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Town of Barn *Permit,� stable Permtt# I 5a
47 ►a j.. �e Regulatory Services. 1----:0* 6monthsfFomissrredete
• j BLE,
go 0
634MAS�� Richard V.Scab,Interim Director I
Building Dio ; ' •
`
mg
Tom Perry,CBO,Building Commissioner Q J „li
200 Main Street,Hyannis,MA 02601;C
1 '•)www.town.bamstab1sn u,s Office: 508-862-4038 (-JINN
0� VNf Fax: 508-790-6230
- - EXPRESS PERMIT APPLICATION - RESIDENTIA
L
i.Y
/ Not Valid without Red X-Press Imprint
Map/parcel Number '3/ 02.CP
Property?AddressSeat 179thhk
Mt"Residential Value of Work$ 2.3 P Minimum fee of 5.00 for work under$6000A0
�ll S' .
Owner's Name&Address -J 1
2t7 ailf eel t i5'ar1) k� AM 0"3°
Contractor's Name MW p rp f tt j� 4,(►�yc/j— Telephone Numbers Z If
u °r . ) as
Home Improvement Contractor License#(if applicable)Pan-( Email:
•
Construction Supervisor's License#(if applicable) lit Z 5-3
pJIWorkman's Compensation Insurance -
' Check one:
❑ I am a sole proprietor
0 I am the Homeowner
fg I have Worker's Compensation Insurance
Insurance Company Name aRA.,,..e. Tps.c eary,p„.py
Workman's Comp.Policy# N E uJC g'7110 6 G
Copy of Insurance Compliance Certificate must accompany each permit. p
Permit R,qu t(check box) . •
/ode �QR yOri l
I Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to t1006 tef,v/ /Il
1,
Re-roof(hurricane nailed)(not stripping. Going over El Re-side existing layers of roof)
❑ Replacement Windows/doors/sliders.U-Value (maximum.35)it 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 f the Home Improvement Contractors License&Construction Supervisors License is
requir
SIGNATURE:
•
Q:\WPFILES\FO uilding permi forms\EXP S.doc
Revised 061313
C`Reg tom B - -d1:, i z a; / i�lI7Federal # 01967
RI Reg 1126463
Home Improvement Solutions
Corporate Headquarters,26 Cedar SI,Woburn,MA(P)800-342-2211(F)781-933.9E26(W)wimaiiewpro.com
THIS CONTRACT MADE THE 7 day of /"'e,6 20 (ll between
T/I L k c is Sc t?26.�- 2.3(.2__ fas' aP3-3
Home Owners) A(� � 1� (Home hone) + /I'(Ottt yob )cone)
2a
of --9 y Sc. tc�l�_ 12_4 1 u.r iv s i 6 i'e. 6 c
(Address) (City) (State) l IP)
Ji// c-- - ,..)PASN • cdA'\
the'Owner'end NEWPRO Operating,LLC.NEWPRO". (E-Mail)for proprietary use only
NEWPRO hereby agrees that it wit for the consideration hereinafter mentioned,furnish all labor and material necessary to install the goods
purchased by Owner in accordance with the terms described on the front and the reverse of this agreement and on the accompanying specification
sheel(s)(collectively, this Agreement)al the premises located at:
A tOv "' I F The job address is a condominium.
(Job Address)
._ 4 r.rev+ ' s f{a 'S � f,g - .� :::-k -i Y k.r a: t S y jLe� ... ,z Yr s,lr"`.+r w-
.:x .a.�'J_�ir.__. ,,�C._.,. a.,;c ir''.,=._ :�s,._ROgFING .�3,r�.r,�..t�..�_~ri..,,3b�-.. ...���a.t,�--<<,..,.3,1,._„
Style Tear Off rTearOff Colors �1 Shingle Style f r BIdg.Typa
❑(ud:tedurat ayer Er),yer lr/'r,s b er)g7lG Amenc+,.d necrff'O f 0 Cotenlat ana,
, 12 year env pitch(mediEad) ❑ ,/ u Hlp 0OIIIM
Other QEl
:igg r r b -.r�. -=-'-w.z-r{: 'q) K ;,'r fit t i ft f r ). •.;..
