HomeMy WebLinkAbout1747 HYANNIS ROAD J,I-2y"YN�A N�
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I certify that this ro ert I
P P y is
located in Flood Hazard Zone C (out-
side the 500 year flood) as identified
by the Department of Housing and Urban
Development (HUD) .
DatefyL� Zq CERTI FI ED PLOT PLAN
c
�o EDWARU LOCATION
SCALE . .���_`°.�... DATE 11v'Mr2-9 /998
Reg, PLAN REFERENCE .-6.e--7!V6. 2�b
/-'G, 30S
I certify to its title insurance company THE LOCATION OF THE ORIGINAL DWELLING
that there are no visible encroachments SHOWN HEREON ,EITHER WAS IN COMPLIANCE
or easements except as shown and that this WITH THE LOCAL APPLICABLE ZONING BYLAWS
IN EFFECT WHEN CONSTRUCTED (WITH
plan was prepared under my immediate RESPECT TO HORIZONTAL DIMENSIONAL
supervision. REQUIREMENTS ONLY),OR EXEMPT FROM
VIOLATION ENFORCEMENT ACTION UNDER M.G.L.
TITLE VII ,CHAPTER 40A, SECTION 7,UNLESS
,QpZ'?,5e-j— �/�/J.So� — Ti�a.�c1�-� OTHERWISE NOTED OR SHOWN HEREON.
F
Town of Barnstable
200 Main Street, Hyannis MA 02601 508-862-4038
6j
Application for Building Permit
Application No: TB-17-690 Date Recieved: 3/15/2017
Job Location: 1747 HYANNIS ROAD,BARNSTABLE
Permit For: Building-Insulation-Residential
Contractor's Name: WILLIAM J MCCLUSKEY State Lic. No: CSSL-102776
Address: West Yarmouth, MA 02673 Applicant Phone: (508) 398-0398
(Home)Owner's Name: O'REILLY,HELEN G Phone: (617)538-5488
(Home)Owner's Address: 1747 HYANNIS RD, BARNSTABLE,MA 02630
Work Description: Add R-22 cellulose to the attic. Air seal the attic plane and basement with expanding.foam.General
weatherization. i
jam•� -�
Total Value Of Work To Be Performed: $5,000.00 —-
Structure Size: 0.00 0.00 0.00
Width Depth Total Area
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business-is not required to have coverage unless he files his intent to
accept coverage.
I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate to the best of my knowledge and belief.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24
hours in advance.
Signed: William McCluskey 3/15/2017 (508)398-0398
Applicant Date Telephone No. . .
Estimated Construction Costs/Permit Fees
Total Project Cost : $5,000.00 Date Paid Amount Paid Check#or CC# Pay Type
Total Permit Fee: $85.00 3/15/2017 $85.00 1 XXXX-XXXX-XXXX-i Credit Card
0299
Total Permit Fee Paid: $85.00
41,
.i.,.,n �THIIS�NOTAPERMIT �
pt ;*
..�e.
Y.l
ra
Cape Save Inc.
7-D Huntington Avenue
South Yarmouth, MA 02664
Tel: 508-398-0398 Fax: 508-398-0399
5/15/17
Thomas Perry CBO BUILDING DFPT
Town of Barnstable
Building Division
200 Main St. MAY 2 6 2017
Hyannis,MA 02601
TOWN OF-
RE: Insulation Permit 17-690
Dear Mr. Perry
This affidavit is to certify that all work completed for 1747 Hyannis Road,Barnstable has been
inspected by a third party Certified Building Performance Institute(BPI)Inspector.
All work performed meets or exceeds Federal and State Requirements.
