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0110 SALT ROCK ROAD
Po MM9 , .._ 1 4 ..,:,. °n r ° ¢r a ^ ^ 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �I Parcel bob Application #6Z0 Health Division . Date Issued Conservation Division Application Fee _ O-a Planning Dept. Permit Fee J '0 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address (( �� -o C r Village la a KA.b le, Owner 1 rA A r P &CUA A Address 5a(n Telephone S()s �). V) 3669 1 Permit Request AAA �-4 C� IoSC, a+1d c�•" r��i� nsw_iub'On -to -A e afire• A�A V'3 3 cej�% Jose �Y-o -E-I,� ce;Ii�is. f��d 14 � �s[g,ss -M 41,e..: �rsemeA+ 61< RIL Pt r rLejkl , t, ooc plaAf, aa bagmeA wi'+h a an 1� m Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation � �00 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: ❑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:::.4 -- Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ C::3 Commercial ❑Yes No If yes, site plan review# P0 Current Use Proposed Use —�+ APPLICANT INFORMATION r_ (BUILDER OR HOMEOWNER) Name IM C,C LwS lape, 5a.v , .Telephone Number 318 03 4 8 Address RKn+1(Ali f) A irp, License # 's. "(.0 4 a4 , l l'►I ► �a 6 U Home Improvement Contractor# � �-1 ` 9D Email Worker's Compensation # W W C X3 6 a41-j ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE I �� As FOR OFFICIAL USE ONLY 4 APPLICATION# DATE ISSUED MAP/PARCEL NO. 7 ' ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME e INSULATION 's. FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING e `DATE CLOSED OUT ASSOCIATION PLAN NO. S. • 1 Tow. -n.-.Of Be • tory smico ' ''em�ss av scAb*odor. TontYerry,Bedb�ng�omac 2Q4MeinS�roo�$ymn�s:�14.0�601 , www ¢ffit� �Q,B-$.d�4038• Vic: 508-70 OWIISt is all .rela �o oad aimdbpt'iis bnu*klrogpera*gpli mtian for. "PIDOlk6ris aaA& _aie-.dieie e-a �:auaG Pools iosp, s a po .ae - i► , A W—Ael -6-AMood 6�srco%w% YAM to . r T Town of Barnstable .*Permit# ®/��C12 I k Expires 6 months from issue date Regulatory Services Fee— 3, 7 S • snxxsTnsi.E. • M"E&� 639� Richard V.Scali,Director A�� i RFD I�AA't Building Division � � KnMIT Tom Perry,CBO,Building Commissioner tl 200 Main Street,Hyannis,MA 02601 JUL $ ZQ� www:town.barnstable.ma.us Office: 508-862-4038 TOWN 0 - R, I O� EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY f O Not Valid without Red X-Press Imprint Map/parcel Number Property Address ilia �r VZoC_r PA Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �A2�ta2A ��t�22(�►..� Contractor's Name Am �io.z� LC iaJ 1�-• Telephone Number 77y-9gy_mjj Home Improvement Contractor License#(if applicable) Email: 3e 6 M A►1.CO3A Construction Supervisor's License#(if applicable) C,S` 0 (00q ❑Workman's Compensation Insurance Check one: I am a sole proprietor` 03 ❑ 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 Re uest(check box) ,r Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to 7A2K0L."1A 5 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ 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 hOwner must sign Property Y Owner Letter of Permis sion. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\bw ing permit forms\EXPRESS.doc Revised 040215 y 19. Town of Barnstable 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 as Owner of the subject property hereby authorize A6S C�o�� a.� +2ir � � to act on my behalf, in all matters relative to work authorized by this building permit application for: SA AT (Address of Job) ignature of Owner f e 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 foims\EXPRESS.doc Revised 040215 Town of Barnstable , Regulatory Services p'FIKE Tqy Richard V.Scali,Director Building Division ` * BMWSTABLFE * Tom Perry,Building Commissioner 039. 200 Main Street, Hyannis,MA 02601 Ep s www.town.barnstable.ma.us Office: 508-862-403 8 'q Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ; Please Print , DATE: JOB LOCATION: number street, village P` "HOMEOWNER": name home phi ne# /` work phone# CURRENT MAILING ADDRESS: w city/town state i` zip code The current exemption for"homeowners"was extended to include o er-occu ied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a 'cense,provided that the owner acts as supervisor. DEFINITION OF H MEOWNER Person(s)who owns a parcel of land on which he/she resides or intends o reside,on which there is,or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use an nrf farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Suchh" meowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be res onsible for All asuch work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for complianc with a State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands r e Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures `d requirements. Signature of Homeowner Approval of Building