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HomeMy WebLinkAbout0050 SHARON CIRCLE,r d { a o a P i UPC 12743 0 No63R. co HASTIN08s mN f u_F 2.. A��:11 +.�.... ._.�:.y:m���y_ti- --.....�...�s.�.� � ''_�_ ,.✓�-� �y_.a. .__:.. _ �.l_ �4.J.+a:./� i S� 2- j-o T� QM �J �� � D S Karon �l �� � - - �� ���i o h ��S e�, � �° y .z '6 i ;� � -���� . Y � � � o � -� ��_ . � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel f.� 3 Permit# 1 ��-��� Health Division Date Issued Conservation Division �� /l 6 Application Fee gat Tax Collector r� N — I I j�o� Permit Fee r 6 l o c + MUST Treasurer �' IC � �-- -rQ I 1�l D o� SEP�'IC SYSTEM .�a�►,.�T ;� : t 'INSTALLED IN COMPLIANCE Planning Dept. WIT"TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CO ' 1 �' TOWN Historic-OKH Preservation/Hyannis ! Project Street Address ^� - �C L C 6 C i J-C14e &31T o9Village Owner Address �� Spa '�-t'eNO 11{9• cn co Telephone 6-0 — a3 r7©c 3 n, Permit Request A •41'C _ , &t�e -0, C9- f2agp YA( ` / 41A • Square feet: 1st floor: existing proposed �© 2nd floor:existing 9152- proposed Total new Roo Zoning District I C '�' �f Flood Plain C Groundwater Overlay & Pp�� f Project Valuation -34,480. 00 Construction Type c :E�ft e L�(4T �(Yt S 1L�' Lot Size �� �9 F Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family d Two Family ❑ Multi-Family(#units) Age of Existing Structure /7 .¢9t0'S Historic House: ❑Yes �o On Old King's Highway: ❑Yes 2'No Basement Type: 2fFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 7 �� Number of Baths: Full: existing new Half:existing 0 new C� Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: YGas ❑Oil ❑Electric ❑Other Central Air: dYes ❑No Fireplaces: Existing YeJ New Existing wood/coal stove: ❑Yes ZNo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size 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 .9 i Telephone Number r Address License# eS Sk i G/P /41 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE -�1Q�,l� DATE FOR OFFICIAL USE ONLY PERMIT NO. C,- DATE ISSUED MAP/'PARCEL NO` J .�� - i cl e. -�ADlIDRESS. ire --f . , ? t' ` VILLAGE. OWNER-`,' DATE OF:4NSPEC -ION` - l } FOUNDATION FRAME =2 INSULATION FIREPLACE F. ` ` fi► ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL: GAS: ROUGH ' FINAL' FINAL BUILDING o DATE CLOSED OUT) � •:' '� ;-� f •J"r � ' ASSOCIA O&PLAN NO. 4ax-y '.�3 ..$`WX�AS rr.•%'���VE�' -r"1F...r-w,...._. :v e+ .-...�.++^+-.nav:rvrr-s;:p.vr.-rK',ie:_�.:;,..»�.-.;5�.:wv57�".:�6.+.+i.+�+wws.^.:,.e.++r.-.:...,d..i..ti.r..w._t-. ._ -,__ ` Po,tHElpt� The Town of Barnstable BARNSTABLE. Department of Health Safety and Environmental Services Ti MASS. 0 a-p 039. �0 MF•l°• Building Division 367 Main Street, Hyannis, MA 02601 Office: 508-862-4038' Fax: 508-790-6230 z Inspection Correction Notice Type of Ins ection Location Permit Number ��3 Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: t Please call: 01-&- 508-86 -4038 for re-iinnspeeVion. Inspected b3 iY Date .� TOWN OF BARNSTABLE Permit No. .._.___24�;5_i e t na.sr Bitl1(iing;Inspector Cash +s a Bond OCCUPANCY PERMIT --------------------- - ----- Issued t0r texyill.e '11 ip tJ Fealty Tr. Address lot #46• 50 Sharon Circle, Ostez-villc Wiring Inspector ��%� r�/ Inspection date Plumbing Inspector, z�_ Inspection date Gras Inspector v � L/f s" Inspection date --Engineering Department �� , '/�f L Inspection date •G v Board of Health Inspection date `/ t_ THIS PERMIT WILL NOT BE'VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Building/Inspector 4 3 ss• o� 35' 33 . i ho VC, �oJD o h Lj. o 4b O • � �. o O v by ~ _1o.T 4. _..S N•1�o.tl.Ci�G[E _On--the basis of my knowledge, i.uforrnation and - 'beli�f, I certify to ?frr Tityi7;�" - -- - -- g` �i�aA/•ST.A6LE, MASS --=---._-_: Y ,. '•SA TE � 7/0�62_- _ that'as a result of a survey made " .the ground . --. . ... : _ _ . _- _- . "_ _ __ _ I find that: U,i �N 'IVAt0.1 f "�SSOC.