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HomeMy WebLinkAbout0068 GEORGE STREET K I 0WOVO4, A�; sun g00%A,000 Q SM Ass" za W.."go loam: 0050 ......... mod Ww",a pen 0 low. lvg, who looks 02511 OW Mon so.. .......... mo moo Mom A most, oil -moo mow Au VE BONO, . .. ........ ".QV MONA Town.of Barnstable *Permit Expires 6 nth s froe d"'e Reg�ulaptory Services Fee ,�, � P g0 MASS. $ /� Richard V.Scali,Director �63q. a�� � I/i/�� i. � t ilding Division . Tom Perry,CBO,Building Commissioner k _ 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, XResidential Value of Work$ ,���Q— Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 13ArVUv* ems Contractor's Name Cow v1,ycko Telephone NumberbCE�- Home Improvement Contractor License#cif applicable) �jf) ? Email:r(M0VeVj jyAVjw Q, Construction Supervisor's License#(if applicable%ZQ qR ❑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 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 1--'\)lue for j_\")�� 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 Im rovement Contractors License&Construction Supervisors License is ' required. SIGNATUREAuilermr Q:\WPFILES\FOit forms EXPRESS.doc Revised 061313 i Town of Barnstable Regvhtory Services NAM a' Riebara V.scan,Dh=tor. Building BuDding Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 0M01 www.town.barnstablexuL= Office: 50"62-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder L aaA r.�.[A.- Eaa Iet ,as Owner of the subject property hereby authorize 1'Y( C"Y' to act on my behal f in aU matters relative to work authorized by this bw7ding perldt application for: l0 Q d Y' �5 (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 AofApplicant 1nof Owner { 'u r.xZn "J Print Name Print Name v? R Lioi Date Q.FoxMs:owNBOMssor POOI s TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map q Parcel TO' j fib?".R STABLE Application # — 77 Health Division L. j . Date Issued Conservation Division Application Fee Planning Dept, Permit Fee 65 6 mnxn-.rnm-_.. xo-....sarduwasYrmexil.F^�i4� , Date Definitive Plan Approved by Planning Board r-1tt'?:,-rw Historic - OKH _ Preservation/ Hyannis Project Street Address �� Geri' fl Village S -- Owner Ty)jg6j Lae Address Telephone C ���® 0 5?9 � Permit Request Ent? V3 00 r Square feet: 1 st floor: existing PoO proposed Q 2nd floor: existing C_proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ©� Construction Typeg,2oc:)at=pAnne Lot Size ,oco Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 7D Historic House: ❑Yes ❑ No On Old King's Highway: Yes ❑ No Basement Type: ❑ Full Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) cl? Basement Unfinished Area (sq.ft) ©� Number of Baths: Full: existing new _ Half: existing © new C� Number of Bedrooms: existing Qnew Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: KGas ❑Oil ❑ Electric ❑ Other Central Air: Yes ❑ No Fireplaces: Existing QNew Q Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ZD! y Telephone Number a_:490 _ g 9`7 Address�S- ?h� w•e�` p v►?1�� License # ...,S n 0 S! -7 Home Improvement Contractor# I Mo 4 Emai I\ PA how, ,n, \�...r� C�o►y►�� si; , detker's Compensation #u)u__�'�ce OTM�3-a,�pb i� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE�rj FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. o� T Town of Barnstable o� Regulatory Services - s. _ Hirh=-d P.Sc4 I hmatar BuRding Y}iddon ToMrerrp,Bm1d1T,;Commoner 200 Main Sfreet Hy=l*MA.02601 w W arnsEabIama.Bs Owe: SOM624-038 Fa= 508-790-6230 Property Owner