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Application number Z....... . .... ....
Fee......................... ................................
RAMSTASMr.
MAn Building Inspectors Initials....b...r.
5 Fj�
Date Issued... I..................................
TOWN iit BMNSTABL� - Map/Parcel..........I.3... ...�J.... ...........................
.
TOWN OF BARNSTABLE
EXPEDITED PER-MIT APPLICATION:
ROOF/SIDI.NG/WIN.DOWS/DOORS/TENTS/STOVES/WEATHE.RI.ZATI.ON
PROPERTY INFORMATION
Address of Project: G RA a 1+e5 L A A115 BAlkWULL-p—
NUMBER STREET VILLAGE
Owner's Name: PATCkfr-o Lt-g' Phone Number 1i lot
Email Address: AJ14 Cell Phone Number ,�Ie 3 V1- G 191
Project cost $ 2, 0 0 6 Check one Residential Commercial
OWNER'S AUTHORIZATION
As owner of the above property 1.hereby authorize S AEC A TjAdved�
to make application for a building permit in accordance with 780 CMR-
Owner Signature: Date:
TYPE OF WORK
Z I/-L'T C LWO L 0(4 3;10"" CP 0� LU 114 0 0 UJ Ue I V Y- CL I'V ry V 9A
Siding F-4 Windows (no header change)#2.,_ED Insulation/Weatherization
I
Doors (no header change)# Commercial Doors require an inspector's review
Roof(not applying more than I layer of shingles)
Construction Debris will be going to -1-OWN 1p P L 1-f
CONTRACTOR'S INFORMATION
Contractor's name IT- 5+rdAf 51G/
Home Improvement Contractors Registration (if applicable)# 1067qd (attach copy)
Construction Supervisor's License# C .5 0 6 till (attach copy)
Email of Contractor -?'e rZK('-- e C e Phone number
ALL PROPERTId'iHAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.
Page 7 of 7
Capizzi Home Improvement Inc.
Specifications and Estimates
STATE OF MASSACHUSETTS
LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT
UWE, f (y j L h4 UL' , OWN THE PROPERTY LOCATED AT IN
1�� , MASSACHUSETTS.
I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY
FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE
BUILDING CODE.
I GIVE MY PERMISSION TO
LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE
MASSACHUSETTS STATE BUILDING CODE.
SIGNATURE OF OWNER:
OWNER'S ADDRESS:
OWNER'S TELEPHONE:
LESSEE'S SIGNATURE:
LESSEE'S ADDRESS:
LESSEE'S TELEPHONE:
APLLICANT'S SIGNATURE:
APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit,MA 02635
APPLICANT'S TELEPHONE: 508-428-9518
RESPONSIBLE OFFICER:
RESPONSIBLE OFFICER ADDRESS:
RESPONSIBLE OFFICER TELEPHONE:
r✓ tl
j
j
1 Barnstable . �*permit
�0KEr,, ` own ®f Bar
Expires 6 urontlis jraur issue(late i
Y .AxrasrABrE Regulatory ServicesFee
MAHB. $ Thomas F. Geiler, Director n
s6�q. A♦� 1
pTfl)MA� Building Division
Tom Perry, 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
Property Address �G�1T/IT� LN• 79�N5T3C ��N- /"7,A-
;�]Iesidential Value of Work <70c) Minimum fee of nS.00 for work under$6000.00
Owner's Name&AddressGifri��cv
Contractor's Name �7rlC zSOh Telephone Number 568—•,60-922/
Home Improvement Contractor License#(if applicable) 16'3-r:32t5 s '
Construction Supervisor's License#(if applicable)
[�'`Vorkman's Compensation Insurance
Check one: APR 3 ® Z010
❑ I am a sole proprietor
❑ I am the Homeowner TOWN �� SAF�NSTABLE
�(iave Worker's Compensation Insurance
Insurance Company Name 1 X
Workman's Comp. Policy# 75 0 !- Z �
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)
❑ Re-side
('Replacement Windows. U-Value (maximum .44)C29
*Where required: fssuance 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,
Hgj3;i.*ITffp`rovement Contractors License& Construct Supervisors License is required."
