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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel 6 J' *Application# l0
Health Division
Conservation Division Permit#
Tax Collector '` Date Issued..
Treasurer ? Application Fee
Planning Dept. Permit Fee'
Date Definitive Plan Approved by Planning Board
Q
Historic-OKH Preservation/Hyannis
Project Street Address '(( l /> 1_2&C
Village 0 '1119 ' MO V 5 /v u_5
Owner 0 Address
Telephone Z I-(o L4
Permit Request f
' � f
Square feet: 1st floor:existing-6 proposed 2nd floor:existing !`o 4 proposed Total new
Zoning District Flood Plain Groundwater Overlay
i
Project Valuation a 0 Construction Type
Lot Size M $6L) 1 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
i
Age of Existing Structure 9,5 Historic House: ❑Yes �LNo On Old King's Highway: ❑Yes PS-No
Basement Type: OFull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 3
Number of Baths: Full:existing '2— new Half:existing new
Dumber of Bedrooms: existing new
Total Room Count(not including baths):existing u new First Floor Room Count
Heat Type and Fuel: ❑Gas W Oil ❑Electric ❑Other
Central Air: ❑Yes 16 No Fireplaces:Jtstin New Existing wood/coal sto!e: Y s O No
Detached garage:❑existing (N new size 76 e9Pool:❑existing ❑new size Barn:❑existing ❑newer size.--,:
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization❑ Appear# Recorded❑ 1;
Commercial ❑Yes ClNo If yes, site plan review# r'
Current Use A, Z4 1A I Proposed Use
[ UoRt
BUILDE INFORMATION
Name di �a'h Telephone Number �
Addrelnsls (RC 4 T/" 1_b e_& AA �L License#
(� lnV!S . ' q Home Improvement Contractor#
0�J"A o Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE Q
FOR OFFICIAL USE ONLY r e
PERWT-NO.
DATE ISSUED
z ;
' MAP/PARCEL NO.
i
ADDRESS VILLAGE
OWNER"
7,
s .
DATE OF INSPECTION:
FOUNDATION
FRAME 12g
alhc/08 R WLc{c, Wu// A#,;Af -'V"Wr 9�u
INSULATION Sc 2// a-oR' CA1, . 1� �
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING �} SL 3 02r1C`�� Na !u t62raR � ,wl
ci
DATE CLOSED OUT
ASSOCIATION PLAN NO.
Town of Barnstable
Regulatory Services
DMNssBI'E' Thomas F.Geller,Director
16Jq. ♦0�4',lEo ,�► 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
PLAN REVIEW
Owner: Map/Parcel: 7 / - Q 5'
Project Address �l /IM66 R 140e Builder:��d�
The following items were noted on reviewing:
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Reviewed by:
Date:
Q:Forms:Plnrvw
The Commonwealth of Massachusetts
Department of Industrial Accidents
€ Office of Investigations .
a 600 Washington Street
Boston,MA 02111
. www.mass.gov/dia
Workers' Compensation InsuranceAffidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information l Please Print Legibly
Name-(Business/Organization/Individual)��,
L�
A4 , a Z
amity/State/Zip.: Al/6 L S Phone.#: �t 'Z V,4, S
Are you an employer? Check the appropriate box: Type of project(required):.
1.❑ I am a employer with 4. I am a general contractor and I
. employees(full and/or part-time).* have hired the sub-contractors 6. New construction .
2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. Remodeling
ship and have no employees These sub-contractors have 8. Demolition
workingfor me in an capacity. employees and have workers'
Y P tY #. 9. []Building addition
[No workers' comp.insurance comp.insurance.
[---required.] 5. We are a corporation and its 10.®Electrical repairs or additions
. - ��— officers have exercised their
,,�Iam a.hom_eowner doing all work 11.❑Plumbing repairs or additions
m self.- o workers':cot right of exemption per MGL
Y � mP- 12.❑Roof repairs
insurranceaequired:]fiJ c. 152, §1(4),and we have no
employees. [No workers' . 13.❑ Other
comp. insurance required.] .
