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Home My WebLink About0196 SANDY NECK ROAD ,.‘,„,,,,,,, i9(,,E,,,,6 fv •..,_,,,',.„,k__ ,,(,, . 0?�.3 -c•D,fG .., . ^ r r- • f ‘ ,,, , . , .,,, , ,, ,. , dQ 4 . . 14 ^ o -i l - is # Town of Barnstable *Permit#�D/3O�(p/ ps'oFtHErots, F„ T p� Expires 6 mon s f nays D •,., Regulatory Services Fee /D, �' BARNrFABLE, v� ass. Richard V.Scali,Director 639. Alto .lA Building Division Tom Perry,CBO,Building Commissioner 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 L93 Pro e Address a c &p �q� � n� �✓ �� Ri 10 Residential Value of Work$ 00 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Ge O Rq e H. /Wet R 3a75 80ANja (e, Contractor's Name Ge.,Uip e N, We,£ Telephone Number 52Q 3402-3 g[o e � Home Improvement Contractor License#(if applicable) Email: GV I R i Niu C o yr‘ea S/,n 61— Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: 0PRESS PE-.111111111T ❑ I am a sole proprietor 1F1 I am the Homeowner MAY 07 2015 ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance 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) ❑ 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 `+ equired. SIGNATURE: % �, ' ' Q:\WPFILES\FO \building pe if forms\EXPRESS.doe Revised 040215 I ' Town of Barnstable Regulatory Services oelHE loss Richard V.Scali,Director ,.� Building Division r * BARNSTABLE, * Tom Perry,Building Commissioner 13441063 ��3 200 Main Street, Hyannis,MA 02601' ArEo3 � www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION /� Please Print DATE: JOB LOCATION. �7�j f Nee,k f k� number street gteIV "HOMEOWNER":&OIZJ LcJe/it 6'6 8 3.z. 3g0 ni name home phone# work phone# CURRENT MAILING ADDRESS:90 Sox ..a j 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 inspection proced e and requirements and at he/she will comply with said procedures and requirements. , , 7/2/. ( S' a e of if owner 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 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 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:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 f r CF THE tp� s, ) ) 1 * BARNSTABLE, 9�, : ,��' ; . Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division - Thomas Perry,CBO Building Commissioner 't 200 Main Street, Hyannis,MA 02601 ,. ^ www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Pr 1 perty Owner st Comple and Sign T r 's Section If 1 sing A B der I, .s Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by 's building,.ermit application for: (Addre s of Job) \ s , 1. Signature of Owner Date 0 1 Print Name \ If Property Owner is a lying for permit,please complete the Homeowners Lice se Exemption Form on the reverse side. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 1 • d k r� e- e c_tnginee-rifig Inept. 3r floor). Map' a 3 Parcel 0(49c Prj Permit# ag.3ed"' • House# oL/ r Date Issued f f/(17?7 a. Board of Heelth(3rd floor)'(8:15 -9:30/1:00-4:30)4 ,f' . -Fee �� ° a Conservatidn'Office 4th floor 8 30- 9:30/1:00-2:00 ��SEPTIC SYSTEM MUST BE Dept.(1st floor/School Admin. Bldg.) INS' , o.a NANCE Planning P g) ., " ku " ' + Definitive Plan Approved by Planning Board � 19 E *' `� '��"' ,•DE AND OM > m TOW ONS e TOWN OF BARNSTABLE - • Building Permit Application \ Project Street Address �,v "'d7r7i -6-L� 4 a Villag1' Barnstable Owner . Grace' T.., Weir Address 60 Millway Telephone 508-362-2670 Permit Reques �e t % - / / ,1/1 o Cs pj,q 2, I N 5 11 n 114 LYl 4 /off V First Floor ` 600 square feet Second Floor n/a square feet Construction Type wood frame Estimated Project Cost $ ,�Dd Zoning,District R F-1 Flood Plain Water Protection Lot Size 1/4 acre Grandfathered Li Yes ❑No Dwelling Type: Single Family 341 Two Family Li Multi-Family(#units) Age of Existing Structure 1935 Historic House Yes ❑No On Old King's Highway I Yes . ❑No Basement Type: ❑Full ❑Crawl ❑Walkout Li Other n/a Basement Finished Area(sq.ft.) n/a Basement Unfinished Area(sq.ft) 0 Number of Baths: Full: Existing 1 New Half: Existing New No. of Bedrooms: Existing 1 New Total Room Count(not including baths): Existing 2 New First Floor Room Count 2 Heat Type and Fuel: ['Gas ❑Oil ❑Electric 43 Other woodstove Central Air Li Yes ❑SNo Fireplaces: Existing no New Existing wood/coal stove Yes ❑No Garage: ❑Detached(size) n/a Other Detached Structures: ❑Pool(size) ❑Attached(size) Li Barn(size) ( lone ❑Shed(size) Other(size) outhouse 4x4x8 Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial Li Yes ❑No If yes, site plan review# - Current Use family retreat Proposed Use S R m c Builder Information Name.. John Fields Telephone Number 508-362=6042 Address 40 Maggie Lane License# 9755 West Barnstable,ma. 02668 • Home Improvement Contractor# 113260 Worker's Compensation# SCP30819822 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 3775 Main St_ Barnstable For kindl_in • SIGNATURE v DATE // 9 T UILDING PER IT DENIED FOR THE FOLLOWING REASON(S) 'r ///, ♦ '' t� S FOR OFFICIAL USE ONLY • PERMIT NO. - - . t i DATE ISSUED r MAP/PARCEL NO. 3 i r x _ • . ,• �i ' - , - f i , • ; _! ADDRESS • • VILLAGE ` r i d` OWNER • ' r w • • r •S. - . DATE OF.INSPECTION: v *r FOUNDATION _ ' f F F ... • +; , ._' • - , • • '` !a` .+ FRAME `' _•-*y` r F.44 r.. x., `. INSULATION / i ` FIREPLACE • • ELECTRICAL: ROUGH FINAL ' _ ' ",X • t PLUMBING: y hE R•wz H FINAL rn `1) " 9•i - Cr ' - i GAS: i— Re c'; FINAL ` , E t - _ r ar 4 . ..... . .- - 4 FINAL BUILT 3 . . . . . • zz • . su r2 0 fn • , . DATE CLOSFE 8.0.. . ' ` ) to • - ASSOCIATIp#O� //eLA Q yd.:METo� 1 too 11W, Al The Town of Barnstable 71'n_ STABLE. • �J Department of Health Safety and Environmental Services M0'� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 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 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: RP-sh-ina1c. icl_Puze 119 46 rooFst.Cost $ 2200 .00 Address of Work: Cova [�a IAAe�k n>� Owner's Name Grace T, WPir Date of Permit Application: 4 /11/9 7 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 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 ownee / 9/ f' // 3,--& 0 ate Con r� actor Name Registration No. OR / arj I i - q 7 il.b..c,j-ik 1,)„,e,b2 Date Owner's Name