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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION <
Map Parcel Application # S
Health Division Date Issued A /,P -
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address L o
Villag ' l
Owner - es
Telephone i
Permit Request �'`-�
� �
Ae&d Uj J
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation SM. Construction Type
Lot Size Grandfathered: ❑Yes .❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
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 _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/costove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existin %dew size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Otfa �
3
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes 129� If yes, site plan review#
_Current U p Proposed UseZI
APPLICANT INFORMATION
BU L"OMEOWNER)
Name Telephone NumberPUPINI/d
Addres License A
,�L� Home Improvement Contractor#)
Emai *xq Coos Compensl0#.
ALL CONSTRUCTION DEBRIS RESULTING FRO THIS PROJECT WILL BE TAKEN TO
Zd19 &2z k
SIGNATURE DATE
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.
DocuSign Envelope ID:26539D7B-E47A-4168-8639-60E789B0357E
SHE ray Town of Barnstable
Qv �' ,
Regulatory Services
DA WN+7TA3dLEI � Richard V. Scali,Director
MASS
eaA Building Division
rFa MA
Paul Roma
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
Ruth Eames
1, RUTH C EAMES as Owner of the subject property
hereby authorize �„�-�i� (�,��;� to act on my behalf,
in all matters relative to work authorized by this building permit application for:
1.606 :Hyannis Road Barnstable, MA 02630
(Address of.fob)
pocu9igned by:
S.tgnatti Ji i 47f3,. Date"'
Ruth Eames
Print Name
If Property Owner is applying for permit,please complete the:Homeowners License Exemption Form.
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Town of Barnstable Final Inspection Affidavit
Date:
Building Division
200 Maiff-Street
Hyannis, MA 02601
RE: Insulation Permits
Dear; - -
This affidavit is to certify that all work cmpleted at:
Street:
Village: x`�S �. M 14
has been inspected by a certified Building Performance Institute (BPI) Inspector. All work
performed meets or exceeds federal and state requirements.
Permit application number:&1-7 a 7
Issue date:
Sincerely,
a
Francis Sheehan
President
Frontier Energy Solutions, Inc.
502 Harwich Road
Brewster, MA 02631
Office: 774-237-0410
Email: fssfrontierenergy@gmail.com
TO
V01
J` VIi
��gA\
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Application #d-/'7 —D s 7
Health Division Date Issued S//Z / ,0W,�_
Conservation Division Application Fee
Planning Dept. BUILDING DEPT Permit Fee
Date Definitive Plan Approved by Planning Board A GG 2017
Historic - OKH _ Preservation / Hyannis _
9 vI SX iNSTASLF
Project Street Address 1[COLO k�")hs
Village
Owner Address
Telephone `` — 30
Permit Request ` - -0
V_:at 4)rrLAaF �fo 0 0�/o
Square feet: 1 st floor: e fisting proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Grou dwater Overlay
Project ValuationWnM Construction Typ
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family d' Two Family ❑ Multi-Family(# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
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 _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 ❑
Commercial ❑Yes 60_ If yes, site plan review#
Current Use Proposed UsekQ�)
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Nam c7OSTelephone Number :71 q ,Q3
Address81 1 License # eI
Home Improvement Contractor#
EmailMMJI ho"E2fJrX_A :::>C�
ALL CONSTRUCTION DEBRIS ESULTING FROM THIS PROJECT WILL BE TAKEN TO
J 3R a c
SIGNATURE e. DATE
3
FOR OFFICIAL USE ONLY
APPLICATION #
' r DATE ISSUED K
MAP/ PARCEL NO.
ADDRESS ti VILLAGE ;
� OWNER
DATE OF INSPECTION:
4 FOUNDATION
FRAME
1
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
T -
s
rown of Barnstable
Q4 Regiflator r S'ervices
RAK.-srAnF,
M C Richara V.5 ati,Director
Toxn Perr.)�,Buil.tlin.g Cotnmissit)ticr
20OWu Street,!lyaftais,MA U-601
F5'SS'6v.to�ya.Ii ai•nsYable_nia.us
Off ec: 508-862-4038 Fax: 509-79M230
Property Owner Must
Complete and � �n`l his Section.
If Usinu A Bu.ilde
R UA f cr rn es 2s O-miu of the-,sub.jcct proOeily
ati Y \
hcieby authprize _ w act on nlyhel alf,
in aU maners n:lativc to work authorized-by this b ldding pernur ap Lca ion tor:
{dress-nf�oii
"`"fool fencts and--41Lms are the respciiSib l tv of the appl cawt. 'P06h
Are not to be#filled or utiL cd b4)re font c; � installed and a}1 f i d
inspections are performed a.nd,accepied.