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
ZContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains-and penalties of perjury tkd the information provided above is true and correct
Sig'nature ' Date: r Z t%
Phone#:
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit[License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two.or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to*operate a business or to construct buildings in the commonwealth for any
applicant who has not produced-acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C( )states`Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented'to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contiactor(s)name(s), address(es)and phone number(s) along with their certificate(s) of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance'coverage. Also be sure to sign and date the affidavit. 'The affidavit should
be returned to the city or town that the application for the-permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a-workers.'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure.to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary) and under"Job Site Address"the applicant should write"all-locations in (city-or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.where a home owner or citizen is obtaining a license or permit not related fo,anybusiness or commercial venture
(i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complefe this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone-and fax number:.
The,Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel.#617-727-4900 ext 4.06 or 1-877-14ASSAFE
Fax#.617-727 7749
Revised 11-22-06
www.mass.gov/dia
e Town-of Barnstable
• y��FTM �o . . .
Regulatory Services
L sAMISUL% Thomas F.Geiler,Director
9 MASS.
,19 °i Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 509-862-4038 Fax; 508-790-6230
Permit no.
Date
AFFIDAVIT
HOME IMTROVEMMNT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c.142A requires that the"reconstruction, alterations,renovation,repair,modemization,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-W_o=k ` 'r/10V (,A Ph �� `0 �y 5 �Estimated.Cost ��.
h
A,, ma��
d&ess-ofWork• �"L T/�'1 L/ftii/Lf .I"Yp S
Owner's Name:JIZ09 �IML&76,74 M.,0 i.0 c . G✓04 19
lDate-of-Applicition: '
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
• ���Ovrnea:.pullmg own peimit.._.`_��
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 PERMRY
I hereby apply for a permit as the agent of the owner:
Date Contractor Name RegistrationNo.
OR
Date `Oviner's-Nae��
Q:f=mhomeEffidav
�oF1HET - Town of Barnstable
Regulatory Services
BARNSTABL.E, Thomas F. Geiler,Director
Mnss.
s6J9. ��� Building Division
Tom Perry,Building Commissioner
200 Main Street,- Hyannis,MA 02601
www.town.ba rnsta ble.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
�/ Please Print
_DATE: f.' /" II o[
JOB_COCATION:76'
` number street village
"HOMEOWNER" Offi/ 4/&66100 R^AAC(A- Wof7S 1/7-g
name home phone# work phone#
CURREN-T-MATUNG-ADDRESS:, G TI 01 n n C//;yc,
/,\ SO0`7✓5 ( CS Pk D 2` ye
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 procedures and requinements and that he/she will comply with said procedures and
recli.1iremernittsy
Sigriatureof-Homeowner'-
Approval of Building Official
Note: Three-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.
I
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r TOWN (IF BARNSfAKE
Q.
N 2001 DEC 14 PH 3--, 14
m
D:��IS°jQ
J0.C' / s
09 00..
#64 / 15_0, n
Lot 34 /
20,0701 S F./ °ai* �`�`
0.46t AC,i 1 �;���� a6 rh
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Map 1491
Parce1157
44.8'1
Exis t.
Barn o0
22.4\
40.7,
V h
15.0
TOWN OF BARNSTABLE ZONING STREET ADDRESS: #64 TIMBER LANE
BY—LAw ASSESSORS' MAP 149 PARCEL 57
ZONE RF OWNER: DAVID WADLElGH
DEED REF.: BK. 4670 PG. 67
SETBACKS : PLAN REF.: PL. BK 247 PG. 82 LOT 34
FRONT = 30'
SIDE = 15'
REAR = 15' l CERTIFY THAT TO THE BEST OF MY PROFESSIONAL
KNOWLEDGE, INFORMA77ON AND BELIEF THE BARN
PROPERTY LINES SHOWN HEREON SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS
WERE COMPILED FROM AVAILABLE OF THE ZONING BY—LAW FOR THE TOWN OF BARNSTABLE.
