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2590 MAIN STREET
d oFTME Town of Barnstable *Permit# • ' '7 90 Expires 6 months from issue date Building Department Services Fee • , : Brian Florence,CBO e'PA* Ic_SI. D Nii)6 :,39. Building Commissioner N1� e Ott 200 Main Street,Hyannis,MA 02601 i www.town.bamstable.ma.us OCT 3 0 Office: 508-862-4038 r z� x: 508-790-6230 Wifitv EXPRESS PERMIT APPLICATION - RESIDENTIAL disLE Not Valid without Red X-Press Imprint Map/parcel Number Property Address Zsv4 Q ' Residential Value of Work$ Q0- -w Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Art)t\s6 A' t - S _A.A.44,\A" w4A 1,-/-stkle Q Contractor's Name ( Qi G� Telephone Number j Off c3�951d._ Home Improvement Contractor License#(if applicable) iS 3 7 ,- Email: (7 Construction Supervisor's License#(if applicable) 704i t a 7- ElWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor • ❑ I am the Homeowner IK I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) X.,Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *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 equired. SIGNATURE: it ' ,r Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 08/16/17 Town of Barnstable ' 90 Building Department Services • B" , • Brian Florence,CBO ►`� 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 Ati iT) 1�., as Owner of the ro subject l property hereby authorize f Of kl/ws-G to act on my behalf, in all matters relative to work authorized by this building permit application for. GS 90 A-All'AJ 611A-fr U/- (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 erforrned and accepted. Signs a of Own ' -- S tore of Applicant 0141040 to l feti • Fifo Print Name Print Name Date • Q:FORMS:OWNERPERMISSIONPOOIS • Rev:08/16/17 Town of Barnstable Building Department Services ,. . v Brian Florence,CBO ' i5' Building Commissioner : � : • 200 Main Street, Hyannis,MA 02601 'f"(2 ...441.065,019. si<g • . www.town.barnstable.ma.us Office: 508-862-403, Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street V. .14 "HOMEOWNER": name home phone# • wo phone# CURRENT MAILING ADDRESS: city/town state / zip code The current exemption for"homeowners"was ded to include owner-o •ied d•,-lain_s of six units or less and to allow homeowners to engage an individual for hire w • does not possess a license, .rovide-, that the owner acts as s •ervisor. DEFINITION OF HOME$�VNER Person(s)who owns a parcel of land on which he/ - resides or intends to feside,o which there is,or is intended to be,a one or two- family dwelling,attached or detached structures acce ory to such use avu/or ►: is structures. A person who constructs more than one home in a two-year period chall not be considered a ho•s eowner. Sucly"homeo s er"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be re •onsible for all suc• ' ork performed under the building permit. (Section 109.1.1) / • The undersigned `homeowner' assumes responsibility for com Rance '%1 the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands theDep artment of Barnstable Building minimum inspection procedures and requirements and that he/she will comply with sai p o cedures and requirements. Signature of Homeowner • • Approval of Building Official / Note: Three-family dwellings contain ng 3 ,000 cubic feet or larger be required to comply with the State Building Code Section 127.0 Construction Control. / . HOMEOWNER'S EXEMPTION The Code states that: "Any hoieo. ,er performing work for which a 0 uilding permit is required shall be exempt from the provisions of this section(Sedion 09.1.1-Licensing of construction S •ervisors);provided that if the homeowner engages a person(s)for hire to do sus!wo that such Homeowner shall act as s, ?ervisor." Many homeowners who u this/exemption are unaware that they are assu $g the responsibilities of a supervisor (see Appendix Q,Rules&Regul ions for Licensing Construction Supervisors,Sectio 1 2.15) This lack of awareness often results in serious problems,p 'cularly when the homeowner hires unlicensed persons. 1 this case,our Board cannot proceed against the unlicens perso ias it would with a licensed Supervisor. The homeo- ,er acting as Supervisor is ultimately responsible. To ensure that the omeowner is fully aware of his/her responsibilities,many commu u''ties require,as part of the permit application,that th homeowner certify that he/she understands the responsibilities of a ° pervisor. On the last page this issue is a form curren ly used byie venal towns. You may care to amend and adopt such a fo certification for use in your community. \, . Q:\WPFILES\FORMS\building permit fomu\EXPRESS.doc 08/16/17 _;. , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION / Map 3 Parcel Application # (o3 Health Division Date Issued ( 4 ?