.,, ., . _r ��j>i „,�x,■.,..r: ,x�/.N �x.xAddltlQn Rumafk§`-• .. . ,.., ,. , _ >;... .�;�
v, -, ru.o oyri.'�1!.i�r�W�SL!. .�L�'t:1dL' ;. ..C.QT4J-. r , L
cx.r o r'./— (',. ,f y, y!L) ,r Fro , m we ( - .t•V.. "Kne.AJ hole() -'is rr�^
•-reC.x _ Ors oS-c. a fl' c.// ri--"/f.t•r -c _ AI( ,d,SCe s G•4 ficr
v / other structures unless specified ore not incir d In this agreement initial
,ilL Y..V gi7:-Y..,r1.n.>: ..... ..,.,�,�ss� _.>PSYS7Ehtl l3..fHAtJCffYlEN75.re'at ,'.'k ,-f;.�_ f'y.irEii ,,a r,E.v_l
�aa TarpTa from roof to ground to keep clean ■ F 4 112 Metal Edging(Fiat Roof)
fJ f emove. layers of existing roof&haul away debris Ia Instan Ice&watershieldo.Location:
❑ Replace bad sheathing 0 58Df sheet additional to this estimate (6'up hem edge)3'on all rakes
pi dawn premium reef deck protection 9 1 all premium ridge venting system on roof peaks ft.
er course at all root edges Clean up a haul away of lob related debris
II 8"drip edge at roof edges [alit roofing materials guaranteed as specified by manufacturer
E Repiace alt Chimney flashing with new lead as needed Ply:
�ching Hip and Ridge shingles used in all roof peaks
R ace an pipe collars with new heavy duty aluminum �a stomer to remove breakables from walls
III RRe lecc all wall fleshings with new heavy duly aluminum as needed a Customer asked to cover hems In eliktgarage
(r...r ygght flashing q / El Remove existing fan,replace wllh sheathing
L7 Install rubber roofing system on entire tow pitch root area
Since it Is not possible to determine if there are more layers of existing roof when estimating the cost of your root.there will be an additional charge for remo`i
ve
any additional layers and disposal fees. per extra layer per square 0 Cathedral ceiling waiver_ Price Includes 5 sheets plywood if required!
i%'seem;ct•eb6A g,.ss: .:r .-t..i. r+r�li.,£r,.- 6 U rall'FRO,.. k6 .riVN,:a ,, I,„:1F Earl.�t-,a�:.-.... ',' .-�r.
'�u@41,TY.'8,.$.riA�._�;. �rl�...,,�."� ��..;r_",� r -}3i.-�'". '`-"'=-
o GAF Golden Rodeo Warranty 0 GAP System Plus
O Fully Ucensed&in.•umd
DESCRIBE WORT(&PROMOTIONS APPLIED: i.
1 cash =:TOTAL i=:r.
earsimpaNto6uro er .'_'LASH �_
alnSx obnn `;`P1t)CE''. 3/G 1.-C.)17 finance E'POSIY.
'.
avocr.meralim kn. , :twin H;1,[..* �eynadmk+taw .'.OitDEll_.?: ?U7 7J
'`TOTAL.:?
-DUE AT
Est.Start Date:3'/.'/e Est Comp.Date: .? •/L/P T0"I'N1..
.:.:DUE oN is=: r'�
Customer understands this is an"estimated date" COMPLETION f-), /y7
(Rhode Island Sales Only):Notice to buyer:(1)Do not sign Oils Agreement Ii any of the spaces intended for the agreed turns to the extent of then
available information are loft blank.(2)You are entitled to a copy of this Agreement at the time you sign IL(3)You may at any time poy off the lull
unpaid balance duo under this Agreement,and in so doing you may be entitled to receive a partial rebate of the finance and Insurance charges.(4)
The seller has no right to unlawfully enter your premises or commit any breach of the peace to repossess goods purchased under this Agreement.
(5)You may cancel this Agreement If It has not been signed at the main office or branch offce of the seller,provided you notify the seller at his or
her main office or branch office shown In Ito Agreement by registered or certified mail,which shall be posted not later than midnight of the third
calendar day after the day on which the buyer cigns the Agreement,excluding Sunday and any holiday on which regular mail deliveries are not
made.See the accompanying notice of cancellation form for an explanation of buyer's rights. (Rhode island Solos Only):Owner acknowledges
receipt of required Contractor's Registration and Licensing Board consumer education materials. (Owner's Initials)
Owner has read and agrees to the terms and conditions on the front and the reverse of this Agreement.Owner specifically agrees to the(1)Total
Cash Price;(2)work being performed;and(3)work not being performed.Owner understands that this Agreement and any attachments contain all .
of the promises mode by NEWPRO.owner has been orally advised of his right to cancel thls transaction at any lime prior to midnight of the third
business day after the date of this transaction and Owner was provided with two(2)copies of a cancellation form explaining this right.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. YOU THE BUYER,MAY CANCEL THIS
TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY OF THIS TRANSACTION.SEE THE
ACCOMPANYING NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT.
