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Home My WebLink About0243 TOWER HILL ROAD �1 i S Of 1NE tp�y I�Vtj g/Z� . �STAB� . Town of Barnstable TT v� � m 200 Main Street,Hyannis,MA Tel.(508)862-4644 s659. �a otEp.MP,�o INSPECTION REPORT Permit: Building -Addition/Alteration - Residential Use: Date: 7/31/2020 2:10 PM Inspector : barrowsd Permit Number : TB-20-2045 Name: LOVERIDGE, JANET M Address: 243 TOWER HILL ROAD, OSTERVILLE Unit No. Inspection Type Inspection Item Status Comment Building Admin - BA-Construction Plans NIC need plans attached Construction Showing Cross Section Framing Detail Smoke, C.O., and Heat Detectors Marked Building Admin - BA-Workman's Comp NIC need completed affidavit attached Construction Affidavit Inspection Overall Comment: Overall Inspection Status: FAILED Re-Inspection Date: Inspector Signature Owner Signature Total Score: 100 a yC OFT ?I Application Number.................... ....—...D...L. + •ARNSTABLE, t„ Ass. B U I LD I N G D E PT. Permit Fee...... ..v./.. f,/.........Zoning District........................ 039.��FD NIA' A � 7/_1/l/20 JUL 31 2020 Total Fee Paid ...........21d............................................... ...... TOWN OF BA MWUSTABLE Permit Approval b On........................... r,, NEED BUILDING PERMIT � / 1/ 4 ^� ..............Parcel......... ..................... APPLICATION Section 1 — Owner's Information and Project Location j o��{ 3 )O�ar- N1, Village � �� a ��Pro ect Address Owners Name Cam' XCL�,, J Owners Legal Address i city Q, State Zip Owners Cell #QQZ--'74b- 009;5 E-mail rV1�S 4�-��o�'O SS�i'�� '► Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family,Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ _. Finish Basement ❑ Family/Amnesty ❑ Fire Alarm' Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Foundation Only Other—Specify i J Clain UCH i Section 4 - Work Description S;CL d4-r- C_ L .) Last updated: I B 1/2020 Application Number.................................................... Section 5— Detail ' Cost of Proposed Construction` oo Square Footage of Project '�'��J15Q -�@ Age of Structure \!CG5 Dig Safe Number r # Of Bedrooms Existing Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6— Project Specifics F,q""Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom I Water Supply ❑ Public ❑ Private • Sewage Disposal ❑ Municipal ❑ On Site i Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7— Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No U Section $—Zoning Information t� Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 1/31/2020 Application Number........................................... Section 9 — Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell # 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.Attach a copy of your license. Signature Date Section 10 — Home Improvement Contractor l Jame Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors 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.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell 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 C�ddthheTlownofBarnstable. Signature Date cq,� APPLICANT SIGNATURE f Signature c 2 Date 7c�- Print Name Telephone Number E-mail permit to: Last updated: 1/31/2020 Section 12 — Department Sign-Offs J3J 1 Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval. Section 13 — Owner's Authorization I, , as Owner of the subject property hereby authorize 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 i Print Name Last updated: 1/31/2020 Town of Barnstable 47hp, W' ti Regulatory Services Richard V.Scali,Director v MAS& �` Building Division Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstabl e.ma.ns Office: 508-862-4038 Fax: 508-790-6230 PERlYIIT# 1 �� FEE: $35.00 SEED REGISTRATION RESIDENTIAL ONLY ..200 square feet or less Location of shed(address) Village Property owner's name Telephone number (( Size of Shed Si acme Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? You must We with Old Kmg's HighwayCn ��? - M&' .+� Conservation Commission(signature is required) r Sign off hours for Conservation 8:00-9:30&3:304:30 r" PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg n xEv:06n0i16 err lgarmC?,e�,e d'1 I • tl0/18/2001 17:25 5084283115 SULLIVAN ENG INC PAGE 02 164 - A di 10 --. IN 175 lz) _ fa0 d1 B CO c ` +. Q�P c IRS I Swelling ... 193 0� 2,43 0.199.4 �j' ............... ..... a-i 0 // / —1ae v F, I _ N r r tA% r D i Z � p R�3 • ,,. AW Pdwd P4 / ..............Q 73-01 o? moo. T 0 w e Town of Barnstable DIME Regulatory Services �" � 1•� Thomas F.Geiler,Director Building Division TOWN OF BARNSTABLE n�tivsr�is, , v� 1 `�g Tom Perry,Building Commissioner 1�� 2 P►41 3: 5 S '°�3t► 200 Main Street, a Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 F - ^iF" - Approved: ill Fee: �� -O Permit#: a 3 HOME OCCUPATION REGISTRATION Date: Name: VSS �(� �a d tiCi'( Phone f t ` Address: e� 3 I a T w P,' ��• �� l�V-illage: Name of Business: 1 ' ( U l E- Type of Business:- [-)AxiVZ,TI/L- Map/Lot: J ! _ Cq 2 INTENT: It is the intent of this section to allow the residents of the Toiim of Barnstable to operate a home occupation vv itlnui single f<lmily 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 in 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 carried on by the permanent resident of a single family residential dwelling unit,located vv2thin that dwelling unit. • Such use occupies no more than 400 square feet of space. • There 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 generatedui excess of normal 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 materials,or flammable 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. • There is no exterior storage or display of materials or equipment. • There are 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 sliall 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 in the Customary Home Occupation who is not a permanent resident of the dwe t. I,the undersign ,lnav a ai n tl restrictions for my home occupation I am registering. Applicant: Date: 3 7� Honneoc.doc Rei%01/3/08 • `j YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.I... -.it does not give you permission to operate.).You must first obtain the necessary signatures on this form at 200 Malin St,, Hyannis. Take the completed fonrn to the Town Clerk's Office, is Fl., '.3 67 Main St., Hyannis, MA 02601 (Town Flall) and grit the Easiness Certificate that is . . required by law. DATE: Fill in please: APPLICANT'S YOUR NAME/S: Re/sScu— A-G o(/G/a r� BUSINESS YOUR HOME ADDRESS: 7 2¢3 t TELEPHONE # Home Telephone Number 5 .,.. f .w; ... :..w...v....w,w.....vy* ,,....,. ;„ ... n: .:, ...,++. ,..'' 3`a'YNc.y.{ii..: _k �•. ,�'„5 R$ 'k; Y ,, x , , ..x:�•d> , `. ., .� ...-x:y •,,, ,. <.r. ,5;.>.nc �_.v, 5.r �•°;+ :. '' ++.:. 'ut .u....,.:,fi0.fii„�. ercfs,. +.x Si,:N •5` ,nw"�..wa'h-nes ' w-^.5�.., 1=CORP.ORATI®N. �/V K � �� k � � �x � �� NAMED _ _ , ... .: x, _ x .. ,. .. a . .. .:. ...M � :<. ,."...,. . }:nx A z;?I�;erd`s•a,. {r`'a.MCr", ..<<:?;'h:., .+,t,...aC.,: _ '4:.<::� ...,,r .k..- f.t +3 .._ ''". ... eC.8' .. ... fv'.N:r ....S:r :5,,` s P..,.4 •v !/�`t1v.:5,: � BUSINESSS /j'1 /die l/ST rI�OL-I��i-d. �� TYREOF,BUSINESS .NAME Y -. < x < x s: q s 4y"� v'KL". i ;;:N,:^ THIS OME..00CUP ION � ff� YES �I BMNQ�� ; y y p w., Y " a. R ' IM ...