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0145 CEDAR STREET
UPC 12543 No. 5_ 3, LOR HASTINGS. UN �FZHEA Town of Barnstable S 1AMSPABM O Building Department-200 Main Street ti , �e6 �0m Hyannis, MA 02601 ATED MAC a Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-19-1348 CO Issue Date: 5/20/2019 Parcel ID: 130-023 Zoning Classification: RF Location: 145 CEDAR STREET, WEST BARNSTABLE Proposed Use: Name of Tenant: Sprinklers Provided: Gen Contractor: Permit Type: Residential - Single Family Type of Construction: VB: Any building material permitted by code Design Occupant Load: 0 Comments: Detached bedroom above garage Not to be used as seperate dwelling 22 � Building Official Date: A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CIVIR 8th Edition Town of Barnstable , Building : .�rasrsau, • Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept 6 " Posted Until Final Inspection Has Been Made. Permit +• Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final In has been made ............ Permit No. B-19-1348 Applicant Name: ZYBAILA, PAVEL&KATERINA Approvals Date Issued: 04/25/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 10/25/2019 Foundation: Residential Map/Lot: 130-023 Zoning District: RF Sheathing: Location: 145 CEDAR STREET,WEST BARNSTABLE Contractor Name: Framing: 1 Owner on Record: ZYBAILA,PAVEL& KATERINA Contractor License: 2 Address: 145 CEDAR STREET - - Est. Project Cost: $0.00 Chimney: WEST BARNSTABLE, MA 02668 Permit Fee: $85.00 Description: above the garage space change of use from office to bedroom Fee Paid: $85.00 Insulation: Project Review Req: Date: 4/25/2019 Final: Plumbing/Gas Rough Plumbing: Buildine Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: 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 work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed I 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: . _ -- 2 ZIiE� 'low Aft- Application(y6� Number...... ♦ HA&NIMASLE 96, • 7 MASS. �2 Y, Permit Fee.........F.,5.....................Other Fee........................ TotalFee Paid............._................................................. ...... 100, TOWN OF BARNSTABLE Pert ro��b . Approval y.. l ..�SJT. BUILDING PERNUT Map.... i...2l 5./y�...................Parcel.....V.. ..................:— -- APPLICATION Section 1 — Owner's Information and Project Location Project Address_ ogAgrSf- Mot Village NAJ, nStab 2 Owners Name fouvej Owners Legal Address ��Jc— LOUT-6t city, UV��- �►a, 1� State rY1 - zip Owners Cell# ! L. I$ JC E-mail Section 2 —Use of Structure 7 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 t ❑ Renovation ❑ Pool ❑ Insulation F Other—Specify Section 4 - Work Description I i Application Number.................................................... Section 5—Detail Cost of Proposed Construction Square Footage of Project 13� Age of Structure Dig Safe Number #Of-Bedrooms'Existing D Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method 9 MA Checklist � WFCM Checklist Design Section 6—Project Specifics Wiring ❑ Oil Tank Storage Smoke Detectors Plumbing ❑ Gas ❑ Fire Suppression Heating System ❑ Masonry Chimney Add/relocate bedroom i e 1 Water Supply ❑ Public Private Sewage Disposal ❑ Municipal ❑ On Site 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 Section 8—Zoning Information 1 Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required_ Proposed 3D Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? Yes ❑ No 1 T ACC vmA.tPA- 1 1/i cnni 2 R .,-ice ••r�� 1^ P _ tii �, eb R = - tl 1. F. 4 y" 4 ''^^33 •.�� Via, �I i -b vt� omits .s Wove- in C rueu, EAU a arM MA WEY &I fe&4-cA (V' m.0 lv fettNiC, o� %VCt.,W 0 OeXAA i� ` %w 410 aa&tM lov t 4 i r» /•s li JNI E � a -ya At onto t ' 5.4 r ' 1 . �eJ u t IL Am its - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - --. - - -- I " I j I I BATH1 X 1 V-4" NO ey'`,t 48!.7;1 X DECK a, 146 V ,o- V+ 1 'q 1_-71 y AI-1 I; 864 sq ff The Commonwealth of Massachusetts Department of IndustddAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass govIft Workers' Compensation Insurance Affidavit: Buffders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/organization/Individual): Address: S4 City/State/Zip: Phone#• Are you an employer?Check the appropriate boa: Type of project(rewired): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor mein an act employees and have workers' Y capacity. 9. ❑Building addition [No workers' comp.insurance comp.insurance.: ram] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.Pd I am a homeowner doing all work officers have exercised their 11.❑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. ;Contractors that check this box must attached an additional sheet showing the name of the sub-contuctors 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 thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/StatelZip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required tinder 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 penalties o at the information provided above is truce and correct Si Date: "1 Phone#: Ofj'icial use only. Do not write in this area,to be completed by city or town q kiai 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 constrict 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 certificates)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 pennit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street BOADn,MA 02111 Tel.#617 727-4900 ext 406 or 1-877-MASSAM Revised 4-24-07 Fax#617-727-7749 wwwxam.gov/dia. - -- - - - - - - - - - - - - - - - _- _ - - - � - - - - - - - - - -if i I i I � ' QATH t C� r1 11 X11 -4„ I � �r. 1 28'<7;; X 146 car �� DEC; 0 x &Lwstable LIVING AR 864 sq ff — — — _ — — — — — — — — — — — — — — — — — — — — — 71i91 i I i BATH 01,11' x 111-4 11 l i 7-1 Ii A' 146 s Ul + I [DECK. Ja � ��j \ �J 'IS����I x fit^ Iv o�fiz �1St �e LIVING A � 864 vq ft 'r F 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 Name Al 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 f Home Owners Name: / ,(,�/� t G �y Telephone Number Cell or Work Number �T "uo0 �9�jod 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 BagasVble. Signature Date YYgll 7- APPLICANT SIGNATURE Signature sn Date 0 Print Name ��/�,f' I�Q,l1(.�1 Telephone Number -mail permit to: P( C , Q.®1'n r. 1 i Section 12—Department Sign-Offs 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 i Section 13 — Owner's Authorization i I Pod c as Owner of the subject property hereby authorize ' to act on my behalf, in all matters relative to work authoriA by this building permit application for: (Address of job) lay l lq Signature of Owner dat� i Print Name `J 1 r i Z O T O .lJ G NCf) _ rn D -� 07 M k 24' T-2" 1'-6", 9'-21- A PD. --------------------------------------------� �` I 1 1 .•' I O I I I I = 1 •I I 1 I I I •' I r I I .• 3' 101/1 6" I. I I .. I 1 -• 1 t : CA) m 1 1 O I •- 1 I '• 1 1 I I I I .• 1 I ' 1 t 1 1 •- I 1 1 I I 412 1 1 1 •' 1 1 �' 1 1 I I I 1 I 1 1 f I 1 1 qo \ 1 ... I I �•. 1 ' � ED A\ O H Z n III�J �_-------- -------- -------------------------------+ I� m i •:: 1 C r v 1 1 m ----------------------------------------------------- k m m Z ® CD m g C) r" i 0O 24' o 9- Co 55 m W 0 M n t' DRAWINGS PROVIDED BY: PRO)ER DESCRLMON: SHEET TITLE: NO. DESORIMON BY DATE o garage and office plan SHEET TIRE • r N 36' T-41/2" —3' 5'-913/16" 3' 6'-5 3/16" —3' T-41/2" soaoon 3oaaon soaoon ----------------- N CV c I I I I I I d I I z I I I I I I I ' I I I I H I I I I W I ! X ------------------� GARAGE a ------------- N I 35'-0"x 23'-0" I I I I c I I a I I I I I O) I I O • - I I � • I i C I I � I I c f0 - --- --- ---------� r' cq _ 266E ID11 2'-S" 21'-6 1/2" —3' - T-4 1/2" e 36' ea ` DATE; - 8/10/2016 SCALE: /a•1. r SHEET: - A-2 23'-9 5/8" ,i —5'-61/2"— 6'-3 5/8" — 11'-11 112" —� „ 8 5/8„ _3'�2'-7"1 3' 7'-3 1/8" w iCDw 1 0 -4 iI f I I 1 w I I I � I ''� II •� --- OD 1 \�llll ��----C71 ----- I I I 1 I 1 I I I I I I I I I �J I < 1 � �• Ci.) I I t � M 1 OD I S I to- I i , J a I 1 I I I I -- Is I I � w CA I I � I � I I i °D 7'-1 1/2" 3' 1'-8 5/8" 111-101/8" 11-l1 112" 1 23-9 5/8" = a to m QD DRAWINGS PROVIDED BY: PROJECT DESCRIPTION: SNEET TME: Ito. DESCRIMOII BY JDATE W a garage and office plan SHEET TITLE o, l - - — — — — — — — — — — - - — — — — — — — — — , - - - - - -� r- - -Fi - - - � i 11 V I I I STORAGE I � I N a BATH o x 1 0 C' OFFICE CD 28'-7" x 11'-4" 5,1 ;�'�ii e�;k�;?;;�,1,-,�,1;l1 t���t;•,., .�.4�at".?;ilk .K .i',t m - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - DECK n 15'-5" x 4'-1" LIVING AR 864 sq ft DATE: 8/10/2016 SCALE: I 2nd Floor ' SHEET: A-4 i i = a N OD DRAWNIGS PROVIDED M• PROIECr DESCRIPRON: SNEET TIRE: N0. DESCRIPTION BT DATE �I m " o garage and office plan SHEET TITLE - I + f i , + r 1 d - R f •c i I ED Ara I ' = y N OD DRAWItfGS PROVIDED BY:+ PROJECr DESCRIPRON: SHEET TnE: NO IDESOMON BY ICATF o garage and office plan SHEET TITLE • r a1 + S r + I L-COL :133H5 t„ MIA P L �sazrotre ,9£ azve „Z!L 9,LZ „9-4 1 . It . lilt N oa E � 4 n 0 n b Np .1111111 N 7 S 7 :1f � m E 1 m N i N Homo Hoo�oc I �Zf L I-,L e .9E i - r r 23'-9 5/8" 5'-61/2" 6'-3 5/8" 11'-11 1/2" 8 5/8" 3' -21-T'1'-8 3/8" 3'— T-3 1/8" 7Oa0DM 3OCODN C?T W v O A � y — O � \ O s N .... O. N -n -► —� O A \p CD 6 t ' V C\JT o _Cn 1 W t J am N 3Oa0DN 6D C71 °'- T-1 1/211 3' 1'-8 5/8" 11'-101/8" 11'-11 1/2" 23'-9 5/8" = a In m D DRAWINGS PROVIDED BY: PROJECT DESCRIPTION: SNEET M: NO. DESCRIPTION BY DATE o m garage and office plan SHEET TITLE a+ 1 a - - - - - - - - - - - - - - - - -- ,.._ — — -7 ELI _-1-1- 1 Cn CD CA) -; :--.. 1 _I r: i- . - -~---� - 1 J It—�" 1 r = o O DRAWINGS PROVIDED BY: PROIECr DESCRUMON: SHEET TTTIE: IND. DESCRIPTION 18Y DATE t garage and office plan � m c SHEET TITLE a, r _ f I I, Ir1 —, •-- — -- '--i •— �—�-� �,kit;-,�I: �; :?. 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Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address 5 C.4ar 2t_ Village 1n/. ocr in st"Ie- Owner ✓ c�•�6i' /r�rGG� 6 a Address 4 c�.��� �Kbt� Telephone 77 Permit Request R� �;K a a CtaY' C- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed �ZO Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Wcm:Je-a, -�vtx�e Lot Size_ , 44cr-e.._ Grandfathered: ❑Yes NfNo If yes, attach supporting documentation. ! Dwelling Type: Single Family U. Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: •❑Yes 4-No On Old King's Highway: ❑Yes ffi-No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other r)0 49ILD9N ®EpT Basement Finished Area(sq.ft.) Basement UnfirVsPecl AFea .ft) Number of Baths: Full: existing new " IIf: e`xiisting P ,e„�.... new t�vv��t:S�- L.