HomeMy WebLinkAbout0040 CAPE COD LANE ' 0 Cape- rod Lwo-ell'o
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Town of Barnstable *EP�e�rmit
Building Department Fee 6 ` ,� elate
RAMST M « Brian Florence,CBO
v 1639. Building Commissioner
m
�EDMA'�A 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
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EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
�� ®�� Not Valid without Red X-Press Imprint
� Map/parcel Number
Property Address L-1 Q co-►-z,e- L
esidential Value of Work$ 1�60 Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address Mair-4 ) i,a
Qn �� Od L �
Contractor's Name 1)0-[L Telephone Number `7yk
�rr n
Home Improvement Contractor License#(if applicable) Email: DU�tt,/C%n t 6 /CJ a o 6_6IiL1
Construction Supervisor's License#(if applicable) O , 5 72—
u..
❑Workman's Compensation Insurance
Check one: NO V 0 3 2017
ff I am a sole proprietor 7-
❑ I am the Homeowner TOWN
❑ I have Worker's Compensation Insurance �ABLE
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
5]'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
equired.
SIGNATURE:
(<1:\WPFILESTORMS\EXPRESS2017 Q 14 dp
I ,
4�
J
�t++E,� Town of Barnstable
Building Department Services
IIAJIXSTAJ=MAM Brian Florence,CBO
►`� 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
1
I, Mo-f I i 1 iq IU b ,as Owner of the subject property
hereby authorize 220YAJ1V® avibV3' to act 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 I�WbdWof pp cant
Print Name Print Name
Date .
Q:FORMS:OWNERPERMISSIONPOOLS
Rev:09/16/17
Town of Barnstable
Building Department Services
Brian Florence,CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
BAWGMABM
. � www.town.barnstable.ma.us
s6;9• ►� 1
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number streetVidaze
"HONMOWNM7:
name home phone# work phone#
CURRENT MAHING ADDRESS:
c' /town state zip
p code
The current exemption for"homeowners"was a to include owner-o ie dwellin s of six units or less and to allow
homeowners to engage an individual for hire who do snot possess a license, o ded that the owner acts as supervisor.
D ON OF HOMEO
Person(s)who owns a parcel of land on which he/she sides or intends to resi on which there is,or is intended to be,a one or two-
family dwelling,attached or detached structures access to such use and/or structures. A person who constructs more than one
home in a two-year period shall not be considered a tom owner. Such"home weer"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be re onsible for all su work Derformed under the building ermit. (Section
109.1.1)
The undersigned"homeowner"assumes responsibility for co fiance wi the State Building Code and other applicable codes,
bylaws,rules and regulations. T
The undersigned"homeowner"certifies that he/she understands e T of Barnstable Building Department minimum inspection
procedures and requirements and that he/she will comply with sal pr cedures and requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cub c feet or lar will be required to comply with the State Building Code
Section 127.0 Construction Control
HOME 'S EXE ON
The Code states that: "Any homeowner perfor ing work for wh h a building permit is required shall be exempt
from the provisions of this section(Section 109.1.1-Li ensing of constracti n Supervisors);provided that if the homeowner
engages a person(s)for hire to do such work,that suc Homeowner shall act supervisor."