«.....a£+.:� ss5.&sv�.�� s. � +as v�' " v: '2 3 h H/[ �.Q/� utt.�.G P/PARCE IN ER nESS,OFBUSINESS ?bw£.� E � .�/i-+4UMB When starting a"new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSIO ER'S OFFICE This individ al h s Mint e of ny permit juirements that pertain to this type of business. Au on . S' Ft6re* COMMENT8. 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature*.* COMMENTS: OFTHE 1ph, Town of Barnstable U+P Regulatory Services 9 STABLE, �� I Mass. Thomas F. Geiler,DirectorV�// A,16 39. tee Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 May 30, 2007 Mr. Russell Klabough 243 Tower Hill Road Osterville, MA 02655 Illegal Apartment: 243 Tower Hill Road Osterville, MA 02655 Map: 118 Parcel: 092 Our records indicate that your house at the above-referenced location is currently being used as a multi-family home, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. Sincere , ��¢ - Gam_..•_. da Edson Amnesty Apartment Investigator Building Department gforms:zoning3 e f - ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map f�fL7�l t! l 5 Parcel v _q Z Permit# l—/��Z/ � Health Division 2 02oo —W Date Issued Conservation Division r, S o © Fe Tax Collector J, f Treasurer 4 ? D SYSTEM STEE WSTALLED IN CDMPLIANC,E Planning Dept. A4t V=TITLE 5 �,:,.�".-23'�f•�L COS �^'"` Date Definitive Plan Approved by Planning Board Historic-OKH &,h Preservation/Hyannis Project Street Address Village Owner /T ySS K1_"s-sg0�ti� Address Sa Telephone :� ��u_ �� 3-21 Sf Permit Request �nc3r�/�� ti.c ,�CoL/ �p ,.grno�� 'n T:,�� P�Sur , �/�� c E' rig iS�% •►c�r) -�Pn�•i'7 r / / ✓ l/ �q✓7j iy1/»S �l (1 YlPhi El,a -oc�Jc/`c".�J`,'l�� ..4 1 ne/��/ N�c�f�r/ — YpA/GCL' f' J�/S /�►�, Si'1 RNn�GCt 64k'rrer� +t i`/V GSw� 11n i'�h/l F'rt"C7YlC c7L1/�' .��ti�hoSl (/ �/1 TS yS N� �,1•� c o / -771 � Square feet: 1 st floor: existing proposed 0 2nd floor: existing proposed d Total new Valuation �2400 Zoning District Flood Plain Groundwater Overlay Construction Type b2 X Lot Size_ 1 1000 S9 4 f Grandfattiered: ❑Yes ❑ No If yes, attach supporting documentation. t, Dwelling Type: Single Family Al Two Family ❑ Multi-Family(#units) i Age of Existing Structure S--4Xk9 Historic House: ❑Yes XNo On Old King's Highway: ❑Yes CYNo Basement Type: Cl Full O Crawl .Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new a Half:existing nnew Number of Bedrooms: existing J new d Total Room Count(not including baths): existing 7 new First Floor Room Count Heat Type and Fuel: AGas O Oil ❑ Electric ❑Other Central Air: ❑Yes �LNo Fireplaces: Existing j— New 0 Existing wood/coal stove: Cl Yes %No Detached garage:O existing ❑new size Pool:❑existing O new size Barn:❑existing ❑new size Attached garage:j kisting ❑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 C_ K _ 4,_ZA D� Telephone Number 6z9. �Z0—;72_10 Address om /L L e License# 6 S S! Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULT G FROM THIS PROJECT WILL BE TAKEN TO /-,;, 11),4 // �Z, SIGNATURE 7 DATE 2 — I G — d 4 FOR OFFICIAL USE ONLY PERMIT NO. ; DATE ISSUED ; MAP/PARCEL NO.' ADDRESS VILLAGE - OWNER - r DATE OF INSPECTION: FOUNDATION _QZ FRAME &l]46Y 3 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL ; GAS: ROUGH; *—; . FINAL FINAL BUILDING ColS1o70' ,r ` c 1 DATE CLOSED OUT ; •'t ra ' t ASSOCIATION PLAN NO. i The Town of Barnstable SrASM Regulatory Services �'°reo►��' Thomas F. Geiler, Director Building Division Ralph Crossen, Building Commissioner 367 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"reconstructiori,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 notmore 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: Estimated Cost �2-000 S Address of Work: 2-4 3 TO m / iLL AZO/fj) Owner's Name:, VSS� Date of Application: 30 7 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law E]Job Under$1,000 []Building not owner-occupied �bwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Resgistration No. 16 Date Owner's A ame q:forms:A ffidav The Commonwealth of Massachusetts y . Department of Industrial Accidents - ,� �==� � - OIBce of/m�esl/gadoos _ 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit i name: S s f•L 0 LC location CitV I Z hone# 740 J I am a homeowner performing all work myself. I am a sole rietor and have no one workin in anv am %%/O2 x x x x x aI am an employer providing workers' compensation for my employees worldng on this job. : :. :: ::::::. :: ::::.:.::.::.::.::.::::..::.::.::.::.:.:.:.:::::.:::::::::::::::::::::::::::::::::: `>apanlr nam .......... 6 hon ............� '? % 'i i`?2i i i i:..: >"oiicv itisiiratr ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers'compensation polices: n t70111D ay X. d iress. .:..:. .. ::::.::.:............::......:.:. ::::...,.::: t n: ...................:.Pi:•is�iiiii:>::•i::i:•:??•i::i:-:-i:?•i:::i:;:ih:ji::i::::.::i::)::`:s::ii:.•:::is�ii:::�::i::ii::i:::::�i::i::::i:L>l:i::::ii:::i:<::iii:?•i:•n• '...... R. `in h :.:�; +M ao.. ................... ...:..n............................. .:..:. ....:................. ....v. .... .. .:::. ::w:•:n�:..r iii:•i:i•i:•i :•.�:::iiiiii:•i:•i:•::..::.. S..�{ :6rkr:,.•::::::: ..}::•.................................r ...........................................................r.....C.......................................... an X. XXXi ``tiltb :<».. �i. FaWQe to seeme coverage as required mmder Section ISA of MGL 152 can lead to the imposition of criminal penalties of a Ste up to$1,500-00 and/or one years'hnprbomaett as weII as civfi pcoalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against rue. I understand that a copy of this statement may be forwarde/d�to the/Oflice of Investigations of the DIA for coverage verification. I do hereby c paifis� fit es ofJfiry that the information provided above is trup and correct Date i _ 30— 0 _ Sigtiatnre D Print name 1��,�< c t 7,, �l)y(f� Phone# c) . �7QG — 32�5 official use only do not write in this area to be completed by city or town official city or town: permit2cense# ❑Building Deparbnmi ❑Licensing Board Aw ❑checkifhmnediate response is required ❑Selechnen's Office l _ ❑Health Deparbneot contact person: phone#; ❑Other or,iW 9195 PUU j° 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 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,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 is Please fill in the workers compensation affidavit completely,by checking the box that applies to your situation and address and hone numbers along with a certificate of insurance as all affidavits may be supplying company names, p submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign an x{ date the affidavit.. The affidavit should be returnedto the city or town that the application for the permit or license is a .r,K ti. being requested,not the Department of Industrial Accidents.. Should you have any questions regarding the"law"or if you s' 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 cumber. The affidavits maybe rerornod t� the Department by maul 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 call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Investigations 600 Washington Street Boston,Ma. 02111 fax.