HomeMy WebLinkAbout1555 HYANNIS ROAD �� � �
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION -70
t
Map Parcel" i Application #
Health Division Date Issued
Conservation Division :Application Fee
Planning:Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic ; OKH — Preservation / Hyannis
f
Project,Street-Add ess
Village� T �I/ Qi
Telephone � � • �� ���.. Q�,
Permit Request"\ apt
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
NP_roject:.Val au t on'F Q5CC Construction Type --i
Lot Size Grandfathered: 0 Yes ❑ No If yes, attach su p=rting do pmetion.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units)
N
VY �
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yew,''.❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) r
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
- Heat Type and Fuel: ❑Gas ❑ Oil ❑ Electric ❑Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New 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 ❑
ZCommercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
• L
Na �� `Tele hone-Number,
,—Addre"ss License #
Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE 04 `�' "" u'� DATE �
:e FOR OFFICIAL USE ONLY
�1r
APPLICATION#
L. DATE ISSUED
MAP/PARCEL NO.
:F ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
's DATE CLOSED OUT
ASSOCIATION PLAN NO.
i
Town of Barnstable
��Yt+e ram,
Regulatory Services
Thomas F. Geiler,Director
f iARNSTABLE, 'f
t0A9'
16sv� Building Division
9q, ,��
ATED '�a Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
w`vw.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
�►��$ n 1
DATE: '�� VOK a
JOB_(ACATION:�__ f/ AWN � 6/
street village
number
r ✓ �. , • 3ALI3 tip`3�'7'
"HOMEO_WNER": �� • k hone# x,*
met home phone# work p
f�CURRENT=MAILING=ADDRESS: IU
sate zip code
cityltown
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
requir ments. a ✓®
--5igna _e-of=--eowner
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 persons)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.
0:\WPFILEST0RMS\homeexempt.DOC
THE, Town of Barnstable
Regulatory Services
r iArtNBTAIILE, % Thomas F. Geiler,Director
MAB9.
fD);q.�M Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis, MA 026
www.town.b arnstable.ma.
Office: 50886- 2-4038
Fax. 5 08-790-6230
Property er Must
Complete and Si This Section
If Usin Builder
Y , as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work autho bythis building permit application for.
( ddress of J )
Signature of Owner Date
Print Name
If Property Owner is applying for permit please complete the .
Homeowners License Exemption Form on therrevefse3-s-ide�.
pIKE7 Town of Barnstable *Permit u
Expires 6 months jranniissue�date
BARNSTABLE ; Regulatory Services Fee
v� 16 ,�$ Thomas F. Geiler, Director
A'fD �39, A Building Division
X-PRESS
erry, CBO, Building Commissioner
jZtreet, Hyannis, MA 02601
JUL 2 1 2009 www.town.barnstable.ma.us
Office: 508-862-4A�$�� OF BARNS Fax: 508-790-6230
EXPRESS PER W LICATION - RESIDENTIAL ONLY
�r ( Not Valid without Red X-Press Imprint
Map/parcel Number v `
Prop rty Address � �-�t'�� �'ti� t A
Residential Value of Work Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address
Ai� 43aalu�Lab-le--
Contractor's Name Telephone Number
Home Improvement Contractor License #(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
V❑ am a sole proprietor
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
❑ R roof(not stripping. Going over existing layers of r 00 x
JeL.A- P �f w C;N.k�ccp-&a�Re side 1 1+ ~ ,�Z� ?; � `
�JL1� �dam. .
❑ 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 ust sign Property Owner Letter of Permission.
A Ho el rov eat Contactors License& Construct Supervisors License is required.
SIGNATURE:
Q:\WPFILES\FORMS\Ex ess\ PRESSPERMIT.DOC
Revise06O4O9
Town of Barnstable
IHE
Regulatory Services
Thomas F. Geiler,Director
ALAS& Building Division
g
prfD Tom Perry,Building Commissioner
- - -200 Main=Street,—Hyamis,MA 0260
vt ww.town.barnstable-ma.us
Office: 508-962-4038 Fax: 509-790-6230
E(OToIEOFVNER LICENSE EXEMPT lON
Please Print
JOB LOGA-T10N:
number street village
"HOMBOWNE
name home phone# work phone#
CURRENT MAILING`AbDRESS:� �®
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.
DEFII�MON OF HOMMONVNER
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,Hiles and regulations.
The undersigned."homeowner" c th cs at.he/she understands the Town of BArpstable,Building Department
minim inspection procedur an requirements and that he/she will comply with said procedures and
requir, ents.
5igna
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 homcowo�r'perforrning 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 hamcownex cngages a person(s)for hire to do such
work,that such Homeowner shall ad as supervisor."
Many homeowners who use this exemption are unaware that they arc assuring 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 unliccroscd person as it would with a liccnscd
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the bomcowncr is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify thkt hdshe undcrstands the responsibilitica 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 fomr/ccrtifi cation.for use in your community.
a�
�z T ti Town of Barnstable
` Regulatory Services
f f
� IAANSI'AB"
MAB,& �, Thomas F. Geller,Director
fl;F 9k. a�m Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862 38 Fax: 508-790-6230
Property Owner Mu
Complete and Sign `I'hi Section
zf lUsin A Bu* er
as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work autho ' d by this building permit application for.
( dress o ob)
Signature of Owner Date
Print Name -
if Pro e cOwner is applying for permit please complete the
Homeowners License Exemption Form on there ev rse"
r
, .< Town of Barnstable *Permit# 6 17
Expires 6 mo ds 0M issue date
Regulatory Services FeeoS� ,
Thomas F. Geiler,Director
BuildingDivision
X-PRESS PERMIT
Tom Perry,.CBO, Building Commissioner
240 Main Street,Hyannis,MA 02601 JUL 2 1 2006 5
www.town.barnstable.ma.us �
Office: 508-862-4038 TOWN IDF VMt LE
.EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
(1 Not Valid without Red X-Press Imprint .
Map/parcel Number,� if
Property Address �l o
Residential Value of Work Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address
c EV- 6jr6�,ynr-J'
Contractor's Name �A 0M-As � �/�i�`��� Telephone Number ..57 3��1
i
Home Improvement Contractor License#(if applicable) /V r
Construction Supervisor's License#(if applicable)
[]Workmen's Compensation Insurance
Check one:
MI am a sole proprietor
I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workmen's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
AAARe-roof(stripping old shingles) All construction debris will be taken to Of s
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (roaximum.44)
*Where required: issuance of this pen-nit 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 retractors License is required.
SIGNATURE, 14Z&M'
Q:Fonns:expmtrg
Revise07140