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1 �:
Town of Barnstable:.. ermit: Q I('
Regulatory.Services Dater
, da Richard V.Scali,Interim Director `
ImiFee: o
Building.Division
Tom Perry, Building Commissioner
NAM
a 200 Main Street, Hyannis,MA 02601 ��
�A
www.town.barnstable.ma.us 1411
1
�V
Officer 508-862-4038 Fax; 0-62G�FA
' �q30 T
TOWN OF BARNSTABLE raw
SOLID FUEL STOVE PERMIT Iv0.
Owner: "0 D O V FP j�L P��E Phone:
Install at:1QbY�P 5 Village:
Map/Parcel: - t.3 Date:
Stove
AN /Used
B TI'. ype: Radi /Circulating
C. Manufacturer: Lab.No.LJL /Y
D. Model No.: sill
Chimney
A. New/ xis ' (If existing,please note.date of last cleaning) J;J—�-, 05
B. Flue Size��Qa.
C. Are other appliances attached to Flue? no
D. Pre-fah Type and Manufacturer
E. Masonry: 42E Unlined 25S SPA
Hearth ��1
A �
Materials: 4✓tl
B. Sub Floor Construction: LVA&ek
Installer M GItT
Name: Address:Qt) Q6 - IC91 W1R d5
Phone:
Location of Installation: "ee D
H.I.0 Registration# 1a08 466
Construction Supervisor# r r —p,5
OR check_Homeowner Installing,no license re uired
LICENSED INSTALLERS SIGNATURE:
APPLICANTS SIGNATURE: . --
APPROVED BY:
Please make checks payable to.the Town of Barnstable
*_This constitutes an ociatstovepermit after inspection,photographed, and approved by the
Building Inspector
Q:forms:stove
Rev 11/4/13
..0
t
1
oFTME Town of Barnstable
�. Regulatory Services
IL
MAM Thomas F.Geiler,Director
i6396
'' Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnsiable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using;A Builder s,
I, AV C� as Owner of the subject property
1
hereby authorize ��� 4 C j to act on my behalf,
in all matters relative to work authorized by this building permit
2-r) 1114"-L V.p" L A
(Address of Job) 4,2 �„ L
*Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
Signa e of Owner Signature 4 Applicant
Print Name Print Name
Da
� g
QTORM&OWNERPERIVOSIO rPooLS 0012
�tME Town .of Barnstable
Regulatory Services
sAaxsTA U. : Thomas F.Geiler,.Director
MASS
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
Please Print
DATE: J I ..
JOB LOCATION: l 2 C h!/l Z V S e 1�1 -C� <.,"1 v' �/� (C n,
number street village
"HOMEOWNER": 1 c-K P 4 a D
name home phone# work phone#
CURRENT MAILING ADDRESS: 0
04 � �- �� � l� � GZb 3,o
city/town to zip code
The current exemption for"homeowners"was extende o include own r-occu ied dwellings of six units or less and
to allow homeowners to engage an individual for hire wh does not po sess a license,provided that the owner acts as
supervisor.
DEFINITION O E. ER
Person(s)who owns a parcel of land on which he/she reside or in to reside,on which there is, or is intended to
be,a one or two-family dwelling, attached or detached struc es ac essory to such use and/or farm structures. A
person who constructs more than one home in a two-year pe d s not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form c table to the Building Official,that he/she shall be
responsible for all such work erformed under the buildin a (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for co ce with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she unders dh the wn of Barnstable Building Department
minimum inspection procedures and requirements and that eish will 0 1 with saidprocedures 4�' mp y and
requirements.,
Signature UHomeowner
Approval of Building Official
Note: Three-family dwellings con g 35,000 cubic feet or larg`;! will be required to comply with the
State Building Code Section 127.0 Constructi Control. .
MEOV44MIS EXEMPTION #
The Code states that "Any homeowner p orming work for which a building peerrmi`t is required shall be exempt from the provisions
of this section(Section 109.1.1 -Licensing of cons ction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervis
Many homeowners who use this ex tion are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Constructi Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed perso . In this case,our Board cannot proceed against the unlicensperson as it would with a licensed
Supervisor. The homeowner acting as S sor is ultimately responsible.