Br 1(a.r� ()E?. 5ID stra Signed , ,-
Product Speetstist(Prdnfod Name)// 1 Omar
Salted.
IIEWPRO iterating,LLC I d are) Owner
wa{e'A
WHITE:Branch Copy YELLOW,Cuslorne o Copy PIHIC:Fee Copy GOLD:Finance Cent
S Z (1( Pip-
.A� ,,
) aity403,
Town of Barnstable *P�mit#
'� l 6ssoosrth,fremIngedate
' Regulatory Services Fee fr .c O
Richard V.Stall,Interim Director qyy�� k
1 CDBuilding Division X.,:a-R� �
Tom Perry,C110,Building Commissioner ��
. 200 Main Street,Hyannis,MA 02601 MAY 2 2 2014
www.town.barnstable.ma.us
office: 508-862-403s
EXPRESS ERMIT APPLICATION - RESIDEN�
F LE
Not Valid withouttied X-Preu imp 1
Map/parcel Number (3)(O 42&
P Address 9999 Sra 1'06( Rd, . ' 319nS7/9.61 ? I
❑Residential Value of Work$ 1 Ma ob Minimum fee of S35.00 fokwork under S6000.00
Owner's Name&Address 15'ilqjjiii//'O/K/Cie tea) d9fJ2ut Rxic Rd,
`r ,J f ,10 6203
Ruder
Contractor's Name SOi t�� Uric Z 'WA (A)g kilt 14 L.. Telephone Number'461.2 Ze'-' ?no
Home Improvement Contractor license#(if applicable) l 731t/5.-- Email:
.:-
Construction Supervisor's License#(if applicable) 0!, 707
'Workman'sCompensation Insurance
Check one:
0 Iamasolepr�i�
RI am the Homeowner
I have Worker's Compensation Insurance
Insurance Company Name A % /Ai . CD-
.
Workman's Comp.Policy# /C/7 a/87 813c23 ri
Copy of Insurance Con Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
0 Re-side �'
R Replacement Windows/doors/sliders.U-Value , 3 0 (maximum.35)#of window
#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 . , of the Home Improvement Contractors License&Constriction Supervisors License is
req
r
SIGNATURE:
T:IIEVINI Minding Changes1EXPRBSS PERMMEXPRESS.doc
Revised 061313
>�tf,��/��t�1/4i�tl�ey l .--1,,- >�-. R ^ �(� �J A����`Dr�7�� r9ecns=rsors
1 ` ✓� nclerse 1. .e•:.--: �'"-e17La`�rFxll3 Bi. +s+,\DERS1i1S td7icense_.1654 93
{ crdsx„rr aeasncs±s
i„r• T crier furtunreyr acdssrsO.ot+er 26 Albion&ad • incoir,RI02863 oarov sJ 7.
Phone 855.563.2235•Fax-tOD.631,6602 hax t nix m 448 eu
• Southern.Nina'England Windows,LLCd/b/n
Rear Mat Sy Anderson of Solothurn Neve;EogTxnrll
•
CUSTOM WINDOW AND DOOR REMODELING AGREEMENT w(/�
e yen})� eve __ `^ f r 1/C- m.a eiwainr m_�. 1 /r 4nielel
a:yr..'y)5r rtGd- nd d'P.O_
EhHep6Wm, 0� (/s7 r Fonefeertore ado _ 'Ke:kTdwtonchl[a0tr:.
Ba?*,r hc:t aieintly and xtaranv 2greei to purchsse.tl o produce and/or'whom of Soudhcm Nets England Windows.I3.rC dibla Renewal
bg:+e,cersen of wit ern New E bind t"`Canars r';S in accordance wit},,the terms srd o,i di¢ons dp3t5ibed en the frame and the t act rc of
this agrasraeatantle�tlu'tt d.$podecatiOn 8Ttetu;t Icollectives sit"Agreentroul. El Historic 13 Condo 0 UOAT
TagljabArcudnC r/ • Eavrgcod5;arcagMae Monied ofPiymnne t1Chu* CI Cult �nccdi
Deposit Received 133X): 0 7-9 bi*5
,� Omit Cords are steepled for deposit Oily—maximum 1I3 oldie
Bamnet atSrart of job(33%):, li'� Etm,.r_�Campinfcr.[ p�OI «'�.g 2see&eaGel lbl f B7 T8Fm8 t:,is
��/,�..F�° Apemen;you an notvle2ge lice ate 6ahem at Start of, Job and the
• Unice a, a t1a1 •. 7. (i tZ galnnce en Submittal Cent keen cf jot court be made by credit
Completion of Job(33%p !! y�l cad null wattle nada by personal chedt,.bank:heck,o'task
Bnyer(s)agrees and understands that this Agreement ca.stitstes the entire undcmtandiag between the parties,and that
mere are no verbal understandings changing any of the terms of this Agreement.Bayer(s)acknowledges that B..yer(%)
(i)has read die Agreement.ussdsretands the te_rme,of this Agreement,and boa received a completed,signed,and dated.
