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Home My WebLink About0019 ROLLING HITCH ROAD - MISC STREET FILE /9 //�`e4 q_,, t 4� y'� °, v� r ed r ..to r +f JC A� - r •? !; s:;'-ni r P }n �' `� V rr'. ry. i "' ��y A ;4 Ji; �X( A 4tv� .G tyJ �. d '. r m.{ �;,fi ,.1 ,r �� -d '+ `kN'�++� V " ,$ 1 ..,e.A! S►Tr,` .n } �..._ 5/ j'.,r.� .�,r` iFca Y„'�t Ik±Y>,rr�'+f`� ci;y[i+' .h'!;. S .-I?,',A'.'w .y yy�e y, t n. 'i�t�. !� �'.}. -.i, r1 ia- I .f.. ,t, !� . v a`` �., 'Y i 'y. JaV+y. , 1 -t 7d, '7f' A �j 1 4: .�A V[ rY t(,ry c t M1y,S :t�,,"1. Y�i'R, ° S ,J,iv „a it S +k " fy�, '! r_^��aa%'lt�''a+ n, ..�*.•�n7r �„ 5r�it� -/".:r i ,41r ,IQae p "' b k ,. '..+ r E "�, ,T ^h..; �. x fin. „.. N O i ) .r:,, i/ ,.. 'or Y , / dydjs4�'_ CIE �-N.t �U.. . 'AF . : . ,,. 1 ' x ,' �. 5 14 . !r. A 1' ! R r f, % fI.f•�5' ?'( - t� a 1. `s - i. st r r;� % t", ;a i t a, I) %' 1 t l t'�` } � 1 n,,', (' f J ..ja�i .; [ ; A ll �. :7 ��, , _ A .� ,,t �11. _ .r+ _ .. , _ _ ,_ ,t -l..�w .(,f i r .. 011 Town of Barnstable *Permit# Expires 6monrhsfram issue date -PRESS Regulatory Services Fee PERMIT Thomas F.Geiler,Director JUL 1 9 201fr Building.Division �, L 1�5 Tom Perry,CBO, Building Commissioner d I/� TOWN ®F BARNSTABLE 200 Main street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERAUT.APPLICATION - RESIDENTIAL ONLY G Not'lid without Red X--Press Imprint Map/parcel Number � � � I g S Property Address [Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Fkud Uhl 0 Contractor's Name !� •� Telephone Number Home Improvement Contractor License#(if applicable) d J 10 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Che one: [ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name WorlQnan's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 9"RRe-roof(stripping old shingles) All construction debris will be taken to AMA Di Q 9 s(i` ��--------_Wram ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44 •Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Prope wn Property Owner Letter of Permission co of the o e Im ovement Contractors License is required.. SIGNATURE: Q:Forms:expmtrg Revise061306 h�OfIHE,, : Town of Barnstable. • -� Regulator S+ HARMIABLE. : Regulatory ' vices . �$ 6 9 Thomas F. Geller,Director •o,�D �A. Building Divislion Tom Perry, Building Comnussioner 200 Main street Hyannis,MA 02601 "'w.town.barnstable.ma.us Office: 508-862-4038 Fax: 50B'-790-623 0 PropextYY Owner Must Complete and Sign This Section If Using A Buildlei r as Owner of the subject property berebyautlior' T g to act on my behalf, in all matters relative tc,work authorized by this building permit application for: Rv ob Address of `.1�.�' r ) I- lgna�ture er Date Pnnt Name - Q:FORMS:OWNERpFRMISS 10N � 00 q. I _z_1 Q�°FYI Teti Town 0f Barnstable Permit# Expires 6 months from issue date Regulatory Services Fee 2� saxxsrasi E O / 3 v� MASS.6 `�� Thomas F. Geiler,Director d /Z? �lFD h1A1 Building Division Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.1own.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Fed X-Press 1n:print Map/parcel Number Property Address 1 IZDI�` +�c, Fr�_ALll L' p— wk"P. O_Z(9uZ ,C.Residential Value of Work �S ,coo Minimum fee of$25.00 for work under$6000.00 Owner's Name& Address t 2��1t �� 4 cal Cam. -mot il� V,", oz6 3 z Contractor's Name e- S Telephone Number Sub_3 41 q`1 C -� Home Improvement Contractor License# (if applicable) -T Construction Supervisor's License#(if applicable) l 6Z A Z L —19,Z _ ��a lair X- ❑Workman's Compensation Insurance Check one: APR � Z010 ❑ I am a sole proprietor ❑ I am the Homeowner TOWN OF BARNSTABLE ❑ I have Worker's Compensation Insurance Insurance Company Name 0_,A, Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. 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 SLO: -o-.�vi 9#of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum .44)# of windows *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 & Construction Supervisors License is required. SIGNATURE: naurocn Do\rnD7,AQ1l..l 1.1;nr.--it f,\PXPPPQ.0 rl— �FTHE r� Town of Barnstable Regulatory Services ' BARNSPABLY Thomas F. Geiler,Director r Mass. n�,.�1` Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 wwtiy.