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0243 INDIAN TRAIL
A- 44 t�4A�.' "v, 'Aar Rl R V kv "14T 61 77,7 X 'Tt -Km"-vNi VA rx� IR, a o 5ar 7i 7Y6 fN f, I'TY Ipk XAW T J�, 119 WE' 1MV MRA OR A i�gwlrl Ar f iw �hp Oi�1-1,., - , W,— ., ,,- 31, x w4t M 0I R 5i - I -, mlly� 411�11?1.1,,rlA V, r"t, M milt"tIT 04 IN M FM:01- R-N N' r2m now �gf--ga, m'I" Zv, S � - ,,, ,ltP pj�' N A ler Al a F"'M 7 ffl �2R,f -N IBM"t'll R gg,e �7 "kl' N" gg ON m SM p., lrx �U` -tt;7A �7 n,�Pl N1, 2M R�Ovn 'wp 2�� 5�,M41 R11"t "Ill X-1 -Wwll .4 R -+-� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map, Parcel73 App �T Health Division Date Issued 1l-'3 f �� Conservation Division Application Fee Planning Dept. Permit Fee �S Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address �� .��,r,!�✓a',�1 �� /L. Y Village �/� � �� Owner Address S Telephone ZZ 2 1 ,4 2 Zf 12_ Permit Request G ��.� /2 �� �'/�9� / �� ��`�Se -74 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new, Zoning District Flood Plain Groundwater Overlay Project Valuation D Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.. Dwelling Type: Single Family A Two Family ❑ Multi-Family (# units) l Z Age of Existing Structure Historic House: ❑Yes ),No On Old King�aHighway EFlp Y94 No rvw1 ,_4 Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other ZZ.: Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing near i 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� p®� �G� /L/,�a� r y.� Telephone Number Address ������ �✓D ti �/1� License # /o�4� Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE / ��>,&4 { r FOR OFFICIAL USE ONLY k. !APPLICATION# DATE ISSUED MAP/PARCEL NO. r ADDRESS VILLAGE OWNER DATE OF INSPECTION: FRAME s -_INSULATION,.){ FIREPLACE ELECTRICAL: ROUGH FINAL 'T PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING d DATE CLOSED OUT ASSOCIATION PLAN NO. 7Y f 01IER AUTHORIZATI04"'FORM (Owner's Name) owner of the property located at 2 �� (Property Address) ( roperty Address) hereby authorize (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Owner's--Signature 7, 2c3 ( -3� Date fee— OCT 10 2013 CAPEC01) TOWN OF- SARNITABLE INSULATION gym? €-�* r9 �+.� �. '� 01 ��y1 tM � 35 74b-/1- ®® PIRSR ULA$S SLAMLLSS SYRATFQAM SUSKHM BATTS UUTTSRS IN$UW'11N CSILINUS 1-800-696-6611 , DIVT -N 1 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 rr Date: 1zllG ,f 3 I Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BRI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village /hUI ClVe /0R9rv�fr Zq3 X draw Tr d ilAY-VffQ61e OL(e6 Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( ) ( ) ( ) ( ) Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls ( ) ( 1�) ( 13 ) (X) ) Sincerely He y E Cas y Jr, President C e Cod I ulation, Inc. Town of Barnstable *Permit# X-PRESSPERNT Expires 6 nwnths frons issue date SEP 15 2014 Regulatory Services Fee Thomas F.Geiler,Director TOWN OF BARNSTABLE 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 .Property Address �/ d 2 G 3 y d ®'Residential Value of Work 5 Vu ,6 Minimum fee of$25.00 for work under$6000.00 r Owner's Name&Address�A 1 (�� iQ Q� uae 3 /4n AtL 66,c 45741e , Ag da630 Contractor's Name— Kim A ssc Telephone Number Home Improvement Contractor License#(if applicable)k15Q 76(a Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Chec one: [ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance(7' Insurance Company Name } r + L t 4 eAulok L V � Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) L ❑ Re-roof(stripping old shingles) All construction debris will be taken to &wa ❑Re-roof(not stripping. Going over existing layers of roof) [ Re-side (,v 1 t e Ce/J,�,c ❑ 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 Home Improvement Contractors License is required. SIGNATURE: .t�r►. Q:Forms:expmtrg Revise061306 �►l i� Town'of Barnstable Regulatory Services 9 T'XASSS. Thomas F.Geller,Director `gyp f 6.9.�a wilding Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 ffice: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize i y." .s.Sc to act on my behalf, in all matters relative to work authorized b7 this building permit application for: (Address of Job) �Owner���� tt (2ot4 atureof Date Print Name �PPIrc.Am7' 7-�,✓••� �S S�� n Olt Q:F0RMs:0VNERPERMISSI0N t Town of Barnstable *Permit o (� Expires j months from issue date Mir Regulatory Services Fe AT�e A Thomas F.Geiler,Director ED MA'I �� � Building Division OF SARNS'TA19 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 9�� U� Not Valid without Red X-Press Imprint Map/parcel Number / Property Address �I�3_ /) �� ���!L t .l�S` �J I`f' i oa 6 3 0 0 00 [Residential Value of Work$ / $© Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address E7 �t 1I 64D �. N U KA)ItA oTU 5teC bO cA uott hQ A.L f:!51 fi`�kusf Contractor's Name k 1 fn ,n S C� Telephone Number Home Improvement Contractor License#(if applicable T`)��} i S b(, Email: Construction Supervisor's License#(if applicable) q j y 6 6 ❑Workman's Compensation Insurance Check one: Rl am a sole proprietor ❑ I am the Homeowner ❑ I.have Worker's Compensation Insurance Insurance Company Name A Q +W4 L 1 n_ L)c _ Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Req st(check box) L6 Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurri ane nailed)(not stripping. Going over existing layers of roof) [�Re-side o 9 N ❑ 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 Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: I r QAWPFILESTORNIMbuilding permit forms\FMRESS.doc Revised 060513 VE Town of Barnstable Regulatory Services I? Thomas F.Geiler,Director � 6.19.