#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 Building Permit Application Addendum RE: Basement renovations at 243 Tower Hill Road, Osterville Description 1) Replace existing non-load bearing partitions(minimal 2x3 construction with 3/4" T&G pine)with studded/sheetrocked partitions in part of already finished walkout basement. (see attached plan) 2) Install new partition on part of exterior wall in bar area and utility room(2x4 with R-19 insulation). 3) Install new pocket door between bar area and boiler room(30 X 80) 4) Install new door into bathroom—pocket or hinged (32 x 80) 5) Install new doors into utility room(32 x 80) and bedroom(32 x 80) 6) Build closet in bedroom(48" sliding doors). 7) Install wet bar—install cabinets, replace existing sink, install dishwasher 8) Install electric outlets, switches, ceiling lights as indicated on electrical plan 9) Replace 4 small basement windows with vinyl replacement windows 10) Plumbing to be performed by licensed plumber I ■■■I ■■■■■■■■ ■■■■■■■■■�■■■■■■■■■■■■■■■■■�■■■■■■ ■■■■■■■ ■Mom■■■■■■■■■■■■■■■E■■■■■■■■■■■■■■■■■■■■■■■■ moor BEE a 0 ■■■KEEN®■EEN I■■■HMMMMMM■1■■MM■■■■■■■■■■■■■■■■■■■■■■■ ■E■r' ---.-- . .,■OOM!/101■Mw�wwa�w!iMNil/ir�aNM■■MMM■I■NEMR'!■■■ mom on ■■■■ mom■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■OI■IL�J■L�!llil■'> >Y■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■w■�Il�r.�w �wwNt■1■■■■■■■■■ ■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■�Gl��f�ill■[�■■■■�1■■��■■■■OA mom■■■■I■■■■■■■■■■■■■■■■■■■■■■■wwawuw NMI MENEM llo Lim MEMO ;� - �� ,�� I rt - ■■ simmmomm F O1 ■1�1IMMM�11■—I ✓ 1 �!�awl■ mom in ■■■■■■�■■■■■■■III IM MI I1 H IS�,►a=■III■�l�w}■II■ � I■ _ III■■■ 1 ■■■■■■■I,11 , 'uc11 2��1�111.1 -�n� lTl�■■7■r��■■■ 1 - ■■■■■■EI lll�l ■E■■■■■■■■■■■■ _ 111'A�MlO1= I■■■■■E■fl!� IIr■■■■■■■■ ! ■■■■■■OI ■■■■■■■■■■■■■■ I If�iiiWl■1 i■■■[`9■1211�..! 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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 um' ection ce ure a quirements and that he/she will comply with said procedures and r uire en . ignature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control.. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:fomms:homeexempt TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map rf 2 Parcel Application# C)v 0 G 0`T a'Q 0 Health Division Date Issued. 0�7 Conservation Division Application Fee S V✓ Tax Collector Permit Fee Treasurer ��/��/�� Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address i+t LL, Village �S�S�l l t G (Y`a Owne"ti- G k-LA4! Address aq{, _1 I.A.M�� ep Telephone �U2i-__7 4b-b Q91 Permit Request TZj LGr,-,&Ds1 k.►Tce� it-e 7��r�,.,l, 2�-s,� Yaue ,i+�c �� — ► �� =_r�l A� w l t �,��►....cam r�►►.aoz�.�s Gr.� �� ux� Square feet: 1st floor:existing '3t(M proposed 2nd floor:existing — proposed — Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3S� .X1��Construction Type wUchb mb Lot Size U.3 }ASS Grandfathered: N Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ ' Multi-Family(#units) Age of Existing Structure S-? Historic House: ❑Yes 90o On Old King's Highway: ❑Yes '�Ao Basement Type: ❑ Full ❑Crawl �IWalkout ❑Other Basement Finished Area(sq.ft.) 2)CD Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing (0 new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: 5'Gas ❑Oil ❑ Electric ❑Other Central Air: ZYes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes VNo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:lrexisting ❑new size 010.A i S Shed:❑existing ❑new size Other: i N O Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# _ Current Use roposed Use BUILDER INFORMATION 1-- co Name f?i,ss,// Telephone Number leg Addressa_ �_R �e�L i�� , License# �lr� Home Improvement Contractor# ti�X1, Worker's Compensation# ALL CONSTRUCTION DEBRI ULTING FROM THIS PROJECT WILL BE TAKEN TO e49n_.ST4.ee_6 �Ot c�►�P SIGNATUR DATE FOR OFFICIAL USE ONLY • APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ti .K DATE OF INSPECTION: . FOUNDATION FRAME ' INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL T PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT. s ASSOCIATION PLAN NO } The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organizatiordlndividual): 0SS f(,. KmA - Address: 21 6 e� 1 ; / Ao'd City/State/Zip: _ (--c r Phone#: �U(Q/ � �� 72/(O Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. $ 7• Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3. I am a homeowner doing all work right of exemption per MGL I I.❑Plumbing repairs or additions myself [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.] t employees. [No workers' 13.0 Other `'•� comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of t DIA for insurance coverage verification. I do hereby ce ti n e the ins n en lti s erju that the information provided above is true and correct. Signature: Date: // U Phone#: ��CJ .��y 7 ' U 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 TNE Town of Barnstable DF �� Regulatory Services i + BA BLE. f Thomas F.Geiler,Director RNSTA + y MASS. g 0o s6g9. .0 Building Division ATfD �a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION /I '0—7 Please Print DATE: _ JOB LOCATION: 1O(/L" (l i— C)3 1�C�6✓/l+l� number street village "HOMEOWNER": q. I—WUC4 '5 0&420_7 Yo S-e) %" 21< name !!�� 4 ,, home phone# work phone# CURRENT MAILING ADDRESS: .L— G 1ed r2s-t-r--vi lie 021 city/town state zi W—coe 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. ®reo d"h eow er"certifies that he/she understands the Town of Barnstable Building Department cti o d s require nts and that he/she will comply with said procedures and wner 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 i The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt •1 V TT 1.1 V 1 i.►K1 iLP L-a.atJav "�. . Regulatory Services Thomas T,Geiler,Director Building I)ivWon Tom.Perry,Building Commissioner. .200 Main Street, Hyannis,MA 02601 www.towA,bzrnstable,ma.us. Face: 508-862-4038 Fax; 508-790-6230 permit no. Date ' r AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION MGL c. I42ArequiTes thatthe"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. z'► )e- timated Cost0U0 a EsT e of YJork CL— �S l Address of Work:. To Oyyner'sName: S CJvC Date of Application Z� Z —U 7 I hereby certify that: Registratign is aot required for the following reason(s); ❑Work excluded by law [jJob Under$1,000 QBuilding not owner-occupied Owner pulling own permit Notice is hereby given that: oyMRs PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTYFUND UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner; Date tractor Signature. Registration No, Date Q. files.fflrrns;homeafpdav Rev: 060606 T&DJe d3:=-1D.(ooatsaned) ?mcriptive Packages for One and Two-Family Residential Baildlags Rested with F'oanl Foels MA fMIlM MMIMUM Glazing Glazing Ceiling Wall Floor Baserneat Slab Heating/Cooling Area'('>a) U-value= R-valve' ' R-value' R-Value° Wall perimeter Equ=cm Emdeacyp Pa 'eiage R-value' R-valve' 5701 to 6500 Heating Degree Day:' t 12V. 1 0.40 1 38 13 19 1 10 6 Normal R 12% 0.52 1 30 19 19 10 6 Normal 5 12% 0.30 1 38 I3 19 10 6 85 lE T Is% 036 38 13 25 N/A NIA Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 NIA N/A 83 AFUE W is% 0.32 30 19 19 ]0 6 85 AFUE X 1 S% 032 38 13 23 N/A N/A Normal Y 19%. 0.42 38 19 23 N/A NIA Normal Z 19% 6.42 38 13 19 10 . 