PLANS OF RECORD AND VERIFIED
ON THE GROUND.
-
S�o�' TERRY y°��, "AS—BUIL T"
THE BARN DEPICTED ON 7H/S 8 WARNER PLOT PLAN
PLAN WAS LOCATED ON THE GROUND No.38721 IN
BY SURVEY ON DEC. 10, 2007 AND BARNSTABLE, MASS.
EXISTS AS SHOWN AS OF THE DA 7E gyp
OF LOCATION. SCALE. 1"=40' DEC. 10, 2007
THIS PLAN IS FOR PLOT PLAN I 119 1ERRY A. WARNER, P.L.S.
PURPOSES ONLY. 22 LONG ROAD
HARWICH, MA. 02645
(508) 432-8309
THIS PLAN IS VOID IF NOT
STAMPED AND SIGNED IN RED. 0 20 40 80
PROJECT NO. 07-126AS DWG
a ry
O
TOWN OF BARNSTABLE
Building Department - Foundation Permit
Date L /a, Permit # 2 OOrJOS676
Name
Location 4t/ 7t'0fifAdf* 4 �Ne AM
nsp. of Bldgs.
PIPaa2
�Eao�-
• S TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION'
Map �� Parcel 7 Permit# /50
Health Division e�/_oAf Date Issued 3116161
Conservation Division a �� �` I O/ Fee �5 .tea
Tax Collector
3�_p Ge
Treasurer l'l Q MAR 14, 20 F.PT10° SYSTF-M MUST OF,
- e
WSTALLED IN COMPLIANCE
Planning Dept. ,~ "' ';"�� ; WITH TITLE 5
Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND
TOWN REGULATIONS
Historic-OKH Preservation/Hyannis
Project Street Address (p l M dew—
Village
f;
Village
Owner art Address r/m#A— Z_Al
Telephone q O q
Permit Request f2 X
Square feet: 1st floor: existing 1 90 proposed J 2nd floor: existing proposed Total new
Valuation J0 3, 36 Zoning District Flood Plain Groundwater Overlay
Coristruction Type�6 SY f C�NI
Lot-Size //q Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure 9/ Historic House: ❑Yes ®No On Old King's Highway: O Yes 4 No
Basement Type: 0 Full O Crawl '❑Walkout O Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) f/90
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing 3 new
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑Gas 0 Oil O Electric ❑Other
Central Air: ❑Yes fkNo Fireplaces: Existing New Existing wood/coal stove: 40 Yes ❑No
Detached garage:O existing ❑new size Pool:O existing ❑new size Barn:❑existing ❑new size
Attached garage:O existing Cl new size Shed:O existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes V No If yes, site plan review# r
Current Use Proposed Use �-ro/ /& 1
BUILDER INFORMATION
Name ®/7 4L L� �� Telephone Number
Address License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE G fl Z6a�
x
FOR OFFICIAL USE ONLY
F E!UT NO.
> DATE ISSUED
J * .
MAP/PARCEL NO. -
S
f ADDRESS j i VILLAGE
OWNER
x DATE OF INSPECTION-
FOUNDATION �( ,
FRAME -1�V
INSULATION.
}. FIREPLACE ,
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL -
GAS: ROUGH - FINAL
} FINAL BUILDING
fA► v 7 '- H
DATE CLOSED'OUT
•� vim. �- -
4
ASSOCIATION PLAN NO.
i
� The Commonwealth of f Massachusetts
_
—` Department of Industrial Accidents
600 Washington Street
Boston,Mass. 02111
•Workers, Com easation Insurance Afridavit
name: A(O13 win
city phone !
