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HomeMy WebLinkAbout0018 THYME LANE 0 . -Town of Barnstable � Building s Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept v M^ $ 'Posted Until Final Inspection Has Been Made.039. Permit ) r ° ;Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-19-3916 Applicant Name: BRUCE P MILLS Approvals Date Issued: 11/21/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 05/21/2020 Foundation: Location: 18 THYME LANE,OSTERVILLE Map/Lot: 165-014 Zoning District: RC Sheathing: Owner on Record: HILLER,LINDA DAVIS TR Contractor Name: Bruce Mills Framing: 1 Address: 18 THYME LANE Contractor License: 136003 2 OSTERVILLE,MA 02655 Est. Project Cost: $4,000.00 Chimney: Description: siding window and door Permit Fee: $35.00 Insulation: Fee Paid: $35.00 Project Review Req: Date: 11/21/2019 Final: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced withiri six months after`issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. - --- ---- Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:, Service: 1.Foundation or Footing _. � 2.Sheathing Inspection _ Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Pers ns contrac ' with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department �3 Building plans are to be available on site Final: c- All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT I _ ��Application number.... �co . ...................................... Fee.......... ............................................................... j A = Building Inspectors Initials....................................... Date Issued.:............. `, /.................................. Map/Parcel.................. TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO W S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 8 MER STREET VII.LAGE Owner's Name: `l V Phone Number Email Address: Cell Phone Number w _?4yv Project cost$ ZI r d� Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize 0(-\J to make application for a building permit in accordance with 780 CMR Owner Signature: 'Z/ %, f[4I 1b/) Date: TYPE OF WORK Siding Windows(no header change)#_L—❑ Insulation/Weatherization Doors(no header change)#___L Commercial Doors require an inspector's review ❑ Roof(not applying more than 1 layer of shingles) Construction Debris will be going to V--6pmo�,� CONTRACTOR'S INFORMATION n^ Contractor's name C o Home Improvement Contractors Registration(if applicable)#�_ � Q�(attach copy) Construction Supervisor's License# 0 0 (attach copy) Email of Contractor0 , (OV41/`l S 6 ��` `" Phone number �a—,)F& Ra 6 S ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY.IS IN A NlcrnDU"nlcrDirr vnll Am/cr finrd/Al Fllcrnmr ADORnVd/ RFCnRF d OFRM/rrdAl RF/cciwn APPLICATION NUMBER .................'. `s............................... ........... *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 20 lbs. or>Yes No____, if yes, a gas permit is required. Natural Gas Yes No ,if yes,a gas permit is-required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3.30 pm-d:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date, APPLICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance 40' The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information f Please Print Lesdbly Name(Business/Organization/Individual): c` Address: b eD '�ed 4CA A City/State/Zip: O GG Phone#: Are you an employer?C eck the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2/0?1 am a sole proprietor or partner= listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp. insurance.= required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions ] officers have exercised their 11. Plumbing repairs.or additions 3.❑ I am a homeowner doing all work ❑ g myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no l n employees. [No workers' 13. ther S1 ! comp.insurance required.] io Q 6,�,� *My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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 subcontractors have employees,they must provide their workers'comp.policy number. l am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address:' City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and p allies of perjury that the information provided above is true and correct. Signature _ Date: Phone#: �7 ` Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i 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 ih the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(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-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city of— 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington,Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/tine Office of Consumer Affairs BusinRegulation HOME IMPROVEMENT CONTRACTOR TYPE:Individual ! Registration valid for individual use only RARLSMA x i before the expiration date. If found return to:. Via "= 09/24/2020 Office of Consumer Affairs and Business Regulation BRUCE MILLS t - 1000 Washington Street- J � Boston,MA gton Suite 710 ,1- i � i BRUCE P.MILLSY" 16 CROOKED HYANNIS,MA 02601 Undersecretary; �Notalid wlthout signature Commonwealth•of Massachusetts;..` Division of Professional Licensure= Board of Building Regulations and Standards Constr446q. $p�rvisor CS=078687 I 4pires: 05/29/2020 BRUCE P MILLS I 16 CROOKE6*Oib RO /," C HYANNIS MA 1. 3>`'.•- Mpf00S ; Town of Barnstable Building = uwxns-rws�e Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept MASS. Posted Until Final Inspection Has Been Made. f Permit .asp. �m Mn. Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-18-3963 Applicant Name: Russell Cazeault Approvals Date Issued: 12/03/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 06/03/2019 Foundation: Location: 18 THYME LANE,OSTERVILLE Map/Lot: 165-014 Zoning District: RC Sheathing: Owner on Record: HILLER, LINDA DAVIS TR Contractor Name: . Framing: 1 Address: 18 THYME LANE Contractor License: 2 OSTERVILLE, MA 02655 Est. Project Cost: $ 16,575.00 Chimney: Description: Remove existing roof on the entire house. install new asphalt Permit Fee: $84.53 shingles. Insulation: g Fee Paid: $84.53 ' Project Review Req: Date: 12/3/2018 Final: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the`approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Electrical work until the completion of the same. - - -� - Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:. Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 2 Town of Barnstable *Permit# 0 Expires 6 months from issue die Regulatory Services Fee off._ - 3 M"S& Richard V.Scali,Director 16.19. Building Division 10919 Q16 Tom Perry,CBO,Building Commissioner NQV 2 � —200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us -�Ki� Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY 'f Not Valid without Red X-Press Imprint Map/parcel Number f S 7 Property Address Minimum (Residential Value of Work$ ;� �� fee of$35.00 for work under$6000.00 Owner's Name&Address UAP V c't Contractor's Name C-9—, j C L �" Telephone Number Home Improvement Contractor License#(if applicable) 0 d Email: Construction Supervisor's License#(if applicable)_ r ❑Workman's Compensation Insurance Check one: am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name . I Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side eplacement Window 13o�ors/ liders.U-Value (maximum.32)#of windows �_� #of doors: 0.11 ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 i 4 • - The Commomveakh o, -Musadljusetts Deparfent o,f bulastrial Accid-m& O,rce of.Ticresdga(iions ti 600 washhtgton street Boston,MA 02111 ivFPmm=Lgovfdia --- ._ - affipensa�can ins��ice . .. _ -Bt�ders(Cgnfracta�rslFIecfricianslP�ibers .. . Qr - rs A:yPH=mt InfarmafFan -- - — Please-Frm -f z IT-- Name Address Cifg/sla!r r Phone.-4,1- Are you an employer9 CAeck the appropriate box: 'I' of ' r PIS project(required): I.❑ I am a employes with 4 ❑I am a general contractor and I 6: ❑New cfio2t employees(fananvor part-time).* 'have hiredthe sub-contractors Fmpd F�� listed on the attached sheet 7. Remodeling 2�am a sole etas or These �smb-can�ractors have ❑ - g slop and have no employees ll_ ❑Demolition wading for me in any capacity. employees and have wads' [No Worlmrs'comp.insunt„re comp.insurance I 9. ❑B,uildmg addition required-] $- ❑ We are a corporatim and its 10_❑Electrical repairs or add iscions officers have exercised their 3.El area homeowner doing all work 1L0 Piumbingrepaisx of additiems myseelf[No workers'ccmp- right-of es ampfion per MGL 1?❑Roof repairs incn orrice required-]i c.152, §IM andwe have no pp employees.[No wm&ers' 13-❑Other l`�Oe s& �'S►�/16�1 comp-insure=require&] 'llnyappLic—ffntchetksboxfflmust also M out the section below sbzviagtheirwwkerecampeasst; upoRcyiafnrmaaan. IHameummmwbasubautthisafuLnii+rfft:r++*g they axedoingagwaland glen hire astridecommctos—stsubmit anew afdareftmdicmtin sack_ tcantrwws that rhxlr this boa Isast attached m.sdditi-al sheet showing the name of the sub-camrscbxs smd state whether or nut fbnse eadities hne ernpk"es.If Ube sob cmtmicWts hive mployLes,they=srpmt.-ide their workers'ramp.pokey avmher: lam Below is diapa cy and job site inrfotmrathm Insurance Company Name: Po-ficy 4 or Self im.Lic-t Expiration Date: Job Site Address: City/State/Zip: Af#ach a cap of the worker compensationpoIicy declaration page(shriving the poficy number and respiration date). Fail=to secure coverage as requiredunder Section 25A of MGL a 1572 can lead to the imposition of t imir l penalties of a fine up to$150D 00 andror one-year imprssoi=en�as well as civl penalties.in the form of a STOP WORK ORDERand a Eme of up to$250.00 a clay against the violator. Be advised that a copy of this statement maybe£arwarded to the Office of Investigadons of the DIA for insurance coverage vetifcation. I do hereby certify a der the pains an ' s ofp thattlis informadmi-proiidid abmv is hire and correct Si Date: / Phone ik J 4 — O — 0 OW [!� O,ociaL use anly. Do not twits in this area,to be campLeted by try artbirn ofJrciaL City or Town: PermritUcense# Issuing Authority(circle onel: 1.Board of Health 2.Bufldmg Department 3.fity/I'own Clerk 4.Electrical Inspector S.Plumbing Easpector 6.Other Contact Person Phone#: formation and Instruction.s . � •' Massachuselis Geberal Laws 152 requires all emgloyers'to prr VI&wolk='courpensadon far then employees. Pursaantto this sfatote,an.enPIopee is defined as."_.every personm ffie service of another under airy contract ofhire, express or implied,oral or wriiteu.." An ezrpIayer is defined as"an individual,parinembip,association,COIpora<ian or other legaI entiy,or airy two or more of tfie foregoing mgapd in,aJoint enterprise,andinchidingthe legal representatives of a deceased employes,or the receiver or trustee of an md' ' ,a] partnership,association or other Iegal entity,employing employees- However the owner of a dvmI ing house having not more than three apartments and who resides therein,a the occupant of the - dweIIing house of anofer who croploys persons to do maiatenzaim,construction or repair wad on such dwelling house or on the grounds or burbling appurtenm3tIh reto shannotbecause of such employment be deemed to be an employer." MGL chapter 152,§25C(t7 also states that"every stafe or local J.l'.mining agency shall withhold$ie issuance or renewal of a Hcease or permit to operate a business or to construct balding--in