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0023 WINGFOOT DRIVE
o \/‘ L.U1n3i-Oot • 11 • ; -' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 075 TOWNOF BARNSTABLE li ti n # 1 31 6 Map Parcel App ca o Health Division n Date Issued /O/306 /E'4? Conservation Division Application Fee Planning Dept. Permit Fee 65. 0 O Date Definitive Plan Approved by Planning Board )I11ISION Historic - OKH Preservation I Hyannis Project Street Address o 2 LL..)%, 6 3-k ®k. , C l M M q,�' o `^'1 A's 6 2 (32 7 Village Owner e o Q e 2( rv‘C: G Address 2 2 L )( �� fZ7 - l Telephone 6-7.), )-7(1 '7 3 3 ' Permit Request U, A-t A.4) L �`f l a�. rc ,� (� - 3 d t'/(� I r�'S�/ (1APz•- Ct C3 1 " ivv, r-1{ J Do 1 k7 k!v�jC k . t-L .!` e ( J '/-''�.e J/ r r ')'k( z /6 p 'i•�s• n..( Pa�.,�, ���. ` C%-i43) Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuations tt £kor: Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family C Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ 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 _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �� 0 ! 2-k -it Telephone Number CS N') 9k - (t-nz, Address . C� License # f 0 01- 7-7 Ca.-IC(:ti‘C IvV 0 7 � Home Improvement Contractor# l 0 Y 6 / Email A.Lo,tre. 7 99 ') ci",,A.1. C Worker's Compensation # G 4J g v / c, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 147SC - r• /2_, Liz,i /AA SIGNATURE 11 DATE / 6 Ii 7((c FOR OFFICIAL USE ONLY r4 APPLICATION# R DATE ISSUED MAP./PARCEL NO. ADDRESS • VILLAGE OWNER . DATE OF INSPECTION: FOUNDATION 4 FRAME i. ; INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ` p RISE ENGIN EE RING OWNER. AUTHORIZATION FORM , 6 (Owner's Name) owner of the property located at: • 3 ' 1 CvO -- b 4 14id M ,I6 (Property Address) (Property Address) hereby authorize 1 1 \ ' thf\ (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. This form is only valid with a signed contract. • Owner's Signature 6/ Date • RISE Engineering 6 Dupont Avenue South Yarmouth, MA 02664 ;_„,f I ' Cie b ) ?L/�-�t S P o'eTown of Barnstable *Permit t s 6 of o SS e date 41/ , �►s, °� T 1 e ulator Services ExFee - 7(, / * BAB FABLE. : APR — 2 2U(jc Thomas F.Geiler,Director 4,,, aieEr Building Division eg,-- v„ v rFnr�a'1 NCIFBAR N oy,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 3z1 q ` o7 Property Address 2-3 tN t rJ C,rUU T p(L11/L -) 9N3Aa--\f>1 e. Residential Value of Work /4aa U Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address o66V-1' etc' J., Po 4 ,jc S.S C A..J•A.WI.y'titaZLL► V\AA 076'S 7 Contractor's Name TAIL 4-bt5w 0. - Telephone Number ra 2-$I,- 33 2-3. Home Improvement Contractor License#(if applicable) ff t F * `'f 2;?it Les. 079 2,7 ❑Workman's Compensation Insurance Check one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on file. 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) Replacement Windows/doors/sliders.U-Value (maximum.35) 1—"--(r-Q-ci ktkvati 6,-,A.0 Ks ii *Where required: Issuance of this permit coes 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 is required. f-e - j/ y(� j ci_ ,r4/ i.J-1,,...ic, 0/--.Q b tQ 1-> = ' SIGNATURE: ti ,,,,., L-,-, 1, L{ G h Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revise020108 • mE rq� ti 1r'�?►i, 1 Town of Barnstable w BARNSTABLE, " 1639. 1Regulatory Services APet, zt° Thomas F.Geiler,Director 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 Property Owner Must Complete and Sign This Section If Using A Builder 62-i , as Owner of the subject property hereby authorize ?.A u' 1A.1.cD O t.tl -t-1... to act on my behalf, in all matters relative to work authorized by this building permit application for 2—3 U.)r r.)( Fv-i't V J C .ice w/i tit Ct 1�1 AA (Address of Job) • /Yr' 3/2-7 /dg Signature of er Dat / l Print Name Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revise020108 • �T Town of Barnstable ,s, o„ Regulatory Services " Thomas F.Geiler,Director KIARNSTABL;), D 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: JOB LOCATION: d number 1 street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town • state zip code The current exemption for"homeowners' was extended to • lude owner-occupied dwellings of six units or less and to allow homeowners to engage an indiviv al for hire who ,,oes not possess a license,provided that the owner acts as supervisor. t.EFINITION ''F HOMEOWNER Person(s)who owns a parcel of land on whit' he/she re.ides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or ,etache• tructures accessory to such use