Sincerely,
William McCloskey
�I3
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map C� Parcel l li ion #' y
Health Division Date Issued
Conservation Division Application Fee
Planning Dept. Permit Fee �` 14-3
l 2'
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Address f 7 Y 7 n ' 45
Village / rh rt4
Owner s,1&" 114 Address ' 7z/-7 A&gn��,c
Telephone 7 5—39 X2
.Permit Request OJ11
iS G/'
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation ®&® Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ' ❑ Multi-Family (# units) QCp
Age of Existing Structure / '�—Q Historic House: ❑Yes ❑ No On Old King's F'i ay: ❑Mgs ONo
Basement Type: ❑ Full ,Crawl ❑Walkout. ❑ Other --
Basement Finished Area (sq.ft.) C2 Basement Unfinished Area (sq.ft) -�
Number of Baths: Full: existing new Half: existing �'� new
Number of Bedrooms: existing _Z;?new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: 4Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes g No Fireplaces: Existing New Existing wood/coal stove: ❑Yes�SrNo
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 ❑
t
Commercial ❑Yes )0o If yes, site plan review #
6
Current Use 40p\&, Proposed Use /�oAn e
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
s, �� � Telephone Number
Name
��
Address /(O G Q o 5 4 Li h -,eq License #
'] r-sQ n 's S Home Improvement Contractor# / 70 q O0
Worker's Compensation # yc-2-31 S -3,9(?®66 0Q,3
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
og,- &7 s�_g . le +L2!�,.^n jQ
SIGNATURE r DATE
FOR OFFICIAL USE ONLY
APPLICATION#
r
DATE ISSUED
MAP/PARCEL NO._
Pi
f4
ADDRESS VILLAGE
;K
P
OWNER
-a
DATE OF INSPECTION:
,y FRAME
Al
r;
INSULATION.;u=,i, - t.L
C
FIREPLACE
ELECTRICAL:....ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
f FINAL BUILDING"
DATE CLOSED OUT
ASSOCIATION PLAN NO.
.F
,. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Application # l7
Health Division Date Issued
Conservation Division Application Fee. `
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Address / H` wvihiS 7
Village S NW5_1j} 13/1--'
Owner / �'e/�°� ��/� Address
Telephone 6 �7 "' 3 1- I g
Permit Request C" or 'Ijko, �o l
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 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/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 F—afm k V &A 1�e Telephone Number SO Z (136
Address 5— yh G� /Ad License# CS
. A4rLwi L V ► Home Improvement Contractor#
Email Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO &a&j7— Tnnvt
SIGNATURE DATE l
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP-/PARCEL NO.
ADDRESS VILLAGE
ti
OWNER
c
DATE OF INSPECTION:
r
FOUNDATION
FRAME
INSULATIONS
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL B:UILDIN.G
D'ATE-,:CLO.SED OUT
4
A�:SOCIATION.PLAN NO.
C
Town of Barnstable
°^ Regulatory ServicesSTAB '
9MAS& '$` Richard V.Scali, Director
16;q.
�EOH,prA 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
NOTICE TO THE BUILDING DIVISION OF
LICENSED CONSTRUCTION SUPERVISOR
ASSUMPTION OF RESPONSIBILITY
r
I,_r"���(�,K U 'I�A�`� , Construction Supervisor License
#CS 1),2 0 1 y , hereby certify that I have assumed responsibility for the project under
construction, as authorized by building permit# C1 D / 4D(0I issued to
f
(property address) S
on 2 , 201Y.
The following dqcuments are attached:
copy of my Massachusetts State Construction Supervisor's license
or Homeowner's License Exemption form(if applicable)
copy of my Home Improvement Contractor registration(if applicable)
Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit.
Road Bond (if applicable)
LICENSE HOLDER DATE
q/forms/newcontrb
rev:040414
THE logti Town of Barnstable
sz °� Regulatory Services
va MSS. Richard V.Scali,Director
16.19.r6��p 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, 6/' , as Owner of the subject property
hereby authorize ora ® to act on my behalf,
in all matters relative to work authorized by this building permit application for.
7 Y7 /?I/—
(A dress 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.
Sig ature of er Signature of Applicant
a/C EQler/!
Print Name P t Mme
Date
Q:FORMS:O WNERPERMISSIONPOOLS
Town of Barnstable
Regulatory Services
�4aF nee roiryti Richard Nl Scali,Director
' Building Division
4 i
* nARNS'asp. ` Tom Perry,Building Commissioner
59-- 200 Main Street, Hyannis,MA 02601
rEo MA't a
www.town.barnstable-ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
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 procedures and 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 persou(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 &ReguIations 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 1.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:\WPF]LES\FORMS\building permit fonns\EXPRESS.doc
Revised 061313
�ZNE TO�ti Town of Barnstable
°* Regulatory Service /��, ! �,
r iARNSI'ABLE. • - V: 1�l s+�s •;2 `i.,?v ,4 A: .
