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0053 WAKEBY ROAD
D a 4 �o tl ` I /ODO GaL _ rep rr, ' T c57•E �./ P. � NoC /-i000 GAC ..............................----. ���od LOACA,1 P,r - 1 • , - ! 4; ' ter..-� S3 wa.k,,t AfAee.ToaS M1LL5 4.6 T14AT TPZ: �Ou►Jb4TIOt-� t- TOLI com Af .. \-?:.LCtf ;�:�^,t,� ,,�.1_: f,�r�, C�;� t-4a>~ . �OT 8 �IJb COUZT JLL`c.�" �- --..�.__ ._ - ��.L;;-rc:�.�. ta•t r.:.. t►-ac.. -f �.►.: i�� U CZ'(' r.;t. t':I U�_I !y!.! Al 447( V.0A,\EIQI' ��J�:'!i�`( 'C11E. c�F /,i�;i �ti;..1J AI"JPi.._IC/.►..1` _ D t. {�•Y i;["- li;�% ?T.J Lam: j'f."1:;.;i� �r- `�1' ;.1` ^_/"t`1 �U� f A►1��. .. SEPTIC SYSTEM MUST BE Assessor's map and lot number ............. INSTALLED iN COMPLIANCE -S /�_ �s_ e. a/c AlWITH ARTICLE 11 STATE 4 SANITARY CODE AND TOWN_ Sewage Permit number ... REGULATIONS, J ��Q�OFTHET��♦� TOWN OF BARNSTABLE Z BAH39T"LE, i "6 0 NPY a' BUILDING INSPECTOR � I/ APPLICATION FOR PERMIT TO ...... o ..............1v.. ..�.....�........... .. .......................... TYPE OF CONSTRUCTION ..... ...... ' .............f ,,.ow ............................................................. C. .............� Al..-.........:.../...h 19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ,Q Location ....^.4.7...... ..4........�����i�.... f7�1�. C, ..f.................� e .....�.1.. ................ Proposed Use ...... 1/..j� fil e.��/.y�,�................................................................................................................................ Zoning District �eS'(.. �y��t !/.. 0 �' ����e Fire District ...........? ............................................................... .....``.,,..//.... .` /� ® p`/p � �' Name of Owner .fNr /!��ia......1-;j ..A. ......Address ..A...Xce... .�c:.���0W /!/� ...A.,-,d/�/�� Name of Builder ...:<'Y..�if!..........Address .P..T..crP..../&//iPW zfX:•• Name of Architect ...C,0.0 � ..........................Address �RO41e v � Cv��: �� Q........... fir............ ........... ..L.................. Number of Rooms ... .. Poo.. 1s................................Foundation ...../!e.4 Ci vc4ele ...... ........................................ Exterior .�.:.'.�` .. �e-s' . !any.. �� !. �g �J...... ..........�7.+ �"�1 ! ..................... Floors 'Q/Y•7��OS/>7 / Interior /7e�.,°,.I/�?�t;/�.../�................................. ........... ................................................. 114K. � • !� Heating6er<CG-..114 K.r✓S!/9 �' ..D/L......Plumbing ....... ............................................. Fireplace ..� .. l�./�� ..¢......�!..! ...............................Approximate Cost ...... .................................................... Definitive Plan Approved by Planning Board -----------_------_-----------19________. Area ........'P. '.. Diagram of Lot and Building with Dimensions Fee /............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH L1(v � 10 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. .. .. ! .;... �'� ,... Z DePaul, William,,., 8 one story, No ..... Permit for .................................... single family dwelling ....4. ................................................................... Location ........Fj��y�..Roa.d.................................. Marstons Mills . ................................................................................ William DePaul Owner .................................................................. Type of Construction .......frame......................... . ................................................................................ % Plot ............................ Lot ........ .................... November 15 76 Permit Granted ............. ........19 Date of Inspection C"'I .. . . . 'r/�� Date Completed ....... ..........19 PERMIT REFUSED ................................................................. 191. , ............................................................................... ................... ............................................................. .......................................... ............................ ....... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's map and lot number l • ...IT"/U � Sewage Permit number ..........................:............................... T"ET°� TOWN OF F BARNSTABLE i BABHSTl�DLE, "b q `� BU-ILDING INSPECTOR APPLICATION FOR'PERMIT TO .:......... .... ........................ c _ TYPEOF CONSTRUCTION ..................................................................................................................................... A V ................./.a ...............7419........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: f r LoEation .....^ ��. ...'`........J........I!/r//.......�`..J:%�-.'�.�C'S f L ...h�/...../i;/.�................ ProposedUse ............w•1 '„/ i��/h�-................................ ...................................../............................................................ Zoning District .....� �= JtfP/1/fr % 1�. 'T�'� l//��e ...:...........................Fire District ..................,�.,./�...................,.........''.>>......................... Name of Owner ....../...�1....... �!= r � ......Address Name of Builder i.' s� i�/ F',lP �f!f?