To ensure that the homeown is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/sh. deistands 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.
'Worms:homeexempt
-3
�oFIME, Town of Barnstable *Permit# (/0 6 .23
Expires 6 months Tom issue date
BMWS kX, : Regulatory Services Fee 00
9: Thomas F:Geiler,Director
4'prED 'MA 1a`� Building Division X-PRESS PERMIT
Tom Perry, Building Commissioner JAN 6 2003 ^
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 - -TOWN OF BARNSTABLE
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number 7 6
Property Address �-� 1 L��� s dib Us. L�9id�C Af R,/r/S'7XdZ C�- /4J - .O 2 1613
[Residential Valueof Work 3S 00` v 0
Owner's Name&Address
�G�D/=Z. t/�v.P ail// �9r1/�'l��l l �r.�• G 2 �� 0
Contractor's Name Telephone Number /— l ��2—2��
Home Improvement Contractor License#(if applicable)
Construction Supervisor'.' License#(if applicable) C C 6 2�3`/
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
.Insurance Company Name A,14,re6'
Workman's Comp.Policy# G � c 3
Permit Request(check box) , 01- S&I'V G'L/-
0Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (mmaximum.44)
❑ Other(specify)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
Signature
Q:Forms:expmtrg
Revised121901
;• — TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map; 2 =Parcel G a d �; Permit# 0
Health Division " ' Date Issued
Conservation Division;, Fee P'?S..evo
Tax Collector P #4L
Treasurer
Planning Dept.
Date Definitive Plan A roved by Planning Board
%Historic'-OK 4� Preservation/Hyannis
Project Street Address CV 0 t,4/��
Village
e
Owner �' C/�4 � �IN�G R S�� Address /?q R111b1 -Zb'e%)S 44),V!
Telephone
Permit Request X 6 )O/ 1- &22ys1 AI44 4 L,-Y) 11114
"Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Estimated Project Cost 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 ❑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
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: Cl Yes O No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other:
1.
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
.commercial ❑Yes ❑No If yes, site plan review#
,Current Use Proposed Use
BUILDER.INFORMATION
Name A`�,D /_= G- well" Telephone Number Z-
Address /T�X 3,73 License# G 2 6-1'.3
44 _ ���3 U Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 6r9R� Tr1i1&1 L4/Y06J LL
SIGNATURE DATE G
FOR OFFICIAL USE ONLY _
PERMIT NO.
DATE ISSUED 1 {�
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER' » 10 .
DATE OF INSPECTI
FOUNDATION
FRAME
INSULATION ' _
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
• GAS: ROUGH FINAL `
FINAL BUILDING
f
- I
DATE CLOSED OUT f
ASSOCIATION PLAN NO.
BA8rf8TA8I� : v1�iiiZiG7W"■FA%W
9 � Department of Health Safety and Environmental Services
c � Building Division
367 Main Street,Hyannis MA 02601 `
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building'Commissioner
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
i
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: g1l)T L S�//NFL//�/ Estimated Cost ZG oo-
Address of Work: /2 L.11 >_= Z ko V,S
Owner's Name: /- S'o/f/
Date of Application: L/Z/9 g
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job Under$1,000
Building not owner-occupied
❑Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME EUPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner.
5
Date Contractor Ngime Registration No.
OR
Date Owner's Name
q:forms:Affidav
Engineering Dept. (3rd floor) Map. Parcel U 36) Permit# Z:Zq 0
House# /4;z Date Issued 4
\ Board of Health(3rd floor)-(8:15- 9:30/1 00-4:30) Fee APPLICANT IfusT 9BTAT A$MR
ENGIN$B$II+JUNo TO D11118IOEi TO Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) S ( CONg78U
Planning Dept.(1st floor/School Admin. Bldg.) OFTME i
Definitive Plan Approved by Planning Board EZ
19
- BARNSTABLE.
