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0078 MAUSHOP AVENUE
zz _ Town of Barnstable' *Permit# tLe Tres 6 months from issue date rT ,� k p1a Regulatory Services Ree > � "� ��' Richard V.Scali,Director 5 • �,�e��.m JUL 2 I ABLt Building Division TOWU 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 Map/parcel Number �?qq /y D`y q Not Valid without Red X:Press Imprint Property Address I t rv\ V10 SV-Cl &Lfw ((��_ i7 r, 1 g L k-e 1 �GQSS esidential Value of Work$ 10 r yo c) Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address _ca tr LC b. taus� I�v 9C'r v,�S1C, -e Ss Contractor's Name Telephone Number 60<�— 9(6 9—1 3 0 Z Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑�a sole proprietor L� 1 am the Homeowner ❑ 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) ❑ 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) e-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 I rovement Contractors License&Construction Supervisors License is r quired. SIGNATURE: '�� Q:\WPFIL.ES\FORMS\building permit fonns\EXPRESS.doc 06/20/16 r Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division r 11� • Paul Roma Building Commissioner amass. ' g 039. ��� 200 Main Street, Hyannis,MA 02601 01� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: Please Print � 'Z�I � �� JOB LOCATION: 1 '` `) 6V0 number Istreet village -HOMEOWNER": PACE r(C 0. S�O r�`e 5-d-6-3G q ,3�2 D�7 7 5^`�3 C)0 - name home phone# work phone# CURRENT MAILING ADDRESS: C�2� 3� . 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 buildingpermit. (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. Sign atu 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 shalF 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 this issue is a form currently used by several towns. You may-care to amend and adopt such a form/certification for use in your community. Q:\WPFTLES\FORMS\building permit forms\EXPRESS.doc 06/20/16 Town of Barnstable Regulatory Services KAM Richard V..Scab,Director. 16 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 roperty Owner Mus Comp to and Sign This ection I Us' A Build I ; as Owner of the subject property i hereby authorize to act on my behalf in all matters relative to work authorized by ding permit application for: (A.dd ie of Job) **Pool fences and alarms ar the responsibility o the applicant Pools are not to be filled or u ' ed before fence is ins ed and all final inspections are perfo d and accepted. Signature-of Owner Signature of Applicant Print Name Print Name i Date Q:FORMS:OWNERPERMISSIONPOOIS ' Town of Barnstable WE � Regulatory Services Y Richard V. Scali,Interim Director : MASS. ` Building Division �J-;'>"7 P Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 01 ; -`t www.town.barnstable.ma.us Office: 508-862-4038 ,Y-----Fax:"-508-79b-6230 PERNHT# FEE: $ 3 S SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less Location of shed(addressy Village z SAOC 2 sl ?�I -36 1�- - 03 Property owner's name Telephone number t /o x l2 ? '7 1 Size of Shed Map/Parcel Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:110413 t r l Town of Barnstable Geographic Information System April 9,2014 299093004 1t0 ,;,; 299=001 0138 299081 #104 29900/002 1649 29t30 #92 �f 299001001 O M 7g 01643 Os as� W C m °Q 298096 ® #64 277014. 0101 40 �Vpy 298095 Q� O 298/02. #12 277016 '� 298100. 298094. 0 8 t 061 Fe 03 DISCLAIMERS:This map.Is for planning puryoses only. It is not adequate fortegai. Map:299 Parcel:079 boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner STORIE,MARK D 6 LINDA D Total Assessed Value:$385100 Selected Parcel 1'=1 W may not meet estabrished map accuracy standards. The parcel tines on this map �( are only graphic representations of Assessor's tax parcels. They are not true property co-Owner:: Acreage:OA9 acres Abutters boundaries and do not represent accurate relationships to physical features an the map Location:78 MAUSHOP AVE Buffer F " suchas building locations. �, r �` 9 ��� SEPTIC SYSTEM AAtJST SE �sesso,s, mpp and lot number ..............�....................�. INSTALLED I THE ©r N COMPLIANC �o� Toy Q c wP O Sewage Permit number ........U..J........�.. ....i....::...... WITH TITLE 5 ENVIRONMENTAL C' ODE A BaBasTeDLB, House number ............ .. .......... ................................... TOWN RE�Ua ATIONS *o M""a. L � 63 0 0� YPY TOWN OF BARNSTABLE BUILDING .," INSPECTOR APPLICATION FOR PERMIT TO ...................................................... � � C' W D 6 ,ZZirQ-�-n TYPEOF CONSTRUCTION ...............................................................................................................................:...... ............ 1...:..:........................19..... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...4. W�c.....�.............. �SS�SSQ�S...�`.`.�.. .......M,4L S`d 1.................................... Proposed Use ... A......11L ..: .y7........... ZoningDistrict ........................................................................Fire District .............................................................................. j r--�a v 76 J4� Name of Owner ........................................lL 4 Qk. C......:...Address ......1........ �y......�.... R a5......�............... Nameof Builder ....................................................................Address ..................................................................................... Nameof Architect ....... ..........................................................Address .................................................................................... Numberof Rooms .....7............ ............................................Foundation ............0 /'.................................................. �1 �f S Exterior ...1.. ............... ...... .C....S..... g......5. Roofing... .................................................................. J - �., I H .. (�A "�4&�..............................Interior ...... /U �/9 Floors ....... ......................................................................... ............................................ . Heating .....� � loA.-S .....Plumbing /Z S . Fireplace ........ .h..*................................................................Approximate Cost ..... 7....D,..OD......e.............................................. Definitive Plan Approved by Planning Board ✓- _— 1----------19F--3-. Area ............. ............ . Diagram of Lot and Building with Dimensions - Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH t cJ�7) ytjJ 3 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to oil the Rules and Regulations of the of Barnstable regarding the above construction. Name .. S'., .L. .`�....` ' ... �..-1... Construction Supervisor's License .p.�.�`�. .Z...... RUSSELL A. GIBSON, INC. No 28469 Permit for .....12 Story - r Sing le Family Dwelling _.......... ................................................. ........ 4 jj -` Location Lot 5. 78 Maushop Avenue/ . 7 2 ,, I Barnstable o ;a - .-K - ..... ............................... ................... -, Russell A. Gibson,' Inc: . Owner .......:;......................................................... Type of Construction Frame '.:.:.............:. .................. Plot ............................. Lot................................. Permit -Granted2JAY _ A tt Date-of Inspection/ _ /- L ^" 19 Date' Completed I�'9 ov" -�-s [ >/FA e. / fell Gam" i LAW OFFICES OF PHILIP M. BOUDREAU " 386 NORTH STREET HYANNIS,MASSACHUSETTS o2aoi � (617)775-1085 PHILIP M. BOUDREAU July 8 , 1985 PHILIP MICHAEL BOUDREAU t Mr. Joseph Daluz Building Inspector Town of Barnstable Main Street Hyannis, MA 02601 Re: Lot 5, Maushop Avenue, Barnstable Dear Mr. Daluz : Please be advised that I have conducted a title search on the above-referenced property, and that I find said lot to have been held in ownership separate from that of adjoining pro- perty my 14 , 1976 to date. I hope this information is helpful. Sincerely, Philip Michael Boudreau PMB:kb I S` p i9 � -a y CLOT 04=Z Pam'E PAJe E D Foie: h SCAIt-E : , „ _ aArc:s�-�-r- . �� ,�tig5 FLU S`� t�`�c_�►.�1 EFE.e,--AICE: _ .��EBEBY CEeT/FY 7-"Og7' rA/E BU11-01.Vrr /S LOCATEa O.V TiVE to ARN I= N. #26 8 down cam en9in�erir�9 ��� '°�`c�sita� IL L�7.vD SC/B�/6YOS3 .EOCJTE 6A�s�7.eMoc�rs-�, .NASA. n,qT�- ,e��. ,�,q,va sue�Yo.B y�r TOWN OF BARNSTABLE Permit No. _28469 s. Building Inspector Cash OCCUPANCY PERMIT Bond ___`-- ----- Issued to Russell A. Gibson, Inc. Address Lot 5, 78 Maushop Avenue, Barnstable 1 Wiring Inspector ��.a'�f � Inspection date Plumbing Inspector/ ' z } Inspection date Gas Inspector ; f j A Inspection date >Engineering Department �- � �� Inspection date Board of Health ` 2 n Y,, tc ,L \Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Aj 0 ....................................................... 19. ..... ......: ......IL ...... . Building Inspector `