El am a hameowarr performing ail work myself
I am a sole etor and have no one working in anv caaacity
❑ I am as emplovet provi
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The Town of Barnstable
Regulatory Services
Fc�►+' Thomas F. Geiler, Director
Building Division
Elbert Ulshoeffer, Building Commissioner
367 Main Street.Hyannis MA 02601
Office: 508-8624038 Fax: 508-790-6230
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: 5 Estimated cos 2 0 b 0
Address of Work: -Ly 't-LIl lm
Owner's Name: �. U "V A IRW
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
[]Work excluded bylaw
OJob Under S1.000
[]Building not owner-occupied
QOwner 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 permit as the agent of the owner.
Date Contractor Name Registration No.
OR
Date Owner's Name
q:fomis:Affidav
°p THE Tpy,_
The Town of Barnstable
• BARNSTnaM -
Regulatory Services
lEo 1 for a Thomas F. Geiler, Director
Building Division
Elbert Ulshoeffer, Building Commissioner
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
/ Please Print
DATEAMC-i / �2L
JOB LOCATION:
number street (y /� village
"HOMEOWNER": PO I U
name home phone# work phone#
CURRENT MAILING ADDRESS:
/may /"? ILLS
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,toles and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building
Department minimum inspection procedures and requirements and that he/she will comply with said
procedures and require ents.-
Aa
Signature of Homeowner
Approval of Building Official
Note: Three-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:FORMS:EXEMPTN
ESTIMA TED PROJECT COST WORKSHEET
LIVING SPACE Value
(high end construction) -square feet X$115/sq. foot
(above average construction) square feet X$96/sq. foot=
(average construction) square feet X$57/sq. foot=
GARAGE (UNFLNISHED) square feet X$25/sq. foot=
PORCH square feet X$20/sq. foot= 3 6
DECK square feet X$15/sq. foot=
OTHER square feet X$??/sq. foot=
Total Estimated Project Value
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Town of Barnstab le
RARNSTARLE.
Regulatory Services
MASS.
039.
Building Division
200 Main Streeti Hyannis,MA 02601
Office: 508-862-4038
Fax: 508-79076230
Inspection Correction Notice
T YP P e of Inspection S
4
Location 6 y 'G3 f2 � C Permit Num e 7O 07 06 6 76
Owner & Builder
One.notice to remain on job site, one notice on file in`Building Department.
i
The fo lowing items need correcting:
A/ I.-U /u O T ,Q EAU
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T46- Ct ( AJ& 11) L-f 7,
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Please call: 508-862-74W f�o-r re-inspection.
.Inspected by
Date a / 0
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I
BOiSE- Single 16" BCI® 60s-2.0 SP Joist\J01
BC CALCO 9.5 Design Report-US 1 span I No cantilevers 0/12 slope Monday, February 18,2008 08:20
Build 91 16"OCS Non-Repetitive I Glued&nailed construction
File Name: BC CALC Project
Job Name: Gady Garage Description: storage over garage
Address: .64 Timber Lane Specifier: Bill Campbell
City, State,Zip: Marston Mills, Ma Designer:
Customer: David Gady Company: Shepley Wood Products
Code reports: ESR-1336 Misc:
t
26-00-00
BO,2-1/2" B1,2-1/2"
LL 347 Ibs LL 347 Ibs
DL 173 Ibs DL 173 Ibs
Total Horizontal Product Length=26-00-00
Load Summary Live Dead Snow Wind Roof Live
Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% OCS
1 Standard Load(aftic) Unf.Area(psf) Left 00-00-00 26-00-00 20 10 16"
Load Disclosure
Controls Summary Value %Allowable Duration Case Span Location Completeness and accuracy of input must
Pos. Moment 3310 ft-Ibs 38.8% 100% 1 1 -Internal be verified by anyone who would rely on
End Reaction 512 Ibs 32.4% 100% 1 1 -Right output as evidence of suitability for
Total Load Defl. L/744 (0.415") 32.3% 1 1 particular application.Output here based
Live Load Defl. U1116 (0.277") 43.0% 1 1 on building code-accepted design
Max Defl. 0.415" 41.5% 1 1 properties and analysis methods.