�1°'t�`Lltl+�3iP'khlLL Number of Bedrooms: 0 existing _new Total Room Count (not including baths): existing new First Floor Room Count ' Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other A e Central Air: ❑Yes dNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No 36x24 Detached garage: ❑ existing �ew size_Pool: ❑ existing ❑ new size — Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size —Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes O No If yes, site plan review # Current Use Proposed Use o T J c ecur e-!q a S o c-e APPLICANT INFORMATION (BUILDER OR HOMEOWNER) -7 /- Name � � k��CL Telephone Number 7 T `� !2 G --Q 3 66 Address 14 S CaldcLY "e' 8� V License# �ev/-V, 1� � �CS Home Improvement Contractor# r Email f?-O 7,cP ;:t Mcx Q� „ C".O1-t1 Worker's Compensation # ALL CONSTRUCTION BRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 11 � dr 1 s oS�� met t SIGNA DATE45d �/� FOR OFFICIAL USE ONLY APPLICATION # ' DATE ISSUED - MAP/PARCEL NO. - a r ADDRESS _ - VILLAGE I f - ... j OWNER t DATE OF INSPECTION: y FOUNDATION 6vb Fl O� SoS QJ7 1 - FRAME T � 6 INSULATION ( �'Q I` FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ' DATE CLOSED OUT - 1 ' ASSOCIATION PLAN NO. ti A pprC Guide to Woad Conrt-ac#mri in HI- �Yirtd fLre¢�:IIO azptr �rrd Zane Massachusetts CheekUst for Comp fance • - Campl'isn= 1.1 SCOPE. SE•� 110 mph V . p {3-sec.gust:)- B •- Viand B pc=vre Cafagmy t,7- 12 APPLICABIL1'IY . - - --- ---I�turiibe'r of Sty ja:Toot vrliicki exceeds B iri;'I2 sigpe:sfraIl'be cansidered a sinry)- 'stories-5 Z sfrnies . -. . ----- - - - Roof Ffth - (F9 2) /? <12�12 " Mean RantHeight -- (flg 2) Bunding w1dlh,W (Fig 3) 2 ft g BD' B Lin L _ (Fg 3) A6- 5 BIr . Building Asped _kg (L!Y►� (Fig 4) - �b-5 3r1 hlominal Height of Tallest Dpmii ngz (Fig 4) SlEr • 13 FRAIM.C; CONXECTIDNS / General compliance wrh fiarnhig mrmec6ons (Table 2) t/ 2-1 FOUNDATIDN Foundafion Wafts meeting regtmernents of 7BD CMR 5404.1' DonrzEteL Masonry------ -- , i/ 22 ANCHORA-Gr=TD FDUNi7AMD03 5✓3 Anchor Br)b hnbedded or,W Pmptietai-y Medzanir.�AnrdiDrs as an altetna5ve in canra�Ia only (Table 4) Bolt Spacing from endlDkA 4 plate (Fig 5) in.5 S`-12'. • Bolt Embedment-mnc m& (Fig 5).__ in-'-7' � _. Bolt Embedment-masoM _ (Fig 5) ' - m-'-150 Pfafa Washer ' (Fig 5) 3 3 x 3-x V 3.1 FLOORS _ Floorfi arcing rmm�ber spans fied�d {�7BD CMR CAS 55) Maxrnum Floor Opening dimension_ S) ft<12' '• ,, Fui<ljeigf Wall Studs at Floor Openings less ffmn Z from Exterior Wall Fig 6)-___-------- •-----• t.�.. h4k6mirn Floor Joist Se5ack s, SuppDiiuig Loadbearing Walls or ShemwaIl (Fig 7) Maximum Carrf►veered Floor Joists Supporting L-aadbearng Walls or She nmll— (Fig B) -RoorBracing at Endva (fig-9)- Floor Sheathing Type _-( 7B0 CMR CTiapter 55) Floor Sha at g Thickness_ --- -(per 730 CMR Chapter 55)-•-- 'Vn_ Jam_ Floor Sheathing Fastena�g_ .- (Table 2)_$d rrai�fs af�in edge//� n d 4A WALLS VwW_ lo��g wab (F'ig Ifl and Table - N�g walls- (Fig 10 and Table 5) -S?Z Wall Stud Spacing ___. (Fi_q 10 and Table 5) _.ffZ in 5 24•ai` wall Slaty D$seL- (Fgs 7&B) _ft S d .• ,c 42 l_X�I DR-WMI S= !'food Studs . Loadbea6ng�s (Tal?ie .._...,�c�-�s itin. (/ Nor} _oadbearing walls._- _ ._(fable 5) Gable End Wall Bmcing t Full Height Endwall Studs —.Fig 1 D) _ WSP,Attc Floor L engib {Fg 11) _ ft:-XW3 _ Gypsurn[Ong Length Cif WSP not use -(Fig 11) _ft?--09W - - _ or 1 x 3 ceFing ftrb g strips @ IBw spacing-thin.war Z x 4 bloda kst o ng @ 4 fL spacing in end JDrh=bays Double Tap Plare- i 13 end Table - Sprim Length (Fg 6) �_ 8 ft _ Sprtr-DDnne-cSDn(na of 15d mffi Dn tom) (Table 6) $ AWC Crride to Wood Construction iri lIigfr M17rzd Ares: 110 inph Whid Zone ' Massachusetts Checklist for CompMance(no c�•1xs3ol__i_i)I Loaabearbg Wall Conn c:ffwt% _ Lal�erad(nD_of 15d common nails) (Tables 7) hian-Lu3dbearing Wa11 Connec5ons " Ural(no_of 16d common nails) (Tpble B) y r Bearing Wall openings(record target opening but deck all openings for corript'iance to`fable 9) Header Spans (Table 9) 8- t a m.c i 1' SN Plate Spans (Table 9) ....LO a D Fug Height Studs (no_of sfiids) (Table 9).._ Non--L ad Bearing Wag Openings(record largest opening birt check all openings for compliance to Table 9) Header' (fable 9) Vit D in 512' Sill Plate Spam.— _ R —p . 1� — able 9) �ft min 5 tr Fu11 Height Studs(no.of studs) (Table 9) + 63r=riorWa0 Shaming in ReiM UpMt and Shea[Simultaneausfy jXudmirn Bculdling Dimension,W - Nomlrial Height of Tallest Dpeningz •--__-_- S:beathing T,� —(note 41 t7 Edge Nail Spacing (fable 10 or note 4 if less) _in_ 7 Rreld Nall Spacing.— - _ (Table 10) .�in ✓ ShearConnecfion(no-of 16d common nails)(Table 10).— Percent Full-Height•Sheafi�ing. (Table 1D) -�3 �hJ�lrt% 5'/6 Addr3onal Shea$-iing for Wall+mitt Opening;-SW(Design Concepts)_ Mmdnrum Brining Dimension,L NomhW Height Sheathing Type— —(nDfa 4)_— 7 !.L Edge Mail Spacing— (Table 11 or nDt$4 if less)— ! _ Field Nar7 Sparing (Table 11) - - Shear Connection(no-of 15d common nails)(fable 11)—_ Pen=ent Full-Height Sheafiimg (fable 11) 3 5%Addtional Sheathing for Wall with•Opening>6V(Design Concepts) Wag Cladding Rated for Wind Speed? - - 5.1 RoDFS Roof framing member-spans checked? (For Rates use AWC Span TDol,see 13BRS Websiie) / R.oDf Overhang (Figure 19) �i ft 9 smaller of 2:or L/3 �G Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors - U=�`,9 ff Upfft (Table 12)_� P ldl (Table 12) Pff _ Shear (Table 12) Ridge Strap Connections,if collar ties not 3Jsed per page 21._ (Table 13) T=z"O&W ' Gable Rake OirfiDoker (Figure 2a) 3; ff s smaller of 2'or L12 Truss or Rafmr Canneafions at Non4x;adbearing Walls - Proprietary Connednrs ✓ Upra— (Table 14) U=Ze lb. Lab ral(no-of 16d common nails)—(Table 14)-------—.—.-----_•-___...1=198.lb- 'Roof Sheering Type (per780 CUR Chapters 58a�9).........-_ , RoofSheatfung Thickness_. _ F/&in.?wi s WSP Roof Sheathing Fastening (Table 2-) _ 6 a • l NDtes: •1. - This cheddist shall be met in Its entirety,mmiudmg Me sper:ffiC a Cepfion noted in 2,to comply%flh the req irernents of TBD C.MR53D1.21.1 (tern 1. ff the cheddist is met in Hs entirety fhen the hallowing metal stags and hold downs am not r aqurred per tine WFCM 110 mph GlAde: a. Steel Straps per Fgrae b. 2b Gage Siraps.per Figure 11 o- Upfut Straps per Frgr-e 14 cL All Straps per Fgrre IT e- Corner Stud Hold Downs per Figure 1 Sa and Figure 16b - 2 '�p '¢i heights of m B it be +KIten 5'Ia Fs a dad to the percent fu11-height sfigmt Ling - -requirer enfs DAn Tables 10 and 11. 3 The bof Dm sill plate in ex idor wails shall be a miri im 2 in nor<rinal fWakria ss pressure tri=ah�d#"L-gt ode_ y rt AFF1C Gaide fo Wood Cora&zicdoa hi J'i fr RruzdArreas_IID mph ff--7AdZo'nz Massachusetts Cheeldist far Compliance ma chYttsaDt-iT:l)' 4-. a_ From Tables ID and 11 and lamfion ofwall shieaihing and Mding Aspadmo,deb?rz a Percent FuMelghf Sheafffmg and lA Spacing requirements ' b. Wood Structural Panels sW be min'unum thickness of 711 6'and be in daIled as WDws: _ lr Panels sfsail be ins�Iled p strengffr axis parallel to studs: I X hwb=tW joints Stall occur over and be nalled to fraQning- u-L Dn sdngle stnty consttucSDnt panels shall be attached b boffnm plates and top.tnember of fhe double hmo..story.canbuc6on,.uppL-r-Panels.shaflbe aftached.bJhe inp membei-.of-fhe upper double ----- plate and m band joist at botigm of panel Upperaffadrmut of lcwerpanel shati be made to band joist and lower aftadunent made to lowest pfade at fust fioorframing. V. Hor®nfal nail spacing at double top plates, band joists,and girdem shatl-be a double n3w of ad staggered at 3 Endres on center per figures below:Valcal.and Horizontal NarTing for Panel Affadunent 5. Glazing proles a)-new house or horimnW adMon-required if projecf'ls i nee or loser tD shore(generally,south of Rte.2B or north of Rfe,6) b)vertical addffion-nDt requh ed uriless there is e�nsive renoaDn ID the fasttioor c)replace nertiMclows-needs energy canser►rafion wmpWc:c only(chap 93) 6.1Nood Frame Consturtion Manual(WFCM)for 110 MPH,b posure B may be obtained from the Arneri�t WDod cc> c, (AWb)wabsEe ' wds • ii l - • ti tl 4 ' it fl t i• '! i '•fi il'o 1 •_ �. i K � t r i N 1 t . o t= 1 - i it i� �f t t •'E! f� . t [ ll CL ■ • !fl [i /t i t e • li alp t I7 tt at pq i t - 31St �s l .s U= it to c t •e "� u tt c rl �ST[[ • _ _41 I•l{ • _ — - _ STD 3'FdYi fJhE ,P� kC i W-XPXrn37 t z PAIdTi �-� tPZl�S]G� � DDIIEtC.E51A�ID6:E5PACt4G.I�3AL . See Data Dn h[exf Page _ l�efal( ' •1/erftcal and HoTImtzlal Ida,, .9 , ve-tml And Hofz�Nailing • for P-anal Alfachmmi: 5t Nnel Afischrna it . Department ofladustrid Accidmz& Office ofinvex6gations. 600 Washhwton Street Boston,CIA 02I11 fvrvmmassgoP1dia Workers' CompensaffenInsurmce Affidavit BnilderslCuntractarsJFl hers APPEcant InfGna atiaa Please Pit c is �Ph..� Are you an employer?Check the apprapriate bar; Type e�project(r �ed): I.El am a employer vH& 4. ❑I am a general contractor and I 6- New construction 42.' employees(full andforpart-timed* bavehired&e sub-contractor I am a style proprietor orpartner- listed onthe attildnd sheet y- ❑RF-fnodeliug Ship and have ao employees These sub-contractors have ❑Demnlifioa wag forme employeesasndhavewonimss' °fib � 1 9_ ❑Bair addition [No�y-�'COmp,iasuranre comp.susu ante 1 5. ❑ We are a corpmrafion and its 16-❑Electrdcal repairs cr a,dcrilions 3.0417=7-ad homeoux er doing all work officers have¢Y�+*-i�ed their 1 L❑Plumbing repairs or additions • right of emempfion per MQ. �f�a wmkm oomF c-152,§1(4} andwe hwena L-❑Roofrep-aus insurance required-]i 13_❑Other � employees.[NO vroders connp.iasuranm required.) 'Bayapph®tH�atchetlsbosAmastalsofMoutthesecBoabeTowshuvd g&eirwazkexemmp2nPd +peHryixffDmn2dmL �nmeoaraea udm sabn&dzis affi32eit iag5cmd- 8wy ate doing&U Woak and&tea hie outside canftRct . — submit a new afdzeit mdirs3mo sarIt ICaatec[etsffist chwXthis bwE mast atttea as additi—I sfieet sbowingtLea—of the sab-ca=rcWm and sure whethm araatfhose edides have eatPloyees.Ifthesv5-coatadacshaceempIoSers,BzE7'��F '�� '�P•Po�Sn�'� lam ant erripIoyer f7itrt is praurdiag workers'coaerzsahiorz utszirattce for tzry enrpFoy Below is fftepaticy arm job rite Frzfatvrsetlron. . Insurance Company Name: 'Paficy lt'mr Self-im Lic- FspiEatioaDate: Job Site Address_ Cityl5tawzip: Aftach a copy of the wort ere compensationpolicy declaration page(showing the policy mrmber and expiration date). Fa&=to swum coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal peualfses of a fine up to SL50a 00 anndfor one-yearimpfisonmerd,as well as civil p—Aries is the farm of a STC7P WORK ORDER-and a lime of up to$250-00 a day against the violator. Be adcdsed drat a cry of this statement may be forwarded tm the Office of Investigations of the MA far insurance coverage:,verificstion. ydo fiersby csrlFjp urrd�sr&a PaIIrs and pepaWksofperjury the die informrr€im pron&d abmv is trans mid correct Date: O-qr ,T 116 Phone;rr A98 — -9--3.6 9 aBEdd Use natty. Do uat twits in ffds area,to be cmupleted by cap artoirn ojoiciat City or Town: PermhMice:nse A lssng uffwri ty(circle one): L Board of Health 1 Ewlfimg Depat-tment 3.CftylTown C[crk 4-Electrical Fir S.Phmmbing Inspector 6.Other Conbct Person: Phone#- 6 ormation and lastructioW ' M�����Ge�eaal Laws 152 rega�s all ea�Ioyers'to Isofvide compensa�on fss their e�IaYees. . Pursnartto this s(Eftate,an enpkyee is defrned as.