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0016 SETH GOODSPEED'S WAY
i i A 4 A r IR a f t �.....��_�__,... .�__ � ..�_.►.+�..�..�.a e,.. ti_ ...�...._,.��---ems_.',_ .�. �.,. ....._�. _ ,..... ._-...�._ ,..�... _ .,�.� ..,.� �. �e I SMOKE DETECTORS REVIEWED B LDIN DEPT. DATE vo 4AT IRE EPAR MENT ✓J - _ _� .r'' ,�° �. ! ,- /r ,.:.•'' - � s v -{G,,. - BOTH SIGNATURES ARE REQUIRED FOR PERMTTI ING r cam J1 �' �> - - i> �} J S SM TECTORS O . BA,RNSTABLE slJlLplNG DEPT. - col OD CC) ,. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map-i Ak��Parcel Permit Permit# �® Health Division i-�.Z oZU '2 Date Is d Conservation Division Fee ®lam o Tax Collector yqui Treasurer Planning Dept. SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board WITH THEE Historic-OKH Preservation/Hyannis ENVIRONMENTAL.CODE AND TOWN REGULATIONS Project Street Address i to Village Q;1X C>Z,LOZ Owner CRO,%& P. Address 1 U Telephone (so's ) L420--Z`7 t`i Permit Request C I L-x I L. 1 w +h. c�F�• - ex:s���a Square feet: 1st floor: existing 1200 proposed 25(0 2nd floor: existing proposed Total newt Valuation �� Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfatliered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure ZA yrs Historic House: ❑Yes XNo On Old King's Highway: ❑Yes No Basement Type: YFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) k 20 O Number of Baths: Full: existing 2, new Half: existing new Number of Bedrooms: existing new Total Room Count (not including baths): existing S new t1 , , First Floor Room Count �n Heat Type and Fuel: ❑Gas X Oil ❑ Electric ❑Other Central Air: Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing Cl new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:19existing ❑new size i cam Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number SO -7 Address—(:7-,A, o JAI d J s-- License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 3LZO/0 2 FOR OFFICIAL USE ONLY PERMIT•NO. ' DATE ISSUED MAP/PARCEL NO. y i ADDRESS VILLAGE - ,> t OWNER° �- .DATE OF INSPECTION: FOUNDATION !s FRAME INSULATION FIREPLACE _ ELECTRICAL: ROUGH FINAL . PLUMBING: ROUGHS FINAL GAS: ROUGH FINAL Y.Ll FINAL BUILDING �,)l�( r, -- - w � _ DATE CLOSED OUT .:3 aT ASSOCIATION PLAN:NO. i4l 0 x� The. Commonwealth of Massachusetts -Department of Industrial Accidents -=-`� _ OfIICC Of IDYCSIf�BIlODS :. � � • 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit ho e#1 b025- y Z'114 i�I am a homeowner performing all work myself~ 7 . I am a sole rietor and have no one woilin• g in aci, //%%%/%%/%%// %%//'////%/%/%%%///////%%%////%�%///////////%//////////�/%%/%/%/////////%/%%%%/%/%/%%�O%%//////%%//%//%//%/%////%////%%///%//%//%%%/////�////////%/%////G�// I am an employer providing workers' compensation for my employees working on this job. ....... ..:n•:.L•}}:4:v}Y-?}:•}:?....... ...:.....vY.?i!i�::>;:+::ji;4:i.-•:-::4i:;d:v. vv:v,v "+4?}:?;+i:4:?!!-}}`?:::.;:•. •:y:::::•}�;i:4:•}:-}i}:�.;.:v...,.,.; :.: ...v:v}.:!•Y:•:::�w.:v.:w::::::.'v .. ........n............1 .:r.••.:::.v:.::............ :.......J:w:;•:v:-:!:4;:v:}:?):::........... ..r............... ... ......................x......................::.r.: ...{.......n.v....n............!........rn..:........\.......n...• ..... .......,.........rh:4}y}:•}ii::!4}}?:•}:;?:{!{!{^;•i}:�}}::.:�v:�}:!LYY};:•i:;;; ...r.....v.v:.:v:::)::...::........... .:..{ i.:........:...,...............::_.:.::................................n............:.::nv:.•:::::::::::::,v:.r:::n,vv::.:v:•:::-•.v:n:•:::.+w:::::.v::nv:-:::. v:wn.... .......................ri.:r.;r{...v::n?�:: :v:r....:....r.......................,..,.,. ,1..-:•:v:•::v:...-...,..........\...........r........_..n.........:n.........................,....:•: i!.rl::{::;•:�}::4:;+`:•}f•??:9:•}:+?4:•:{•i;}:r.i:•}:•}:•}}`JiT:i:?S`v?�itii?vvi::i>):!`vT:iC{:ii:{:i is{'r,:�': .. :.:.:::::......:...,.....,...�,..:.:.}•::.v.>�:::::::.�i-::.v:..:+.-.:!sr:;:n?{�::.{?:r..::.:.:...;:::vv.:::: nasnv n -:,:{:!.::::.....)::.............. .!n.:.... :..::.:.,�.::.{:...>.,{.:r:..._. :::r...,.:::):::Yn!.:.,.:-..,.::::::::..................n..r:•r:::::.::-:-:............r......r..,......,,.:........,r..:...:r.n,..::,...;!:.r.. .............. ............ ,........ r::::::.:,.}:.�:-::,}}::i:,......r....... .... r:..?:?.J>:.;:{:.)4:•;:.::?.:.:}.::.:.,,.:::.;..+::{:.:;:-:isi;.i;:{?.;}:.:n•:::.:.:::•}:-;:i::•:4::;•::;:<:»:;:::........:.:.:?}::::::::::-.v::.r.-n}:''•:::i4i??:i•:i%......... ..... ... .........,.: .....�.:::v:.v::.v:v:•:.. .... 7. 1... {�i:4�:i�i�?::v{:�i:::i:�i::;i: ...n..... n,.: ... ...r.r.........v.n: ....n...........