HomeMy WebLinkAbout0070 RAILROAD AVENUE , _. . ,
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 12Agt, Parcel 9,51 °.®2-4" Application # 3
Health Division DNirPte Date Issued 4
Conservation Division Application Fee
Planning Dept. Permit Fee n /
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Address O (Z I \\, `ail (ate PV v
Village
Owner 62jeNrk, t e��.��l,,�j Address 2 ��� c� e.w� �& Q ,M
Telephone -;)9, — I l O ® (/\\O
Permit Request ,Q'wa.. Nc Ai A u.,n,. yA S _I
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 7 ) 0-0 o Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family X Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: bikYes ❑ 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 1 '' new:: ci_
Number of Bedrooms: Li existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas Oil ❑ Electric ❑ Other
CO
Central Air: ❑Yes No Fireplaces: Existing r New Existing Enlicoal stove: t]Yes 1 No
Detached garageN 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 U
Commercial ❑Yes jg No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER) °2
Name C c A ,4 \ \ ® Telephone Number LVN`AC30k.- J
Address (K\,:evv• License # �1 P
Kt'"(\:) K ®lckL‘ Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTIO D• BRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE \.'" \\:)-•,% �1
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FOR OFFICIAL USE ONLY
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' APPLICATION# - . •
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DATE ISSUED '
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MAP/PARCEL NO. .
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ADDRESS • - VILLAGE
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OWNER '--, . ......
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DATE OF INSPECTION:
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FOUNDATION -
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FRAME t. ''l •
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INSULATION
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FIREPLACE
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. k ELECTRICAL: ROUGH FINAL . I
PLUMBING: ROUGH -.. FINAL . ..,
I GAS: ROUGH ' FINAL
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FINAL BUILDING i
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DATE CLOSED OUT. •
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I, ASSOCIATION PLAN NO.
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,Town of Barnstable •
4o ( Regulatory Services
,1
snRxsrBi a Thomas F. Geiler,Director
�� ��� Building Division
oA 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
} Please Print
DATE:_
JOB,LOCATION:,— Al . V--fl.\\Ncbc: la-"()\ �V‘_`t\VC:' \)r'N('
• �— , ' b�+ number tr.,.y, street - village
frzt
name y home phone# work.phone#
...ICIT-- -- w; .\ i
CURRENT MAILING ADDRESS: R—a\O_\\�_' �(ya `,
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. •
Th dersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
min'm m inspection rocedures and requirements and that he/she will comply with said procedures and
requt em•nts.
, gnature`' omeownner 73
21.1
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 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:forms:homeexempt
•
OF THE Tp�
BARNSTABLE, •
, : 1 To of Barnstable
Re latory Services
T • as F.Geiler,Director
ui ing Divisio
Tho as Perry,CB
Buildin.. Commissi er
200 ain Street, Hyannis A 02601
www.town.1 rust. 1e.ma.us
Office:,508-862-4038 / Fax: 508-790-6230
roperty. O ne M st
Corn ilete and Sign T Section •
•
If Using A Bu' s -r
1, � ��vim ` ' �'�-7d�-t , .s Owner of the subje property
hereby authorize to act o my behalf,
in all matters relative to work authorized 0 t building permit application for:
v _ ;�► kvQ,
(Ad re,s of Job)
llr
Signature of 3wner Date
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc
Revised 072110
_ -. )0 / 670 &
. Ot1HE, . Town of Barnstable • *Permit#
OExpires 6 months from issue date
a' . >a' i, , ., Regulatory Services Fee .fg. 3,..,
BARNSTABLE *�
MASS. '�+,,,0 0
4004 9\ �' Thomas F.Geiler, Director
�y - Building Division
)�OWNot: r is trs
/IF NNS!Apo, Torn Perry,CBO, Building Commissioner
Ltz
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number �5"\-C\ C.. 2--�
Property Address '1' _qa p ° , `'. -4
\� Residential Value of Work 1Q)'0 0Minimum fee of$35.00 for work under$6000.00
... a �.�.