¢.every personm$ie service of another order any contract efhi r, . eapa�or irapli:ec�oral ur wrhtr�." -, An ez7p&ym-is defined as"an kffiV deal,partoenb�p,aMd3fi6n,COzporaiion or other legal enfitn or my two or more of the fur,going Gngaged is a joint a texprise,and.inchidmg the legal represe�ves of a deceased employer,or the receiver or t rastee of an individual,PMt enhips association or other legal e tLty,employmg employ- I[owever the owner of a.dweIImg house having not more than three apa-tmends amd who resides therein,ar the occupant of the - dwellmg house of ano m who employs pessous to do maw,cons�6ion or repair work.an such dwelling house or on the grounds or bmldmg app�r a lfi reto sballnotbecanse of such employmeat:be deemed to be an employees. MGL chapter 152,§25C(6)also states that'every siaia or local Ticeasiag agencY shall withhoId fhe issuance or renewal of a licen a or permit to operate a business or to coast Et-btffdmg_ia the commQawealth for any applicant who has not produced acceptable evidence of cdmpTt=m with the bLm an ce.coverage required-" Adcadonally,M(H-chapter M,§25C(7)slate-Neit-her the commoncwrna nor any ofits political subdivisions shaIl emirs min any contract for the perEm=ce ofpublic wm3c un bI acceptable evidence of compliap ce with the ice. re ==eats of this chapter have been presented to the co,-rt, anfhoaty-" A-FPIicaat� Please fill oil fhe wotlmas'compensation affidavit completely,by g e boxes that apply to your situation and,if necs�Y,�pPtY sob-cunt ractor(s)name{s), adch%s(es)and phone number(s).along with then cart fica e(s)of insurance. LimitedLiabiilityCompanies(LLC)orLimitedLiabilityParine hips,(I.I.P)withnoeazpInyecsoiherfi�the sur members or pa rfn=s,are not rbgLmed to carry wmkers' compensation insurance. If an LLC or LLP does have employees,a policy is regain4 Be advised that this aff<daYitmaybe submitted to the Department of Industrial Accidents far confirmation of insurance covezage Also be sure to sigu ffidavit and data the a The affidavit should be,retzmned to'Ee city or town that the application for the permit or license is being regnmted,not the Department of ; lndastIal Acca =fig Sbouldyou have any questions regarding the law or ifyou are reqired to obtam a wmia=' cpmpaosaiin-n policy,Please call the Deparfineaf of the nombez lisiadbelow Self-famed companies sbouId enter their self-insurance license number on.fhe appropriate Ime. City or Town Officials t Please be sure fhat the of adavit is complete-and printed legibly. The Department has provided a space at..the botfnm of the affidavit for you to fill out is the event the:Office ofInvestigatirms has to contact you regarding the applicant Pleas e b e m a in fill in the peami Ylicrose number which will be used as a reference npmbcr. In-addition,an applicant at must submit multiple pe�Iicease applitations in any given year,need only submit one affidavit indicating cua eat that policy information(if necessary)and under"Job She ess Addr "fhe applicant should wriir--"aU locations in (city or_ town)"A copy of the-affidavit that has been officially stamped or marlced byfhe city or town maybe provided to e ' applicant as proof that a valid affidavit is on ED for fie penniis or licenses_ A new affidav$must be filled ou tht each year. Where a home owner or citi=n is obtaining a license or putt not xe7ated to any business or commercial s (i,. a dog license or pe nit to btnn leaves eta.)said person is NOT re�rmEd to complete this affidavit The Office ofIUVtSt gsfinns wouldh7fleto flank you inadvance for your cooperation and shouldyouhave any questions, please do not hesi ato to give vs a call telephone The pepartinent's address, ephon - tbE of Massachusef� Depaxfmmt of 1u A- MUenta os�ao-n�IA CdI 11 Ted..#617- -4940 eft 4€6 car 1-9W—MA SAFE Fax 9 617-727 7M lZ.evisDE 4-24-07 90gA • Town of Barnstable Regulatory Services dF Richard V.Scali, Director Building Division • n'R s�+sa.AS& • Paul Roma,Building Commissioner �039. ��� 200 Main Street, Hyannis,MA 02601 fp www.town.barnstable.ma.us "Office: 508-862-4038 Fax: 508-790-6230 ,,a HOMEOWNER LICENSE EXEMPTION Please Print DATE: O1's�Og I I,g I JOB LOCATION: I�iUr ( �dezl" A=e14 flel/e number ` street village "HOMEOWNER": PMVj �4 (�1 4— 2L —S3C� name /-C home phone work phone# CURRENT MAILING ADDRESS: �7✓ e •w' / city/town state zip code .The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a.parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be,considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other " applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedure and requirements and that he/she will comply with said procedures and requireme Signature of H eo 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 to amend and adopt such a form/certification for use in your community. f i Town of Barnstable Regulatory Services ASS. Richard V.Scali,Director. 639. Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 s www.town.barnstable.ma.us a a Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 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) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final - inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date QTORMS:OWNERPERMISSIONPOOLS The Cotrrmamvea�lh tafl!?trssacliuseh�r `��� .� � • ,.. Depat3dtrt�tt aflndiistrral t.f �ccrderts O,�rce o Imestr$strorrs 600�askuigaf+vn i on: ;. PrLM . @3II�l�V rra «.c1 .� . . �� '"�� -- .__ Ara oa ua l�o r?gteeg tine a �oL _ _ - am a I vntb 4. ❑I uu a 8 contt$c#ar aad 2 1 ❑ eaup oiler 6: New :>, employers{fbll aa�or pmt ):' !rave-brad fhe sub•o�rar 2 I Baia sole Rmgn P 1�d on the attached t 7: Rem\delib etas ar: . ub-�cntractcss 2iave ❑... ehip.a:aslltave noemployees I wodnag for me m aay capr:uty: e�Iopees toad • have w .. trots 9: add► . is 14 l S, Q We arr3:a ctsrptxrattoa sad is Q:Etedncai ne ttsor.a. .... s otHcesa e6ed th�r :.. s at!work. Plmibmg eltiuua�Of. ddttbns ��[No� ���; right�ea�peton per MCii 12 Rcof . - mswreacesqued-la a 152,;§l{4),awsbavaao •.+ 13�Other c iaoe 'Asya�pGamt fat chtt�sboat S..lasast Wco ill out tie secHal►beL►o►friar,tt3eic gels' asv an Pa]lcy ie5�ucn . 1 Hoch;mho mbmt�l6is davi3 iim iartia$d ry ae doid�oti araodc�d llt�b�oats! caottaCcros mast wbiw,in-w Ida"taNadu WAL t3trt cl ]t ibls baa mono tataced as st133tlota2 sheet tlet acme of iha s ooffitactots�d state vhrtbet a;riot 16t►is tei 1 : emplay�s_it tbta cntrtttuaacoo�s tmre mcP ,>�Y tom?f��� '�►P-3�1�7�+� - 1 atii t:tt a thrrl is wearkors'tro .......... or.. Bitotvs lira tut+rlr szts` . u grtnatton. lasiirasce Camay Nataa...:..:....:. .:. ... Pofic3e#or:so.lf :I,ic,# 1 on: ...... :. .......... .. Jo6Site.Ad CttylSelZtp Attach:copy ai the tvorlceYa' utitioa policy declairatiioa ps�e(stawiag 11"tha polhy onmb and capirsttfon die} Fa1me W�ecuce.coiret ge as regnard SecKon 23A:of MCiI.c.I52 caxt.iea�t`toahe'isysidan ocriminal pemitrrm:of a ftstts tip, 51,3W 00 as►d/a r an$-Ytac mnP�sast,as weD ate ct<nY:penaltraa u►dsa:fomi of a 33'aP WORK ORDEK>wd s Vie: of ail to S23Q OQ a=may t#g at thevibwa.f:.&advised:69 a copy afdtts:ittatei i tmay b £orwarded.to' Oflfce a :: IuvesbGgatsona of the DIA l�r!toe v.................................................. ltera: i6atfw.dtrd 'dia,�tat�its a t r�'tTt tlfre {fore tciror prwt�tded abova fs brie and eorreYat: . dZ .... : ............. :. QQgdal on6 Do...tof tv.....n thta are...ta ba c......red by.dty or:totwt o,{�ctax; `.atpor?o Periaodtli #:................... . .....:...... ... ...::... Lgsng Antkority(etircIe:oAey3 a Bot�rd of Hra1E Z.:BoItOBepssrnt 3.CatyfPow�.Clftrk 4 Elcettteal Ltapectotr. :>Ytitzmbing Iaspcetor d:Otltcr: -...._ _..... Cont:ctPorsonc.-.. Phonel:VV< :. 6. Town gf Barnstable y �E s r+ 4- Regula�or� �' Rfcbarsd V Scab, Director s :m w` Building Division -' Paul Roma,.Bui[dtag Cemotissioner: ^� 200 maut-Street, Hyanpts;'tvJA. ...... -:: www:townbarnsta6le:ma.us. Oftrce:: SU8-8ti?A038< Fax $08 790-62-0 ::: . _..............._. ._.._... no! OWNER t.ICEN3t's EXEMP77ON . € , east t t ocalorr ........ T��.. nwn. sTect vi 3 :: :[ �roM>row:vExT wyeJ �c a� t� QQ namc home ptioz►e w work ptronei� CUtiR&Ar;1 MAIi.TNt3liDDR1�S � .7t.:::.,...... :::...:.... k t .. city/tom. store tip code The current exemption for, t�a teowners was oxtended to tnclud8 own�rnp►ed dwaUiiis of.six'ututs:or.l8sstand N p k : to allow homeowners to engage an individual for hire who does not:possessa Ucense,provided tithe owrikr acts as=sttpetvisor k_ ........................: ::S:G:F:. _ ;::::,D13FIIHYC'C F: H07tREOWf@ER Persou(s)whQ ownsxa parcel of land�on which 6A;, oxesides or intends toxes[ds,.otiwhtclithere>is;:or�s intended:to: e;a ane oz tww amtly weilmg,attached or.detached sttuchues,accessory'to such;use andlor faun stxuctures. :A : . person who.;constructs mote lhan one home In a hvo year period shall not be considered a homeowner: Such F "homeowner"shall submit to-die$btlding Ut�ictal on a form acceptablato theBuikiing Official,that helslie`sktail be : s':,. .... t �sitile`far all su wo firmed under the bi}l�iggpgnmtt. '(Sectionl1a91 I) ..:. ED tom:._....... . Theaunderstgned"homeowner"assumes•responsibility for:complanca witt►;,the:State BwIdutg Code and od�cr applicable codes,bylevys,tvIes.and.rt}gutots,. The understgnt<d"homeowner"certifies that helshe understands the Town of Barnstable.BuildtngDepartment - mmunum utspection procedw�es and requirements and that heJshe.will comply wig said procedures.and ' utrements 7: {i x; p,a Approval ofSvildrng011lcJai. .:: Note Three-family dwellings containing 35'000 cubic feet of=liirger wtil:l required to;comply with'tlie Y`� State Budding CodaSeetion 127 0 Construction Control t HOMLOWNER'S EXr.MrrtON , t The Cod . that uAny homeowner performing work for which a buitding:permft is required V F ° snail be exempt framYtlteKprovisfans at,th ,section'(Sft- S49 T I ceasing of eonstiryction;Su rtiisors),r' _,:'. ;. . prov did-Owji- lie homeowner;cn a es aipersoo s far,bire tb:do snch:wo �� `' 8 g (.) rh,;[that sticlr Homeowner . as'supervlsor" _ Many homeowners who R."'