the commonwealth for any applicant who has not produced acceptable•evideac a of compliance with the hs r=c coverage required." Additionally,MGL chapter 152, §25C(7)states-Testherthe-c=nMVMIfl nor any of its political subdivisions shall enter into any contract for the pesfunnance ofpublic work until acceptable evidence of compliance with the insura ce.. requirements of this chapter have' 'e=presented to the coutlBrC g authOdty_" = Applicant's Please fM out the wofl as'compensation affidavit completely,by checking the boxes that apply to your situation and,if nmessary,supply sub-contractor(s)na rne(s), addresses)and phone numbers)along with their certificate(s) of ins=ce. Limited Liability Companies(LLC)or Limited Liability Partnerships(=)within employees other than the members or partners,are not regnaed to carry wu ice& compensation msarance. If an LLC or LLP does have employees, a policy is regoired_ Be advised that this afidayitmaybe snhm;ttDd to the Department of Industrial Accidents for confirmation of to Saran=coverage. Also be sure to sign and date-he afIIdavit The affidavit should be retumed to the city or town that the application for the permit or license is being requester not the Department of FT l Accidents- Should you have any questions regmdmg the law or if you are required to obtain a workers' compensation policy,please call the Department at tine nnmber listed below: Self-insured companies should ends their s elf-lasur auce license nombes on th appropriate line. City or Town Officials . t _ Please be suie that the affidavit is complete and pried.legRily. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of lnvestigatiaus has to contact you regarding the applicant Please be sure to fill in the pen $iUlicrose M=ber which will be used as a reference n=bcr. In addition,an applicant that must submit muhTIe pe m-1 tUcense appli-cations m any given year,need only submit one affidavit indicating ccosent p olicy information(if necessary)and under`mob Site Ad es"the applicant should write'a "Job in ( 'or town)_"A copy of the affidavit that has been officiaRy sf-amped or marked by the city or to may be provided to the applicant as proof that a valid affidavit is on file for fcdnre 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 ventzu-e (Le- a dog license orp-mit to bum leaves etr-.)said person is NOT rcgoized to complete this affidavit The office of Investigations would hke to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Deparimenf's address,telephone and fax rmmbM7 ' . Tie�a�ouZtt�of I�saGhn�tG� - . 'DepaLtnent of Fudustdd AoDident% OM=of lnvP t ratio= ��4�ashmgtan t TeL 4 617' -49W Qkt 406 4r 1-977 MASS, F Fax ff 617-727-774 Revised 4-24-07 �. g�� �oFTME rqj� i n�RN�.T1Ri.R i -• Town of Barnstable Regulatory Services Richard V.Scab,Director Buiiding-Division---.--- -- .__.- -._.... .- - _ .------. — — - -- ------- Thomas.Petry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601" www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5.08-790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder I ' / , as Owner of the subject property hereby authorize f J U N( b~C l to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPM-ESWORMS\building permit forms\=RESS.doc Revised 040215 Town of Barnstable Regulatory Services �osiiE rOi�,` Richard V.Scab,Director Building Division t L►sxsrA 3LF, ' Tom Perry,Building Commissioner MASS j 1639. ,0� 200 Main Street, Hyannis,MA 02601 ED www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# . CURRENT MAILING ADDRESS: - cityhown state zip code The current exemptioji-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 m 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 109.1.1y 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. Signature of Homeowner Approval ofBuilding Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control., HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that'if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. . To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFLL.ES\FORMMbuilding permit fors\EXPRESS.doe Revised 040215 .. �e�parrvnwouuea� G>�aacluaeCza Office of Consumer Affairs&Bu mess Regulation HOME IMPROVEMENT CONTRACTOR Registration•:fAA36003 Type: Expiratiane / 1l�Q1 S. Individual BRUCE P.MILLS BRUCE MILLS � ) � I 1 16 CROOKED POND �i�'� HYaNNIS,MA 02601 ,,-i;;�� .•,� Undersecretary ' Construction Supervisor z Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit:WWW.MASS.GOV/DPS Massachusetts Department of Public Safety 9 Board of Building Regulations and Standards License: CS-078687 Construction Supervisor BRUCE P MILLS 16 CROOKED POND ROAD- HYANNIS MA 02601: Expiration: ' Commissioner 05/29/20 18 ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board p Historic - OKH _ Preservation / Hyannis r Project Street Address 10 Village r 1 Owner (\A CX Q � O.�/� Address Telephone F0- 7 Permit Request Ri'k n���e C.v>�p PcA e(Od/1 /tP,44 n(401 I a ct Square feet: 1 st floor: existing proposed 2nd floor: existing3proposed Total new Zoning District Flood Plain Groundwater. Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ANo On Old King's Highway: ❑Yes Flo Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing O new Total Room Count (not including baths): existing _new First Floor Room Count Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other Central Air: I(Yes ❑ No • Fireplaces: Existing New Q Existing wood%cdal stove:-,,0 Yes;'XNo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: U764xisting Li-new size_ ro u.5 o Attached garage:�existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded 0 -` Commercial ❑Yes allo If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �Q 1 d l 1 l I Telephone Number 66 � n Address C ti kPd,#' t19G n d . License # OP 60 1 Home Improvement Contractor# l 3 033 Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO yG✓'./� '' S SIGNATURE DATE s FOR OFFICIAL USE ONLY r APPLICATION# 2 DATE ISSUED F MAP/PARCEL N0. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME f INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ' 4 Depoftent oflndw&ia1Acdaw,& . Qr=gfIn merhgafloas 600 WMhhVtan,Sk'eet Bosto?y HA 02M • www.m�gw/dia . WOIk=l Compensation Instance Affdav&Btgders/Conb=brdEkrf idans/Plumbers pUmmt Information Please Prmt I,egffik' Name 12-, M r Address: .�'_.to r7 I�CP �['1�/lA - Cityr/statd2�p: A f �o s�— �� ��6� Arc you an empk+yer? �appropriafd:bao� ' Type of project(rd�red): .1.❑ I am a mgAgw wifb 4- Q I am a genocal ccmtac�and I =P*ees(ff and/or �) hn bid the sub-ca ofctam 6. []New ums� 2.k am asole ptopmetor orpir-- Isi;d n the atchcd sheet 7. MR modeling sbip and bane no employees These sah-camtradms bane S. []DaaoIidian waddng forma in my capacity. CMPJD3'=aadbano wD k=l 9. dition • [ND woikr�8'camp.7nRitr_srn_rr_ � � gyp• $ ❑"'�+`�`+b ad ngtdrccLl 5. Q We are a c:arpo�iort and rts 'IO_❑Elec�icalrepairs or addzfions 3.El am ahonuowner doing eIIwadc offic=have em rmsed fh= 1LQ Plumbingrepis or addiacns nyself[No wars'ccmp. . rif t of wmmp m per MGL u-E]Roof ropaus mso x=rcgcrizrd.1 t c.LA§1(4),and we have no Q M�[No wad= ' 13.0 Over CDMP-msarence regoined_J t�Y aPP�� shade bmc 1 mmist elm fiII oatlhe r�dioa beloR'shawmg&*', xi5a' P01-My i�nmz:b� tSommvmes WAD so1MMIisaFffd a=st anCwaF3dav$mdie&n yMIL fConha dr-fbn&cbeckthh b=nmst aidaehed ehrdsbodPmgfe awe afthe ffib-eoat3LC1Z=®d sty whdha crnottimw cmrigm hags employees,Ifdhn seb-o bcve C-Pb y=:k$u7 mint FM&dues q:a =MP PAY aamh,r I am an mnployer fiat is prundntgVorkae eonpewat wn inrrc-mwz for ary erVloyem BdOV is theP,7&7 and job situ . irrfarnra�on, Insurenc a Compmiy Name: Policy#or Self-ins.Lic.A I�irafionDatr Job Site Ad&wm Affarh a copy of the Workers'campe n sn.ation policy declaraficm page(AOwb $u PDH Y=nber and won dafr). Fad to seaore cavarage ns requud d nntI Sectim25A ofMGL r�L52 can lead to f m imposition of�mal penalties of a fine 13p to$1,500.00 and/or ane-year czA as wen as civfl pcmjh cs m flu E=of a STOP 0 ORDER and a fine Of DP to$250.00 a day against the viOlat0L Be advised chat a copy of ibis stademeat may be fnrwa&d to ibe Office of hmestigadaas of the DIA fill iasmice conemgd;won. I do harby catfy under the paves and peuddres of er�my that the u¢ormafon prorided above is trues and correrl s. t Data: Ali Q U, . . f Phone : SCE F R d ` a 6 6 F �aiuse only. Do notwr&e in 9VS mray to be roar pktedby�ortom ahy or Tows: p�,„�;rrr.; ,.�,.ssddmg AdrthDrity(ci¢•cIe one): . L Board afHralfh 2 BmZdiagDopatfuaeYrt 3.CityfTown Clerk 4. ircllnspecfnr S.PlumbfngInspedar 6.Ofhi r ConfacEPcnoa: Phone t . Information and Instructions ; L&Rsacirm Cimetel Laws cimpter I52 requrcs an anployers m provide wanner:'campensafion fir urea=3ployees. ' Pmsuamt to this sty an rmployre is defm:ed as=every person in the service of another der mW contract ofhitry mizess or implied,atal or wrhma." Au mWkyer is drdmad as`fin iadividnaI,pmtocrship,assoeiatuxa,cmpotafion ar other legal amity,cr any two or mats of the foregoing=gaged is a joint cdcgdsq and inclndmgffie 1egBl=p==b3fi sofa deceased employer,or the receiver or trustee of sir Mbid*parlmasbip,association or other Iegal amity,employing eozployem Ernvever the owner of a dwmUing hooso havingnot mot$gran Ouse aparhnerds and who resides ffienzin,or the occopent of ffie - dwelling house of another who employs pasaos to do macs,c®*m:f on or repair wrak am such dwelling house or on the grounds or bml ft appmrfienant ffieretn shall not because of such cmployrnm t be deemed to be an employer." MCHL chapter 152,§25C(6)also slaters 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 airy applicautw•ho has not produced acceptable evidence of cdmpltance with the insuranc,coverage required." Add i icnafly,MC3L chapter 152,§25C(7)states-ledffier ffie=mmjeurwe:ahh nor airy ofits political subdivisions shall ...... enter inin any contract far the pedmanco ofyobho wcakuatil able evidence of compIia�cowiffi ffie msurance.. regtm•eoie�s of this chaptrrhavo been pa�seatrd to the c�aciarg anffior�j:" Applicants Please fill out the ems'compensation affidavit completely.by c=Jcmg ffie boxers that apply to yaw situation and,if Amy,mpply sub-=trac or(s)narac(s)•des)and phone number(s)along with thew'cegtifica tc(s)of insurance. Um itr d IlBbr�'.y Companies(LLq or Lkaitzd Liability Partnerships(LIP)wiftno emlploy=otter than.the numbers or parrs,are not geed to carry worms compeasatian insmanm If an LLC or LLP does have employees,&policy is rcgahed. Be advisedthatthis a fidaykmaybe submitted to tbP De pgtiaeat of7ndustrial Accidents for armfmmafim oft mmmce coverage Also be sure to sign and date the affidavit The affidavit should beretomed to the city or town that the applic-lion for the permit or license is being requested,not the Depm mew of Indnstdal-ArxjdeztL Shouldyon have any gnestiens regarding the law or ifyon are rcgaired to obtain a worlds' campe nsaiirm pDR y,please call the Depmtneut at the number listed below Self-ios red compsnics should eater their self-insurance license number on the Eqprogrir line. Clay or Town Officials r Please,be sore that the a$5davk is cxuripIete and pdated legibly. no Dcpmtnect has provided a space at the bottom of the affidavit for you to fill out i a the event the Office of Invests gations has to contact you regardarg the applicant Please be sure to fill in the pcanit/licrose