MASM g Richard V. Scali, Director
�p 163q
lFnn+A+" Building Division ?K1111 0 C 1 2 1 'A 111 10: 00
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us „
DIMSI
Office: 508-862-4038 Fax: 508-790-6230
NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF
LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT
Construction Supervisor License
# 170 god , hereby certify that I am no longer the Construction Supervisor listed
on the application for the project under construction as authorized by building permit
# 2VH06���, issued to (property address) 17 y7 ti i-)
I S JI-1 % on 201
I also certify that on l , 201-Y' I notified the property owner,that the
project under construction must cease until a successor licensed Construction Supervisor,
is submitted on the records of the Building Division.
LICENSE HOLDER DATE
q/forms/newcontr
reference R-5 780 CMR
rev:040414
oFtHE ra,,, Town of Barnstable
Regulatory Services
+ RMWSTASLE.
v MASS. g Richard V. Scali, Director
1639.
c i a. 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
NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF
LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT
V �,� , Construction Supervisor License
# C S -o��5)y , hereby certify that I am no longer the Construction Supervisor listed
on the application for the project under construction as authorized by building permit
# G U y 3 , issued to (property address) ,
on , 201 +
I also certify that on 1 , 201-y J notified the property owner, that the —'
s,.
project under construction must cease until a successor licensed Constructioupervisor,
is submitted on the records of the Building Division. ,
03
r-
LICENSE HOLDER DATE
q/forms/newcontr
reference R-5 780 CMR
rev:040414
TOWN OF =SARNSTA.B{E
2014 SEP 16 t3l K 6
u Divial
wer
�X iSt6-y �0,14
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—�Ps�i-ooN, - 1 $� E(vo•- 1 '7!5 7 t �gnhis o�c�
R
Sod -j7(
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Permit# 4� � L a
Health Division -5A 7�QO �� �3 Date Issued �A 3
Conservation Division 63 Application Fee -00
Tax Collector Permit Fee G
Treasurer a-PPLIC,�NT
CONK CTrO �OM M
Planning Dept. CON TPU O,D7V pNPR70R TO
Cl'ION
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address 1 `ly �v o�nos tZ7
Village e1� n /�
Owner bs�.rfi -r i�s�C�� ,1�A`-Jon Address 1-M
Telephone -Zi a, ^i �,i �;L_
Permit Request _ } ���C i n -2- S%k,\ �pn(lN�,
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation SS 0z) b Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family �d Two Family ❑ Multi-Family(#units)
Age of Existing Structure 1 S C7 Historic House: ❑Yes ❑No On Old King's Highway: IN Yes ❑No
Basement Type: UkFull pCrawl ❑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 ❑No If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name I \,aa \3 .�01'1 nS�-� Telephone Number <Ril °"°) 3-
Address 1 O�\a � �� x License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO "n"r, ynn0�ryA-A->
SIGNATURE DATE
1
,1
- FOR OFFICIAL USE ONLY
'f PERMIT NO.
DATE ISSUED
} MAP/PARCEL NO.
L. ADDRESS VILLAGE
" OWNER
4
DATE OF INSPECTION: -
i b
FOUNDATION Y ✓ f
r�I
FRAME
" INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
j PLUMBING: ROUGH FINAL
5 f
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION-PLAN NO.
� r
s r.
The Town of Bar
nstable
Regulatory Services
Thomas F. Geiler, Director
Building Division
Tom Perry, Building Commissioner
200 Main Street,Hyannis MA 02601
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNERLICENSE EXEMPTION
Please Print
DATE:
JOBWCATION: Ix�S
nnu�mbeer_ ` street village
"HOMEOWNER":
name home phone# •work phone#
CURRENTIv1AaINGADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellint75 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.
DEFINTITON OF HOMEOWNER
Persons)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 B amstable Building
Department minimum inspection procedures and requirements and that he/she will comply with said
procedures and 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.
Tn> c„TP rhar the hnmenwner is fully aware of his/her responsibilities,many communities require,as part of the permit .
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I certify that this ro ert I
P P y is
located in Flood Hazard Zone C (out-
side the 500 year flood) as identified
by the Department of Housing and Urban
Development (HUD) .
