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Home My WebLink About0135 PALOMINO DRIVE "V! I1f4 4 im .......... je itIk,'t Town of Barnstable *PermitSS ��_ � nths from issue date pERMO Regulatory Services Fapires Fee i MAW Richard V.Scali,Interim Director SEP 18 2014 Building Division TOWN OF BARN STA erry,CBO,BuildingCommissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION -- RESIDENTIAL ONLY 2 3 Not Valid without Red X-Press Imprint Map/parcel Number Property Address J3 f Pk /"10�7 O D/ I/�1��,G� t° i"')/T � 3 d uN Residential Value of Work$ 7 J Sd Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address -- 13 S Rt ll,tl;V7o �� ins tbi 02�3U r..nntrartnr'c Name Telerhona Nnmher Sod Home Improvement Contractor License#(if applicable) 11-13D 53 Email: 7,n, kP�f y_� Construction Supervisor's License#(if applicable) [ ]Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [2 1 11dVC W u1k01's cullipc11sahull imultulue ran�a(`nm Pali., Tame- /J 1 4 Pali., G F/ -^� Workman's Comp.Policy#_ (}ZZ L/N .7 /—2" U Copy of insurance Compliance Certificate must accompany each permit. rcuiiit i`c-ilcat'(Cucck uva) 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 Lj 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. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: T:'utr V-1 EKBm'iding Changesw-"RESS rr,Rivu I EAFRES;N.doc Revised 061313 r fd �� 9ARNSTAbIE,MMM , Town of Barnstable Regulatory.Services 1 �ara_v cc terim_nircctor. Building Division Thomas Per.—i,CEO Building Commissioner, 40 Mo ivlain Street HTyni s'l.TTM 0260 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 P roperty Owner iviust Complete and Sign This Section If Using A Builder 1, 14"*J f )� flip ' , as Owner of the subject property hereby authorize --Tim k �C� �/1� to act on my behalf, in ail matters reiative to work authorized by this buiiding permit application for: l3SP I Ali on ®� /S r��roco �4T.,1.1 Signature ofe Date )4 Print Name R4 ff Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse sine. TAK vuv 1YGWiding CnangdE?rxi Ss rrnivuT\ru-rrEss.d0c z Town of Barnstable *Permit#02 0 d Q,] f Expires 6 months from issue date PERMIT Regulatory Services Fee MAY 10 2007 Thomas F.Geiler,Director Building Division n TOWN OF BARNSTABLE'om Perry, CBO, Building CommissionerC!L- 200 Main Street,Hyannis,MA 02601www.town.bamstable.ma.us Office: 508-862-4038 0 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY r� Not Valid without Red X-Press Imprint Map/parcel Number / �Z p 7Prope Address Residential Value of Work Q® Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address AdIJ07S � Contractor's Namete Telephone Numb 1q Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) V ❑Workman's Compensation Insurance C2o k one: I am a sole proprietor ❑ am the Homeowner I have Worker's Compens tion Insurance Insurance Company Name Ix"hA e Workman's Comp.Policy# 6 Copy of Insurance Compliance Certificate must a on file. Permit Request(check box) , ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Rjecside g Replacement Windows/doors/sliders. U-Value (maximum.44) *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. copy of the Home Impr ment Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 3 Permit# '314R- Z Health Division -6/70 71ff Date Issued I I y- Conservation Division Fee �, ✓`` y Tax Collector TreasurerSFF.p7� � Planning Dept. d�-^ - Date.Definitive Plan Approved by Planning 1=1 Board, , N x !,F% . NS Historic-OKH . - 8 Preservation/Hyannis >k Project Street Address Village c ��3 �I L br Owner Address Telephone -74 2— Permit Request Q /Z /�f /g �l ,C <G��?t/��iS �� ,SSA, 424A71=i�111'/ Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Estimated Project Cost ;, aria Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes %, U1qo On Old King's Highway ❑Yes ur' o 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, Number 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 Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 0XIG If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name �1 Telephone Number � �57 Address//o a_7X/7,VW_A2 B License# A< :Z e 8 Z z1 Home Improvement Contractor# 70� Worker's Compensation#48'GcJI,3Q7 2 916 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO