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6 FST w7il t( , \. . , -\_ fr....jr-'' .. , , , , . , ,,,,,„. ,. . . . . . . . , .4 , . .... .. , „ ..... . . ,. ,,, ,.,, , , . . .. . •1- i .•K III' k .. ni a xS, b v �Q aq ia, i^ Y • ,, a: r- ' t am TF.P 'C g ,. x. N • 4:','M° x , ai: Y . w u s1 e , i s tFe .,' y a \, ,, _ w• t:ry � a ., k r r - . a • r x fAA re x.aY.: ' . `r]y Vyafk cR ' ' „ uf 64r ' Y ., :r#'F:,, .:, tt• •y x v s r j "; .. ' A,�?. •ate W# — Y 7 , R 'e e a • � ..� .. — , • „ p ° (2 Town of Barnstable# �r +9 Expires 6 months rom issue date • ��' �s� Re ulator Services Fee g Y `anxxSTABLE, • ,��' Richard V. Scali,Interim Director ArFD"" � Building Division 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 i��-� I 6 Property Address (9 h -r J r Ui \ — a Pi‘[\W S / AAA. �] Residential Value of Work$-14 `J D Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address n(VIt r ! -v\Y(V ~1`' /0 v\J 6 RY`S l I�r�r�s ��� /u1A, • r Contractor's Name TJ. IX\ CO v\: r NM-3 Telephone Number 5Og d a O c2)Q 7 Home Improvement Contractor License#(if applicable) D 74-/ Email:[wyf`a ,MrxQ+e.\: �(ic144C 14 e4-, Construction Supervisor's License#(if applicable) l 5 7 PRq I, ❑Workman's Compensation Insurance Check one: DEC 2 3 2013 I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE 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 4 Replacemen Windows doors/sliders.U-Value Q.aG (maximum.35)#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: ✓�'f'l �� Q:\WPFILES\FORMS\b lding it forms\EXPRESS.doc Revised 061313 • oFmE rok, Town of Barnstable .. . . ••• Regulatory Services ,,,, MASS. 4, Thomas F.Geiler,Director �' o;E,�a,b - 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 I, kkaAi-N,,o \-(n. - , as Owner of the subject property hereby au e f..r 0",.h2fil] to act on my behalf, J . in all matters relativ t wo thorized by this building permit b "V-;`((s. - waki 2p,".. (_Q_____ (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. t , \r „).__.) /717 e---1 Signa e p •• ner o S' tore of Applicant Print e Print Name • Date ' ii Q:FORMS:OWNERPERMISSIONPOOLS 62012 ' • 0FsHE Town of Barnstable / �0. w.1 Regulatory Services 4 � BARNSTABLE. " Thomas F.Geiler,Director MASS,446 9j Building Division Tom Perry,Building Commissio er 200 Main Street, Hyannis,MA 0•.01 , www.town.barnstable.ma.+s Office: 508-862-4038 Fax: 508-790-6230 HI I OWNER LICENSE EX`MPTION Please Print DATE: JOB LOCATION: number - stre. village "HOMEOWNER": name home pt..ne# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to includ-.owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not poss-.s license,provided that the owner acts as supervisor. DEFINMO ' OF o OMEOWNER Person(s)who owns a parcel of land on which he/she resides o r inten..to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to ch use d/or farm structures. A person who constructs more than one e r er. Such``:omeowner"shall submit to the BuildingOfficial on a form ina two-yearperiod shall not be considered a homeo home y acceptable to the Building Official,that he/she shall be resp. sible for all uch work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with th State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she un.