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.� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel V Permit#
Health Division �^ Date Issued C
Conservation Division F 9> J .34�®� Fee ' 41
Tax Collector 0513010101.
Treasurer
Planning Dept.
Date Definitive PlanApproved by Planning Board re
Historic-OKH Preservation/Hyannis
Project Street
Address
Village
.Owner Address ,Sid
Telephone 5eP 3 -639 2
Permit Request Amd/— 121� 6w fih.e Gw" ^TRe0, c.,E G'/V7W(4f
GIJoT.H' /iU//��•��I
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Valuation �. Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes YNo
Basement Type: kull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half:existing new
Number of Bedrooms: existing 3 new
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: dGas ❑Oil ❑ Electric ❑Other
Central Air: 2(Yes ❑No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes VNo
Detached garage: ❑existing ❑new size Pool: ❑existing ❑new size Barn: ❑existing ❑new size
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
BUILDER INFORMATION
8^
Name v Telephone Number%-�S 0 �Lt 0 '^ 91
Address / S License# a I 2--
�omelmprovement Contractor# I �7
Worker's Compensation#
ALL CONSTRUCTION DEBRIS R ING F ROJE T WILL KEN TO
SIGN T DATE 30
k
F
FOR OFFICIAL USE ONLY z
� .
s PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.. -
ADDRESS VILLAGE,
OWNER .
DATE OF INSPECTION:
It
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL x
w
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
% RArrNSiAS1
9q, "".
t619- Regulatory Services
�e
Thomas F. Geller, Director.
Building Division
Elbert Ulshoeffer, Building Commissioner
367 Main Street,Hyannis MA 02601
Office: 508-862-4038
Fax: 508-7 90-b=:0
HOMEOWNER LICENSE EMEMON
/ Please Print
DATE: _/�n
JOB LOCATION: /b / �gAt(_er 61r AAA,,✓5-7,91 j
number street village
"HOMEOWNER
��Di>rnrr! /�.✓� //✓6�YG�1 S0�' 36� 3�
e c home phone# work phone a
• CURRENT MAILING ADDRESS: / ' re r
city/town state zip code
The current exemption for"home_owners'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.
DE VITION 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 unders' ned"homeowner'certifies that he/she understands the Town of Barnstable Building
Departm inspection procedures and requirements and that he/she will comply with said
p d s d r uirements
Signat Homeow r
Approvfi of Building O
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 log.1.1-Licensing of construction Supervisors):provided that if the homeowner engages a
personts)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:EXEMPTN
TOWN OF BARNSTABTeA .
BUILDING DE I� pORT
COMPLAINT/INQ
Assessor's No.
Reed B
Date _
• First Name - __ .. ._ .
st Name -
ORIGINATOR _ Street
- State Zi
Villa e
Work
Tele hone: Home
Descri ti-ons
-COMPLAINT
INQUIRY
Requestor's Signature
COMPLAINT
Street Address �G
LOCATION
A=
OFFICE VSE ONLY
R'S Dae
INSPECTO t e;
ACTION/
COMMENTS
FOLLOW-UP
ACTION
ADD:TZO::;,L
INFO. hTTACEED
YELLOW — I2:sPECTOR
COPY DZS�ZEL'TZOt7: F:Y.ITE — DEPARTY.='t.T FILE TO OFFICE l:GR.
PZNR — INSPECTOR (RET�
tascl
C,151 FWD
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TUNE ZO- t 93
.E'EFEI'C'�c/G Es: e_= I W 4 L 07 16 4 E 10 A 5 514 ow'4
'54 PLA45 RECOR06D IMTHE SARMSTABLE COVAM
REC ISTR'Y OT: raEDS L.0 P *S 05 13A : 11933W 5WEET 2
POR DEMN ( 5 RYA �as �� °F"' 'q�y
S /-�IG'CtdY G�CT/FY T//I�iT Tf�E BGJ/Ll�/�./F p 1=VERETT H.
SfIIpN/�c/ O.tJ TI-//3 .oL Ai l/ /S L.OG•4TED O.V THE NlNCKLEY
¢dOv.VD AS 3NDWs./ /•/�CQOutJ Gi.vD TNgT /T ,/ t 1781
DrGEs GO.VFOG.t.1 TO 7"NtP' tO.cJ/.V�r r.,.�'" •�" '.p `y' � �"�
BY-G qH/S O.= Ti./E 770W.1 OF gA R"5TA!B--C-
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S
. TOWN OF BARNSTABLE Permit No. 25233
��� z Building Inspector t L
ma
Cash (�2 Q Q. Q 01— T
%e3a
?CCUPANCY PERMIT Bond _-----------
Issued to Sydney lei Address
169 `sunset L f, , Barnstable
Wiring Inspector Ca `"�- Inspection date
Plumbing Inspector % y. Inspection date
Gas Inspector \ Inspection date
T
Engineering Department ,,fi Inspection date
Board of Health 4r� Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
.......................... 19......_.._ ......... ...........................
Buildin Inspector
I
F
Asses"r.'s map and lot number• .......... . :.� .` �^ �O%THET��
Sewage Permit number .. ...r?'�!`Z ....:...... ....... .. ...............
Z
B AD ARESTLE, i House number .................. b. :o MAS&
039• 9�
'Eam a�
TOWN OF �'BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ...................................................... .................... ....................................:.......
F.r.•
TYPE OF CONSTRUCTION ...................... ...... :.. i !1: ............................................................................-
TO THE INSPECTOR OF BUILDINGS:
The undersigned] her by applies fora rmit according to the II ng information:
Location ..� .(... .......... . ......... .�..... .......................... ............. ..................
Proposed Use ............... .. ....... ..(!I..�.�'1.. ............... .............................
Zoning District ........................ .. ......,... ........................Fire District ......... (r-t�►.� f ..
Nameof Owner .::7 .... . ... . .......................Address ....................................................................................
Nameof Builder .............Address ....................................................................................
Name of Architect .............................................:....................Address .. ............
Number of Rooms ............... ............................................Foundation .......J41N.►K.(% ,......1V...............................
Exterior ............ . ....¢':.. '' `�!!'S ....< 9u`11... .....Roofing ............[r.>`? ...........................................
Floors .......... .... . . .........................................................Interior ............... .. ... .... ....... .. ........................................
,., Heating .....Plumbing ........ /........................................................
Fireplace ................&e.._..................................................Approximate Cost ..............� 7.1/!1!1 y�
Definitive Plan Approved by Planning Board -----------_------_---________19_______. Area .......... ..I:d......................
Diagram of Lot and Building with Dimensions Fee "' '............................ ...............
SUBJECT TO APPROVAL OF BOARD OF HEALTH ` xd�
a
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� ....Nam
e :.1..1..
Construction Supervisor's License ....Ou"W„a...........
aMILLER, SYDNEY _T
15'233 Two Story
s y No ................ Permit for ....................................
. ,Sing'le Family Dwelling _
......!......... ............................................................. .�
4 Locafion 169 Sunset Lane
............................... . .........
Barnstable - _ f •.`� _ y"` _ .
..........................................•........................... �. e_' _` �� t'— , ``s .•�
F Owner ....Sydney..Mi.Iler...............
w Type of Construction .F.r.ame............................
,.
r ...j........................•.............•.....................................
Plot ............................ Lot ................................
,x
Permit Granted June . 19
r� Date of InsWefi ?.:Ai..................... z.1.9 J r
Date Completed ............ :, �: ' .19
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