Owner's Name&Address (4.: C\.'e"\v , r`t . 4\s. 5z E�,
P.
r �
:�\ \
'.i v� (.��,�!�'a\.•\ ...Li is..._.is..._.\_�. 6, t.) G. L\l g\. tA N % \ ,
Contractor's Name $ O 0 k Telephone Number +-- T t ' S 3 .; (
Home Improvement Contractor License#(if applicable) r' U n
Construction Supervisor's License#(if applicable) g O
ITZWorkman's Compensation Insurance
Check one:
❑ I am a sole proprietor
CQ. 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)
14Re-roof(stripping old shingles) All construction debris will be taken to R/04\lm. (--Ai!1. \.6-\\ ';)'A
❑ Re-roof(not stripping. Going over existing layers of roof)
t
❑ 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.
SIGNATURE: X t4 t-
Q:\WPFILES\FORMS\building permit form'XPRESS.doc
Revised 070110
•
�
Trti Town of Barnstable
Regulatory Services
• BARNSfABL E •
q�\ i�LAa9 /� Thomas F. Geiler,Director •
'°''foMid BuiIding Division
Tom Perry,BuiIding Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
I i
Property Owner Must_'
Complete and Sign This Section
If Using A Builder
I C—.S"Y \\
Owner of the subject property
Russ
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of Job)
\.2\A-NV
5igna e Owner Date r W�
1 =‘.6 \ 5 0`\
Print Name •
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the reverse side.
Q:FO RMS:O WNERPERM ISSION
l I
Town of Barnstable
��OpTHE 1pr,
„�. �Ar. o . Regulatory Services
swxrvsrwst r e I Thomas F. Geiler, Director
Huss
Is
�,, ib39- a/ Building Division
rEn MP t
Tom Perry,Building Commissioner •
200 Main.Sireet,_Hyannis,MA02601
www.to wn.b arnstab l e.ma.us -
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
•
DATE: \ ` �`°44 .
JOB LOCATION: CV '' A.NA "-V`
number -+� street /I Pvillage
•
"HOMEOWNER": C• � \ ,ts\\* . .r ^b�}\ G` 6-Q liVI:- ' S I-sit% ,?...,
name home phone# work phone# •
CURRENT MAILING ADDRESS: .\&. S', 1n......-
•
city/town state zip code
•
The current exemption for"homeowners"was tended to 'o elude ov%nei--occupdie dwellingsf o six units or less and
to allow homeowners to engage an individual for 1. e who .oes not possess a license,provided that the owner acts as
supervisor. f /
DEFIN NN`9F HOMEOWNER ' .-
Person(s)who owns a parcel of land on which he/she isides or intends to reside, on which there is, or is intended to-
- be, a one or two-family dwelling, attached or detaches s, ctures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-;ear aeriod shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official .. a fb -. acceptable to the Building Official, that he/she shall be
responsible for all such work performed under the uu ilrling p;rmit. (Section 109.1.1) r,.J t
The undersigned"homeowner"assumes respons'sility for comp'..ance with the State Building Code and other
applicable codes, bylaws,rules and regulations ,
i
The tuns rsigned"homeowner"certifies that,se/she understands the own of Barnstable Building Department _
minim , ,s section procedures and requirf .1
-�..fents and that he/she will ,ouiply with said procedures and , .
requirem:. �___ - ,,f iiii•-r ( ? "'"--.,4--- „4 /
.:9z)
Signature of Hoii caner
Approval of Building Official r ��
Note: Three-family dwe , gs containing 35,000 cubic feet or larger will be equired to comply with.the
State Building Code Section 127.,0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any omeowner performing work for which a building permit is required sh--I be exempt from the provisions
of this section(Section 109.1.1 -Li •ng of construction Supervisors);provided that if the homeowner engages - person(s)for hire to do such
work,that such Homeowner shall as supervisor?'
Many homeowners whusc this exemption are unaware that they arc assuming the responsibilities of a s ,•ervisor(see Appendix Q,
Rules&Regulations for Liccnsin Construction Supervisors,Section 2.15) This lack of awareness often results in seri s 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:fornu:homecxcmpt