Installation of BOISE engineered wood
Span/Depth 19.3 n/a 0 1 products must be in accordance with
current Installation Guide and applicable
%Allow %Allow building codes.To obtain Installation Guide
Bearing Supports Dim.(L x W) Value Support Member Material or ask questions,please call
BO Wall/Plate 2-1/2"x 2-5/16" 520 Ibs n/a n/a Unspecified (88I3)234-0056 before installation.
B1 Wall/Plate 2-1/2"x 2-5/16" 520 Ibs n/a n/a Unspecified BC CALCO,BC FRAMER@,AJS-,
ALLJOISTO, BC RIM BOARDTm,BC10,
Notes BOISE GLULAMTM^ SIMPLE FRAMING
SYSTEM@,VERSA-LAM@,VERSA-RIM
Design meets Code minimum(U240)Total load deflection criteria. PLUS@,VERSA-RIM@,
Design meets User specified (U480) Live load deflection criteria. VERSA-STRANDS,VERSA-STUDS are
Design meets arbitrary (1") Maximum load deflection criteria. trademarks of Boise wood Products,
Composite El value based on 23/32"thick sheathing glued and nailed to joist. L.L.C.
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Page 1(of 1
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TOWN OF BARNSTABLE Permit No.
Building Inspector ,
s.urr.a Cash --------------------
wa
OO�rO639
OCCUPANCY PERMIT Bond ----—----_-
No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Fig?-Aqe Pv)w Realt✓ fit.r..z.s"t Address
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department 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.
.....................................................1 19...... .............................................._..................._..................................
Building Inspector
Asp ss map and lot number
THE t 1�
Sewage Permit number I5Q.n.�?.W(........... C;;�'�,�. �6. a���580 SEPTIC SYSTEM M `
INSTALLED IN COM
/q i
House number`: IY... ....................................................... WITH TITLE ro rAea LE,
ENVIRONMENTAL CO `e
TOWN OF BARNSTA , ' c""' �
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO
TYPEOF CONSTRUCTION ...w��-ram....... ..........................................................;......:............................................
......... .. S ..................19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location 1.0...l......... d•••...�./.M)3 ff..... icpV /"/9S..STgMS;....... ?:/G ...............C..
............................
J V
ProposedUse ...... /.!!!.6Le....... E°^?.1.4. ................................................................./.. .......................................................
ZoningDistrict ....... .�.....................................................Fire District .. .. ..` ........................................................
Name of Owner ..l.�e t I'�ow t21A14 �RY�T........Address . r�7/p �� T
...... !I. .... �. ............. ....
Name of Builder �'°Q'��oARO COn r 1. �` `
..................................................................Address ....................................................................................
.Name of Architect ....Address.............................................................. ....................................................................................
Number of Rooms `� Foundation �.Q.��. Pow?ten
................................................................. ....................................................................
Exlerior ... ..... clro!'S sy�3S' Ar ..
..............................................
........................................Roofing .............. .......... ........e. :....
FloorsGioV f'r ................................................Interior ...PAp?Area...............................................................
Heating ...F�!.w.�o is Plumbing ................................................
Fireplace ...QL .... icl ...................................................Approximate Cost ....37.,z................................................
Definitive Plan Approved by Planning Board -----------_______-----------19 . Area ...... .�... ............./J........
Diagram of Lot and Building with Dimensions Fee � 6
SUBJECT TO APPROVAL OF BOARD OF HEALTH
i
/go,Do
o�Oj 0-70 S,
•
36
6.
J J
2z
n
0
/ go,o7 J
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ✓`...` ... �"^.. ..................
HEDGE ROW REALTY TRUST
.... Permit for .. .... tOr
............
.....„ Single Fami1X.
Location Lot 57 #64 Timber Lane
................................................................
Marston Mills
...............................................................................
Owner .Hedge...Row...Real.t..v...T...r..u.s..t.........
Type of Construction ......Frame......................
................................................................................
Plot ............................ Lot ................................