..this caemptioa are unaware:that they are assomiag.the responsibilities off.; a snp�ervisor(see Appendix Q,Rttlee.&Regulations for Licensing.-onstruct[oa Sureri�isors,Seetton,Z:1S') f 'This leek of awareness often remits:in serious problems,particularly when fhg.fioiiteownerhres.unlicensed persocts In this case,onr Beard cannot proceed against the censed:person as it would with a licensed_ Supervisor The homeowner aetieg as Supervisor is ultimate[y responsible To etisnre that the.homeowner is ib!!y aware of his/her responsibilities,many communitie sire quire : + >as;part of the permlt:appficatioo,that Elie homeowner csrtify ttiaf helsheunder�tnnds tbg responsibilities of a. Snpervisor.rypa the>last pagt3 ottbis issic- ue,ts a f9m,eurrcntly used by severaltoas,, Yon may;care to amend. forml�rtitication'tor use a.yogr eomrnanity: d Barnstable Old Kings Highway Historic District Committee 0 200 Main Street,Hyannis,MA 02601,TEL: 508-862-4787 Fax 508-862-4784 MA6S a .. s6�q. `do APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with five(5)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973,for proposed work as descn1W below and on plans,drawings,or photographs accompanying this application for. iNew Check all categories thatapply; I.. Building construction: ❑ Addition ❑ Alteration 2. Type of Building: ❑ House ib Garage/bam ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting,roofIV new roof ❑ color/material change,of trim,siding,window,door . 4. Ste: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court ❑ Other 6. Pool ❑ Swimming ❑ Other man-made pool ❑ Solar panels ❑ Other Type or Print Legibly: Date ®6 c3 OZI NOTE AM appGeadons Hoist be signed by the current owner Owner(print): a V e.1 � (ems Telephone#: ?7 7 Y I Address of Proposed Work Jr ear' fi Village W.S..rh e&�bl Lot# Mailing Address(if different) IV Owner's Signature _= Description of Proposed Work: Gi c ars of work to be done: 0"il. ,N a n e r✓ j araq Q--- , Agent or Contractor(print): Telephone#: Address: Contractor/Agent'signature: For committee use only. This Certificate is hereby APPROVED/DENIED Date 7 . 27 /CO Members signatures 1 05 WID A��1 1�IT w W lA, o- J6 Ck S APPROVED Q.I Boards and Commusions101d .41 t AN iawiom10Kff2O11 Cert Appropriateness doc i*" Committee i CERTIFICATE OF APPROPRIATENESS SPEC SHEET.Please submit 5 copies Foundation Type:(Max. IT'exposed)(material-brick/cement,other) Siding Type: Clapboard_ shingle Zother Material: red cedar white cedar V_ other Color. vc+► Chimney Material: Color. Roof Material: style&make ��ee / ( ) l.ca�ac►�'L c3(7 u_ urc�..Cec�. Color: Roof Pitch(s): (7/12 minimum) (sped on plans for new buildings, major additions) Window and door trim material: wood other material,specify c doo✓S) 9 1 Size of cornerboards 'X 4 size of casings(1 X 4 min.) color vV h1'k�C Rakes Ist member 2nd member 'PC3 Depth of overhang 3Z Window: (make/model) ew.1e.rseaa material Via L4-U color W�� C (Provide window schedule on plan for new buildings, maf r itions) Window grills(please check all that apply_. true divided lights_ exterior glued grills_ grills between glass_removable interior None Door style and make: material Color: Garage Door,Style Size of opening 18 )c S Material uw 0ti olor 1vJ t Shutter Type/Style/Material: Color: Gutter Type/Material: r.Colo Deck material: wood V/other material,specify Color. I Skylight,type/maketmodell: material Color. Size: Sign size: Type/Materials: Color. RE CENED Fence Type(max 6')Style material: Color. JUL Q 5 LU I b Retaining wall: Material: Q RH-AANUMENT Lighting,freestanding on building illuminating sign OTHER INFORMATION: THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMTI"I'ED Please provide samples of paint colors,manufacturers ro ure of windows,doors,garage door,fences,lamp posts etc r r —---� /K,t/� Signed: (plan p epa, Print Name r 2 Q.Boards and Comndmions101d K ngs HighwaylOKHApplicaaons{OKH2O11 Cent Appmprlateness d= Town of Barnstable Geographic Information System July7, 2016 131003 . 131017 131027001 131025 #263 131002 #`3,95 131027002 #378— J#330 1314� # 13105b v #394 ��0 #205 130006 ! #400 131060002 #31 ® �. 130007 131001 #168 130008 #431 #0 o� o V ® 130005 #449 130024 #4 130030 ® 130009 #0 ® #136 130033 ® 130010 #671 #122 ® 130004 ♦ 130036# 00 130023 ® #106 ®#145 130036 #575 130003 m #495 A130026 #7. 130022 #135 4® ® 86 86 O 130031 #111 130034 '® #519 130027 130021 #490 #91 130013 130028 #4 #510 130020001 G7 #75 0 80 F '#526 DISCLAIMERS:This map is for planning purposes only. It Is not adequate for legal Map:130 Parcel:023 boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:ZYBAILA,PAVEL&KATERINA Total Assessed Value:$255100 Selected Parcel 1"=100'may not meet established map accuracy standards. The parcel lines on this map are only graphic representations of Assessors tax parcels. They are not true property Co-Owner: Acreage:1.11 acres. Abutters boundaries and do not represent accurate relationships to physical features on the map Location:145 CEDAR STREET such as building locations. Buffer 7/4/2016 . IMG 1204.JPG f ' 4% , COM PA Ip �126.38' Ab1. t ii +tip PrLr*-vw- t / � G 6♦��L � � 0 r r b� 6pj. 99 W 6. lot 9 A� rO +6 1 � 66• O O /1 . + ♦0 +6 0� N MtpsJ/mail.google.com/mail/u/QMMnbox/1559M2872914d37?xojector=l 1/1 1R1F'(",EIUD JUL 0 5 Cuts GROWTH MANAGEMENT s 6 e C'T 11:T - L1. :I:II ® IrI�i: 1t 11:11 � :CI1 Il- LCL if l � . 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I. .L.L.L I.L�l I.I.T T.L 1 7.�1�J:f 1 11�.�.ITI..1.I.I .(.I ..L J lrl Cross Section 11 orate: SHEET: A-6 RECEIVED JUL 0 5 Z01b GROWTH MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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El 11L 11Ir1 .LT111ClC i I 1.1: . I: 11. L:C.f.I:[L..I:.I�::[:I f.a: T.[ TI.T:frf. .. ..... 1 r F. 1.�.�J.1.�.1..1.1.�7.L.I.I. . []..I:.TT�I.[i.l Lr.1.1.1 Li DATE: 6/29/2016 SCALE: SHEET: A-5 RECEIVED JUL 0 5 Mb g. Il�aa l i GROWTH MANAGEMENT L[.I:f:fllaal.l:fl. -I:L�.11-.I.t]. �.��a.:��'>:. .. � .. r.11.f.1TrTlT j f.IT1.I.�I�T(:�1. 11111... L_ . 1..�:l�I:ILLLJII .�.l:Ll. L1. 1.1".:_: :.. ..1.1.1.L.L.I I.[I.L�1.L. •.:f.I:I LTl: IITItTL�.C�ri11J- D II I7111a 1�11�i1T . . I 1t1�1�11. 1.1111.[1L1�1�:I:r1:1T T]:Il]a1.f1.Ll.�. 1:Ial:IllL1T! 1 IfT Tl 1 I I I 1 f 111 I it 1 , , I I I .r f'T f�rl-1 T 1.1..11:1.1..1 IT I T 11.1:1:1111.1111:11:�111.�1.111..11�:11111�f�:117:I:f I:1.L1.I:l�l�lTalL.l1 I IT1I.CLI 11.l:rflhl:I:I�LL1 ... ` 1.r11_LLLjI.Ill.1.11al:Ill:Ll.11lj[,11I1�:1�.1�flI:ILLLL�L.iLT�.L I' TII1I lll1. 1 I111T1Tl. . lIII 1.1 Lr' rT' I11 4 lfl: CI 11 � .ITI.L L-1 ; . 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SCALE: 1 �!e✓mZuK A-8 JUL 0 5 LUlb i GRowTH NiANAGEM ENT i $ I ul W I r`r'r r rr a I 0 I I - m ® ® 1 ? � I I I I I I , I I I I I i i� DATE: 7/4/2016 SCALE: SHEET: A-14 RECEIVED ,"UL p 5 Lulb s GROWTH MANAGEMENT I � I , c n ar I I I I Ili I ° i uhrt � m T I � rn it m II1 n II I I I I I I III i? 7/4/M16 SCALE: SHEET: A-13 it'Boise Cascade Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam iFB01 - Dry 13 spans I No cantilevers 1 0/12 slope June 30, 201R 12,05:26 BC CALCO Design Report Build 4516 File Name: BC CALC Project Job Name: Description: Designs\FB01 Address: 145 Cedar Street Specifier: jlm City, State, Zip:West Barnstable, MA Designer: Customer: Company: Shepley Wood Products Code reports: ESR-1040 Misc: 12-00-00 12-00-00 12-00-00 BO 61 B2 ! 63 Total Horizontal Product Length=36-00-00 Reaction Summary(Down /Uplift) (lbs) Bearing Live Dead Snow Wind Roof Live BO, 3-1/2" 2,656/296 637/0 B1, 3-1/2" 6,833/0 1,696/0 B2, 3-1/2" 6,833/0 1,696/0 B3, 3-1/2" 2,656/296 637/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf. Area (Ib/ft^2) L 00-00-00 36-00-00 40 10 12-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 8,155 ft-Ibs 58.4% 100% 2 05-05-06 Neg. Moment -9,707 ft-Ibs 69.5% 100% 4 12-00-00 Neg. Moment -9,707 ft-Ibs 69.5% 100% 4 12-00-00 End Shear 2,633 Ibs 41.7% 100% 2 01-01-00 Cont. Shear 3,841 Ibs 60.8% 100% 4 11-00-12 Total Load Defl. L/377 (0.375") 63.7% n/a 2 05-09-02 Live Load Defl. L/446 (0.317) 80.8% n/a 7 05-11-00 Total Neg. Defl. L/730 (-0.197") 32.9% n/a 2 18-00-00 Max Defl. 0.375" 37.5% n/a 2 05-09-02 Span/Depth 14.9 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" 3,293 Ibs n/a 35.8% Unspecified B1 Post 3-1/2"x 3-1/2" 8,529 Ibs n/a 92.8% Unspecified 62 Post 3-1/2"x 3-1/2" 8,529 Ibs n/a 92.8% Unspecified B3 Post 3-1/2"x 3-1/2" 3,293 Ibs n/a 35.8% Unspecified Notes Design meets Code minimum (U240)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. Fastener Manufacturer:TrussLok(tm) Page 1 of 2 t ®Boise Cascade Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam\171301 Dry 3 spans No cantilevers 1 0/12 slope June 30, 2016 12:05:26 BC CALCO Design Report Build 4516 File Name: BC CALC Project °' Job Name: Description: Designs\FB01 Address: 145 Cedar Street Specifier: jlm City, State, Zip:West Barnstable, MA Designer: Customer: Company: Shepley Wood Products 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 output as evidence of suitability for • • particular application.Output here based on building code-accepted design properties and analysis methods. • L—• • Installation of Boise Cascade engineered wood products must be in accordance with current Installation Guide and applicable e building codes.To obtain Installation Guide a minimum — 2" c— 5-1/2" or ask questions,please call — — (800)232-0788 before installation. b minimum =4" d = 24" e minimum = 1" BC CALCO,BC FRAMER@,AJSTM, ALLJOISTO,BC RIM BOARD-,BCIO, All TrussLok screws may be installed from one side of multiple ply VERSA-LAM beams. BOISE GLULAMT" SIMPLE FRAMING All TrussLok screws may be installed from one side of multiply Versa-Lam beams. SYSTEM@,VERSA-LAM@,VERSA-RIM PLUS@,VERSA-RIM@, Member has no side loads. VERSA-STRAND@,VERSA-STUDO are Connectors are: FMTSL338 trademarks of Boise Cascade Wood Products L.L.C. ��L.-O T s � i ` tr 4 y: ell . r 145, Cedar St r �. Google Earth 11 • 1 ' ls 1` 5 Cedar St y yr �- Google Earth Kf r '} 14'5, Cedar St Goo le Earth 11 • • s • 1 L= 13.G2 R=727.23 I HEREBY CERTIFY THAT, TO THE BEST OF MY KNOWLEDGE, BASED ON AN INSTRUMENT SURVEY, THE STRUCTURES SHOWN HEREON ARE AS THEY E zXIST ON THE GROUND. ` ` ►P����n�r��iSs.