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Qcirown of Barnstable *Permit# 3
Expires 6 months from issue date
Regulatory Services Fee . 1 c*- OD
Thomas F.Geiler,Director r
Building Division �� 0Tom Perry,CBO, Building Commissioner / ,
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 - 0-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-.Press Imprint
Map/parcel Number- 9? / 7
Property Address /'.�jc lye J e-.7i-) � i2.,0 S•%�S/-t /--7f� U, 3e_2
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Residential Value of Work , oe'd -- Minimum fee of$25.00 for work under$6000.00
Owner's Name 8z Address (.,gyp/ ,,_. ( i,//,�Jv7 )'? C 7,7----
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Contractor's Name • Telephone Number• _5<7.- -7 S -i, i
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance X-PRESS PERMIT
Check one: -
Li I am a sole proprietor
A I am the Homeowner JUN — 1 2007
❑ I have Worker's Compensation Insurance
TOWN OF BARNSTABLE
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)
0 Re-side
la' Replacement Windows/doors/sliders. U-Value 27/ (maximum.44)
NOISI h?t4__-----_-
*Where required: Issuance of this permit does not exempt compliance with other to ons,i.e.Historic,Conservation,etc.
***Note:✓.....--_..--Property Owner must s gn Property Owner Letter of Permission.
-e- A copy of the Home Improver ent Contractors Lice s r d, I — %li Lai
SIGNA — �.
�?._
Q:Fornezpmtrg
Revise061306
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FTNETp, Town of Barnstable -
,, �,• :4.9#1 Regulatory Services .
* BARNSTABLE, = Thomas P. Geiler,Director.
y MAss.
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°o,,rF1639.D►��p�Q 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
HOMEOWNER LICENSE EXEMPTION
Please Print
7
DATE: C /—o 7
JOB LOCATION: ' C V ' N-1/i4 .2,0 3Z- /- 7 C,ol 6 yU
number �street� village
"HONEOR'l�'ER":�� /rr� L�l/1-0 �U1 7 .)--5.—g 2/q 5G8-- F/S'= 9-7 s
name home phone# work phone#
•
CURRENT MAILING ADDRESS: 1"0, #14:7/1' e 'Y7
,----X!r2,4,s1 ‘/-C__ „:-e--79-9. a s r
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
Perscn(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 fat us 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 undersi - "homeowner'certifies t at he/she un d`erst n the Town of Barnstable Building Depa,tment
urn inspection procedures and requ rnents-a�_rrd- at at he/she will comply with said procedures and
requirements. ---
• a re of orne wner—
• 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]09.1.] -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'Supenvisors,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 Super .sor. On the]asfpage 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
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Map 278 Parcel 0/R-_ OO k Application# a mA �q
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Health Division
Conservation Division Permit#
Tax Collector Date Issued /6A5/64
Treasurer Application Fee ` ' �-, '61
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Planning Dept. Permit Fee c6@f o
Date Definitive Plan Approved by Planning Board c7k f, i ,
Historic-OKH Preservation/Hyannis /` '/0/10w,
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Project Street Address /5 Pa*.7•tm.),•r /2o.57p
Village -'rr.-‘),r7 6/
Owner Ca,/�;�.-7 o c.,�77 Address /C. SG /7,9.,-✓,r foo,
Telephone o1- G 8?7
Permit Request /9 ',,,.'7 v.) (.1.61-01.5 .6-z.‘ 200---p — b`c-� .
Square feet: 1 st floor:existing 7 O proposed Y5 2nd floor:existing 'V'o proposed Vc6, Total new r>F/.2.2-,
Zoning District Flood Plain Groundwater Overlay
Project Valuation '9006 Construction Type i oo°
Lot Size 3( 0/ F Grandfathered: %Yes 0 No If yes, attach supporting documentation.
Dwelling Type: Single Family A Two Family ❑ Multi-Family(#units)
Age of Existing Structure /g/S(g/,vz-)Historic House: ❑Yes XNo On Old King's Highway: ❑Yes XNo 'i
Basement Type:, Full , Crawl ❑Walkout ❑Other Pv/l.K4,f�j]
f3
Basement Finished Area(sq.ft.) �9-v� Basement Unfinished Area(sq.ft) As10 .sr 7-
Number of Baths: Full:existing / new / Half:existing / new /
Number of Bedrooms: existing a2 new /
Total Room Count(not including baths):existing new o2. First Floor Room Count y
Heat Type and Fuel: ttitGas ❑Oil ❑Electric ❑Other
Central Air: ❑Yes "A No Fireplaces: Existing� //a New Gtho Existing wood/coal stove: 'Yes ❑No
6etached garage:❑existing ❑new size N? Pool:0 existing ❑new size /00 Barn:❑existingl ❑new,ize N®
;Attached garage:❑existing ❑new size /l>o Shed:.existing ❑new size (Y/D Other:
CD
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Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ = ry *1
c w m
Commercial ❑Yes ❑No If yes, site plan review# -a z
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Current Use r Proposed Use ca 5;
'-(-41/4-016��� - ` BUILDER INFORMATION
Name Telephone Number" çC? 'c - rg 77
Address License#
} Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTIO ING FROM THIS PROJECT WILL BE TAKEN TO
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SIGN TU DATE 7:—. V----1C76
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,-
{ , FOR OFFICIAL USE ONLY
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`i. PERMIT NO. • -
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DATE ISSUED. ,.,
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MAP/Ti`.y,CEL.NO. . ,
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} ' ADDRESS VILLAGE - *
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' OWNER • . .I
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DATE OF INSPECTION: • '
FOUNDATION ,
• FRAME
INSULATION Orie--- --ea - 7 -
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FIREPLACE •
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t ELEC11(ICAL: ROUGH FINAL i
PLUMBING: ROUGH FINAL
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GAS: ROUGH FINAL S '
FINAL BUILDING
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„.i. DATE CLOSED OUT ' 1 , of 1
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ASSOCIATION PLAN NO. ' . .-• -4
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