6 90 AFUE AA i m 0.30 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: ` oc, nip 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 126 3. SQUARE FOOTAGE OF ALL GLAZING: f 2_ 4. %GLAZING AREA(#3-DIVMED BY 02): 0 5. SELECT PACKAGE(Q—AA-see chart above): LZ NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS WoRMATION. 4 r-,2.v� ��`r yes i � f i s /r�rrti �i i�(�tr • ��/>�S 60 r t;-u 1f/614�- BUILDING INSPECTOR APPROVAL: YES:. NO: q-forms-®80303 a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION .r� /�GJ D�,T > Map Parcel v (. .2 - Gloss Oft- Application# Health Division k� Qer V" . Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address -43 / U n -L,L-C_ •>/a-i) Village c l LLB Owner C!v>�� pj^; �- l/��Address 2�.� 7—G�S.e-- / L� Telephone ermit Reque t % ✓P/h oA f q K e v+ `►�C ,;.� ►'ti ►'� - S Zpe kc f ? C/ VL I',,%do w Square feet: 1 st floor:existing proposed �y 2nd floor:existing proposed Total new Zoning District Flood Plain //0 Groundwater Overlay Project Valuation�2 S 00 D Construction Type jNvGnal j— ih ri Lot Size 0, 3 Icp-,E S Grandfathered: XYes ❑No If yes, attach supporting documentation; J _ Dwelling Type: Single Family Qff Two Family ❑ Multi-Family(#units) Age of Existing Structure 5_7Historic House: ❑Yes gMo On Old King's Highway: ❑Yes 5r-No Basement Type: ❑Full ❑Crawl X`Walkout ❑Other_ +i - U0 Basement Finished Area(sq.ft.) ROO S G 4; Basement Unfinished Area(sq.ft) Number of Baths: Full:existing 2 new Half:existing new Number of Bedrooms: existing new o Total Room Count(not including baths):existing new 0 First Floor Room Count Heat Type and Fuel: X Gas ❑Oil ❑ Electric ❑Other Central Air: NYes ❑No Fireplaces: Existing Z New V Existing wood/coal stove: ❑Yes LVo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:)fexisting ❑new size2y. x/ 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 /G Name l�S �`t � l//u-PO4A--Q.,— Telephone Number Pe — Address License# N� OS l z'1 LLB , /vvfi 0 Z d S-) Home Improvement Contractor*# Worker's Compensation# /V/_�, ALL CONSTRUCTIO BRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE - off' 23 iU 77 r FOR OFFICIAL USE ONLY PERMIT NO. - DATE ISSUED MAP/PARCEL NO. j ADDRESS' VILLAGE OWNER } DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL: PLUMBING: ROUGH FINAL' GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f l TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel l [ Application# Health Division Date Issued /O, Conservation Division Application Fee (/ Tax Collector Permit Fee Treasurer / Planning Dept. co Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Owner Address Telephone s — 7 ,f — �3 Permit Request �:AI,S d L-AfTf' qL �(� S�P��i�c�� C/Ps ks �� Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation S n 00, C,C 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 J"' oQ Historic House: ❑Yes 6No On Old King's Highway: ❑Yes &-No Basement Type:A Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing 2 new Half:existing new Number of Bedrooms: existing _ new o 0 rn Total Room Count(not including baths):existing new First Floor Room-Ctount co f.- �` co ro Heat Type and Fuel: g[Gas ❑Oil El Electric ❑Other �, ZZ A, Central Air: 4Yes ❑ No Fireplaces: Existing New Existing wood/coa stove: 5 Yes 5'No co Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑e sting cRew Rig Attached garage:CSrexisting ❑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 (/S S (a Telephone Number Address Sw,. P a R 6trC License# iK c Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTIO RIS SULT G FcIOM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE , FOR OFFICIAL USE ONLY y APPLICATION# DATE ISSUED T' MAP/PARCEL NO. J ,_ r . ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME (cam�40V� r . o � INSULATION 4)8)08 T FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH- FINAL r ' FINAL BUILDING S u e k. DATE CLOSED OUTL ASSOCIATION"PLAN NO. Tp ' i;. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electriciaus/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): S ci Address: — w'D'"� r'• l� �d City/State/Zip: Us ►-,� P , / o �Phone.#: S 7 4-0 —3 �'� �j¢- S Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction . employees(full and/or part-.time).* have hired the stab-contractors ..2:❑ I am a'sole proprietor or partner-' listed on the attached sheet. 7.V Remodeling ship and have no employees These sub-contractors have g. ❑Demolition workingfor me in an capacity. employees and have workers' Y P h'• # 9. ❑Building addition [No workers'comp.insurance comp. insurance. 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ P 3/6,I am a homeowner doing all work officers have exercised their I LF]Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp. insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.M 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 tip 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 InvestiLyations of thcJXA for insW3nce coverage verification. I do hereby c"u� ;et* a es of perj that the information provided above is true and correct Siznafore: Date: 2 i Phone#: 7 r Zt,^ Official use only. Do not write in this area,to be completed by city or town officiaL I City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their.employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house.of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(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 Rzth 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 or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said persons 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 Revised 11-22-06 Fax# 617-727-7744 www.mass.gov/dia i OptME rqy, Town of Barnstable " Regulatory Services BARNSfABLE, Thomas F.Geiler,Director T MASS. g Q3A 1639• Building Division rED MA'1 A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE LICENSE EXEMPTION Please Print DATE: 2 _t_cq / l JOB LOCATION: f ` J +ti'Q ('I �Lf ` ber stree village 3 "HOMEOWNER": 4�Wn4�ce 7 OY name home phone# work phone# CURRENT MAILING ADDRESS: SGivr•cP 0--C ci 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 peirrrit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. Ae . d"homeo r"certifies that he/she understands the Town of Barnstable Building Department cti p o d •es and requirements and that.he/she will comply with said procedures and Si ture of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such . work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt �ry pFTNE Toy, Town of Barnstable Regulatory Services sn M t e MASS. � Thomas F.Geiler,Director y nss. � �p i63q. �0 rEo►�►tA Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Properly Owner Must Complete and Sign This Section If Using A Builder as Own e of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this buil ' g permit application for: (Address of ob) 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:FORM&OWNERPERMISSION 11 f �� 1 �►— GI � U�/�/ �� 11q p� Iv.po � l�Sl/�u'�(/ 1 v� Al Zj' A � / t. 1 M 7,4 N �� oF1NE, Town of Barnstable Regulatory Services anxrasrasc.e, v suss. g Thomas F.Geiler,Director qjA i6g9. �0 �fn-39. ° ]Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 May 8, 2007 Russell Klabouch 243 Tower Hill Rd. Osterville, Ma. 02655 RE: 243 Tower Hill Rd. Map : 118 Parcel : 092 Dear Mr. Klabouch: This letter is to follow-up on an application submitted to do work at the above referenced address. Unfortunately, the application is not approved at this time due to the open permits already on the property. You must finish the projects already permitted before this office will issue another permit. If you decide, at a later date, that you wish to go forward with this project you must apply again and provide the necessary documents. If this office can be of any further assistance please do not hesitate to call. I may be reached at (508) 862-4034. Sincerely, y L. Lauzon Local Inspector Q:zoning5 parcel Detail Page 1 of 3 Ap"/0, tw AOe'.!