S gna -�of O-waer S aawre of Appk=t
Print; im pn,nt Nam
Daze
OIORMS;OXV•?F l:S
�OftI Tok, 'Town of Barnstable *Permit#
Expire ont i` ue date
= UAtrtsrestE 1 Regulatory Services Fee p
nsnss
9 1a39. �e� Thomas F. Geiler,Director
�Alfo
Building Division
Elbert C Ulshoeffer,Jr. Building Commissioner
367 Main Strcct, Hyannis, MA 02601w -
O 1
Office: - -4 PRESS PERMIT
Offi 508 862 038
Fax: 508-790=6230 SEP 14 2001 0A
EXPRESS PERMIT APPLICATION
Not Valid without Red X-Press Imprint TOWN OF BARNSTABLE
Map/parcel Number /
Property Address
Zcsidcntial OR Commercial Value of Work p� —
Owner's Name &Address
Contractor's Name.XZ1,:, / �_� z a Telephone Number,
Home Improvement Contractor License it(if applicable) i/s_:K ,7z
Construction Supervisor's License #(if applicable)
Q orkman's Compensation Insurance
Check one:
I am a sole proprietor
I am the Homeowner
Q-Thave Worker's Compensation Insurance
Insurance Company Name�BAA_Spn.^ � �.c �,�* ? _ ��
Wbrkman's Comp. Policy# �('�
Permit Request(check box)
2fie-roof(stripping old shingles)
Re-roof(not stripping. Going over existing layers of roof)
Rc-side
Replacement Windows. U-Value (maximum.44)
Other(specify)
'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
Signatures �� ✓/!(//
cxpmtrg
+ TOWN,OF BARNSTABLE BUILDING PERMIT'APPLICATION
Map —3 8 Parcel C) l-7 % Permit# �
APPLICANT MUST OBTAIN A SEQVER .
Health Division CONNECTION PERMIT FROM Ti iE . ° 0` Date Issued 3 `���
Conservation DivisionCO30 �� �+�Nan ricT/ ��` �Ri�sr'ON� Fee
Tax Collector 05/30/01 cup
Treasurer lzelze)6
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH 01A, reservation/Hyannis
Project Street Address (q 'CWAv\C'S !t`-8"
Village Y1CP-�
Owner 3_ 0t1cd-1PtCL+k E_a�ns Address ((4.d(Q
Telephone _ 32.
Permit Request t `
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
r
Valuatio) 7S,0oC.-I Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size 1� 3 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family4:, Two Family ❑ Multi-Family(#units)
Age of Existing Structure Z80 '*t "S Historic House: Yes ❑No On Old King's Highway: ❑Yes Vp
Basement Type: Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing '2, new Half:existing 0 new
Number of Bedrooms: existing_ new
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel:�as ❑Oil ❑ Electric ❑Other L L)C(n .
Central Air: ❑Yes Fireplaces: Existing New Existing wood/coal stove: s ❑ No
Detached garage: xisting ❑new size Pool:0 existing ❑new size Barn: ❑existing ❑new size
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other:
IT
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
�p BUILDER INFORMATION
Name _3mo, C � � � Telephone Number
Address �UCAz C'nyll94,4 License#
1M (A CZ-630 Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE ®'-CJ
1
FOR OFFICIAL USE ONLY €
PERMIT NO.
A
DATE ISSUED
t MAP/PARCEL NO
ADDRESS LI AGE ._
OWNER -
DATE OF INSPECTION:
FOUNDATION f
FRAME
INSULATION
FIREPLACE-
ELECTRICAL: ` ROUGH FINAL ' _
PLUMBING: ROUGH FINAL "" a
} GAS: ROUGH FINALw ,I
6
FINAL BUILDING „
DATE CLOSED OUT F
ASSOCIATION PLAN NO.
BAnts'ri►ar.>r
1 uC 1UWELvILdTI1S
9q, 'AM
Regulatory Services
'�Fo tom' Thomas F. Geiler, Director
Building Division
Elbert Ulshoeffer, Building Commissioner
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Fax: 508-790-6==0
HOMEOWNER LICENSE EXEI%UMON
Please Print
DATE: -rc9 "' 0
JOB LOCATION: (�_O(e
number street
village
"HOMEOWNER": yplC'd,� C -Tog) Y-0-Z�
�A0 home phone# work phone>t
CURRtN T MAILING ADDRESS: A LQ)
MA C3 ZIa-S O
city/town state rip code
The current exemption for"home_owners'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,2rovided 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'shaU 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 requirements.
Si ure of Homeowner
X
Approval of Building O CW
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 EItF1 WnON
The Code states that: "Any homeowner perforating work for which a building permit is required shall be exempt from the
provisions of this section(Section I Oi.1.1-Licensing of construction Supervisors).provided that if the homeowner engages a
personis)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 fotm/certifncation for use in your community
Q:FORMS:EYEMPTN
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# 1606
f:ldgn\oonsenration.dgn May.30,2001 11:40:18
EL
Y. The Town of Barnstable
�t�� Permit#
�' Massachusetts
= � Q; Date /O
�NWABtF.
NAM � SOLID FUEL STOVE PERMIT
.: 1639. • Fee • D Cj
This constitutes an official stove permit after inspection and approval by the building inspector.
Owner. Telephone no.
4262Lui)! l - Village 3-ce
Address of Property
Location and Stove Type VkW a
cy
Date:
Building Inspector
'1' The solid fuel burning stove at the above location passed failed: inspection.