SIGNATURE: _ r ,�
Q:\WPFILE� PM'S\fficpres�PRESSPERMIT.DOC
„t
WE 1-1 Town of Barnstable
Regulatory Services
BARa a
p '> � Thomas F. GeHer,Director
oa�m Building Division
0
Tom Perry,Building Commissioner
200 Manx Street, Hyannis, MA 02601
WWW.town_barnstable.ma.us
Offic(-,: 508-862-4038 Fax: S08-790-62
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize C C 0 Y-7 /5 rrjP to act on my behalf,
in all matters relative to work authorized by this building permit application for.
C'V-rl j+-Q 424Ae )6 4? r I S 1
(Address of job
Signature of Owner Date
Print Name
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the reverse side.
I
„-THE tp Town of Barnstable
Regulatory Services
Thomas F. Geiler,Director
Building ]Division
Tom Perry,Building Commissioner
v
200 Mairi=Street,—Hyannis;MA'02601
www.town.b arnstable_ma.us
Office: 508-862-403 g Fax: 508-790-6230
HOMEOWNER LICENSE EXEMP ON
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER”:
name home phone work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to in We owner-occupied dwellinirs of six units or less and
to allow homeowners to engage an individual for hire wh doe of possess a license,provided that the owner acts as
supervisor.
bEFINIno OF Bomm Y 'ER
Person(s)who owns a parcel of land on which he/she sides or inten to reside,on which there is, or is intended to
be, a one or two-family dwelling, attached or detach structures acces ry to such use and/or farm structures. A
person who constructs more than one home in a two year period shall not e considered a homeowner. Such
"homeowner"shall submit to the Building Official n a form acceptable to e Building Official,that he/she shall be
responsible for all such work performed under the uildin ermit (Section 9.1.1)
The undersigned"homeowner'assumes respo ility for compliance with the S to Building Code and other
applicable codes, bylaws,rules and regulations
The undersigned."homeowner"certifies that. e/she understands the Town of$arnstabl. Buildg Department
minimum inspection procedures and require ants and that he/she will comply with said rocedures and
requirements.
Signature of Homcowna
Approval of Building Official
Note: Three-family dwe gs contd ing,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 ho weer performing work for which a building permit is required shall be exempt from the provis ens
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 arc unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rulcs&Regulations for Licensing Construction Supervisom,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons In this ease,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Superri is ultimately responsible.
To ensure that the bomcowncr is fully aware ofHs/hcr respons'bilitics,many communities require,as part of the permit application,
that the homcowncr certify that hdshe understands the responsnbilities 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/eertification.for use in your corrununity.
;3�•a:ichusett Depa tram O P-riblic Saft v
•$011"(I (Fi BUij ii13(r_ ss , 4e
--'+ Consttructi6q.SuWvds�r S ac€alt,r License : _ � HOME iMPRQVEIViENT CONTRACTOR