•:r::::::::::::::•;}::::r•x::•v:::::Y:::::nv::::!+•?i}'ii:�............:.........:..... ^:4v:::..J.:+......v::::!v:r:::::J:{.}}}:;•}?.:ri4'•i}}>:-}}:•Yx:::::;••}:+ry:::^.!!i•:•i}:r.}':-C•}"!.....n.n..:x::.tvv.}�:r.:......... .....vn ...........r..............r.......,...,,.............}......r..,..... ?4:!?•v.?;{:-}'4i?:{p}:?i•:4i:i•}}}:•'r:•}i•$}:4:4i:{!:�•:•.:}v..v-:r:::v:.,, .e5s:i.:;•i:!.;:-:;•J:?:{:.'•:!>:::;:::.::;;::;:;:::::}::<:`;`:;:>;::::;::.<;:::�;::::::}:;;:};'::r:-k•};;:;•:•r..:}:;J!?>.<;.!�:v:.<:;:i?::::�:;:>.;!::;:?:�';i:;::?;v:<:;::•':'•<:{:}1...:::.:::::;:.:?;;.v:.;:?<;.?:.,....�.:::.}-:..;:....,.::?::...:.:.:,....... dr ..........:.:.:•.::?'i•:Yi::•Y.•i)::•:+..n..............vr.r:.v:•:••:�:•.:•-.::....:•:.:::«.v.:::-}}:r..v}}:i,•.:•..4'-:..'............r...... ....:.,.:::•::::::.,•::..,:•:::•.v,:.,•.•::-:.:v:.::v:•:... ............::ii•:i tl•:!:J•?:•:{:?•:;:}::}:•:{.Y}:.}:•?: ......:..:.:::J...::.::.:. .?:::.,,::.::.:.:... ....:::..................:.-..::. f,:{.... .):{::}?;:.:;::.::.::r::i::.Y:..>::.::-::.::i:.;.)r:{-i}:?):•:};i:;.:......:::.,xr:.::::-:;:.}i:-;:-}:.:{. •hone'#' •i.p •?'r'::i?':w:::::.w:,v+::n•:::.v:::::.:n:•::::n•::::::nv::::::::r.:-....... .,..r...:n,.,..r.....;..):.:v--••:: .:.. :.,..:;,.:.......:.r....,.v...:..,..:.v.....vvv...::...............,t}:1:::+'ii'•r'•v4?4:•'i=-t••vv:{;.:.:..:..;•::•-..: �.:: ...:..:ii:::�:^'•i::+4::•:`;?•:}}:Y•;}}:}}:-r.;v:'•}}:•:ivv:+.4:?;•i}?):};v'•)y?}:}::^}}}:v.vi•:.t•}:q:•:•J::-.;•}i}?J:.v:.v.} .:.:.- :;;::{:.:•..:.:!•;....:..:r..v::::Y:::::::•:x 4...n.n v.........:.,r..................x,:...:....r....:.:....{::...:......:.}.:::::._v{vnv:::q}vC;�•!i::•::•:�'�':•:•:Gtii�; ... .......:.:•:v:v:;{w::::r,,...::.:x:::.v:::.::n•:::::::::::::::•:.::.:::::v::{n:,:..••x)-.v,::::-:::.:.vv:nv.:::w:::.:. .... .v..............:r. ........,.....................:.. 4..•::.:::.+.•:r.v::::.v:::::J-::::::::. :. 4:}i:!•??}:?:+�Y';4}:::v.v, n, .. .:.......v v.......... ... ...... ..v v w:::•:v:::; ��.�::?;?:!;:•::•:•:.i!??:ALvi�:-i?:?�:�i:vi':4:;}:4ii::`i�:'�i::}:^:i;:ii:{i::4.}ti?vi:S::.i{:v........:............................ ...............,.v........:...::..:•..nv .......r..v...::::::.v:::J•.v.::.:.....:....... 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ZT Lj official we only do not write in this area to be completed by city'or town official city or town,— peimit/liceue#t BOding Department ❑Licensing Board ❑checkif immediate rnpowe is required ❑Selectmen's Ofnce 013ealth Department contact-person: phone#l; � ❑Other Information and Instructions >achusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their ovees. As quoted from the,"law", an employee is defined as every person in the service of another under any contract re, express or implied, oral or written, mployer is defined as an individual, partnership, association,.corporation or other legal entity, or any two or more of bregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or ee of an individual, partnership, association or other legal entity, employing.employees.. However the owner of a ling house having not more-tha a three apartments and who resides therein; or the occupant of the dwelling house.of her who employs persons to do maintenance, construction or repair work on such dwelling house or on the.grounds or ling appurtenant thereto shall not because-of such employment be deemed to be an employer. L chapter 152 section 25 also states that every state or local licensing agency shall withhold the:issuance or renewal . license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has produced.acceptable evidence of compliance with the insurance coverage required. Additionally,.neither the monwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until ptable,evidence of compliance with the mi s ran_ce requirements of this chapter have been presented to the contracting .ority. )licants Lse fill in the workers', compensation•affidavit completely,by checl— the box that applies:to your situation and ?lying.company.names; address and phone numbers along-with a.certificate of ins ran_ce'as all affidavits may be Witted to the Department-of Industrial Accidents for confirmation of insurance coverage: Also be sure to sign and. the affidavit. The affidavit should be returned to the city or town that the.application for the permit or license is g requested, not the Department of Industrial Accidents. Should you have any questions.regarding the"law"or if you required-to obtain a workers'.compensation policy,please call the Department at the number listed below. i or,Towns i tse be-sure that the affidavit is'complete and printed legibly. The Department.has provided a space at the bottom of the lavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please ure to-fill in the pemit/liceease number which will be used as a reference number. The affidavits-may be rcttnmed in- Depart ment by mail or FAX'iinles"s"otffei`airangeh=is have•beea•made:.-- Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. Lse do not hesitate to give us acall. Department's address,telephone and fax number: .. The Commonwealth. Of Massachusetts Department of Industrial Accidents- Me of Iovestl0atlons : 600 Washington Street Boston,Ma. 02111. fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409..or 375: E �PCFZME,���� : . The Town of Barnstable • BASNSTwsr.e. MASS. g Regulatory Services i639• �.• Thomas F. Geiler, Director, Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. `E✓�t 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. 4ko (00 0 Type of Work: ��` c� Estimated Cost Address of Work: l c7 S a eons �"�'► Owner's Name: Date of Application: 3 I Z LO 2 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ` Job Under$1,000 QB,uilding not owner-occupied wner 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: C)tom.-`N Date Contractor Name Registration No. OR 2,0 OZ *Dte OwneUName q:forms:Affidav:rev-070601 RESIDENTIAL BUILDING PERNIIT FEES APPLICATION FEE / New Buildings,Additions $50.00 Alterations/Re'novations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 2 Q_ square feet x S96/sq.foot a I�/ "� x•0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE , ,. square feet x S64/sq.foot= x.0031— plus from below(if applicable) is ACCESSORY STRUCTURE>120 sq.1 >120 sf-500 sf S 35.00 >500 sf-750 sf 50.00 >150 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.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck l x$30.00= 6 (number) Fireplace/Chimney x S25.00= .(number) Inground Swimming Pool .$60.00 Above Ground Swimming Pool S25.00 Relocation/MoYing $150.00 (plus above-if applicable) Permit Fee { r.; .� Y yam: .•� ter. � t vt k'. V{y At j f JrJ / �/r!�:G �ir=• ...�_ /�:JC.�..? •��"��`.. �'+/fir _ t/��F"��'�it/CB't _ C�� G 'C.'O�.DT.�/>�'c'�•rs:�',''t�a3�;f�°`-s. 74 3 Z OAoF r"18 .oL 4M.1 /8 4QC09r0V PA/ TAol& � ' ��''Oitr►�t,lt� AI$ +CNO W�V FI�Gl4lO�t✓ /ArVQ T'IrIgT /9' � ��� x, �yf�-` �`� CONPOGA►/ TO rN.�" loA i OF e MAH. MA rt�r1► �'�jo� en9in�e�r�r,c� o ,0JALAEM 4P' k - © �A•-Yx7CM0 TN Mq�ti3 �asar� ,e ��'Q� 9��:`;` .. _- � ...Ana. >rriS:liPib:+'.•..:..`.. .r,,l...:<. ..r i of tHE�pw =�P � � The To • . BAMsrABLE, . Town of Barnstable 9 MASS. s6 Regulatory Services ap g9. �0 MA"' Thomas F. Geiler, Director . Building Division Peter F. DiMatteo, Building Commissioner 200 Main:.Street,Hyannis MA 02601 . ce: 508=862-4038 Pax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: I o f 2 JOB LOCATION: I to number street villa e • /� g "HO1vIE0WN$R": l .FO,� 1 1J�SVN� ��8� t-00�2'1 1j C6s17 33 —�129 name home phone# work phone# . CURRENT MAILING ADDRESS: S ftfq\L . s city town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellines 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 requirements and that he/she will comply with said . procedures and require Signature o omeowner 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.is) 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 lastpage 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:EYYM rA Ir ,v .... Gl, 5 i i1 ,9 SM E DETECTORS O.K. BARNSTABL.E BUILDING DEPT. I MAScheck COMPLIANCE REPORT J Ca 1314 Massachusetts Energy Code ---- Permit # — ' MAScheck Software Version 2 .01 Release 3 Checked by/Date TITLE: BISHOP ADDITION CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 3-4-2002 DATE OF PLANS: 2/23/02 PROJECT INFORMATION: BISHOP ADDITION NORTON, MA COMPANY INFORMATION: RUSSEL BISHOP NOTES: REF. #RB1 COMPLIANCE: Passes Maximum UA = 80 Your Home = 80 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS: Raised Truss 278 38.0 0.0 7 WALLS: Wood Frame, 16" O.C. 268 13 .0 0.0 22 GLAZING: Windows or Doors 57 0.370 21 GLAZING: Windows or Doors 40 0.370 15 DOORS 18 0.160 3 FLOORS: Over Unconditioned Space 245 19.0 0.0 12 HVAC EQUIPMENT: Furnace, 92 .0 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 requirements of the Massachusetts Energy Code. 