HomeMy WebLinkAbout0361 OLD JAIL LANE OW,
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oFzME r� _ Town of Barnstable
Expires 6 months from issue date
}F Regulatory Services Fee
t A�ANRI'IAi.F., t
� , ,b� Thomas F. Geiler,Director
'OrEo MA't�
Building Division
Tom Perry, CBO,. Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.bamstable.maus
Office: 508-862-403 8 Fax: 508-790-623 0
EXPRESS PERMIT'APPLICATION - RESIDENTIAL ONLY
Not Vafid without Red X-Press Imprint
Map/parcel Number
Property Address (;.1 0lei _Ta-q L-a--&e,
Residential Value of Work 4/ 5_0 Minimum fee of$35.00 for work ender$6000.00
Owner's Name&Address Ba.U C c
TA
Contractor's Name Telephone Number <::�O S �3 ( —(b -
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
PRtSS PERM,
❑Workman's Compensation Insurance X- T
Check one:
❑ I am a sole proprietor NOV 2 2 011
I am the Homeowner �;�+��� �� ��RNST���,�
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp. Policy#
-opy of Insurance Compliance Certificate must accompany each permit
'ermit Request(check box)
Re-roof(stripping old shingles) AlI construction debris will be taken to HAJ vU C_J�.
❑ 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: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License& Construction Supervisors License is
required.
GNATURE:
WPFILESTORMSIbuilding permit formslEXPRESS.doc
visf-ri non I I n
y �1 Town of Barnstable
Regulatory Services
9 Thomas F. Geiler,Director
HAM
1639. 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
HOMEOWNER LICENSE EXEMPTION
f Please Print '
DATE:_ Zg 1
C_ O:Lo �J. ,c>STA13 L number street village
o"HOME :� o - /lam L ,g�✓E (� � 3 6 2- � p 3 G
name home phone# work phone#
CURRENT,MAILING ADDRESS:_-�a �3aJ�_ f Z 0
LD 2 630
city/town state zip code
The current exemption for"homeowners"was extended to mclude owner-occuwed 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.
DEFINMON 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)
I
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 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/certification for use in your community.
Q:farms:homeexempt
.rE DIME
Town of Barnstable ti
Reulato
g ry, Services
A Thomas F. Geiler,Director
Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyarmis,MA'0260I
www.town.barnstable.ma.ns p
Office: 508-862-403 8
Fax: 508-790-623 0
Pro e t
p ty Owner Mu't
Complete an Sign This " ection
If sin. A Builder
I,
4 , as Owner of the subject propetty
hereby authorize
to act on inp behalf,
5'
in all matters relative to work authorized by,tl� bull pest .
G
(Address of Job)
Pool fences .and alarms are the re onsibilitp Ffo f the applicant. Pools
are not to be filled before fence is in talled and•pools are not to be
utilized until all final inspections e performed and accepted.
,i
Signature of Owner Signature of Applicant
PtintNatne
Print Natne
'4
i
Date
Q:FORMS:OWNERPEFJv MSIONP00LS
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j. yoiTNfi�+ TOWN.OF BARNSTABLE Permit'IVo.
BUILDING DEPARTMENT
aeaan TOWN-OFFICE BUILDING Cash
.639
..an
unar HYANNIS,MASS.02601 Bond
CERTIFICATE OF USE AND':OCCUPANC . .
Issued to
y Address t
T n.4 '3E1 7 2 G� n1 -1 T 1 .r
D 4-
USE GROUP FIRE'GRADING 'OCCUPANCY LOAD
THIS`PERMIT.WILL.NOTL BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING,INSPECTOR UPON ,SATISFACTORY. COMPLIANCE 'WITH TOWN
REQUIREMENTS ANWIN.ACCORDANCE WITH,SECTION'119A OF THE MASSACHUSETTS STATE
:BUILDING.CODE.
Building Inspector
f i
t
rt
B U I L D I N G
.-TOWN OF BARNSTABLE, MASSACHUSETTS PERMIT
JOB WEATHER CARD
DATE 19 PERMIT NO.
• APPLICANT ADDRESS
IN0.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) DISTRICT-
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE).
REMARKS:
AREA OR PERMIT
VOLUME ESTIMATED COST $ FEE
;
(CUBIC/SQUARE FEET)
i OWNER
BUILDING DEPT.
ADDRESS BY
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY 'STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OF
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
"'ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
s 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALLNOTBE OCCUPIED UNTIL
MEMBFINAL INSPECTION
TI To LATH). FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEFORE
OCCUPANCY..
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTIO APPROVALS
1 � �
2 2 Z ';7 fir 11'
42----- ----- _ i ,��i
3 HEAT:NG NSPECTiNG APPROV LS R IO PE VALS
c
O T H E F 1 2 EM--_'--------------__-.---- ._--_ z -, �'�G`]I ffa I
^7NCT PROCEED UNTIL THE VU'-L AND VOID IF CONSTRUCTION ' INSPECTIONS INDICATED ON THIS CAR:
,kS APPROVED 'HE VAR1r,Uc _ ,HIN SIX MONTHS OF GATE THE CAN BE ARRANGED FOR BY ELEPHON!