-AIJC,: - `The strueture(s) are located on the site as + shown. nv _B:dX-Boy ._moo. FAtMO[JyiT,iNA.SS.' The title lines •and lines of occupation of the site are as shown hereon. - •:': t•moo wiuiAM i'he site is situated in Flood. zazieNon=y4 �� e #. M. Comnunity Panel No.25 /`aoisA Dates i- WARYIICK •� q _ f t 9 No. 1977140 !�. �1. t.=' � �Tyt�sF11A"• `C :5. �:.s.+ ai:•ca= T-..G 7et:•st S.e:,' S e..•w'. ..'".°'• _ -.-s. �•r�•}•, "L _.,o;y.' -. , "`). _ Sir. .r ,s. %'!;•7!4+1 ::C"ti STL . J s ..•,J:sh¢° ; `itt. 3i%.i^'' :�4 `;�5.�'"J;_r .. y .� }. � .� Q ,�;,. tit'^ u tzfi' �5 K � .., k ,��- �.y >-4 N+i� •9,F v.n ii9p.., ,c. �d'> ... -�. 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S:i:.. �`t •}..3� •!9:lit 1p... �y r�i` �,L�� q.7 ':rI!3i:. �', C"4 .�-•!'�-J'-arm•',. .�., _. `s.r+.-• - - -- - :t. . ,_L'-. �:'cc'.,....':��. e3...aw _..tea. .a YSC•�tnsie..il•���;0�•w,.....a_yr...Ftl:'t. 2:�[[it.�,$:,-.t�LL.�]ri��7:i'.:aL .,.._..•. _�'r�.Y�?...._ks-.. -..._.s.. ��.-. _.. :'4�r-- � 67:3 Assessor's map and lot number .... .....7" �/ �� L �Di THE .. ... .. .....Wage -Permit number .... 33ARI9TABLE, House number ......... ................................... ....... NAM 039. DNA.A. TOWN ; OF BARNSTABLE %cf* BUILDING 'k 0 PLcoo APPLICATION FOR PERMIT TO .. . .. ........ ............. ............ ...... ...................................................................... TYPEOF CONSTRUCTION ..................................................................................................................................... ................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following infor S"Ar 4, Location ... ..................................... ....... ....:,........................................... Proposed Use .......11!.�. ........................... ........ 4. 1L. ......................................................................... Zoning *District .........................................................................Fire District4 2, 7 .............................................................................. TV, 0- Name of C)Pneil V -r-!?....&�TX.Acld" /&)>4P- 1A- I.R......... ....................................... Address............................................. .... .. Name of Builder,,>g7P q�4V,q ....... .................Address .................4'.......................................... ..................... Nameof Architect ............................................Address .................................................................................... Number of Rooms ..... ......... :...........................Foundation ........ Exterior ..............................Roofing ...... .................................................. . ............ ....................... ....... ........ ......... ........ Floors ......... ..................Interior . ....... ............ ....... ... ..................................... H 0 'T>L,4 X eating .... .............................................................'.................Plumbing .