TOWN OF BARNSTAELE
Building Permit Application
Project Street Address
Village / c es o
iFi1�fT�?L �tt,y: 2
Owner C644 (/ice L �. X s,4�1%1 �re,41 Address
TTee phone 3 e2 .?eS,O
Permit Request
First Floor 20V square feet Second Floor square feet
Construction Type Sr/CI< /E/r,Ai1�iA141
Estimated Project Cost $ e;?o oa _ --
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure qO 0 610 o Historic House ❑Yes ❑No On Old King's Highway ❑Yes to
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 M/lectric ❑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)
r ❑None ❑Shed(size)
❑Other(size)
f�K
Zoning Board of Appeal:7No
thorization ❑ Appeal# Recorded❑
Commercial ❑Yes If yes, site plan review# -
Current Use Proposed Use
Builder Information
Name �4i(//JIt' Telephone Number 3 e2 2 421
Address lf�32a.t'3; .3 y �/r'.4 /_=2 Cl.- License# G 3
ZM.f/.f rA L/_= , i0A - c C, c Home Improvement Contractor# /V 7 T
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
SIGNATURE 1✓ ,� DATE
BUILDING PERMIT DENIED FOR THE FdLOWING REASON(S)
�l/
3
FOR OFFICIAL USE ONLY r '
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER r '
DATE OF INSPECTION:
FOUNDATION I
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH - _'FINAL
PLUMBING: ROUGH FINAL
GAS: 9; ? ROUGH FINAL
F, m S; -
FINAL Bltj j &G
aR0
«.
DATE Cb% OUT
ASSOCIAr�;%L4 PLAN NO.
T
�tz*Vous-k La
777—Z
roti d ,
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The Town: of Barnstable
Department of Health.Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crosses
Fax: 508-790-6230 Building Commis
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
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements.
Type of Work: Ad.D i I-1h Al Est. Cost a,,
Address of Work: 129 /PlsiVb'4�zyyys
Owner's Name C°f-44 PFG
Date of Permit Application:_
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 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.
D to Contractor Name
Registration No.
nR
f
' EXISTING FOUNDATION
f
EXISTING CRAWL SPACE
Cast Alum ad.
_ I screened vent '
NEV CRAWL SPACE cv ( I Cut new access opg 24"wide
Fnd Vent by full crawl space height
Walls on 20"x 12"ftg
17'_2" ALTERATIONS&ADDITIONS to the RESIDENCE
Of
Mr.SAMUEL I..
A. ANDERSON
129 RONDEZVOUS LAND•BARNSTABLE•MA
ALGER E"4rprbn Project No:AE9702
STAM F.ALGER,JR
38 LEONARD DRIVE Date: 032897
OSTERVILLE MA
FAR 02655 - 2416 DWG NO /�
Td: 508428-2383 Fu: 508 428-23 83 , ■
GENERAL CONTRACTOR SHALL 4} G
VERIFY ALL DIMENSIONS AND of
N CONDITIONS ON THE SITE
Scale` 1/8"= 1'-0"
FOUNDATION PLAN
•'i
r i l—
•::->;::� 2nd Floor
f.;::>:<-i. `• v ----L_�' 1st Floor
Plate co
1 .
7,'—'f.L 1st Floor
i i i
Line of existing
projection
Proposed Addition
�`•�J�t ALTERATIONS A ADDITIONS ro the RESIDENCE
' mayOf
Mr.SAMUEL I.
A. ANDERSON
129RONDEZVOUS LAND•BARNSTABLE•MA
ALGER E.r�rk" Project No:AE9702
STANI.EY F.ALGER•JR
168, YA38 LEONARD DRIVE Date: 032897
OSTIMVILLE MA
F 02653 - 2aI6 DWG NO
• Tel: 508 428-2383 Fax: 508 428-2383
GENERALVERIFY
ALL DIMENSIONS
SHALL
AND3 a
1 VERIFY ALL DIMENSIONS AND Of 4 .
CONDITIONS ON THE SITE
Scale: 1/8"= 1'-0"
PROPOSED NORTH ELEVATION
7
1
1
..........
..._....
1 .I................._ .:
_______ ____._
..........
f __ _ _ _ _ ....__ _
............................
..................._....
...._.....
...
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........_ ..........._
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.............