� 9 Q STEP-IF!' NO.37559 ♦ l�tic" i i� �� `'J,`p�` rd °q 04, J G 01 10 OCT 312017 OWN OF&At3IVS�A `� Fo Q/ ASSESSORS DATA: PARCEL 23 MAP 130 PARCEL 23 4G,093± S.F. REFERENCE DEED: 25237-347 REFERENCE PLANS: 242-G5, 15 1-3, 224-1 34 s:CEDAR 5T LAYOUT �n') ZONING DISTRICT: RF �0 0� h FEMA DATA: ZONE"X"- NON HAZARD 0 MAP: 25001 C0534J (j)� MAP DATE: JULY I G, 2014 FOUNDATION CERTIFICATION PLAN PREPARED FOR #145 CEDAR STREET 5270 58' 03"W WEST BARNSTABLE, MA 37.G9' DATE: OCTOBER G, 2017 0 50 100 Stephen J. Doyle * A55ouate5 Feet 42 Canterbury Lane,East Falmouth, MA 0253G SCALE: I" = 50' Telephone: 505 540-2534 5Jd5urvey@aol.com YOU WISH. TO OPEN A BUSINESS? 'a 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.L.-it does-not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601. (Town Hall) and get the Business Certificate that is required by-law. . DATE: 03 /Z Fill in please: APPLICANT'S YOUR NAME/S: '� v f ��� �� HOME ADDRESS: BUSINESS Y{: °,;'; :;•s;. �N . ' �iF;4' M13`1.s• I g �urifLa'" — � .gJl7� ""`� �'�`a-1y1'�= TELEPHONE # Home telephone Number 8 #:.,•;�e;:r.: f• .;r. ,� E—MAIL: 7- �A a11� Ca04, — NAME OF CORPORATION: NAME OF-NEW BUSINESS n 2- c-av z-Cr _a-t 7 flv^ TYPE OF BUSINESS C.O." ti'u �bK IS THIS A HOME OCCUPATION? . YES NO � ll 22Ti ADDRESS OF BUSINESS. . arJ�r�Q MAP/PARCEL NUMBER ��lV - (Assessing) 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 COMq- e R'S OFFI S1 COMPLY WITH HOME OCCUPATION This individuin d o y prmi requiremerts that pertain to this type of bush . RULES AND REGULATIONS. FAILURE TO Aut e Si natur COMPLY MAY RESULT IN FINES. 0 MEN S: 2. BOARD 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: . Town of Barnstable THE Regulatory Services F Tp� 'Lc Richard V. Scali,Director Building Division HAMS BM MASS, Paul Roma,Building Commissioner v i639. �iDlEn ru•'�" 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATI N �U3�1 r Date: Oj� 7 Name: 1 �RJ J C Phone#: 7'T q- 26R - 93�� Address: I Ce e��$Dr Village: �•. � ► 1�' nn Name of Business: �N t c@ IaC�E), Gef:>yn�� L_t eye n Oe-t Type of Business: Map/Lot: 136 U � INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase 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 within 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 generated in 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 shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above res 'o f`C , home occupation I am.registering.- Applicant: �--� c Date: v�l' Homeoc.doc Rev.06/20/16 I I t REScheck Software Version 4.6.2 Compliance Certificate . , Project Garage Office BUILDING DEOT Energy Code:- 2009 IECC MAY p 5 2017 Location: Barnstable, Massachusetts Construction Type: Single-family Project Type: New Construction TOWN OF BARNSTAdI_E Conditioned Floor Area: 0 ft2 Glazing Area 13% Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 145 Cedar St Barnstable, MA 02668 Compliance: 0.0%Better Than Code Maximum UA: 139 Your UA: 139 The%Better or Worse Than Code Index reflects how dose to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Cavity Cont. Ceiling 1: Flat Ceiling or Scissor Truss r L 768 30.0 0.0 0.035 27 Ceiling 2: Cathedral Ceiling 12: 1 t to o� � rbo�� t.m.,3C ���. 144 30.0 0.0 0.034 5 2. Floor 1:All-Wood Joistfrruss:Over Unconditioned Space 912 30.0 0.0 0.033 30 Wall 1:Wood Frame, 16"o.c. 780 19.0 0.0 0.060 40 Window 1:Wood Frame:Double Pane with Low-E 68 0.270 18 Door 1: Glass 42 0.270 11 Wall 2:Wood Frame, 16"o.c. 96 13.0 0.0 0.082 8 Compliance Statement: The,proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.6.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: Garage Office Report date: 07/02/16 Data filename: Untitled.rck Pagel of 7 rf' t t REScheck Software Version 4.6.2 Compliance Certificate Project Garage Office Energy Code: 2009 IECC Location: Barnstable, Massachusetts BUILDING DEPT. Construction Type: Single-family Project Type: New Construction MAY 0 5 2017 Conditioned Floor Area: 0 ft2 Glazing Area 13% Climate Zone: 5 (6137 HDD) TOWN OF BARNST,,ABLE Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 145 Cedar St Barnstable, MA 02668 Compliance:�,Passes using UA trade-off Compliance: 0.0%Better Than Code Maximum UA: 139 Your UA: 139 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Assembly or I-alvity Cont. U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 768 30.0 0.0 0.035 27 1 Ceiling 2: Cathedral Ceiling I;d'c�.,:�:,s%_�•-'" �2• �Z r�T s��►a 144 30.0 0.0 •0.034 5 Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 912 30.0 0.0 0.033 30 Wall 1: Wood Frame, 16"o.c. 780 19.0 0.0 0.060 40 Window 1: Wood Frame:Double Pane with Low-E 68 0.270 18 Door 1: Glass 42 0.270 11 Wall 2: Wood Frame, 16"o.c. 96 13.0 0.0 0.082 8 Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.6.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: Garage Office Report date: 07/02/16 Data filename: Untitled.rck Page 1 of 7 4 REScheck Software Version 4.6.2 Compliance Certificate Project Garage Office Energy Coder 20091ECC StJ/LD/IVG���T Location: Barnstable, Massachusetts Construction Type: Single-family h1AY 0 5 2017 Project Type: New COnStrdt ib:n Glazing ArConditione aFloor Area: 3% TOWNl 0r 13 A'r?h187A8L Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 145 Cedar St Barnstable, MA 02668 ance.Passes using UA trade-off Compliance: 0.0%Better Than Code Maximum UA: 139 Your UA: 139 The%Better or Worse Than Code Index reflects how dose to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Cavity Cont. Perimeter Ceiling 1: Flat Ceiling or Scissor Truss 768 30.0 0.0 0.035 27 Ceiling 2: Cathedral Ceiling IZ• 12 pa 4- J ro- , T"%4k e(e%r: 144 30.0 0.0 0.034 5 Floor 1:All-Wood joist/Truss:Over Unconditioned Space 912 30.0 0.0 0.033 30 Wall 1:Wood Frame, 16"o.c. 780 19.0 0.0 0.060 40 Window 1:Wood Frame:Double Pane with Low-E 68 0.270 18 Door 1:Glass 42 0.270 11 Wall 2: Wood Frame, 16"o.c. 96 13.0 0.0 0.082 8 Compliance Statement: The,proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.6.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: Garage Office Report date: 07/02/16 Data filename: Untitled.rck Pagel of 7 L. i Town of Barnstable Buildiri . . • �` g Post This Card'So Tha't�it�is Vi sible F,r�om the Street=Approved'Plans Must#be Retained�on Joban'd th�s,�Ca�d M 4_st be Kept � '"" Posted Until Finallnspecti_on Has Been•Made. R ' d �� � Permit ;, � .< Where a Certificate of Occupancy�s�Required,such Building=shall Not�be Occupied 'until#a Final I:nspect�on.has been ma e: Permit No. B-17-1316 Applicant Name: ZYBAILA,PAVEL&KATERINA Approvals -Date Issued: 06/02/2017 Current Use: Structure Permit Type: Building-Detached Garage Residential Expiration Date: 12/02/2017 Foundation: Location: 145 CEDAR STREET,WEST BARNSTABLE Map/Lot 130-023 Zoning District: RF Sheathing: `Owner on Record: ZYBAILA;PAVEL&KATERINA Coctor Name: Framing: 1 Address: 145CEDAR'STREETContractor License 2 N E�_ WEST.BARNSTABLE,MA 02668 _ st-Est Cost:- $30,000.00 Chimney: Description: PERMIT FOR GARAGE. FROUNDATION�UP,•COIVIPLYING"WITH MA Permit Fee: $253.00 �� � Insulation: BUILDING CODE'REQUIREMENTS 2ND FLOOR OFFICE-AND.'BATH' Fee Paid $253.00 NOTE:FOUNDATION BOLTS 24"QC.-PER CODE;,ASrs BUILT(,,REQUIRED- Dat 6/2/2017 Final: RMCK ,, � �k� ��� � , �, � . Plumbing/Gas Project Review Req: PERMIT FOR GARAGE. FROUNDATION UP COIVIPLYING�WITH Rou h Plumbin.Q -� g g MA BUILDING CODE REQUIREMENTS 2NDiFLQOR OFFICEAND �. Building Official ' BATH —`— -Final Plumbing: - Rough Gas: NOTE:FOUNDATION BOLTS 24"OC PER"CODE ASBUILT REQUIRED-RMCK Final Gas:This permit shall be deemed abandoned and invalid-unless the work author zi ed his permit is commenced withinrsiz nonthsaftessuance. . p l y, � nt All work authorized by this permit shall conform to the approved application�nd ih apppro�ved construction d' cMents�for whicFiahis permit has been granted. Electrical All construction,alterations and changes of use of any building and structuressP al6be,,in complianceLWith the�local zoning by lawsrand codes.. _ � � � �� Service: This permit shall be displayed in'a location clearly visible from access street or road and shall�be maintained open forpublidjri,pection for the entire duration of the F " work until the completion of the same. .- r Rough: The Certificate of Occupancy,will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. final: Minimum of Five Call lnspections.Required for All Construction Work: 1.Foundation or Footing Low Voltage Rough:. 2.Sheathing Inspection 3.All Fireplaces must`be inspected-at tKethroat level before firest flue lining is installed Low Voltage Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Health 6.Insulation 7.Final Inspection before Occupancy Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Fire Department Work shall not proceed until the.Inspector has approved the various stages,of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). ackechnie, Robert From: Pavel Zybaila <pazyba@gmail.com> Sent: Monday, December 19, 2016 11:17 AM To: Mckechnie, Robert Subject: Re: Permit Application for Garage Hi Robert, I'm aware of the issue, and I have an engineer working on septic plan to upgrade it to 4 bedrooms, Should be complete with all of it in about month or 2, if weather allows, Best Regards Pavel On Dec 19, 2016, at 10:43, Mckechnie, Robert<Robert.McKechnie@town.barnstable.ma.us>wrote: Good Morning, .N It appears that an issue exists with the plan as drawn. Please respond to this email so that I know I have the correct email address. Thanks, Robert McKechnie Local Inspector Building Department Town of Barnstable —200 Main Street Vv \ Hyannis, MA 02601 , 508-862-4033 b . �lzl � w } TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION +. Map /L3 Parcel �V �l✓ Applicatin #Health Division � Date Is Conservation Division k e?� Application Fee Planning Dept. �Q��. �' Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis j;t, ,�/I Project Street Address 46_� do- Village Y�. � � _-C4 [e /� Owner 6 � � Address �4 Jau- W. �J�as� Telephone �! •2�� — 9 3 r l Permit Request --- L� a e-r•.",'� Tor 1�uc e e Square feet: 1 st floor: existing proposed 66� 2nd floor: existing proposed Total new �� 8 Zoning District Flood Plain Groundwater Overlay Project Valuation � Construction Type �,✓fl�e /ra.--r� Lot Size / Grandfathered: ❑Yes allo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes LVN-o/ On Old King's Highway: /❑Yes1 d6o Basement Type: ❑ Full Or/crawl ❑Walkout LVOther Basement Finished Area(sq.ft.) Basement.Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ G s ❑ Oil �lectric '❑ Other Central Air: ❑Yes No Fireplaces: Existing New l/ Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing C(new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use s� ��o� aeYQa� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) r cc�� (� / p Name ex e/a � -1, Telephone Number -7 74 - aC�� ^ L9 36 O Address 14 C.Q�Q� W- fb .WV%A"te_License # (f — 10 y ;Z C> ", Home Improvement Contractor# h' Email � �1�� /4/ 4 �-� a2A—L Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE,-_-5—�----� DATE rS�o�S Z �6 FOR OFFICIAL USE ONLY o APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE _ o S OWNER DATE OF INSPECTION: FOUNDATION i FRAME ` INSULATION FIREPLACE '. r ELECTRICAL: ROUGH FINAL • PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT - ASSOCIATION PLAN NOS, - - 1 at TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. ,; - ,, a rl _ Map 13 62 Parcel e,,3 Application # � ' Health Division Date Issued Conservation Division Application Fee / Planning Dept. Permit Fee ���• �� Date Definitive-Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis r /Project Street Address a��'� �!r� sr� _ Village, V. ���K z �x� Owner i"�� �.� ,� �a�� 6 Address �f 5 Telephone f - 9_..�&E- 7 7 4 - k? a Permit Request .j 1 a ev i yr �o �,A l ,, .v� X P 4 V tD low E' Square feet: 1 st floor: existing proposed'66 2nd floor: existing proposed &6 Total new Zoning District Flood Plain Groundwater Overlay Project Valuation P� Construction Type Lot Size _ Grandfathered: 0 Yes No -1f'yes;�attacsupporting documentation. V. _ Dwelling Type: 'Single Family r l Two Family 0- 4, Multi-Family(# units).�,' -Ageof Existin Structure Historic ❑Yes No .,On Old Kin 's Highway: ❑Yes U No �9 9 � _ 9 , 9• , � Y� Basement Type.:; ❑ Full dCrawl ❑Walkout 0"Other Basement Finished Area (sq.ft.) Basement Unfinish'diArea (sot) Number of Baths: Full: existing new' � ,Half: existing new Number of Bedrooms: 0 existing _new Total Room Count (not including baths): existing new First Floor Room Count 1 -'�Heat,Type and Fuel: ❑ Gas' .,- ❑Oil 1 Electric ❑ Other Central Air: ❑Yes ,a0 No s Fireplaces: Existing New 02 Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing LP new site Pool: ❑ existing ❑ new, size : Barn:0 existing ❑ new size_ Attached garage: ❑ existing ❑ new size , Shed: ❑ existing ❑ new size _ Oth4: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ i Commercial ❑Yes 0 No If yes, site plan-review # Current Use ` Proposed Use i } ��r �fu�� = 1�„�,r APPLICANT INFORMATION (BUILDER OR HOMEOWNER) " Name I �<-�/�C 6 .i Telephone Number �4 � ��O Address �� �n,u :>'t W R7,�,r c spy�� License # �� ,� �✓' _ Home Improvement Contractor# Email t:,cz.*� �� �= G� 1 -1 a, �c� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE "� - DATE e FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. 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. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ` Map Parcel �at� n # Health Division Date Issued `1 Conservation Division Application Fee ` Planning Dept. Permit Fee IN Date Definitive Plan Approved by Planning Board ' Historic - OKH Preservation/ Hyannis Project Street Address 1145 War �Sf' Village W&Tl'� �PJ Owner Ka&ia'Lmg_ Address 05 ( -f- U2-&ynsh 21t1 Telephone__ Permit Request §abgxr rwayd n �W com, A09facat Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation it 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: 4 Yes ❑ No On Old King's Highway: ❑Yes P(No Basement Type: ❑ Full Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) OZz Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: 3 existing —new o q Total Room Count (not including baths): existing new First Floor Room Count `' e Heat Type and Fuel: Jq Gas ❑ Oil ❑ Electric ❑ Other ® '� o N � Central Air: ❑Yes ;kNo Fireplaces: Existing New Existing wood/coal stove�°A Yet ❑ No Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: existing CPnew57size_ �u -3-,! Attached garage: ❑ existing ❑ new size _Shed:A existing ❑ new size _ Other: c Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes JX No If yes, site plan review # Current Use — ���p, Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address q5 Oja r Ist- License # 0, MA 0076(QF Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Tewn �&Wmjjh aw SIGNATURE DATE IN ��I� t k a FOR OFFICIAL USE ONLY r. . s APPLICATION# DATE ISSUED b MAP/PARCEL N0. > ,X ADDRESS r y VILLAGE t, OWNER - €_ IlF DATE OF INSPECTION: a f€ :..,•FOUNDATION . FRAME �3FR oK 9 23 �3' m� 3 INSULATION &IA)5 �6e u>> G�►eo o l�.c�r�L FIREPLACE " ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL ' tf GAS: ROUGH FINAL - - FINAL BUILDING4 r . DATE CLOSED OUT, r ASSOCIATION PLAN NO. - t • f 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 N1m0(Business/Organization/Individuai): Address: ' 16 + City/State/Zip: md ot"tL mk owPhone#: Are you an employer?Check the appropriate box: Type of pro,ect(required): 1.❑ I am a employer with �4)0 I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 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. employees and have workers' $ 9. ❑Building addition [No workers' comp.insurance comp. insuranceJ 10.❑Electrical re airs or additions required.] 5. ❑ We are a corporation and its P 3. I am a homeowner doing all work officers have exercised their 11.❑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 13.❑ Other employees. [No workers' 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 sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that 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$1,50.0.00 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 penalties of perjury that the information provided abover is true and correct Si afore: K Date: phone# ~?'7`1�0�Co i9 t Jq Off cial 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#: 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 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 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 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-MASWE Revised 4-24-07 Fax# 617-727-7749 www.mass_gov/dia Town of Barnstable Regulatory Services ' B& ' Thomas F.Geiler,Director `0� g Buildin Division '�Eo rru•'t• Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION' d0/3 Please Print DATE: JOB LOCATION: NO f/ number street village ••HOME rabe OWNER": yj l name V r, War p� home phone# work phone# CURRENT MAILING ADDRESS: �`�(p��LlX.I.tJ:(p./� cs� ,, � / /��//�y I/l/La 1 kw i/c5/GN�L(' Uff '�U.(fl6 city/town State zip code. The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached.or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Sig=of-Homeo 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. C:\Users\decoUik\AppData\Local\MicrosofllWindows\Temporary Internet Files\ContentOutlook\QRE6ZUBN\EX2RESS.doc Revised 053012 ' i IMHET ti . Town of Barnstable .� Regulatory Services • awxxsr,,s[,�, • . mASS. Thomas F.Geiler,Director s6 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder � , r 0 t 1 L , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit (Address of job) Pool fences and alarms are the responsibility of the applicant:Tools' are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS 62012 $" 51 Yv �I k ) O 10 Co _03 dam , � Town of Barnstable *Permit#� Expires 6 months from' e date Regulatory Services Fee MASS. $ Thomas F.Geiler,Director 16;9- Building Division . Tom Perry,ry,CBO Building Commissioner 200 Main Street,Hyaanis,MA 02601 www.town.barmtable.ma us Office: 508-862-4038 Fax:.508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press bnprint Map/parcel Number 1 n� Property Address �L . (' (ea � /rl 4-Residential Value of Work ls Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Telephone Number 77`�`� �70� d" :- - 33 Contractor's Name Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) Oft P RmIT ❑Workman's Compensation Insurance Check one: APR 112013 ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name WoAman'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 to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side #of doors Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ SmokelCarbon 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: ..rTmitfnrmclFSPR S.doc ne f;ommomveaM ref m ssa&useft �-� Dqurtnrent of ndus&W Arc iderrts Ofice of Investigafions 600 Washwgion Street Boston,CIA 17211.1 . "MM- ria�mgov/dia Workers' Compensaficin.Iusurauce Affidavit"Bagders/ContractorslElectricians/Ph tubers Apphcant Information Please F riat Na=Must Address: lye l� cityrstarerzip: f r l� � phoneg -7 Are you an employer?Check the appropriate bo= Type of pro jeet(required): i . ❑ I am general contractor and I 1.El I am a employer with 4 ae G_ ❑New won employees(full andlorpart-time).* havehi ed the sub-contractors Fisted on the attached sheet y ❑Remodeling 2 El am a sate pFoptitni arptirtuer- These sub-contracts have ship.and have no employees S_ ❑Demolition wodring forme in any capacity. 5. ❑ Wee are col employ om eesand have wedmm' g ❑B,uslding addition p.[No wod rs'comp-insurance C w a a coLpoe.I oration and its 10•❑Electrical repairs or additions required] - officers have exercised dwir l t-❑Plumbing repairs or additions 3.)NI am a homeowner doing all work myself [No workers'comp- rightof exemption per MGL 12-❑Roof repairs insurance required]{ c-152,f l(4),and we have no 13.❑Other o workers' employees-IN comp.insurance required.] 'Any apphxut that cheds box#1 Est also faloat the s"onbelow shawing thaw tawa jew compensa4na pork]'infumnstiam- I Homeowners who submit this aft indicating they ate do-9 ail wat acid dam hoe oatside contia,cmrs umst submit anew affidavit mdicsting such" tcont ctm that check this box must attached m-ddiiinn,r sheet showing the rime of The zad state whether or not those entities hare emplaryen. Ifthe sub-rowan have employees,d9 must provide their ovrxkaV camp.policy number. I van an employer that ispimviding woAers'compensa don innimace far n,y.etrrpI6w& Bda v is thepoUcy and join site information. . Insmance Company Name: Policy#or.Self-ins.1ia# Fxpisation Bate: Job Site Addrew- Cify/Stafie/Zip: " Mach a copy of the workers'compensation policy declaration page(slreoa4 rig the policy mamber and eapirafian 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©0 and/or one-year imprisomnent�as wets as civil penalties in the form of a STOP WORK ORDER and a tine of up to$250-00 a day against the viobftr. Be advised that a copy of this statement may beforwarded to the Office of Immstigaticm of the DIA for insurance cMMM9e vezi oa ydn hereby cer4 y trader drop+ins raandpenawas ofper�ury Mat the information providedn�ba9/ue i`s/hrus,�ud correct Si �( Bate: ©,yciaL xsg only: Do not write in f&is area,to be campUted by city or town o, ciaL . Cityt Ttr�n• Permi#Ucense At Issuing Authority(circle one): . 