Date.T.yLr-Z�j /998 CERTIFIED PLOT ' PLAN
c yG LOCATION . '� ! !�'T,9lLA,
SCALE . ... ... DATE JvvF Z9 /9q8
Reg n o. S1D0✓ PLAN REFERENCE . G,-7,0/G L, w' 2>
E" . IT DC-3CJ?it3 D /!v 8i /3.5-3
�N.15 DAD . . . . . .. :. .
I certify to its title insurance company THE LOCATION OFTHE ORIGINAL DWELLING
that there are no visible encroachments SHOWN HEREON ,EITHER WAS IN COMPLIANCE
or easements except as shown and that this WITH THE LOCAL APPLICABLE ZONING BYLAWS
plan was prepared Under my immediate IN EFFECT WHEN CONSTRUCTED (WITH
RESPECT TO HORIZONTAL DIMENSIONAL
supervision. REQUIREMENTS ONLY),OR EXEMPT FROM
VIOLATION ENFORCEMENT ACTION UNDER M.G.L.
�� TITLE VII ,CHAPTER 40A, SECTION 7,UNLESS
OTHERWISE NOTED OR SHOWN HEREON.
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map ; Y. ,�(� Parcel I AMICANT MUST OBTAIN A SEWER Permit# (�oC
CONNECTION PERMIT FROM T,.E
Health Division 9-9 ENGINEERING DIVISION PRIOR TO
)� CONSTnUCTION. Date Issued
Conservation Division Fee '59
Tax Collector 961 F/O�`f���
Treasurer
Planning Dept. ,
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address hyS�� .
Village
Owner ,� Address _ grltir9..
Telephone c3- 1 _')_ f
�. o&AIX
Permit Request r ' M ' , W,
It A- W\wow 1,S o A\.!l LCC 1-1."N li3;,eh a) 1S I CX jl AL
'Tip ^tl0tT
Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new
Estimated Project Cost 00 Zoning District •-j. Flood Plain Groundwater Overlay
Construction Type
Lot Size C7 ,7a. N(4g-% Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family V Two Family ❑ Multi-Family(#units)
Age of Existing Structures.s�t Historic House: ❑Yes '❑No On Old King's Highway: IW Yes ❑No
Basement Type: C8 Full 'M Crawl ®Walkout ❑Other So Oo V
Basement Finished Area(sq.ft.) '-� Basement Unfinished Area(sq.ft) I S t,,�S�
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: A Gas ❑Oil ❑ Electric ❑Other
Central Air:. ❑Yes Q1 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 4 No
Detached garage:1�1 existing ❑new size Pool:❑existing ❑new size Barn:❑existing O new size
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
lCommercial ❑Yes ❑No -If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name C)4P A Xf L, Telephone Number
Address License•#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
l '
FOR OFFICIAL USE ONLY
PERMIT`NO.
t i s �.
DATE ISSUED
MAP/PARCEL-NO.
ADDRESS `VILLAGE •_
OWNER
DATE OF INSPECTIOI�T'
FOUNDATION '
FRAME ,-
INSULATION a
FIREPLACES - -
ELECTRICAL: ROUGH FINAL
--
PLUMBING: ROUGH FINAL'
' GAS: ROUGH FINAL
_ 1
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO. r -
s PROJECT
NAME:
ADDRESS:
PERNIIT# �ya�
PERMIT DATE: 1 �(
M/P:
LARGE ROLLED PLANS ARE IN:
BOX
SLOT
Data entered in MAPS program on: �o
BY:
q/wpfiles/forms/archive
4 4
• The Town of Barnstable ` " k
i THE
°r'A• Department of Health Safety and Environmental Services
Building Division �g `' `
x
• 367 Main Street,Hyannis MA 02601 •tmug
� - L
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
ROMEOVAM LICENSE EXEMPTION
Please Pniat
DATE
JOB LOCATION:
..m.{w eet
so
"IIOUIEOWNW _ �a r\-l�C'�s c�1�1llY1SaY1 "A "i i is . r
name , �g bona phone =�t t wort phone d
CURRENT MAEUNG ADDRESS. O �Q� ��f 6 Yee v }I
tuna;, ,i,a{'�:'�.'t � l V,LS.';;'
•t.� .