Many homeowners who use this exemption re unaware that they are suming the responsibilities of a supervisor
(see Appendix Q,Rules&Regulations for Licensin Construction Supervisors, ction 2.15) This lack of awareness often
results in serious problems,particularly when the meowner hires unlicensed pe ons. In this case,our Board cannot
proceed against the unlicensed person as it would 'th a licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeowner is fully a are of his/her responsibilities,many communities require,as part of the
permit application,that the homeowner certify at 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:\wPFILES\FORMS\building permit forms\E)TRESS.doc
08/16/17
Town of Barnstable *Permit
Tres 6 months from
Exp f om issue date
Regulatory Services Fee
anaxsTnsis. +��`
MAS& �B Richard V.Scali,Director •o
i639•
Building Division
Tom Perry,CBO,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address L'Iq-AJ�'
kl Residential Value of Work$ �, ✓/�O' �® Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address *tlel L Y Aj C, 6&
o < e b ��J� ,��1(rOl \IgOZ f r� oaf
Contractor's Name d ,/ Y 16dV A)e ' Telephone Number
Home Improvement Contractor License#(if applicable) Email:
Construction Supervisor's License#(if applicable)
FlWorkman's Compensation Insurance
Chock one: as
am a sole proprietor
❑ I am the Homeowner JV O
❑ I have Worker's Compensation Insurance 2 2016
Insurance Company Name T014/1V OF BA HAI,to�`/i l�p
Workman's Comp.Policy# �''11D1
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)
c� _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:
Q:\WPFILES\FORMS\building permit forms\E RESS.doc
Revised 040215
��TF1E
� s
• BARNSTA13M s
"ma
1639. Town of Barnstable
,0�
Regulatory Services
Richard V.Scali,Director
Building Division
Thomas Perry,CBO
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, L L�J ,as Owner of the subject property
hereby authorize 7 �/T~/ to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of Job)
Signature of dwner Date
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
QAWPHLESTORMS\building permit forms\EXPRESS.doc
Revised 040215
Town of Barnstable ; F r
Regulatory Services
o�t"E Richard V.Scali,Director
Building Division
Tom Perry,Building Commissioner
BUM
O 9. ► � 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-8624038. Fax: 508-790-6230
TT/ HOMEOWNER LICENSE EXEMPTION
DATE: V r1 Please Print
6,
JOB LOCATI N� I7L� Le
A) Z �� A,12'
number
street p f village
"HOMEOWNER": IUD
name home phone# work phone#
CURRENT MAILING ADDRESS: 1��
city/town ate zip code
fyThe current exemption for"homeowners"was ended to include o er-occu ied dwellings of six units or less and to allow
homeowners to engage an individual for hire who oes not possess cense,provided that the owner acts as supervisor.
EFINTTION O HOMEOWNER
Person(s)who owns a parcel of land on which he/sh esides or' ends to reside,on which there is,or is intended to be,a one or two-
family dwelling,attached or detached structures access ry to s h use and/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered a hom r. Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be res nsible for all such work Derformed under the building ermit. (Section
109.1.1)
The undersigned"homeowner"assumes responsibili for comp ce with the State Building Code and other applicable codes,
bylaws,rules and regulations.
The undersigneebomeowner"certifies that h he for
the To of Barnstable Building Department minimum inspection
Aoc�edMa�ndduirements andthat he she omply with said proce es and requirements.
Signatur`elof Homeown
Approval of Building Official
Note: Three-family wellings containing 35,000 cubic feet or larger will be re ed to comply with the State Building Code
Section 127.0.Constructio Control. .
HOMEOWNER'S EXEMPTION
The Code st es that: "Any homeowner performing.work for which a building p\eBoa
s required shall be exempt
from the provision of this section(Section 109AA-Licensing of construction Supervisorided that if the homeowner
engages a person for hire to do such work,that such Homeowner shall act as superviso
Many omeowners who use this exemption are unaware that they are assuming ton 'bilities of a supervisor
(see Append' Q,Rules&Regulations for Licensing Construction Supervisors,Section 2. is la of awareness often
results in rious problems,particularly when the homeowner hires unlicensed persons. case,o Board cannot
procee against the unlicensed person as it would with a licensed Supervisor. The homeocting as upervisor is
ulti tely responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many coies require, s part of the
permit application,that the homeowner certify that he/she understands the responsibilitiSupervisor. the last page
of this issue is a form currently used by several towns. You may care to amend and adop form/certifica n for use in
your community.
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 040215
o kOs�tf MUST OF - -- ..
Assessor's office;(lst floor): : p SEpTB� SYSTEM pL1A
Assessor's map;and lot number ...a .9'... ,4.......�-.K INSTALLED`� OOM `r�F?NElO�
Board of Health (3rd floor): "
WITH TITLE Q o
Sewage Permit number .....................•• •�� .:�� ""'. `_... ENYIRONMENTU��o® S 9SAWSTODLE.
Engineering-Department (3rd,floor): roWR REG oo MA3
t6
Heouse number ..................................................................... O YAy p.
APPLICATIONS PROCESSED.;8:30' 9:30 A.M. and 1:00-2:00 P.M. only
TOWN OF ;�BARNSTABLE
BUILDING ; INSPECTOR
-05 APPLICATION FOR PERMIT TO ............. / ........ .l. �� !..............................................
TYPEOF CONSTRUCTION ......................�,,� .: ....................:..............................................................
.. ".. .. ..........................19.6.4
TO THE INSPECTOR OF BUILDINGS:
The undersigned h�eyreby..a�'9pplies fora 6perit according to the following information:
Location 1�......RrP� ..... �... �' '1'�............ ....................................
........... . ...