1..Board of Health 2.BmULug Department 3.C ityrrawn Clerk• 4.Electrical Inspector 5.Plairabing Inspector 6.der.. :... - r"--._„�.ae, done tk . �oF T Town of Barnstable ti Regulatory Services BAMSrABL& ' Thomas F. Geiler,Director �Q MASS. 1 p`0g Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office:. 508-862-403 8 Fax: 508-790-623 0 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION_: number street /� village -7� HOMEOWNER": r �XN�(/ (� Ul SM 035D 7 / `Z name �/hhomee phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for-hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home'in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to'the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all sucK work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with-the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and.requirements and that he/she will comply with said procedures and requirements. Signature of�Hon ewwner Approval of Building Official Note: Three-family dwellings containing 15,000 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,particularty 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. . ;v1 MRNSTnsLE. • ,0� Town of Barnstable Regulatory Services Thomas F.Geiler,Director. Building Division Thomas Perry, CBO Building Commissioner 200 Main.Street,, Hyannis,MA 02601 www.town.barnstable.ma.us ' Office: 508-862-4038 Fax: 508-790-6230 Property Owner' Must Complete and Sign This Section If Using A Builder ' I ;as Owner of the subjeciproperty hereby authorize to act on my behalf, in all matters relative to work authorized by this boil g permit application for: P5 mcq/- mf— Iu 109mg (Address of Job) Signature of Own r Date A4Y, Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on,the reverse side. Q:IWPFILESTORMS\building permit forms\EXPRESS.doc ® r 26 13 10:35a Neal Cass Inc. 1 781 794 1432 P.1 N EALCASS INC r 4��ii "Nealco �p 1� 200 Adams St • p Braintree Ma 02184 • /r a 781-794-1432 .Attention: Town of Barnstable, Board of Heaith and From: NEAL CASS Building Inspection Division Fax: B.O.N. 508-790-6304 Date: 03/26/2013 Building Division: 508-790-6230 Phone: ( ) Phone: (781)794-1432 EXT: Comment: Your copy of Notification to the MA DEP for Fax: (781)794-1434 asbestos removal being done in West Barnstable FOR YOUR INFORMATION #of Pages, (including cover): 4 Please see copy of the notification for asbestos removal being done in West Barnstable on Thursday, April 4,2013,at 145 Cedar Street. This copy of the MA DEP notification form ANF-001 is for your records as a courtesy notice. Please call our-firm with any questions. Thank you. i - Vlar 26 13 10:36a Neal Cass Inc. 1 781 794 1432 p.2 �— Commonwealth of Massachusetts 100174281 ,. Decal Number Asbestos Notification Form ANF-001 Impofum5s,_, A. Asbestos Abatement'Description When filling out forms on the computer,use 1. a. Is this facility fee exempt-city, town, district,municipal housing authority,owner-occupied only the tab trey residence of four units or less?[,�]Yes ❑No to move your cursor-do not b. Provide blanket decal number if applicable: Blanket Decal Number use the return key' _ 2. Facility Location: i 145 CEDAR STREET BATAYEYA RESIDENCE - a.Name of Faclll b.Sheet Address Bamstable MA 02668 7742689814 F c.City/Town d,State e.Zlp Code f.Telephone Number INSTRUCTIONS 3. Worksite Location: 1.All sections of this 1145 CEDAR STREET 1 L_—� BASEMENT form must be a.Building Name/Building Location b.Budding# a Wing d.Floor e_ Dom completed in order I - to comply with 4. Is the facility occupied? ❑Yes ❑✓ No DEP notification requirements of 310 CMR 7.15 5 Asbestos Contractor: and the Division NEALCASS INC 1200 ADAMS ST of Occupation[ Safety(DOS) a.Name b.Address notification 113RAINTREE 02184 7817941432 requirements of 453 d.Zip Code e.Telephone Number CMR 6.12 c.C lTowrn AC000810 I g. Contract Type: ❑Written ❑Verbal f.DOS License Number h.Facility Contact Person L Contact Person's Title INEAL A CASS AS072613 6' a.Name of On-Site supervisor/Foreman b.Su ervisorrForeman DOS Certification Number GERAL.D LEBLANC JAM031931 7. a.Name of Pro ect Monitor b.Project Monitor DOS Certification Number `ENVIROTEST cAA000128 �r B' a.Name of Asbestos AnalyUcal lab b_Asbestos Anal 'cal Lab DOS Certification Number 14l4l2013 4/512013 —0 9' a.Protect Start Date mmfd b.End Date mmld �0 7-4 I74 c.Work hours Mon-Fri. . d.Work hours Sal-Sun. �o 10. a. What type of project is this? �o ❑ Demolition E0 Renovation . ❑ Repair ❑Other, please specify: b.Describe 11. a. Check abatement procedures: ' —3 o ❑Glove bag Q Encapsulation —� C) Q Enclosure ❑ Disposal only r ❑Cleanup ❑ Other, specify: ' z ILL 0 Full containment b.Describe Q 12. Is the job being conducted: Z Indoors? ❑Outdoors? �i ® anf001ap.doc•10102 Asbestos Notification Form'-_'Page 1-43 i Mar 261310:36a Neal Cass Inc. 1 781 794 1432 p.3 Commonwealth of Massachusetts -. 1001742 I Asbestos Notification Form ANF-001 . Decal Number A. Asbestos Abatement Description (cont.) 13. Total amount of each type of Asbestos Containing Materials(ACM)to be removed, enclosed,or encapsulated: 0 16 a.Total pipes or ducts(linear ft) ba i otaioiner su ces square c.Boiler,breaching,duct,tank d.Insulaling cement surface coatings Lin.fL Sq.R lJn� Sq.ft e.Corrugated or layered paper 16 f.Trowel/Sprayer coatings pipe insulation Lin.ft Sq.fL Lin.ft. Sq.ft. g.Spray-on fireproofing L'm'R Sq. h.7ransite board,wall board rn i.Cloths,woven fabrics �ft. � J.01�,please specify: C� I c�, Lin.ft. ft. k.ThermaThermal.solid core pipe r=��—�JI insulation Lin.ft. Sq.ft. 1.Specify 14. Describe the decontamination systems) to be used: FULL CONTAINMENT 15. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2) (g): ALL ACM WET HANDLED,BAGGED,LABELED AND DISPOSED OF AT AN EPA APPROVED 16. For Emergency Asbestos Operations, the DEP and DOS officials who evaluated the emergency: a.Name of DEP cial b:;I:� c.Date(mm/dd/ )of Authorization d.DEP Waiver# e.Name of DOS Official cialrille g.Date(mmiddfyyyy)of Authorization h.DOS Waiver ik �.�N _0 17. Do prevailing wage rates as per M.G.L.c. 149, §26, 27 or 27A—F apply to this project? ❑Yes 0 No B. Facility Description N 0 1. Current or prior use of facility: 0 2. Is the facility owner-occupied residential with 4 units or less? Z Yes El No KATE BATAYEVA I 3. a.FacilityOwner Name b.Address c.City/Town d.Zip Code e.Tele hone Number area code and extension a.Name of Facility Owner's On-Site Manager b.On-Site Manager Address —Q c.CityrTown d.Zip Code e.Telephone Number(area code and extension) ® anf001ap.doc•10102 Asbestos Notification Form•Page 2 of 3 Mar 26.13'10:36a Neal Cass Inc. 1 781 794 1432 p.4 �— Commonwealth of Massachusetts I 100174281 _t •Asbestos Notification Form ANF-001 Decal Number B. Facility Description (cont.) 5. a.Name of General Contractor b.Address c.City/Town d.Zip Code e.Telephone Number area code and extension f.Contractors Worker's Comp.Insurer q.Poficy Number h.Exp.Date(mmid 6. What is the Ste Of this facility? a.Square Feet b.Number of doors C. Asbestos Transportation and Disposal 1. Transporter of asbestos-containing material from site to temporary storage site(if necessary): Mote:Transfer a.Name of Transporter b-Address stations must comply with the c.CitylTown d.Zip Code e.Telephone Number Solid Waste Division 2. Transporter of asbestos-containing waste material from removal/temporary site to final disposal site: Regulations 310 CMR 19-000 ISERVICE TRANSPORT GROUP . a Name of Tran oAer F -_j b.Address C.Ci [Town d.Zip Code e.Telephone Number 3. a.Refuse Transfer Station and Owner b.Address c.C' [Town d.Zip Code e.Telephone Number 4. MINERVA ENTERPRISES INC a.Final Disposal Site Location Name b.Final Disposal Site Location Owners Name 9000 MINERVA ROAD I WAYNESBURG c.Final Disposal Site Address d.CityrFDwn OH 14468a e.State f.Zip Code g.Telephone Number c� 04 D. Certification The undersigned hereby states, under the {NEAL CASS IMaura Griffin O penalties of perjury,that he/she has read the a-Name b.Authorized Signature o Commonwealth of Massachusetts regulations 1PRIESIDENT 1 13121/2013 for the Removal,Containment or c.Positionmtle d.Date(mm/dd1ty ) Encapsulation of Asbestos,453 CMR 6.00 and 7817941432 310 CMR 7.15,and that the information contained in this notification is true and correct e.Telephone Number f.Representing to the best of his/her knowledge and belief. 200 ADAMS STREET Address U- BRAINTREE 0266-8 h.City[Town 1.Zip Code �-Z ® anf001 ap.doc-10102 Asbestos Notification Form-Page 3 of 3 r " Assessor`'s map and lot number-i............ . ...............,�?.......... - sEn-'IC SY$YEm mfs,7 nr: F THE T I-OSTALLED IN COMPLPZ Sewage Permit number * ........?7".7a.I- VAT1'1 TITLE 5p� o" � ENVIRONMENTAL CODE ' ARNSTABLE, House number ............ ....1`� .:.. --.... TOWN REGULATIONS oo M63e• e� ON d\ TOWN : OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..11.v 0.......Sltl--f. ........ 'Dy''.�fQ ........................................ .TYPE OF CONSTRUCTION• ......M 4f e®! .......F ..:................................................................................ .......... ?..... ... ..........I9..<.4 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ys 6 11Xtt'...... r........ 1.ll... --'So7'��J�r.... .............................................��tS'f Location ..... ............................ . Proposed Use ....., l��%��22&,A,e--w`r ..................................................................................................... ..... ................Fire District e �r! t� l..................... Zoning District ................... ........ ... ..�j.9........................... .. ...... Name of Owner ...`jilt"....... .. ��fr...s./...................Address l�� '! f ( sS'.771�L� r `...�./..... �: Name of Builder ... Address ...� Aekty mv�.. f.......e'7/1.T.— Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...:.Vr4'.-1 ..............Foundation ...X .G ......................................................... Exterior ......".i.-r- ..6)..9i1 99....!ll !2✓GGC ...........Roofing ...../ !........:j�...7A.5.. S11/YG.GC;,4 Floors Mona, .......�.-.�....�GJ�"L:�.................................................... Heating .... �5/.'