and/or farm structures. A person who constructs more than one home in a two- ear period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official .1. a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under `e c ilding permit. (Section 109.1.1) The undersigned"homeowner"assumes responsi 9•lity for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that hi/she derstands the Town of Barnstable Building Department minimum inspection procedures and require -nts ant that he/she will comply with said procedures and s: requirements. ' Signature of Homeowner / . Approval of Building Official , Note: Three-family dwellin containing 35,000 cu'.ic feet or larger will be required to comply with the State Building Code Section 127.0 C nstruction Control. HOMEOWNER'S E MPTION The Code states that: "Any hom caner performing work for whic a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing f construction Supervisors);provi.-d that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as sup isor." Many homeowners who use this xemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Constru tion Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed pers ns. 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\homeexempt.DOC Town of Barnstable *Permit# o?6U-7CS-0 i9 Ezpir 6 months from issue date PERMIT Regulatory Services Foa 9 5, X-PRESS Thomas F.Geiler,Director S E P 1 1 2007 Building Division Tfrt - . Tom Perry,CBO, Building Commissioner // 3 07 TOWN OF BARNSTABLE 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 341TO 75 6.0-r ! 3) ( Property Address 13 t U a NCB.Fadr bp,/1,1 aug,r . E Residential Value of Work 2 00." Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address ik"o®jf MO Viet-Li 2 ►-)!r-ov P i C >it't A att,�D Contractor's Name Telephone Number• Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: - ❑ I am a sole proprietor I am the Homeowner ■ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. - Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to . OA ai TSB 7) AiJ ')2 S' ww'1•) ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *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 Ow,- Letter of Permission. A co y o e Improvement Co ors License is required. SIGNATURE: ►' Q:Forms:expmtrg Revise061306 Assessor's. map and lot number "47 — '7 r /2- 2 y 'SPTIC sysnatuSilfa C2 INSTALLED IN coMPLIAKct Sewage' Permit number 51/ WITH ARTICLE. ti':•STATE • Wfi TiglY CODC AND Toni E.7.04„4, TOWN OF It AR1V914'41,LE 13 AIIHSTAII,E, IBIUHLIIANG ORISPECTOR • APPLICATION FOR PERMIT TO -a 1// 42?./.‘.9'... • TYPE OF CONSTRUCTION aA2(P.P TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location cg-‘27-- 46f/ ),-5 1,(1/x1re907- ye'06-- Ce •Var.4 /-27xQ,aS Proposed Use <5-//fte.i. . " (.454/ 7X-Ve..7 4.-Ze!110 Zoning District Fire District Na me of Owner ,Z-A-e-//gii/ AW/eA-177/.42/77 Address 9-7 /af..V".WeRal-The/W Name of Builder ..-.Pegaa:44417.4e,r Z3z,...x, Ca Address /tic/37.4//t/ r/5)&placor6/ Name of Architect Address Number of Rooms Foundation /0 4712,9 1 Exterior Aii.63....."5"/"Pite,eN5, thwyz 6&14664"47. 7.2 n g w.0 /19a,fly Floors ,447-€P6/ fi ,e0-7c ,5 I erior 1Z-k2 7- 60,9 7-E-/Z /23 C.-7,z;S Heating .CMCZ=P041:43 Plumbing C7 Q8 1 -4"S77 C Fireplace (?/97/7(er .Resir.72-7:1). Approximate Cost Definitive Plan Approved by Planning Board 19 . Area Diagram of Lot and Building with Dimensions Fee 4'°) SUBJECT TO APPROVAL OF BOARD OF HEALTH Zie/m,e7,e'oe2-'77 pfrzimicr, /2der)-2 7 r,0W/G v 3 z -i7,e6er-Y-xi 8,47-7/S • 894 6 677 6 8 3 g -1-S6,, herI eby agree agree to conform to all the Rules and Regulations of he own of Bi.table regarding the above construction. NameQ..a,A4.2-49Z-11-"a. .(5„ f ` , Farnham, Henry C. No 17555 Permit for two story, single family dwelling Location-a3 Wingfoot Drive Nomait="d- -B.4wAs .1.e Owner Henry C. Farnham Type of Construction frame Plot Lot #193 Permit Granted Ja/7Ch ary...1.7 19 75 Date of Inspection ' 4 19 Date Completed 6175 9 PERMIT REFUSED 19 ' 3 Approved 19 ITI NI I . I )I NO1I ` , \ aai F,r„5\,r<4 C-e0/ .e ITlo.n`-to\e g` Ce.Ier bre.�k•tr uPT0 wr�..‘n \2" e r. G=>r,.51, �ca�e -. / . \ /� I Vim" { \ !!J\r�rr7Fi"�iZCT / <->r\u-1.. 1� E levact�oc�• c���c to 7T jl TT = TTT C\T -Sn m 7Rzi . .c �r nr ��\>>r n;- (See B. 1-, P\4Dt 1 '1'-7Tr,C'�� 7�T \ �rrY � T���»� r,c VI l�L'k ef� ut r ) 1 r.. %.�ti� cr'''' -:.-.:7:7=-;•;.:•...1.-,.*:',.",-•_-•.:.`.:1 -,., !".•..A_'::•:'..',` :•1;:. , . r -_I-, .i nur„n",rr, 1 . 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