number which will be used as a reference number. In addition,an applicant that must submit multiplo pennWlic rise appIitfiems is arty given year;need only submit me affidavit indicating croa mt policy infonmati—(if accessary)and under`Job Site Address"the applicant should write"an locations in (city or town)_"A copy of ffie•affidavit that has been officaaIfy stamped or mmimd byihe cifyy or town may be provided to hire ' applicant as proof that a valid affidavit is on file for fist ore permits or licenses A new affida*mnst be fiIled oitt each yew.Where a home owner or citizen is obtaining a license cr permit not-related to airy business or'canmecaal vftt= (i-e.a dog license or permit to bum leaves e�-.)said prom is NOT requmzd to complete this affidavit, - The Office of hvestigafwns worldItloe to flank yam in advance for your cooperatian and shouldyou have any questions, please do not hesitate to give its a-call. The Dr, mtm fs address,telephone and,faxntnnber: the cammanwItir of Mas~sachusefs DepajtMWt of AccuIm3t% ice ol2Investkatioi CUQ l�a�gta�.�`treet Bos6om,MA 02111; Tel,#617 727-4444 eit 4€16 or I-&77-MASSAFE Fag#617 727 7749 Revised 4-24-07 w .massgtz�tia AWC Guide to Wood Construcdou M High end Areas: 110 ncph rnd Zone Massachusetts Checklist for Compliance(780 CARRS301.i.ta)' Loadbearing Wan Connedfons Lateral(no.of 16d common liens)__....__._..».».:....._.(Tables 7�._.....__._......___..._....._.....»_.. Non4mdbearing Wan Connections Lateral(no.of 16d common nabs)._._.......__........._..(fable ej._.....__..._.___.__....._»»......»_.. Load Bearing Wall bpenings(record largest opening but check an openings for compliance to Table 9) Header Spans ..............__...___......:.._.._.. :(fable 9)........._._._..... - _ft_In.s 1 V SinPlate Spans .....---..._....»_._........._...._�»..._(Table 9)_»......._...._..._.._..... _ft_in.-.11 Full Height Studs (no. of"studs)------- 9)..........._--------- Non4mad�Bearing Wan Openings(record largest opening but check an openings for compliance to Table 9) Header Spans .(fable 9).---._.___.._......._.. _it_in.s 12' Sin Plate Spans....»._____.._.:.»»..»...__._..-.....__..(Table 9)....____..........__.__.—tt_In.s 12' Full Height Studs(no.of studs).-__--_(Table 9)........ Exterior Wan Sheathing to Resist Upfift arld Shear Simuftantously4. - Minimum Building Dimension,W Nominal Height of Tallest Opening ....................... 5 6'13' Sheathing Type_..._......»__.._.._._.».....».....(note 4):},......._._.__....._.... _.......»_.....;... In. Edge Nail Spacing..........__......._._...._._.(fable 10 or note 4 if less)._...._..»_.._..:. ' Field Nail Spacing..._.....,_.»..._._.....__.....(Table 10)..... in. Shear Connection(no.of 16d common nails)(fable 10)...._;».......__...__..._..._»...........»._ Percent FuaFieight Sheathing..._.__.»._.:...(fable 10)......_._..___._......_......_...__._.._'9f, MAddiflonal Sheathing for Wall with Opening>6V(Design Concepts)._.___........ Maximum Building Dimension,L Nominal Height of Tallest 0pening....».............................................................. SheathingType»._...........�_»__...._..___.(note 4)..._...._._...._._».......»»__..._..._ Edge Nail_Spacing."_. 11 or note 4 If less)................._.... - Field Nan Sparing..........._......__._...._._(fable 11).......__-,...... ...... Shear Connection(no.of 16d common nags)(fable 11)....»..............._.._... __.-_ _ Percent full-Height Sheathing__.;..»...---..._(Table 11)...........».......-_ _:.�•___% 5%Additional Sheathing for Wall writh'Opening>BW(Design Concepts).......... ..._..- WHO Ctaddmg Rated for Wind Speed?.-..--.. ------- ._____»..._._........_ 5.1 F.00FS Roof framing member spans checked?_........:...___...(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...................._._........................(Figure 19)._..........•—ft s smaller of 2'-or V3 Truss or Rafter Connections at L oadbearing Walls Proprietary Connectors Upfdt...._.._._.....»._...._.__.._.....(fable 12)_....__..»......». Pif - Lateral_ ..(fable 12)_.._»_____...____..__...._.L= plf ....__ able 12 .__..S= •PIf. Shear_..._........_..»..._:_._.._. (T )---.»....._...._»...._._.__. - Ridge Strap Connections,if collar ties not psed per page 21...(fable 13)......._......_._.__._T= Of Gable Rake Oudooker.................._...._....___.._.(Figure 20)........_..._ft s smaller of 2'or L/4 Truss or Rafter Connections at Non-Loadbearing Walls' Proprietary Connectors Uplift (Table 14)......._._._..._........_.._:_.._U= lb. Lateral(no.of 16d common nags)_.(fable 14)......................................L Roof Sheathing Type__.__.__.:.._.._............_...._...(per 780 CMR Chapters 58 and 59)............ Roof Sheathing Thickness__......._._._...__ _.:..... ._.._....._.__..»........._.»____In.z 7/16'WSP RoofSheathing Fastening.....»..»._.._...-..._—.....---.(fable 2)_................_.;.._.....,.__.__...._.»___ �. Notes:- •1. . This chackfid shall be met in its entirety,excluding the specific exception noted In 2,to comply with the requlrernents of 780 CIVIRS30121.1 Item 1.If the checkfist is met In Its entirety then the following metal straps and hold downs aria not required per the WFCM 110 mph Guide: a. Steel Straps per Figure z5 b. 2b Gage Straps per Figure 11 c. Uplift Straps per Figure 14 ' d_ All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2 Exception:Opening heights of up b 8 fL shall be permitted when 5%Is added to the percent fun-height sheathing 'tequtrerierrts shown In Tables 10 and 11. 3. The bottom sin plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. ' -- --------------- .4 WC-Gaide to food Construction in High J�-nd Areas:110 aiph Wnd Zone Massachusetts Checklist for Compliance(7so orRs3o1:z.1.1)' . Rf Cbxlk . Compiiar= 1.1 SCOPE WindSpeed(3-sec.gust)__»......._.»