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oiTMEto TOWN OF BARNSTABLE
4"
i BAHHSTABLE, i
"6 9 BUILDING INSPECTOR
\E MPY a
APPLICATION FOR PERMIT TO ..Co.. .:srr.c.. 2Jt/ v1, ??i/
V C `"4.4
TYPE OF CONSTRUCTION Cit./..Q..A...
Olp,..69
19 1 U
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location Rd «.--t .
V T . i a l' u.s.f.a.`f /-e. ra J.f'.
Proposed Use
Zoning District Fire District ..� l�.l!l.<..f. ��-P
Name of Owner :Q`<..�(. i4...Z.J....O e.f Address ... K.Q e-Z' ,.1 G'G.L...,
Name of Builder CJ ! ram.
.. . . .C�-.Gl. ..cE.�y`G+�/ / `�,: Address ...fie��1. .Q 'Pr,.
Name of Architect Address
Number of Rooms / Foundation X.0..Cl
Exterior ....LC.l.:.C' Jule ,F Roofing .,gf., ..• a'/7
12,
Floors <�` a a di Interior r%- R„....s.L. ,
r
Heating Plumbing
Fireplace Approximate Cost .f. .,
Difinitive Plan Approved by Planning Board 19vfr-/-t £ S�
IME OPOSED METHOD OF PROVIDING FOR
Diagram of Lot and Building with Dimensions SAVORY WATER SUPPLY, SEWAGE DISPOSAL
MD DRAINAGE IS HEREBY APPROVED
-
/
1 ? TOWN OF BARNSTABLE
..J;, )--" '`..BOARD OF HEAL I-
IM1,..i-z":..
1
1
34f
® '1,
"�
(cam • ►`. w 1 v.6 {) s-�, C fit,. ` oAN,
30
tia�iS� ,,dISlt 0,39 -1 �
9� 190 13' 1,
10 �S N1d1
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Nam � ���/
Jones, Lillian
•
Brie 3 1 1970 .,
No
13266 Permit for add porch to
single family dwelling
/v,A,r ei A At ee-i- ifrii)h/e ,
.,,.
Location T31 a‘ Main St.
. . P .Barnstable
Owner Lillian Jones
Type of Construction frame
. ,
t ,
Plot Lot
Permit Granted August 10
19 70
,..
1 Date of Inspection 19
Date Completed //— -Z---0 19 7
. '
1
PERMIT REFUSED 1
1
19
i1
/'
t..,
.
Approved 19 t
L , , • , . ;
B �
Town of Barnstable *Permit - - 16CI ,
Regulatory Services Etree
s 6 molt fo Hsu_�ate
+ BARNSTABLE. 16
MASS Richard V.Scali,Director
p�0 44 Building Division • •Paul Roma,Building Commissioner0)4
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
'Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
n Not Valid without Red X-Press Imprint
Map/parcel Number 35 3
Prop rty Address LI 3 a r� �'„ S1-- 7 /46- •0a 65
` do
V
Residential Value of Work$' l) Minimum fee of$35.00 for work under$6000.00
Owner's Nme&Address P.f{Cif CI( i D Q S
ti 3 �Z nAdd omirmto6, /�' D a 631
�. p Shy 2to- (q37Contractor s Namee-PPcLe&. Telephone Number
Home Improvement Contractor License#(if applicable) pp;5-6- Email: ('a be �h C 1t(�t C'av✓�
p pp ) G q�� by � ®�
Construction Supervisor's License#(if applicable) CS5'� � PF
✓ ,}
• ❑Workman's Compensation Insurance a'
Check one: ,AAv 2 6 2011
NI am a sole proprietor '•'lil
❑ I am the Homeowner �ST ABLE
El have Worker's Compensation Insurance 'TOWN O `3k
Insurance Company Name
Workman's Comp.Policy#
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)
• 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.
t ***Note: . Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
equired. ,r.��
SIGNATURE:
C:\Users\decollik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\L7U69LF2\EXPRESS(2).doc
01/25/17
0
• ti
of
+:.,sip,. $�
BARNSTABLE. t
Town of Barnstable
�DM6dp
Regulatory Services
Richard V.Scali,Director
Building Division
Paul Roma
Building Commissioner
200 Main Street, Hyannis,MA 02601
• www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
• If Using A Builder
ccJ`le c c,,� av`-'ej
I, ,as Owner of the subject property
hereby authorize petASr^ N to act on my behalf,
in all matters relative to work authorized by this building permit application for:
4 3\1 ai S} C w 6- 1]
(Address of Job)
•
4! ts
Signature of• er Date / C.
\--leekel\CA -.500E3 Aff it'LANI
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
C:\Users\decollik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\LN69LF2\EXPRESS(2).doc
01/25/17
al
Ev+ a,y TANESS P 'n�,r�� Town of Barnstable * m 1(®— 116°
*Permit#
� E�Tres 6 months from issue date
cIL. 0 r 2016 Regulatory Services Fee
•
BARNBPABLB ' 1 A
\ �Mass. n � Richard V.Scali,Director
Building Division
Paul Roma,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
0-24
Not Valid without Red X-Press Imprint
Map/parcel Number `
Property Address 413)2, ae7 l ir& o le.
[Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address ,e/O
Contractor's Name c it2i 0 04, ' Telephone Number Spy 9e Z 152 J
Home Improvement Contractor License#(if applicable) /a()4I9 Email:
Construction Supervisor's License#(if applicable) ( 63 39
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
®'I have Worker's Compensation Insurance
Insurance Company Name y, f2Z,Zr ar/Z,L�
Workman's Comp.Policy# //A' 9/4X 92 2
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Reque t(check box)
Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to iv,eDZ)`T
❑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:
❑ 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: /14.L .J�i(
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
06/20/16
Town of Barnstable
41,5,‘_ Regulatory Services
•
•\ / Richard V. Scali,Director
� Building Division.
Paul Roma,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, .e1 , lU ,as Owner of the subject property
hereby authorize „e i/ 2 l G* to act on my behalf,
in all matters relative to work authorized by this building permit application for:
,7" AI 61/, /1 cz»J,b
(Address of Job)
**Pool fences and alarms are the responsibility of the applicant Pools
are not to be filled or utili7ed before fence is installed and all final
inspections are performed and accepted.
Signature- er Signature of Applicant
r're4'eacil/ 3'alrrl edix
Print Name
Print Name
Date
Q:FORMS:OWNERPERMISSIONPOOLS
A
-Town of Barnstable
Regulatory Services
of HE % Richard V.Scali,Director
,►' s�.- Building Division
BARNErrAraz, ' Paul Roma,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE 12` U' ON
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 extende• to include.•wner-occupied dwellings of six units or less and to allow
homeowners to engage an individual for hire who does r..t possess a license,provided that the owner acts as supervisor.
DE ON a F HOMEOWNER
Person(s)who owns a parcel of land on which he/she resi'es or'i,tends to reside,on which there is,or is intended to be,a one or two-
family dwelling,attached or detached structures accessory o su h use and/or farm structures. A person who constructs more than one
" home in a two-year period shall not be considered a homeo F •- . Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be resp.1i ble for all such work performed under the building permit. (Section
109.1.1)
The undersigned"homeowner"assumes responsibility for c,mi lance with the State Building Code and other applicable codes,
bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she unde • i ds th Town of Barnstable Building Department minimum inspection
procedures and requirements and that he/she will comp , with said ,,rocedures and requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings conta.' -e g 35,000 cubic feet or larg will be required to comply with the State Building Code
Section 127.0 Construction Control.
HOMEOWNER'S EXE I' e N
The Code states that: "Any horn-owner performing work for whic a building permit is required shall be exempt
from the provisions of this section(Secti 109.1.1-Licensing of constructio Supervisors); provided that if the homeowner
engages a person(s)for hire to do such 'fork,that such Homeowner shall-act a supervisor."
Many homeowners Who use th'. exemption are unaware that they are as ming the responsibilities of a supervisor
(see Appendix Q,Rules&Regulations :or Licensing Construction Supervisors,Sec 'on 2.15) This lack of awareness often
results in serious problems,particular when the homeowner hires unlicensed perso s. In this case,our Board cannot
proceed against the unlicensed person s it would with a licensed Supervisor. The ho owner- acting as Supervisor is
ultimately responsible.
To ensure that the homeowne is fully aware of his/her responsibilities,many co munities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilitie of a Supervisor. On the last,page
this issue is a form currently used by s-veral towns. You may care to amend and adopt such a form/certification for use in
your community.
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
06/20/16
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Assessor's map' and lot number 36-) 7 "�'1
Sewage Permit number ..../.fig- PG.La e6,e. :' 4.A :SEGv0
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fTNETQ, ! , OWN :- OF F= BARNSTABLE
= BABHSTABLE, .! f
M6 BUILDING INSPECTOR
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APPLICATION FOR PERMIT TO �►�/V/�
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TYPE OF CONSTRUCTION . ' /\ ;7"&-
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19 2
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according tow the following information:
Location r 6 '�:J miP .574 5 4`6- # 6/3
Proposed Use
Zoning District *t-D 3 Fire District —
Name of Owner JdrN 67 /! ' 6C en/ Address A r 6 - e64,111)f7/17V, -'—
Name of Builder ---S7-19/2/ "" A r7. Address 47 /— k -/90 £-
Name of Architect Address
Number of Rooms Foundation
Exterior
r g C.
(./v ���-� Roofing
Floors Interior
Heating Plumbing pp Fireplace /
Approximate Cost ! °C) CD
Definitive Plan Approved by Planning Board 19 Area jr
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
ado& k a,--`_ 1111
f
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. LC,�/c.�: 6//L. ' �'L�r7
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Kiggen, Joan G.
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