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TOWN OF BARNSTABLE
Town of Barnsta-ble Perms • �
•
2213 srp 41 . 1: 49 '�''�
Regulatory Services
Pate:
THE T°jty Thomas F. Geiler, Director
laWr ni1ding Division ee• ✓�-�
DIVISION Tom Perry, Building Commissioner
-No 2639. ��� 200 Main Street, Hyannis, MA 02601
IFa lad
www.town.barnstahle.ma.us
•
Office: 508-862-4038
TOWN OF BARNSTABLE Fax: 508-790-6230
SOLID FUEL STOVE PERMIT
Owner: rAniet630,,s Sit/Me4je„ Naccin 4-or) Phone:
Install at: a0 H;l1 2 • Village: sn 5+ b/C.
Map/Parcel: Date; j`1/2 3//3
•
Stove
A. 4 / Used
B. Type: cRadian1 Circulating
C. Manufacturer: U.S Steve co,n(34,,y. Lab. No.
D. Model No.: , S')p
Chimney
A. New/Existing (If existing, please note date of last cleaning
B. Flue Size gin,
C. Are other appliances attached to Flue?_oj�
D. Pre-fab Type and Manufacturer
E. (Masonr IC4Unlined
Hearth
A. Materials: 5-o ie S i" S on a Ce, en+ S/46 Lim,
B. Sub Floor Construction: rot,Li( ������
Installer
Name:
Address:
Phone:
Location of Installation:
H.I.0 Registration#
Construction Supervisor#
OR check VHomeowner Installing, no license required.
APPLICANTS SIG TURF
APPROVED BY:� G,/dide-----
Please make checks a able to the Town o Barnstable
*This constitutes an official stove permit after inspection;.photographed, and approved by the -
Building Inspector
T Town of Barnstable
is
Regulatory Services
BARNSTABLE, : Thomas F.Geiler,Director
tKAss.
Ib 1639• 1 Building Division
ArED mg p
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
DATE: 3// 3 .
JOB LOCATION: 4)-O k►c.el5 N 111 (1-ce4 C3G.rn5{'c k_
number street village
"HOMEOWNER": Nrt el G-MoetS S P-/Mafr% 144ccu jin S o8-cm-986 s G t7—lea l-`lla d
name home phone# work phone#
!!��
CURRENT MAILING ADDRESS: Po k 5 kt+l /v14 Oa-43o
• C3«r,sf�5/e
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 Depai ttuent
minimum inspection procedures and requ'. _• ents a . that he/she will comply with said procedures and
requirements.
ignature of Homeownet�
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.
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.
Q:forms:homeexempt
;1HE p Town of Barnstable
Regulatory Services
Thomas F.Geiler,Director
ttNSTABLE,
c g
PS 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, , as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit.
(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 Owner Signature of Applicant
Print Name Print Name
Date
Q:FORMS:OWNERPERMISSIONPOOLS 6/2012
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map ` ,r7(0 Parcel Permit# 7/S 7S
Health Division u `��6 Date Issued ? / >/ 3
S p7 2'j St P • 8 Application Fee,‘.Conservation Division �1� l �-lam` .� t:.n -� P � j. Q� pp"
Tax Collector& r/-�,y _ Permit Fee' oZ S ••o' d
Treasurer ..DI'd?SJQN Sb1 TIC SYSTEM MUST DE
Planning Dept.
1INSTALLED IN COMPLIANCE
WITK TITLE
Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE A m
TOWN REGUL ATIOB
Historic-OKH Preservation/Hyannis .