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 HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date I TITLE: BISHOP ADDITION MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 .01 Release 3 DATE: 3-4-2002 Bldg. Dept. Use CEILINGS: [ ] 1. Raised Truss, R-38 Comments/Location Insulation must achieve full height over the exterior wall. WALLS: [ ] 1. Wood Frame, 16" O.C. , R-13 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.37 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location [ ] 2 . U-value: 0.37 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: [ ] 1. U-value: 0.16 Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT: [ ] 1. Furnace, 92.0 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 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. 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-values, 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 i or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC 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. 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. HVAC PIPING INSULATION: [ ] HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in. ) : PIPE SIZES (in. ) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-l" 1.25-2" 2 .5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2 .0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2 .0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: [ J Insulate circulating hot water pipes to the following levels (in. ) : PIPE SIZES (in. ) NON-CIRCULATING CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-l" 0-1.25" 1.5-2 .0" 2 .0+" 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 ----NOTES TO FIELD (Building Department Use Only) ------------------------- • i I I I i i I ' ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780 CMR Appendix J (effective 3/1/98) Applicant Name: Site Address: Applicant Address: City/Town: Use Group: Date of Application: Applicant Phone: Applicant Signature: Compliance Path (check one): Prescriptive Package(Limited to 1-or 2-family wood frame buildings heated with fossil fuels only) Package(A through KK from Table J5.2.1b): Heating Degree Days(HDDO)from Table J5.2.1a:_ (For items d.through i.,fill in all values that apply from Table J5.2.1b:) a. Gross Wall Area sq.ft f. Wall R-value R- b. Glazing Area' sq.ft. g. Floor R-value R- c. Glazing%(100 x b+a) % h. Basement wall R- d. Glazing U-value U- i. Slab Perimeter R- e. Ceiling R-value R- j. Heating AFUE Component Performance:"Manual Trade-Off"(Limited to wood or metal framed bufldings only) Climate Zone(from Figure J6.2.2) Zone 12 Zone 13 Zone 14 Attach Trade-Off Worksheet from Appendix J,(and HVAC Trade-Off Worksheet,if applicable] 1K4Scheck Software Attach Compliance Report and Inspection Checklist printouts. Systems Analysis OR Renewable Energy Sources ,* Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a.Gross Wall+Ceiling Area sq.ff. b.Glazing Area' sq.ft. c.Glazing%(100 x b+a) % ADDITION with Glazing% (c.)up to 40%may use 780 CMR Table J1.1.23.1 below: MAXIMUM U-value WI NIMUM R-Values Fenestration Ceiling wall Floor I Basement wall Slab Perimeter,Depth 039 R-37 I R-13 R-19 I R-10 R-10,4 R "SUNROOM"addition(greater than 40%glazing-to-wall and ceiling gross area) Attach"Consumer Information Form"from 780 CMR Appendix B. Official's Name: Official's Signature: Application Approved Denied Date of Approval/Denial: Reason(s)for Denial: (provide additional details as needed on back side) Glazing Area may be either Rough Opening or Unit dimensions. ggRS 06/12/99 Energy Conservation Requirements for Windows in the Massachusetts State Building Code U-values determined by NFRC listing and labeling, or from default tables. For new houses, trade-off approaches allow flexibility in design. For additions only, alternate prescriptive approach in Table J 1.1.2.3.1. (This approach may be used only if glazed fenestration area is no greater than 40% of gross wall + gross ceiling area.) TABLE J1.1.2.3.1 Prescriptive Envelope Component Criteria Additions to Existing Low-Rise Residential Buildings MAXIMUM MINIMUM Fenestration Ceiling wall Floor Basement Wall Slab Perimeter U-value R-Value R-Value R-Value R-Value R-Value and Depth 0.39 R-37 R-13 R-19 R-10 R-10,4 ft Based on NFrRC rating. Applies either to every unit,or to area-weighted average of all units. R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area (i.e. - not compressed over exterior walls, and including any access openings.) For additions with greater than 40% glazing area, use "Consumer Information Form". ➢ For replacement windows, maximum U-value of 0.44, based on NFRC listing and labeling. Exceptions for: ♦ replacement of single-strength, true divided light windows with like kind (must have storm window installed also ♦ basement windows up to 24" tall ♦ normal.repairs To download MAScheck Software, visit the Board of Building Regulations and Standards web site atvvvvw.state.ma.us/bbrs/energy.htm For general questions on the Massachusetts residential energy code, call our toll-free hotline at 800-689-7953. Os � ��; tt� N4 oab53� ' s 77F— t ' 3 rr PIL .7dn i � f � � r � y `s r �ki Arl f� f 6 i � s �:• .