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"'( ! t t .. l ,s S.,:i v S 't, ! s'f : ,: ., _ , _ _,o :^, .. _J; r... R, st# i ; ,.., - ,.. ro "'r - , :. ,. , , 5 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel b Application # Health Division Date Issued / Conservation Division Application Fee Planning Dept. Permit Fee 1J�, Date Definitive Plan Approved by Planning Board P� V/7`/3 Historic - OKH Preservation/ Hyannis Project St re t Address / le, VillageN`�c `-�� Owner Address Telephone Permit Request tol a4t*/Z4 aivI-e-XithA Za k 4aXi ­Vf 4 fed•Liz qe 4 Aq- G�'hur Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type [M14I Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) _ N -4 © o Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kinglc Highway' ❑Yn ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other o Basement Finished Areas ft. Basement Unfinished Area s,.. Number of Baths: Full: existing new Half: existing n�evv w Number of Bedrooms: existing _new co Total Room Count (not including bath 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 Aut,orization ❑ Appeal # Recorded ❑ Commercial ❑Yes o If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION . (B�R OR HOMEOWNER) Name Sl Telephone Number - J 15" 1 2) Address �� [l % License# f do Home Improvement Contractor# / 3 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4gwoufi - SIGNATURE DATE �J r= { FOR OFFICIAL USE ONLY APPLICATION# l DATE ISSUED t MAP/PARCEL NO. i ADDRESS VILLAGE i r OWNER ' e N $` DATE OF INSPECTION: L FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL I: I GAS: ROUGH FINAL FINAL BUILDING 1 DATE CLOSED OUT ASSOCIATION PLAN NO. e, OWNER AUTHORIZATION FORM V�-�E&L� I, ' (Owner's Name) ' owner of the property located at b(oik I�kmkW MR Address) (Property Address) ' hereby authorize (Subcontracto ' an authorized subcontractor for RIS Engineering, to act on my behalf to obtain a building permit and to perform work on my property. 0*�,T�A Owner's Signature Date F' TOWN of RAR STABLE CAPE COD INSULATION 2013MAY 10 A11 : 41 FIBER 6LA55 $EA MLM I.RAFPOAM 1.1PENOEO BARS 6"i... INSULATION CEILINGS 1-800-696-6611 DIVTSIOAq Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 �rJ Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( ) ( ) ( ) ( ) Slopes ( ) ( ) ( ) ( ) ( ) Floors (x ) ( ) (30 ) Walls ( ) ( ) ( ) ( ) ( ) All- Sincerely hECasJr, President on, Inc. sc(3o J .r PERMIT ` 'own of Barnstable - e�# 0 Expires 6 months from issue date 2008 Regulatory Services Feed_ _ anaxsrnsr.e, Thomas F. Geiler, Director T RNSTASLE Building Division `r Eb htl•'t a Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.bamstable.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 � 7-7/0(/,C9o� Property Address �/ LJ E'�e�� (4/a Ca y j c�cs Residential Value of Work � Minimum fee of$25.00 for work under $6000.00 s Owner's Name &Addressandij 4Ai nr_W,,eU I I iL Contractor's Namef� Telephone Number v 7/ -7c Home Improvement Contractor License#(if applicable) /60 6 '7 / C$` 76S .?(o _ ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ,J< I have Worker's Compensation Insurance/ Insurance Company Name L I. ••e-Jr..,, Al 4. Workman's Comp. Policy# G 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 Je-#ft ❑ 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 Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: 4z �" Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revise020108 �opiHet Town of Barnstable Regulatory Services �g"xllt I �' Thomas F. Geiler, Director rEo3�16 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder r Glc'k , as Owner of the subject property hereby authorize', �ir�/ Cre;J'GZ to act on my behalf, in altmatters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner 1J Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on th:e reverse side. Town of Barnstable Hof VE rp m Regulatory Services Thomas F. Geiler, Director RARNsrwam MASS. 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 H 4EOR'NER LICENSE EXEMPTIO� Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name me phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended inclu e owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire w o doesn t possess a license,provided that the owner acts as_ supervisor. DEFINTTI N OF HOMEO 'ER Person(s) who owns a parcel of land on'which he/s e resides or inten to reside; on which there is,or is intended to be, a one or two-family dwelling,attached or deta hed structures acces ory to such use and/or farm structures. A person who constructs more than one home in a o-year period shall no be considered a homeowner. Such "homeowner"shall submit to the Building 0 ial on a form acceptable t the Building Official, that he/she shall be responsible for all such work performed unde the building permit. (Sectio 109.1,1) The undersigned"homeowner"assumes r ponsibility for compliance with th State Building Code and other applicable codes, bylaws,rules and regul.lions, The undersigned"homeowner"certifi that he/she understands the Town of B table Building Department minimum inspection procedures and equirements and that he/she will comply with aid procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-f 'y dwellings containing 35,000 cubic feet or larger will be required to mply with the. State Building Code S tion 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code s that: "Any homeowner performing work for which a building permit is required shall be exempt fr the provisions of this