-rstands the Town of Barn, .ble Building Department minimum inspection procedures and requirements and that he/she will coms'y with said procedures and rz suirements. • Signature of Homeowner Approval of Building Official Note: Three-family dwellings contain' g 35,000 cubic feet or larger will be requires-to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any horn owner performing work for which a building pe 't is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);p avided that if the homeowner engages a person(s)for hire to do such ork,that such Homeowner shall act as supervisor." Many homeowners who use .is exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regula`'.ns for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,pa ' ularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicense .erson as it would with a licensed Supervisor. The homeowner acting as`Supervisor is ultimately responsible. r "r To ensure that the homeowner is fully aware of his/her responsibilities,many communities require, part part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the Iast page of this issue is a form currently used by several towns. You may caret amend and adopt such a form/certification for use in your community. C:\Users\decoll ik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRF6ZUBN\EXPRESS.doc Revised 053012 et2 /49 Z 3 Town of Barnstable �01HE' ti Regulatory Services TOWN r .� g Thomas F. Geiler,Director r • BARNSTABLE, g 2013 2 5 P E 1 4: 2 3 BU11C�1R Division SEP ��� �• \-Pe039. t. Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us DIVICION Office: 508-862-4038 Fax: 508-790-6230 I 36 PERMIT# FEE: $ SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less Location of shed(address) Village r � � � �2� 00D ��t�C Property ow er's name Telephone number g 1c VD 3D ( oSo Size of Shed Map/Parcel# (rX)04-f-o; 9 , a3 , acDI Si ature 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(signature is required) Sign off hours for Conservation 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 ciey9.s1 PLOT PLAN Q-forms-shedreg (Q� REV:052813 i '"''''4•'''''1‘ Z 7 Z:1 31 4'rA..--.'•':' '• '''''' '''.. -- '.°7:..3 .4t1&•It*::15' ''' -:1';; 4• 1'' '0,•14."‘:',,,,;::.„ • '. ,:•E' Ar--"' 4.4--,-: .•' ., -'1. -4.-;•A 4 4- ',- ' .1:0,V:itZ..2? '',:- '' -0-, ,,-,. -.• • k• 44 ''''' .,',,,'1,'°'''''"cin. t-:. v .„ ''', .----,-,. ,.-- .,,o.--- '' 1:.7,- :'. "' „ . . ., C 0 .C-...„ • • o y 4 1 • •-- s • 00,' , ize . . d.43: ::?1 # e) el" t,,kf (‘' s. \- 6p _. r-, \ k '''`\ NI- N., . t 2,1-i ______J/ * la. % • • c...P ______------- , .1,--30.211 L----5T-6°' COMMERCE ROAD x , . 64, • . EREBY CERTIFY THAT THE ABOVE MORTGAGE INSPECTION WAS --------------------------•------ IIIM '. KENNETH 4413ERRONE & CROSSLAND MORTGAGE CORPORATION 10/17 R. ' MIN ;ONNEC1IO4 WItirk2NEW MORTGAGE AND IS NOT INTENDED TO PROPESSION:AL L/IND SURVEYOR RESENT A FARPMLNE SURVEY. IT CANNOT DE USED FOR ES- _____ LISHING FENCEfokiltUILDING UNES. THE LAND AS SHOWN HEREON 17 SOUTH RUSSELL STREET PLYMOUTH, MA 02360 IASED ON ClUENT,_,FURNISHED INFORMATION AND MAY BESUBJECT FURTHER OUT-W SITAKINGS, EASEMENTS AND RIGHT OF WAY. TEL (506) 746-8550 FAX. (508) 746-7878 RESPONSIBILITY'IS EXTENDED HEREIN TO THE LAND OWNER OR UPANT. THIS INSPECTION PLAN WAS PREPARED BY USING' CUR- r DEED INFORMATIOICASSESSORS PLANSA.ND RECORDED PLANS . • RE AVA/LAE!LE. FIELD DATA WAS COMPILED SY-USING EXISTING 44.4 PMENTATION FOUND. UNES OF OCCUPATION;AND EXISTING STREET S. if IS NOT lliE RESULT OF AN INSTRUMENT SURVEY. -LOCATION OF THE ORIGINAL DWELUNG SHOWN HEREON. EITHER IN CONPUINCE WITH THE LOCAL APPUCABLE ZONING BYLAWS IN CrIred- C7 WHEN CONSTRUCTED.(WITH RESPECT TO HORIZONTAL DIMEN- .." .9,#S116.90,6, '' AL REQUIREMENTS ONLY), OR MAY BE EXEMPT FROM VIOLATION ROEMENT ACTION UNDER M.G.L TITLE MI. CHAPTER 4-0A. (-1-%Sc$'*"'ar`k ION 7.-UNLESS OTHERWISE NOTED OR SHOWN HEREON. 2-211 Yleiv OF FLOOD INSURANCE RATg MAP COMMUNTIY PANEL )ER • 500. 000 DATED 7/2/92 I BEEN CONDUCTED AND TO THE BEST OF i,--------T-----Y ItTrERPRETATION, THIS . . UNG IS IN FLOOD*ZONE W.