� ICJ ). C',sj�+ ti 1�`.� �j rr• •'� r x, sr•r. i �(1, 2 y•. - r rr,YlT Y�r,.T R'� •k��:#,� �*;E �G'A�sL�:,,.�`_ }� ����► • � /voo �,qc. 'SE,oric ��i����-"�:, ,F� t+ , .� l _. (/ ��CD�.OT�S/ ��l. C9ST i G E"r9G.�'.�• F ,��%vs G o 7 Z o• � Gam'--.�.o � e , :.. s •1 y,�� ;� �#. 45 UP ae �C�lilt-T �UL�•e7�J 3 G 7�_ s w 7WO AW14.001A./d� . ..5'it✓rJWti/ ON 9"Ai//3 AU6 AIDN /0 L00097 O QA✓ 9�iV� t.. %. .63 2 r, CvCC .�/N1f� AR."? i�A/OWN A�/C#@@�/ ��8 9'9►I�v+T Jf r ,.. ` e�? ''4 ..+•::�74rL. a'.—_— COa/A='O�C.°16A . 7+D 9"a �TO�.(/�1�C8" ,� i ��:. � ,� 1 3Y'ti LA�h/C3 ®As 7'aG' 700INN o.Ar OF Mqs,, ip14A+/a'�eV �'QMQ7"Q4/C 710 P. ARNE q H. 4J� ' OJALA,-',•! n i . Ys' i �. 4.grt/O 3V�VlfYOG9 �j� c r. G-"G�c✓T� G�i^- �'MOG/Ti�I® M67�e$. asaT� e G Assessor's ap and lot nu ber .. ... ���...� .... A ,;a ° Se"w- 'Permit number .............�'>...... ............................ �T"Er° TOWN OF BARNSTABLE i BJHBSTSDLE,;i x; f 03 BUMI) MG INSPECTOR APPLICATION`:FOR'PERMIT TO ....... ................. .......... .. ................................ .. ............................................ A R' �z....JTI�- a TYPE OF CONSTRUCTION ..�`,..G�V ......................... .... ................................................................................ ..... . ........ ....19 . TO THE INSPECTOR OF BUILDINGS: The undersigned her y applies for a permit ac ording to the following inform ion: Location ... .. Z i�/ Proposed Use ......U...'............................. .................................................................. ... ........... ..... ............. Zoning District ........ .... .....(..�.............................. .................Fire District . Nameof Owner .. .-.......Address ....... ............................................................. Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ................................................................Address ......................./.......................................................... Numberof Rooms ................�..............................................Foundation ............��.. .... ........... ..................................... r // Exterior ...............�.�. .._........�`...............................................Roofing ................. .. .... ..... ... ............ Floors a.. �` �...........................................Interior .......... ............. ... . .................. .......................................................................... !d Heating . ...............Plumbing .................�........................................................ .......... .... ... .................. Fireplace �/-- Approximate Cost ......... Definitive Plan Approved by Planning Board _____________________________19_______. Area .....�. .!�................ Diagram of Lot and Building with Dimensions Fee �z' /S.I- SUBJECT TO APPROVAL OF BOARD OF HEALTH L I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin e'above construction. c- � — Name ........... ...... .............. ......... .................... Capewide Development ' ` 10526 one story, Permit for ------------ single family dwelling -----------------------.. Location --.Set8.Qmmd ^m..Wmy____. ' ^ ......................���e.tv.i.1.1.e................................... � ^ Owner --'���������___..�������____ . ' - Type of Construction ---�.ra9�...................... _—.-.---------------------- ' ~ ^ Plot ..��.. �� ��0 ------� ----------' . �u�� l8 �G Permit Granted --. ~ ]9 ~ � ........... Date of Inspection — ---.l9 - / _�/ / Date [omu��e6 —^�2�{��.l��—��—'lA � ' / 7 , Al� PERMIT REFUSED - .----'_----.---------.. lA ' --------...--..-------------. . —.----.------~------------- �..—.--- � ^ ...—.-------.----.—.,-.- .------------------.—.-----�. ~ | � . Approved .............................................. lV �� ^ ^ - ------------------------'-- - ' ^ . ----------------------.--.��. Assessor's map and lot number .. ............... ....................... Sewage Permit number �Q�OFTNErp�o TOWN N OF BARNSTABLE i BARNSTABLE, i 90 M6 9 a. DUI�LDING INSPECTOR O,p�0 MFY APPLICATION FOR PERMIT TO. ......... ........................ TYPE OF CONSTRUCTION ........ ..:...............................................................:................................... ................. :.. ....19 .�� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information- Location �"�'`Location � � ..