(f ................................................................................. Fireplace ..................................................................................Approximate Cost ........ ....................I.............. .... Definitive Plan Approved by Planning Board -----------------—----------19 Area ........ . ..... -7 Diagram of Lot and Building with Dimensions Fee ...................#2/.......................... SUBJECT TO APPROVAL OF BOARD, OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS .1 hereby agree to conform to all the Rules and Regulations of the Town Barnstable regarding the above construction. c! No e .. ........ ... ............................. ............... OSTERVILLE HEIGHTS RE TY TRUST 21"15 On Story / VG Single I7aouiIv Dwelling | ---'r^�—~---^^'`�-----,—~....--_ . ' Lot � �� Ci�clP— � Location -----.-46—�.—.—50--S----a�ou--- .. ' ' Ooterville ---.----...--....---.--------.. ^ - ` Oaternille Beiohto �ee�Itv ]��uot Owner --.—...-----..--------.—.. . Frame Type of Construction -------------- , . --------------------------.. ' ' Plot ............................ Lot ----------' - .~, ~ December 20 , 82 ' Permit Granted ------------.,]q _ ^ n"*~�of | ---..—..]g ' � , ""'= C" "p='=" P ` '~ ' - ^ ' . , ' . ^ ^ . � ' - ; ` . ' ^ ' ' ' / .. Assessor's map and lot number .... ...... .......^' -..... a��.L ✓ �i L �TNET o 0 Swage-Permit number ....5.1:1 k ..................�� !!7c............ d�Q o� Z -PARS STABLE • House number ........'. f7..%?2 ............................................. •9 rasa TOWN OF BARNSTABLE BUILDING. - INSPECTOR APPLICATION FOR PERMIT TO ... T �e .......... TYPE OF CONSTRUCTION ........ "'.r'�... ........... ................................................................ .................1� ........19 �. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following inform%•io : LocationiL.e. .. ......... ....:.......... ....... '� CL ................................. 3 1 ,�.............. ProposedUse .......................G../z ....... ! ./..4c. ....... ?w.. ..� L..... ......................................................... Zoning District ..................Fire District��4/7 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, .......................�.............r- te�aa,, TT?"CT Name of 009-VIL �E! fi�TS'... '�LTX.Address ..... I A I l2 . Name of Builder.gT6/ ;� -r.A....... t% .P.................Address .e................. `' . .................. ................................................. Name of Architect .. ....Address Number of Rooms ....7......................��r ............................Foundation Exterior ........ ....................... .. ............................................Roofing .................................................................................... Floors ....................Interior � ~�� C. Heating .............. .................::...:Plumbing C� ,, :Pr:: ::.:� ..:.:' L S .e-....:... ..,. Fireplace Approximate Cost A 4 .............................. :..... Definitive Plan Approved by Planning Board -----------_______-----------19________. Area ....... ................:....... u, Diagram of Lot and Building with Dimensions Fee C�7)� am'..... ....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town ""f Barnstable regarding the above construction. 1 Name ... ................... ...........:.... .... .............. OSTERVILLE HEIGHTS REALTY TRUST A=122-153 va a k� 9A 655 One Story No .......... Permit for .................................... ....... Family.... ............. Location XePt....