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' ,,,,,,,,.,..g.. ,-,,,, - ---- _-__ IA , ) (a-2 I ti ot" Town of Barnstable *Permit# Regulatory Services Expires ee 6 mtn'hslywir issue date 413 -- -- 1639. n'� Richard V.Scali,Director - -- I A - - - -.- ld�t! •--- - - llll(�1IIIT'1�>tUtl l_�__ - - _ 4 V�—TOWN OF BARNSTABLE 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 O I Not Valid without Red X-Press Imprint Map/parcel Number Property Address �`2 7 o' i, V fr �i /J% (e 36 ®.Residential Value of Work$ c OO. co Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Cji 4, ? lky P4/0.441) Oatvog;dk 0,02,Z 36 Q ll Contractor's Name kChard �A arT Telephone Number cog 217� -S- t � 9 �7 Home Improvement Contractor License#(if applicable) /30 z'7.3 Email: Construction Supervisor's License#(if applicable) CS - 0 6 ?99/ ❑Workman'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# ------ -- 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(hurfic a� nail )(not stripping. Going over existing layers of roof) Re-side A . ❑ 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: Wil/ha ; sue ' Q:\WPFILES\FORMS\building permit forms\EXPRESS. odic Revised 040215 sAInv rABI.Ei Town of Barnstable PtD MA Regulatory_Services .. - - — -Richard V.Scali,Director Building Division Thomas Perry,CBO 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 /Voi/ V j `/ L , as Owner of the subject property fp � p P hereby authorize j2 i C Gird Fo7ar!y to act on my behalf, in all matters relative to work authorized by// this building permit application for: \ 3 /41d bePri. 3VrW (Address of Job)• ture of et Date \/64 f7g, Print Name If Property Owner is applying for,permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 Town of Barnstable ;: Regulatory Services c r�irf, Richard V.Scali,Director �j, �� Buildin Division i gszasr a. ' Tom Perry,Building Commissioner Ttb �639., �� 200 Main.Street, Hyannis,MA 02601 D MA'I A www.town.barnstable.ma.us . Office: 508-8624103 8 Fax: 508-790-6230 ',\ HOMEOWNER LICENSE EXEMPTION Please Print DATE: i JOB LOCATION: \ number ?\ street village "HOMEOWNER": \ name '\ home phone# work phone# CURRENT MAILING ADDRESS: ‘\ - city/towh state zip code ' The current exemption for"homeowners"was extended to include owner-o cu ied dwellin s of six units or less and to allow homeowners to engage an individual for hire who does not possess a lice n ,provided that the owner acts as supervisor. \ DEFINITION OF HO OWNER Person(s)who owns a parcel of land on which h\e/she resides or intends t reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures acessory to such use d/or farm structures. A person who constructs more than one home in a two-year period shall not be considered ae omeowner. Such `homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be res onsible fo all such work erformed under the buildin ermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for ompli a with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands a Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with sal. .rocedures and requirements. Signature of Homeowner {e f e / i Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger 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 b ilding permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Su\rvisors); provided that if the homeowner engages a person(s)for hire to do such work,that sucli Homeowner shall act as sup isor." i Many homeowners who use this exemption are unaware that they are assumin the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for LicensiniConstruction Supervisors,Section 2. 