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FTHE 71 Town of Barnstable *Permit#
Expires 6 mon rs ova iss ate
♦� - , Regulatory Services 'da Fee -
i AIRNSMAJUX ?
MASS
Thomas F. Geiler,Director
Building Division
Tom Perry, CBO, Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-623 0
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Rrem Imprint
Map/parcel Number t � �
Property Address
I '
Residential Value of Work
Minimum fee of$35.00 for work ender$6000.00
Owner's Name&Address
Contractor's Name I N KLv Telephone Number_ 5� :176
Home Improvement Contractor License#(if applicable)_ ��++ �®
Construction Supervisor's License#(if applicable)— /�' }_„L}.� X-PRESS PERMIT
❑Workman's Compensation Insurance SAY ' 7 2U12
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
I have Worker's Compensation Insurance TOWN OF BARNSTABLE
Insurance Company Name_ � � ��� �-�F"�✓�
Workman's Camp. Policy# C ZADAK6�
3opy of Insurance Compliance Certificate must accompany each permit.
'ermit Request(check box)
❑ Re-roof(stripping.old shingles) All construction debris will be taken to
Re-roof(not stripping. Going-over existing layers of roof)
Re-side
#of doors
❑ Replacement Windows/dcors/sliders. U-Value (maximum .44)#of windows
`Where required: Issuance of this permit does not exempt compliance with other town department regulations i.e.Historic,Conservation etc;
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License& Construction Supervisors License is
required.
12NATURE:
r
�'FILES1FO1tMSIBur7ding perm$formslEXPKESS.dac
a
..., 4;
�THET � Town of Barnstable
Regulatory Services
9 asWSTA MASWS. E Thomas F.Geiler,Director
a9s. .
F0 w�' Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.to.wn.barnstable.ma.us
Office: 508-862-4038 Fax: 508-700-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize d— +P t� �1.� to act on my behalf,
in all matters relative to work authorized by this building permit application for.
-7E�;U NSET T�
(Address of Job)
a��Signd-4We of er Date
Print Name
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the reverse side.
TORM&OWNERPE Q RMISSION
3
Town of Barnstable
Regulatory Services
BARNSIABM : Thomas F.Geiler,Director
MASS.
1639• ,�� Building Division
��rFD MA'1 A
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
C www.town.barnstable.ma.us
Office: 508-862-40`3�8 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS: \ /
city/town stayCcupied
zip code
The current exemption for"homeowners"was a ended to include owner- dwellings of six units or less and
to allow homeowners to engage an individual for ' e who does not poss s a license,provided that the owner acts as
supervisor.
DEFINITIO OF HOMEO R
Person(s)who owns a parcel of land on which he/she res. es or inte to reside, on which there is, or is intended to
be, a one or two-family dwelling,attached or detached stru es a cessory to such use and/or farm structures. A
person who constructs more than one home in a two-year pe d all not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form a eptable to the Building Official,that he/she shall be
responsible for all such work performed under the buildin e (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for mplianc with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she un rstands the Town Barnstable Building Department
minimum inspection procedures and requirements an at he/she will comp with said procedures and
requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings conta' ' g 35,000 cubic feet or larger will be requ ed to comply with the
State Building Code Section 127.0 Constru on Control. .
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner erforming work for which a building permit is required shall be a empt from the provisions
of this section(Section 109.1.1 -Licensing of con ction Supervisors);provided that if the homeowner engages a per n(s)for hire to do such
work,that such Homeowner shall act as supervis .'
Many homeowners who use this exe ption are unaware that they are assuming the responsibilities of a supervi r(see Appendix Q,
Rules&Regulations for Licensing Constructio Supervisors,Section 2.15) This lack of awareness often results in serious oblems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed personas it w yuld with a licensed
Supervisor. The homeowner acting as Supervi or 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 fomi/certification for use in your community.