__.U.LI__ AND IS LOCATED SEPTEm8ER 11,1998 1-=. 40' DAT E - ----.. SCALE :- N A SPECIAL Pl..00D HAZARD ZONE . _ . • p • Town of Barnstable *Permit# �(Q5i/ 41( T Regulatory lato ServicesE6 months fromissue date • BAaxsr�ais, , Fee �T\ �6a Thomas F. Geiler,Director ;vim - W\Ld a I, g D MA'1 1 Building Division , •• Tom Perry, CBO, Building Commissioner PR---- • 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 Paid without Red X-Press Imprint -,: f • F-- ,,. _�r r i"%tt ug Map/parcel Number Property Address ‘ (-- ns..� G�P'iN • � AT V1J Si- ❑ Residential Value of Work /6—p,0 Minimum fee of$35.00 for work under.$6000.00 Owner's Name&Address J�.c+�lr .sue \f,y°vo 6 i-cPs-- LA,Al iAkr Sk kSk,e_. Aik k Contractor's Name `3 7-+ (•-e Ai‘.. Cc)vt5 if,v Telephone Number Home Improvement Contractor License#(if applicable) / a 44 p 7 e-I Construction Supervisor's License#(if applicable) R ❑Workman's Compensation Insurance Check one: 72 I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. 'ermit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over . existing layers of roof) 154 Re-side • Replacement Windows/doors/sliders. U-Value I #of doorst (maximum .44)#of windows *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 Imp vement Contractors License & Construction Supervisors License is kquired. NATURE: WPFILES\FORMS\building permit forms\EXPRESS.doc iised 070110 ,, - , 4ei,1HE„To,�ti Town of Barnstable ,� Regulatory Services I ` $I Thomas F.Geller,Director • �ea }gym 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 • I, 'li\AMt,I At-4„J �, �lI ,as Owner of the subject property � 04,3 hereby authorize ;1) r ( . to act on my behalf, in all matters relativ to ,..1k authorized by this building permit application for. CP --C-2\ r W GL-j . .(Address of Job) trn0,.Ar---. --T ,' a6 f, S' tore •••I Date RS 12J� Print Na re If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. "...CPA,t 1C-rIT1ri.TCD DCt)tlicC1r11.1 >Oro9 o 1 I L+ OF T Tom,HE Town of Barnstable *Permit# . Olaf c( ti 4' Expires 6 months from issue dale , Regulatory Services Fee CI;2 5 L O( .(a S PER III Thomas F. Geiler, Director p 12-..----- A . \\TFOMP�A PR 2 1 2009 Building Division TOWN OF Tom'Perry, CBO, Building Commissioner BARN ST� � 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us • Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ++,,` � ) 0 Not Valid without Red X-Press Imprint Map/parcel Number . 1 0� • Property Address - FF.v"$$ uu Ay 13i4rw5•-vv4Sl e ❑ Residential Value of Works 3,5'0 0 Minimum fee of$25.00 for work under$6000.00 Owner's Name& Address m)4 it y1441(1l11) R k/0 V0 F1 .v-- wiihy c.- 14pt,vS4-- 1p M/3•• Contractor's Name 3 P C'"'T' 0,0y M M. COIi9rv4o Telephone Number 6-0T- c3 - so5 7sr I Ionic Improvement Contractor License#(if applicable)7 )2-,1-f U 7 Li Construction Supervisor's License#(if applicable) 9 g5-7 ❑Workman's Compensation Insurance _ CI eck one: .,I•am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name • • Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) lit lte-side 3 5tpgtr- i 0 Replacement Window doors/ liders. U-Value (maximum .44) *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 is required. SIGNATURE: i v% 'I-II.I:S\I )R . buildin emit forms\EXPRESS.doc Revised 100608 ! _, • (-6-----0HE ra y Town of Barnstable ..