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0057 GEORGE STREET
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'.. � � _ _ .. ., � o .;. ;, _. � E. �_ y��' t� a .-,? 6 J, ,� F L ,* B .1�, G. .. �... ,. n ti f� ` u. �. g'n � ,� o � � ,, y � � ,"p a Q v 4 2 Y �. n. a � ., �i ., o � - ,. . � D B. �t r Town of Barnstable *Permit# 2 Expires r onths from issue date K f— elatorygu Services Fee ASS E a39. d V.Scali,Interim Director a DEC 0 3 2013 Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 TOWN OF BARN A www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY O Not valid without Red X-Press Imprint Map/parcel Number Property Address��7 (Sr o—'a ®O Residential Value of Work$ . Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name C,n N CA-0 Telephone Number. c9- qlo— `9 7?Q Home Improvement Contractor License#(if applicable) Email: C ow r A o Rewto&,ek jtun �a], Construction Supervisor's License#(if applicable) 1 �5 .S 7 C-o,r•��,r��r- ky t,-l-- ❑Workman's Compensation Insurance Check one: 0 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. Permit Request(check box) KL 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 ❑ Replacement Windows/doors/sliders.U-Value (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 Co tractors License&Construction Supervisors License is requ' Ied. SIGNATURE: Q:\WPFILES\FORMS\bu' ng perm' rms\EXPRESS.doc Revised 061313 oFmE ram, Town of Barnstable ti Regulatory Services •�AL IE� Thomas F. Geiler,Director E16 9;. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section l If Using A Builder as Owner of the subject I, J property hereby authorize w,�� to act on my behalf, in all matters relative to work authorized by this building permit (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. Signatu? of Owner S of Applicant Print Name Print Name Date QTORM&OWNERPERIvIISSIONP00LS 62012 �IKE� Town of Barnstable Regulatory Services anaxsrwar.E. Thomas F.Geiler,Director 1639. ►. Building Division Torn Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 l HOMEOWNER LICENSE EXEMPTION Please Print DATE: 4 t JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# s CURRENT MAILING ADDRESS: �} -- s 'e city/town state zip code The current exemption for"homeowners"was extended to includ/es—alicense, ner-occupied dwellings of six units or less and to allow Homeowners to engage an individual for hire who',oes not posse provided that the owner acts as supervisor. EFIriTITIO OFHOMEOWNER Person(s)who owns a parcel of land on which he/she esides r intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures access-ry such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a horn wner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be s .onsible for all such work performed under the buildingermit. (Section 109.L1) The undersigned"homeowner"assumes res/shhc or comp 'ance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies thaerstands the To vn of Barnstable Building Department minimum inspection procedures and requirements and that he/shy with said proce ures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dweIlin s containing 35,000 cubic feet or larger will be quired to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: " y homeowner performing work for which a build' g permit is required shall be exempt from the provisions of this secti n (Section 109.1.1-Licensing of construction Supervi rs);provided that if the homeowner engages a person(s)for hire to o such work,that such Homeowner sball act as superv' r." Many homeowners o use this exemption are unaware that they are assuming t responsibilities of a supervisor (see Appendix Q,Rules& gulations for Licensing C,onktructiou Supervisors,Section 2.1 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 unlit sed 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. C:\Users\decollik\AppData\Local\Microsofl\Windows\Temporary Internet Files\ContentOutlook\QRE6ZUBN\EX11RFSS.doc Revised 053012 7f Town of Barnstable *Permit# C>?06 96 - PERMIT Expires 6 n pths from issue date PRESSRegulatory Services Fee APR 15 2-009 Thomas F.Geiler,Director p� TOWN OF BARNSTAiBLE Building Division O 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 r ff Not Valid without Red X-Press Imprint Map/parcel Number-3 / 9 6 lP Property Address 6t'�'(^,4.'e-- C-,+- ��fq'rW - 0a,X'J ❑ Residential Value of WorlC /— 0t0 ' Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address )'{')c S`7 G e of-s6c S - r4-�-w c-�vw(R 1-e Y 1 it Contractor's Namec�� Telephone Number Home Improvement Contractor License#(if applicable) L`J Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: I am a sole proprietor r t v U 1 Gill the iiGaTieo vYiler ❑ 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 C)0--k ❑Re-roof not stripping. Going ovir existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. 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 r veme Contractors License is required. SIGNATURE: AS/7— Q:Fonm:expmtrg Revise061306 °f y ► Town of Barnstable �P Regulatory Services SrAByMASS. '�, Thomas F.Geiler,Director absq. �e Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 )ffice: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 4 I , as Owner of the subject property hereby autho:,//7� ,&� Y111 05 yQ e VNQ to act on my behalf, in all matters relative to work authorized by this building permit application for: Ge©(- es (Andress of Job) Signature of Owner Date (7, 7 Z, S Print Name Q:FORMS:OWNERPERMISSION 37-6S_ Town of Barnstable *Permit#Y 7 19-e s ° op PERMIT Expires 6 months from issue date Regulatory Services Fee �`-� -0� S E P 2 7 2005 Thomas F.Geiler,Director TOWN OF BARNSTABLE Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 1 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number NO t Ldt /I Property Address t. / 6_v(\.d_r ❑Residential Value of Work 000 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address T h V+ yyiD Contractor's Name_, CC>W,l t 1,\f3 Telephone Number be Home Improvement Contractor License#(if applicable) f �', n:z L) jZ0 7 Construction Supervisor's License#(if applicable) 9 9�7 12,l v ❑Workman's Compensation Insurance Check 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) y ❑ Re-side DI ❑ Replacement Windows. 