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0212 SALT ROCK ROAD
_2/ ,A" kRere.(d't v • 5. Town of Barnstable *Permit#/3 i6 —..63 it- E�tres 6 months from issue date ass,,- "� Regulatory Services Fee em - + BARNSTABLE. • *639. � Richard V.Scab,Director Building Divisionk 1Paul Roma,Building Commissioner `v 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 31(P O 1 g Property Address ,Z/7Z.,, ($/2i—T 1—':40 oe/21/ i ei ' 2 Residential Value of Work$ e/q' L2 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address X,k PA, '15 Ji0 CJL -/ t1J71 Contractor's Name _ 4'A.O' / Telephone Number, S' f 7.52 Home Improvement Contractor License#(if applicable)/�9'9 Email:.,Pf/4�J7-?6 .47/Yg, &Jf� Construction Supervisor's License#(if applicable) �j 3c / ❑Workman's Compensation Insurance Check one: }y� ❑ I am a sole proprietor q/ ❑ I am the Homeowner -5.-!-74-etk . VI have Worker's Compensation Insurance. c - P Insurance Company Name 7 jVii/.Y /c/ 1./�y/A,4 o`L' �+', Workman's Comp.Policy# (//1'>/Q 1'•�2, ',�t 6 Copy of Insurance Compliance Certificate must accompany each permit. `i/ /j, ,, Permit Requ st(check box) UZ V Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to y47,�'.,)1-7 jj7/y' ❑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 Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is uired. SIGNATURE: ',,q � F Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 o��++� Town of Barnstable ‘. Regulatory Services Richard V.Scab Director Nua I.i Building Division Paul Roma,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 I A A177 Z61WPbLJ,//7/ , as Owner of the subject property hereby authorize _ eo, to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) **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. Signature-of OwnerSignature of Applicant L-(/� f-` I� Print Name Print Name h- Date Q:FORMS:OWNERPERMISSIONPOOLS Town of Barnstable Mil :Regulatory Services :6tNE mob Richard V.Scali,Director '` >.,s5 90 Building Division `* Paul Roma,Building Commissioner i.` e39. ��� `200 Main Street, Hyannis,MA 02601 M l www.town.barnstab ema s. Office: 508-862-4038 ,, Fax: 508-790-6230 HOMEOWNER LICENSE I MPTION Please Pri, DATE: \\.... JOB LOCATION: \ , number \ street village "HOMEOWNER": \. name home phone; work phone# CURRENT MAILING ADDRESS: `\ city/town state zip code ` The current exemption for"homeowners"was e ,1 ded to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who •o es IPA possess a license,provided that the owner acts as supervisor. E:I ON OF HOMEOWNER Person(s)who owns a parcel of land on which he/sh- r-sides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures acce>'.o y 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 ?eowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she sh. , be:' esponsible for all such work performed under the building permit. (Section 109.1.1) / The undersigned"homeowner"assumes respo ib 'ty fo'compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. , The undersigned"homeowner"certifies th.,'he/she understan. the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/s,e will comply with aid. procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwell'v: containing 35,000 cubic feet or larg