Permit Granted ......Apri.1...24............19 80
Date of Inspection ............. 1909 0--
...........
Date Completed ......... 9R1
............//
PERMIT REFUSED
........... . .....a9. ....................................... ,. 19
rn >
I..................... . .......
s
.`'GL/'c/ j
M cr,
z..f...................................................
.. ... .
..... .................................... ...............
M
'd Approved ...................................... 19
...............................................................................
.......................................
r map and lot number
QUO Off♦
Sewage Permit number -.• ==' ......
�� 1 BAUSTADLE, i
House 6umber .......... vo '���..��.................................................... rasa
�' 4 i639 ♦0
0mo a\
TOWN OF BARNSTABLE
BUILDING INSPECTOR
A Siov6A-ty �AM�zy
APPLICATION FOR PERMIT TO ..................................................................................
G✓c>a� Fv2A�n 2 C
TYPE OF CONSTRUCTION ............:.................................................................................:......................................
................................................` 19...
TO THE INSPECTOR OF BUILDINGS: ,
The undersigned hereby applies for a permit according to the following information:
Location .T?..1......... ...`..�' �.Lic3•P•:C...... .�00� .............../!?!�7!f.. .!..D��S.......
.......... %�
ProposedUse ......51.n!. .,!-..'........ .................................................................e...........................................................
Zoning District ....... . / .......................................................Fire District ....... l
_Name of Owner ...1........4.f...?�9..L!................h......TRy ........Address ... 'r7 � Y��f�Jel�I a
Name of Builder ......0 .........................Address .....................�. ...............(..
...........................................
.Name of Architect ........................Address ....................................................................................
Number of Rooms ...... .....................................................Foundation .� •. e�o ..�Fo .
Exterior ...........................Roofing .... `d3S'......!C!.° .............:.....................................
Floors ... ................................................Interior ...PK 1`PT.......:........................................................
Heating ...F! .W. a.!.4 ........................................................Plumbing ...C.o�r�r? 4..!'�or��............. ........................................
Fireplace ..:r?�c� .......;fib......................................................Approximate Cost ..... ........................................................
Definitive Plan Approved by Planning Board -------------------_-----------19 . Area ..... :�..L� �...
Diagram of Lot and Building with Dimensions Fee G
SUBJECT TO APPROVAL OF BOARD OF HEALTH "
I! r'
i
' o0
�: !t
-7G �
36
t u�
Ta . O
So,o7
f"
I hereby agree to conform to all the Rules and Regulations of the Town,of Barnstable regarding the above
construction. J
Name 1,/lJ 3�' ,,,'..............................................
HEDGE ROW REALTY A=149-57
�,�,•RUST
"1�b .... Permit for ...l...1/..2...S.tory...
.....SinsLe...F,amil. ..swelling...............
Location ..LQt...5.7....#.6.4...T.xmbez...Lane....
...............:.Mar.s.ton...Mil ls............................
Owner ....Hedg—Ro ...
Re.alty....Tr us.t....
Type of Construction ...Frame..........................
.....
Plot ..................../ ................................
Permit Granted ......April 24 , lq 80
Date of Inspection ...................................19
Date Completed ...................................19
i
PERMIT REFUSED
.......�1. /... 19
.......................
.................................................
...............................................................................
...............................................................................
Approved ...........................
...............................................................................
...............................................................................
Asseskr's offioe (1st floor): _ .
Assess 's map and lot number ...... .. ''' 'HOC SYSTEM MUST R`' c�THE to
/... .. ....o. .....
Board of Health (3rd floor): IN COMPLB,�NC m
Sewage Permit number .....31ti......(..6....................... - . WITH TITLE 5 '
t BMUSTSDLE, i
Engineering Department-Ord floor): Q oK�_;\"VED ONMENTAL CODE X'`D �o 2b 9 �0
House number ................................................ ................... `TL)%1Vbj REGULATIONS o�O YPV d�9
APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only.