#.4.6........5.0...Sbar.on...Cir.cle ................0 ...sl.pxxill.p...................................... Owner ..... .....Opj;grvi.j.j.P....H.ej.gjjt.S ,Realty Trust ' ... Type of Construction .......Fr.ame...................... ................................................................................ Plot ............................ Lot ................................ Permit Gront6d ....December...2.0..,.....-.,19 82 Date of Inspection .....19 Date Completed .........................................19 100 PROaECT DESCRIPTION: Spig ti - 'Z G � CJ . /-� , z f=/ � �•-+ cr� �'c,/ = 2.S �s� x 2 s':-�( Z- 2 = 3 / s' /�-s .s�` �E3 e o 27 72 G Z—S8 � o c� s,ccT7o•v �,cc,� v ��zr-.� s =� _ <5g 44/XiZ Z Zoad ol z Member ASCE .dam'''` FOR: � A OFMgsf CRAIG,R..SHORT, P.E. ORAID ��y LOCUS: S o SL,c. C,mac/r P.O.BOX 10". SHORT SOUTH DENNIS',MA 02660 0 CIVIL H TN:/We7, O.W 7,/� Professional Civil Engineer-Soil Evaluator No. 27483 Ucensed Constructfon Supervisor-Septic Ins ector �� A p �� ECISTE �. ATE: 7 aZ FILE Septic-Site--Piers•StrucWm-House Designs Office:(508)398-8311 Fax:(508)398_3083 SHEET OF l t PRO:IECT DESCRIPTION:' S.TjZ C17A /z 4 G S �4 /U = .2 G Z S.-q'2 1-3 e4 Z G L 34W 724. g o sc cro•`i q v -,,Z ._Z> s = d g 4--4/X i Z 3 Z Zcod — • 7 -7 �5 7�i'=,EL G�9 T 7�o " .c3a Ti 4 Member ASCE FOR: OF k/qs CRAIG.R: SHORT, P.E. �o���A ORAIG �9cy� LOGUS: P.O.BOX 1044, o SHORT SOUTH DENNIS,MA 02660 v CIVIL N TOWN:/'HQ✓''?�rlS•/Y!,�� /Hi9. Professional Civil Engineer-Soil Evaluator No. 27483 Licensed Construction Supervisor-Septic Inspector r O r Septic-Site 0-Piers-Structures House Designs , OE 61S ATE: 7 aZ FILE*/ Offlce:(508)398-8311 Fax (508)398-2083 � SHEET OF l PROJECT DESCRIPTION:* S.TjZ Cyr 43 wrr+ LoqZ Low v,e G Z_D g o U s.0 Cr7o•`i �,c 4 v �iz �_.� �s�� _ 6 g t�4/X i Z �z ..� 3 Z Zoad - >01 41 ;'-a Vz D /-'q L L L . 7 ­J Member ASCI p ' r� FOR: OF Mrs CRAIG,R. SHORT, P.E. z CRAIG � LOauS: o SLr�, C mac/r P.O:BOX 1044. z-:- SHORT v' j SOUTH DENNIS,MA 02660 1; ` (� CIVIL v' 'TM WN:IWa^Y CAS/11,/� Professional Civil Engineer•Soil Evaluator No. 27483 Licensed Construction Supervisor-Septic InspectorIST' AT 7 a2 FILE# �� Septic.-Site--Piers-Structures-House Designs �'rf Office:(508)398-8311 Fax:(508)�398-8083 y.x t, SHEET' / QF l RESIDENTIAL BUILDING PERMIT FEES ; APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovatioi s - $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET 'NEW LIVING SPACE Q x.0031= 113 '®ci square feet x$961sq.foot= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ; ACCESSORY STRUCTURE>120 sq.ft , >12 Sf_ Q cf `` $35.00 00 s - 50 s 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.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck 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) Permit Fee projcost f 7i0 CMR Appends j f Table JS.ilb(continued) Prescriptive Packages for One and Two-Family ResidentW Buildings Rated with Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab Hating/Cooling Arta'(%) U-value= R-value' R-value' R-values Wall Perimeter Equipment Efficiency Package R value° R-value' 5701 to 6500 Hating Degree Days Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 19% 0.32 38 13 25 N/A N/A Normal Y 18% 0.42 38 19 25 N/A N/A Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 19% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: i 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATI S� ,s BUILDING INSPECTOR APPROVAL: YES: O: q-forms-f980303 a 780 CMR Appendix