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, EJwar A RJAI„rJi4cL, .krgsktc rk%ruA-' , as Owner of the subject property ctnl F5 ,.''& "rf�4 k hereby authorize k i m, S� [ to act on my behalf, in all matters relative to work authorized by this building permit 2-13 Inokia, 'r,�ai t ) �jarn5 +iple, , 02 30/ MA (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. Signature of 6wner Signature of Applicant Fdwo d H. c k Print Name Print Name i� 12-6� x r , Date Q:FORMS:OWNERPERMISSIONPOOLS 62012 - ;A ,..:-. op- Town of Barnstable � LAo Regulatory Services f Ra R7VS.T�Ri F. w Thomas F.Geiler,Director �Eo. � 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 EXEMPT710N Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityhown state zip code The current exemption for"homeowners"was ext ded to include o er-occu ied dwellingsof six units or less and to allow homeowners to engage an individual for hire who d s not posses's Ire that the owner,acts as supervisor. D FIVITION•O OMEOWNER Person(s)who owns a parcel of land on which he/she r sides or in nds to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures access to suc use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a horn wner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be res ons' le for all such work erforned under the buildingemut (Section 109.1.1) The undersigned"homeowner"assumes responsibility for c lianc'e'with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she unde tands Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will compl with said rocedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings contai g 35,000 cubic feet or lar r will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXE ON The Code states that: "Any ho eowner performing work for wh h a building permit is•required shall be exempt from the provisions of this section(Sec on 109.1.1-Licensing of constructi;n Supervisors);provided that if the homeowner engages a persons)for hire to do su work,that such Homeowner shall ac s supervisor." Many homeowners who u this exemption are unaware that they are ssuming the responsibilities of a supervisor (see Appendix Q,Rules&Regula ons for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,pa ' ularly when-the homeowner hires unlicensed pe sons In this ease our Board cannot proceed against the unlicensed erson as it would with a licensed Supervisor. The acting as Supervisor is ultimately responsible: {t To ensure that the h meowner is fully aware of his/her responsibilities,many ommunities require,as part of the permit application,,that th omeowner certify that he/she understands the.responsib' 'es of a Supervisor.,'On the last page of this issue is a form cu ntly used by several towns. You may care t amend and adopts uch a form/cettification for use in. your community. C:\Users\decollrk\AppDa cal\Microsoft\Windows\Temporary Intemet Files\ContentOutlook\QRE6ZUBN\EXPRES oc Revised 053012 IT - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION o Map Parcel Application # � /, �.�?oZ Health Division Date Issued —*-73 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village ;&2�✓� ,9 `e Owner 9A 11�J�� ��lJ/ �-J?�irJ1 eAddress Telephone" Zxz .4 41- zz Permit Request /r'��/g�� �X ��/o, "/,,j ev %�� / (f2//v Le�s e*' Square feet: 1 st floor: existing proposed 2nd floor: existing proposed ----,Total new ® a-D o Zoning District Flood Plain Groundwater Overlay Project Valuation 7Dd, Construction TypeZA� f/off LL A+ Lot Size Grandfathered: ❑Yes ❑ No If yes, attachmsupporting docu%ientation. Dwelling Type: Single Family Af Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ;2fNNo On Old Kingis Highway ❑;"s 'i'No w 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 A Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other y0 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 /�/�'/r�L� GUd /✓/J�/ �� Telephone Number �S Zt OF Z Address _1�//cd� ��i/ �/� License # ,U Home Improvement Contractor Worker's Compensations/�' � 9�� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE y/ f Z-b 3 FOR OFFICIAL USE ONLY ,cr PPLICATION# 'DATE ISSUED MAP/PARCEL NO. c _ ADDRESS VILLAGE s OWNER r' t ;} DATE OF INSPECTION: �FO.UNDATLON3 , . ,. , - FRAME ?--- FIREPLACE ELECTRICAL:,,...,,ROUGH FINAL PLUMBING: ROUGH FINAL h GAS: ROUGH FINAL FINAL BUILDING 4 - DATE CLOSED OUT ASSOCIATION PLAN NO. 4 C f OWNER AUTHORIZATION FORM I, (Owner's Name) owner of the property located at (Property Address) (Property Address) -�-. hereby authorize (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Owner's ignature (D--,k 7, c 7i�=- Date D OCT 1 0 .2013