•••• • • Regulatory Services • BARNSTABLE, • ntAss �, Thomas F.Geiler,Director °rend 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 T, ' f ► l( /l� tJ/J as Owner of the property `� subjectP P riY hereby authorize` `e; 6 JK�,/� to act on my behalf, in all matters relative t w r uthorized by this building permit application for 6 n i-s__--. goAlo,_s,s-d6 _ (Address of Job) I. ' Signature o er ate E . ---------- af) Print Name' If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. n•R/I R MC d1WLIFA AFT?AA TCC1 ThI Town of Barnstable 0.THE l'py ,'4_ O� Regulatory Services • swRnrsr+ac a Thomas F. Geiler,Director. MASS. $ Building Division fD4A,0 Tom Perry,Building Commissioner 200 MainStreet, Hyannis,MA 02601 vrww.tovrn.b arnstable.ma.t[s • Office: 508-862-4038 j Fax: 508-790-6230 H MEOWNER LICENSE EXEMPTION Please Prinl DATE: JOB LOCATION: / number street r`� village • "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: • city/town state zip code • The current exemption for"homeowners"was extended to irlude owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who c/ORes not possess a license,provided that the owner acts as supervisor. • I DEFINITION O HO OWNER Person(s)who owns a parcel of land on which he/she resi es or , tends to reside,on which there is, or is intended to• be, a one or two-family dwelling, attached or detached s ctures ecessory to such use and/or farm structures. A person who constructs more than one home in a two-ye period shall not be considered a homeowner. Such to the BuildingOfficial on form acce ble to the BuildingOfficial,that he/she shall be "homeowner shall submit p res.onsible for all such work .erformed under the b din: .ermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibir for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. • The:undersigned."homeowner"certifies that he/see understands Jhe Town.of: aznstable Building Department minimum inspection procedures and requiremen and that he/she will comply 'th said procedures and requirements. Signature of Homeowner Approval of Building Official • • Note: Three-family dwellings c.ntaining 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Cons. ction Control. t" HOMEOWNER'S EXEMPTION The Code states that: "Any homeo - performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of c, struction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as sup- sot." Many homeowners who use this .tion arc unaware that they arc assuming the responsibilities of a supervisor.(see Appendix Q, Rules&Regulations for Licensing Construe'on Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed pers. . In this case,our Board cannot proceed against the unlicensed person as it would.,with-a licensed Supervisor. The homeowner acting as Su-ervisor is ultimately responsible. \ To ensure that the homeownee is fully aware of his/her responsibilities„many communities require,as part of the permit application, that the homeowner certify that he/she nderstands 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 BUILDING PERMIT APPLICATION Map Parcel C.)[ 5 U Permit# • - 4-ciztel Health Division <G Date Issued Conservation Division /Ol Zo3 JC0 Fee >7G c5`T © 0 Tax Collector 5� ( VISICnNT MUST OBTAIN SEWER Treasurer t I CONNECTION PERMIT PROM THE ENGINEERING Planning Dept. �CONSTRUCTION ��PRIOR v�P ,yff Date Definitive Plan Approved by Planning Board Historic-OKH s '✓J1 1da Preservation/Hyannis Project Street Address 1:1- 6 f 2S`r 11/4) Village ►5 ►rRJJS 1)-1 CC*"*" Owner g 8 ( 2 T .TP/ Address C -cLS W Telephone 5 b 6-- y „). Permit Request Z 1(1 v4 C- Z /1 sm /0 20 D r CJ— (scfpic f 4 fh4) Square feet: l at floor: existing proposed 2ndr floor: existing proposed Total new Valuation ,c ' 56 e Q 9 Zoning District ,D Flood Plain Groundwater Overlay Construction Type PT wwoc9 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure `I6- 4Z• Historic House: ❑Yes Flo