Official . _ Note:_Three-family dwellings containing 35 00 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 homeow�� r 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 wo o>�that such Homeowner shall act as supervisor." S S Many homeowners who use this fexemption 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 adoptisuch a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doC Revised040215 ,. r The Town of Barnstable Department of Health, Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 1 Ralph M.Crossen Office: 5084790-6227 ' ' Building Commissioner Fax: 508-790-6230 Home Occupation Registration Dater ZZI �l Name: Phone#: Address: �/D < � ! •� �` village: _ � e Name of Business: / r Map/Lot: Type of Business: UMNT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings, subject to the provisions of Section 4-1.4 of the Zoning ordinance, provided that the activity shall not be discernible from outside.the-dwening: there shall be no increase in noise or odor; no visual alteration to the premises which would suggest anything other than a residential use; no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector, a customary home occupation shall be permitted as of right subject to the following conditions: y residential dwelling trait, located • The activity is carried on by the permanent resident of a single within that dwelling unit. • Such use occupies no more than 400 square feet of space• residential buildings, and • There are no external alterations to the dwelling which are not customary in there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. smoke, dust or other particular • The use does not involve the production of offensive noise, =o °therobjectionable effects. matter, odors, electrical disturbance, heat. glare,humidity o • There is no storage or use of toxic or hazardous materials, or flammable or explosive materials, in excess of normal household quantities. the Customary • Any need for parking generated by such use shall be met on the same lot containing Home Occupation, and not within the required front yard. • There is no exterior storage or display of materials or equipment Occu Occupation, other than one van or one There is no commercial vehicles related to the Customary P pick-up truck not to exceed one ton capacity, and one trailer not to exceed 20 feet in length and not to exceed 4 tires, parked on the same lot containing the Customary Home Occupation. No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business, the street address shall not be included. No person shall be employed in the Customary Home Occupation who is not a permanent resident of the • dwelling unit. I, the undersigned, have read and agree with the above restrictions for my home occupation I am registering. -Date: Applicant: �--- Homeoc.doc TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# � Health Division til/A Date Issued a Conservation Division } Fee-4 G F '� 1 Tax Collector Treasurer.�_ %'�/yy� - PlanningDept. w M' Date Defini iv Plan Appro ved by Planning Board Histe�ie�- H gannis ' ,Project Street Address Village B S & , Owner Address (15a m Telephone " 1 J� Permit Request 6b 061A labblrLS G D rX S6 xd aJ (,J Al S l l'CJ 40W E 03 D WaLL &hqU64:_:,5 �S Co Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost SqVoZoning Distri t Flood'Plain Groundwater Overlay Construction Type p r.-K Lot Size Grandfathered: Q Yes 21K If yes, attach supporting documentation. Dwelling Type: Single Family al Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 0404 On Old King's Highway: ❑Yes Basement Type: ❑Full 0 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. 1al Room Count(not including baths): existing. new First Floor Room Count 1` Heat Type and Fuel: ❑Gas ❑Oil '0 Electric . O Other -Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:O existing ❑new size Pool:O existing ❑new size Barn:0 existing ❑new size Attached garage:0 existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial O Yes M-N'b" If yes, site plan review# Current Use Proposed Uset �. BUILDER INFORMATION Name Telephone Number y Address I((1� �c[�l �C,� - License# tIs lThol� 1_63 Home Improvement Contractor# l'lie 7� Worker's Compensation# lid C 6 6 v ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ro/%/CP�Qc�lti t� V , DATE _ ! DZ 99 FOR OFFICIAL,USE ONLY MIT NO. DATE ISSUED e x ' ' . '' ' ; . � `"'" - • r . .. - .' ', . ' .a ., =f - ' . . MAP/PARCEL NO. ADDRESS { —`VILLAGE OWNER-,' i _ t DATE OF INSPECTION: FOUNDATION �" ' { t *' t , FRAME INSULATION K FIREPLACE , ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r — ` - GAS: L} �. ROUGH M FINAL FINAL BUILDING ` , • r.'� f N a - . 1.' � IJ\U\ 1 i • '.1 'J� .