5) 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 awarr 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\F RESS.doc Revised 040215 t t 5-7-- ' Parcel 6 G/� " Permit# � /Conservation Office(4th floor)(8:30- 9:30 I 1:00-2:00)- Date Issued e'i 5 q 7- B7'.2 oard of Health(3rd floor)(8:15 -9:30 I 1:00-4:45) 1P-/Yo C4/4. Fee 1'l ), 3 Engineering Dept. (3rd floor) House# mm. SEPTI u . '. " `� UST SE INST �� Lri i ig t3ua 19 AL `. / PLIAAICE ENVIRONME�IVTq:CODE AND ® �, TOWN OF BARNSTABLE T®�N REGULATIONS Building Permit Application TIOtiS Projec reet Address 33 P410 in/ �a 4A I 0 Village B/ W5%/9-6,b-e-- Owner Jam©11 Ai p' Jar v.e// i`Q... X lie.y Address 3,3 PF¢ okfri i nlD 4 re.. Telephone sue 3 6oZ--,fir 6 Permit Request /NS779-LL— /v1; x so I //t1 q .a cl`J ct S cO i `1 ii,c r a/, Pa d L- First Floor square feet Second Floor square feet Estimated Project Cost $ 4 Q go® ,o 0 Zoning District Flood Plain Water Protection ' Lot Size I / it'e— Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use // Proposed Use Construction Type ,ST->°�'k Weil Iu I ill, Li/0 69 suityitiAtiv Po(o L Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure -4 //tS Basement Type: Finished Historic House Unfinished A. Old King's Highway y ,S , t, Number of Baths 3 No.of Bedrooms 3 Total Room Count(not including baths) ( First Floor Heat Type and Fuel qAS Li-A) , Central Air Fireplaces es Garage: Detached Other Detached Structures: Pool Attached i/ Barn . None Sheds Other Builder Information ,rtn Name ie i C.,4.44.0 S e,n)05L1 9 Telephone Number Sb e'`r?& 1s �7 OA Address /0 pe_ To/4.o L-a, License# 0 O q G 3 5 Uo---�l d^D 7/2 1 C Q_(At 1)t(I,e_ wit/q- P Home Improvement Contractor# l0 6 00°i Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO %o(4/) luF'iL ioSIGNATURE 0 /I► DATE 6 /`Ai 7 Eav INFuRAIT Ili z10 I FOLLOWING REASON(S) ) ' _ FOR OFFICIAL USE ONLY - ys PERMIT NO. J 6 M.w DATE ISSUED . Y 1 �..4 MAP/PARCEL NO. t i , ' z •- 1' 'a n - s ' t.,, PRESS a VILLAGE f„ - 'N i _ OWNER , - fi t 1 . . DATE OF INSPECTION: • •• FOUNDATION - FRAME,' .. . ; y ` INSULATION . . FIREPLACE ' ' - • ELECIRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL _ . GAS: RO3H at I-- r FINAL - • cr a 14 1J k" Q i . FINAL BUILDING 2. 5 :_.• „� ' San ce- Q ' DATE CLOSED OUTS 0 .i. 1 .- ® �! O ~ 1 _ t. ; ASSOCIATION PLAN N -= 1 f ` Tfl S Q 1 ; , f Z • • • 41: ° The Town of Barnstable • S Department of Health Safety and Environmental Services 1 `° Building Division 367 Main Street,Hyannis MA 02601 Office: 508.790-6227 Ralph Crosses Fax 508-775-3344 Building Commis For office use only Permit no. ' Date E//`(/Cr? AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,.removal, demolition. or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to=mums which are adjacent to such residence or building be done by registered contractors.with certain exceptions,along with other requirements. , A / I%)vim Type of Work: /°4)14`C S Gt.)l fr' «c ray Est Cost Address of Work: 33 A(o ih i"jp Doe, aid /(e_ 1QL� r .1ac-4Qv/i -'- - eef 1-1 Owner Name: Date of PermitApplication: ti I hereby certify that: Registration is not required for the following reason(s): • . Work excluded by law Job under S1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREtri,irttti1 CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE II ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 14 SIGNED UNDER PENALTIES OF PERJURY Qe, 7CD0 I hcrcby apply for a permit as the agent of the owner: /2c. /4MO Sedo5k1 /06OO 01 Date • Contractor name Registration No. OR ' • n,,A Owner's name 1 . > . +.1� ON LANE MANS ' ��E - - N79•67 09 03 R£_3o -o o i� 1 LOT 105• • Z 7 k LOT _'24.8' V9 ""--39f 133' ` .-_-_-o, IQ\ S ,�.� w 0) O tl 14.T_ --' tZ 7LI_ " Z r7 m m .� Q 1 (1‘;') o \' N89 40'30"W 150.98' — LOT 104 - This Plan is For "C" RES. ZONE. RF-1 MORTGAGE INSPECTION Bank Use only FLOOD ZONE. C TOWN: BARNST6&L& — _ — — REGISTRY OWNER: JOHN v & JACQUELINE KELL '_ — DEED REF: 5Z24/118 — — —BUYER: _REFINANCE _ DATE: 4/ 92 — PLAN REF: 280/55 _ _ _SC ALE:1". 