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I ' : : _ .Z : �. .t .. .. .., .:...a r. ...:... 1 .i. e, :: i 7:... _ _fie .t. , ,., t:. ..,: :� ; ., .,. ;q .�....., t .. ._ ..: 1. 4. - .. :. q „-...r� ., , t w „ t .,..:...)e.,, 6.: - t.. .f. ,T, ,:..' :._. i .:.:.. :t,. s, ..., n o,,. ,.. 1 .to-. -:y r .. ;,. .i - a�� , ,ie, s.. :>- �,.-,: s>.. ,. ...,.,.... .::..,.,,.7. i + r a ,.. .. t.._._.. ty t. e :p i T, S .s .�...� „' " d 7 .-. .. - _ 1" F A Town of Barnstable *Permit# Y?7 Expires 6 onths froomissue date (� Regulatory Services Fee `� Thomas F.Geiler,Director Building Division o� I - 0 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.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 3 fo O q Property Address D l�! Residential Value of Work DQG Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Ge,�iLL��f� t�l — 21X_Z_i Nc er CA 0— f oat Contractor's Name Telephone Number• Ce� Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑WOrkman'S Compensation Insurance ® ® �� Check one: . 4� ❑ I am a sole proprietor JUN - 6 2007 I am the Homeowner ❑ I have Worker's Compensation Insurance -TOVVN ®F BARNSTABLE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. 0� Permit R;Zroof (c eck box) /� - (stripping old shingles) All construction debris will be taken to ? , (/ � ❑Re-roof(not stripping. Going over existing layers of roof] Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: issuance of this permit CUES nut uxurlipt C 11arMe.-Vith.nther,town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Hor��fnT. roNqel Coeacto icense is required SIGNATURE: 94 r o Q:Forms:expmtrg Revise061306 OpIME Town of Barnstable Regulatory Services BAMSTABLE, : Thomas F.Geiler,Director MAM 1639. pm� Building Division lFD iNA't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION o� Please Print DATE: C!�' G / JOB LOCATION: ! 07 CCV lV IX Y 0 X number }� street ` village .HOMEOWNER": w r G—C rVAA �C Cl( J;'a�- —6 24- name �+ home phone# work phone# CURRENT MAILING ADDRESS: city/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 building permit. (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 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:forms:homeexempt TOWN OF BARNSTABLE Permit No. _2 -3 3 ' t Building Inspector' 2,Un.� .STA Cash -- O OCCUPANCY PERMIT Bond X 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 Edwin W Colpa ' Address Lot #22 105 Country Club Dr. Currmacruid . t Wiring Inspector, t-4 Inspection date Plumbing Easpector r Inspection date Gas Inspector ;. ' t Inspection date t � r Engineering Department Inspection date a 1 S [�(J THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUII.DING-INSPECTOR UPON SATISFACTORY COMPLIANCE WITH _TOWN REQUIREMENTS. �............r. .._............. 19_w.._.. �� ... ....................Building�Inspector _�_--------- � . - i yw.yW \ f x o V Zo 6 . I g .x - L.. O T 2Z �. Gor7G. J h Got 0 owner: EDI.y/R/ M. F &R&TA GOLPA/� L ctATiow: G UM1v7A a U/O % MASS. 30' DFiTG° : FEB. �EFELebt/CE: 6EING LGT 22 /PLi9Al/ AS Ad. 22 = fICCE°dY CEGT/FY TNFiT THE BUILD/A./ep SNGh/.t✓ OA./ TNA3 PL.q.V IS 46C�97-EO 'O.N 7'LIC- qETOt/.t/a fiS 3N0W.V HAPC@OA/ A.�/D TNgT /T GOES CO.VFOG�✓! TO TINE• ZO.V/it/G B.,g)e s r,,g s L BY LgN/S O.- Tf,/E -TbI�/il/ OF ' TEGHit//GAL f GA�L//�///VG E14 S7- l )C=A //S , MA S 5. -- z�r� _ 1 # 7? /79 Go/pa.l� Assessor's map, and lot number .. 7�.'.. `�..Q: ... d/j. PC A . 'p--j—, d - � E gVWW MUST BE uawCE ®oMP Sewage Permit number .............................................-:............ WITFI TITLE 5 OFTNETD /OS I A ODE AND TOWN OF BARAVTXI K-,iONS_. } Z BAHBSTABLE, "6 BUILDING INSPECTOR RFD MPY APPLICATION FOR PERMIT TO ,,,Construct a single family dwelling ...... .... ...... .... .... TYPE OF CONSTRUCTION ...,,,,,_.,Frame ...... ..................:....................................................................... ...... .......... 19o....... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........Lot 22 Country Club Drive f "CUMMA,QUID HEIGHTS" r, Barnstable. .... ..... ..... ..... ...... .... ...... ..:........ .................... Proposed Use ..•Dwell.ing..................................................................................................................................................... .. ....... Zoning District ........................................................................Fire District ....! ujn ,.quid.................................................. Name of Owner ..,:Edwin M. Colpak Address 31 Groye Streets„ Sandwich., MA 0256.3 Name of Builder ...,,BARNSTEAD BUILDERS INC.Address BoX l5 ,„Rte 6A„& Tupper,,,Rd a,i._..§Apdw .ch ...... 02563 Name of Architect ------------------._._,_._. ...Address .................................................. ............................................................... .................................. Number of Rooms .....SiX.....................................................Foundation 10;n,PQur.(�a..cQT1g3 .�...7.'.:-:$.��...L?our Exterior W.C. Shin�les all ,sides.,.. except Roofing .:;,.32.5# Self-sealing asphalt-7f12 ..... ...... 35 ' front-R.C.Clapboard, rough, (_narrow-) Floors Oak, carpet, v ny,l.,,as•..shown•..on.....interior ..One. coat•,•plaster;,,,,,,...•.......,,,,.•••...........•„ plan Heating H.ot...wa...t..e...r.....h...e...at...........J.as...:.. ..r..: d............Plumbing p.Vr_...Waa.tP.r...G.QPge.: .................. Fireplace Yes - living room $63 000- .............................. a...............................................Approximate Cost ............................. �...W.... Definitive Plan Approved by Planning Board ---------------_--_----_ S Ft ------19-------- . Area .........•....... ...:..�............... Diagram of Lot and Building with Dimensions Fee .......$5Q,L 25••••••..........•.•..... SUBJECT TO APPROVAL OF BOARD OF HEALTH All I hereby agree to conform to all the Rules and Regulations of the Town.of Barn ble regarding the above construction. Name ....................... ,1 C 1pak, Edwin M. } No ... Permit for .g ??gj.e................... - z ' .........Family..Dwelling............................. -Lot k22 105 Location ......................... ...Ga>ari.try...C.lJab. Dr. .............' ..L.. ............ ...... ...�)�4 • yt c Owner .............Ed-win..M.;...GolpaL-k.............. i t � ' Type of Construction- .-.Fr a3Al�........................... ................................................................................ 7 u ......... Lot ..........:..................... Plot ............... r. s Permit Granted .... e.bX..UaX 2.8. 19 80 is Date of Inspection ,........19 ry............. iDate Completed .............e.�,,, c 'j JJJ .y3 O -�� !PERMIITTT REFUSED ' ................. ................ ............... 19cc ee Ci7 ' i Y rt: r .. � .........� ........................... R - ; aB ... . .r........................................................ .... RF...I ...........................:...... ................. Q .................... .........................................................