/,/ r •/ /�� ......................... ....................................... . ..................Address ................. ..,�...+../.........../..�.... Name of Architect ......1.0/-�� . �/� v..........................Address ...(r ' �� ! r*`,........'-,_? ........... ............................... ................. Number of Rooms F� ..�'i/: ..............................Foundation ,P 1,%'/ZEd...C.Jil�CiP�T� Io" ....................... ..................................... 1 /� �''i.... .. f'��/.� �.ft/,/� �.....000fing `..{c�•Jy� /������!� Exterior .............................:.................................................... ..................................... rJt' ,? ._ i, t Interior .`. 'r`/rE'4'rCA-5el .......................................� r .... / .. Floors ................................ .............. . .............................:... mel— Heating % ....................Plumbing ........ Fireplace .. �'� c !�iii1).. PP /;�'.:.............................A roximate Cost ......................d.......................................... r Definitive Plan Approved by Planning Board -------------------_-----------19_______. Area f _ Diagram of Lot and Building with Dimensions Fee '............ ............. ................ SUBJECT-TO APPROVAL OF BOARD OF HEALTH i , 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. i Name !+... ..•. 1,•.... �i} / ,/............... I I DePaul, William A one story, No ... ... Permit for..................................... �A,�j!�J�mily dwelling ........................................................... Location ......W...a.k..e...b.y Road ............................................. Marstons Mills ............................................................................... Owner .......William.............D.........ePau.1............................ .. . Type of Construction ...................fram e.................... .......................................I .. ..... . .. .......... 46 Plot ............................ L t .... . ............. N Q w,ember 15 76 Permit Granted ............... .................19 Date of Inspection ....................................1.9 Date Completed ... ..................................19 PERMIT EFUSED ........ ... 19 ............... ..... ....... ......... ..................................... .......... ? . ... ... ...... .... ........ . . .............. . ...... ............. . ..................... . ................................ .... ....................... .... .................... ............ .... Approved ............................. .................. 19 .................................... ...... .............. ................................. t;,, VILLAGE 11' PERMIT# - eff $!ram wv� Qu„rr P LOCATION 53 WA,K E G MAP&BLOCK P INSPECTION TYPE 00 I TELEPHONE CONTACT �i �. �)e r TOWN OF BARNSfI'AiLG BUILDING PERMIT APPLICATI N , F Q 1 . 0 Ro Map 0 Parcel r0Yi^t Permit'# Health Division —551y )18)o. OF BAR 'STA8LE Date Issued 6 KZ Conservation Division Rleov JUN 8 Application Fee N 8: 35 � �.� �rlb Tax Collector Q� Permit Fee Treasurer �� l V OI V/510�, SEPTIC SYSTEM MUST 8E Planning Dept. INSTALLED IN COMPLIANCE WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AN Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address �j = � KP_ Village Owner s icPe1-P Ljl i 0k�11P.&_Address ,63 ( Qf, alh� _s Wz TelephoneO�" Permit Request-A boo e Q COCA, bd De)n CK f Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation D .00 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family C>al" Two Family O Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes W Flo On Old King's Highway: ❑Yes W-NG'o Basement Type: & ull ❑Crawl 0 Walkout O Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 0� new Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas 0`60il ❑ Electric ❑Other Central Air: O Yes GI No Fireplaces: Existing v,,*' New Existing wood/coal stove: Gr'?es 0 No Detached garage:0 existing ❑new size Pool:0 existing ❑new size Barn:O existing ❑new size Attached garage:0 existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use - - Proposed Use - BUILDER INFORMATION Name `>A-y/4� Telephone Number Address S w ay )e_t- 1 y SZ Cl. License# YA ytr 5 YY\ 5 M f;�- Home Improvement Contractor# 0,,) &" yg Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 76 FOR OFFICIAL USE ONLY E • " PERMI•T NO.' -DATE'ISSUED , MAP/PARCEL-NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: ; t FOUNDATION l . . . FRAME -- - INSULATION FIREPLACE ELECTRICAL: ROUGH; FINAL PLUMBING: ROUGH FINAL GAS: ROUG8 CM, FINAL mom• L> h FINAL BUILDING } O vms ms: rj DATE CLOSED OUT. m O 5iarrC� i- ASSOCIATION PLAN NO, K 00 w It . PfI Sin 0 N . r -- u r The Comtnonealth of Massachusetts — - = Department of IndusHd Aeeidents' ' 6Q0'Washington Street _ Boston;Mass. . bZJ�XX Workers ti C m ensatio, insurance Affidavit-General Businesses : j / - ertr�s••a+tr,. .. � r ! :'td 3, ;.'}: . —• :.t.?•- ' v. address: 7 ho e S .a•A I state' 21 r pl .� r lS ent • site locatiort full sadrses :' s e; Retail[]•Restauranf/BaF/Eatin9 F.stablishm work a sole-roprietor and have no on �asines ❑office❑Sales('including Rt;aYEstale)Autos etc.)' ❑ I am .W.orking in auY capacity. T am an em to er 'lo ees full&' art time %/// �% %%� on this•ob., , � cbmvensation for mye"IoYees world - er providing giQrlCefs' •r t„ : y' :•t ^••r'ti1..'