�ACb�''' �
iwr dty/tawn i.Cy}AA{ k i �1-flxli� �++yykk ii '.3}. zip code state
The current exemption for" "was extended to.iaclutieam led dwellings'6f six units or less
and to allow homeowners to engage an individual for him`, ho Roes not possess a license,pMdded that the owner
$CtS a5 StmeryiSOr. *rR o Y "xa r`r tk#: "� t r ✓ tb 17 pr I
Ik"} s, j�•ts1 a.,.vh In rExn+ 1 q, k�DEFINMON OFHOMEOWNER'fi"4� y#iti
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to
be,a one or two-family dwelling,attached or detached sti ctur es accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year perod"shall,not be'���ronsidered a homeowner. Such
"homeowner"shall submit to the Building Official on a form'a%ceptable to the Budding Official,that he/she shall be --
Section'1091
reseensible for all such work ne�rmed under the bnildmw nermet ( r t f "
';i xt
:fS? t3 ,,:+ Yi,5,.3>
The undersigned"homeowner"assumes responsiibility for cibmpliance with the State Building Code and other
r r`''Aa mtp��e£ +i r"...r-a <��`s;'y'�u;•i�Y i° t
applicable codes,bylaws,rules and regulations. ��` ,� xs
fi,y _ + �k.,.,.I k� ...�, ��. �y`$a;}r�„..n..1•� '4���,�cs�3�+,r� ;���a�. : ' ,, r ,
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
uiremen r k > 4: , sr= °� , r a R
Signanre of `a r
4 i
Y
Approval ofBuildin 011yC181
Note: Three-famdy dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Constriction Control. T + b
- i Y
HOMEOWNER'S 100EMTION
The Code states that: "Any homeowner performing wont for which a building permit is regoued shell be acempt 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 snpavrsor."
i r
Many homeowners who use this exemption e unaware that they am morning sha m ar of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervises,Section 2.15) This lade of awareness ones tenths in serious problems,
particularly when the homeowner hires mdioaued persons. In this case,our Board carrot 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 firily aware of hisfim retpondbilitles,many connutraftim require,as part of the permit application,
that the homeowner certify that he/dee understands the responsIilitia of a Supervisor. On the last page of this issue is a form currently used
by several towns. You may care to amend and adopt such a fmm/oerdfication for use in youreonuomity.
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map i Parcel / Permit# �� Z
Health Division Date Issued
Conservation Division Fee 'OL
f
Tax Collector
Treasurer (�YYl� aq.
qQ
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH S �� Preservation/Hyannis
Project Street Address /`7 Y 7 Z41
Village
:Owner Z Address/,Zy 7 ZCZ
Telephone
Permit Request 2
Square feet: 1st floor: existing proposed 2nd floor:existing proposed Total new
00
Estimated Project Cost 7YO Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family . a 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 ❑No If yes,site plan review#
Current Use Proposed Use
UILDER INFORMATION t/
Name Ti Telephone Number 775-
—7G,,-)T
Address e�/ ���f�� /yii�. License#
Home Improvement Contractor# //9 9,E 3
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOAf
/.
SIGNATURE f DATE 3d19�
FOR OFFICIAL USE ONLY t
k°.ERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE -
z OWNER
DATE OF INSPECTION: e
s-
FOUNDATION
FRAME ,
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL + r r
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL ;
FINAL BUILDING
L DATE CLOSED OUT � ^
ASSOCIATION PLAN NO.
((. The rf own of Barnstable
LL
9�A � Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements.
Type of Work: f ;� f '7 ry'o6 Estimated Cost
Address of Work:/7 y 7
Owner's Name: ��,b � f0,v so 11�_)
Date of Application:_
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
[3Job Under S 1,000
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner.
Date Contractor Name Registration No.
OR
Date Owner's Name
q:forms:Affidav
Engineering Dept. (3rd floor) Map Parcel a 13 F-2;J-t, Permit# 3 3
House# '7 rJ� Date Is ued (p (�
p _
1 3rd floor)(8:15 -9:30/1:00-4:30) l(ort o r,4U Fee
Conservation Office (4th floor)(8:30- 9:30/1:00 2:00) 6
Op THE
19
BARNSTABLE. '
MASS p
MAC a`09
TOWN OF BARNSTABLE
Building Permit Application
Project Street Address 1 1 t av%
Village
Owner k t� Address �A1--S+1,,R n 6M.c,, o 1
Telephone(a to I L - 6$
Permit Request. o:\,Ct Q 3
L, A L`Xt. La,A Vy A-,,J 3�r �.�n b✓� �p �1 1A W,1,(�
First Floor square feet Second Floor square feet
Construction Type
Estimated Project Cost $ V S,b 00
Zoning District Flood Plain Water Protection
6
Lot Size Grandfathered ❑Yes ❑No
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
No. of Bedrooms: Existing New
Total Room Count(not including baths): Existing New First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other
r
Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
Builder Information
Name _ L Telephone Number 6���CP- �,�0-0
Address �kz License#
. vy' � Home Improvement Contractor#
Worker's Compensation#LSSti r r P
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCT E RESULTI G FROM THIS PROJECT WILL BE TAKEN TO
SIGNATU E \ DATE
-�
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) :_..