�G%er2:1Cr�<.. �'r4"r�� ....,��....��r'�,a.^��• Logged In As: Parcel cel Detail Wednesday, M< Parcel Lookup r Parcellnfo •---........................_......_._....-._.---...--............._............_._....._..._............---............................_._....__._.. ..........................._.._...................................-------......... Developer ......_.._...__._...__..._._..__...... per r Parcel ID j 118-092 i Lot! Location 1243 TOWER HILL ROAD I Pri Frontage'185 j Sec Sec Road 1 Frontage ............._..............----............................._.._..-._..._........................._ ........................._..........I ......................_....................................... village OSTERVILLE FireDistrictC-O-MM ......................................__................_... r-.....................................:.._......._................................................................._............................................................................................_:.............. i....................................................................... ........................ Sewer Acct Road Index 11729 Interactive Map :,� �� .. ��. Owner Info ... ...... .... .. .. .. .. ................................................................_... _ .-....._..........._......_._.................-- . ........................................................ ................................... Owner LOVERIDGE,.JANET M & Co-Owner KLABOUCH, RUSSELL R ......._...._......._.................................................................................................................................................................................. Streetl 1243 TOWER HILL RD I Street2 City OSTERVILLE I State MA zip 102655 Country Land Info " ._......__._._...... _-— ......_._.._..— --..._.....__......._..._._...............__.._...................-._-......_............................................._........_..-.__.._._.........................................-_........-'--...._......................._.._ Acres 0.30 Use Single Fam MDL-01 I zoning RC Nghbd PF06 Topography�evel �-�� I RoadPaved Utilities Septic,Gas,Public Water I Location !Lake/Pond Front Construction Info Building 1 of 1 1950 Gable/Hi Wood Shingle BYear uilt _......_... _.._.-.I St u�f _._-....._. p_ Wall g '• .Effect 1259 I. Roof Asph/F GIs/CmpAl- None I Area Cover Type ......_. ............ ....... .._...... ...__ Int 99Bed style Ranch I wan Drywall 1 Rooms 3 Bedrooms Model Residential Int Bath I Floor Rooms 2 Full I Grade Average I Type Hot Water I Rooms 5 Rooms ^http://issql/intranet/propdata/ParcelDetail.aspx?ID=7125 5/30/2007 Parcel Detail Page 2 of 3 .............____._.._..._...................__.__. Fuel ation............_...._._........... __....... Heat Found T............._........_..._:_....._._........_............. h} _ Stories 1 St0 Oil - rc 1- ry I ypIC81 ,a Permit History Issue Date Purpose Permit# Amount Insp Date Comrr 8/26/2005 New Roof 86800 $8,000 2/19/2004 Remodel 74816 $2,000 7/19/2004 12:00:00 AM Visit History ..........--....._...._._............................................................................................................................................................................................................................................................................................................................................................................................................. Date Who Purpose 11/21/2006 12:00:00 AM Paul Talbot Drive by inspection only 4/6/2006 12:00:00 AM Paul Talbot Mea./List Bldg Permit Only 7/19/2004 12:00:00 AM Martin Flynn Mea./List Bldg Permit Only 10/3/2002 12:00:00 AM Paul Talbot Meas/Listed 12/23/1998 12:00:00 AM Donna Dacey Meas/Listed Sales History Line Sale Date Owner Book/Page Sale P 1 8/23/2005 LOVERIDGE, JANET M & 20183/106 2 4/17/2002 LOVERIDGE, JANET'M 15058/162 3 CARPENTER, WILLIAM H 791/578 - Assessment History _..............._....__._...................__....._.........................__....._.._........_......................................................................................................................................................................................................................................................................................................................... Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2007 $114,300 $12,600 $0 $438,700 2 2006 $110,700 $12,600 $0 $439,200 3 2005 $101,300 $6,000 $0 $364,400 4 2004 $82,400 $6,000 $0 $331,300 5 2003 $70,800 $12,100 $0 $121,900 6 2002 $70,800 $12,100 $0 $121,900 i 7 2001 $70,800 $12,100 $0 $121,900 8 2000 $55,200 $11,900 $0 $43,000 i 9 1999 $53,700 $11,600 $0 $43,000 10 1998 $53,700 $11,600 $0 $43,000 http://issql/Intranet/propdata/ParcelDetail.aspx?ID=7125 5/30/2007 Parcel Detail Page 3 of 3 11 1997 $81,500 $0 $0 $37,200 12 1996 $81,500 $0 $0 $37,200 13 1995 $92,300 $0 $0 $46,500 14 1994 $87,500 $0 $0 $41,900 15 1993 $87,500 $0 $0 $41,900 16 1992 $99,700 $0 $0 $46,500 17 1991 $102,700 $0 $0 $93,100 18 1990 $102,700 $0 $0 $93,100 19 1989 $102,700 $0 $0 $93,100 20 1988 $53,100 $0 $0 $53,900 21 1987 $53,100 $0 $0 $53,900 22 1 1986 1 $53,100 $0 $0 $53,900 Photos • p Au 1. l a. t ht,p:Hissql/intranet/propdata/ParcelDetail.aspx?ID=7125 5/30/2007 d t'? �+`,. >tT.�r s :,�-�k �`•"y`i i�II � .1•,vff!..ir�.^Y O�� l �� rnstable--.�� AM p lc� ~ De artment F1A8& / i S t \ ► av ��,�4� •fit t O4�.ti.-f!.+ ivision P�,�/---A-McKcan,CHO D ❑ n N to c I oL � L m c v „ <,r„, e: ❑ 0 C Per U tt-TI. 5 for each Z n C Z Z Z D ; [2006 Partial Year Fee S40 M 3 Q O p0 a each add't unit] ❑ m m XOL 3 �_ Sv N eqr„e ov�cl e.� O I m Q O 6 N p Q000M :EO OON5 0000 o 3 pp D a j ? C O O (D (D N O N C p (Q U N � z; a' 3 to a rn m cn m v °'. W . m o' m m m m �- m i o' mwc W o � M co _ Q p p c c = , Osp_ CD u) z a) n U CDCD to 1-0 CCD 3 _0 Z o(c 0 o n o ° IE� v n >� 3 O Io 'a 0 = 3 (n 0 m D D r � m lweUingunit? 