�' 's.�' ' .•., , 7',;t';�•.•.t„i1• '.•'�• .. T RIA ' �loy ;i t 'qj••. s ,.. '�. .9'�t l,t .t•{:Y(�.r• ••,CQ,1'•:>.'�,iijl.}:.•.��•::•y f•,•' :4re., •'t • J• • - 'S � fr •}{{)' ••� ,::7�'f• t^'��••.s.'rr!!�'.t• :1';,•.�' !: •'t•.' jr.1. .,.r1•�' -r,,• (` s r :f:'a.{•• r:h,•ti; ::� lti!'' .•1'''r', ,lt'•.•; Ii•Stt •� 7 . ., •7 ! ,?y'••�Jr I.7.:''7 i:�.. '?7•}%•'A" 1'(• ff<.t�.4 •,.{.• �,., ,, 7 .'t., ..• ••. :i'. •• i' :I••,t• .( IC;;J,. ,. {a, 1'a S •.t•f r• •' .!�• ... ' r.i,•COlil •:9II �g3Jle1 ..;, I,i.. .••„tl:�1?,:')i�•5;t '.�.:'i::��. :n'r1•.ry. '1.; t..rj•1' :S:• t vr� 1j 'i:s^''�rf.�t �t'^r:.�it:: '4,t( e. ,C,r:i:, .i. . ,•r+a� 'x',i ;.t: y . :i, r h Er•.: : { +• i r y:,rrC'I:�'Z,47.r:. •• .t,, •' 1'., ... r 1 r•3 ',.s• A 3°•';':'':. a..r. 3{..{'S:�•• �, 1:.� .• ..''tr .• • :'1 �,� :►�� ,}•5�•:if��;v,JY r i_tY.lv....•.,:l...^.. .. .. ••r,,: : i r -✓�;. '�:�:• p: '( i •,r.. '�.�'•s•r•,,•iq�''�t�a y'Jy:::jf•..•,}t, i' J t••,'� •'I,a�:.• r.�Y'':'••'i`t''S�:ti.fi h tl��.�r '.•� ... • gas�rj;SS: ,� .. •� . I. r. ,r' �,.,S.,1L•. ••s�"%t1'':'.,1�•:�. r�•'t;.F, r. � •� ••, '''";' :t''ii• ••.A•r.t(:•.:" (, J. .� ,�•.'� ' Irvti :itl�,.?r�i.-,?•' .'t•s �.•rx1'��,rY^5�.% :�s� { !'' ' Z1Riv ai ••',•:i'•.7• •7 .."r,' • � .. •'.I•. r . , j •'t , {:,•.. , t,•;?'• ,i Ft• }C ..!- r .'(,•t�•t.s�• ,',lil',J{• r r�. �� •^ ••t ':' '' ,y^,:•:t. '• .s ••sJ t�(`T•af't a ?.�' .L f:i'•, 5i.r•,]� •Z-.J •3}1'w•. u• rn.t} �•••i.r.'...r.�i�'rs• : r •!•r f, t.i ,.''",. !,}w`'"rr':' ` •i•,.. r h{•i•Gti�� •:�: is•.,il•Is 4�:if::... 1. •r '0l1C.',fiF'� "r•' ��q i ho have tie following iorkers' ns>ira etor and'have hired the n:depeaden't contractors listed below w I a sole propri,sat ;.• : �: •;! •' LLon olicies .• � � '¢'f •r{w• .;:�.a'yp4y r♦ t�i'�I.s•:�d '^%.:.::�, '� ,' ny:,`S'•':.Z.::,4•.i;•'�'I•''' ;•7•r•.•r.,I`'': _' •"' '� •i !�.' •:.fir' :P.•v�•���`..7 ti'�;.r• i.!•��r� .. 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' ;''. ,: I As Y:' •1 ` •S"%;'rat:"'' 1' ' ' a,i ':'•�� `rt:•.5:, 1 ,�i 4 7;.,. ♦ .4 r+ I Cl•:. ,,, .,..�•(.. a .,.+ V3 T, , s t 0'• r r {•''t''I;t•, t:r�:•,;�J:•an3, 1•,ti•';•,t• J:•'���/ 4st:t:•7. •f+ i,•.•' r...••z;hs:;''': ! •. �. t ', 0 le r,y'(;2 Y..}t'.L I , ' ...r• r.•. 4 t• h• •x ,•. a,Y�st'biir .S.t's:• '�• �• Trt• . . , �1'I ,�,�?I_�'+�'.i�(`' r 4+.��::,�•.� 1'4. ' / , •,.,, . 1•.. ., J 1 �r SII'Ce'C0. :i!re?7'Yo•'• ,'� } • t �r.�ar4:a . f,.. tr11 J��., '�S•1'...• Sri•s in$UT '(.I r, +'�'.•; '.liar ' :,:.;•' .. :,' ,: .19L�1•.1 : 'C .$,r q: '�ti;' .v4a3 .�'•.t• FIR WOW. J.'•.• •r s, °'i:... .• : •t• l•� l�s+••t% �`r y�yril I"t+:...tSa- '� 7 . • 'I j'+':f•y'J ,•'t:•; r•fr,.t; '•L '.h t d'Ji.` :i. •t' t .; f 1.. ti•p .(• .:rJt +... .r•7,i.',' :?Y' t�•' f"fx ti,i,.,:i.• •'a 7..•., r r.' r' 'J 't; r.,•f ..f�•J'..:Sj,r.. S' •'1�/ss,, „�S:••R '•:�:' ,f •i+t•..:'♦ a ,t t �,,( .•l,••. ,'1.J n 8•aL�e.-J°:r �•twr,l;•:t •',, i,:i. .! .. tom Via. •r '!' 'r'.. ,., � ''..� .r .. •'. �% 71 fiF: 7� •,�• a. .. r,'J:.t..r: r."',.4 :• i,• :t} ;r.'•I I1021E .....•. r S . a.' t,.'' ,•, r• •"',. : 4,• .. •. I r: ire:••• ' 4�'(',ti'>( �!t •i,• • ;J. ,(•.. ',: .•/ �� + •.,) h •n.t•�i .(.• 1... •.Y?:r�'t'i�r t:'S,. t: i• , •: t ri'" '}{` ,, !r F n °.,I ,. .Y•' + 'rs .i":': f• :,..:' t ' •��'<F4' � rr 1., t. s 0•t1C, •. •~ �% r.•) fi�, L.�1F.".f':;j:: •Y... :! !. :tar•.J ' fnsiiiaiil•dbftr4=.• . covers o as required under Section 25A of MGL 152 can lead to the imposition of crlm(nal)SnnaYties of a fin°up to 51,500,00 an or Failure to secure g der Ses io the A Df of a STOP FVORK O$DER and a fine of S10d.00 e'day against me' I understand that X one years,impriso�ent as well as ctvllp r this statement maybe for•Rarded to the Office of InvrsHgatiom of the DlAfor coverage verification copy of ' nd the ins and e;nalt' Jury that the inform ation provided above is Prue an I do hereby ee cfy Date Si�natvre hone# t print name Official use only de not write in this area to be completed by city or town aMcis� [Building Department permit/license# ❑Licensing Board city or towns ❑Selectmen's Office Q check if Immediate response is required ❑Health Department , Other_phone#; contact person: t:e�ntasgtam;) T ' Information and Instructions eft$ General L'aws ch�Ater 152 section 25:cequires all employers to pYovidc w*ozkers' compensation for'their•. Massachus. "a am,As quoted'fromthe °lW, an employee is.defined as every person m the service of another under any contract of hire,express or implied oral or written. ` artners , association, corporation or other legal entity, or any two or rngre of .An employer is defined as an individual,pp the foregoing engaged•m a•�vmt.enferpnse,and in the legal representatives of a deceased,employer, or the-receiver or association or other legal entity, employing employees. 'Howevei.the owner of a trustee of an individual,partnership., dwelling h°use ha: g' 'fnore than three apartments and who resides therein, or the:occupant of the:dwelling house bf another wlio. PlOj'S Persons to do mai:oteuaiice, construction or repair work on such dwelling fiouse.ctr on the grounds or ant thereto shall not because pf such.employment.be deemed to be aii pmploydr.