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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map_339 Parcel Application#
Health Division 0461_0 1"
Conservation Division Permit#
Tax Collector Date Issued 3 3
Treasurer Application Fee
Planning Dept. Permit Fee 09
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Add r s L nA,t4 e
Village
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OOwnerD c 5 0 q u i V) Address ((g S�uJe JEa S Gi an� ` _ I M. \
q Telephone _ `5I 0 4QL 009 7 �(�� 1 �, ( 3 7 vi
Q� Permit Request_2,e_i&,afie I)i C. p M6, In a fhme, to exi 5-,�� c� r�,Oy�=�s ��✓ S�`�- �1
��v�V1��� u�91'�► (� ?.XI�lQ-�-Ck�--�Q,1�� Ql`� .P['� ,n�a Y1 c I �'
77
Square feet: 1st floor:existing 2gb proposed 2nd floor:existing D proposed Total new .
Zoning District Q Flood Plain h� e.l2�d P1� Groundwater Overlay
- Project Valuation Construction Type ,GS 00& Fr'Cw4 e_
Lot Size 1 ( 00 5 X i Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) S
Age of Existing Structure Historic House: eyes ❑No On Old King's Highway: 2(Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout Other SIG
Basement Finished Area(sq.ft.) Yl 01— _ Basement Unfinished Area(sq.ft) n _
Number of Baths: Full:existing Vk cc_ new Half:existing new
Number of Bedrooms: existing VT new
Total Room Count(not including baths):existing new First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric 4'6ther ✓10 V -t__
Central Air: ❑Yes d o Fireplaces: Existing Gam— New Existing wood/coal stove: ❑Yes M'ITo---
Detached garage:❑existing ❑new size_& �ool:❑existing ❑new size Barn:❑existing ❑new size �-
Attached garage:❑existing ❑new size Shed:❑existing ❑new sizeOther:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
r- Commercial ❑Yes Q-K*b If yes, site plan review# - i
Current Use 6►;hAv►d�Y Proposed Use ` hp_
BUILDER INFORMATION
Name Telephone Number ��97
Address License#
02--5-6 3 Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE � �� ,�
4
FOR OFFICIAL USE ONLY
4 • -
PERMIT NO. -
DATE ISSUED i
MAP/PARCEL,NO. `
ADDRESS VILLAGE '
OWNER
i
DATE OF INSPECTION:
FOUNDATION
i
FRAME
INSULATION
' s
FIREPLACE
ELECTRICAL: ROUGH FINAL
i
PLUMBING: ROUGH FINAL
t GAS: ROUGH FINAL
i .
FINAL BUILDING H
DATE CLOSED OUT
r
ASSOCIATION PLAN NO.
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Town of Barnstable
Regulatory Services
BARNSTABLE, + Thomas F.Geiler,Director
MASS.
39. 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: z-� 7
JOB LOCATION: 1 �7��/ /��G!/� rJ
number street village
"HOMEOWNER":� (�d f G,f'ror„Lao (
name home phone# work phone#
CURRENT MAILING ADDRESS: /) y 5' L&,4--e /h_-2�)
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 msper ocedures and requirements and that he/she will comply with said procedures and
r u' s.
rignature of ljp6eowner
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 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building pemvt 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 care t amend and adopt such a form/certification for use in your community.
Q:forms:homeexempt
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NOTES:
XI1.90
1. ELEVATION FROM RM 3(NGVD)
2.FLOODZONE A3 ELEV 11'
(FIRM 250001-0001 D. REV. 7/2/92)
3. ASSESSORS MAP 338 PARCEL 8.
4.ZONING: RF-1
SITE PLAN
OF SANDY NECK POINT
IN THE TO-OF:
BARNSTABLE
PREPARED FOR: DOUCLAS MOQUIN
20 0 20 40 60 Feet
ARNE H. OJALA,PE, PLS DATE
SCALE: I'-20' DATE; JANUARY 22.2007
07-006
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