copy of thisAgreemcnt,including the two attached Notices of Caneelineiou,on the date firm written above and(2)was orally
mforatsa of Buyer'a right teemed daie,'1Vgenemeat DO NOT SIGNi THIS CONTRACT IF THERE ARE ANY EIANKSPA,GES,
(Mode Island Sales Choi')Notice to Buyer:MD*not sigsa this Agreement if any of the spasm intended for the agreed terms
to the extent of thee avar'fabte infornuuion are left blank.(2)You are entitled to aeopy of Bily Agreement attbe than you sign.
it.(3)You may at any time pay off the Rill unpaid batman due eider the dement,and in ea doing Son may be melded to
rtrn ve a pstr cal rebate of the finance,.,td insurance charges.(4)The eeaer be no right:to unlawfully enter yoan premises
ar commit any breach of the peace to repossess goods poreArased under this AA.}.,,..,et.(5)You.may cancel this Arniensens
if itbas not been steed at the main o3Tice or a branch office at the seller,provided yen notify the seller at hie or her main
office erbeeacb office shownist the Agreement by=sheered or certified mall.which shrill be posted not later than midnight
of the third calendar day after the day on web the buyer ifigue the Agreement,exeiading Sunday and any holiday on which
regular mail deliveries are not made;See the accompanying notice of eineelhdoa fens gar anettplaaation of buyer's rigbb.
3ayer+s)cece yr ter olucateon iaaeerialt previdrid by the Rhode bland Contractors.Rcgiatcation Board. ( 5 iltiti lti
Himmel , -r of Southern New England Bayex(e) ' Bayer 4..t____
11 iir...a�• ' 11'I a. tS [zdz
171I ' PoFdnet31 a ;t r Suture yipalnre
oftvl p,-I . 14411yI,,.wc4S Zit • WM-
Prat Name of Product X . Print Name Print Name
YOU, THE BUYER(S), MAY CANCEL Tfits TRANSACTION AT ANY TIMEPRIOR TO MIDNIGHT OF THE THIRD
DIMNESS DAY AFTER•fHE DATE OF THIS TRANSACTION.SEE THE A riscuED NOTICE OFCANCELLATION FORMS
FOR AN EXPLANATION OF THIS RIGHT.
te NOTICE OF GANCELt.ATIQN k NOTICE OF CANCELLATION_ _ . s�
Date ofTrtttaactiodt t _Yatr may cancel i Date of7iransactiao 1 ;Feu may cancel
this transaction.without any 9r Obligation.within. I the transaction,without alty or obligation.within
three business days from the above date.if you cancel,any three business dap from the above date.If you cancel,arty
property traded itt,any payment!made by you under the I property traded tn.any payments made by your under the
Contract or Sate,and any negotiable instrument executed I. Contract or Sale,and any negotiable instrument executed
by you will be returned within ten husinate days following 1 by yottwill be returned within ten business clays following
receipt by the Seller of your cancellation notice,and any 1 receipt by the Seller of your cancellation nodes.and any
security interest arising out of the transaction will be security intst arising out'of the' tramaction will be
died if you cancel,yyeeu must make available to the Seller i canceled.If you canc.?ei.you must make available to the Seller
at your residence,in substantially as good condition as when I at your residence,in substantially as grad condition as when
receivved,any goods delivered to you under this Contract or I received,any goods delivered to you under this Contract or
Sale;or you may.if you wish,comply with the instructions of ; Sane;or you may,it you wish,comply with the instructions of
.the Seller regardingthe:return shipment ofthe goods at die theSeller regarding the return shipment of the goads ak the
Seller's expense and risk.:If you do make dte.poods available ( Seller's ercparee aria risk.If you do make the goods available
S to theSeller and.the Seller does not pick them tip within "I tro the.Seller and the Seller loos not pick thorn up within
twenty days of the date of cancellation,you may retain or 3 twenty cis of the date of cancellal:1We you may retain,or
dispose of the&Dods without any Rutter obligation.If yeti..1 dispose of the goods without any further ablIgation,.If you
fail to make die goods available to the Softener if you wee'Ifall to make the goods-available to the Serener or if you agree
to return the goods to the Salter end fair to do so,then you" to return thego ods to the Seller and fail`to do so,then you
remain liable for performance of all obligations under the 1 remain liable for performance of all obligations under the
Contract To Cancel this transaction,mail or deliver a signed Cuntsact.To cancel this transaction.mail or deliver a signed
and dated copy of this cancellation notice or any other i and dated copy of this cancellation notice or any other
written noticeor send&t*legi'itmtu Renewal byAndersenot'-I written nottce,or send atel to Renewal byAndereen of
Southern Nov;England at 26Afblon Read,U ,RI 02865,.1 Southern New England at26Albion i RI a a65,
N T LATER THAN MIDNIGHT OF II 'WV. i Q LATER THAN MIDNIGHT OF
HEREBY CANCELTHISTRANSACTfON, (Date HER,bBV'GANC6LTFi15TRANSACTION_
n
Bulkier id tart Knee ` lets aqe s P114116 nano on.