2 z m N irtment? I I -- i he rent unit?. 3 i Yes No . y Yes Pe � cam'sSigna s Town of Barnstable *Permit# b Expires 6 months from issue date Regulatory Services Fee Thomas F.Geiler,Director Building division `� G Tom Per CBO Building Commissioner AUG 2 6 2005 200 Main Street,Hyannis,MA 02601 TOWN OF BARN www:town.barnstable.ma.us $STi4BL6 `Dice: 508-862-403 Fax: 508- 0-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint -© --� Map/parcel Number C1z - �,f Property Address t (ji C V L Ic I Residential lue of Work 060 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Due llijac Contractor's Name (, V CO L7 C Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Che one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance n r Insurance Company Name �Cc Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ZRe-roof(stripping old shingles) All construction debris will be taken to "s'L ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home ve a is required. ' r SIGNATURE: Q:Forms:expmtrg Revise071405 Results, Page 1 of 1 Dome Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City,Name, or License number Select Search type: r AND r OR "Seacli'r Search Results Reg. No. Applicant Street 11 City State Zip Name ITitle Exl EMMANUEL 286 SANCHEZ, SOLE 145356 CONSTRUCTION STRAWBERRY CENTERVILLE MA 02632 HECTOR PRO 1/1 HILL RD. Total of 1 Records matched. Back to Home Page BBRS Privacy Statement I http://db.state.ma.us/bbrs/hic.pl 8/26/2005 P.O. Box 311 M 7: E 508-367-1679 Centerville, MA 02632O SsTR" ' C f p; Fax: 508-790-1856 PROPOSALS MITTED O: J PHONE: DAT J . V ; C9 — STREET: l' O r JOB NAME: JOB#: W v l CITY,STATE and ZIP COD JOB LOCATION: ARCHITECT: DATE OF PLANS: JOB PHONE: We herebysubmit specifications and estimates for: VAT - u Ve propOe hereby to furnish material and labor-complete in accordance with the above specifications, for the sum of: dollars($ nc, Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike Authorized manner according to standard practices. Any alteration or deviation from above specifi- Signature cations involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes, Note:This proposal may be accidents or delays beyond our control. Owner to carry fire,tornado and other necessary insurance. Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within days. raFndcceptance of Pro pogal-The above prices,specifications conditions are satisfactory and are hereby accepted. You are authorized Signature: do the work as specifie Payment will be made as outlined above. Date of Acceptance: t ��.r Signature: Project: 243 Tower Hill Road Osterville Kitchen Remodel Owner: Russell R. Klabouch and Janet M. Loveridge Proposed Remodel The existing kitchen of approximately 103 sq. ft. to be gutted to the studs. One of two doorways to be framed in and all covered with sheetrock. Existing double-hung window to be replaced with Anderson double-hung or equivalent. Also, 5 other double-hung windows on first floor to be replaced with similar sized Anderson or equivalent. Existing 30" double hung window on the rear in the master bedroom to be replaced with two 30" or 36" windows, mulled together. Insulation to be installed in all walls (R-13) and ceiling (R-30+). Ceiling to be raised from 7' 6" to 8' 9" (see attached pictures/description). Kitchen to be rewired— separate Electrical Permit to be filed. Ceiling lighting as well as cabinet/under-cabinet lighting to be installed New cabinets and countertops installed Plumbing redone for sink; dishwasher re-installed; plumbing to accommodate icemaker in refrigerator New floor covering to be installed— likely bamboo or similar. Gas line to for range is pre-exisiting and does not require relocation. New exhaust hood to be installed with external venting. ExisitnlZ Construction - All joists and rafters currently 2 x 6 on 18" centers - There are no rafter ties - Front exterior wall in area of kitchen is recessed about 18" from edge of roof, therefore a 16" cripple wall was built on top of main double-plated wall to carry roof rafters r" Frl 'xNv a di�( z lr Y-ti'�I4Y it i� � K t - k } id ? f 3 Proposed Construction - 2 x 8 ceiling joists to rest on top plate and fastened to existing rafters with Simpson ties - Additional ceiling joists to be added to maintain minimum 16" OC - Upper plate of cripple wall to be doubled-up - Cripple wall to be tied to lower wall section with 36" Simpson ties to strengthen "hinge-point" - Strapping to be applied to ceiling joists 16" OC - 16" cripple wall to be constructed on each side of room to accommodate new height of room - Existing window to be replaced - Existing door way to entry foyer to be closed in; existing 30" doorway (no door) to hall/dining room to remain L V Jf. :.t' dPdP V k. Proposed Construction — Interior side under ', 4 i - A 4 x 4 post was laid horizontally on top c over bearing wall - 4 x 4 posts were place vertically to suppor photo); 2 x 8 bracing was attached to roof notched to support bracing - A double 2 x 8 ledger was nailed and scre, posts. - New ceiling joist attached to ledger with j( to ledger on top surface with Simpson `T' - The existing ceiling joist to be cut off as sl - Strapping will be attached to ends of cut-o be built on the one interior wall, lowering current 7' 6" New ceiling height to be 8' 9". A iP 8 Duc) S�~� B 8 w b 11 13 � BUST TO 4'4 1/4"x Z-10" TO A3 lowf/Z r FYI.t tt�t��•� �I} �� +u� I :� �� I'i ram-"" ,...rti��E3� x.�l rs. �-/ f �, '�.� i+f+'}vy, tr,t ♦ �•. •. t l I3F IS' ) U,'R EiI RU, Iry�H�3 K �r"� tI'J. ."-,�.1. -�"','. 5�. a ?• , "y" jfr�.,. �.✓{' .1. �t LOT X co DBA 1-7� 1,,1-i' �7 [] p T� /v�^y f (.- r r't�'A� •.�,-�� +{y1,'aR'' 1•�40* �-.y�7'�PERM TT' - T' �c'et�T y 'i1��'4h'£(,.{{1tVt��,+�-y -�j�`'T�.L'r�{r.�LlJ �1'1.11'V !r6[�G �.rF.��.•,+1�73ki Yv AG 1Y"J'.[S IAV Ti�R /i�1,b ,' PER :\.�I L.t, 3.i1 "L�.C1F�1"102J '-J. '1.1.Y !l�y�'' 0. .4�i(y' r�,•t.}t.'IAVr A.'11,�'nJ�1.�LV,:Y ip 1??f h Ft ..S r CO`` TRA�N,�� s` R pERT3'• wry # x x, �� f Y epa tinent'i of x J I I ( Ike .ulatoYi SI6"iGes, f.. C'0Nc RQCT I ON .r:oS S 2 ,000 n 4� RVID AD.G/ALT/(;'%'►j1V •U ' z� 5L •i ABLER t* ; } ' GBUI`L IN NISTQN f �� r f. , r�e r _. Y f�^�. �J.�� r)AT�ii ,S1 f�1) 0` 1 C�,/ ?F��!}L1 - r�� {',',c€i" t +4r, ��+-r,�r'�r41� ,ri � � `i�►��=� �r • 4'!'." t��G. J, .��S�F1. ; y��'?i�>'�,q'a ,f�� 7��"./{ �$iM�f. THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDE.W_ALK�ORr A yr PARTYT.E _ T P R�1 i(-IL ERMANENTLY.EN-*', -. _.CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE"BUILDING CODE U_S�13 ! J 0 CT�ON.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OB'fAINEIYFROWI JFEEP F SSUANCE OF THIS ; PERMIT DOES NOT RELE�,`SE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SIJBDLUISI f y MINIMUM OF FOUR CALL NSPECTIONS REOUIRED � sfy fr{ ' # ' �•.` t .i� FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST.'BE RI 7AINED, y�ill'M A� r�"�, .' � 1 C $L SEPf1RATE.- 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POS'cED UNTIE?FINAL.I[�3�OT� kN, , .r 2:PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE WH'EnV,A CERTIFICATE Q .QOCU P' EQITfREO G AND MECFT (READY TO LATH). y PANCY IS REQUIRED S(,�,'H BUILDING SiAL;t�NOB� 3.INSULATION. OCCUPIED UNTIL FINAL I 9PECTIOtJ1iAS BEENjMAbE y jF.