••,. building,gppuiten , t •. . .. . :;. IYiGL chapter.152 section 25 also"states fhat'every state'or local licensing-agency shall withhold the issuance dr renewal of a license or lie?' t to operate a business or to construct buildings in the.comnnonwealth for any applicant who has not produced acc.. .. e•evidence'of compliance hall me�o�Ce��tracgfor th performan a of Public work untg coixmoonwealthnor.any.of its political subdivisions s y acceptable evidence of conipliktdc with t�e insurance requirements of this chapter have been presented to the contracting authority: FMII .,,• _ Applicants Please fr in t}ietyke's'•eonpensatiorr affidavit completely,by checking the box that applies to your situation.,Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Acnipan nt'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 pepazt rent of'ludustrial.A.ccideiits. Should you have any questions regardiri the'"Iaw"or if you are fain a vtorkert!compensatimpplicy,please call the Aepart6aent at the nfunber listed,below. t required to o . . . City or Towns . • . Pleasebe sure that the affidavit is cbmplete andprinted legibly. The Department has provided fl e a space. hcant. P at Ihd eae f the affidavit for you to fill otit in'the event the Office of Investigations has to contact you reg dung pp be sure to fillip the penrnt/license number which wM be used as a reference number, The.affida_yits maybe returned t4 FAX ai rangemeiits have b een made.• ' theDeparlmentby. or unless other . The Office of Investigations would like to thank y'' in advance for you cooperation and s4iould you have any questions, a•call..•. •' ' please do nothesitate to give us " The Aepartment's address,telephone and fax number: . ' The Commonwealth Of Massachusetts D ep artment.of Industrial A eddents . . Bffice of is�e�st�ns . 600 Washington Street Boston,Ma. 02111 I fax#: (617)727-7749 , _, I . „ E 1 To of Barnstable . oY °'yy o� Regulatory Services a : Thomas F.Geller,Director 9 039. ,�� Building Division �'OIED MP'11` Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date AFFIDAVIT 130ME r<pR0' FmjNT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,occu convers led ion, ;rnprovement,removal,demolition,or construction of an addition to any,pie-existing wm P than four dwelling units or to structures which are adj¢ to building containing at Least one but not more such residence or building be done by registered contractors,with certain exceptions,along with other requirements. DO Estimated Cost Type of Work gA ` Address of Work S �'¢>� y Owner's Name•=\ 9 Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 ❑Buil ' owner-occupied caner pulling own permit Notice is hereby given that: • OWNERS PULLING TSEIR OWN PERMIT OIRMPROYEMENT wORI�D UNREGISTERED O NOT ELM . CONTRACTORS FOR APPLICABLE H ME ACCESS TO THE NITRATION PRO GRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDERPENALTMS OF PERTURY Ihereby apply for a permit as the agent of the owner: Contractor Name Registration No. Date 1 OR Owner's Name I Town of Barnstable OFIW o Regulatory Services ivslna Thomas F.Geiler,Director F 7ASS. i639. p Building Division FFD MA't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 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":� `l/}-///C]` //XJI�C �d.G�t� SG 7a�-3 914 name home phone# work phone# CURRENT MAILING ADDRESS: /`E �C L V 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 inspection p cedures and requirements and that he/she will comply with said procedures and req ' ern nts �/ 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:homeexempt 0 P(N P O P�ikT I N E5 MAY ' * oT E ftccu STANDARD LEGEND T NOTE:not all symbols will appear on a map GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES MAP 060 +\ ' O EDGE OF BRUSH 017 r7 ORCHARD OR NURSERY v-v-v-V EDGE OF CONIFEROUS TREES r MARSH AREA MAP 043 —• — EDGE OF WATER 014 = _ _ = DIRT ROAD # 10 !� MAP 060 MAP 043 '� ..._ � DRIVEWAY \ , 014 - PARKING LOT # 2 I E� PAVED ROAD DRAINAGE DITCH \ \ � """ � �� — — — — - PATH/TRAIL _-M 060 ` 021 PARCEL LINE** \ MAP 326 F— MAP# # 43 / 021< PARCEL NUMBER \ O #367 < HOUSE NUMBER 60 y 2 FOOT CONTOUR LINE �%o 0 + �— 10 FOOT CONTOUR LINE MAP 060 ® # 53 \ y Elevation based on NGVD29 AP 04 � � O # 4.9 SPOT ELEVATION STONE WALL 59 -/ -X—X- FENCE 3,"-- jX RETAINING WALL 2 \, MAP 060 ;; r� RAIL ROAD TRACK 1 O O k�0 2 © STONE JETTY 43 SWIMMING POOL 2 y O _ 0 , PORCH/DECK \ 02 Q�y �j 0 BUILDING/STRUCTURE MAP 043 Q X DOCK/PIER X MAP 043, # 20 Q HYDRANT C , 031 8 VALVE O MANHOLE I #�30 \`` \ ( 0 POST 0" FLAG POLE T O W N O F B A R N S T A B L E O E O O R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T p SIGN ® STORM DRAIN M PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES:Planimetrirs(man-made features)were interpreted from 199S aerial photographs by The James a TOWER w `� a 1°=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD o UTILITY POLE 0 40 80 National Map Accuracy Standards at this do not represent actual relationships to physical objects .Corporation. Planimetrirs,topography,and vegetation were mapped to meet National Map Accuracy Standards 1 INCH=60 FEET* enlarged scale. on the map. at a scale of 1°=100'.Parcel lines were digitized from FY20D4 Town of Barnstable Assessor's tax maps - LIGHT POLE o ELECTRIC BOX +`a '.f\ `.I,� . r �y``. .