Q:forms:homeexempt
y�,,oFT �ati� Town of Barnstable *Permit#_ (v 2 7
P
Expires 6monthsfrom issue date
BAMSTASM
MAM �= Regulatory Services Fee _
019, Thomas F.Geiler,Director
ArED��p
Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-8624038
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X--Press Imprint
ap/parcel Number
operty Address
Residential
Value of Work
vner's Name&Address "
LI
ntraetor's Name ��- �� m Telephone Number
me Improvement Contractor License,#(if applicable) z 1-j i
nstcuction Supervisor's License#(if applicable o
Workman's Compensation Insurance -PRESS PERMI
Check one:
® I ad�a sole proprietor J U L 19 2002
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE
trance Company Name
rkman's Comp.Policy#
nit Request(check box)
Re-roof(stripping old shingles) All construction debris will be taken to
C�
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum.44)
,1_ • S, `A
❑ Other(specify)
`Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
Lture
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nwasAinntrg
d121901
MEMORANDUM
OFFICE OF THE TOWN ATTORNEY
TO: Zoning Board of Appeals
Building Commissioner
FROM: Ruth J. Weil, Assistant Town Attorney
RE: Misc. No. 246863, Land Court
Joseph F. Dugas, et ano v. Burman, etc.,
Zoning Board of Appeals, Town of Barnstable, et al
Our File Ref: #98-0042
DATE: April 11, 2000
We are writing as a follow-up to our last update of several months ago
regarding the above-entitled action. In February of this year, the Defendants
filed Motions for Summary Judgment with supporting Memorandum and
Affidavits, copies of which we previously provided to you. Yesterday, we
appeared in the Land Court before Judge Green, and argued the Motion. Judge
Green indicated that it would be several months before a decision would be
rendered.
Please do not hesitate to call us with any questions.
[98-00421Memozbacross
Assessor's map and lot number ......................2............... SEC SYSTEM MUST
BE
INSTALLED IN CO°r4PLIANCE
Sewage Permit number WITH ARTICLE 11 STATE
g �?. UNITARY CODE M6 TOWN
QyOF THE t��4 TOWN OF BARNS GMTh L LJ -
Z BARNSTABLE, i
p�"6 BUILDING INSPECTOR
O'Fam AV.
400 �0- & �L�IIJ6
APPLICATION FOR PERMIT TO G�� �''1�.... .......f...../<1�1�6Inci� a���..... .. . .................................
TYPE OF CONSTRUCTION .....W.Crlt-c)...............................................................................................................
a,.,.. .-.?.....................19..�((
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ............�........ ........ ,<G,........ .....................................................................
Proposed Use .. .... .. ... . ,.... .....
ZoningDistrict ................/ ...1.3..............................................Fire District .......................lJ ! .....................................
Name of Owner .. . .� ..../ .... ✓Rra................Address ..... ... GG ....%� ..........................
Name of Builder ...
[�......... ...................Address ................yl..?.RILi ...'............................................
Name of Architect ..................................................................Address ....................................................................................
o
Number of Rooms ............... .4/
................................................. .......... --164 jai.�................................................
Exterior ..................."v rl".4..............................................Roofing
Floors ...................&."..L.eT Interior .................................................................. O'eA"7 ......................................
Heating ...W.................................................Plumbing ..................../.......................
....................................
......................................... ,Fireplace Approximate Cost ............. d..:. .!...........................�.
Definitive Plan Approved by Planning Board -----------__ s-�.. ,
----- - - 19 --. Area, .. .. ...........Q.................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
i
I herebyagree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
g 9 9 .9
construction.
Name .......C%. ...... .......v,.... . . .. . .. . .:...................
Dugas, Joseph F.
16863 add t/frame
No ................. Permit for ....................................
dwelling (also add 2nd floor)
...............................................................................
Location -7,�1.... Sunset Lane
.............................................
Barnstable
...............................................................................
Owner Joseph F. Dugas
..................................................................
Type of Construction frame
..........................................
................................................................................
Plot ............................ Lot ................................
Permit Granted January 30 74
.......................................19
F
Date of Inspection ..... .:.::: .......................19
Date Completed �� 7 c�......... .......1
PERMIT REFUSED
................................................................ 19
...............................................................................
...............................................................................
............................................................................... f
...............................................................................
Approved ................................................ 19
...............................................................................
...............................................................................