On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ravel ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing j new Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing 5' new First Floor Room Count Heat Type and Fuel: Zas ❑Oil ❑ Electric' ❑Other Central Air: ❑Yes Glo Fireplaces: Existing New Existing wood/coal stove: ❑Yes 6 to Detached garage:L�existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:0 existing 0 new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 0 No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name OVA/( Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I0 -()3--00 I • FOR OFFICIAL USE ONLY •• , Y . r .� % 'r l ° PERMIT NO. . ±` DATE ISSUED. ,, - _. .44.. • t i ` MAP/PARCEL NO. Sry r. r .' '4:"t ADDRESS - - VILLAGE OWNER . .. . . DATE OF INSPECTION: } ' - FOUNDATION'' - FRAME INSULATION . ' - FIREPLACE . a ELECTRICAL: ROUGH E1 ' FINAL ' PLUMBING: ROUGH;s FINAL GAS: ROUGH-- '. FINAL • ' • �tr=d -lc i .. FINAL BUILDING . ,,;--• , . I.,: ' DATE CLOSED OUT . ., ASSOCIATION PLAN NO. . f , . ti; t ) I N, • • r1 r • . • w. 00: E • • ki v- LN r may) �� o 1 w0' L=30.21 L=51.60' CO MJf.A'RCE ROAD • • EREBY CERTIFY THAT THE ABOVE MORTGAGE INSPECTION WAS ^- - -- --__w_ 'Y' �'�_--`- - PARED FOR �- --------- - _ ._._.�_._ -.._._ r_, .,_.__. . KENNETH,S. PERRONE & CROSSLAND MORTGAGE CORPORATION ./O/IN v FA IN���_.__.__.._.., CONNECTION WITH A NEW MORTGAGE AND IS NOT INTENDED ED TO PRO,zSSION4 LAND SUR12701? PRESENT A PROPERTY UNE SURVEY, IT CANNOT BE USED FOR ES- —_ =:-- ___ SHING FENCE OR BUILDING LINES, THE LAND AS SHOWN HEREON BASED ON CUEKT FURNISHED INFORMATION AND MAY BE SUBJECT 17 SOUTH RUSSELL STREET PLYMO MA 02360 - FURTHER OUT-SALES, TAKINGS, EASEMENTS AND RIGHTS OF WAY. RESPONSIBILITY IS EXTENDED HEREIN TO THE LAND OWNER OR TEL (508) 746-8550 FAX. (508) 746-7878 UPANT. THIS INSPECTION PLAN WAS PREPARED BY USING CUR- DEED INFORMATION. ASSESSORS PLANS AND RECORDED PLANS ERE AVAILABLE, FIELD DATA WAS COMPILED BY USING EXISTING qUMENTA11oN FOUND. UNES OF OCCUPATION AND DCISTING STREET =S. IT IS NOTY 1?hE RESULT OF AN INSTRUMENT SURV>~Y. �,a 4Jty LOCATION OF;.THE ORIGINAL DWEWNG SHOWN HEREON, EITHER 43101 IN CONPuANCE WITH THE. LOCAL APPUCABLE ZONING BYLAWS IN ��ECI WHEN CONSTRUCTED,(WITH RESPECT TO HORIZONTAL DIMEN- � +� VAL REQUIREMENTS ONLY), OR MAY BE EXEMPT FROM VIOLATION �6�0 ''ORCEMENT ACTION UNDER M.G.L TITLE VII, CHAPTER 40A, <9 S OQ .110N 7.•UNLESS OTHERWISE NOTED OR SHOWN HEREON. y MEW OF FLOOD INSURANCE RATE MAP COIAMUNTIY PANEL S ifER • 50001 0001 DATED 7 2/92 ,: _ BEEN CONDUCTED AND TO THE BEST OF MY INTERPRETATION, THIS -LUNG IS IN FLOOD ZONE F 1 AND IS LOCATED SEPTEMBER 11.1998 _ IIN A SPECIAL. FLOOD HAZARD ZONE. DATE SCALE 1'-, 40' _ FEE r°"4.0 Department of Health Safety and Environmental Services IA1Z*1 Building Division : BARNSrABLE. - 367 Main Street,Hyannis MA 02601 ��ED molt p I Ralph Crossen Office: 508-862-4038 • Building Commissioner Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION • • Please Print DATE: 'L i 0 L JOB LOCATION: street village number (Z0t3< 1 j�y0� cdg `�S--a-. - CI7 -7,l7.- O7� "HOMEOWNER": • name home phone# work phone#CURRENT MAILING ADDRESS: A CI9 Ik Gr -bt �� j t 0 . 4- 4 s 104-- state zip code city/town 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, or�ded that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides orintends 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 Dep• ■.ii ent minimum inspection procedures and requirements and that he/she will comply with said proc-• s rr and requirements. �l. W 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 ommunities ultimately responsible.part,as of the permit To ensure that the homeowner is fully aware of his/her responsibilities,many ds the responsibilities of a Supervisor. On t'orrn ur en that he homeowner eraltowns. Youtmay care to amendand adopt such a form/certification for use in your community last page of this sue is a form currently used y Q:FORMS:EXEMPTN k .