� � t.. •� � i� , .,r.y�t� �r �{,al+Y� .��1 :"7 .r/ ��.r fa /yt iy d I itw' •� is •� z a +i v i /�,�1 +�• "ems Jib ►• •L i~ ^ `�' ., _. - ', � � 'ij ,.` r., •• � r ,sue �•r�• - � f }%, .v -,t �. � e � �pl ii ��� ♦3 i+. 1 1. 1 I: a.�tt' � t . 1 ♦ � T t iO e,� + �' k •a- '�'�1''��+ to ,�. jlNk ,x�►�4� r. •t�5v� � �►,� ,. fTti,;.• '� 1, � h � . � �_ � + %f� ii t'! � .r.: .�. .� _ ? 7+. P•'R, 14 P 1v, rI '•Vt.:�.. ^.¢, /`. -TAp _AIL :,�R.: ? - ''S ..1Ya1•• t , Z.Ti , 'M'l+.!Ir•�. h' e'. s.R_ ,.. AL- ��+ � � �T'� � �.. •' .� , •` / rh� .' ' ff""� .fit.: ♦ �. •-Y � �♦ y �`r ..t ��- r w 1 a9 ,� � '� it v, "' A 'iiYf �•"'.'1'� R l 1r!► _ . e e....r � 1 .py + t.•. t. .t,, y..-'• 11 '.� �z•�.1 " .yip i.,''^',C. ' "�y,a - j,.••.. Sk � 'M' c'.- ,s 1�'.,�'�!S �•,�"i .� •• .. �« � �rII.� js � � n ". k ,,rat;,"` •�' � •. 'a' �f�1a � ►f;1F �'�� I� .. .- _.. 'j_. r.I . n { ,. All tyew y� � FILE # B2693 CENSUS TRACT # CLIENT: At:t.orne� Elizabeth McNichols DEED BOOK PAGE OWNER : Stephen L. & .Janet L. Nickerson PLAN BOOK PAGE LOT APPLICANT : David G. winnikainen & Michelle MAUESSORS PLAN PLOT MORTGAGE PLOT PLAN OF LAND I N B A R N S T A B L E SCALE : 1"= 60'. DECEMBER 21, 1983 . LOT 12 LOT 13 1?g, 004, LOT 8 20,517 S . F . ± LOT. 9 �"`�9 LOT 7 DECK — 1 M rD i 1 STY Ln 1 )6 r W +1 O 125, 00' WAKEBY ROAD I CERTIFY TO ATTORNEY .ELIZABETH A. MCNICHOLS, OLD STONE BANK AND ITS TITLE INSURANCE COMPANY; THAT THERE ARE NO VISIBLE ENCROACHMENTS OR EASEMENTS EXCEPT AS SHOWN AND THAT THIS PLAN'WAS' PREPARED UNDER MY IMMEDIATE SUPERV I S IO N . T HE C I O N OF 'THE HEREON I S IN COMPLIANCE DWELL OF WITH THE LOCAL �N Mgs�ct �.__,T____,, —APPLI.CABLE ZONING BY-LAWSTH _ WITH RESPECT or %ENNE .�. TO HORIZONTAL DIMENSIONAL R�EQU I REME-NTS . FERR IRAno.28718 THE DWELLING SHOWN' HERE DOES NOT FALL y�F Va4 WITHIN A SPECIAL FLOOD HAZARD ZONE AS 'y Ua DELINEATED. ON A MAP OF COMMUNITY #250001 DATED 4/3/78 BY THE F . I . A , Land Surveyors Civil Engineers (gibe �OstOtt Pulb *rbrg 410., �nc. 261 yrcion 04t Nctn �rbfurb, P 02740 GENERAL NOTES: (1) The declarations made above are on the basis of ■y knowledge, information, and belief as the result of a mortgage plot plan tape survey inspection made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date. (3) This plan was not made for recording purposes, for use in preparing deed descriptions or for con- structions. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may 111102/9a 17:02 $617 7 27 7122 DEPT IT'D ACCID 'Qoo_ Cotlunollitleafilt ol 1Wa1Jac1zu6ettJ ' aUaPartr�tenf o�.�lsdu�triaC�cc�denU 600 WuLVtott Stmef James J.Campbell Ion, MaMacLJ4ff402f Commissioner Workers' Compensation -insurance Affidavit 1, (QOe�see/pamiaee) . . with a principal place of business at: (QW/stmkizlp) do hereby certify under the pains and penalties of perjury, that: () l am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy Number () i am a sole proprietor and have no one working for me in any capacity. () I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number (y�[ am a homeowner performing all the work myself. 1 understand that,a copy of this statement will be fomzrded to tre Office of Investigations of the 01A for coverage verification and that failure to secure / coverage as recaired under Section 25A of MGL 152 can lead to the Imposition of criminal penalties eonsistin¢of a fine of up to S 1,500.00 and/or Cn 1 years' imprisonr.,ent 1S el as ii enalties n rm c a STOP WORK ORDER and a One of S 100.00 a day against me. Signed this. day of �/ 19 S Licensee/Permittee Building Department Licensing Board Selectmens Office Health Department 3 7 7/� TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE '/ JOB. LOCATION -Number Street address Section of town "HOMEOWNER" :7\_�):9c/![� ttyi�tlCRiN(r1t� `7'�g'39 V?`�-a�fj6 Name Home phone Work phone . . PRESENT MAILING ADDRESS 3 V.� (a �C�= �d 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as su ervisor:, DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six 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 considereda homeowner. Such "homeowner"- shall submit to the Building Officia on a form acgaptaable to the Building Official, that he/she shall be responsibl for all such work performed under the building permit,. (Section 109. 1. 1) The undersigned "homeowner" assumes responsibility for compliance with the Sta Building Code -and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspe on procedures and requirements and that he/she will c th said p oce ur s and requirements. HOMEOWNER'S SIGNATURE Y/L_L APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet,. or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person(s) . for hire to do such work, that such Home' Owner shall act as supervisor. " Many Home Owners who use this exemption are ,unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. 