The URL can be used to link to this page

Home My WebLink About0244 MIDPINE ROAD \ V ACTIVE //-(t(- 3 ff cPox_3, 7 .7, , 0 /OFThE Town of Barnstable *Permit# 7 - Expires 6 months from issue date ,��i, \. Regulatory Services Fee `3,, 7A13), Richard V. Scali,Interim Director XXPRES IT d\ �7 Building Division Tom Perry,CBO,Building Commissioner OCT 2 9 2013 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 TOWN OF 6AR NSTAS112 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 3 SS- o® at Valid without Red X-Press Imprint Map/parcel Number M..1C.IC,I.( tht / Property Address y � ► !_-fin L ��..s '/4 ft [l�Residential Value of Work$ `1, j (,). 00 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address G0% YOCUM 2y11 wtid Pt , ..tS4le. Contractor's Name I ifrA bill je Iw s t,V► Telephone Number-)7% -2..?(S---6 kg Home Improvement Contractor License#(if applicable) /S 9 9 f , Email: Construction Supervisor's License#(if applicable) C S -/o/6 7 c, • ❑Workman's Compensation Insurance Check one: ❑ am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's CompensationCo Insurance Insurance Company Name fj' ✓.y cl 4- fV//,j/ct N 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 R❑ -roof(hurricane nailed)(not stripping. Going over existing layers of roof) e-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#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. opy of the ome Improvement Contractors License&Construction Supervisors License is re ired. SIGNATURE: j Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 d • otTHE r iTown of Barnstable ti� / ' s� Regulatory Services g rY BARNSTABLE, • Thomas F. Geiler,Director • i6;p. .. 1A7ED m{14 - - 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 - Complete and Sign This Section If Using A Builder I, t C,v... `f 0c,u bc.c , as Owner of the subject property hereby authorize 1 i K., J ,' Llt,S-c,., to act on my behalf, in all matters relative to work authorized by this building permit. 2Liy 144 gnc FL./itt 1 (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 performed and accepted. c/ bit Signa of Owner • S. e of can (JM 10 CU'�t "I IY 6,b.Prier Print Name Print Na e PA,/ /7 , Date Q:FORMS:OWNERPERMISSIONPOOLS 6/2012 h 4.0 I+ k -i-t Town of Barnstable 4, *s•tis . Regulatory� 90e ices Services '*,..,..,,,s39.1 aA MA ABAIt Thomas F.Geller,Director � Building Division Tom Perry,Building Commissioner \--- 200 Main Street, Hyannis,MA 02601 www.tovvn.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village :HOMEOWNER": name ome phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to dude owner-of, upied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a licens',provided that the owner acts as supervisor. DEFINITI6 N OF HO/ •WNER Person(s)who owns a parcel of land on which he/she resides or.ntends to eside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to suc use . a or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. uch' omeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible or ,II such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for complianc• w• i the State Building Code and other applicable codes, bylaws,rules and regulations. • - The undersigned"homeowner"certifies that he/she understands Town of 6. stable Building Department minimum inspection procedures and requirements and that he/she will comply with s.-a procedures .1d requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 ubic feet or larger will be required to omply with the State Building Code Section 127.0 Construction Control. HO OWNER'S EXEMPTION The Code states that: "Any homeowner per'orming work for which a building permit is •quired shall be exempt from the provisions of this section(Section 109.1.1- icensing of construction Supervisors);provides hat if the homeowner engages a person(s) for hire to do such work,that s ch Homeowner shall act as supervisor." Many homeowners who use this exemptio.'are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licens'sig 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 a are of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify t at 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 caret amend and adopt such a form/certification for use in your community. C:\Users\decollik\AppData\Local\Mic,osof\Windows\Temporary Intemet Files\ContentOutlook\QRE6ZUBN\EXPRESS.doc Revised 053012 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION • Map kr Parcel 7 J Permit# S o �1'- 0I z� ( Health Division Date Issued i Conservation Division C% /ZOO/ P ..---- . Fee lk q q, coP Tax Collector ' S'G :T=-'r`' SY M MUST BE Treasurer ,c-rr� � (,64-L-/4-_— 1,/L. 02iJ s ' I f O PLIANCE Planning Dept. 6 'Q; CNMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis , Project Street Address >Z.9y I\A 1 b?7 xJgf 1-,Z.b Village C.-� c SJ a-Y'nS\- 2� �, ci"" W � dr Owner t �_ � �5�� Address . Telephone 3 6�yX 51�6 G /� • Permit Request y r 2 X � - 3 a ela-rn,c,• VT ,(-An4-v--4- a ,..7-1---k- . Square fee1st floor: existing ( t D G proposed d 2nd floor: existing G proposed 0 Total new 0 Valuation /( ,00 0 Zoning District Flood Plain Groundwater Overlay Y Construction Type Lot Size / A f Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family V Two Family ❑ Multi-Family(#units) Age of Existing Structure 1 9 `72 Historic House: ❑Yes On Old King's Highway: ❑Yes liNo Basement Type: arull ❑Crawl ❑Walkout ❑Other . Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) - Number of Baths: Full: existing new Half: existing t new Number of Bedrooms: existing 3 new b)5 - —"k ae^^-\`e- Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: l t as ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 0,1 Fireplaces: Existing 1 New Existing wood/coal stove: ❑Yes Jo Detached garage:0 existing ❑new size Pool: 0 existing ❑new size Barn: ❑existing ❑new size . Attached garage:®'existing ❑new size Shed: O existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ flit/fid Commercial ❑Yes ❑No If yes, review# site plan Cfr1 Cal-ii Current Use Proposed Use 1 BUILDER INFORMATION Name P1&Lek L G`.1' �� Telephone Number ?6 - 52.-C..E, Address p1 0 License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE G —26 -0/ FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ) - - MAP/PARCEL NO. ADDRESS r l VILLAGE OWNER - )_ R DATE OF INSPECTION, 6t I FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH - FINAL FINAL BUILDING DATE CLOSED OUT rti . • a ASSOCIATION PLAN NO. 11, I Ile IL UW11l UI 11.1)du 113a611.11.,11AG : BARNSrABLE. 9� �$ Regulatory Services --To)wta{a Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 6 -26 -0 P JOB LOCATION: Z4 IN"`k p t�� /`�+' C-31-) M ttip 0 0 number street village "HOMEOWNER": `1- ` y9 fled SV— 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. 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 procedure and require a ts. • 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 persons)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&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 of this issue is a form currently used by several towns. You may care t amend and adopt such a form/cenification for use in your community. Q:FORMS:EXEMPTN 1*:3-7 evi °1 " *t5L91 • I., ti(ir V(;) 1) PAP/L F" 1 ,----\) G6L)-"/Q 14(( ) , Wv L --1 . - ) I.,,, 6tE:Atc.i. ___",\ locc-'- 2..k.I )(n Pry 1412 —