Proposed Use ................................................................................................................�.R
....................................................
....Fire District ................. r� .............................
Zoning District ...............�..�./.............................................. y....
Name of Owner ... .......................Address .:e�0� .4�Iq.�''r..g.. ..P.. J �..................
Nameof Builder .............5.4:5r`0 .....I...........................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms .....:.....Foundation
...................................................... ... ...,% .. .- - ........................................
4
Exterior ........ .ice... p..... A� 4 .................Roofing .....................................................................'...............
Floors ......................................................................................Interior ....................................................................................
Heating ..................................................................................Plumbing ..................................................................................
Fireplace ..................................................................................Approximate Cost ........
�.Q0 ....................
................
Definitive Plan Approved by Planning Board ----- A-�---------19 Area ......7. �...... ...:..............
Diagram of Lot and Building with Dimensions Fee .......... !../.. ..................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
/498. 77
40
to
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. r 'S
Name :v• . . .
Construction Supervisor's License ....................................
COBB, W. S.
29517
No ............... Permit for ....BIA.1d..Garage......
Single
........................F..a..m..il
Y Dwelling
V
40
........................................
I Location .............Cape Cod Lane ............
Barnstable
................. ...............................................
Owner .........W........S- Cobb..................................................
ti -Frame
Type of Construction ..............................................
....................................................:................... ........
.
Plot'............................ Lot ............................
Permit Granted ........... ........June. 17...,,................19 86
Date of Inspection ............19 •
Completed'Date ...... ig' .
ITY
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2-Car 20 x ZZ`D
GAMBREL `HALIFAX' '
LJL A complete package with plans, '/,e'waferboard siding.
�s Other sidings available at extra cost. All lumber is
F construction grade. Includes 2nd floor for storage. ('l
Cement, paint extra. RAJ
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TNe•r TOWN OF BAR.NSTABLE
Z BARNSTABLE, i
Mb 9 a Pb
BUILDING INSPECTOR
cm •
APPLICATION FOR PERMIT TO .......r''.RECT
..........................................................................................................
TYPE OF CONSTRUCTION ....•„WOOD ....
FRAME COTTAGE
............. ...............................................................................................
�......:< ........196 5...
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the .following information:
Location ....CAPE COD LANE - off hinne 's Lane BARNSTABLE MA
. . .. .. .............x...................,............................. .,......... ................ ... .................
Proposed Use cottage (.res.idence)
. ...................................................................
Zoning District .........................................................................Fire District ............B1rA4!;;ble.........................................
Name of Owner A. F. TRASK Address Box... '45,, UQt4' .,.... SS.................
Name of Builder Parkinson. Construct.ion...Co,,.Address .Salt,••WQrI ...��..me.,,,,•SO.UT..H..Y RMOUT.B.
Name of Architect none .......Address y ;...1 ..................p ........
..............
Numberof Rooms 5 n.................................................................Foundation ................................................ ............................. g
Exierior SHINGLED ..........................................Roofing ASPHALT
Floors .plymwood, underlayment & Tile Interior .panelling and sheetrock
. ..................................................................
Heating •... .U. FLOOR FURNACE 3 piece bath and kitchen sink
5. ..000..B..�..................................................Plumbing ..................................................................................
Fireplace .............................n.o......... ApproximatP cost ...... ...51.500t......... ... :.........
Difinitive Plan Approved by Planning Board Sept---10 .........19_63 . Q ��
Diagram of Lot and Building with Dimensions a
7 7 /�----�
i
U �
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
-Name ..... ... ... ... ............ ..................................................
Trask, A. F.
�
one otory^
No Permit for ............- ........____ '
single family dwelling
-------------------------~.
L/O Cape Cod-Lane
Location ..[..----------....--------
'
. /
___-_ '-b_-
--------'-----------------'''
' ~+
A. F. Trask'
Owner --------_-_-^_-_______
� . .
frame
Type of Construction -------------- i
-----~--------------------''
�
#3
Plot ............................ Lot ................................
/
��
Permit Granted -.. il .29-----]g ~= -
Dote of Inspection .� ......~�«�........ Q "� �
~ '
Dote Completed ------------..lV .'
� \ �
^ /
PERMIT REFUSED
.----------.---------- 19
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.......................... ......................................... A ^
......................�- ... � ............................................
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----.-.~..-~'-----.~-.....---~-.
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Approved ................................................ lg
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---------------^^----'~-^---'
----------------.----..-.-...- �
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