��t/ r 4 4.FINAL INSPECTION BEFORE OCCUPANCY i e �l� F fir, ,� ,�r.;r•,3 e,4t .,�, — lip 1 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ; ELE TRIC` IHS C; .d,N' PpR01( LS S 21 3 � LS, ,, 4f ENGINEERING DEPARTMENT ` , Igo, 2 s .BOARD OF HEALTH s70 � ( t OTHER: SITE PLAN REVIEW APPROVAL 17 WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND'VOID IF CON-<� `INSPECTIONS 10 pICATED ON Thi, THE-INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX''`' CARD CAN BE 0RANGED FOR BY,€ VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA ` TION. NOTED ABOVE. TION. r - Town of Barnstable CE SHE Tp� . Regulatory Services sAxtasTAars, Thomas F.Geiler,Director MAS& 94, 1639• ,0� Building Division alED �a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 42/ JOB LOCATION: / / G�✓L'✓� ` street village "HOMEOWNER": CMI's L �k '(�(JVC� C/' ��(� �� J 7�� name C home phone # work phone# CURRENT MAILING ADDRESS: 2L. h, 1� / '�� Xd 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 buildingt)ermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. s and r quirements and that he/she will comply with said procedures and re en Sign re 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 forrr/certification for use in your community. Q:forms:homeexempt /TMF '1V YT11 Vt JL7iaa AAA L-94 Div Regulatory Services L Thomas F,Geiler,Director ss. 9 bs� �•� Building Division �pT�D F Tom.Perry,Building Commissioner. .200 Main Street, Hyarmis,MA 02601 www,towrt,barnstable,ma.us ace: 508-862-4039 Fax 508-190-6230 permit no. AFFIDAVIT HOME Uv2ROYEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION MGL c, 142Arequires that'the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement;remove, demolition,or construction of an addition•to any pre-existing owner-occupied - - building. uilding 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. C E y► ep!� Q a Estimated Cost- -Z�i Type of Work: / s Address of Work. �'� 'L �✓ �� Add • i • Oyvner'sName: S UvC • . . Date of Application Z 2--3 I hereby certify that: Registratign is aot required for the following reason(s); [3Work excluded by law ❑Job Under$1,000 []Building not owner-occupied Owner pulling own permit Notice is hereby given that; OWNERS-PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMTROVEMENT WORK DO NOT HAVE, ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. T SIGNED UNDER PENALTIES OF PBRIURY I hereby apply for a permit as the agent of the owner; Date tractor Signature. RegistrationNo, Date Owner's Signature Qy��,{�rms:homeaffidxV Rev: 060606 RESIDENTIAL BUILDING PERNUT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $ 50.00 • Alterations/Renovations $ 50.00 Building Permit Amendment $ 25.00 FEE VALUE WORKSHEET NEW LrV NG SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATI�O1NS/RENOVATIONS.OFEXISTING SPACE V square feet x$64/.sq.foot= S� x.0041= 3 plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq,ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. ; >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= ' STAND ALONE PERMITS Open Porch x S30.00= (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) Projcost Permit Fee Rev:063004 Tante.IS:Z1D(tontmne� Prescriptive Pseksges!or One and Two-Famr7y Resldentlat Bai<dlogs He,ted with fvuii'Futls kAX2MI1M M11,11MUM Glaring Glaring ceiling Wall Floor Basement Slab HeminiXooling Area'(3/a) U-values R-value' ' R-value' R-value° Nall Perimcur Eopmcm Emciincyr Paclmge R-valuer R-valuer 5701 to 6500 Heating Degree Days' 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal 5 . 12% 0.30 38 13 19 10 6 85-A UE T 15% 036 38 13 23 NIA NIA Normal 1J IS'/. 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 23 NIA NIA 83 AFUE W i5% 0.52 30 19 19 10 6 85 AFUE X 19% 032 38 . 13 23 N/A NIA Normal Y 18•/. 0.42 38 19 23 N/A N/A Normal Z 18% 6.42 38 13 19 1 10 6 90 AFUE AA I o/. 0.30 30 19 1 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 'Z•'� / Z 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: f Z 4, %GLAZING AREA(#3 DIVIDED BY 42): 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION, BUILDING INSPECTOR APPROVAL: YES:. NO: q_forms_®80303 a Project: 243 Tower Hill Road Osterville Kitchen Remodel Owner: Russell R. Klabouch and Janet M. Loveridge Proposed Remodel The existing kitchen of approximately 103 sq. ft. to be gutted to the studs. One of two doorways to be framed in and all covered with sheetrock. Existing double-hung window to be replaced with Anderson double-hung or equivalent. Insulation to be installed in all walls (R-13) and ceiling (R-30+). Ceiling to be raised from 7' 6" to 8' 9" (see attached pictures/description). Kitchen to be rewired— separate Electrical Permit to be filed. Ceiling lighting as well as cabinet/under-cabinet lighting to be installed New cabinets and countertops installed Plumbing to be relocated to accommodate a corner sink; dishwasher re-installed; plumbing to accommodate icemaker in refrigerator New floor covering to be installed— likely a Metroflor vinyl product. Existing gas line to be used for range. New exhaust hood to be installed with external venting. r `0' eAFN '. 8 iv. 8 8 D � 1 D w D D D P ----3 'fA o Pant 1v 611 QusT N 4'-1 114"x 2'-10" r� P TO Y I S T UvG (LOM V3 lowj/z i �r t I T, I e-ffi: 8'• .� .o G L � u ` W \ i b [ s. 'IMPn ' � r�l� ftl ,y 4p �.fsF� .l •: \1�1 11 t� 12_Y �.♦ ?##N i yyr it1 • � .5+��+a 4'�' =t �. ;• •\. { 4.. DotlW Proposed Construction - 2 x 8 ceiling joists to rest on top plate and fastened to existing rafters with Simpson ties - Additional ceiling joists to be added to maintain minimum 16" OC - Upper plate of cripple wall to be doubled-up - Cripple wall to be tied to lower wall section with 36" Simpson ties to strengthen "hinge-point" - Strapping to be applied to ceiling joists 16" OC - 16" cripple wall to be constructed on each side of room to accommodate new height of room - Existing window to be replaced - Existing door way to entry foyer to be closed in; existing 30" doorway (no door) to hall/dining room to remain rf � Q f s. Proposed Construction — Interior side under ridge - A 4 x 4 post was laid horizontally on top of existing ceiling joists over bearing wall - 4 x 4 posts were place vertically to support roof ridge (see next photo); 2 x 8 bracing was attached to roof rafters and 4 x 4's notched to support bracing - A double 2 x 8 ledger was nailed and screwed (Timbe ock) to posts. - New ceiling joist attached to ledger with joist hangers; also secured to ledger on top surface with Simpson `T' brackets - The existing ceiling joist to be cut off as shown - Strapping will be attached to ends of cut-off joist and a soffit will be built on the one interior wall, lowering the ceiling height to the current 7' 6" - New ceiling height to be 8' 9". The Commonwealth ofMassachusetts Department oflndustrlal Accidents -Office ofiiivestigations• 600 Washington Street . Boston,MA 021I1' My w.mass.gov/dia ' Workers} Compensation Insurance,Affiddyit; Buflders/Contractors(Electricians/Plumbers' .' A licant Information � ��.Flease Print Le ICI • ' Name(Business/Orgmdiation/Individual): U SS Ea- i�xarvUclJ Address• City/State/Zip: as l' Ul lit-�'��.,i}_ (y��J Phone.#: s�`��i l� Are you an employer?-Check the appropriate box: 1;Q I am a employer with 4, [� I am a general contractor-and Y . :Type of project(required); ; employees(full and/or part time),*. have hired the slab-contractors 6, ❑New construction , 2. I am a bold proprietor or' listed on the attached sheet 7 WRemodeling ship.and have no employees These sub-contractors have g, [�Demolition:. �vorlang for mein any capacity, employees and have workers' [No workers' comp,insunance comp,insurance.$'• 9, []Building addition required] Wearea co oration and its 10. -Electrical _--_-- � repairs ox additions 3. I-am a meowner-doing-;"Lwork -— have have exercised their 11:Q Phmnbing repairs or additions myself.