RbA Ccpy White Buyer Copyr_Ynuvw liklyer Capy Rink
1
of Tq,,, Town of Barnstable
ti
'f,, 4:4; Regulatory Services
Axxsznsi.s,
�q ,Knas /�, Thomas F. Geiler,Director
i63q/1�
rep moth 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
April 20, 2011
Mr.Kelly Lucas
294 Salt Rock Road ;
Barnstable, MA 02630
Re:72 Arrowhead Drive, Hyannis, MA 02601
Dear Mr. Lucas,
After a requested site visit, it has come to the attention of this office that an illegal,
unpermitted, and unregistered apartment has been constructed at the above referenced
address. An EXIT ORDER was issued immediately.
Please be advised that a building permit must be obtained by May 20, 2011 to restore this
house to a single family dwelling.
If you have any questions, please do not hesitate to contact this office and thank you for your
co-operation.
Sincerely,
Paul Roma
Local Inspector
rf
y 9
et:r4\
Town of Barnstable *Permit#
Expires 6 months from issue date
Regulatory Services Fee { 3,s. 0 6
* BARNSTABLE, •
s Thomas F. Geiler,Director
Building Division 0 h k; - I{U i t Qt tf a r
• Tom Perry, CBO, Building Commissioner to
(Ili
� cii
� D1��p l•�
200 Main Street,Hyannis,MA 02601 �-'
www.town.barnstable.ma.usj'
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint rre"---
Map/parcel Number r 6 G °Z b „e j 2 Z
Property Address -02c( Y A LT k6 GAL 1`c4 1 8 _f- ,
(Residential Value of Work .oZC) Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address. \ 11 t 4 LL Lu.e A S
21 ii $A(7W C►L 1ZZ) ,
,
Contractor's Name WAI/►. * . 1.4. T 4.5 Telephone Number '‘..c3 8 B 2— 039 7
`
Home Improvement Contractor License#(if applicable) . ( I a 4 6 3
Construction Supervisor's License#(if applicable) .',7 80 b ^� .
❑Workman's Compensation Insurance �' "
Check one: • OCT 0 7
rAl I am a sole proprietor 2011
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance • °F BA RNSTABLE
Insurance Company Name
Y
Workman's Comp. Policy# f
Copy of Insurance Compliance Certificate must accompany each permit. •
Permit Request(check box) .
❑ Re-roof(stripping old shingles) All construction debris will be taken to .
❑ Re-roof(not stripping. Going over existing layers of roof)
rig Re-side
#of doors
0 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 ntractors License& Construction Supervisors License is
required.
—
:IGNATURE: .� . .,I�r.c. _ _
„..66.
,:\WPFILES\FORMS\building permit formslEXPRESS.doc
_evised 070110
f
• THE 4y4 Town of Barnstable
Regulatory Services
• BARNSrABLE,
MASS. 8 Thomas F. Geiler,Director
Ttio.pes �
o may'' 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
Property Owner Must
Complete and Sign This Section
If Using A Builder
-S , as Owner of the subject
l property
hereby authorize W CCU vs to act on my behalf,
in all matters relative to work authorized by this building permit.
