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Home My WebLink About2681 MAIN STREET ,.,. c ,. �/ � � �� v r � � �,,, R - �' ' U MLA Application number - 0 ............. ber................................................ ®� � �Q � Fee J V .................................................................. KAM OCT (}A �. Building Inspectors Initials......... ..................... sale .� �.� t� ��g�-� � �n��l�� r [�� Date Issued.:......... ��.`(�!�..... .................................... Map/Parcel......" 0 TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVESIWEATHERIZATION PROPERTY INFORMATION Address of Project: -1&dV � NUMBER STREET VILLAGE Owner's Name:e� eon,- /, /411 Phone Numberc3DP /4Z Email Address: Cell Phone Number_�5 Odd- 412-0OI/Z Project cost$ Joa6_ ®-3 Check one Residential �� Commercial OWNER'S AUTHORIZATION As owner of the above prop I hereby authoriPce �i��. to make application for a b ' ding pe 't ' with 780 CMR /6wner Signature: Date: TYPE OF WORK ` Siding ❑ Windows (no header change)# ❑ Insulation/Weatherization ❑ Doors(no header change)# Commercial Doors require an inspector's review ❑ Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name f Home Improvement Contractors Registration(if applicable)# �D�. SP(a (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor Phone number__ W- ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. f.' APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X. X Additional tent dimensions can be attached on a separate_piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached.:Provide a site plan with the location(s) of each tent Fuel source being used LP tank 20 lbs. or>Yes No_____, if yes, a gas permit is required. Natural Gas Yes "' No , if yes, a gas permit is required. If food is being served at.your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type 'Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature C �� Date ;0� All permit applications alre subject to a building official's approval prior to issuance. r Town of Barnstable *,P.ermit#o?d �a q � ti Expires 6 m�r� s fr issue Regulatory Services Fee IARNSTABIA : Thomas F.Geiler,Director 039. .�� Building Division QED MA't� P Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862AO38 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 42 6 Property Address [Residential Value of Work �2� ` Minimum fee of$25.00 for work under$6000.00 Owner's Name&Addresses % Contractor's Name ddtom' Telephone Number Home Improvement Contractor License#(if applicable) ❑Workman's Compensation Insurance Check one: t I am a sole proprietor ® 6 S PERMIT I ❑ I am the Homeowner f3�� ❑ I have Worker's Compensation Insurance MAY 2 9 2008 Insurance Company Name T_01' E3ARNSTABLE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) y Re-roof(stripping old shingles) All construction debris will be taken to Z f n�f'7i ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum J4 *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 Perim io A copy of the Home Improvement Contractors Licensed 4V SIGNATURE• Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revise020108 oFTHETp� Town of Barnstable Regulatory Services M Asa �,` Thomas F. Geiler,Director �A i639. �Q+ _• rE16.1 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-962-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize % C%C/z�lj J�,l y to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signa4 of Owner Date L�� Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side.- t Town of Barnstable Regulatory Services • . Thomas F.Geiler,Director satu�tszealt•;, Building Division 'eTFn � Tom Perry,Building Commissioner . 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us P Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTIO Please Print DATE: JOB LOCATION: 4 number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for `homeowners .was a tended to me de owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for ire who d snot possess a license,provided that the owner acts as supervisor. DEFIN ON OF OMEOWNER Person(s)who owns a parcel of land on'which he/sh resi s or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detache s ctures accessory to such use and/or farm structures. A person who constructs more than one home in a two-ye period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a rm acceptable to the Building Official,that he/she shall be res onsible for all such work erformed under the buil in emit. (Section 109.1.1) The undersigned"homeowner"assumes res/he/se for co liance with the State Building Code and other applicable codes,bylaws,rules and regulati The undersigned"homeowner"certifies thaterstands Town of Barnstable Building Department minimum inspection procedures and requirehat he/she 11 comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellin containing 35,000 cubic feet or larger 11 be required to comply with the State Building Code Section 127.0 C nstruction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any hom owner performing work for which a building permit is re ired shall be exempt from the provisions of this section(Section 109.1,1 Licensin of construction Supervisors);provided that if the homeown engages a persons)for hire to do such work,that such Homeowner shall act as s ervisor." Many homeowners who use s exemption are unaware that they are assuming the responsibility of a supervisor(see Appendix Q. Rules&Regulations for Licensing ction Supervisors,Section 2.15) This lack of awareness often resu in serious problems,particularly when the homeowner hires unlicensed ons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as upervisor is ultimately responsible. To ensure that the homeov Fier is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that helsligmderstands 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. Assessor's offioe (1st floor): t1+ Assessor's map• and lot number ....... .......�1 .. ....�......... F TEE rot` Board of Health �(3rd floor): SE'PTiC SYSTEM M Sewage. Permit number .........................s.P•'•`•...••...........�•• INSTALLED IN CO Le ! Engineering Department (3rd floor): '°o r �. WITH TITLE 039 House number .. .(��.(......'Y�'1.:..0� i639 ENVIRONMENTAL CO APPLICATIONS PROCESSED 8:30,9:30 A.M. and 1:00-.2:00 P.M. only` TOWN REGULATIONS TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... ��T�lfCs�y f ............................................................................................................. TYPE OF CONSTRUCTION _ _.........�..-..2.3...............,9. b. TO THE INSPECTOR OF BUILDINGS: The undersigned /hereby applies for a permit according to the (following information: Location .....77 el....��✓�`Y.......� ....... .............................................................. �2 S -s1/ Tim c Proposed Use .........�r....11,.�C...................................................................................................................................................... Zoning District .....(.. .........Z.............................................Fire District .../� .................................. Name of Owner .... ..................Address ... 2G�•.. f..... ..5 ........................... Name of Builder .. ,..Q ?Q.Cr .. ress k l��Zs.�.,.,��/� Nameof Architect ..................................................................Address ..............................................................................::.... Numberof Rooms ...................................................................Foundation ... ..................................................... Exterior .................. .L;,!/PT .............................................Roofing .......... .......................................................... Floors ..................L.(1�1V... � /:��Y.... ..... ...Interior ..........<Y/.G� /1 .4,,............................................ Heating ..................................................................................Plumbing .................................................................................. Fireplace ........................................................................ p ....:.....Approximate Cost ............ �................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area ... .Z'�.... .. Diagram of Lot and Building with Dimensions Fee OG SUBJECT TO APPROVAL OF BOARD OF HEALTH /yC / /7 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. / Name .... G �" ..... ....................................................................... Construction Supervisor's LicenseP�'1...� 3 � .......... HILL, GEORGE No ... Permit for ...Build Addition ................................. Single Family Dwelling............... ......................................................... Location ...2.6.8.1.....Main...Street .......................... . . . .. . .... . . ...... . Barnstable ............................................................................... George Owner ... .....11 ........................................... Type of Construction .....Frame.......................... ............................................................................... Plot ...............I............. Lot ................................ - Permit Granted ...................;........Sept. !23.!..........19 86 Date of-Inspection ................. ..................19 Date Completed ...............W... . ..............19 M tr M