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0393 CARRIAGE LANE
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"Y'>--i;�f �',} .. r4 1' t;�hr''}i`� ��y,S • e ,y 1 r • .,1• r ti; ° a t it In o R I .. 1 t .. o .� •}, �, Ga . .°, n ,}, 'r�.'+v 1},a •`c Y,.�' a ,1,.,. - i�.nl e 11}I}. r nOil, ,. . .. .. .. r" �.tb ' y.v 3,. �,} . ,. u• c ... rd ,. - x, R7 y y , Q ,• y .IT _ _ F ii ._.r a .. , ,.r .. �rtf.• Town of Barnstable erm�t Expires 6 months from issue date Regulatory Services Q v� �BAIMSTABIA 6 9 ,� Richard V.Scali,Director y�� 4FN ArE p�,I p pour IC�i,� �g� Building Division , AUG '�rl �1 Tom Perry,CBO,Building Commissioner G $ 0 2014 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us o��d� �g Office: 508-862-4038 ? -6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Map/parcel Number `` 3 l Not Valid without Red X-Press Imprint Property Addres�C�a__5 CQ W�0 Lav ( ❑ Residential Value-of Work-$T � Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address V ti Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: 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 accompany each permit. Permit Request(check box) ��C 1 Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to kuyv\, ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side 1❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows a" #of doors: Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. ere 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 requir SII GNATURE:-_ Q:\WPFILESTORMS\building permit forms\EXPRESS.doc Revised 061313 Town of Barnstable Regulatory Services �oE TOtyy Richard V.Scali,Director Building Division Tom Perry,Building Commissioner mass 1639. $ 200 Main Street, Hyannis,MA 02601 pTED MA'I� www.town.barnstabIe.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ( Please Print �DA :')3Z T JOBLOCATION:"' f-7 C rc- Ot �_1j �CQ.tr N, number \ t \ village IiOMBOWNER". C�. =' \ &" ..M name home phone# work phone# (—EURRENr_MAILING-ADDRESS 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 ocedures and requirements and that he/she will comply with said procedures and requirements. Signature of omeowrier�" Approval of Building Official Note: Tbree-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\E)TRHSS.doc Revised 061313 � E rti Town of Barnstable y Regulatory Services * sn MM�i E ti Richard V.Scali,Director Ori�o3g,.�a 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 roperty Owner Must C"m to and Sign This S ction !- . �I sin .A,Builder . I, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this g permit application for. (Address o Job) ""'Pool fences and alarms are th responsibility of th applicant. Pools are not to be filled or u before fence is ins d and all final inspections are performe d accepted. Signature of Owner Signature of Applicant Print nn Name Pant Name Date Q:FORMS:O WNERPERMIS SIONPOOLS TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION l pp Parce Ma �`� l- Application #o 1 G ' I , ` p 0 Health Division Date Issued Conservation Division Application Fee �� Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village Owner Address Telephone Permit Request o v �t i, dou C lam �0 1�/, ak ftov :Square feet: 1 st floor: existing proposed 2nd floor: existing proposed' Total ne Zoning District Flood Plain Groundwater Overlay Project Valuation -� ti l Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach s portin"ocu*ntation. Dwelling Type: Single Family 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 N 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 A. thorization ❑ Appeal # Recorded ❑ ~ Commercial ❑Yes Zo If p ,es site Ian review# Y Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ytm Telephone Number AddressLC'5�KtAY6V License #I DQ 1 " ��� � �6 1 5 Home Improvement Contractor# �� b Qw Email Worker's Compensation # Wcfto ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WALL BE TAKEN TO SIGNATURE DATE ,r FOR OFFICIAL USE ONLY 6 APPLICATION# '- DATE-ISSUED. MAP/PARCEL NO. y ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION t FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING 'r DA:T�E-CLOSED OUT' ASS OrAffION PLAN NO: I ��,tnooti� a � PAH1 WAYMS mass save CGU PERMIT AUTHORIZATION FORM Q," , owner of the located at: property (Owner's Name,print ) 3 G .s-�;a L Lam► �CA C ry �loL (Property StYeet Address) (City/Town) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation -and/or weatherization work on my property. i Owner's Signature Date i FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: A QLATiM 11�3 �iy Participating Contractor Date a Rev.12132011 i i 1 IZ^ to CAPECOD INSULATION NC"T777' NY{Y OaA3s SSANI[33 SAAATFOAM 3Y{°[N090 3AM aunfa3 IN{OWIIpN {{I[INO{ 1-600-696-6611 'T"own of Barnstable _ Regulatory Services ` Building Division " 200 Main St Hyannis, MA 02601 Date: Cr- 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 (BP-1) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village PAM Vl4AjK9Vjft-- .2qj caa juaV �` ! Insulation Installed: Fiberglass, Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls AI'L ell� Sincerely - He ry E as y Jr, President C e Cod 1 1 uation, Inc. l Assessor's ma and lot number' ... 