TOWN OF -BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO . ..��.�!�......�`�c ...........................1.... ........r,................................
TYPE OF CONSTRUCTION ���n F/` �i/...........................................................................................
d0K...�......•................19.97
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .s� .....MC� ...... fS.........G...�J.T.3.�`..........�:.Y....I/. ��.G .... / fit. 3y)
ProposedUse .......................................................................................................................................................
Zoning District ..................... ........./= ........................Fire District CL� r/I�.CL......
Name of Owner P�V1,i'. 1................Address .b. .....1.�M.64 ....L/�l�(�
i
Nameof Builder S0' kr............................................................Address ....................................................................................
Nameof Architect . .........................................................Address ....................................................................................
Number of Rooms ... ....................................................Foundation
... ............... .............................................
Exlerior f#e!..W.. .C[&QQ/d' 9...........................................Roofing k)APAf S(�itr�GCn(�s..........................................
Floors CMG/lP?1.s.....................................................................Interior .................... ti:,{../.<v.E..S�.G4!...........................
Heating ........................../`'. !v. ...................................Plumbing 0 &�...............V......................................................
Fireplace !I!W.611......................................................................Approximate Cost.ta ov.....................................................
Definitive Plan Approved by Planning Board ________________________________19-------- . Area ..............
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVA OF BOARD OF HEALTH
4
�$ $
- I
-eetfPANC OR—N*EVE—DWE'CCV
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .. .. . ..:.. ...........
Construction Supervisor's License .........................
y _
I
`. WADL GH, DAVID R. JR.
X,No . 30843 permit for ,•Build Garage
............. ..................................
Accessory to Dwelling
..........................................................................
Location .....Lot #34, 64 Timber Lane
Marstons Mills
David R. Wadleigh Jr.
Owner ..................................................................
r rame q.r
Type of Construction ..........................................
Plot ............................ Lot ...............:................
June 10 , 8 7 :
Permit Granted ........................................19
Date of Inspectioncam./.:g�.....................19
Date Completed ......... ,7..................19
u
n
7
Ass is offioe (1st floor): • . i.� i, ;_,�y �� c I c
Asse:, r,s map and lot number ............................ ...............
Aard-of-Health (3rd floor): QQ�• q fO�' o"
Sewage Permit number .....CJ ."..<.. .........................:... 2 13AUSTGDLE,
Engineering Department-(3rd floor): • �o rasa e0�
House number 1O p t639
o rav°.
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
j�l/�c G � liG va
APPLICATION FOR PERMIT TO ..................................................................../....5........r(�..................................
TYPE OF CONSTRUCTION ... D� �,. .... ...........................................................................................
..................
J_r1N6"...J .....................19.97
TO THE INSPECTOR OF BUILDINGS: '
x
The undersigned Hereby applies for a permit according to the following information:
Location /".W.5�6.�i�j.....:/ � L;J...... 9.........�-.1. .�..1...................................................................... 67 3Si
�s :�`
ProposedUse �.C.:.:�..<..w:..t`........................................................................................................................................................
..�.... 1/l&(� GS mr L/(GC C:"
Zoning District .....................� C
.............................................Fire District .
Name of Owner s' ..`..........:. :.. ::.......J ................Address .(.4'....T'..M. � ..(251^ ,.L.... ..'' ....................
Nameof Builder .......................... .........................................Address ...........................................................I........................
Nameof Architect .,..... ...,...........................................................Address ....................................................................................
:!Y.Number of Rooms 00...J....................................................Foundation ........................
Exlerior ;::..`..... ................................. Roofing ,, t t ................................................
Floors ...............:.....................................
..................................Interior ..................... !f'. .✓�.�
Heating �,!! �. Plumbing.!�/ 1.. ....:........................................................ r..
..................... ....... ............. .. ..
A............................� / /�
Fireplace Approximate Cost.l�.0.0.....................................................
Definitive Plan Approved by Planning Board ________________________________19________ . Area . ..`. ..1 .....................