�....:`............:,.:-.Q�...........,,.............. ..................................... ProposedUse ......:.......�a".�.....................................,....................................................................... .. ................... ZoningDistrict ........r... .....................................................Fire District ... . . .. .. .................................................. No e of Owner ..( ..........I............. ...........�1 ...:...Address ..........4 w_—, Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ......Address ...'..................................:............................................................. .............................................. Numberof Rooms ................ ..............................................Foundation ............................................ .................................... Exterior ...............!.........:......../................................................Roofing .............�;� ...................!!........... ,.............................. Floors ....Interior Heating ��...... /�'...........:...Plumbing .................f � ..................................:....... ............... Fireplace. .................... ............................ ............................Approximate Cost ...... .Q ................................ Definitive Plan Approved by Planning Board ------------------------------- ________. Area �.` .. �....:........... Diagram of Lot and Building with Dimensions Fee 3� .- SUBJECT TO APPROVAL OF BOARD OF HEALTH � 01 �9, I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding,-the above . construction. Name ....................... ......... ...........! `:. Capewide Development XXXWI A=l -,T : (not plotted) 18526 one story', No .................. Permit for .......................... ......... story, I...... ....... single. family dwelling ..... ......... .................. ........... Seth Goodspee s W Location .................................. .......... .............. Osterville • ............................ ..................... ' Owner Capewide Development ....................................................... ...... Type of Construction frame. .......................................... ................................................... Plot ............................. Lot .......... Permit Granted ..........jgjyj6...............19 76 Date of Inspection ....................................19 Date Completed .................... ................J9 PERMIT REFUSED ..... 19 .... -/ . ...................... ................................................................................ ............................................................................... ............................................................................... Approved ............................ 19 ............................................................................... i !S REPAIR. 14eiGH 508.825.3695 RpEARGENCY 16 Seth Goodspeeds Way p 13 8 5 HEATING PLUMBING AIR CONDITIONING Osterville, MA 02655 DATE RECEIVED A.M NAME s ��L '>4 'foZ�- QI 1 jkP.M. MAIL ADDR MODEL -- , MODEL NO •"-` �• PHONE ; CP: --_ r \ _ CAL ❑f�y� RA T� �sT � SERIAL N0. r_» APPLIANCE. vr23NSTALL}��" �a I ♦"� LS^: C....:r � �C .elk'.` ., ,.rt-'•y'k; .L'�r,.flJS°7�-+i�'%."a..,3S"`1...._ LL REPAIRED IN ES0 CHG. TIMATE DELIVERY C.O.D. Li... Y: `""- ❑ OURS ❑ PICK UP G� - E ❑ HOME ❑ SHOP 2= CUSTOMERS COMPLAINT ....__......._........__............_..___.__.--._--\' _...__.__.___._.. .._...._.__. .. .._ 1 ca --' .-._...__....._ —�'...........__........_....- _. __. r �� �--.. "5'Z''"`� `���'p�.'�� h;'f' �CRj�Pr��a��''c���� a-•:..,, � �� �+'�.�AJ�II`�lF '�.� �;�,��.����RT'4ND`�'> -x�"-���+`^����,��'� � ;�Cea�� ��ftrh_ 'r.ice..��z�'''-._,., s .s'S�'.,�W�_•L�^ _.._----._........._._.... .......:........ I _._..__.._.._.._____.._.._._.... ._.._._........._._..__.__.__._-,---.._..___.._.._..._.__._...__..__.__.-...._.__..____._.______,_....__.__._.I___..-. I _.............___--..__ PARTS, i MAJOR LABOR PERFORMED TOTAL MATERIAL TAX I a\ I ^ LABOR C PICK UP.DELIVERY OR I SERVICE CALL � i q TAX _ -TyOFI '1"�3TCE._Qi.p f�F 4}y. �akd�^2.. '• 'OWN£•RS�510�NATUi21:�INniC/y�l'ESuS'A_TaIS`�Eiji' SIGN RE `r3 4f`A�r�R��'�,EEREOHNFAN>.