J Footnotes to Table A2.1b: I Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall ' area, expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 ft'of decorative glass may be excluded from a building design with 300 ft of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. `Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19-cavity insulation._OR.R43_cavity_ insulation plus_R-6 insulating sheathing., Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement &:scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J 1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 i 2,, The Commonwealth of Massachusetts p .......... __ Department of Industrial Accidents 600 Washington Street `c3 Boston,Mass. 02111 Workers' Com ensation Insurance davit i name location: city � Dhone# I am a homeowner performing all work myself. ❑ I am a sole pr7rietor and have no one worlds M any n ca achy I am an era Toyer providing workers' compensation for my employees worlang on this job. .con 'an•�>nam . .:: Miles .. ::. ................. ;efi:::: ;C1tV �uselran h ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following wo rkers' com pensation o...n...polices: .. ::::::::::::::}:::.:::::::. :>.:?<;1T1111e'iz5iit'''i<E>??`` ii< i+'ii2% [<?s'' iEassi ?;i?i(: isi _;ii<i?i;ii:;:: .''i:' 'i <Eiisi?'isiii`ia `:;[ >i ?i isff::if+%if%:i;?ii;t;isri?ii::`:>s::5:ri:i:%.ui:Ty :�?y. :tOiiilanV `ad�k s ............... Y }. . ?4:}:fir:isis4}:<:`j+r .?C?::...............::j`v:''i:>ii:^i:;:j,}ii::: ::i>.......:x:::..;. ..v..... ........................................ .............................:.�:•.gin............n.....................::�v:..................... .. .:.....::.�::::w......,. .:.:v:nv.......�.•.q.. .a.::::..:...........::...:::::::::::::.::..:......:........::::::::..:.�:::::::::::::::........�:::.:�::.:.>:.}:.s:.:.;}:<o}}:.}}:?•}:•}:.>;::.}:.>:.>}:?..:::::::::n}:. 0' ;:::i::i::i.:::.:ii<: : ::i:;::};:::� :iii:;;:�;}:.�:::::.:::}:.}`:::.}:.::.}>:?.+.i:.i:: Now ::.:::.::.:..........:............ :.c afr::name::.::.}:<•}:.}:.}}:::.:::::::•::.::::::::::::::::.:::::::::......................................... adiir X Own �bt1:' :b ":>%: r': rf' : .:: : ::: :: ;::`..:r. .:f:ff.:fff :: >.: :;.::`;l}> iiarinc . e Fafiure to secure coverage a,required raider Section 25A of MGL 152 can lead to ---------------- the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as wen as dvfi penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement msy be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Sigaature� �� � Date Z Print name - / O h Phone#50g lf�'3 7&� Ccontactperson: se only do not write in this area to be completed by city or town official own: permit/license# ❑Building:DepD ❑Licensinkifimmediate response is required ❑Selectrn❑Health phone#; __ ❑Other (devised 9195 PLA Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a . . dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or"ienewal 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns 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. The affidavits may be retumeil to . the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any.questions• please do not hesitate to give us a Co. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts ..Department of Industrial Accidents Office of InvestINUOns 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 t °FINE 1p Town of Barnstable Regulatory Services ' WAN STAB Thomas F.Geiler,Director 9 Mass. 039. 