'The Home '46wner' actin as supervisor, is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities,, man communities require, as part of the permit application, that the Home Owner certify that he/she unders'tands . the responsibilities of a supervisor. On the last page of this issue' is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. i rCoAssessor"s Office(1st floor) May �l '7 Lot OD d �� Permitnscrvation Office 4th floor 'D Date Issuedard of Health(aid floor) lie �; �i��o �� `• Engineering Dept. Ord floor) House# Planning Dept. 1st floor/School'Admin.Bldg.): �� i , ,B i Definitive Plan Approved by Planning Board 19 ®, �E ®� �' i6 (Applications roces 13:0,9=30 a.m.& 1:00-2:00 .m. TOWN OF BARNSTABLE Building Permit Application Protect Street Address & �Cl Village ` 5 Fire District (hvnc 14 ; A-3 6yIU Address t a J G cF 1j O' j Te1e hone — /E Permit Rcauest: e!� ►D A.) L �©0 Zoning District I l 1— Flood Plain Water Protection 410 Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Eaistine Information Dwelling Type: Single Fan-dIv Two famil Multi-family Age of structure 2 4 1 " �g .l Basement type �4 cr,r c- Historic House KDO Finished Old King's Highway- tJ O Unfinished Number of Baths t No. of Bedrooms `1 Total Room Count(not including baths) First Floor Heat Type and Fuel yV5 4 W n Central Air 1DO Fireplaces 40 0 Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds l Other Builder Information Name /9 rA C. Telephone number Address License# Home Improvement Contractor# Worker's Com nsation # 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 yg Project Cos It.-), , Fee SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T - 6 � .. FOR OFFICE USE ONLY 5/4/9 5 3q-�2- 060.020 ADDRESS 53 Wakeby Road VILLAGE- Marstons Mills David G. Wiinikainen OWNER DATE OF INSPECTION: FOUNDATION-� FRAME D d INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: <,ROUGH FINAL GAS: �.e ROUGH FINAL FINAL BUILDING:�a s 1 DATE CLOSED OUT: `"t ASSOCIATE,PLAN NO. .`�•- r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i e Map bO Parcel C&® Application# Health"Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fe y` 00 Planning Dept. Permit Fee�`267- Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address .5'3 Village Owners ups` �� l'Vi�e_�rs�G Wti,"kALd;x)t_ ress Telephone or :--e9 I-7X&— 3X6q Permit Request ' mod&( -4 AdA esro k O\C-itc_\^GY'C> /-add 6a r Square feet: 1 st floor:existing \ O!RO proposed 7 5'6 2nd floor:existing proposed Total new 25 K Zoning District Flood Plain Groundwater Overlay Project Valuation O 6 8 8,60 Construction Type L.Z Oak Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. n i j Dwelling Type: Single Family O� Two Family ❑ Multi-Family(#units) J Age of Existing Structure 'Y Historic House: ❑Yes WSW On Old King's Highway: ❑Yes ,2"H4T1"" i Basement Type: ETV611_1 Cl 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 3 new Total Room Count(not including baths):existing new First Floor Room Count 6 Heat Type and Fuel: ❑Gas ®'Oil O Electric ❑Other Central Air: ❑Yes U�146^ Fireplaces: Existing I New Existing wood/coal stove: 0-re's ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing I Kew size g Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current U e Proposed Use _ BUILDER INFORMATION Name �`7 -�/ Z'/W, it 1C� rt�(^ Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE C.tT DATE 6 FOR OFFICIAL USE ONLY y PERMIT NO. , 3. DATE ISSUED MAP/PARCEL NO. I i ADDRESS VILLAGE OWNER t. f DATE OF INSPECTION: I , FOUNDATION v� ( ( 'gip 06 FRAME INSULATION �C��J���7 FIREPLACE F ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I.u°:. :,5�.}r,r„t;�r- .,-N.U.;'�.wt,�j-4skw>^•tiSS:,.,,.';'�.#t.�F;a�A^�"4n %��'�r'a''F;•�.!�'�•3C'tfi" ��fi�'�"Avit+'•I�fti^'t'�f�r..��.. ,.y.,yd-...;rc,e>rsiNf��i„'T„�s'^:5�...+�'ti�`.Z+{c;114$:;'F �M{-l:%rl(,;,t'",�'�vr:. I '\1 Town of Barnstable BARNSTABLE. -" Regulatory Services MASS � t°3 on Building Division p�F MAC a . 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection " Location �3 ��� `"fib -ll�f Permit Number 200� o G T Vile ea7yc G—b-U r�J�Z Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: AJ&6b 5 &owe a X 4 ` s W066W— 1-r — -Fibak)T YIA OWKr--b Al 15S G Gc>1�L E �(V.5 Please call: 508-862-4038 fear . Inspected by Date y ® �O The Commonwealth oj-Massachusetts . Department of industrial Accidents Office.of Investigations: 600 Washington Street Boston,MA 02111' r•J www.mas&gov/dia Workers' Compensation.Insurance Affidavit: Builders/Contractors/Electricians/Plunmbers Applicant Information Please Print Legibly Name (Business/orpnizationandividua ..7: ,) oalaz Address: S L-J A)Qf- City/State/Zip: � G� ��5 it l: /1'_ Phone#: GAB �_��-3 �A 9 Axe you an employer? Check the•appropri Type of project(required): ❑ I am a employer with a general contractor and I 6. ❑New construction employees (frill and/or part time).* have hired the sub-contractors '.❑ I am a sole proprietor or partner- listed on the attached sheet 1 ? ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein any'capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its •. officers have exercised their 10:0 Electrical repairs or.additions {.LU I am a homeowner doing all work right of exemption per MGL ME] Plumbing repairs or additions myself:[No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurmee required.] t employees. [No workers' 13.