\. t ' . Ro3 KE T T AYonl 6,7 °7a1- FOA- X 4la 1-71IsT w4'i 134/2N c1-0 8 Le inne \0oSe_ ^ v �_,� C. 9tt-=•-- S---*:-/- 3e)) . V to , OC ;,: lc i� ax io 'PT oc cc_ or a.\\ Soksi-S , /-- __ a3i LINi6 'PT pars Sv1 rz ow, -' r ToP a1 SuI deck 4 orYt 1 - (o''ae two n , (coi S Fa wv.�e'rto 6 of rz.uv-7 c4 , ... 0 ____________ 5ii-)1-,9--. 1 J is ractl S stem, to , eks o f f2 s‘ e L 90c 6 PT CeA 10 . ri ihr.., p�� '\., y if ‘‘,. Rode 2i i .`Ju I 617 r]A 7 - t1'7., . X I (a f)IQSfi w 4y B4 s1-1 -/3i-..[ illi 4, . i S Uv1 p O12C.k, -t-1 1 F-4 --- ! b Cs ec k itV()UT � ��ki' e_G ff II I (loos e I //:\ 41:- / ' . 'i4111---- e -54" . ==-� CO �-- --� aourU C--n.ouvI4 1. 1 0 'Ies.,,,k,_ , HouSC._ - A II 8-----41'H \v-v-vvvvv, iir , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � - Map 301 Parcel 0 S O r - Permit# 4q6 Health Division Date Issu-. 1,0 d 2-- 6 J7 Conservation Division Fee_- ''i �� 00 Tax Collector 4 ..�� ,�,. : � . , .. . , Treasurer- /o Do Planning Dept. . ps: , . Date Definitive Plan Approved by Planning Board Historic-OKH 40/1a Preservation/Hyannis . Project Street Address 't (o f I S y W1/4y Village /� 34(ZW c•'T'+4 0 L Owner R06i-2i- 12y01r Address ,n- Joh 0 6-R4 1 ALO o D2• N. ,4TTLC/3oQO Telephone 569 VI S - f'mo -d)- rlif- Permit Request F6PI4C4 i'PPr2oX Lf00 Sa F7— yr 'CFb'12 51hN6-LES Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new ilkof Valuation , O 0.----- Zoning District Flood Plain Groundwater Overlay Construction Type Q.f St+ Z4LL LioJ so. fr 51b;40 Lot Size • Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation, Dwelling Type: Single Family (K Two Family ❑ Multi-Family(#units) Age of Existing Structure 40 via Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full 'rawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing i new Half:existing new Number of Bedrooms: existing �'' new Total Room Count(not including baths): existing S new First Floor Room Count Heat Type and Fuel: 12as ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ��C to Fireplaces: Existing 0 New Existing wood/coal stove: ❑Yes Ergo- Detached Detached garage:CTexisting ❑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 ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Qo6c al- j 2YJl-) Telephone Number 5-42 G9 S- .20)--- Address Ali c R 5 T W A-y License# 134-aN5 Ls fill 6-' Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO N, -Tz.4 (o�1/43 Al - v �'� (7 z-GoSIGNATURE ""yam' DATE / i _ FOR OFFICIAL USE ONLY - -' PERMIT NO. - _ -Yj. t , _ . . DATE ISSUED • _ c, MAP/PARCEL NO. y <_ w _� r ' N - - ,� ADDRESS, VILLAGE �, , _! ... F. i 7 3 OWNER - ` . - . . ,. 1 A r DATE OF INSPECTION:'; -' • -' - . -.. } FOUNDATION FRAME - - INSULATION . , j FIREPLACE ;A -- ti . ., .') , ELECTRICAL: ROUGH FINAL ' PLUMBING: ,ROUGH FINALS . GAS: ROUGH FINAL, - , FINAL BUILDING r :�+. 4 . , a • ., R r ' DATE CLOSED OUT r . - .. - . 9 -- ASSOCIATION PLAN NO. -- ' . .'.