section(Sectio 109.1,1-Licensing of construction Supervisors);provided that if the homeowner engages a prson(s)for ire to do such work,that such Ho owner shall act as supervisor." Many mcowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(sec Ap endix Q, Rules &Rcgula ons for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,p eularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would With a 'censed 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 applic 'on, that the homeowner certify that heshe 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 fonWcertification for use in your community. I �� .t 1"i�' 4�^�R•r`3� ��+}°,SC r `•�;s f G_'``;� r r:f y t t*i � °�a�3"�,� cs �� °�`�{, + r�, ?,' � f�Y_,- �' � AD � i —0C(�T l9 i _ Ni i LOT 6( I " (� �P t W fi79,03f do Wo i 8-- 40s CgeT/E/&-D f:04 OT L.IQ/V pR E PA7e E D Fop-, _. 1'`-4 O1 aArC: AUG. S. !9e5 .2E.F'E.eC�c/cE: P8,2 Igo lF'Ga�".�T Z s�EBEBY CEE'T/FY 7-oWog7- T//E BC//LD1A.1Cr PL./Q.V IS L.O C 09 TE a OAl/ T.NE Of y^Boc%va his ENO Yt/.V HE,eEo�/ A/gsf\ � 9 ARNE o H: i IU OJALA N c�ocu� cam en9ineerir�9 �Ao p26348 �o I G�q.cJa Sc/eV6YOB3 LA -- ,EOC/TE 6�4---�,eMOUTH, MA53- qT�- .e��r. Lq.va uevtt�oe Assessgr's rr 4 and lot number ..,�W.-... .......5l�........ _ —• - -� K t SEPTIC SYSTEM M .. Sewage Permit number ...........�S......� .J........... INSTALLED IN COM WITH TITLE Z E9HHSTADLE, House number':... . ..... .. ... .....................................:. ENVIRONMENTAL C L r� TOWN REGULATI yaY TOWN OF BARNSTABLE 4 BUILDING .'- INSPECTOR ^ APPLICATION FOR PERMIT TO .....5-.11ib.......P.......... .....4.... .... ............... ............................................... TYPEOF CONSTRUCTION ..... ....4..... .......... . ......... .. ...... . .. ......... ..................................... .... .. ....l v.................19. . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby app lies ?for `/a permit taaccording Gto the ffoll/owi!ng information: Location ...... 3. �......!�.:` .!y..... 71 . ..4:r.............................................................................. Proposed Use ;5/Nl�� � �-4nn!.1 ... tcv c L L./..!? .......................................................................... Zoning District ... ... ......I...................................................Fire District ..... ..................................... Name of Owner ¢'1�lUG . Address ............ I............... ........... .. .... ............ Nameof Builder �d�/ �1.............Address..................................... ............... . .................................................................................... Nameof Architect ......... .................... ... ..............................Address . .. ............................................................. ........ Number of Rooms ...... 4&i Z�Ll�� ........................Foundation .. ......6��. 1. �.. ...................... ........ Exierior ..rl .�P C,v�GQ�k9...............................Roofing .. Lam© . Floors ..... !1?. - ......................................................:..............Interior ....�Jf1 'r. .� ........................................ Heatin ... r±'`.C�4 ............... Plumbing S ----�___:._ g ...... ............................................. Fireplace ..................................................................................Approximate. Cost .....!:!PP, e.................. - - Definitive Plan Approved by Planning Board _ Z_-----------------19C�per_AQ� Area ..1+ ........... ... Diagram of Lot and Building with Dimensions e j ....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OG1N�� �-J 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. 4 ix Name :.................... `` Construction Supervisor's License .................................... L ; 7'rINCKLEY, STEPHEN & HEATHER W -Nc r.ZU.93.. Permit for .....T.wo...Story . ............ ft Single Family Dwelling ..................................................../.......................... 114 Beale' Way .. -Barnstable ....................; .......................................................... Stephen & Heather Hinckley Owner .. ............................... Type of Construction ...Frame............................ ........................................................................ 't Pjot­.�............................ Lot ................................ Permit Granted .... ....... ........19 85 .. Date of Inspection 142... . .......... 19 Date Completed ........... 9 iz > M — MMMQ 4 M Cr Mi Vo THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA TOWN OF B A RNSTABLE Permit No. ..---_--------- Building Inspector � sa�rr.n Cash -- - ---- -----.��� ,ego• OCCUPANCY PERMIT Bond Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health 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. ......................................................1 19 ................................................................................................................_ Building Inspector { _IV Oe'tj ........ ._.. ...,.., T-"i j tit IS ' " E t 7 8` LOW -"VC I , "-;^�C{� 1 C.C'rJ `�`t� 1`�;� -�=�+,,.���—`""c':"�..?�..,5 L="�.a� tt»I mH A ki, �Jlj 14, ,,, .��f�, ��� . �` �.... � 'fit-.�tr�1 i2f��'� ��"��J, ,��1.. EY (Dlit L/DAY t F' 1 ,t\� '.. , TE'`�T ' T� -��..2-'��!��-� 'moo+.., �,`" �►` �w 1 M Lek-'t""�°' e u. TE A K�TD 1-77L W15�E� -PLY\�A . #- 1. t) �� OF Of c ARNE K Aim OJAu OtALA CIVIL t own caloa e1)gl1l e lc p11Jc1 civil engineer 2 Nt t t t3 5T' N 41 t�U 1`t t,MA 7