Must Complete and Sign This Secfiion If Using A Builder ,as Owner of dm subjectProPertY bezelayautlzorizze �,e e- to act on mybehalf . in all matt m relative to work=ioEzed bythis bmlding PPT"7'T7k application for. GS7 -eor e S J • *Botrw54,o I, (Address djob) `-Pool fences and alarms are the responslflrtyof the applicant Pools are not to be flied or i blbl6d before fence is zest alled and all final ' inspections.are perfonmed and accepted- , . dIA li � Signature of Owner of App' COW Pzi=Na= �— Prier Name . y 3 Z o l (� D - �:Fa�s� oars • Town of Bamstable , Regdatorp Services royy� Rkkar d V.Sc aB,Director , DUMB t t Tom Perry,1hadmg Commissoner 200 Maim Stogy Hymmis,MA 02601 WW WID Wn-b==2bIbTM ma IIS Office: 508-962-4038 - Fa=l5o8-790-6730 - HOI EOWNMLICE=EUDIF'JaDN DATE: JOB LOCATICkL- sF f '�oN1EQ� h®cpho= wo3cpb®c 7 CCMRENTIMJAAILJNG7AD S: _ Zhc rK==t exemption fb `homeowners" wtmAed to include owner-o ied dwe " of six rinds or less 2nd to Zow homeowners to engage an infvi&MI for hire o does not possess a license vidsd ff3Laft=owner acts as Sopervisor_ D�oN OF EIOMXo'WNM p emon(s)who omens a p I of land on which h resides or intends to reside, oa " h tbe,re is,or is intended to be,a one or two- family dwelling,atfarhed wed stracft ory to s=h use and/or farm ,A pmsan ho consimcts more than one Home in a two-year period notbe considcxed a when CSTr� shaU sobmitto the Building Official on a f= =zptable to the BmZ3mg that htlshe shaIl be ans-1le for aIl sack w wed uiderf= ermit Section 109.L I) 'Ihc=d=igned`homes assures respMS311 Tp far wifh State BmEffi g Coda and of=applicable codes, bylaws,roles aadrmg-alsr'ons- _ Zhc `homwwnee ihathrlshe ids fhe'T ofBarn Jp Building Depm mcotndminuln msp=&n prored,=and resiak=='ts f3at hr(she will comply WI&Mid and req�emeois. Sim ofHemCDIW r - ApprePdl ofBrO mgOffic:W Note. Threo-f roily d - cmtai 3 ,00 cobic feet or kger WMC; to comply wiihthz State Building Coda Section 127.0 Canstr DIL $a wrz�VS pox The Code sf-afes that AZT hameo er perfo wort[for which a b permit is rujak shall be exempt from the provisions of this s (Sedion 9-U-Li- of coustradion Supervise );provided that if Sie homeowner engages a person(;)for bi a to such that such eowner shaII act as supervise - Many homeowners who ffiis=mpfon are unzware.ffiat ffiry are as-c r mmg ffie onsibMies of a Supervisor (see Appendix Q,R.nles Bc ns for Li�smg Co cfmn SIIpen isors,Sec6nn 216) ' lark of awareness off s results in serious problems,p when ffie home hires mfficensed persons. In this ras our Board cannot proceed against the unlicensed p a as it would with licensed Supervisor. The homeowner arSag Supervisor is u timately responsible To ensure'kat Bic ho wner is EmUy zwzre er respaassffiM es,many commues requirei part of the permit ap n,$zat the homeowner crrtify'tbat Wshe rmderstml&the respoass-b�Txfr'es of a Supervisor. Oa file last gage of this sue is a form enrrenfiy umd by.seYera.I towns. You may ire t amend and adopt such a form/eerf cafion for use in your cammunitp. p��e�auFee� Bavised 061313 . _.�,4 -- : - - �.. r 'sn+E� =L�[i1 fi 1s_ai+7.a-se a, L z ` JRF!— r F35 30, 4aF1 p1: r,1s Boc►e 56 - 5.@$4327G45; g': Fl2 1 :N t "j r l r y 3 b f T� i Y} At ° .h F "I...�. �:�.--"�1-.,�I�-.,.�l I,"!, �o . -:-�"..�, . .... -.,.�,',--;,',� ��,, , ��-,,. .1. ,- i * :,�� , 1 -� -,-,--o- "-�: k,1.I ,— , 11.1 1. �­ , o— ,`��' ,�, �a4 g • 4 , lll ti ;� CO � . F - . , "t, .iz�. ,�� - , -I -1 i o-. I' ,, ,: ll.: . R ,:2r,. _ �:Q-7.