��0�'•SE;T,.,A,T TIMEOFDEL4UI:RY,-OR �QMP�?TION 0 } RFPAIT;S' fN NONCE s -,•- -0a ALL MA ED IN REPAIR GUARANTEE: ALL WORK PERFORMED BY QUALIFIE TECHNICIANS. OF THIS UNIT ARE OF FIRST QUALITY AND GUARAN ED FOR A PERIOD OF NINETY DAYS AFTER DATE OF REPAIR. GROCC-5Gi3 i Town of Barnstable ;?,at ��t�r� . q. Ecpires 6 rnont isjront issue date °^ Regulatory Services Fee A. BAMSTAHLE, r� 6 MASS. ,�� Thomas F. Geiler,Director �rED MA't a Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b ams table.ma.us Office: 508-862-4038 Fax: 508=790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY //��C Not Valid without Red X=Press Imprint Map/parcel Number 1 —f�1 C6 Property ddress A ;l� -k��r{t�f s�. Snc� L d5\�r eve l� Residential Value of Work 10 e- aU "Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address �iRNk(o � J\�SI �� • �(v ��— (/�'ri 15�4 C� Cam'\�yz�.l�1 C Contractor's Name ��{►J �JV i��--� Telephone Number `7(—fit Home Improvement Contractor License#(if applicable) j U 1 1 "�'' Construction Supervisor's License#(if applicable) 1(-( CC)9 Me PRESS PER ❑Workman's Compensation Insurance MAR 2 3 2010 Chec ne: am a sole proprietor TOWN OF BARNSTABLE ❑ I am the Homeowner ❑''I have Worker's Compensation Insurance Insurance Company NameGtp+i4� Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) i ❑ Re-roof(stripping old shingles) All construction debris will be taken toN�'fs(�j ❑Re-roof(not stripping. Going over existing layers of root) [Y�—Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License& Construction Supervisors License is required. SIGNATURE: p Q:\WPFILES\FORM \ g permit forms EXPRESS.doc The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations I' d OO Washington Street Boston, MA 02111 r. www,mass.gov/din Yorkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibl Name (Business/Organization/individual): � 1-J �-JVa! ti ) Address: p. 0 2::,ox RorA City/State/Zip: Phone #: 196 Are you.an employer? Check the appropriate box: Type of project(required): 1.R I am a employer with 4. ❑ I am a general contractor and I 6. ❑New.construction have hired the sub-contractors em oyees (full and/or part-time).* listed on the attached sheet.. 7, ❑ Remodeling 2. am a sole proprietor or partner- ship and have no employees These sub-contractors have g, ❑ Demolition working for.mein any capacity. employees and have workers' 9. El Building addition [No workers' comp. insurance comp. insurance.$ required.) 5. ❑ We are a corporation and its ME] Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MOL 12,❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.�OtherU�e�,1�Stc�l`—� comp.insurance required.] i "Any applicant that checks box 41 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. tContradtors 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 isproviding workers'compensation insurance for my employees. Below is thepolicy andjob site information. s� 'Insurance CompanyName:, �C�i�� �t�� Cttu Policy 4 or Self-ins. Lic.#: -GIL 0 `4(05ZJU ��� Expiration Date: C U .lob Site Address: oa�.LCc 0.2. 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 MOL 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 may be forwarded to the Office.of Investigations of the DIA for insurance coverage verification. I do hereb certify(nn er the pains and penalties of perjury that the information provided above is true and correct. Signature: `! Date: a a U Phone#: U I 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 ofBealth 2.Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other. I r 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,constntction 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(7)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. 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 insuredcompanies 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 to any business or commercial venture (i.e. 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 Oflice of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASS.AFE Fax # 617-727-7749 Revised 4-24-07 www.inass.gov/dia r ,,pper� �\ Board of Building.Regulations and Standards HOME IMP�ROVEMENT CONTRACTOR Registra�ion:�101149 i I Ezp' lion-6/25/2010 _ Tr# 267680 ; ype ndividual I JOHN P.DUNN .. • ' 9 John Dunn _ { 80,MARIE ANN TER CENTERVILLE,MA 02632 Administrator Bo o ar in mg.•egu atio s and tandards Construction Supervisor,License License: CS 14007 i ra Expiration:0125/2010 Tr# 23257 j Pes` _ tri _ 0= r " s JOHN P DUNN BOX 924/80 MARIE- TER CENTERVILLE,MA 02632 Commissioner I U...�...»� --•--,..__..•-^--^"—^'�.—^_t .c..,Y^ -*-^:` -,-r*-• maw"ter I only widu►use validfofind. to: It found return or registration Standards !' vicensp-before the expiration g91a ions and. 1 -Building m 1301 Board shburton Ylace R One A . a 0210% -Boston,M ' • without signature /. 