HomeMy WebLinkAbout0021 DORCAS DRIVE t/ r
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Town of Barnstabled
Permit#
Expires 6 months from
t
Regulatory Services Fee
1619. `b� Thomas F. Geiler,Director n
rEDMAy� �/ —
Building Division
Tom Perry, CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma us
Of-Ede: 508-862-403 8
EXPRESS PERMTT APPLICATION - RESIDENTIAL, pNLyax: 508-790-6230
Not Yalid without Red X-Press Imprint
Map/parcel Number —7-7 O
Property Address d
Residential Value of Work Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address ,lp
Roy g-S
Ita L (ece �i aft Cfa,� N( OZ b3L�
2ontractor's Name l R t ti i.h iZ4 /
Telephone Nurnber_b �' t�
Some Improvement Contractor License#(if applicable) i 3 9 ))
;onstruction Supervisor's License#(if applicable)
;'�_PRES PERMIT
]Workman's Compensation Insurance
Check one: 0V w 2 2011
❑ I am a sole proprietor _
❑ I am the Homeowner ';( `r/d1W OF BARNS TABLE
ABL
® I have Worker's Compensation Insurance
surarice Company Name rAS¢Ek_N ZM SL19A1Va
Drkman's Comp. Policy# W
—._.j^,Ly)6S 7 5®q 7
py of Insurance Compliance Certificate must accompany each permit.
mit Request(check box)
® Re-roof(stripping old shingles) All construction debris will be taken to b U/n P_S f Ie
❑ Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders. U-Value #of doors
(maximum .44)#of windows
*Where required; Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservatio
***Note: n etc.
Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License& Con
-7 required. stuucfion Supervisors License is
`Y
f
ATURE: � 9A..
'ILESIFOR_MSlbuilding permit fnrmslE)TRESS.doe
:d 070110
• THE Town of Barnstable
Regulatory,
g ry Services
M.+es � Thomas F. Gener,Director
i639
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-Sigtl This Section
If Usin A Builder
as Owner of the subject .ptppetty
hereby authorize A i u�t�, �1l 1 r I i'
to act on my behalf,
in aIl'mattets-relative to work authorized by this building pest
(Address of Job)
Pool fences and alarms are the responsibilityof the applicant.
are not to be filled before fence is installed an pools are not to b.e Pools
utilized until all final inspections are performed and accepted.
,
/ -pal".
ignature er Signature of Applicant
Pont Naine
Print Natne
Date ;4
Qq RM&OWNEUERMISSIONPOOLS
DIME Town of Barnstable
Regulatory Services
' URNETABLE, Thomas F. Geiler,Director
MASS.
o IF9. � Building Division
Tom Perry,Building Commissioner `
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 08-862-4038
Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
n her street
village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowne "was extended to ine
superviso l a owner-occupied dwellin s.of six units or less and
to allow,homeowners to engage an indivi for hire who do not possess a license,provided that the owner acts as
r.
DE ON HOMEOWNER
Persons)who owns a parcel of land on which he a re des.or intends 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 tw ye eriod shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Offici on a fo acceptable to the Building Official that he/she
re onsi g he shall be
ble for all such work erformed under a buildin t. Section 109,1.1
The undersigned"homeowner"assumes re onsibility for complian with the State Building Code and other
applicable codes,bylaws,rules and regal 'ons.
The undersigned"homeowner"cer es that he/she understands the Town of table Building Department
minimum inspection procedures and requirements and that he/she will comply wi said procedures and
requirements.
Signature of Homeowner
Approval of Building Official J
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with't4e
State Building Code r ection 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code fates that. "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Se on 109.1.1.-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for.hire to do such
work,that such meowner shall act as supervisor."
M homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Re gu ations for licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the h eowner 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 ofbis/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:hcmeexempt
TOWN OF BARNSTABLE
e Permit No. _--------_
Building Inspector
Cash
----------------------
---
� qua A
P
�0 Val 0\ OCCUPANCY PERMIT Bond ------_ G
"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 r• . Jzirne� itoger. Address
I Dorcas Dri r :: stable
Wiring
Inspector `t" _ �./� 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.
Building Inspector
''. Apse"ssor's map and lot number ... ....
SEPTIC SYSTEM MUST BE
? '
(, l INSTALLED IN COMPLIANCE
Sewage Permit number ...,....✓.... ./0...'........:'.�..............
WITH ARTICLE II STATE '
House number 011 SANITARY, CODE AND TOW
�Py��THET��♦w TOWN OF BARI'J w. . X-BLE
SAHHSTODLB,
"b BUILDI
a' 10 ' INSPECTOR
�1 MPY
f
41
APPLICATION FOR PERMIT TO' .........Cons ruQt;"Dwe 11 in8......................................... . ....................
TYPE OF CONSTRUCTION ........... Wood Frame
.... .. .............. ........ ....................:.................................
' ....!�9990.2..........................19.78...
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ..........Lot 16 Dorcas.:Drive:..Barnstable..:.....................................................................................................
ProposedUse Residential..........................................................:.......................:..................................................................
Zoning District .......Residential .....Fire District Barnstable
......................................... .................... ...................................................
Mr. & M J Ro era Done ai Circle Centerville
Name of Owner ................... rs
............ ames..................$.....................Address
Name of Builder Janes K. Smith Address .......Barnstable
................................................................
Name of Architect ....Address .......... ....... ..........................
.................................................... .................. .......................
Number of Rooms ......8...... ..............................................Foundation ...poured concrete
.....................................................................
Exterior ,Shingle and Clapboard ...Roofing .........Asphalt
Floors ...Wall...to..vall and-viny..l..................................Interior .........Drywall............................................................
Heating ..FHW..bX..oil.................... ...........................Plumbing .......2..baths
Fireplace ..Qlne.......................................................................:.Approximate Cost ....35?000.00
....................r.............. .
Definitive Plan Approved by Planning Board ______________________________19________ , Area .....1(.a. ,. ....s:. . ...........
Diagram of Lot and Building with Dimensions Fee -^.............
......... ........
SUBJECT TO APPROVAL OF BOARD OF HEALTH OIV'O
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. 11 Name ,,A._�--��
. 1 ..... . ... `.. . ...
c��
Rogers, Mr. & Mrs. James
4
two st ry
7 "No ...... Permit two for ........................ . .........
wo t r
singlsingle family dwe,/.ing
e.......................... .. ...............
Location .... 21 D.o r c a.s...Dri.V.. ..... ................... .... .. ........ . ...... . or
>
,Barnstable
...............................................................................
Owner ........ ...James Rogers
................................
Type of Construction ....... frame r,
IV, >
..................... ............................................. ...........
>
>
Plot ..............I.............. 'Lot .........#1.6.................
Pt
t:
Permit Granted .......A-ugus-t--14...r 4�19 78
Date of Inspection ............I..............t 19
r,
Date Completed y
. .........a19 a '///v7 9
PERMIT REFUSED
................................................................ 19 a 0 t: V
Cr N cc
................................................................................
............................................................................
...........................................................................
...............................................................................
Approved ................................................. 19
...............................................................................
.................... ......................................................
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