_._.._.....-...__.._.._.._..».._._...... ..._.........._,.»_.......110 mph WindExposure Category_.._._....»_.__»_.._. ....._.... __......_..._.-..................:.._......»..�_B Wind Exposure Category................Engineering Required For Entire Project... ....................._............0 12 APPLJCABILrrf Number of Stoles(a roof which exceeds 8 In 12 slope shall be considered a story) stories s 2 stories RoofPitch._......a.._.:._.__...._..._._......__.. _.:... -(Flg 2) .... ._...._.._..._.... S 12:12 Mean Roof Height _.__._......__._.__._......._._.» _._.(Flg 2)_.__. ....._.._...._....._._._. _ft 913' Building Width,W_.._._..__.._»._._--..._.__..__�..._ 3)-..__.._..»....__...........__ _ft s got BuddingLength,L' .:.__»_...._...._.»......_...-»:.__-....:...(Flg 3)_...._........_..-...._._......__.:.... ft s 80' Budding Aspect Ratio(LIW) (Fig 4)_....__............._.._.......:.._._. 5 3:1 Nominal Height of Tallest Dpentng2 tl....p__ ...w....__..._.-(Fig 4)_..__. __......._........_...._ s 6'B' -3_ . .... • 1.3 FRAMING CONNECTIONS General compliance with framing oonnections_....._...._....(Table 2).......__........._......._._..___........_._.... Z1 FOUNDATION ' Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete...........................:.......................:........................................................... ............... ConcreteMawnry....... _.._.._..._.:_........:........._......:........._..... 22 ANCHORAGE TO FOUNDATIONIa 5/8'Anchor Boltsdmbedded or 5/8'Proprietary Mechanlcal Anchors as an alternative In concrete only SoltSp cdp-general................................... .(Table ..._..._._...._.__ In. Bolt Spacing from snd/ohrt of plate.._......._...._..._._(Flg 5)....._...._._.:..:.............. In.s 6'-12" Bolt Embedment-concrete._._..._........._..._......._-.(Fig 5). »..»...._-...__............_..._ _in.i r Bolt Embedment-masonry.-...._......._;.....__._.-.__(Fig 5)._.:.._.t_.._...._...............__. in.Z 15' PlateWasher_:.._-...__..._._-..-._..___..-..--__._...._...(Flg 6)..,._......�..._..._.._._._...._.k 3'x 3'x V4w 3.1 FLOORS Floorf aming member spans checked ...__.....-...._._._....(per 780 CMR Chapter 55)_......._»_..._. Maximum Floor Opening ptmenston....:.._..__........ (Flg 6)...._.._:_......_.__......._._....__..—tt 512 Fug Height Wad Studs at Floor Openings less than 2'from Exterior Wag(Fig 6)................: . MhxImUm Floor Joist Setbacks Suppoifing Loadbearing Walls or Shearwall..._.._...._(Flg 7).........._............._._...._........___..Tft s d Maximum Cantilevered Floor Joists Supporgng Loadbearing Wads or Shearwad...... (Fig 8) ....... ft s d FtoorBracing at Endwads___..._........_ ._....»...»......_»(Fig 9) ..._._...._._...._...._.___....._...._. Floor Sheathing Type ....__.__.._.._..:...___.._._._... (per 780 CMR Chapter 55)_...._.:.__.____.__._ Floor Sheathing Thickness_..._.._....._..._.._......_...._:.._(per 780 CMR Chapter 55)....._...._._.._... In. Floor Sheathing FElsterung__»........_......._.__»......_-..:..(Table 2) d nags at in edge/—in field 4.1 WAITS ' Wad Height Loadbearing wags._._.... ......�_- (Flg 10 and Table 5)_........_....._..__—ft s 10' Non-Loadbearing wags__�___._:._._.__»....:._w.».(Fig 10 and Table 5)................... It's 2(r . Wall Stud Spacing ._...._._..._.:.._..:.......__......_..._._(Fig 10 and Table 5).._............._—In.524'o.c. Wan Story Offsets --------- ---.------- ............__............&_(Figs 7&8)_._..-..................._.__ —ft s d 42 E- OMMOR•WALLS' . Wood Studs Loadbearing*alit_._. ..�...._......._...»......»._.._._(Table ft in. Non•Loadbearing walls ..._._.»_.:(fable 5)._.__--------- ----_.---2x - ft tot ' Gable End Wag Bracing' .__.__._..._._.-__.. — — •— Full HeighfEndwall Studs-------------- _...» .(Fig10)_ .._...........-_...... _......„ WSP•Attb Floor Length--_-.,.:_- '.........�._..._(Fig 11)__...�.__............_......_. ft ZW/3 Gypsum Ceding la:ngih(if WSP not used)-..:..„.__ :.(Flg 11)...__.....__..._._.........._:.—ft 2!0.9W _ and 2 x 4 Ctu�nuous Lateral Bra6s 6 ft oa:. 11 or 1 x 3 ceding(luring strips @ 16'spacing min.wdh 2 x 4 blocking Q 4 ft spacing In end joist or truss bays Double Top Putt: Splice Length ..__._...._:_...__..._.._.» _»(Flg 13 and Table 6)..._............__... _._. ft ._ ., _. Splice Connection(no.of 16d common nads)_._.__....(Tablp 6)__...__-........_..........._._....__.... . AFI-'C Grcirle/0 1oaJ Construction i»High InrlAreas: 110 ntph l�ariZone Massachusetts Checklist for Compliance (78o CMR53ol_2.r_I)' 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nall Spacing requirements b. Wood Structural Panels shall be minimum thlckness of 7/1 ti and be installed as follows. 1. Panels shall be Installed With strength axis parallel to studs. R. Ali horimntal Joints shall occur over and be nalled to framing. III. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. IV. On two story construction,upper panels shall be attached to the top•member of the upper double top plats and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first fl6or framing. V. Horizontal nall spacing at'double top plates,band joists,and girders shall be a double row of ad staggered at 3 Inches on center per figures below:Vertical and Hortntal Nailing for Panel Attachment 5. Glazing protection:a)new house or horizontal addition—ret ulred If projed Is 1 mile or closer to shore(generally,south of Rte.28 or north of Rte.B) b)vertical addition—not required unless there is extensive renovation to the first•floor c)replacement wirld6ws—needs energy conservation compliance only(chap 133) G.Wood Frame Construction Manual(WFCM)for 110 MPH,Exposure B maybe obtained from the American Wood Council (AWb)website. I a_ 2ff us>=nd wilts I o t;! .EW Ed I. 1 LI _ d ti ► ' � . 