0 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 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: -rcnstA� Estimated Cost 36- 0-00,,9a Address of Work: Pe:, ✓k Owner's Name: Date of Application: (rj ' /I - O �t, I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied QOwner pulling own permit i Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. O Date Owner's Namor Q:fonns:homeaffidav The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print 6 DATE: JOB LOCATION: number street village "HOMEowNER°':T�f t oc�}� name home phone# work phone# CURRENT MAILING ADDRESS: SO �yIGN?5!t 1�^Gle C ry /221P5: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. SigAture,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 forrn/certification for use in your community. Q:FORMS:EXEMPTN LOC°AT ION SEWAGE PERMIT N0. VILLAGE QTT Alt £4,,oy7 S 05 P INSTA LLER'S NkME 0 ADDRESS S U t L D E R OR OWKER, Oo ' 7l IF 5 os/ DA T E R ERAIIT IS< IftD TEAT E C Q.MPL I A NCT tssSUED '12,/Z z 411,11 1-,, ST i T /f7 7 7pu 1-0 yoeW s 'P`pt(HF The Town of Barnstable 9AR` E. MASS. a � Department of Health Safety and Environmental Services 9 ASS. 0 �p 1679. �0 %o Mpg Building Division / 367 Main Street, Hyannis, MA 02601 `Office;-5,Q8-862-4038 Fax: 508-790-6230 �-- PLAN REVIEW ' �© ��G l2Z � c3 Owner: � Map/Parcel: Project Address: �� �UIJ C\V' Builder: L�J1^ ALA The following items were noted on reviewing: P� Prw�� plfl� 1' S C-C f o ,Reviewed by: J Date: LeU Z---- q:building:forms:review FSME Tp� Town of Barnstable BARNSCABLE, + 9� MASS. �e Office of Town Clerk 019. 'OtFpp�ptp 367 Main Street,Hyannis MA 02601 Office: 508-862-4044 Linda E.Hutchenrider,CMC/AAE/CMMC Fax: 508-775-3344 Town Clerk March 10, 1999 Dear Business Owner: It has come to the attention of the Building Department that you may be operating a business in the Town of Barnstable. If you are a single proprietorship, partnership, or,; corporation doing business under a name other than your name or the corporate name you`;`" must register your business. If this business is being run from a residential address, t regardless of the name, a home occupancy form needs to be filed with the Building Department, and there are stipulations you need to know. This is in accordance with the provisions,of Chapter 337 of the Acts of 1985 and Chapter 110, Section 5 of M.G.L. j To begin the process, you need to come in to the Town Clerk's office to obtain a routing �} slip. This needs to be signed by the Building Department, Board of Health and Consumer -Affairs. At that time you will be notified of any additional licenses or permits that may be needed. Once you get a business certificate it shall be in effect for four years - the cost is $20.00. ' Please come in within 21 days of receiving this notice to register your business. If you have already registered as a corporation with the Secretary of State, or if this does not apply, please send this letter back to us with that noted on it. We anticipate hearing from you within 21 days so you will not be considered to be in violation of the law. i If you have any questions, do not hesitate to contact us at 862-4044. f a. e Linda Hutchenrider Town'Clerk -r i Y _r it Ir .. The Town of Barnstable Department of Health , Safety and Environmental Services a&RN5TABLE, Um. Building Division ArFp MAC A 367 Main Street, Hyannis MA 02601 Office: 508-790-6227 Fax: 508-790-6230 Ralph M.Crossen Building Commissioner Home Occupation Registration Date:_ Name: =-1 �i� oZc {•. -�/P 2: -- Phone ,.1 4/2.0- 3 r7 