will be required to comply with the State Building Code Section 127.0 Construction Contro HOMEOWNER'S EXEMPT!;I N The Code states that: "dwell homeowner performing work for whic, a building permit is required shall be exempt from the provisions of this secti r 1 (Section 109.1.1-Licensing of constructio r,Supervisors); provided that if the homeowner engages a person(s)for hire to i o such work,that such Homeowner shall-act a• supervisor." Many homeowners hog use-this exemption are unaware that they are a' uming the responsibilities of a supervisor (see Appendix Q,Rules& 'egulations for Licensing Construction Supervisors,S•ction 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 ho\meowner 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 responsibili es of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt sub a form/certification for use in your community. Q:\WPFILES\FORMS\building permit fomis\EXPRESS.doc - 06/20/16 Engineering Dept. (3rd floor) Map 3 I CoParcel 18cl Permit# i , ~ House# (ate l to Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) #75-279 (J/'2 _1_ , 2�^,owConservation Office.(4th floor)(8:30- 9:30/1:00-2:00) x Planning Dept. (1st floor/School Admin. Bldg.) t Vsir UST BE INSTALLED�� Definitive Plan a y'rove Planning Board 19 �`r ' � IANCE ' Val IENVIR®NAil •E AND ...._ . " T TOWN ����� �'��®Ns OIL ' ' OWN OF BARNSTABLE BuildingPermit Application ' oject et Address 31 Z sd./--/- R 0 c_ Rci, C'&v (-or om it() Village - 3c:\.. Li S ,4 h/t, Owner ta /((_ /4/1. t'4 /3" //1 i Address S'd 44 P . Telephone 3 (O 2.— 1/ 7 9 Y Permit Request o f, ,' 4 fl euJ .,2(-- (V )( cQ i ) First Floor square feet Second Floor 2 9 ( square feet Construction Type 1)0 p cC Estimated Project Cost $ 3) 5 0., 00 Zoning District Flood Plain Water Protection Lot Size _ Grandfathered ❑Yes ❑No Dwelling Type: Single Family A Two Family ❑ Multi-Family(#units) Age of Existing Structure .. D Historic House ❑Yes Li 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 No.of Bedrooms: Existing 3 New Total Room Count(not including baths): Existing 7 New First Floor Room Count Heat Type and Fuel: 4Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing / New Existing wood/coal stove ❑Yes ❑No - Garage: Li Detached(size) Other Detached Structures: ❑Pool(size) Li Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization Li Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# , - Current Use Proposed Use Builder Information Name 0 l-al 141141 14 Telephone Number 2 b D—315 7 Address 3 7 Joe / cL License# 0 Di? 2` p 7 S F. 1-Lv1 occ` fl M _A, OD.(p 6 Home Improvement Contractor# /p© /O S Worker's Compensation# L_ 6R1 4UB-997K277-3-97I NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. 41(7/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO&dh1r c4..h/e Ic SIGNATURE 60� I DATE U 7,,y 7BUILDING PERMIT DE ED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY - -- - A • • �� / , s. PERMIT NO. �i E ,, DATE ISSUED i • MAP/PARCEL NO. - 1 • E " '-" ' r ' A ` v • - ADDRESS -_ VILLAGE - • s OWNER , ` t _ .. t -. DATE OF INSPECTION: , FOUNDATION • ' - , FRAME ; t •A - t INSULATION - FIREPLACE I , I /`-, • _ , -. ELECTRICAL: ` . ROUGH • FINAL - _. , , • E i 4 • , F - ap ? PLUMBING: ROUGE - FINAL, - - - , , - GAS: =RAu}c I1' FINAL - ; FINAL BUILDING °s l - 4\ 9 ." o •f i ti I ' Wig„ , a ! y t ! t DATE CLOSED OUP-`' � -t ! ( ' ASSOCIATION PLt Nil4 ' ' p il ��J i .. r ::: a1u5�rs a��z - S%a 0 �. -,- 4 - Ip l (fJ �r [� c ` , go '2.3 * Jois7 ((��,5d¢r yy �• g5g- X (p Laos ao -.o,c . 