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Town of BarnstabA5
0'"E RegulatikPOPvC3s
'►� i�, �` Thomas F.G 'le IeDinectork±if !t: 17
* BAR /� ' Building PIVisi I
\63%
Eomo°' Tom Perry,Building Commissioner
— 200 Main Street, Hann' _ _
www.town.s'* � j jJ ni a.us
Office: 508-862-4038 Fax: 508-790-6230
PERMIT l .5 l t FEE: $ c31
SHED REGISTRATION
RESIDENTIAL ONLY
200 square feet or less
•
4l1/ ua�2-00 kAu6 , . ft t5
Location of shed(address) Village
GADe&-ET-- el A2LtA) L t
Property owner's name Telephone number
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Size of Shed Map/Parcel#
/ /3
Signatur Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
If over 120 square feet,you must file with Old King's Highway c,
A/ Conservation Commission(signature is required)
Sign off hours for Conservation 8:00-9:30&3:30-4:30
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A
PLOT PLAN
Q-forms-shedreg
REV:052813
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" �� - APPROVED
�� � -� . ��, i� AUG 14 2013
i �� /� Town of Barnstable
$./ 4 / - Old King's Highway
Committee
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240 MAIN w'T., AeJ7 )T E 1 ;
I certify that this property is located CERTIFIED PLOY PLAN
in flood hazard Zone C (outside the 500 y�
fr4
. ,.
year flood) as identified by the Depart- LOCATION 5� �'. �r� . 9sr•
-went of Housing ,and Urban Development(HUD) • SCALE , /•._, ' DATE Ric:. 9 C
Date AcAG.. f /996 ey Iv 0, PLAN REFERENCE , .�¢ +s • . .. ..
• �Ga�E EDWARD `� 'M/a� Z 7.J. . .!: .�'7vs .:f...�. .. . .
\!'�► Ia t 0 1 t,eyor . . •. . ... , .
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•
`'�s!RACIST► C�P• . .. . .. .
I CERTIFY THAT THE ar!S"Af q ,494'/44"1"
I certify to its title insurance company SHOWN ON THIS PLAN IS LOCATED ON THE GROUND
that there are no visible ®YlorOaChment8
AS SHOWN HEREON AND THAT 1T CONFORMS TO THE
SETBACK REQUIREMENTS OF THE.TOWN OF
• or. easements except AS shown and that this ..449 A s., ¢.E. , ,WHEN CONSTRUCTED.
plan was prepared under my immediate •
supervision, . DATE .. .,.„ . .. et
..
ge dreier y .7 /x. A A I6" ....PCB. REGISTERED LAND :SURVEY
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
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Map I Parcel Permit# "-7 ""a
Health Division
SE06A 1/ /I7t72 J�,� Date Issued 10 '4`F SI
Conservation Division iSa /o D E c? Fee �' S
Tax Collector O-- /d/3/6 �k" ��-�
Treasurere. t0 s3 UioGit°® 9/11--/I:c4i,,Plannin Dept. 4GChecked in By ' J
9 �
Date Definitive Plan Approved by Planning Board 4$4 Approved By
Historic-OKH Preservation/Hyannis
Project Street Address I- D u'ZV O Uer LA Al c
Village .BAR NS in 6-L IL-
Owner?iot ,27- .j 1>s[r 4L-L1J( Address 444d('b(0&LV0US (Box 1IEll)
Telephone 509-361- 4'L it
Permit Request (R&MDL/& arc ' t- -2)0°2 • t2 E---rL14C & W,Yz-1 LA,ALL
(11,AI?)o 4,0 , /66--11 Ale S6-I rt‘(CL -3. iX 4iT `lQ1 i av+A T zt/
)v s i)At I UO CJ j 'e 10 fOo 62/i/ . SC
Square feet: 1st floor: existing proposed 2nd floor: existing proposed f otal •;- w
Valuation, 4v Zoning District Flood Plain Groundwater Overlay c:,
Construction Type t)00 r2MinC.- cJ, ~J
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation; "
E )
Dwelling Type: Single Family a Two Family ❑ Multi-Family(#units) _ cn =
Age of Existing Structure /SS— Historic House: a Yes ❑ No On Old King's Highway: J Yes ENo
I
\asement
Type: ❑Full M Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) 6
Number of Baths: Full: existing 2 new Half:existing / new
Number of Bedrooms: existing If new
Total Room Count(not including baths): existing 9 new — First Floor Room Count
Heat Type and Fuel: 0 Gas ❑Oil ❑ Electric O Other
Central Air: ❑Yes 41.No Fireplaces: Existing 4- 3 New Existing wood/coal stove: ❑Yes 1E1 No
Detached garages xisting ❑new size — Pool:❑existing 0 new size-- Barn:l existing ❑new size -
Attached garage:g existing ❑new size Shed: ❑existing ❑new size — Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use - -- - - __
BUILDER INFORMATION �j
AName $LLr Arncwr►c,✓" Telephone Number (�,"i>!! i 3 96,
Address License# .
