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Home My WebLink About4275 MAIN STREET �75 V TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION BA"STABL Map Parcel Application # Ci Health Division JUL It 4l 9; 13 Date Issued -77' (o /1f for Conservation Division Application Fee Planning Dept. ��$�V� Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address ��5 /MAN`ST (it)tlAAA lW 1D Village CIJ444A A4V 1 1D Owner—...7xA AC 5 14 1 N VC1C Address 5A-wa Telephone S oY- 3 G ;-7 25 Permit Request RE>W aDei— 13 A114 RMAA ON Se-Z6ti' FI-06R AL- SlX TU4-a� M 9 1VA1f9 w e-p y,�1 6 L x;,yeo ®p. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 00D 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 _ -D U V(n KV 1,L,6N Telephone Number S 0 F -737-3Z 9 9 Address Fib, t3O�C M7`F License # 671 q 9 S WOV5T>35 CAI LA,S MA- D2 y Home Improvement Contractor# _/7 5 '31 7 Email 11-44i (& M ULNt- v LO W k L6 Worker's Compensation # 6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN?O OY edrn 'V 6 SIGNATURE DATE ad FOR OFFICIAL USE ONLY APPLICATION# S DATE ISSUED MAP/PARCEL N0. r ` ADDRESS VILLAGE S OWNER DATE OF INSPECTION: ' L FOUNDATION ' FRAME ` INSULATION r . FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ' ASSOCIATION.PLAN NO. _a SHE�� Town of Barnstable . "� Regulatory Services �raxM [E$« Richard V.Scali,Director 1 39.. 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 Property Owner Must P Complete and Sign This Section If Using_ABuilder- I, ,as Owner of the subject property hereby authorize (b (PLAT Q J to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address ofJob) ".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. Si ture of Owner Signature of pplicant Print Name Print Name V Date QTORMS:O WNERPERMISSIONPOOLS Town of Barnstable Regulatory Services ' ��THE TQy Richard V.Scali,Director Building Division • snarrszasrs. ` Tom Perry,Building Commissioner hrnss. 200 Main Street, Hyannis,MA 02601 TED MA't h 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. r 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 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 &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 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:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 i I I w I I • � I ! I 1 I i i ; � I i i i I ' I - 1 I i I I . : I I i i I I I i '— I t I -- I I- I : I - .___ I I I I ee I I I • I I I I I I ' � I I I i I I I I I I I { I I ' I I i. r- •- - I I I i 1.---- ; 1 1 ' - J.- --- i I I i I I I I - - I I I 1 I I 1 All , I I ! I If I i I I l I I : I 1 I i I I I I , : I I G�. Town of Barnstable *Permit# Expires 6 months from issue date yT Regulatory Services Fee snxtvMsLE, « i MASS.i639. Thomas F.Geiler,Director ♦0 '°rFD►�°' 11r Building Division 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 Not Valid without Red X-Press Imprint Map/parcel Number 3,5-0/a ol, Property Address $1,2 7.' M4/1V .Pf C ellmm"i-p 1 v A44 O/Residential Value of Work 131, �r d Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address } in-e.I' �//�/�!� k � �� . qrn/n ei-- Con actor's Name/ed//�;?i We/''/6--lye"IeweAl Telephone Number Home Improvement Contractor License#(if applicable) `p[t 7 V0 e ono r P;:RMI 1 . Construction Supervisor's License#(if applicable) yi/y ��) • N1 orkman's Compensation Insurance JUL 1 $ ZU12 Check one: ❑ I am a sole proprietor TABL ❑ I am the Homeowner -TOWN OF BARNS WI have Worker's Compensation Insurance f Insurance Company Name `�/4 3v 011; 7e �V /) �"�I�/l�t/��o J' _—/U./ � �C�/l�l��t/✓l� Workman's Comp.Policy# C C '5-0f 0� 1/7 a 1.20/1 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ 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) O/Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows *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 Im rovement Contractors License&Construction Supervisors License is require SIGNATURE: C:\Users\decollik\Ap ata\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\DDV87AAZ\EXPRESS.doe Revised 072110 :v Page 7 of 7 '. Capizzi Home Improvement Inc. � Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT JA mt J I, e , OWN THE PROPERTY LOCATED AT lft,✓ S IN ti , MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FORA BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY.FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE , : MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd.,.Cotuit, MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: 4. p*THE r Town of Barnstable *Permit# Q� Expires 6 monthsfrom issue date Regulatory Services Fee 7C, , w s * BABNSTABLE. 