50' FT. I HEREBY CERTIFY TO PLYMQLTIII_M RTGALI._Cla OF THAT THE BUILDING ��P`vr+ 114ss4„ YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS ,,: PAUL la CONSULTANTS SHOWN AND THAT ITS POSITION DOES ____ CONFORM . A. TO THE ZONING LAW SETBACK REQUIREMENTS OF THE 3 MERITHEW y 143 ROUTE 149 98 sr OF &A& �'TA$I '____.._______AND THAT •o No. 320 o MARSTONS MILLS, MA. 02648 IT DOES_ 1VOT F LIE WITHIN THE SPECIAL FLOOD HAZARD �'ss GiSTER�� TEL TEL: 428-0055 .AREA AS SHOWN ON THE H.U.D. MAP DATED 8�19a5__ °yat i.M&0 FAX 420-5553 Cnmunity-Panel 250001 0005 C 'iJ THIS PLAN NOT MADE FROM AN INSTRUMENT 8525 DPG �` );`W P SURVEY, NOT TO BE USED FOR FENCES, ETC. ' ' ,i ., ii 4 0 tb60{ 9 iCi ila.,M6 Wf-,4 . {Wfi�➢j*044k . 'Ira v . 'i ...' iallltit.4. 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A'41..;.' *71j,11 . • ; • 'Zl J S° Q ' , T„.......rrd.xt; ,1.....,?•,,, t.,A+01 ,m. r r 4 .-, --A 14.7" - . % .,t "'"..-1.=.---4.#-- -...,...x, 1......1 . ..:,„v ,f - -. ,,-.„:, , ..-,,f..,,--;;•-•,, = ;..-,. •-,.m.1-`, • =' -= -,,,t,,,,,e.,.- , , -4A.'•,,,:4.-'0%:.•% , }r, :. !:._5-.. CV :II 1:',-04:if. ."11. • '1:-,.- ,- ick'J.- . — • ' N co 1 - Nz.,,e:'4,.' .£, -"- - .'41.".'-'4' ' „ 1 ..t- 1701,.11.-,,,• . .41. (\i' ,N A 1 y ' Cl . , •,,,,,, .1,44,-,. , I. / \ ' ---/ f*Qnr,:i.„!sr • N8940'30"W 150.98' ft " - .• t,;i-V-e.,11141',,i 4,,6-' ' - "ti, .„.;kt , '-'-'•-,'.,4, .-'i,-,.4f1, 1 " - , ,-17,...:,' '''4'- , • LOT 104 ,„•:.0,7 f'...,..t •iV, .: V 44°-"1 s,. • .. .it'.; 4,4#,.... .. 4 tr.' 4:ellt`-'s,V '', '',1-4.':11•''1,.;',.".In:, 14,,,,e. -: RE'S,.ZONE "RI'-)" This MORTGAGE INSPECTION Plan is For FLOOD ZON.e:ifeic .1- ":;&,---; Bank Use Only. TOWN. _.17.4&&5.T4.B _ _ REGISTRY OWNER: JOHN V & JACQUILLIN_E iffiu2y___,1---. DEED REF: _57,2410_ _BUYER: _RZFINANCE_ DATE: _44Z/92 ____ _ - PLAN REF: 280/55 SCALE:1,,= 50' FT. , .,...,..,..,..„ I HEREBY CERTIFY TO PLIALQIIIILMORT_GAG_ ' V . ,tr<ToF THAT THE BUILDING .?>--- lIA, YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS s'..% PAUL , CONSULTANTS SHOWN AND THAT ITS POSITION DOES ____ CONFORM .,,,, A. r, _, TO THE ZONING LAW SETBACK REQUIREMENTS OF THE _ c., M E R I T HEW (f) 143 ROUTE 149 TOWN OF __ BAlibldrAR.,a -0 ...Nio. 3209.y cr AND THAT ./, .,F? MARSTONS MILLS, MA. 026413 p IT. DOES NOT LIE WITHIN THE SPECIAL FLOOD HAZARD l'ip ecis-0-°,,z('',/ TEL 428-0055' • ' AREA AS SHOWN ON THE H.U.D. MAP DATED8.49.,z_o_...5__ ,,,, c„...‘ „ ...,vNA, uktio ---- FAX 420-5553 Cmunitv—Panel # 250001 0005 C a. ', THIS PLAN NOT MADE FROM AN INSTRUMENT I PAUL A. ERI EW, PLS SURVEY, NOT TO BE USED FOR FENCES, ETC. 8525 DPG . .:.:.,.....14,1- .., 44- • • Nej.'4)• y' • 30 ( Engiikering Dept.(3rd floor) Map /4' Parcel O9/ Permit# / ''7 House# Date Issued 7- '3 -9/(6, 141.1111.7111""71.11" Fee « , r 11FF;nalAth41 , - �pf iNE . BARNSTABLE. MASS Nor FD TOWN OF BARNSTABLE Building ilding Permit Application ._ect Street Address 3 2 �� �. rn I►o..)c OR J.A Village (k.11,eN 14 , 6.;6 3 0 Owner J O h h) U 1 2-9-�Q 2v� Address Telephone a Permit Request 12Q iUZy Stlyvki. SA/45(sz First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ ° C1'QO Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No.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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ['None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name ,iyiJ P/La 2 ) Telephone Number Address `7/ % /9-a(.5 ayl C//Z License# ('j-,1,u /Yi,. Home Improvement Contractor# // 6 Worker's Compensation# l,U e /3/0- S/go`? 363 a/Y NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO )4'2.7n - � � I SIGNATURE DATE � BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) rcINE ►'�f �� The Town of Barnstable : BARNSTABLE. : a= 'EL MA1311659. 1Department of Health Safety and Environmental Services 72 " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to residence or buildingbe done byregistered contractors, with such � structures which are adjacent to . certain exceptions,along with other requirements. Type of Work: / -Q Est.Cost � � Address of Work: nrvu .zr__D Ore . Owner's Name F✓AG v V-e Q Q..e.ca._ Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. a // s-3g Da Contractor Name Registration No. OR Date Owner's Name