i_ic�rese: C8 SL 100546'_ - � } Registra#� 1fi3528
Restricted-to: .WS >&
r
e Expiration 7.712011 Ti* 285903
Type DBA
ERICSSON ORRES
3 ERIGSSON D OME IMPROVEMENT
16 HOOVER ROAD J.
ERICSSON TORRES - -
`WEST'YARMOUi N NIA 02673 16 HOOVER'RD—
WEST'YARMQUTHFM.762673 Undersecretary
Expiration:-6.1812012
(`rn�tnisxi„ner Tr- 100546 _
-Restricted to:_VAS License of ree stration.valid for individi&use only
IA- Masonry only J `before the expiratiowdate. 1f found retufn to:
RF- Roof Levering _Office of Consumer Affairs and�usiaess Regulation
WS-Windows and'Siding, _ , F 10 Park flans-Suite"5170
SF- Solid FuelBurning Devices Boston,112A-02116
DM-Demolition only
Failure to possess a current edition of the
Massachusetts State Building Code _
is cause for revocation of this license. f
Refer to: VAM.Mass.0ovlDPS llbt vali i wiEfiont sibnature
�fSME Tp� UWII 6 #01"SugG'Ue
00
• � ' Regulatory Services
916,39. e' Thomas F.Geller,Director / ) P
Bu11d1ng Divisiton
01
�"
Peter F.DiDiaiteo, Building Commissioner
36 i\Main Street, Hyannis,MA 02601w No V
Office: 508-862-.U338 N OF8AF1�
Fax: 508-�90-6?30
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLYPSTp
Not Valid without JW X-Prat Iarprtnt 1-
.lap:parcel Number �o
Property Address
Value of Work 0 0- - U
Q Residential
Owner's Name&:Address 6c
f ti J";�,, P1 � _ u
Contractor's Name
�,� .Tl(/ ZJ'�.�N; �'""'�elephoneNumber
J7/
Horne Improvement Contractor license (if applicable) d-Construction Supervisors License-(if applicable)
4 C2 i orkman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeosmcr
dI have Worker's Compensation Insurance
Insurance Company Name
Worlanan's Comp.Policy
Lyc oa 8 66 -�
Permit Request(check box)
eRe-roof(stripping old shingles)
❑ Re-roof(not stripping. Going over existing lay=ofroof)
Q Re-side
❑ Replacement Windo%s. U-Value (m2ximmtt'
44
Q Other(specify)
iiana with other town department regulations.i.e.Historic.Consersarlo
.Where requited: Issuance of this permit does not exempt comp
G✓L
Si>:na=e
Q:Forms:expmtrr:re�'-+1;Obt)1
" Assessor's map and lot number �. ✓ w......... ..........
OFT E
Sewage Permit number ...f?.'.��.''. .z :........:
Y -` Z DAM TABLE i
Hduse number .....i...............................vHG................ .�..... .. S Ems": c sy -wr, �# us 113E ' M6 a
9.
TOWN ' OF-�--BrAR� ' A4 ED
ENS/11RON 1 6 �-
BUILDING INSPECTOVR
APPLICATION FOR PERMIT TO ... ........... ...................! . ...... /, ��. ..........................:..........
TYPE OF CONSTRUCTION ., .CC.c. .:.. Q. ... /� �1 .C. �rT � ... .. .......
{
�✓� ......1 ............19 .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location le,107 ........6.6., r.... G�.... 6..................................................
ProposedUse .,5.1!U�� .... ��1T� ............................................................................. .................................:.........
f
Zoning District ✓�/ic... .............I .............Fire District .........'awa..............................................
Name of Owner . � ��17.... 9,41......................... .Address .9....�C!� �-.T.�`/d, c �✓.�S: 4S! /y�9,
Name of Builder' �1�.�/9,. ...�5(.cl�/ /.. ..................Address
J
Name of Architect ...................................................................Address ....................
Number of Rooms ....... ................................:.....................Foundation '..................................
Exterior .. ........ ..........................................Roofing ....................................................
Floors �/ ..x:..�r/91� � ................ ......................Interior .. ........ /�C ............................
�- Heating 1014;.....: ...... ......Plumbing .....t?..... ...............................................
Fireplace AW.0.0tS/.0.U4�1............................................Approximate Cost, ..�C!�O.o .......................
. .. ^,..C..l...
Definitive Plan Approved by Planning Board -------------------_-----------1.9_______. Area e....... ........
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH := e>2�
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re rding the above,
construction.
Name �.j ......... .. .. .
LiC�,t�r c 00,30/0 1iiG�Y�r3C/ J
r T-
o EE GERALD
25043
tory
......... Permit for ..... .�
Single Family 1nA .......................................................... ............. ¢.
Location „Lot 41, 11 Granite Lane
Barnstable........................:..........
Owner .. ................................... i
_
Type,of Construction ..Frasnp........::.................. ;
Plot ............................. Lot•..................................