— r AS,/.L07'' 7'4 0 O : •o° , �u.,r ....a� �/ .�, * 'f- �" �:�.� -- ram,* �s- ' ly f c a: 4 .9.�,�LOT li.f8 �sL� T5 sP $�� � Q t AR 4TA'11. rt h 51 h f k '�" z ..>'4. ->: z��,t'"r. "- �F' '� xis h'!1?" ' PpE �'XIS?I�YC NG 'CtUFOR.�ltINC �� a o.-:RTC AG E y.: a�r;�iI}1 DATE` �1 `7 9L YES. ate, 2M �' _._ T, P�a.N Ri !8 --- H RHg CERTIF F ' SCALEr 1"=' 27 FT't nss r a :—= , '� ��Tr1AT,Tezz H'E B'U; Tic A.< � YANKEE S�RYEY 5H4+�'�" Oil T llS P lS4t�GC�T ON -f`Pi GRO`t1P1D AS pAii , S�'cWN:AHt3 " hR? r Pt1:fF 'I�ii 48� � . �, _ CQhSLLTA�tTS j < - "I -I.. .ZONI .LA-- SETSACX RE�UIRLMENTSGS?s��Tt E � ` 408 {Su1TE ':} a i��y QF 8d$N� Z$Bl ; -AND.;TH�T r tsNDUSTRY ROAD'r nags 1vT l.tE W:TNi�t THE SPECIAL F,Aab HAZARD { MAEiSTON3 Mf..i.9'�a oaeae AREA AS SHOwN ON �:iE . D MAP DATEDG'/.,Zf. ^ H s TE4r a0 0d�t r t t :Pane.` 25 -- 000 r fA az 5d3 Dq a - T LAN .V b(A � fRQN AN fNST UAIE'V .�URYEY MOT TO aE LTQED FE3Q FEtV.C� urtn�+venrgvrht arc 3813 - vC.yf v s P�'°FTHE Tph� Town of Barnstable *Permmt Regulatory Services F1 ees6n rh rgltviS e * BARNSTABLE, 9� 65S. Richard V.Scali,Director pTFD MA'I a Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ^ �� Not Valid without Red X-Press Imprint Map/parcel Number lam/ Property Address residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 1 0- r Contractor's Name " (` 1� ti­ s, Telephone Numberbm' Home Improvement Contractor License#(if applicable) I � 04 Email: Construction Supervisor's License#(if applicable) C S — 0 o Elw-­'Orkman's Compensation Insurance Check one: ❑ I am a sole proprietor A,AOr . ❑ I am the Homeowner �"® ❑ I have Worker's Compensation Insurance 0/4//'j ®,6' Insurance Company Name G-- r V � t US� / r Workman's Comp. Policy# � b 0o�E5 Copy of Insurance Compliance Certificate must accompany each permit. Permit Re ue t check box) q ( ZRe-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.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: C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 ._ —.--..�ti. _..-.-_ avn�.-....ems•.+.-...� «-.-�q....� -y.�+�...^.w �.-.w-.. .r 1 Property Owner Must Complete & Sign This Form If using a Roofer i Builder ro u f'V(a w^-c.P.t 1 A y o r , as Owner I Agent of tho aiahirurf nrnnprfv.hgrAhv aufhnrlgQc Paa�i,_l_ Cp7o Uit R Sons Rooflna Inc. —r—•v -_ _a _ _� sr ern ��r�_AA—-e .-af_a0.— a. .. .-..L ..at.. ..:� ./ ..af.C.. 1.:.:LJ?.... iV d t Uri my!ldttradaa, ua rau asairntt;ra rtri aaivc au v ory atathorizeu by'a1r.2 uui v,�o permit application for: { l Address of Job :G,e o rS ,54-rt<,4 .9 CL r ms�•�(2 h�1 Signature of-Owner e2 A-J,401 Mailing Address of Owner o►rn G s G�oy-� i ' Telephone# (5 g 2S 0 Date_�X7 Cl; Please return this form to Paul J.Caaeault Roofina along with vour signed contract It is needed for us to obtain the building permit.required by your town to complete your roofing project fax#508-420-4555 onlce@cazeauit.corn .l l,(-lZ✓l� /fir' elm Town of Barnstable *Permit# .- o Ts�{ Expira 6 rnorrda franc issue date Regulatory Services Fee P • • n"m Richard V.Scab,Director Building Division -PH- s Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 MAR 2 9 2016 www.town.barnstable.ma.us �I` Office: 508-862-4038 TOWN OhQM96 9 EXPRESS PERwr APPLICATION - RESIDENTIAL ONLY Not Valid wOoat Red X-Press In pdw Map/parcel Number -� �� (J Property Address_L Q_ r�F��„ S"4" l l'� ~�-1 � %UT A ` Residential Value of Work$ �'(� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address j>f1. F�o`- -�Q_yU Air Ln d' Contractor's Name l� e� C-0yo r-n�in Telephone Number_Lr, So-29 Home Improvement Contractor License#(if applicable)) �-/'c� 7'�' Email: yzp1p RP_01 CA s- c� ive7'- Construction Supervisor's License#(if applicable) ` C�-� i'S 15 7 ❑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 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 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 I provement Contractors License&Construction Supervisors License is required. . SIGNATURE: - All QAWPFM\FORMS\bui ding fmmslE3(PRESS.doc Revised 040215 �1HE BARNSU . _ 1639.�. Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Maul 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 Buzlder IN nAa lily'-,C �Cat v1 �o!� ,as Owner of the subject property hereby authorize 0-M r�2L e� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date v4 I r Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPFILESIFORMSIbuddmg pmcut foam OTRESS.doe Revised 040215 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �1'_) ParcelQ!7 q \ Permit# Health Division 5- -7/ A., Sewer,- 11 Y Date Issued ®� 1 f 41 Conservation Division Es, ��- - \ Fee Tax Collector 31116,2 Treasurer NFUN'T OPT&IN C(7N;.r.'C�tpT ?pRMiT FROM Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 66 . `J `e Village .BAANS`T 6I Owner � .C. �'/l�® SG'�'V Address 5 0 Telephone Permit Request XA1.56 fW!� e 4 1 Yl 4W G+h'Vn f pvl 'eekir A/ Square feet: 1st floor: exjs©ngo If proposed '1 2nd floor: existing _� proposed Total new Valuation �J� Zoning District Ci Flood Plain 460 Groundwater Overlay Construction Type Lot Size Pq Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 1 Two Family ❑ Multi-Family(#units) Age of Existing Structure q4 � S Q Historic House: ❑Yes f No On Old King's Highway: ❑Yes ANo Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing_ 3 new Total Room Count(not including baths): existing 6n new First Floor Room Count Heat Type and Fuel: gGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes id No Fireplaces: Existing New Existing wood/coal stove: ❑Yes #'No Detached garage: ❑existing ❑new size Pool: ❑existing ❑new size /;9/ 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 Ce S(dfohl AJ Proposed Use I, BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO (` V, SIGNATURE &4d DATE t 1's FOR OFFICIAL USE ONLY PERMIT NO. f F' DATE iSSUED MAP%PARCEL NO. ADDRESS r - VILLAGE r r OWNER ' DATE OF INS.PECi'ION: FOUNDATION —�—�-� A FRAME G3/< /.;ZZx -A i / t INSULATION �t3��✓Sy �f� d// O� a�T ®� ; FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r. FINAL BUILDING ,f� /�/�/ Q/� 7 1113 DATE CLOSED OUT ASSOCIATION PLAN NO. r i 1 of IKE T, The Town of Barnstable MRNsrABt.E, - 'o �° Regulatory Services pA 39• $ 'fo MAy° Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 200 Main Street,Hyannis MA 02601 . ce: 508=862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION v Please Print DATE: JOB LOCATION: number street village "HOMEOWN$R": ��i,2C �h✓��-��l/ �8 3�z S�s3- .�� y3z YySf3 • name home phone# work phone# CURRENT MAILING ADDRESS: �� �� - F-�eJ�C�/✓ 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 proced es d 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:EXEMPTN JAN-IS-02 05 :36 PM Karis Boat Shop 5084327645 P. 01 ` AS/LOT 73 f{DUSE" ti AS/LO r 74 AS/LOT 82 AS11LOT 75 NOTE, FRF,—EXIS7'LYC. NONCONFORMING RED' 20iVE` "RP" This MORTGAGE INSPECTION Sank Us For R�e� ZorE. `C" me rn yea »s a�+ . Zf UWN: REGISTRY OWNER: "� DEED REF- �5 � �. BUYER jrA42LE DATE: -1 OZ01 '— PLAN REF: .,QL7 I HEREBY CERTIFY TO LA9e ns suc� ©aspen+ R ass�cxs AIZNATHAT THE BUILDINC YANKEE SURVEY ggRN ON T141S PLAN!S�LCCATED ON THE GROUND AS PAU CONSULTANTS A. SHOWN AND THAT ITS POSITION DOES N;ca a RM iriEMTNFtW F THE 20,NINC LAW Sr TSACX REQUIREMENTS OF THE 3m 40B {SUITE i} ,AWN OF ------------AND THAT INDUSTRY ROAD 1T DOES-NQJ_ UE WITHIN THE SPECIAL F=D HAZARD � t � MARSTQNS Mess. WA. 02648 AREA AS SHOWN ON i`HE H:U.D. MAP DATED_Zf�j2__ lsM TEL 428-0055 -Panel 250 fI1-0001- FAX 420-5553 THIS PLAN ,NOT MADE FROM AN INSTRUMENT SURvEY L.