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE /a 0
•
FOR OFFICIAL USE ONLY
_t •
..•;-
IERMIT NO.
. •
ITATE ISSUED
MAP!PARCEL NO.
ADDRESS -• VILLAGE
OWNER
• •
DATE OF INSPECTION:
FOUNDATION
iZ4
FRAME C:3/C -0
et
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INSULATION . •
FIREPLACE
ELECTRICAL: ROUGH FINAL •
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL •
FINALBUILDING PrZ--
DATE CLOSED OUT
•
1
ASSOCIATION PLAN NO.
Town of Barnstable
co.THE To''' Regulatory Services
ads',
• sAxxsTeaix, Thomas F.Geiler,Director
741, 1639. lb.�' Building Division
• • Tom Perry,Building Commissioner
•
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
ice: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
•
DATE:
JOB LOCAT-1O13: � �� )Ea i)O us- L /a uc Q XS �3r:cs
number street village
"HOMEOWNER": r` DefA `/ az-c 8-36a._ '6 U
name home phone# work phone#
CURRENT MAILING ADDRESS: P O e o w it 5-q
15 fI R u S 7191e LL /v1 4-- O a G3 o
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 procedures and
Cement
Signature of Homeown
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.Q 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 caret amend and adopt such a form/certification for use in your community.
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t>`troia- te•T1oN P.L. "APP IrION . •
040 H4U N I . --
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I certify that this property is located CERTI Fl ED PLOT • PLAN
in flood hazard Zone C (outside the 500 .-t-
year flood) as identified by the Depart- LOCATION l3'2ovsnq -, �,gss•
ment of Housing .4nd Urban Devebopment(HUD) . '
SCALE , ♦" , • .,, .DATE R4!c:.9/9,.4,
Date Ac•G PLAN REFERENCE ,;q;s sc-4F.Q2, s, . .. . .
4 EDWARD • // 'M04:p Z 7 . . . 3zc . .5 Z . .
-s. ....r 4 �.r...
• %OM° Meyor •
I CERTIFY THAT THE /s7?"G 8 .A/Airs
' I certify to its title insurance company • SHOWN ON THIS PLAN IS LOCATED ON THE GROUND
that there are no visible encroachments AS SHOWN HEREON AND THAT IT CONFORMS TO THE
or easements except as shown and that this SETBACK REQUIREMENTS OF THE.TOWN OF
.fi q. IVS'T19�GlC WHEN CONSTRUCTED
plan was prepared under my immediate . ;
supervision. . DATE , ,,i, ,.„ � �`
.. �0QC .r y le .T.�yQ' B, iAt:4 / art ,. k• REGISTERED LAND SURVEY
•
IMPORTANT
1
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ANY CONSTRUCTION THAT INCREASES LIVING SPACE
BEYOND 1200 SQ. FT. PER LEVEL HAY REQUIRE THE
r' INSTALLATION OF ADDITIONAL 'SMOKE DETECTORS.
NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE 'INSTALLATION OF SMOKE DETECTORS—THE ELECTRICAL
PERMIT DOES NOT SATISFY THIS REQUIREMENT.