„ . T e own o : arns a l e "HE r°w+ Department of Health Safety and Environmental Servicesfi , -ram w.,..f� BuildingDivision . . ,,�p , KziARNSTA13) 367 Main Street,Hyannis MA 02601 i6;itM Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION ' • , Please Print DATE: )0 —0 1- a t; • JOB LOCATION: & 6-12-ss w A r re4, L C- number street village "HOMEOWNER": I OOf2 / /RyoA1 5:18` 695. -- o?. 6ir7 7.17_ Fa r7 - name home phone# work phone# CURRENT MAILING ADDRESS: S' b N J 62, , ,`0; bit /v- ,¢i n £ e30it3 PIA— 0a 76 0 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 individtialfor hire who does not possess a license,provided I that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel oflandon 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 submitto-the,Building-Officiaton a-form-acceptable to the _.:Building Official;that he/she shall beresponsible Tor all such work performed under the building permit. (Section 109.1.1) -- -. . . .. The undersigned"homeowner" 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 proce s 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 to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN 1 I L • 1HE r Town of Barnstable e y�P� �. r��'p Expires 6 months ions issue date �!� \ Regulatory Services Fee t * BARNSTABLE, * % MASS. p Thomas F. Geiler, Director lFb Mph wPRES r ` ° Building Division rgi Perry, CBO, Building Commissioner O O T 2 2QQ$ 200 Main Street,Hyannis,MA 02601 www.town.barristable.ma.us Office' 5C7 '0WN BARNST ;, Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint • IN/lap/parcel Number3/9A_0_5... Property Address _ L i'I` Residential Value of Work 70/ 0 Minimum fee of$25.00 for work under$6000.00 Owner's Name & Address F ti I /t-b\ ) - l C y D v-) _ r PiOto /)1 Contractor's Name � � �_� C_ti >n Telephone Number 5'O 0-- 7 ->v Home Improvement Contractor License# (if applicable) J [_! C -7 Lf Construction Supervisor's License# (if applicable) ❑Workman's Compensation Insurance Check one: - Z, I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# • Copy of Insurance Compliance Certificate must be on file. Permit Request (check box) • Re-roof(stripping old shingles) All construction debris will be taken to t//1d`i'nc9J'-i•-t I t� yt7c(, _,12 • ❑ Re-roof(not stripping. Going over existing layers of roof) / ❑ Re-side OKI Replacement Windows/doors/sliders. U-Value d .j , (maximum .44) • *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 is required. R 0 6 ��,, 1 U \ C L— t ILA Y�o fP l.i kLe 6 NQI t h v', 1,i 6 SIGNATURE: 7 Q: 4i l't-11..ES FORMS`huilding permit forms\EXPRESS.doe Revised 100608 47 ' . . . •, f Town of Barnstable. • • a��. do ,.• t, Regulatory Services •• r ABIX Thomas F.Geller,Director •' Building "Ema� B dmg Division Tom Perry, Building Commissioner • 200 Main Street, Hyannis,MA 02601 www.town.b arnstabl e.ma.us • • Office: 508-862-4038 . • . Fax: 508-790-62.30 • Property Owner Must . Complete and Sign.This Section • • If Using A Builder • • • . I, e1f\.1 -P-• NJ) k n N. c),;.] • , as Owner of the subject property hereby authorize 0_, C)A s'C CiPo\,Q, to act on my behalf, in all matters relative to work authorized byth;s lii.iili ng permit application for; . . . Ar.,,- (b ,,cLk. en (Address of Job) I Signature of er • Date - �(\1>Yl.. ,�.1�JJ . . Print NamF �, . • I • • • • Q:FOP MS:OWNE,RPERMISS ION 0 . • e �fA11 . d /► J.. , •f' 77-77'.' -4 - - -;:. .• - . . - -- ' ' - - .4 . „ . . , • W . ....,LJ,. . , ,--ri. 4. 71-l'i .. • - - Pf2/2i/A4. - : ' 140.:c44fift1-44foq--xtlita B f •• -•."-- ./ " _: . .-,:i .:' . j , , :- • _ • . , • WaV i--: •, ,,i,- -Voy*a49'.'544" . ,.1F •- 4 7; .. .- . .ety . to,z4, ..• :. . . - .., • - • : : • , , : ; /67 fil . . . • 1- • - -r 99/ • , • a - , Li. e* ,... , ,u) _ • .._ ,,Ii,,,./.4:4..:.... m ,,,A . I - . . , o i .� ,� . . , _ ,./.1./.L4A,_ �-f.0:'/Ig'6-‘1•*2.2. - II "%lk I C - SN. I i % L11J /1.1. 'J / �/ Wi j I g / 0 ,, A,,,, 0 11 wCJ laj , 400...k. 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