I�'�
Ail
FOR OFFICIAL USE ONLY
PERMIT NO. 1
DATE ISSUED '• �:.r
Y
MAP/PARCEINO
ADDRESS VILLAGE `
OWNER
DATE OF INSPICAON:
FOUNDATION
FRAME
INSULATION
FIREPLACE
r
r
ELECTRICAL: ROUGH f FINAL /
PLUMBING: ROUGH FINAL
i
GAS: ROUGH FINAL
�� `• 7 �
FINAL,BUILDING o'� �'''• ` •- -
s
DATE CLOSED OUT
ASSOCIATION PLAN NO.
. � The Town of Barnstable
+ BARNSTABM •
Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
For office use only
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements.
Type of Work: Q,�C.� Est.Cost S a-oC7
Address of Work: 1 1 V�--
Owner's Name
Date of Permit Application: V3 ' C
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under$1,000.
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a peg s the a nt of the owner:
Nb-S - tir- tagF3I
Date Contractor Name Registration No.
OR
Date Owner's Name
1 ■
I ' so
o ,
-9 9- .�.
Asses'sor's map'and lot number i Uo e /
Sewaermrt number
1" TOWN . OF, BARNSTABLE
a Z BBSBSTLBLE; i
NAM �•,
i639 e�w RUILDING INSPECTOR' _
p 'F0 YPr a\r C ' i. ,
APPLICATION-4OR"PERMIT TO .. ... .. ... ............ .... .... .... .........................TYPE OF :CONSTRUCTION .......... .... .................................................. ...............................................
�H 4 ........................................... .19.........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby
applies for a permit acco d' g to the owing&i1orma ion:
Location ....... .1...../........ .. .. .. ..... '.:....... .. . . ...............................................................................
ProposedUse .............................................................................................................................................................................
Zoning District ........... ... .....Fire District ... ..................................................:......................
Name of Owner" .:. .. .. :....... .. . .. . . . . .. .. .......... dress .... .. .. ................ ......... ............
0007
Nameof Builder .. .... .............. ..............Address INS ....... .... ................................................................. .
Nameof Architect ..................................................................Address ....................................................................................
Numberof Rooms :...............................................................Foundation ......... ......... .......................................................
Exterior ......... Roofing .... .... ...:... . . .............................................................
Floors ......................................................................................Interior ........................................................................:...........
Heating ..................................................................:...............Plumbing ....................�.........�..`..............ad...............................
Fireplace ..................................................................................Approximate Cost 7 . v I.........
e.r -
Definitive Plan Approved by Planning Board '-------------------=-----------19________. Area ..........................................
do
Diagram of Lot and Building with Dimensions Fee4.40.wo'
SUBJECT TO APPROVAL OF BOARD OF HEALTH
s
ry
E
i
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ... ........ ..z......................................
Beam, Forrest & Dorinda
18181 s` add to dormer "
No r:.... Permit for.................................................. T t
r .... ............. f e. .....
Location ......17.47 Hyannis Road.................... v
Baastable .` t h•
....r ..�., ....Forrest..&..Dorinda' Beam.........
Owners . ........ .... .............. .... ....
frame
T e, of Construction .:
..... ..... .f`..1.........:........................... " ..................
Plod} . ....................... Lot ............:...................
February 18 76
Permit.Granted ........ 19-
Da a of Inspection . le7Date -
19
Completed a ��.........19
A f y - •Y' -
PERMIT REFUSED t
........................................} _ . .................... 19 ,f:.. _
. .................. ............. ..................................... { ~-
•yr -
................... ......................................................
ji-
-
G
Approved ..,....................................... ..... 19 ,
............................................................................... '
1