R 3buf4 o c (C (Lci - (✓t S 01 / .t
(Address of Job) cd 3Q
**Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled before fence is installed and pools are not to be
utilized until all final inspections are performed and accepted.
Signature of Owner ignatur f Applicant
� 11 Lt) / AevZ td
Y
Print Name Print Name
-(9. /
Date
•
Q:FORMS:O WNERPERMISSIONPOOLS
'tip
�HE> Town of Barnstable
�f\ Regulatory Se
rvices
g ory Services
sntuvsTwB Thomas F. Geiler,Director
N'�4MASS.
2_ 639. Building Division
om Perry,Building Commissioner
21• Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOME S WNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER":
name ome phone# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended t8/' lude owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire w o do;s not possess a license,provided that the owner acts as
supervisor.
DEFINITIO!!!! OF HO 4 OWNER
Person(s)who owns a parcel of land on which he/she esides.or intends to reside, on which there is,or is intended to
be, a one or two-family dwelling, attached or detac p-d structures :ccessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period s.all not be considered a homeowner. Such
"homeowner"shall submit to the Building Ofacia on a form accep .ble to the Building Official,that he/she shall be
res•onsible for all such work performed under •- building permit. ection 109.1.1)
. 4
The undersigned"homeowner"assumes respo.sibility for compliance g 'th the State Building Code and other
applicable codes,bylaws,rules and regulatio i s.
The undersigned"homeowner"certifies th.t he/she understands the To of Barnstable Building Department
minimum inspection procedures and requ' ements and that he/she will co ly with said procedures and
requirements.
Signature of Homeowner
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 127.6 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any omeowner performing work for which a building permit is required shall be exempt from the provisions
, of this section(Section 109.1.1.-Licen mg 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
•
Assessors map and lot number �j / yoF TNe rot
Sewage Permit number 5J rX 3a:, - Y7-(,. d� �►� y°^
��•
.
�7/j � Z H9SH3TADLE, :
House number 1 9� M�a �-0
6. ,../ A, ___e,t. 4:)/e".__. frt ___23.2:14- 6-7/6A-3
4 i639• 9
TOWN OF BARNSTABLE 'tool II'
t
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ...!x0• d•4o iLIA / sr2 ir
TYPE OF CONSTRUCTION 0=w,n1x1.4 1
6II,4 19 S
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location Cr+^,-hIH` A et at-he1..4.- a'.!x4.....f1?to/de,- Rdr1, > t w !:AI.17406, ' r /V c.0,, r
Proposed Use ......R.:!?....A.del!.,�•a• ...A... ,,,��// �,,
ZoningDistrict Fire District (F') 71 S_
+
..a "744.4 I3 4e c Address !«� �:°',..-4'.�!c:'.<-!l...E.rlr-, �/",P'.. 0,,E&,.r✓,�•, ,.,fx .z
Name of Owner A7n �=• �'--�
` ,2
Name of Builder t' ,0--e/W Cr, Or !( 'v Address .'.- 44,4f9'f7` 1.4.,4....g ,,,,,,T'` 4!> .,4,,�.4.
Name of Architect it,,,,,n,,r° Address ---
Number of Rooms i-2.
TJo,e4a.-'r,f,l-rrs ;) Foundation p>^�'-t' 0^,esrxr_•0-,,rP __
Exierior .r.y4,a..- -4.,ra,,',/�� Roofing .2 a `i b.•e-i,,7 .5bs
(.1 ,
Floors e- ,•f 401,... ,,7,�*/ Interior -4,-',^7`a-e)e=4-
/
Heating i� /7, /`0 ' Plumbing /- r; /,,t±4 8. ,_ r .. ` c.
••,3
Fireplace 71-- Approximate Cost'#42, rC_sGO _ _
Definitive Plan Approved by Planning Board 19 . ;Area
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
X.
f'n 4
N f- >t
`A. J
1 yr4.
,,,,e- \--'vz.... ....,.
��} C3nvr e',- �-.--
�� 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.
f
// I ,1 / f;
Name ,�.e.,-(-0 4.,fi�" ,,,,r—.;,-,
Construction Supervisor's License .=°.2 e,2 7,
x,
BOGERDUS, DONALD A=316-26
25183 One Story
No Permit for
Single. Family Dwelling
Location Lot 22, 294 Salt Rock Road
Barnstable
Owner Donald Bogerdus
Type of Construction Frame
Plot Lot
Permit Granted June 14 19 8 3
Date of Inspection 19
Date Completed 19
/ 66 e (gr
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