o O Address: S O. S'ti Q�- - Vdlage: d� 14Q Type of Business:_�l„/rr Map/Lot: �� - ' 76 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation ' within single family dwellings , subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor; no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal, residential volumes;and no increase iit air or groundwater pollution. After registration with the Building Inspector, a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carved on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • Tliere are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of norntal residential volumes. • The use does not involve the production of offensive noise, vibration, smoke, dust or other particular matter, odors, electrical disturbance, heat,glare, humidity or other objectionable effects. • There is no storage or use of toxic or hazardous niatetial's,or i.irnmabie or explosive materials, in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation, and not within the required front yard. • Tliere is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation, other than one van or one Pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. No sign shall be displayed indicating the Customary Home Occupation. If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed 'tit the Customary Home Occupation who is not a permanent resident of the dwelling unit. I, the undersigned, have read and agree with the above restrictions for my home occupation I am registering. Applicant: p Date: �L�9 Ftomcoc.doc Full Length Ridge Vent 12 4 12 Dollar Ties: 2k88 1(0" O.C. Roof Const. Ext Wall Const: 1/2 O.S.B w/ 15 lb Felt 3 Tab Asphalt Shingles 2x4's 6 ih" o.c. n 1/2" O.S.B. w/ o; Tgvek over Floor Joist: 2x1Os im I&" ox. � W.G. Shingles i Ins, R-13 w/ Potg Vapor Barrier ote:5/6" Sht Rck. as required bg code CN l!I Framing to beW/ 12x26 Stl, Beem Typ. o.1 S.P.F. n n 8"' Concrete Wall 0 4" Slab e _ to be 4° Deep Q e e Footing r Rick Greeolrs Section " SCALE 1/4% li APPROVED E DATE June fo, 02 REVISED Left Cross Section DRAWINGS NUMBER DRAWN BY Jody C�i imette Tupper Co.. B2 of 3 K. f Full Length R,Idge vent Dollar Ties: 2x8s ip 16" o.c. �1 Floor Joist: 2xI0s ID 16" o.c. Ext Wall Const: i W/ 12x26 Stl Seem Typ. 2x4's ® 16" o.c. 1/2" O.S.B. w/ T9vek over W.C. Shingles Ins, R-13 w/ Pol'y vapor Barrier 5/8" Sht Rck. as required N code i o o e o 8" Concrete Wail - to be-4' Deep— Footing .oe -oe e e s Rick Gregoire SeG t I O SCALE 1/4% 11' APPROVED DATE March 28, 02 _REVISED Garage Front Cross Section DRAWN B`E' DRAWING NUMBER Jodcg GIImette. Tupper Co. Al of 2 I o I J • 1 N � 1 \V LO cc -------- I ________ I I 1 1 I 1 1 I I 1 I 1 • 1 1 I I 1 I y I I I I � I I I 1 O I I I L X b IV-0Vq° 10 I X b - x w LU 1°, •_ I 1 I I 1 I I I � I 1 I 1 1 I 1 O n X 1 A � O N . o Z � sa'-a° 1 . Proposed Addition ® ® P 8' o ' � IITI I I I I I I I I I I I I _ - - _ _ _ _ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Rtck Greeotre SCALE 3 1/Ib°-I' APPROVED DATE Jw16 10,02 REVISED Front Elevation DRAWING NUMBER rewn5g: Jody G lIMSUS Tupper co. 9 Proposed Addition �I EEL � I � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - = - - - - - ] C — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Rick Grego lre SCALE 3 UI6°� I' APPROVED R 2 DATE June 10,O? REVISED lBack Elevation DRAWING NUMBER �eWm ey: Jody Gl Imette Tupper Co. I I n I I I I I I . I r I I II o I I � 0 � o � 0 0 c� E N z z c 3 m i0 26'-0' I o , W 3 -------------- o _ Lk X Ul Ej I i X .0, ,— w � s � 0 � x A � N � � x A 2'_611 x 4'-611 _ 24'-2' 1 r- ------------------------------------------------------------------------- 1 v v v I I I I I 1 1 1 1 I 1 1 1 I I I 1 I I I J 1 I 1 I I I O 1 1 WI I I I 1 1 1 1 1 O I 1 X I I V I I J OI I Q. I I d I j 1 1 1 I I I '�• 1 1 a 1 J I 1 1 I I 1 l 0 1 1 1 1 1 I 1 0 I 1 1 X I I O I I I I O 1 I J 1 I 1 I I I 1 I I I I 1 I 1 4 1 I 1 1 e 1 J 1 1 I I a I I I 1 I I I I I 1 I I I D• I I 1 1 I 1 I I 1 1 J 1 I I . o 'y ------------------- J° 1 O 1 1 1 I .