1, Not valid - — I i �1HErp�Y Town of )Barnstable Regulatory Services BAYNSr^gLE, ' Thomas F. Geiler,Director Building Division . Tom Perry,Building Commissioner 200 Main Street,Hyannis, MA 02601 wwtv:town.barnstable.ma.us Office:- 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize -:5'� NN P.�v�-' `� to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) ignature o Owner Date 7 Pfint Name If Property Owner is applying for pen-nit please complete the Homeowners License Exemption Form on the reverse side. r • it .. Town of Barnstable f Regulatory Services Thomas F. Geiler,Director rlsrABLE anx , t ' $uildin Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 ynw.town.barnstable.ma.us Office: 508-862-4038 Fax: 5087790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone 4 CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and. to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home.in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official.on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) ility for compliance with the State Building Code and other The undersigned"homeowner"assumes responsib applicable codes,bylaws,rules 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 requirements. 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]09.1.1.-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to dQ 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. n•\WPFI I.ES\FORMS\homeexempt.DOC y h Town of BArnstatije CFSHE Tp� 11 � I't�.� RegiiUv61 ys Services • Thomas F.Geller,Director9 i BAMSPABI.E, • i ► 9 MASS �Butlding Division 0 MAC Bu ldi,400 ie er Tom Perry, 200 Main Street, Hyannis,MA 02601 - 62-4038 Fax: 508-790-6230 Office: 508 8 °PERMIT#t/ FEE: $ 4 SHED REGISTRATION 120 square feet or less Village. Location of shed(address) Property owners flame Telephone number Size of 9hed Map/Parcel# ignature to Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? �' l Conservat ion Commission signature required) A' , PLEASE NOTE: IF YOU ARE WITHIN THE R MSDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. ' THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 E= zz Ir t dorm Not yoq AS • � �D ?.� ,b, `O � 6. ��ES- v. �•`,� �. n:fir, �>:� t!' O. 11 1. � 1 .�6•�. ..ry .:•:�'r���,r.,fit-'a'aA.". ate{. •: ,�4' �--J�f.: ...•,, A.�:fir.a. r`. `;�a�; �; `.: '': •r,',pit. ;� ... � cal_., rir•' �Ca,>}°�k�' p :n ` :. : :e.};.?.was,";':•:;;.d A 1= 2^-H�e�4�% eee�r�Fy rs/Ar race wiWF -lia i AN�d Off/ .7PFIiB �LA�/ i8 W_Qeogr po PA/ 7W& ;�:. .;•.. ' �r�`_=..�� COA/P'OQM/ .Tb TN �'0.�/A./4F_ r: . .::••d..�< ��1s�t�s e x. <. F �r +sR'"!`�►, rruc ro a• N�l ll' H. zi JA <:. i4 q,�a c�c�av�t►'o�3 L /// �~ ..ate` , � y� ,:;��,�.�: .i 04 ���'. •'- 'l���µ:". ... - 1 ��L Y -� MSS ��i,n '1 ...del. 1 �'�l'*.•9•'.a\-2n i„ry;-•,¢'.,� - - . ---- _ �II I REV: DATE: BY: EX15TING ROOF SHINGLES 2 TIMBERLANID 25YR SLATE-ARGH. 3 / 4 5 / 15'-3 1/2° NOTE: ALL MEASUREMENTS - - - - - - - - - - — — — — — — — - � TO BE VERIFIED WALL BELOW IN THE FIELD - I cp cm I I I WINDOW SCHEDULE TYPE ROUGH OPENING MANUFACTURER COMMENTS QUANTITY A DE ERMINE IN FIELD ANDERSEN 2852 1 C B DE-,"ERMINE IN FIELD ANDERSEN 2852-2 W/ PRD28-2 I '� I WHITE CEDAR SIDING I m -mLL I � - I Lk DOOF, SCHEDULE r 0s2� a 6 m lz f TYPE R06G1-1 OPENING MANUF. COMMENTS/TYPE L.SWINCs R.SWING QUANTITY la X am'-i�3/4I.X6 -1ai�8 ANDERSEN PS 6R W/ FINELICxHT GRILLES m lb X 6 -ID314 X6 -101/5 ANDERSEN PS 6L W/ FINELIGHT GRILLES 9 . _ 2a 2 c 1/2 x6 -8 1/2 ANDERSEN 2666 0050 WINDSOR WHITE I Fo 0 L I 210 2'-8 1/2"x6'-8 1/2" ANDERSEN 2666 0550 WINDSOR WHITE I 3 2c 1'-0 1/2"x6'-8 1/2" ANDERSEN 1666 *850 WINDSOR WHITE I 1 I 3 X/XX 2'-I0, 1/2"x6'-10 1/2" ANDERSEN 2868 STEEL (FOR 5HO) i 1 NEW _X INDICATE-c- AN EXTERIOR DOOR E3ULKHEAI--) —/ XX INDICATES A 5ASEMENT DOOR REAR ELEVATION 00 SCALE. 1/4 1'-011 EX15TING : F o o HOUSE ` J NEW ROOF 5HINGLE5 TO BE ' < W M TIMBERLAND 251'R SLATE ARGH. N to a : ROOF PLAN .- , N v a a SCALE- 3/16" = 1'-011 c - <71 - CAS FIREPLACE o c a o O o 1 VENT oo � _ i c o o o - o m o .201 1-21-011 -011 a - � ` m E 2-9112 LVL HDR O o ov o c w 77E co cn u� o a a o ` c m cn 3 0 «- a O I - o NJ1015 8 2 8 .� o h v a) o LEFT ELEVATION - 5 -0 = L 79 SCALE: 1/4" 1'-O" 5/4 P.T. FOR NEW m a> cn o AND EX15TIN6r l�o X22 ) m I o a m � z E -a X I Z U X h- .� o o o Q 3 N 0 o _O EX15TING NEW � — I', a DECK PECK z > ib -1 Q O (P 71 -' r 0 2a ( Z < _ I 0 — Ld i _j 2b Q W at z la 32X48 U) O SHIUR _ o Z EC cv _ Z f _- EXISTING I HOUSE -' m o 0 _ BATH o f 1 SCALE: AS NOTED O O DATE: 2/23/02 - FIFF FLOOR PLAN 2b ------ --- -- j SCALE- %I t I'P ''' D�Awnl: MSM I 10' CHK'D. 6Y: DEGKLINE FILE: RB1 RIGHT ELEVATION DWG: R B 1 —N 1 SCALE: 1/4" = 1'-0" SHEET: N1 1 OF