[No workers'comb, right bf exemption per MGL' insurance.required,]t c. 152, §1(4),endure have no' 12,Q Roof repairs-. employees,[No workers' 13.0 Other comp,insurance required,] *Any applicant that checla box#1 must also.fill out the section below sbowing 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 affidayitindica6g such. tContiaators that cbeck this box must attached an additibnal sheet showing the name ofthe sub contractors and state whether arnotthose entities havo employees, Iftbe sub contractors Lave employees, eymustprovidb th*workers+comp,polio number. I ant an employer•that is providing workers'compensation insurance for my employees. Below is.the policy and job site' information. Insurance Company Nmne Policy#or Self-ins.Lie, Expiration Date: ,Tob Site Address: ' City/State/Zip: Attach a copy of the workers' cQl:a' ation policy declaration page'(showing the policy number and expiration date); kilure,to secure coverage ag required tinder Section 25A.of2vfGL c. 152 can lead to the imposition of fine tip to$1,500.00 and/or one-year imprisonment;as well as civilpenalt, in the fortnoa STOP WORK O�enaltiesce of a oftap to$250,00 a day against the violator, Be advised that a'copy of this statement maybe forwarded to the-Office of-d a fine Investigations of Lk for' ace cc ye a verification, ' I do hereby tcijfy d t p ns nal ' s of .erjury that the information provided above is true acid correc4 Si tore: -•� Date' Phone#: Official Use only, Do not write in this area,to.be completed by c{ty or town officiaL City or Town:' Permit/License# . Issuing Autliority(circle one):' .'1.Board of Health 2,Building Department 3., City/Town Clerk 4,Electrical Inspector 5,Plumbing Inspector 6, Other Contact Person: Phone#• .IELIUJ['MUUUd1 411U-191N1,1 Uk;UUW5 ' Massachusetts General'Laws chapter 152 requires all employers to provide workers' compensation for then employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a-deceased employer, or the receiver or trustee-of an individual,partnership,association or other legal entity,employing employees, However the owner of a dwelling house having not mare 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." I GL 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.". AdditionaIly,MGL-ohapter152, §25C(7)states"Neither the commonwealth nor any of its political subdiyWons shall enter into any contract for,the performaace of publiawork u ntii acceptable evict a of�compli see v thtlie insutarlce' 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 certificates) of , insurance. Limited Liability'Companies'(LLC)or Limited LiabilityPartnerships(LLP)withno-employeesother 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'Dep'ar awnt of Industrial ' Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit; The affidavit should be roturned to the city or town that the application for the pemut.or license is being requested,not the Department of Industrial Aocidents. Should you have any questions regarding the law-or if you are require$to obtain a workers' compensation•policy,please oall 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 spacQ at the bottom of the•affidavit for yout 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 roust submit multiple pennit/license applications in any given year, 'need only submit ono affidavit indicating current policy information(ifnecessa y)and under"Job Site Address"the applicant should write"all•localions in (city-or town)."A copy of the affidavit that.has been officially stamped or marked by the city or town maybe provided to tha applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must 5lled out each year.Where a home owner or citizen is obtaining a license or permit not relatedfo any business or commercial venture (i.e. a dog license or permit to buim leaves-etc.)said person is-NOT required to complete this affidavit: The Office of Investigation would like to thank you in advance for.your cooperation and'should youhaveAnY questions, please do not hesitate to give us a call The Depaxtrnent's address,telephone•andfax number:. The Commw olth ofMamdL tts Dqaitmemt of jn.duMal A.ccidalts 600 waeingtoii Stma B4Stma MA 02111 TO.0 617-727-400 e&406 or I-MMASSAFB Fax#617-727-7749 Revised 11-22.06. WWW,Madv./di& ; i Project: 243 Tower Hill Road Osterville Kitchen Remodel Owner: Russell R. Klabouch and Janet M. Loveridge Proposed Remodel The existing kitchen of approximately 103 sq. ft. to be gutted to the studs. One of two doorways to be framed in and all covered with sheetrock. Existing double-hung window to be replaced,with,Auderson-double.-hung or:equivalent.; :... ..:,:.. Insulation to be installed in all walls (R-13) and ceiling (R-30+). Ceiling to be raised from 7' 6" to 8' 9" (see attached pictures/description). Kitchen to be rewired— separate Electrical Permit to be filed. Ceiling lighting as well as cabinet/under-cabinet lighting to be installed New cabinets and countertops installed Plumbing to be relocated to accommodate a corner sink; dishwasher re-installed; plumbing to accommodate icemaker in refrigerator New floor covering to be installed —.likely a Metroflor vinyl product. Existing gas line to be used for range. New exhaust hood to be installed with external venting. i e B B w o 13 � NJ 611 DUST if J N c� 4'4 1/4"x 2'-10" 0 TO .�15 j IA t �.9�.5 �l 1 dvv �/ `J n/ /Vv - tu rn.in�� 2ddM A3 rowilz ��G. i,�r�� ! 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P�x � � '"�,�i,1,��r..as lr�-,�x.r�. • 1 1 1 1 1 1 r • • • • • 0 e" . • • " • • • • • • •• e • •• • • •• • i Proposed Construction— Interior side under ridge A 4 x'4 post was laid horizontally on top of existing ceiling joists over bearing wall 4 x 4 posts.were place vertically to support roof ridge (see next photo); 2 x 8 bracing was attached to roof rafters and 4 x 4's notched to support bracing - A double 2 x 8 ledger was nailed and screwed (Timbe ock) to posts. - New ceiling joist attached to ledger with joist hangers; also secured to ledger on top surface with Simpson `T' brackets - The existing ceiling joist to be cut off as shown - Strapping will be attached to ends of cut-off joist and a soffit will be built on the one interior wall, lowering the ceiling height to the current 7' 6" New ceiling height to be 8' 9". i r'�'.,'3�.q "a - •. + � + y w t a f � fix!ai f � `�'y �.7n :�i` �5y}a �aFs •*- t "� �zh AAR : ti 6N �xrrCr Ay d;9 3�r` S : , r y� � �+'Y�„ �>'Tiw�aY: J�$y,�;. 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One of two doorways to be framed in and all covered with sheetrock. Existing double-hung . window.t�. be replaced with•Andersorrdouble-hung or, equivalent. Insulation to be installed in all walls (R-13).and ceiling (R-30+). Ceiling to be raised from 7' 6" to 8' 9" (see attached pictures/description). Kitchen to be rewired— separate Electrical Permit to be filed. Ceiling lighting as well as cabinet/under-cabinet lighting to be installed New cabinets and countertops installed Plumbing to be relocated to accommodate a corner sink; dishwasher re-installed; plumbing to accommodate icemaker in refrigerator New floor covering to be installed — likely a Metroflor vinyl product. Existing gas line to be used for range. New exhaust hood to be installed with external venting. . 8 B 8 w e Nj ----3 'g'/ '' 611 Pus? TO�* I 4-rva°Xr-,0°. TO TN kdVM I• - :» <y,� t six `a -i, s�r.� ^+a� a d q,.;,F§..x{ta�,d;,i�x xrc �.,n'�'Ss�L ',�'?✓••. 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