Diagram of Lot and Building with Dimensions a =. Fee .......... ........................
SUBJECT TO APPROVAJ OF BOARD OF HEALTH
r + t _,
j
xe
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 ..... ........ ........... . .... ..............
..............
i
p w,ve�—
Construction Supervisor's License ...... ......................>;..
YADLEIGH, DAVID R. JR. A=149-057
30843 Permit for ...Build Garage..
...............................
Accessory to Dwelling
..........................................................................
Location
Lot #3 4, 64 Timber Lane'
........
Marstons Mills
..........................................................................
Owner
David R. Wadleigh, Jr.
..................................................................
Type of Construction ................Frame..........................
..............................................................I................
Plot ............................. Lot ................................
Permit Granted .......June 10 ,..................................19 87
Date of Inspection ....................................19
Date Completed ......................... ............19
ROUTE 6
Q '9 TIMBER "LANE 70
ale rren t ._.__... F^
C� g Edge O r�r� -T..--�—.........'. ......`_. � � W ror
.c, t ._.__.... F
C''� CD
�� Z
N 38°10'00" E I _
' M 10DF1FLD ON
180.00' OLD STALE RD
150' LOCUS
93.56
Lot 34 LOCUS MAP N.T.S.
<< 20,070f S.F.
cK 0.46f' AC. _ 9
= � `�� �- y LEGEND.-
Map 149
_ Parcel 57 r gg PROPOSED CONTOUR
-D F9-8-1 PROPOSED SPOT GRADE
SH
P v /EXISTING - — g —— EXISTING CONTOUR
LA HOUSE ( 64) EXISTING SPOT GRADE
o ,TOF=95.56' g Y-- ,' `Q)° o
(Assumed) `>.', -v o TEST PIT
I g BENCHMARK
igh t L 1 :__ -k- .c�'`1 EXISTING LEACH PIT
/.=9 _ ,� /
`-r"- TO BE PUMPED &
FILLED WITH SAND -I_
XIST. SEPTIC TtK,
OP EL.=92.21
V.(OUIT)=90.88f y�'CX �^ .5� TP-2 10, ,;� 'Cl
N
L. PROP.
VENT � . ,. .
�R
, �1r��..kC7C1'G Fence �
- 74.69
105.38' j
' ,- 9„ Stockade FenCe 36 50'2 W 9y �
I - :�� g S 36 22 3 W
tip,
GENERAL NOTES:
6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
BOARD OF HEALTH AND THE DESIGN ENGINEER. HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. MASS9
2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 7. WATER SUPPLY IS PROVIDED BY PRIVATE WELL.
OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE B. THERE ARE NO ABUTTING WELLS LOCATED WITHIN 150' OF THE S.A.S. i o PETER T. s PROPOSED SEPTIC SYSTEM UPGRADE
LOCAL RULES AND REGULATIONS. McENTEE
1) 310 CMR 15.405(1)(b) CONTENTS OF LOCAL UPGRADE APPROVAL: 9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED o N
A 1.5' variance to maximum cover requirement of 3', for 4.5' TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. v CIVIL 64 TIMBER LANE, MARSTON S MILLS, MA
maximum cover. S.A.S. shall have H-20 units and be vented. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY No. 35109
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING tu0 Prepared for: David Wadleigh, 64 Timber Lane, MArstons Mills, MA 02648
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE CONSTRUCTION. REClS1�� �
DESIGN ENGINEER, 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS f S Al NG� Engineering by: Surveying by: SCALE DRAWN JOB. N0.
4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. EngineedngWOrb Terry A. Warner PLS 1"=20' P.T.M. 122-07
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). 12 West Crossfield Road 22 Long Road
ENGINEER BEFORE CONSTRUCTION CONTINUES. 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY `p� Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO.
5. ALL ELEVATIONS BASED ON ASSUMED DATUM. AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. (508) 477-5313 (508) 432-8309 4/13/07 P.T.M. 1 of 2
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