4�� a � � Sir 0 = E 0(0 r FL i c 2/ , ri Ftevd�r•o0 /6 rr 11' f • }�85.9 . �i !0�/����, ► �� 4 pr'p'rrty lines st awn en th;s 4�lan ollt � 0 ' 4 %�9 4•8 • .40. ► 0 j are.tor nsscss;f',;poi[.n.�.c--. 1 ,; , I. IL,. .i��� AI ,•. and do net lc. )tesc!nt actual 1 fit'` ,f:(/ 1� tela(ianships lc physicai otijerts' •X 9 4 Ay u • 'j-�- 4♦` ;•- �•�`, }�87.8 iX 85.1 37 / �� '�� : ` 7.. /� ' 10. 6 ` • \-8 7.2i _. ; ii ill: • ; . - ;, Ai f • ; z j4,i • • �l _ '!� rap,110O .3I }�85.3 > ' i! 51 _ ( •V�� _ 9 -„/,-s\,,.--9-..E.!\iIi.'t11ul'I 1fl14h_1 p_r,_-e__—\-l_s-e,_---,,i"._-:_"..q-=_......_-.-., —\---.)\,-,'•„j,.'•.•.-:•-.-'••.•m_•••-1-=•• • ' (i,I j! 1 6 1, • 11 ! i' " '=-4',' .'j 4 \ if _ 4 ac.../t4 \... .. . ,,.// . 77 fails � r " i I �_ ----- I'' ( - - 4. } 104.4 ilk d ► )41•1! • . ' a. %/88.6 3: }� 100 ) i t 14 f �� , 1 t h. 87.5II } ,15' ...,... ...- - - :' .:.'. . . ) 4416.....7•...._� 102 ,� 1 �% ��� 88.3 �' •� 9-'' ' ' �, .1:.(... 'Jr :'....... --. \ I 4. • 0 - ' ' 4, . ._.... . • ., . „ •••,.‘ ...,_-_-,-7__, . 4 , i i - ��� , ►� `� + I 1f'6`' • 102_ 0� I' \� 61 f 96.2 1 e �' ;I _ ,� ' . 0, I. ► 11 1 '''; \i_it .. / .. r t 'r;t:; ( \/ ill 4141".0 ,.W . 1 I ; . . • k' .. • /- \ , I 9 4 . .,:-.: . . -41111111r4 12.: .� ., } q9:2 �, 1 t1 1 . 4 `! • ` ors (' $, ,' rM (PHONE CALL) I r A.M �I FOR l v r 12S DATE ?� TIME P.M. I M /J I OF W (' ,/ 1/ 6 r .. PHONED 11 RETURNED PH 11 YOUR CALL EA CODE NUMEIE EXTENSION ' ES S A G E PLEASE CALL &14. r.e., ( .f WILL CALL AGAIN �l ./�=HL , . G. , TO 2 QG SEE-YOU ii 'WANTS TO A l� ,SEE YOU `S I G I E3 9 niversal• 48003 • • NOTES ; • • • • • • • J ' /Assessor's Office(1st floor) Map - I Co _ Parcel © I S Permit# /317 7 /Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) 2. `7 h& Q Date Issued 02 - 7- 96 /Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) F''"'-C7y Fee ; 3 , 40 /Engineering Dept. (3rd floor) House# ZIZ,s� / ��' � ��' . _ . . _ . _ • II'n. Bld_ ���� .��s..: {�f`, ��viVik, k .tenif '', �f'`> TOWN OF B, Ot/ • ARNSTABLE , , ._� ��. r Building Permit Application �'° j Project'Str,-t Address ; 12 SLI- y Village /6.. �, _ i AsPi e, _ -F . Owner 1 1,� �lU.l��t i �1J L�...i�.t.I lZtN.i'n . ' Address�i7�SAi.7 park_f_f) �1•s`r a 1 c -t/F._.- Telephone (<oa) p7,4 i _ _ Permit Request E r p (ate ism Kiri' ,r,,et I,A.ttir- -V ye_I 1' • First Floor "1-7 square feet . Second Floor --- square feet Estimated Project Cost $ It a OOe Zoning District Flood Plain Water Protection Lot Size F-E,Iono 4 Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use at.t()•( f2tut . Proposed Use `T .Wb -fottA,.ULr- Imo! Construction Type ‘0421 r' Commercial Residential Dwelling Type: Single Family ,J Two Family Multi-Family Age of Existing Structure '00 Y/l.z. Basement Type: Finished — Historic House k)o Unfinished Old King's Highway Arr Number of Baths l� No.of Bedrooms Total Room Count(not including baths) c First Floor Heat Type and Fuels Central Air Fireplaces 1 Garage: Detached Other Detached Structures: Pool Attached ✓ Barn None Sheds Other Builder Information Name �'u ,i ���(,//J•'G 5 Telephone Number ' el 4—/ i:j`" Address 7 ���v l)� �,.