❑ Other comp.insurance required.] Sny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such ;ontractors.that check this box must attached an additional sheet;showing the name of the sub•contrattors and their workers'comp.policy information. am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site iformation. - isurance.Company Name: ooicy#or Self-ins.Lie..#: Expiration Date: )b Site Address: City/State/Zip: .ttach a copy of the workers' compensation policy declaration page(showing the policy number and-expiration date). adure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a me up to$.1,500,.00 and/or one-year imprisonment, as well as civil penalties in le form of a STOPVORK ORDER and a fine f up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of avestigations of the DIA for insurance coverage verification. do hereby cerfift u r t e pains a ' s of perjury that the information provided above is true and correct: ;i atare:. Date: 'hone#: . Official use only. Do not write in this area,to be completed by city.or town offu;ial. 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 M 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 mdMdual,..parmelb p,,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,of.the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. Howev..er 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 woik-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-contractors)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. '1§e advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be we 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 mast 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..Anew affidavit must be filled out.each year.Where a home owner or citizem is obtaining a license or permit not related to any business or commercial venture (ie. a dog license or permit to burn leaves etc.)said person is NOT required to complete 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 0211 L. Tel. #617-727-4900 ext 406 or•1-877-MASSAFE revised 5-26-05 Fax#617-7274749 www.mass.gov/dia °fTME ° Town of Barnstable Regulatory Services Jk6.R "3= ' Thomas F.Geiler,Director 9 •nsess. � �''°rfo3, •`0 Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town,.bamstable.ma.us )ffice: 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: C� L,;fb �G//ROCS C�f C�fYa G Estimated Cos � � b Oaco Address of Work:SA L-3 (O`� �.�� Y Y���'.�G�oS M �[1 S Owner's Name��}[1(� �a t e-K fr! L` VC5 lk-d%�0J G—AD Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 F]Bu of owner-occupied g]dw-ner 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 Signature Registration No. aaA—� Date Owner's Signature Q:wpfiles.fw=-.homeaff day Rev: 060606 I , Town of Barnstable Regulatory Services STABU&KAM Thomas F.Geiler,Director Building Division Thomas Perry, CBO,Buiiding'Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maxs 'Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: �� r i k13 N�/y--- Map/Parcel: 060 C)20 Project Address 0- Builder: -2 The following items were noted on reviewing: 0 Z is eo -r- �8 ` IAtf 5 e ,A-c We Lib-6-- Reviewed by: Date: Q:Forms:Plnrvw f RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Building Permit Amendment $ 25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square.feet x$96/sq.foot= 7b 7 Cg-x .0041= e plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING©SPACE a _square feet x$64/.sq.foot x.0041= J • �O plus from below(if applicable) GARAGES(attached&detached) �/btt S square feet x$32/sq.ft.= 1 G1976.6ox.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck 6 x$30.00 �, - (number) .Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Projeost Permit Fee Rev:063004 Town of Barnstable �DFSNE 1p�� o„ Regulatory Services ` Thomas F.Geiler,Director S snRtasznsM nsass. 9�6 1639• 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 HOMEOWNER LICENSE EXEMPTION Please Print DATE: \o_ � II ) JOB LOCAnON: �A)4�6 eCJ, IKA('<Ltr3S IK number street village "HOMEOWNER' /fti}v r t 6, t t13,�,V� name c� home phone# work phone# 4u CURRENT NLk]LING ADDRESS: J �� 3A�G�y r — �'V1,�r:5 ko�o� 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. ' DEFINMON OF HOMEOWNER Persons)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 m;n;mnm inspection procedures and requirements and that he/she will comply with said procedures and r quir prujq. Si 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:bomeexempt I Permit# Permit Date Nf REScheck Software Version 3.7.3 Compliance Certificate Project Title: New Addition / Garage Report Date: 10/11/06 Data filename:C:\Program Files\Check\REScheck\#5863.rck Energy Code: Massachusetts Energy Code Location: Marstons Mills,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 16% Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor: 53 Wakeby Road Mr.