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. Home Improvement Contrac rs License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 l , oFtME r Town of Barnstable . Regulatory Services BMWv MASS. � Thomas F.Geiler,Director �A t6;q. �0 rE1639a 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, e C .�r��vr dko-?--15 ,as Owner of the subject property hereby authorize P�� :r,ey C �r� �t1 to act on my behalf, in all matters relative to work authorized by this building permit application for. ,57 G;—oru,e S (AcMress of Job) Signature of er Date Print Name Q:FORMS:OWNERPERMIS SION opt Town of ]Barnstable *Permit# Expires 6 months from iss date , , ,,E : Regulatory Services Fee W.S& Thomas F.Geiler,Director s63q. ♦� p'f01A0''' Building Division Tom Perry, Building Commissioner ® R��x ! {,rt�77777 rLc. 4 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 MAY - 2005 Fax: 508-790=6230 EXPRESS PERMIT APPLICATION - RESIDENT RNs7Aa1 Not Valid without Red X-Press Imprint Map/parcel Number OCI Property Address ��� 6e_t>r!ae 13/4dPyu,-AA�e)r`. MA ❑Residential Value of Work 5-00, Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address_r 17 rn a via - 7 � i4`�� S�- f3AJ v� �-ti9 � W!✓� Contractor's Name 7 ° WI v��^ol>rV7 Telephone Number,3 9 2-26 ` &�'S 7 � Home Improvement Contractor License#(if applicable) /: Q 7 5-A)/ a00 Construction Supervisor's License#(if applicable) CS 0052,417 f P ❑Workman's Compensation Insurance Check one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will betaken to Ym TVW jA.-1 1 t'V'w,%d'esr S�►��°i`'�''3 ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side 41 0� ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town d F fie�om�neancueai o�� aaaac/u�aek Board of Building Regulations and Standards f ***Note: Property Owner must sign Property Owner Letter o HOME IM,�OVEMENT CONTRACTOR Home Improvement Co tractors License is required. < Re i§tratin: 4p74 007, Signature Q:Forms:expmtrg Conrad Remodels W9 Revise063004 Jeffrey Conrad — 535 PHINNEYS;N CENTERVILLE,MA 02632 Administrator. t � r Taman o _Barnstable . . :. Reg latory Services is'; :Tp�omas F.Geiler. Director amass. 9�� ,���•� .-Building Division - on Pe' `$uflding C ommfssio net - �T t 200 Main Street, $yaanis,.MA 02601 www.town.barnstable;mama Fax: 508-790-6230 Office: 508-862-403 8 Property Owner Must Complete and Sign This Section If Using A Builder s ,as Owner of the subject property ' to act on my behalf, • hereby a onze.• +T � ter, in all niattexs relative to work authorized by this binding permit application for: _ (Address of Job) S4of Date t Print N=e X 3.2 Xe-W Assessor's map and lot number ....PA ................. P7F-6, THE _17 1Ma_rl �e CNiAY Qw- C Sewage Permit number ....... -V- O. C ....... ............. IWUS #4 COA4 STABLE, House number S-7 AS& ...................................................................... Tir 163 MW1101VA4 &0 rp TOWN OF BARNSP noes*41' BUILDING INSPECTOR APPLICATION.FOR PERMIT TO ................................................................................................................................ TYPEOF CONSTRUCTION ................ ...............................................................I................................. .......... 19.Z3. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..................r?......... ..........I ..27............... .................................................. ProposedUse ...............Pt gr7V...C.'".0.............................................................................................................................. Zoning District ........................................................................Fire District ......... ?..A.7............................................. Nameof Owner ......................................................................Address ................................. . ................................... Nameof Builder .................to.................................................Address ................... ..............s..................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..............4 ...........................................Foundation 4- e�.�&-,,"7- & Zv CA, ..................................................................... Exlerior ........4� ......... .....................Roofing ..........4 S- ........................................................................... Floors .........A!:��47.40> .......................................................Interior .... din aor.............................. Heating ... ... .......&-t,Ao ........................................... Plumbing .................................................................................. Fireplace ...............................................................................I...Approximate Cost ........ nD 41M.C.P... ........................ ... .... . . ....... Definitive Plan Approved by Planning Board --------------------------------19--------- Area .........!�O......9y....,ol-7, Diagram of Lot and Building with Dimensions Fee ..........—.1............................. SUBJECT TO APPROVAL OF BOARD 0,F HEALTH /is, X, SO of i S- /--7 le,A7 1q,4al 1>/;? '04 i", 1115 I hereby agree to conform to all the Rules and Regulations of the Town of,,&J-rnstable regarding the above construction. Name ...... ............................................................... ' -T7 � Santos, Edmund J. - --- ` 21884 add to dwelling No ----.—. Permit for .................................... � � —.—~-----------------.--.--.— 5? George Street Location - ----''-^--.'------------' \ . Barnstable . —.—.-----------------------.. Owner —r� ---^E—d—muu—d—J.——3auto—o--^-- — — -- — frame ^ ' Type of Construction .......................................... . ` ^ . ' -----.--.-----------~—~---- ~ ^ - | Plot ............................ Lot ........... ^ b ?0 ^ Permit Gnonna6 --��������.-----.lV ' ' Date of Inspection ....................................lV Dat 6 q � PERMIT REFUSED . . 19 . ^ . ��---.. .............................................. ~ . . . ----' ......... ............................................. - r- ' � �f _". "�� ` . -� ' ej . l� ' ' "pp "^=~ --_________. . ` -------..'�---.--.~.—.—~--..---. - . . ' ^ .