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Usina A Builder. as Owner of the subject property hereby authorize Z+L to act on my behalf, in all matters relative to work authorized by this building permit application for: tiC( (Addres of Job) 2 Sig atuare r ate —94/ r Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERM ISS ION Town of Barnstable P�0p SHE Tpk� 7 r o Regulatory Services r Thomas F. Geiler,Director HARNSTABLE, KAS 1639.j �� Building Division ;fD ptpV A. Tom Perry,Building Commissioner ��. 200 Main Street, Hyannis,MA 02601 i www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE:. JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: 'city/t vn state code The current exemption for"homeowners" s extended to include owner-occupied dwellin of six units or less and to allow homeowners to engage an individua for hire who does not possess a license, ided that the owner acts as supervisor. DEF ITION OF HOMEOWNER Person(s)who owns a parcel of land on which he she resides or intends t eside,on which there is,or is intended to be, a one or two-family dwelling, attached or deta ed structures ac sory to such use and/or farm structures. A person who constructs more than one home in a?wo year period all not be considered a homeowner, Such "homeowner"shall submit to the Building Official o a fo cceptable to the Building Official, that he/she shall be responsible for all such work performed under the butpermit. (Section 109.1.1) The undersigned "homeowner"assumes respo ility fo compliance with the State Building Code and other applicable codes,bylaws,rules and regulati s. The undersigned"homeowner"certifi that he/she understan s the Town of Barnstable Building Department minimum inspection procedures an requirements and that he/ e will comply with said procedures and requirements. Signature of Homeowner Approval of Building fficial No . Three-family dwellings containing 35,000 cubic feet or la er will be required to comply with the State Bui mg Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit.s required shall be exempt from the provisions of t, s section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the horn wner 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 respon •bilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness oft n results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlic nsed 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 req ire,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page o his 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\FOP,jM S\homeex emp t.DOC 60_ineer}ng Dep j(3rd floor) Map Parcel Permit# House# - /^�2 6�J . Date Issue P'o Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) ' s Fee Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) i r Planning Dept.(1st floor/School Admin. Bldg.) s CS+ 1ME�qy Definitive Plan Approved by Planning Board 19 TOWN OF BARNSTABLE Building Permit Ap licatio x, Projec reet Address I ` �.�k\V C.� �.00 Village ��'1eyL ic� Owner M rS.),� .�..YY��'p�n y;�', Address ic4 M Ci Telephone -7 Permit Request C C-� s First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 2 Historic House ❑Yes 4No On Old King's Highway ❑Yes No Basement Type: 6 Full ❑Crawl ❑Walkout ❑Other / Basement Finished Area(sq.ft.) y Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing 2- New Half: Existing New No. 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 - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use \� Builder Information Name �� Telephone Number �� Q 1 Sb Address �� ` Y\'( Wc�� License# 1 3 $ Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE � � a - DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) 4 3 FOR OFFICIAL USE ONLY PEkMIT NO. `p DATE ISSUED MAP/PARCEL NO. S t ' ADDRESS VILLAGE OWNER p - r ' ic DATE OF INSPECTION: - FOUNDATION FRAME INSULATION' t FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: �?.,,ROUGH FINAL GAS: - :_,4WUgGH FINAL i FINAL BUILDINGs'_�'L� = DATE CLOSED OUT pnt ASSOCIATION PLAN NO', i t t. °F the ti The Town of Barnstable • uaivsrest� • 9eb , ,0$ Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. ' Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: D gz, Est. Cost 1900 Address of Work: a/ Owner's Name Date of Permit Application: t I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a perms as th ent of t ner: D to Contractor Name Registration No. OR Date Owner's Name f 1� 14 Aw All A