1 � � � t EEL = —_ _ + It • ta�et.e� srAGGERS) K tJl+45PACNt;i i WAX PAT7t3W � PANIS. PArOLl�GE L" GOU®.EtJAILIDGEtipAL70 DETAL See D4(ail on Next Page Defrtll Vertical and Horizontal NatTtng Verliiaal end HMzontal Nailing for Panel Attachment for Panel Attachment ' .r: i u Town of Barnstable Regulatory Services _ Richard V.Scali,Director BuMng Division Tom Perry,Building Commissioner 200 Main St=4 Hyannis,MA 02601 www.town.b arnstablema.ns Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 0 1 f, b�n - V Iqr f he subject property as AYn herebyauthorize_ Cg_ G �,� to act on mybehA in all matters relative to work authorized bythis building permit application for. l 6 (AdAress of Job) 0 J,�J'37� 'Pool fences and alarms are the responsibRity of the applicant. Pools are not to be Med or utilized before fence is installed and all final inspections are perfouned and accepted or Signature of Ownei Signature of Applicant I , , Pant Name Pmrt Name Date Q:F0RMS:0VMWERMLSSMIe00r.S "town ox-Barnstame Regulatory Services ` of Richard P.Sca%Director BRUding bividolt Tom Perry,Bmildmg Commissioner .m� 200 Main Street; Hyannis,MA 02601 www town.barnstable maul . • F Office: 508-862-4038 Fax: 508-790-6230 I HOMEOWNER LI®ASS EXEMTTON DATE CC}'\�� -- —_ PlcuePrint JOB IDCAlIQNL• number shtd v�ege -HOMEOWMa :L i n K 112� �b�S-`� O�til ql/l name - bo=phone d wodt phone# /C��MAMINGADDRESS: dtYAMM smote 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 aotpossess a license,provided that the owner acts as supervisor. DEMUMN OFHOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which these is,or is intended to be,a one or two- .. family dwelling,aft r-hod or detached strnctars 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 ofBamstable Building Department minimum inspection procedures 20311 requirements and that he/she will comply with said procedures and requirements. Signab=ofHomcownc - i Approval ofBtWdingOfcial 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 EXEMr TON 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 contraction 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 I S) 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 personas it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities;many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:IWPFMESIFORNG*d&ng permit fn=IEXPRSSS.doc Revised 061313 r ®Boise Cascade Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SIP Floor Beam\FB01 Dry I 1 span No cantilevers 1 0/12 slope Tuesday.August 11,2015 BC CALCO Design Report Build 3272 File Name: BC CALC Project Job Name: Hiller Description:2nd floor girder Address: 28 Thyme Ln Specifier: City, State,Zip:Osterville, MA Designer: Customer: Company: Code reports: ESR-1040 Misc: .................. ... 'B0 to-on-oo ---� _ B1 Tolal Horizontal Producl Length=10-04-00 Reaction Summary(Down/ Uplift) (lbs) Bearing Live Dead Snow Wind Roof Live BO, 3 1/2 1;860/0 670/0 B1. 3-1/2" 1.86010 670/0 Load Summary Live Dead Snow Wind Roof Live Trib. Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 2nd floor Unf. Area(lb/ft^2) L 00-00-00 10-04-00 30 10 12-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 5,968 ft-Ibs 42.8% 100% 1 05-02-00 End Shear 1,999 Ibs 31.6% 100% 1 01-01-00 Total Load Dell. L/566(0.209") 42A% n/a 1 05-02-00 Live Load Defl. L/769 (0.154"j 46.8% n/a 2 05-02-00 Max.Defl. 0.209" 20.9% n/a 1 05-02-00 Span/Depth 12.5 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member Material BO Post 3-1/2"x 3-1/2" 2,530lbs n/a 27.5% Unspecified B1 Post 3-1/2"x 3-1/2" 2,530 Ibs n/a 27.5% Unspecified Notes Design meets Code minimum (L/240)Total load deflection criteria. Design meets Code minimum (L/360) Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Page 1 of.2 ®Boise Cascade Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam\FB01 Dry 1 span No cantilevers 0/12 slope Tuesday,August 11, 2015 BC CALC@ Design Report Build 3272 File Name: BC CALC Project Job Name: Hiller Description:2nd floor girder Address: 28 Thyme Ln Specifier: City, State,Zip:Osterville, MA Designer: Customer: Company: Code reports: ESR-1040 Misc: Connection Diagram Disclosure b ---d- Completeness and accuracy of input must ' be verified by anyone who would rely on a I a < ;._.'_ • '__• ,=� output as evidence of suitability for particular application.Output here based i on building code-accepted design I ° > properties and analysis methods. %�. Installation of BOISE engineered wood • • ( 7- products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum = 2" c= 5-1/2" (800)232-0788 before installation.\n1nBC b minimum =3" d=24" CALC@,BC FRAMER@,AJSTM, ALLJOIST@,BC RIM BOARDTM BCIO, Member has no Side loads. BOISE GLULAMT-,SIMPLE FRAMING Connectors are: 16d Sinker Nails SYSTEMO,VERSA-LAM@,VERSA-RIM PLUS@,VERSA-RIM@, VERSA-STRAND@,VERSA-STUD@ are trademarks of Boise Cascade Wood Products L.L.C. Page 2 of 2 ®Boise Cascade Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SIP Floor Beam\FB01 BC CALCO Design Report Dry( 1 span No cantilevers 1 0/12 slope Tuesday, August 11, 2015 -_- .