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rr _ �r
T -1 T. .fill] i.C:_--- i r\fit.
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Proposed Addition
yl
1 ALTERATIONS&ADDITIONS tothe RESIDENCE
of
Mr. SAMUEL I. A. ANDERSON
129 RONDEZVOUS LAND•BARNSTABLE•MA
ALOER E.wyo
ST -6- Project No: AE9702
AI F.ALGER.JR
q 38 LEONARD DRIVE Date: 032897
/ OSTERVILLE • MA
FAR 02655 - 2a16 DWG NO
Tcl: ERAL-2383 Fu: OR SHALL
3 b
•.,' GENERAL CONTRACTOR SHALL
VERIFY ALL DIMENSIONS AND Of r�
Scale: 1/6"= 1�-0" CONDITIONS ON THE SITE
PROPOSED WEST ELEVATION
' � 1
Ir
1
1�.
1..
MAR a 19
�O'SYS I, d' CA I T L A.31
31L
�k,.wr.gi O� 1'� ,v'f 1
1�
A?pc�
Assessor's office (1st floor): _ �("
Assessor's` map and lot number .....�. THE T
Quo 1"0�♦
.. _ ,
'Board of Health (3rd floor): /��� S/�����. .MUST CONNECT TO TOWN SEWER
Sewage Permit number 2 EAHdsTADLE,
Engineering Department (3rd floor): p N6}9•AM
• f
House number ....:.............................L.z. e �o r p•
Definitive Plan Approved by Planning.Boar ---_--------------------------- �a
........ ...............
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2i00 P.M: ohly
. A p p Ro v --TOWN. 'OF � •BARNSTABLE
n$ blc Coc 3rvation Con, 7 U I L D I H G . 11 S•P E C T 0 R
Signe&PPLICATION FOO MIT TO ............. /..j........... � '...............:.....................................I...............
TYPE OF CONSTRUCTION ....—C- f�:...� 1��......................................................................
L o,
1....�...:........19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a-permit according to the following information:
Location ...... vS:.....L.,4,ly ,ryr- ....—..:..............:.................................
Proposed Use �lilr. T.:....�3 /,!Qooil .................'.............................................
' ' ..................Fire District ....... /
. A/Q/1/�'T /.3'L _.
.Zoning District ... ........ ......................................... �........
G L 1 o %
Name of Owner ..-X/ ... '. -.y-.... � �.. .:..Address .....z......................
...... ,r................
Name of Builder .. ^ID / C' = L.. ...... .......:.Address y / Cf�......�.T.... -� �'c.N..Sf!QLC
,..1........ .......... ..................
Name of Architect ..... /L/%% ..r.�.. L fifi�C. D.�.T.r��.. � .`.J=.....................................
......... �f ..... Address .............. ..
Number of Rooms ........3............... ...............................:......Foundation
:.........................
Exterior .............-S/,/ Iq lx................. ............Roofing ......i �'....�!/.c'.� .....,�'tl�l�� 1 L�..............
OFloors InteriorL
r eating �oT....fA.........................r
........................Plumbing .......... ...................
Fireplace ...........J)la/U/
N...................................:.......Approximate Cost ...:.................. ....
A,r sEoS
Area . ........
Diagram of Lot and Building with Dimensions Fee D...�...��...............................
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IN o v o 6 10,4R G IN 6-
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
' Name ..... .. '...
' Construction. Supervisor's License .....G.23................
s AND'ERSON, SAMUEL I A.
o 325.40; Permit for . Btl .d dd7�. z.t?1i
Single :FamilyDweling - -'
o
129 Rendezvous-Lane r
Location ...... .. ..... ......................
stabl Barn e '..................1
C)wnerf Samuel Ili A .• Anderson.....
- '
Frame -
Type Hof,';Construction �..... . 4, ! .................• r
... ...... .....! } ...,.1 ?. _.................
Plot .......... ........ -iot`_..................................
' January-,5 8 9
Permit Granted .............................l..........19
Date of Inspection Z
// .....19 `
Date Completed ....:.. Lam!.. '� .19
rat •� �� - . t � 1 1 � � Y
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