� License# 0 Lie, F-1/7 `�/nK l ,�r U, ��(� - Home Improvement Contractor# /6 5 -/79 Worker's Compensation# 3 5Y60/7,� 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 r k 5�('•c' ZGziV r� /� i SIGNATURE `f -- DATE W7/e BUILDING`RERMIT'DE E F E FOLLOWING REASON(S) F f FOR OFFICIAL USE ONLY - - tt . 1F-• t \'44e : • •-„, - .. 4 _ PEtMIT NO. t _ - DAATE ISSUED - f r MAP/PARCEL NO. . . € i s 4 ADDRESS ° VILLAGE •`--' ` " . i , - . - • OWNER r s -, r i f DATE OF INSPECTION: °� - FOUNDATION ' �>‘"1 �' 02, i , FRAME �� / 0,6 is r ' k i INSULATION • '1-Aa G\A0 ph - * FIREPLACE• • - 1 • a i t ELECTRICAL: ROUGH - FINAL `.' , , 1 -, PLUMBING: ROUGH FINAL t. GAS: ROUGH FINAL _ . ' FINAL BUILDING�`� L((Zign7 'I-0 -i. } r , i i r ..a , s ' t — r - ' r i i , k ' . { t i { + :, DATE CLOSED OUT rI .-:Y` t 1 i , i i t , ASSOCIATION PLAN NO. i ' f ; + i -..- • ' r I i 4. • ` i I r t I I I Ely z r 4 s r r i i ; —1 r k } i N I t i # i 1 i 1 I i i L —L' • dry • _ ../- °= The Town of Barnstable ¢,• $ Department of Health Safety and Environmental Services m01 Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner 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 O=pied 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: 'geeit orki Est.Co 'r/ 4 oho`) of Work: ZI Z. �cv �-e'�t` �`� v ul 5 Address ,�� / Owner.Name: C� /,'l�U.� %cl Gig 74 Date of Permit Application: 717 6 I hereby certify that: Registration is not required for the following reason(s): • Work occluded 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 NlREsi t ACCESS TO) C ORS FOR APPLICABLE HOME IMPROVEMENT' WORK DO THE • ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hcrcby apply for a permit as the agent of the owner: /6, 7 Date contractor name Registration No. OR • nate Owner's name tiy.. • UNREGISTERED LAND Number: 40204 5189 per; 13 I First Federal Deed Boob Ictient: - Savings Bank of America 222 85 Lot(s): 19 Thomas Moylan & Plan Book Page' Patricia Mov1an ()ww. Kathleen Maddocks-Fulginiti of Applicant & William R. Fulginiti, Jr. REGISTERED LAND Census Tract Number. None Available Registration Book Page: Assessor Map: . Block: Parcel: Certificate of Title: , - Data: 2/8/8 9 Scale: 1"=4 0 ' Plan No.: Lot(s): MORTGAGE INSPECTION PLAN IN BE Lot 33 I Lot 31 153 .68' r Lot 14 35 ,200 S.F. ± Lot 12 • Lot 16 27'¢ ecx 1 Story Garage• O Dwelling • • No. 212 • N161 o • m Concrete Bound 166 .32' 4AJ\ SALT ROCK ROAD THIS IS THE RESULT OF TAPE MEASUREMENTS, NOT THE RESULT OF AN INSTRUMENT SURVEY . I CERTIFY TO FIRST FEDERAL SAVINGS BANK OF AMERICA AND THE .TITLE INSURANCE COMPANY, THAT THERE ARE NO EASEMENTS OR ENCROACHMENTS WITH RESPECT TO BUILD- INGS SITUATED ON THIS LOT EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION. . THE LOCATION OF THE DWELLING AS SHOWN pESO.�►URIER58CASSOC9ATES,INC. HEREON IS IN COMPLIANCE WITH THE LOCAL ZONING B Y-LAWS IN EFFECT WHEN 1256 Street. Suite 202.Stoughton MA o2on(em 341.4000 CONSTRUCTED WITH RESPECT TO ALL THE P.O.Dos541630 Mtn St.•J.Fhkdd®.MAot515-0541(` )3474213 48.00-553-6555