— Conservation Division Application Fee 0 1 Planning Dept. Permit Fee �j Date Definitive Plan Approved by Planning Board IP Historic - OKH _ Preservation / Hyannis Project Street ddress 2-5P0 )4, 5+. Village °--Nrvl s'l,1, Owner 'CS) A IL Address �nt- Telephone ( ) 70.-7 6 57 Permit Request .4-• 0I. Ce/l,Le }. /7T4:' Square feet: 1st floor: existing proposed 2nd floor: existing proposed _ Total new Zoning District Flood Plain Groundwater Overlay Project Valuation )5-0-4.- — . Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 17 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: U 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 GI new size _Shed: ❑ existing ❑ new size _ Other: c ? Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ -- Commercial ❑Yes ❑ No If yes, site plan review # ._, Current Use Proposed Use co f t= APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Mike McCarthy Construction Telephone Number s g- a Y 6 6 5 6 V PO Box 52 Address west Denn$ ,_MA 026yn License # Cell(508)280-6964 -- CSL-58633 HIC-169393 -- Home Improvement Contractor# • Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 'v`^'` QC /'`ryst.-4L awl uP SIGNATURE DATE a-Irl P- S F• '� , FOR OFFICIAL USE ONLY • 9 I - APPLICATION# r i DATE ISSUED:;:.7.,:r-t-i —,I,t- ;lvtc r . ate. MAP/PARCEL NO. - 0 n '.�% aPt cr. ?v t6 l fr e6 +.a ADDRESS • VILLAGE . sir OWNER - .,.; DATE OF INSPECTION: '" f�, F ,;rl' FOUNDATION'-:- FRAME INSULATION • . FIREPLACE . ELECTRICAL: ROUGH FINAL - c PLUMBING: ROUGH ' FINAL r • ,GAS: ,,,—: ,ROUGHn> 7,- *: FINAL S TINAL!UILDINGt. +«:; .l•-1 L. DATE CLOSED OUT . i ,S ASSOCIATION PLAN NO. E OWNER AUTHORIZATION FORM I, r , (Owner's Name) owner of the located at property 9 �� � d (Prop rty Address 4w / 4 AI4 A2/Sd' , (Property Address) hereby authorize fi / Oo C. C.-01-\\i� Id 00 , (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. C &th-//A.E./V- /a..t------- Owner's Signature /2/,2_ 0 V// Date RE © E IIV DEC 272011 z/-4/ .1(f` /64' ..-• viaohazw,kommom ``..+ •-,,,, ,,,, A ART .,,, MCC ,, , - > ' -....--..-, t.;0. .1"Th' RucTiuN ,in - gk 0 ' 'Ider 1 - rciai Bui '+' fir 1 and Comme ,zsiiin ii , ... ,„ ,,,,,„ ,,,A, , . , 4,,,4,1•„.,,,„ „.._ i al r4 izmoN -- ST lir. ' ism i AN.t 4E1 taw* wo,.. rvirtitklygqbal6A ,1 1 Id I :--4.::www34 it- ,• `'I. 14,4-fp' I-^,,k 7 . 01,.+ t ' ' ,-" 41,4144.'-' -'- t--#.' •7‘()-4 "....te A •. ,., 117:`; '•;t'`,' , ^^1...) ,..—% ..= .c.. .e. .7..- !Cr-1 11 WZI -n X' ....„, March 15, 2014 (._,...4,-) , D rri -.0 Town of Barnstable Thomas Perry CBO c„, Building Commissioner 200 Main Street 1 Hyannis, MA 02601 1 RE: Insulation Permits Dear Mr. Perry, / inspector. All work performed This affidavit is to certify that allA7657,Iist work fai ,,completedim A for., Permitpermit T Type p e applicationR A p p an#d2i sOs1u2e0d0o7n631;25:toaot:uosoAA;m Parcelmh eaes t s 258003 at 259-0-IMain-Sti- . . been inspected by a certified Building Performance Institute(BPI) or exceed Federal and State requirements Sincerely, Michael McCarthy , \._ McCarthy Construction • • i7 Assessor's Office(1st floor) Map Lot d . ,)&1Permit# /d 78, Conservation Office(4th floor) Date Issu d /6 ( —9.c/ Board of Health(3rd floor)(8:30-9:30/1:00- 2:00) Fee 1K75,6-2) /Engineering Dept.(3rd floor) House#1 4c9d O / _ Planning Dept.(1st floor/School Admin. Bldg.) e6°ads._ BARNSTABLE. • _ Definitive Plan Approved by Planning Board 19fc +'��' TOWN OF BARNSTABLE ��JBuilding Permit Application Project Street Address a?$ f ,4—JA) Village �L E f' Owneri1/1/ ,t//,4) ji-al N Address �9a, fr,v3/1�V"- EAreAgnelifice Telephone L.- 76,S^f 362.- .3 177 Permit Request S7/e ye, ,QoaF 4(//777.4 c I9i i2F-4 iVJ 027 Scwue a/®r, ,E'er' C2'.f9c2,, Total 1 Story Area(include 1 story garages&decks) square feet $h;17/55 Total 2 Story Area(total of 1st&2nd stories) • square feet Estimated Project Cost $ ,/,060 Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House r Unfinished Old King's Highway Ali Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached. Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name e-D,A5Lviz Telephone Number y2..8 - Fs-/ Address/G q(/L nPjr a) /j j. License# a 6/o/o, fr .i Ale- ed✓ .411- Home Improvement Contractor# TOO 7 rid / 7`-/ /'`751,?rr'��2G> Worker's Compensation# EJ g Gd�i3 w 93w NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ,ig_ DATE /O.-S-91— BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) 7 ? FOR OFFICIAL USE ONLY , - . PERMIT NO. o ' DATE ISSUED 1 . • MAP/PARCEL NO. ADDRESS • VILLAGE " ; . rF . OWNER F 1 . • . ". DATE OF INSPECTION: • FOUNDATION FRAME INSULATION • . ' FIREPLACE . 4 . ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH `FINAL GAS: ROUGH FINAL • " FINAL BUILDING 9-029- /? • . r DATE CLOSED OUT " ASSOCIATION PLAN NO. t.