&Mrs.David Wiinikainen Drawn by:Lloyd M.Sherwood Marstons Mills,MA 02648 53 Wakeby Road 10/10/2006 Marstons Mills,MA 02648 . Z. Assembly - rr.. Ceiling 1:Cathedral Ceiling(no attic): 294 30.0 0.0 9 Skylight 1:Wood Frame:Double Pane: 16 0.430 7 Wall 1:Wood Frame, 16"o.c.: 432 13.0 0.0 26 Window 1:Wood Frame:Double Pane with Low-E: 12 0.340 4 Door 1:Solid- 20 0.300 6 Door 2:Solid: 20 0.180 4 Door 3:Glass: 58 0.300 17 Floor 1:All-Wood JoistlTruss:Over Unconditioned Space: 288 30.0 0.0 10 Furnace 1:Forced Hot Air:90.2 AFUE Compliance Statement:The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code.The HVA ipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780C R 13 0 aJ4. Builder/Designer Cornpany Name Date Project Notes: REScheck by Cape Cod Insulation,Inc. 455 Yarmouth Road Hyannis,Ma. 02601 1-800-696-6611 #5863 New Addition/Garage Page 1 of 4 w i REScheck Software Version 3.7.3 Inspection Checklist Date: 10/11/06 Ceilings: ❑ Ceiling 1:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-13.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Skylights: ❑ Skylight 1:Wood Frame:Double Pane,U-factor:0.430 #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Solid,U-factor:0.300 Comments: ❑ Door 2:Solid,U-factor:0.180 Comments: ❑ Door 3:Glass,U-factor:0.300 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Heating and Cooling Equipment: ❑ Furnace 1:Forced Hot Air:90.2 AFUE or higher Make and Model Number: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. ❑ When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1• Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2• Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 Us)air movement from the the conditioned space to the ceiling cavity.The lighting fixture shall have been tested at 75 PA or 1.57 Ibs/ft2 pressure difference and shall be labeled. Vapor Retarder: ❑ Required on the warm4n-winter side of all non-vented framed ceilings,walls,and floors. New Addition/Garage Page 2 of 4 r Materials Identification: ❑ Materials and equipment must be identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. ❑ Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: ❑ Ducts shall be insulated per Table J4.4.7.1. Duct Construction: ❑ All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions.Mesh tape may be omitted where gaps are less than 1/8 inch.Duct tape is not permitted. ❑ The HVAC system must provide a means for balancing air and water systems. Temperature Controls: ❑ Thermostats are required for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: ❑ Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: ❑ Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: ❑ All heated swimming pools must have an on/off heater switch and require a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. I New Addition/Garage Page 3 of 4 I • Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness In Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature(°F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range("F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low PressurefFemperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) New Addition/Garage Page 4 of 4 I _ r Ct 0 era ZZ I certify that this property is located in Flood Hazard Zone C (out- side the 500 year flood) as identified by the Department of Housing and Urban Development (HUD) . Date6., Z8 //c`1� �•. CERTIFIED PLOT PLAN LOCATION ,��? 1.ST/ BL� A.?.sTq.vs/you SCALE GATE /acGL� _,L Reg. ,Ind �ut�v�yo ',`' PLAN REFERENCE r. '�TL:_ice •jr 's - yo� , I certify to its title insurance company that there are no visible encroachments I CERTIFY THAT THE ..�! '. . . . . .. or' easements except as shown and that this SHOWN ON THIS PLAN IS LOCATED ON THE GROUND plan was prepared under my immediate AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REOUIREMENTS OF THE TOWN OF supervision. �?i!��! �'?�!IEsc �; WHEN CONSTRUCTED. DATEJ". y/�t�/0 6' �ICf�ErL.Gf Iat/01%N/�L/.j/N�7�/ - P:s'T REGISTERED LAND SURVEYqW Building Detail Page 1 of 1 ;TRN5 All "�� 1fr39. y�jr .,.K, ;i.r �i n-.:7y.' ��- •.S "-,..�..�:,� ^� .a... r ^'1_ Logged In As: Building Detail Tuesday, Novemb� Parcel Lookup Parcel Detail Building 1 of 1 N yy ' u. l,. .: Code Description Gross Area Effective Area Living Are BAS First Floor 1120 1120 BMT Basement Area 1120 190 WDK Wood Deck 120 12 Extra Features Code Description Units Unit Price Year Built Value Commen FPL Fireplace 1.00 3,000.00 1994 $2,600 Out Buildings Code Description Units Unit Price Year Built Value Commen SHED Shed 104.00 8.00 1996 $800 http://issql/intranet/propdata/BuildingDetail.aspx?PID=3966&BID=4105&N=1&NN=1 11/21/2006 73 2 -� .o \s --6 ' I 4Dp/T1PN\ ,s I certify that this property- is located in Flood Hazard Zone C (out- side the 500 year flood) as identified by the Department of Housing and Urban Development (HUD) . Date 4, 7_ZooG CERTIFIED PLOT PLAN LOCATION �i /t!�/.STi%IBL (,gsTays .per ED�NA ti � 30 i . . «+ tT SCALE . DATE ?�F=;7 Zook Re I, PLAN REFERENCE 8�'� l'bT '6'& g rTd7.-u� . .. . . . . . . . . .. GIST `dui LAB S .3Si8G I certify to its title -insurance company /sTi�C Z»k/�GLi•�C- that there are no visible encroachments ICERTIFY THAT THE .. ... .. . . . .: .. . .. .... .. . . . . or easements except as shown and that this SHOWN ON THIS PLAN IS LOCATED ON THE GROUND plan was prepared under my. immediate AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF supervision. Bi9lGatG-3`1f/BG� WHEN CONSTRUCTED. 6 DATE REGISTERED LAND SURVEY til 1 r rf u _. ... .1/ I 11 l0 CU'`lc ',VL,_L YO 2x6 P.T-2y6 SIL: P..LTC COI^..T.. O;3 20"x 11Z Conk=~` ��!'fl�"`2'G.":�.64or-- 0 — _, .i i n✓,Tr a:. D.C.�• 2-Ps 071 TNr .!E k: I •'E-c 1�, a.^. 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