Permit Granted .MaX...5.r.... ..............1f9 83
Date of Inspection 1-29................ .....19
Date Completed �� / ..........19 {y }
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THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
I M ^C&L
DATA
„o• . TOWN OF BARNSTABLE �
Permit No. --2--------0 4-----3---------------
Building Inspector
seumn Cash ----------
039 OCCUPANCY PERMIT Bond -------�1------
Issued to Gerald Lee Address
f
F
Lot 41, -1 11 Granite, Lane, '\Barnstable
Wiring Inspector �% 1 y' Inspection date
Plumbing Inspector' �.� ., Inspection date
Gas Inspector t -� J ,� .- Inspection date
hEngineering Department , , 4' Inspection date
f
Board of Health j' � , cr „% r7� Inspection date
THIS PERMIT RILL 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
BUILDINJG- CODE. ,...........................
� � •
Building Inspector
{
-51 jl
$ � b
P 61,
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CERTIFIED PLOT PLAN
/-�ssc.Hc{'rn D�l-7v�y
LOCATION B�It:iSTl��G� MASS
SCALE DATE
PLAN REFERENCE
In OF
EDIWARD� ;�05
�a
ZZ Z .
'v KELt"
emu.25100 C y
1
�G/STS- I CERTIFY THAT THE ��is77�!!G f �vL?/ITJlr r �A�O suRVE�� SHOWN ON THIS PLAN IS LOCATED ON THE GROUND
AS SHOWN HEREON AND THAT IT CONFORMS TO THE
SETBACK REQUIREMENTS OF THE TOWN OF
b"q ✓�`7� L. . . . . . . WHEN CONSTRUCTED.
DATE .179�2'. 29 /�y3
jn/iGG/9••, F. .Sty✓AFT_ �✓���!f. t..t�-'`��
REGISTERED LAND SORVEYbR
t'
TOP OF FOUNDATION t
CONCRETE COVER
CONCRETE COVERS
0 4',CAST IRON 12"MAX. 7777 12"MAX. •
PIPE (OR 4"ORANGEBURG(OR EQUIVA
EQUIV.)— MIN. PIPE- MIN. LEACH
� PITCH 1/4"PER. PITCH 1/4"PER.FT PIT
PRECAST
INV%T a LEACHING
o EL..... ria. INVERT INVERT o . Q•;' PIT OR
SEPTIC TANK p DIST. `motw EQUI.V.
e INVERT EL..�S�. . . BOX EL. !T�►. >s ek: ��:
/oov ., .. GAL. INVERT ;, c~i a p: •
o; EL.�s9.7.. INVERT :;a 3/4"TO II/2�
E L GS.G.3 w a p
o / EL.G.Sp o ;. \: WASHED
W STONE
o '
,:.
/,Z'DIA.
PROR LE OF GROUND WATER TABLE
SEWAGE DISPOSAL SYSTEM
NO SCALE
SOIL LOG WITNESSED BY :
MA7 �• e/ �/ "ors A�J, 2,S. . , BOARD OF HEALTH
DATE .. . . . ¢ ./`.... TIME. . .:. . . . . . .
TEST HOLE 1 TEST HOLE 2 TAW-j<1s G�l- �EZGyPC ENGINEER
ELEV. . .
AN/ w , DESIGN DATA :
34" 5 6-So.c. $�
G6,00 Su(3 SoiG. NUMBER OF BEDROOMS '3. . . . .
� �c Q_G¢.53 lo~ LZGS.ao TOTAL ESTIMATED FLOW . . ,330 GALLONS/DAY
./0
S i7 BOTTOM LEACHING AREA SQ.FT. /PIT
lN'7W S SIDE LEACHING AREA . . . ??`.' �`'� SQ.FT./ PIT
Frn/t3 GARBAGE DISPOSAL . .NO . .(50% AREA INCREASE)
TOTAL LEACHING AREA .33rJ.30 SQ.FT
PERCOLATION RATE MIN/INCH
LEACHING AREA PER PERCOLATION RATE SQ.FT.
/✓.o. .WATER ENCOUNTERED �iT wiT1�
NUMBER OF LEACHING PITS .� .
APPROVED . . . . . . . . . . . . BOARD OF HEALTH
. S'/T.G.'-5. . . . . . . . . . . . . . . . . . . . . . . . . . .
DATE . . . . . . . .
AGENT OR INSPECTOR p�
O i
�WARQ I" OF
o�
ON
42 7-
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.527
PETITIONER :