>sL 1 a• (�� 1 3LJ 1 1 1 I I I I I I I 1 , , 1 ° I I pp I f____________F____ _______ _______________J L------------ -------------------------------------J I I I I v .._ __.• o v v o o :> v v v o v 1 • 1 v761 I v v 1 1 1 1 1 I 1 I I 1 1 I m I I 1 I X 1 1 I I 1 D I 1 I I 1 1 I 1 I s• 1 I 1 1 1 I 1 •D 1 I I 1 1 (L 1 1 1 1 1 1 I 1 I 1 1 I 1 I I 1 1 1 I 1 1 I N 1 I I I ja 1 I I 1 I 1 I I I p I 1 °° I I I I 1 1 I I J. 1 1 1 1 I 1 I I 1 I I 1 I 1 1 1 I 1 1 I 1 1 1 I I 1 1 1 1 1 C-0- I 1 1 �y lb co- 0 I I 1 1 I 1 �• W I 1 I °, 1 I 1 I C- 1 1 1 1 � A 1 t I 1 7 I D 1 I 1 I I 1 1 °° i LQ \V 1 1 1 1 1 •D I I 1 1 I I 1 O 1 I I I I 1 1 I I 1 I V I I 1 1 I 1 I I I 1 I I I I I I I A I 1 1 I I I N O mA Z -------------------------------------------------------------------- 24'-2'-0 --- -� u , Ridge vent 2xl2 Ridge Board /Root Rafters: 2x&s is 16" Floor Joist: 2xlOe 19 16" o.c. Typ• Wall Const: W/ 12x26 Stl Beem Typ. 2x4"s a I6" o.c. I/2" O.S.B. W/ Typar wrap over Claboards To match existing 0 0 !n S" Concrete Wall o to be 4' Deep p i o . n �o Footing -oo e` 0 o - � R i ck Grego ire Section AA SCALE 1/4% f APPROVED DATE March 26, 02 REVISED Front Cross Section DRAWN B"r DRAWING NUMBER Jody GIImette Tupper Co. r41 of 2 Roof Const. Ridge Vent 12 2x12" Ridge Board 15 Lb Felt over 1/2" O.S.B. 4 W/ Aspalt 5hingles over. 12 Roof Rafter: 2x8s m 16 O.C.Pf a9 ouble up Joist for stairway n 2x4" Knee wall g 16" o.c. Floor Joist: 2x1Os -0 16" o.c, M Typ. Wail Const:. 2x4"e s+ 16" o.c. T Facia Plumb w/ Clutter 1/2" O.S.B. ist Floor: W/ 12x26 Stl, Beem Typ. ��" Overhang W/ Typar Wrap Over 5/8" Fire Co White Cedar Shingles de Sht Rck Back and sides R-13 Insul. e S" Concrete Wall 4" Slab o _ to be 4' Deep e s � n; � e In, o Footing e _ Rick Grego i rs Section SCALE 11411a 1' APPROVED DATE June 6, 02 REVISED C-sarag� Left Cross secti on DRAWN BY DRAWING NUMBER Jody G�ilmette Tupper Co, ga. of a NOTE. THE ko)VIN.G DISTRICT LINE OSTER VILLE & UTILITY EASEMENT ARE SCALED FROM PLAN. LOT \ 45 ' o _ clqCLE Naol0 '36 "W 231. 50 / a a° ma r LUPO525p ND y20 0 9� CoNCEgD �°'• I w LAN c 66 CA DR DR #50 chimney = TE 28 .v3p ro� I LOCUS MAP o moo- 110' 10' A ° SSESSORS MAP. 122, LOT 153 PROPOSED / 1. 7 I PLAN REF.- 326171 �0 g GARAGE ZONING.- ""RC"&"'RF"' w� /� �� I FLOOD ZONE: "C" �o- ��. I COMMUNITY PANEL# C� R 250001 0016 D R DATED I 0 VER A Y DISTRICT- 8 ``' GP" o a LOT I I LOT . 46 I 47 PLOT PLAN OF LAND S AREA= I q LOCA TED A T I CERTIFY THAT THIS SURVEY AND PLAN WERE MADE �0- 31, S.F.249f ti IN ACCORDANCE WITH THE PROCEDURAL AND TECHNICAL U� I Sri 50 SHARON CIRCLE STANDARDS FOR THE PRACTICE OF LAND SURVEYING IN T MMONWEALTH OF MASSACHUSE I OSTER VILLE(BARNSTABLE), MASS. � / z ° PP UL .A- MERITHEW, P.L S. 7DA#— �•4 ` I O PREPARED FOR RICHARD GREGOIRE N I I JANUARY 25, 2002 rev. FEB. 19,. 2002 � I GRAPHIC SCALE \ YANKEE SURVEY CONSULTANTS 30 UNIT 1, 40B INDUSTRY ROAD 0 15 30 60 120 ` � P� �6 MARSTONS MBX MSS. 02648 \ `n I �. TEL• 428-0055 FAX 420-5553 IN FEET ) 1 inch = 30 ft. J# 53005 DCB