- _ • • t , y- v, �_. ( i. DATE CLOSED,OUT 51 ASSOCIATION PLAN NO. lr ' The Town of Barnstable 9 Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Building Commissioner Fax: 508-790-6230 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. Je—13 Est.Cost, r g �`3 Type of Work: Ca ) � ��''� i lP Address of Work: i S82 Owner's Name Date of Permit A lication: 1 2 q D PP I hereby certify that : Registration is not required for the following reason(s): _Work excluded by law _Job under SI,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OR DEALING WITH UNREGISTERED OWNERS PULLING HEIR OWN HOMETIMPROVEMENT WORK DO NOT HAVE CONTRACTORS FOR 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 0 G Contractor Name Registration No. Date - OR nwner*s Yame �Iva r o� The Town of Barnstable BA . ' Department of Health Safety and Environmental Services MASS Fo 39.6. Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice n11 � Type of Inspection CDT- `' l C4. ✓� Location Permit Number ©' °1 - Owner fl n, Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: �.con;) o - fCA"JI I S�QF�EQ tf-b (A-(;;- oj r ABC AVloh J r—h, ✓ A= U C' X o Please call: 508-790-6227 for re-inspection. Inspected by ,.��; (�C��.(_S Date I f ram% n rf.,� 3` 4.� .;k ��� .ate ` ! ,•.!_, „€ N e, i,. �. a a � effe A ones I 0, E Salt Rock Road^ a y EM� �t�� iee f EIS r�li fstable N 0 azx Anonymouts Y U a = ry c Garage door removed, replaced w/window, skylights, slider removed, breezeway enclosed. 4 s Much work done without permits&without OKH £ s approval. House is currently under agreement to !!� ! k . be sold. ` t � s Y g f f, 9t � r,:a mix. kit a - u t= a.: ,.. Y { J ae i . .r. �1.�• r� .i z .. � 1 1 ,I� ., 3� 6 - 6 V.fE'T TOWN OF BARNSTABLE i EAHBSTABLE, i 039.a w a' BUILDING INSPECTOR � ar APPLICATION FOR PERMIT TO .........�?U..4. L.. }....... r....:............................................................................. TYPE OF CONSTRUCTION ...........EflA.M..F................................................................................................ .................. '.t...................19 ...... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a fpermit according to the following information: Location ..1 ..... D L. ....� ?G�...... a..`...... ......... ........... 6Tel ryl ...... ProposedUse .... ................ %/.!!. ......... .......... ............................................. Zoning District .&,;V)JJVv..F/..A.4........................................Fire District .............................................................................. Name of Owner ! .AP J:V1.'tU,&YAKD....4!k ....A.�$7Address .........! :. y��!!!!,o,u, f� Name of Builder 997.-Y.....I'44 t..Address b1b...M.Ai.nr.....5:% ........ ......... Nameof Architect ..................................................................Address ............../....................................... ................................ d � r Number of Rooms ... ........�.r?,.... A.�4.5............................Foundation ......r. c................................:................................ ,p p� � Exterior !;46?..........®Ad1.V... ". ..... 1N 5...........Roofing A..S.Mak. ......................................................... A :-• Floors � �.....ei'� ?. ..... 1?a e j..........!p!;G(i!`................................. Heating r...! ..i... e............ ct. ...............:...........Plsmbirg .... .-......rT e.!i: o. -- Fireplace .(�.p ....................................................................Approximate Cost ......'�.��r.�.®.n ....................................... Difinitive Plan Approved by Planning Board _-___--____- __��____ LAN °°h e ��Z.ti �i�G a$6- S, o Diagram of Lot and Building with Dimensions `� S W AN � ® U ar Z cn cn ® a Ira c: * - 071 LLJ L- w �- p ; LAI ® ro 1 -I i � Q LLJ� �. pC1 t- 0- �N iDo I L < < F- F-- lil d U2 (r) $O - LIJ < LI: cn a I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the.above construction. Name ...CaA Cape & Vineyard Realty Trust 15003 one story ' No Permit for single. family. dwelling 1 t Salt Rock Rd. -5� Location ................................................................ Barnstable ................... . • ..Cape & Vineyard Realty Trust i Owner .................................................................. Type of Construction frame ............................................................ ......... Plot ........................... Lot ................................ Permit Granted ..... Y.2. ....... .......::....19 72 d E .op ...a.......... o� Date of Inspection .... .. ..:�.... . Date Completed ..'1.1 .......19 1 Z -- �6; PERMIT REFUSED .....................................................r....... 19 20 ............................................................................... 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