9 Thomas F.Geiler,Director s63q• �� pTED MA't A -PRESS PERMIT Building Division Tom Perry,CBO, Building Commissioner APR m 2 2010 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 5 $ F-8BARNSTABLE Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address S /"/ cum r� sidential Value of Work, G Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address if S N �Io ,—r<�,//, U l� Lu',23 Contractor's Name A LA ) QS Telephone Number Home Improvement Contractor License#(if applicable) 0 Construction Supervisor's License#(if applicable) [�Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑.I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name c Workman's Comp.Policy Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) . e-roof(stripping old shingles) All construction debris will be taken to y(-A/- ❑ Re-roof(not stripping. Going over . existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Pr perty Own must sign Property Owner Letter of Permission. opy of t me Improvement Contractors License&Construction Supervisors License is re uire SIGNATURE: Q:\WPFILES\FORMS\building permi forn,MPRESS.doc Revised 090809 Page 7 of 7 CAPIZZI HOME E14PROVEMENT INC. SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, 6 - )C)-e OWN THE PROPERTY LOCATED AT. C(, IN �'U GQ MASSACHUSETTS. - I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: - LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit,MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: I " Town of Barnstable *Permit# Regulatory Services. Fee es 6 monthsJrora issue dote - j� BAaBBLL Thomas F.Geiler,Director f16.30. Building Division Tom Perry,CBO, Buildiag 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 �SD/�� ►'�5 �' Property Address / a7 67� C � � (]Residential Value of Work Mini \_ or work under$6000.00 Owner's Name&Address ST" �urr� q �ui�� 414 Contractor's Name y�/p N lif Telephone Numberd� Home Improvement Contractor License#(if applicable) XWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner -PRESS PERMIT 1 have Worker's Compensation Insurance Insurance Company Name /4� �/ 45PS �` 4/Qi0 y APR 3 0 2008 Workman's Comp.Policy# / yl-Tj"� TOWN OF BARNSTABL E . Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders.U-Value (maximum .44) 2__I 'c *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: /�L 7.,1 Q:Forms:build i ngpermits/express Revised 123107 Page 7 of 7 CAPIZZI HOME,IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION T4 APPLY FOR A BIDING PERMIT OWN THE PROPERTY LOCATED AT IN ILUMIAPt t� .MASSACHUSETTS. I HAVE AUTHORlM :.CAPIM HOME IMPROVEMENT TO ACT AS MY AGe4T TO APPLY FOR A BUILD PERNGT IN ACCOR�DA CE WIT 7s0 Cam,,TIE MASSAC S STATE BUILDWG z- .�MYMIN ro LESSEE TOMAI�P F B , PtRWT AccoRD c : sa E A �zsE s TATE UrL I i� ODE OWNERS TE EP c : UME I t I 2E 7. �s��ss yy�;� ��+edy-. ��rr� �} .: .. L S SE.G 3 #EI.+ P�� APB LICAT'S`SSA r A 'PLITyS'A �I � ► ",Rd ,, ,. A t TELEkIC3IE 5(l8 42 2e s >x R SPC LEER ORES :€�� ER. i ONSIELE:61 ,I ER TELEPHO E:' i �oF1HE ro,,� Town of Barnstable *Permit# yP �� Expires 6 niontlis from`issue date &UMSTABLE, : Regulatory Services Fee s v V 9� MASS. Thomas,0$ Thomas F.Geiler,Director 9. A Building Division Tom Perry, Building Commissioner X-PRESS PERA11,17 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 OCT 18 2004 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTV00MBARNSTABLE Not Valid without Red X-Press Imprint Map/parcel Number . D' 0* % Property Address 7r 1� / [YResidential Value of Work ��• �� Owner's Name&Address �1216�Y)'V��_110-5 M A�-G1 Contractor's Name 1 Telephone Number CA 4. L Home Improvement Contractor License#(if applicable) "l V Construction Supervisor's License#(if applicable) Vworkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [�I have Worker's Compensation Insurance ' Insurance Company Name. Workman's Comp.Policy#� I l� Permit Request(check box) R/Re-roof(stripping old shingles) Cj .� ZAP t ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature I) /I 1 O&L l ILL 1/ , ( ►l� 0:F rms:expmtrg