5. gry7w /' �0�e o�THE to p �.6 7 Sewage Permit. number .........R.37.3,7,3..................... .r ' Z B 9T i House number ... .....:.. .... ........................., ' :.... r ABB ADZE 9 A8 �� d 9 S 'STE40 MUD" ' '' 163 war a�e� STALLED IN c 'sI 'OWN - OF ,BARN, � 'r XIAENTAL CODE A.PllTOWN REGULATIONS r BUILDING INSPECTOR m APPLICATION FOR PERMIT TO ................ TYPE OF ,CONSTRUCTION .. cl: fir `+-t�............................................................................................. ....... .�..�.....12...................19.1 f TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit according to -the following information: Location `� ... J` ........cam.... Qa.... .4. ................................... ProposedUse .... . ............................................................................ .......................... Zoning District .................................................... ....... ,Fire Di tr'Lct r ✓..................................... Name of Owne a ....Cl.a....7�i.- .'� ...................... ddress ..�!. J� ...�. CIYY1 [ CJ Name of Builder�.�T�T.-��.. !"'.:,. �G '1.................Address ......��. - -..................... ................................. Nameof Architect ....D.orulkl.............................................Address ............ ..................................................................... ' -I✓Number of Rooms ,....4�...............:.........................................Foundation .4KR:�....wn.cr Exlerior &'f3bm:wv,. ..*.:UA(A,f:.......5.14:L. . .-.....Roofing ....:1011_96CL.±........�.��n... .t5................. Floors �� .. h n.DILL<UY.n.........................Interior ......... YVX41.,......................................... .... T Heating ....... - ?L.::.C�1 ...........................Plumbing........ ... .................... Fireplace ......�. ..............................................:.................Approximate Cost ......1 © 0..M.................... ... ....... Definitive Plan Approved by Planning Board _____________________________19_______. Area .... �� S - ................ ................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH Bo my. f 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. Name :. ✓.-.x ........................... Construction Su ervisor s License WELCH-, JEFFREY H. & VIVIAN urig + 25159 One Story �70 ................. Permit for ....................4............... 1 Single Family Dwelling .................................... . ... .............................. Lot # --_ Location .................r5..3.'..... Carriage Lane r Barnstable H. & Vivian Urig Welch Owner .................................................................. _ Type of Construction .Frame...............:........... ................................• • •••.•••••••.............................. } . YN -'. Plot .....:...................... Lot ................................. P�rmit Granted ..... June....7'.. ....1.9 83 Date of 1i1� ............. Date Completed .... /-7 ............. ..........19 . �= -E 81,< Z07. 00 41N E•'t5EH6'7!7" .ZoIWioGf RAP Rex i r ;' �Skb'�✓ o.� A PG�re� of io ,y ES7T97t3 .. /D ,p,6o.eoc OFi . EDWARD �yj, oof N 1 Ci �� Z6100 y jGb�TL1'/P)/ TIJ9T? iST��/C 4.0001770,ei �!��� �•9 i u�r Ego C,eo�� � �i4faINN s�6v/e.- .'.. AJ TOWN OF BARNSTABLE Permit No. _-______ _25159___- 1 Building Inspedtor awrrm • Cash -----------=---------- -Iwo dpY a OCCUPANCY PERMIT Bond -----------------`- Issued to Jeffrey H. & Vivian Urig We7 fEddress ��t ��� »'� C��-x•�iaa�a Ts�x,a' R�rr�«i-a},,i� Wiring Inspector * / `- ' Inspection date Plumbing Inspector/' � � Inspection date ✓,max i Gas Inspector i Inspection date ✓ Engineering Department -4 ,d,,,,,y Inspection date�f ,/Board of Health � 3. Inspection date ( /;X/i / f 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.. �/1"/ ... ........ _, :.. ..,.... .p.... ..._ Building Ins eetor