�� . Mc:R! _ NOT TO 13F t�4F r'4R FENCES. BUILDING PeRF(iT5 CTC 3081u GC�f t, oF`itii€T �� Town of Barnstable *Permit ism Expire marrths issue date Regulatory Services FeSIM >� a" 113 To �� "�i` F63� $ Thomas F. Geiler,Director Al A�� i Building Division RN�T��� 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 Property Address.0 Residential Value of Wort.#�, e Minimum fee of$25.00 for Work under$6000.00 Owner's Name& Address Mny r -.eae o L Contractor's Name t1�T fm-\� C-)wc!t4o Telephone Number I tome Improvement Contractor License#(if applicable) 1;,qo 7�/ Construction Supervisor's License#(if applicable) �qT:7 ❑Workman's Compensation Insurance Check one: l-am a sole proprietor I am the Homeowner ❑ 1 have Worker's Compensation Insurance Insurance Company Name _ Workman's Comp. Policy# Copy of Insurance Cottipliance 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) ❑ Re-side tug Replacement indows oors/sliders.U-Value (maximum .44) L.v\1.-e__ Pt f, Ze— -Ir- CO\O-f- *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: 1'1-ILLSTORMS\buil ing perm t I,\A rms\EXPRESS.doc Revised 100608 n{ T Town of Barnstable Regulatory Services • Euaxsres[.E. • MAE& $, Thomas F. Geiler,Director 16 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town-barnstable.ma.us Office: 508-862-403 8 Fax: 509-790-6230 nY e ProP Owner Must Complete and Sign This Section If Using A Builder T, v- , as Owner of the subject property hereby authorize Cd71 r' to act on my behalf, in all matters relative to work authorized by this building permit application for. to (Address of Job) ' Signature of Owner Aate Print Name If Property Owner is applying for pernut please complete the Homeowners License Exemption Fofm on the reverse side. n.nnu x rc.nrr nr>=n nt;vt rrocrnwi r. o 1 Town of Barnstable Regulatory Services RlRrrcrARr Thomas F. Geller,Director IidA..4S $' ><63p. Building Division rfD M om Perry,Building Commissioner .2 Mairi.-Strcrl --Hyannis;MA026D1 _.._ . . . _._.._..... .town.b arnstable-ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEO R LICENSE EXE N Mace Print DATE JOB LOCATION: number street village "HOMEOWNER": name home ph on work phone# CURRENT MAILING ADDRESS: dtyhowstate zip code The cMTent exemption for"homeowners" 7/� de o include o er-occu ied dwellings of six units or less and to allow homeowners to engage an individe o does not pos ess a license,provided that the owner acts as_ supervisor. ON OF HOMEOWNER .. Persons)who owns a parcel of land on wha resides or intends to._ side,on which there is, or is intended to- be, a one or two-family dwelling, attached ed structures accessory such use and/or farm structures. A person who constructs more than one homeyear period shall not be nsidered a homeowner. Such "homeowner"shall submit to the Building n a form acceptable to the ui3ding Official,that he/she shall bere onsible for all such work erformed unildin ermit (Section 10 1.1) Tie undersigned"homenqner"assimies onsibiLty for compliance with the Sta Building Code and other applicable codes,bylaws,rules and re tion9. The undersigned.'home,own e'cc, es that.he/she understands the Tpwn of Barustab..,Building�-parhnent minimum inspection procedures an .requirements and that he/she will comply with said rocedures and requirements. 