Project Street Address 1 o 44,;✓s //,'/z if�
Village aA d'NS Ti4 d L P s
Owner , Av L A/ if 6 e // r) Address .2 o /IJ��s /('LL de/
1
Telephone -3 6'_2. -3 5'3 C
q A. �-� ,e/t. /7�
Permit Request �
n
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay •
-P Project Valuation `,Z g"-- Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
- Dwelling Type: Single Family OK- Two Family ❑ Multi-Family(#units) /
Age of Existing Structure �3 7 yr� Historic House: ❑Yes 0� On Old King's Highway: ❑Yes C3'No
Basement Type: Ng LCrawl 0 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
1 Total Room Count(not including baths): existing 6 new First Floor Room Count
Heat Type and Fuel: 0 Gas ❑Oil lectric 0 Other
Central Air: 0 Yes Flo Fireplaces: Existing New Existing wood/coal stove: es 0 No
Detached garage:❑existing 0 new size Pool: 0 existing ❑new size Barn:0 existing ❑new size
Attached garage: xis ing ❑new size Shed: sting 0 new size Other: •
(/Nie"^
Zoning Board of Appeals Authorization ❑ Appeal# Recorded 0
Commercial ❑Yes ❑No If yes, site plan review#
_-Current Use - --- - - - - Proposed Use
BUILDER INFORMATION
���/ / 6 _
-Name � � L G �'ephone Number c—d g - 3 6-2-373,6
•Address o?CI /`i' -,...VS' /i A Z '" o'' License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE �� bATE g"7, of /C2..
�
I FOR OFFICIAL USE ONLY
w P
._PERMIT NO.
• DATE ISSUED t r
_ - 1 i_
MAP/PARCEL NO.
, i 5
i •
't ADDRESS VILLAGE ,r;
�; OWNER `1 Y,�.'
r
DATE OF INSPECTION:
r'
T
' FOUNDATION -`
rt•
f
t FRAME
INSULATION
'}
•
1 FIREPLACE
J ELECTRICAL: ROUGH FINAL
., .
PLUMBING: ROUGH - FINAL
,'' • GAS: ROUGH . FINAL .
` FINAL BUILDING • • a
r i.
' DATE CLOSED OUT '
' i ASSOCIATION PLAN NO.
f
RESIDENTIAL BUILDING PERMIT FEES ..
F
APPLICATION FEE
New Buildings,Additions ,1' $50.00 �.
Alterations/Renovations $25.00 7
Building Permit Amendment S25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
square feet x$961sq.foot= x.0031=
plus from below(if applicable)
ALTERA ONSIRENOVATIONS OF EXISTING SPACE h? ,„./
feet x$64/s .foot= x.0031= a2 S' o 6
.�:_ square q
plus from. •w(if applicable)
ACCESSORY STRUCTURE>120 sq.ftt
>120 sf-500 sf $35.00 •
>500 sf-750 sf 50.00
>750 sf- 1000 sf 75.00 •
>1000 sf-1500 sf 100.00
>1500 sf-Same as new building permit; x.0031=
square feet x$96/sq.foot=
STAND ALONE PERMITS ` .
Open Porch x$30.00=
(number)
Deck _____x$30.00=
(number)
Fireplace/Chimney _x$25.00=
Firepla Y
(number)
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00 p
(plus above if applicable) Pert Fee d2-‹
projcost I
Town of Barnstable
Cf 0
THE Tp�
4. Regulatory Services
•�`� sip,
Thomas F.Geiler,Director
anarisT�sLE.
9q,A e Building Division
TEc � Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 • Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: / 9 7 3
JOB LOCATION: . 92 G /t ,ald15 /(, '1 "_ v`d• X),Qt N5 ; "_ c
numb street village
"HOMEOWNER": 0' d�^ # Woke 41, $.3 6,2 3 7 3 c 7 7 8-- l g j S—
name home phone# work phone#
CURRENT MAILING ADDRESS: 5 4 /"( :'
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
require..r i ts.
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.
• 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.
•
Q:forms:homeexempt
r .. NA/x- _ ,
N
• ERAMINGSECTION
OM a. ALL DIMENSION LUmB ER SHALL
•
BE Kb SPF NO.2 OR BETTE-R.
e COLLAR TIE @ 45" 0.C.
2x RAFTER @ ` Oac. r
2 x CEILING MIST 0 " QC. SHINGLE
W/IS LG. FELT
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`,-2 Xa M- � G-_ji �-Ix PINE FACT
R-30 WAFT FACED PG BATTS ��� c�J
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R- UNFACED PG BATTS SOFFIT VENT
WA-MILL POLY VAPOR BARRIER --.
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