- - Build 3272 File Name: BC CALC Project Job Name: Hiller Description: 2nd floor girder Address: 28 Thyme Ln Specifier: City, State, Zip:Osterville, MA Designer: Customer: Company: Code reports: ESR-1040 Misc: 10-04-00 BO B1 Total Horizontal Product Length=10-04-00 Reaction Summary(Down/ Uplift) (lbs) Bearing Live Dead Snow Wind Roof Live BO, 3-1/2" 11860/0 670/0 B1, 3-1/2" 1,860/0 670/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 2nd floor Unf. Area (lb/ft^2) L 00-00-00 10-04-00 30 10 12-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 5,968 ft-Ibs 42.8% 100% 1 05-02-00 End Shear 1,999 Ibs 31.6% 100% 1 01-01-00 Total Load Defl. L/566 (0.209") 42.4% n/a 1 05-02-00 Live Load Defl. L/769 (0.154") 46.8% n/a 2 05-02-00 Max Defl. 0.209" 20.9% n/a 1 05-02-00 Span/Depth 12.5 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member Material BO Post 3-1/2"x 3-1/2" 2,530 Ibs n/a 27.5% Unspecified B1 Post 3-1/2"x 3-1/2" 2,530 Ibs n/a 27.5% Unspecified Notes Design meets Code minimum (L/240)Total load deflection criteria. Design meets Code minimum (L/360) Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Page 1 of 2 ®Boise Cascade Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor BeamT1301 Dry 1 span No cantilevers 1 0/12 slope Tuesday, August 11, 2015 BC CALCO Design Report Build 3272 File Name: BC CALC Project Job Name: Hiller Description: 2nd floor girder Address: 28 Thyme Ln Specifier: City, State, Zip:Osterville, MA Designer: Customer: Company: Code reports: ESR-1040 Misc: Connection Diagram Disclosure b Imo- r— d— Completeness and accuracy of input must a I I be verified by anyone who would rely on _ output as evidence of suitability for particular application.Output here based c ` on building code-accepted design properties and analysis methods. Installation of BOISE engineered wood • • C� products must be in accordance with 1 current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum = 2" c= 5-1/2" (800)232.0788 before installation.\n\nBC b minimum =3" d = 24" CALC@,BC FRAMER@,AJSTM, ALLJOIST@,BC RIM BOARD TM BCI@, Member has no side loads. BOISE GLULAMTM^,SIMPLE FRAMING Connectors are: 16d Sinker Nails SYSTEM@,VERSA-LAM@,VERSA-RIM PLUS@,VERSA-RIM@, VERSA-STRAND@,VERSA-STUD@ are trademarks of Boise Cascade Wood Products L.L.C. Page 2 of 2 LAJ Y3 ol� �(b i lAia �-- �S G 1 11io "lJi. I � • t vs � I ji jf j I i ' I I 1 � fii I ! I � f • i F � i i ! { I I I I t • I f (r O c Ices -1���� e_`.>G_C Gql—le—al ✓ y . i r. . s I p G All: CZ,v�ecp `..{ yp���,�' ! V'(' luY' 1 V'�V`t�•` �.�� 49 V ��t�� � �A� � tL�� ��-��� a l4`f "."� e TGrrrn;ix.anctlea�l� rueC/i , Office of Consumer Affairs&Busi6essRegulation Massachusetts -Department of Public Safety . � �LOME IMP ROVEMENT Board of Building Regulations and Standards _legistration 136003 Type: Construction Supervisor _Expiration 5/30/2016. Individual License: CS-078687 BRUCE P.MILLS BRUCE P MMILS=` r 16 CROOKED PONDrlw ; BRUCE MILLS HYANNIS MA 02601 16 CROOKED POND RD. HYANNIS,MA 02601 Undersecretary �� i,� 9511 Expiration Commissioner 05/29/2016 I R r r �a Assessor's office(tit Floor): � .8 u ',. Assessor's map and lot number !J '7 , - ��,��L�® 8� �tll� WIJb �' P 3 s COMPLIANCE Conservation Board of Health(3rd floor): WITH TITLE 5 Sewage Permit number. 33 ENVIRONMENTAL CODE AND s�aser�nt 2 TOWN nEGULATIONS ��sua Engineering Department(3rd floor): / J J a �� o wsr►��� House number Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9.30 A.M.and 1:00-2:00 P.M.only TOWN * OF.- BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 17 r2 C12) 9---�.1S1 (' )O N D EN CA2G;e- 010 NlW. VA r TYPE OF CONSTRUCTION �—Z 19 _ TO THE INSPECTOR OF BUILDINGS: The undersigned her by applies for a permit according to the following information: Lo tion OTC ►J c Proposed Use 1 L l.I 7'7 I.1 E- f l PJ Zoning District / r�--' Fire District Name of Owner 7SA Gk L� 6LDS/Y1 _ Address /n Name of Builder SOC— Address 9 d A Name of Architect Address Number of Rooms Foundation A t 1 R i:U C6AI r' r ETP Exterior IA I 0LZ[ SJ41 N C 1115' Roofing A,•-DNA C-7- >'J I IV 4 bC- Floors C 1-z ig 12 1 Interior j ,A Heating ;�,1�- /Q I Plumbing Al� Fireplace LA Approximate Approximate Cost Area Diagram of Lot and Building with Dimensions Fee S © 1 , OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above co traction. Name Construction Supervisor's License -C T� GOLDSMITH, JACK c� !"d. No 36112 Permit For BUILD ADDITION & GARAGE Single Family Dwelling 'Location 18 Thyme Lane Osterville Owner Jack� Goldsmith " Type of Construction Frame Plot Lot Permit Granted August 23 19 93 140 Date-of Ins ction/�y'/3 Date;Comtatfd 19 14 1- rn D. tE i r PH _. ' ..._.._._._...._._.__ .._. .. .... ._.... .. ------- • 1 4� r \\\\ -i 1 •4'{f� cl } i I - 9 --- -va��•v.oca I , I'' n. r 7� jNl SLor� �11t(•��� ��� u CC,'wlRv�y CClt 1 I ELF 1 C �I _ 0 1+ I i i ®�® T i r gzx 1 15z�l COMMONWEALTH 4 DEPARTMENT OF PUBLIC SAFETY OF f l'010 COMMONWEALTH AVE. �. MASSACHUSETTS BOSTON,MA 02215lug �W� I LICENSE CAUTION EXPIRATION DATE CONSTR. SUPERVISOR FOR PROTECTION AGAINST 94 I EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB 6'n PRINT IN APPROPRIATE 611 /30/1992 <043556 BOX ON LICENSE. NONE _ 3,55 6 °S C 0 T T . E C RO S B Y . BLASTING OPERATORS �30 CROS$Y- CIRCLE MUST INCLUDE PHOTO. SS 11 012-54-6358 mOSTERVIL'LE MA -02655 ar4 i • PHOTO(BLASTING OPR ONL`n FEE: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY I 100 00 �'S j~ HEIGFTT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER .113) cc�� DOB: I �? I ^ sf . 2/13/19 6 2:; i « SIGN NAM�MI�ABOVE .NATURE LINE THIS DOCUMENT MUST BED SIGNATU4. EN:S:EE VVVVVV CARRIEDON THE PERSON OF� J THE HOLDER WHEN EN- O"7� COMMISSIONER OTHERS-RIGHT THUMB PRINT GAGED IN THISOCCUPATION 71 HOME JNPROVEHENI,CONTRACTOR,jt, r ,Registration 1035$2,,k 1=�3 "ti - lr�; � wType�` DBA why hr " EXPiration , 07/09/94`44,A _ 'j�' C�'�,�i, y 34`' �. ; 1�n ♦J_�4t�i Mr31 yi�+'Rhi4{ ...-:•�ri 4 _Jt f•Lam yk1C L� � � _ - - " r. . �����•�.Peacock b Crosby..�Builders , -�.. ,� �-�- -•. - ,.� , . .Scott E ;Crosby ;t ; t •��� 62 Crosby:.Cir. 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