5ignatiire of Homeowner Approval of Building Official Note: Three-f y dwellings containing 35,000 cubic feet or larger will be required to mply with the State Building, Se lion 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code sta that "Any homeowner performing work for which a building permit is required shall be memp om the provisions of this section(Section 1 .l.I -Licensing of construction Supervisors);provided that if the homeowner engages a person(s) or hire to do such work,that such Homeo cr shall act as supervisor." Many hom wners who use this exemption are unaware that they arc assunring the responsibilities of a supervisor(s Appendix Q, Rules&Regulations or licensing Construction Supervisors;Section 2.15) This lack of awareness often results in serious probl ,particularly when the homco hurts unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would wi a licensed Supervisor. The omeowner acting as Supavisar is ultimately responsible. To re that the homeowner is fully aware of his/hrr responsibilities,many communities require,as part of the permit app ' ation, that the homcowncr certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form cu=tly"used by several towns. You may care t amend and adopt such a fomr/certification.for use in your community. Q:forms:homeexempt Town of Barnstable *Permit# D6 ',',3k-4'1 Expires kmonths issue date Regulatory Services Feed Thomas F.Geiler,Director B uildulg Division ®� � Tom Perry,CBO, Building Commissioner �- 200 Main Street,Hyannis,MA 02601 f 0 www.town.barnstable.ma.us >ffice: 508-862-4038 Fax: 508-790-62.30 EXPRESS PERMIT APPLICATION - RESIDENTIAL O - Y Not Valid without Red X Press Imprint Ai0r. RESS IT 'parcel Number_ 19 0 / Z 0+1�_ O C T 16 2006 erty AddressBARRc'rn QLE ' O .esidential Value of Work _-3an- Minimum fee of$25.00 for work under$6000.00 er's Name&Address ri'� j=�" �yt^��V0 zactor's Name � � Telephone Number ie Improvement Contractor License#(if applicable) 7 q SLLUuLlull ce�> #t' applicablej- Jorkman's Compensation Insurance Check one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance rance Company Name kman's Comp.Policy# y of Insurance Compliance Certificate must be on file. ait Request(check box) Re-roof(stripping old shingles) All construction debris will be taken tou^VYt� ❑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 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 Hom pr ement Contractors License is required. NATURE: - a, /;= r ms:expmtrg 461306 �Y Town of Barnstable,Regulatory Services snarrsraaie, MAss. Thomas F.Geiler,Director 0 .`e� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Xfice: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, GSM r-e I.J— Q.-d , as Owner of the subject property hereby authorized r^4 to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) WCUA,AX A,,&- 14/P Signature of Owner Dat a u rce 1,-,- 0,\da r Print Name Q:FORM&OWNERPERMISSION s � r f S ®-3 ? 20, A 2q T y JAN 2 2 2602 - - 1 APPROVED t r w R +�d 1 + at......__.._,_.-.._,__._ _,� _........,,.:,_....._ !. �.sj,:l-__.__..{��C�' 47,-_ 17 t6Av \ AN 5 . ^ °� •• eg a a 2114 a(-11 i_�v ? 4 i ! 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