DNS':-RUCT;ON. OR WRITTEN NOTIFICATION.* ,
f ABOVE.
o ..
Assessor's'offioe-(1st floor):\\ ► ` SEPTIC SY
STEM MU f rye r
Assessor's map•and lot number` ..a 7 7-� .2........ ,=; I�ST�►LLED IN COM .,' ,A
Board of Health ;(3rd floor) WITH rJ�g 6w. TITLE i
f Sewage Permit number . ......:....................... [_;M!v ME
ENT AL B 9 LL,
Engineering Department (3rd floor): +ooe9
�
House number ............................. OYpY
APPLICATIONS PROCESSED .8:30r 9:30 A.M. and 1:00.2:00 P,M. only}
TOWN OF BARNSTABLE
BUILDING 11HSPECTOR '
� ll
APPLICATION- FOR PERMIT TO .....is J �.`........ � ? ... �.. .... .
TYPE OF CONSTRUCTION ...........1 .C 1'�6:.......: ...............Z-... �� ..............................
+ .............. LIS... .............19.(?
TO THE INSPECTOR OF BUILDINGS: `
The undersigned hereby applies for a 'permit according to the following information:
Location '.. ...........F ................C�. . .........
�L.........-:1...-................. KJ{i.....,.......... ,.0 ..................... '
Proposed Use ..................................................
............�.!�?.C� . ....... .�!M�.�v�. ...... ...�.�n!LC.............................
Zoning District ................................................ .....................Fire District ..............................:. fs . �.........
�f
Name of Owner.,,Jti ... . .......�� 4 .....Address. ....................................................................................
Name of Builder ......--r,.�.......Address 2. ...... ......�G
Name of Architect. .......Address
Numberof Rooms .................. :...........................................Foundation Vim.. .. .........-POV........ ........................................
Exterior 1�.\ . ` I�l'.C�Q$. .. � offing ..... .`5. ..... 7............. ftC(... .��j ► 1
Floors '+ .......................Interiors L�1•� !!`........4? � ,. .ff LEA S
6
Heating ..IPOW...........tvzj..........(as,1..........................Plumbing .........
Fireplace ........0. k.................................:.... Ap
................0.../#proximate Cost'...... � (7�d
{..................................................
Definitive Plan Approved by Planning Board ________ ___________ ___19_u __ . Area ..!.:^...�..! . S r
Diagram of Lot and Building with Dimensions Fee a�
.........�....,..,..n.......................
SUBJECT TO APPROVAL OF BOARD OF HEALTH01�'�.
Lou
ry
OCCUPANCY PERMITS REQUIRED FOR NE DWELLINGS
I hereby agree to conform to all the Rules-and Regulations of the Town of Barnstable regarding the above
construction.
Y Nam?ction
.... ....... ....................................................
Con Supervisor's License ii ( V
-,$NOW, JOSEPH & JUDY
Permit for ....Two •Story............ y ,,
Single- Fami1X Dwelling.... ................
.,2
> Location s.....Lo..t.. #.1..7..r......3..6..1....
. O...ld J ai.l....Lane
..... ........
Barnstable
PC
Owner`......... Jose.>?h..&..JudY..Snow
Type of Construction Frame' 1
YP
..............` ... ............................
Piot .... .... ............ 'Lot` ... ...........................
(r ♦-- riles . ,.
.K wA 4 I J . � ��1 �..wr�� .n. K •
',,-Permit
.r August 19' �t
, Permit Granted ...............................�......19 86
Date of-Inspection ~
yi Dae Completed .. / .19 -
'_ i
I `• V A� (yj, • ,
,�• : `.� 6' �,•�� .ram !"y� `'?a � 1 . ..�-.�, <'\{� f j.:� � '� � ,+ � .. . _ _ ^i -
Cqr..
ter- , .a,• ♦1 '�. ��
Y
S66046'5111W'
300.00':
o Lot 17
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S66046'51"W
av 300.0
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scale 1"=60' Lot 17 Old Jail Lane, Barnstable, MA
Book';389 ` Page 12 ,
Client:.,Coy's. Brook Inc.'
I CERTIFY THAT THE F NDA ' bfxflN YS
PLAN LOCATED AS .SHOWN THAT IT
IS
PLOT PLAN OF LAND
BARNSTABLE
CONFORMS`TO THE TOWN OF located in•
ZONING BY LAWS.' `I FURTHER CERTIFY
�G' BARNSTABLE `:, MA
THAT TFIE FiINpA' OLJISIOWN= HARE DOES SNOT �P�SH oF,y9 1 1. prepared:for .
FALL WITHIN THE;100 YEARF FLOOD ZONE
ow
AS DELINEATED ON F.I.A. . COMMUNITY MAP n 'Ju
GREOGEG: ; y
Jose h ad d "Sn
LOMBARDO
250001 0005 -CDATED 8/19/85.
F wz
'sAAWT' rm
{: Po c�o'3 a'Q� - e g77-
• r F �STER' `�. '
r ON,SO
P.E.. ALE
August- 15, 1986; Job # 8605D1 yf Forsyth Ave;,' S. Yaxtmuth, MA
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