J7� . SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO.1 .;, , 1 �, � ._' `. ' ''•t �ADDRESS `VILLAGE � r ' `_ . r - �- � •� � `._t ,, y r_ ; • t OWNER i E `t `- �i + ` - .T - ` • DATE OF INSPECTI - d'_J p t FOUNDATION z {' � FRAME INSULATION FIREPLACE _IVA ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH - � FINAL GAS: ROUGH FINAL , FINAL BUILDING DATE CLOSED OUT ASSOCIATION,PLAN NO. ! o�THE t� The Town of Barnstable • gAgNgpAaT r - 9 MASS. Department of Health Safety and Environmental Services fo ai'�� Building Division 367 Main Street, Hyannis MA 02601 Office: 508-790-6227 Ra1ph Crossen Fax: 508-790-6230 BuiIding Commissione- For office use only Permit no. Date 11_14!�' 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 structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: 1_2 X/B/ Est. Cost Address of Work: /✓?� ,� �� 'DR Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under 51,000. 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 t e owner: Date Co ctor Name Registration No. OR Date Owner's Name A. PLOT -PLAN FOR LOT! Indicate-location of garage or acaesscry buildiag XIditic=with dashed lines sl llt gin disp=al (cesspcwlJ (l.oti......:............fL.rear) Abuttor' ` Name , Rear Yard l:ot is is a °• �o '4W- u Tf this isa :r lot, � .,a ccrae_-lot, �{ •`z. writs is • Sideyard HOUSE Sideyard other sccet. it. Set Bads -4W •• (Lat..:.:.:.....:::..:::ft: floatage) *775 /., Suppled by Mark North PCiut a(Z �3A�uSTeal L �� -.. �/xG p-r posT • � f Z c c N� cs.A de efts r Baas i� sQ4 V Tar7'.s6ftL*1.124f a orb r+rjP p •. T zinc'P�.sr.SuD�� Q flA4 r McA6la' Engineering Dept. (3rd floor) Map Parcel CAS ermit# House# Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee025,do Conservation Office (4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) �° � ®Definitive Plan Approved b Planning Board 19 WRY eAAivsrne�e OW OF BARMTABLK Building Permit Application 4ectgt6ess /Z5. Village. Owner tiv/ _14y 9�, �/J�ddy Address S! / O p Tk Telephone (vZ 3ilJ B' Permit Request � i/�`/� t- ,� �.cJ�O � C. v�(J/ � c�hzit�/� l/,Z 0077F G /n//11a .i�ls�a✓ 7'b Zad F ILIA 2 eed-25 f:402-07Z-j —5-6-7f'L- First Floor square feet Second Floor square feet Construction Type de, Estimated Project Cost $ , oelf Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes No Dwelling Type: Single Family 2' Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ddFull ❑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 7 f-�jZZj Telephone Number !t2 Address�� - -�,��/r 7 �r�'r License# d S'` 0 3 2- eZ ' � u Home Improvement Contractor# Ze6 74%a Worker's Compensation# e'jO al,6r8GrJ 9<?r�Q 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 SIGNATURE DATE G5— BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) I a FOR OFFICIAL USE ONLY PERMIT NO. � '. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME _ INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH' FINAL GAS: ROUGH FINAL FINAL BUILDING bfl r DATE CLOSED OUT ASSOCIATION PLAN NO. IL r ' . ---'.may � • - - - -._...- •• The Town of Bams#Able : t Services Department of Health Safety and Environmental Building Division 367 Main Street,HY=nis MA 02601 Ralph Oros= 50&790-6= Bml C mmissconc 3og-T75-3344 Y For office use only -permit no. Date /6-/s'� � AFFIDAVIT CONTRACTOR HSIIPPLEM OT To PEPERMIT APFUCATION� cdo alteratiaas;renovation, °�°O�Qn' MGL c 142A requires that the"ranastra n' on of an addition tc'any P1e- CIW= �ed improvrmeat..rcmaval. demolition. or cow units or to wltI.sjch are with eatain building containing at least one but not mots than font dwelling a��. along with other to such residence or building be done by registered==ctors, ` 'type of Wow Do - ESL Address of Work: >�35/` /0`�� d •�� ' pa-na.Name• Date of permitApplication: I herehr certify that: Registration is not required for the following reason(s): Work aciuded by law Job render SU00 _Building not cww-0=4ned Owner pulling am permit . Notice is h=by gh-ea that: RS OWNERS PULLING THEIR OWN PEANUT OR DEALING WlTfixIIPltEOT ELAME G �, FOR APPLICABLE HOME IIAPROVEMENZ' WORK DO CESS TO ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.I42A SIGNED UNDER PENALTIES OF PERSURY I hereby apply for a permit as the agent of the owner. 10Y7f�� . / J-ij- G 2 �7� •-��'" '� � Ration No. Date OR '