................Address :........:......:................:.................................................. Number of Rooms ...... /........,..:..................'....................:Foundation t ................. Exterior �LG� W�� .................Roofing ......l �. G1...........ln'! � 1.(.!.r� ............. .Floors ......vV•�t'h ... ........................................................Interior ..:...041 ....................... .. .................... Plumbin ' Heating :.'.�•.1.�. .. ,{t.l!11..R................................... ..:.'. ... ..... g ............ ..A................... .................... ...... Fireplace ................ .[:,A ...............:..........................?..........Approximate. Cost ......:/. ..cob.......................................... Area ....... .S.J. jI .................. -Diagram-'of Lot and Building with Dimensions Fee !...................... 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. Name �4?4& . .......... Construction Supervisor's License ®i 0 310 WELLING,' JUDITH c No `33031 ADD TO DWELLING Permit for ry •rt..�' , '� r .................................... Si-ngle Family Dwelling < ..................... ............... ' A Location 325 Braggs...Lane.. -AY Barnstable r• ,� A `F x ................................................................................. ............................... ......... 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