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,,�TME r4 --, Town of Barnstable *Permit# S-?7 '9 PP--
, .4,, 9. Expires 6 months front Issue date
11 sz�B Regulatory Services Fee � !'�
�0'� Thomas F.Geiler,Director
Building Division .
Tom Perry, Building Commissioner
200 Main Street, Hyannic,MA 02601X-P P`ERMIT
ffice: 508-862-4038
508-790-6230 Ails 2005 •
EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY
Not Valid without Red X Press Imprint TOWN 01- 13�R�5���L�
arcel Number �1 1 1. 32—
Address LH R_ei fd-e_z_ voos Lv
.esidential Value of Work
. Minimum fee of$25.00 for work under$6000.00
er's Name&Address Ma bee-- ,Ai L .
Po Ey )18L / 8A'C,OSte-6LE AAA- 02-b3O
'actor's Name 1 Z" CAZI-e t l A- . Telephone Number (- -,Y I-1-1
Le Improvement Contractor License#(if applicable) 103-1 I LI
truction Supervisor's License#(if applicable) O2-,Lo 3 C
orkman's Compensation Insurance .
Check one: ,
0 I am a sole proprietor .
❑ I am the Homeowner
7 I have Worker's Compensation Insurance
rce Company Name Travg\e{s7rios
kman's Comp.Policy# '1 P� E. 00'1 6 6 Co y A o
y of Insurance Compliance Certificate'must be on file. •
't Request(check box)
F1 Re-roof(stripping old shingles) All construction debris will be taken to 6tV MO 1, �,`
❑Re-roof(not stripping. Going over existing layers of roof) '
❑ Re-side
. 6°,sprAK6
El Replacement Windows. U-Value (maximum.44) 0
01
'Where required: Issuance of this permit does not exempt
empt compliance with other town department regulations,i.e.Historic,Conservation,etc. •
***Note: Property Owner must sign Property Owner Letter of Permission.
Home.Improvement Contractors License is required. _
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o- Toh; Town of Barnstable •
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Regulatory Services
• B Szr BLE,a Thomas F.Geiler,Director
��D µ- <I' Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must Complete and Sign This Section If Using A
Builder
I 'Wrier Y i-- L , as Owner of the subject
property
hereby author ze` t6 C C ; to act on my behalf,
in all matters relative to work a thorized by this g permit application for (address of
lob)
-Liki iervde.zvous L,Aioe / 1-NAJ
c ST /I D
ignature 0 - r Date
,x Toi:54-Pi 9, AL c J
Print Name
>_`." M ..."rr .? '1.:'y..T ,y ,3 14 .i. .r.`t_ . -i f 1 .!. . ,
Q:FORMS:OWNERPERMISSION
•
Town of Barnstable .
�°ft r 1,, Regulatory Services
4P ass', 90
Thomas F.Geiler,Director
•)annxsreat E, •
Building Division
4� i61� ,0 • -
.eEo t 4 Tom Perry.Building Commissioner •
200 Main Street, Hyannis,MA 02601 .
)ffice: 508-862-4038 Fax: 508-790-6230
COMPLAINT/INQUIRY REPORT .
• Date: 3-i`f —fOO`f Rec'd by: Gt/611/e/G/
•
•
Complaint Name: . Map/Parcel , 7 9 - 0 3L
Location
Address: • M ReHU z mr/S L/9vv e
•
•
)riginator Name: 10. 8. Rai-R D 4f ,//e,9L T, I '
Street: • •
Village: State: Zip:
•
Telephone: 0 .
2omplaint Description: • 0iD eg.9) i i1/‘. C -,° •cep cy/e .
Orpr Of e/i,ti//G/9,2G'E , • •. .
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✓ lieig /Per.✓ CGo f(,'A/,c ARTA2,,9iv ,y✓ .1
FOR OFFICE USE ONLY •
nspector's Action/Comments Date: 3- iS lee 4 Inspector: 'Gt/4./kiel/ Y
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