.../. .C�..' ....:.� ..../r/.v.....................Plumbing ....../. ........1..................... Fireplace ....... .4.5!... ^ .G................................................Approximate. Cost ... ................................... Definitive Plan Approved by Planning Board -----------_------_-----------19_______ . Area 2 X Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH • (D ac ' �ir-faN 30, OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the own of Barn table regarding th above construction. Name .�..... ............. /. ............................. Construction Supervisor's License ...0Y.6.1.�. ., I - SECREST, JOHN 33519 Permit for ..Bui.ld....Add.it.ijon No ................. ....... .... .... .. .... ..........Single...Family...D.we.1.1i.ag........ .. ..... .. Location ......1....45 Cedar S .........................-rp ................ West, a np.tAb.I.Q ................................. .. Owner ......:::.John....S.e.g.rle.s.t........................ .. ....... Type of Construction. .......F.r.am.e... .................. ..tame.. .......... .................................................................... Plot .......................... Lot .................................. Permit Granted .........February 2 0,,1 q 90 Date of Inspection .... ...........................19 Date Completed ............. .. .....................19 L L, -j X, M, IM FQ 0 Flo ' Application to 0Q'E ME� Pd• Old Kinds Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building jR Addition ❑ Alteration Indicate type of building: IE� House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). C� TYPE OR PRINT LEGIBLY DATE �— �-3 f `L/) ADDRESS OF PROPOSED WORK 611,v5;-M831-r ASSESSORS MAP N0. -- L�6 OWNER �.!�� C ilec.' ASSESSORS LOT NO. �--� 47 HOME ADDRESS (37— Vim/ 9V&VSU796Le� TEL. NO. 5 l r FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). 1'oa 30 - 22� ors'%-'-Q A Royep— 36 9N •D(w-c,-o i ge- V 1-;V-< �)36-616 ) AZIZ055. Bey--�' 'y'r L t Mr4w (136 -o&q � y 69EEP--i IC 01 Is- t i_ M LI S 1 116 —60 API TEL. NO. 1 �M� _l_l�1�r (,�'�f11tT►I AGENT-OR CONTRACTOR �j ADDRESS f L L!�-7 �i� V1/TG'i-y1-J Rj DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). O � T-1c �� 64 f i" QtJcj ''{.iLtC✓N "%:�Tlcnt 'C�'InLr�lc:t;i,�� .•..%=s-' �'t?-r�vG• i,X ,! F�r`fir�t G�:^Tff Ct'c.J c� /�S f'�r A L 7 �ec c i= t ;\/�� � �c 14 PJ r I TI; •...�,.J_:.ti t ' S',gped ApPRa`dL1 Owner-Contractor-Agent Space&1pw wisj%f0r RC9rPmi.ttf.%use. Rec6leTbrH"D.C. Date JAN 2 3 199A The Certificate is hereby `� �Iat) Tirnbl-D KING`S HIGHWAY i J Approved IMPORTANT: If Certificate is approved, approval is subjec to the 10 day appeal period provided in the Act. P a — JDO i . I i C L`Lo w S S r. Jo c. -- i36 ce- D w- Q(iNS"ltzc-t h/Ir�s FORM: "A-1" i BARNSTABLE HISTORIC DISTRICT COMMITTEE 367 MAIN STREET, HYANNIS, MA '02601 SPEC SHEET FOUNDATION TYPE: &eye_ ?'4 n ex -/oh3 /V SIDING TYPE: / CHIMNEY TYPE: Z ,; COLOR: ROOF MATERIAL: 3 ?� , AA COLOR: �/�5� Qc�o✓O PITCH: / WINDOWS: ` /� p �/✓��.+!'5..1•.0 ��i�0Y1!?Sf�7C�� /J �/�� A� SIZE: �' �' Ara,0 • TRIM COLOR: G x c—i.✓c.�-J DOORS: I V CO�J�: �/�'L� �C i S'►`7rtl`• > COLOR: SHUTTERS: DECK: /UG►dJ/ GARAGE DOORS: ��} - COLOR: TWO COPIES OF THIS FORM IS REQUIRED. FILL OUT COMPLETELY REGARDING MATERIALS, MEASUREMENTS AND .COLORS. LANDSCAPE PLANS-PLOT PLANS-ELEVATION PLANS. OF s I OPVV APPROVED RECEIVE ® OKHRHDC JAN 2 3 19901 OLD KING'S HIGHWAY �e 2 �o.oc 63472 � f cpe 1 T at w • � 3 q • 4* N >H OF M t p N - _ ��- • cy� VI o! -GEORGE LANIDES V �:; No.22723 3 F ►sTE� oQ' h v �ND Su N 1v45 201-46uvv 13ti R= 72/,ej C. Acco r n records 4f7� e A�PRp\/ED D f I c e o f 74S e Teton ,c�r,9in.eer oKpRHDG o /5grA.sfu6le 7qis /d f �s ne7` �� 7`7S.c �/ood Zone TAp�E .,5Ule1v 4= L 4 IV D /I/ W. 8A E AYS TAZZ_ /41A C4=_ D,4-P-� QW ST- iQe{'ercr►ce N�•D y ���d 8K /934 Ph n 8 K h9l P9 3 A s,sc s ,o ra CA V _ z Z � c z - s f-7 0 ... N "f� R C,J . h Mfg' r vFu APPROVED pc� qq OKHRHDC- un l 1 ���R�a�i ��°iit 6n �,� } Y�I l�1WAY t TOWN OF BARNSTABLE Permit#JP-7a� MASSACHUSETTS Date: * BAMSTABM SOLID FUEL STOVE PERMIT Fee: R5 0 D D MP► ` Owner: cTo p N `5,C t3�.S i 'Phone: XAddress: / D,4f3 ; S t Tillage: Approved by: Date: /9- Stove A. New Used B. Typ Radii Circulating C. Manufacturer Lab No. D. Model No. Chimney A. New Existing/if yes, date of last cleaning _ B. Flue Size � C. Are other appliances attached to flue? A10 D. Pre-rab typc and Manufacturer S'f-pi-Ih.1e s s C. Masonry/lined �?S Unlined Hearth A. Materials 13r J Nq B. Sub Floor construction Installer SO n e/h/J( h CJ>>k:7,7n Address f U /3oX /�'0 5R-0 Phone y ; 1 Location of Inst111ation /y 5` CP C/_, f J3 5)5:i g * "Polaroid.Pboto Necessary "` Tliis constitutes.vi ollicial stove permit� ier_inspectron,and approval by Building Inspector, � r e ' fo f 1 PAEaos � 1 1/ ON 6-C��X 4, !!! _ 1 23 f � I 1 �y t C CEIVED - T JM 2 _3 1990 � OpTHEr, Town of Barnstable *Permit# SnxrvsrA13 a Expires 6 mouths from{,esue date �, Regulatory Services 679. Fee $Ar i6J9. 6,`0 Thomas F.'Geiler,Director EO MA't 5- Building Division Tom Perry, Building Commissioner ��G[��� Office: 508-862-4038 200 Main Street, Hyannis,MA 02601 MIT Fax: 508-790-6230 DEC 2 .0 .2005 EXPRESS PERMIT APPLICATION RESIDENgRNSTgg�E Not Valid without Red X-Press Impriptt ✓Iap/parcel Number O O 'TReside&ial erty Address f �r Value of-Work �� Minimum fee of$25.00 for work,under$6000.00 wner's Name&Address / (/ mtractor's Name U Tele hone N P umber � a �me Improvement Contractor License#(if applicable) D� nstruction Supervisor's License#(if applicable) �a Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I.have Worker's Compensation Insurance ranee Company Name kman's Comp.Policy# I y of Insurance Compliance Certificate must be on file, l . dt Request(check box) ❑ Re-roof(stripping PP old shingles) All construction debris will be._taken-to...-.... ............ .... - -(]Re-roof(not stripping. Going over existing layers of roof) ❑ e-side Replacement Windows: U-Value - 1 (maximum.44) 'Where required: Issuance of this permit does not exempt co mP mpliance with other town de partment regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Proper Home Improvement Contractors Lc Owner ens mq re aired of Permission. ire :expmtrg 3004 t _ CAPIZZI HOME IMPROVEMENT INC . SPECIFICATIONS AND ESTIMATES PAGE 6 OF 6 rn STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, OWN THE PROPERTY LOCATED AT IN MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. , I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A .BUILDING PERMIT IN ACCORDANCE WITH 780' CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: - OWNER'S ADDRESS: " OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: . APPLICANT'S ADDRESS: 1645 NEWTOWN RD. , COTUTT, MA 02615 APPLICANT'S TELEPHONE: 508/428-9518 - RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: ACCEPTED BY DATE THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL # 1.1(.�Ili� ll»I�ril�%i;317C'•I71 ,(.131 r���'.1{ ►I. C. �J Lt cl(1(l7! �. RLOsliaiiow 1007.40 � • : . '• 'Iyl:�r.•: l•'rivaleCorhnraiioi� E x pir al i on: 612312006 CAPIZZI HOME IMPROVEMENT, INC. -_—_—.— Thomas Capizzi, Jr. 1645 NeWiOn Rd. -- CoiLlii, MA 02635 —_ iUpdnle Address and reinrn card. Mark reason for clsangg p EI Address ❑ Rencw2l ❑ Employment Lost C: �,•� ✓/�e Ztmmwrzuref.,llf. ��./f�ra.a.�r.�aell� F 13nar1 of IluildiuE fitdulaiions and Siendards License or re-istration valid for individul use only HOME IMPROVEMENT CONTRACTOR before Uneapiration datc. If found return to: d oar oflluild ula ing Re tions end Siandards " "•?'{�' 'Registration: 10D7-00 B � � F-xPiration: 6123/2006 One AslAurton PlaceRm 1303 Type: Private Corporation Boston,X2-02308 CAPIZZI,9010iE IMPROVEMENT,I '!'stomas Capizzi,jr. 1.645 Nev%don Rd. Celuit,10A 02635 -� AdminisYraYor Not valid without b�atn`r ' � ._._.___�-✓ie �om�n:cyz,; /o�✓�oac�iuoeda � - BOARD OF BUILDING REGULATIONS {" -= License`.'•CONSTRUCTION S f`' 1 Number CS 057032` } I Ex'ices:'D9/26Qb67 j Restrict6d 0D i' �•"'• 1 ��" THOMASX CAPI7ZI ����'�� ��:UE 1645 NEWTOWN RQ. COTUIT, MA 02635 Commissioner r I 11/04/2002 12:48 9150879OG230 PAGE 01 Appliclrtion to Old Kings Highway Regional Historic District Committee in the Town of Barnstable for e CERTIFICATION OF EXEMPTION Application Is hereby made, in triplicate,for the issuance of a certif late of exemption under Section 9 and 7 of Chapter 470. Acts and Resolves 01 Massachusetts, 1973. as amended for proposed work as described below and on plans,drawings,or photo- graphs accompanying this application. TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED ORK �/ ' ASSESSORS MAP N0. I720 OWNER `�� ' ASSESSORS LOT NO. HOME ADDRESS ` � `� 7J "v JAM - ML TEL. NO. I AGENT OR CONTRACTOR v' �• ADDRESS "4`' "� �/Vi' 1, TEL.NO. I Th application Is for exemption of proposed exterior construction on the ground that: (1) It will not be visible from any way or public place. [] (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission. (Check applicable box) PROPOSED WORK: Describe and furnish plan of proposed work,showing location on lot,and, if an addition Is involved,show. ing location of existing building. SIGNED cpat, 'I OWMr•Cont or•Apent Space below line for Committee use. Received by H.D.-C. .The Certificate is hereby Date ... — � Time AePRO ao:r% By— Approved ❑ The categories of work entitled to exemption ere listed on Disapproved 0 the back of this form. t. .- e ,C. �u r�•r���p , ^% v t r i. si ,�. 5''4��i-�a`r n ..,� ,.i• '��.,�- BE CO MFORTABLE eM_ . �. f ���. �< � ,:> MEMO, ' Y _:,i ,. rt x}rata3 t1GlasstCom�ar,IsonFF��Genter�o, f Glass:..�U�,Factor`rr''r•r; Companson�ynT,otaljUnftV�,U.,,Factor.� i f� ,.��,�,.,�, ram,; ` ..ryC, •t,� y..,-I?, •.l:i,,._ mr""r r5. Conn. . •"'i�.pPI Gem Lifes les windows reflect a commitment zaaY ': --to makin our home a comfortable oasis year ,:•s � rg Y # y ( u.YZr K t 'Z £ tY t s r a3afsvit r •ClearlruuatedGlasra7/8,u:overaUrthrcknesr ,'a�' r9a r. ? -h5' :s;. �c.a ?a2r:Clearinrulated�GGura7/8 o+erallthrdnte �.. sv l� a.i :,. ,a.>t�� �'�-r,. m..-..•.:z;,....L.m.t e..-n+.i� round. ; E'!Cn �'-t Hard Coat(P.yroktu')'Low-E+rnsulated glars„r� r� ,.? '.3«l.. c.� �'�`"��,c,ri�'.3 Flard Coat/ 4tu)Low-E yurrinred Lus s z„r ., �:•y. . I+ •��, �t � ,r�1 a dvaw.c..r :N r m r .,a?7 rr:,.-.- .FV'3'^� ,.,,�3 g �'r st ``L �l..,p.. c"a-n� id a �a+'r''"!'d}•f - , C K�`r9 �y ,,':C l # YPrs.^ The Benefits of Low-Emissivit �� s ,; t• ; • �a,fSoffCoan(sputter)ar w-Ernsulnadiglgu� r ' a.��- rct � ; Safi Coat(rputrer)(LotrrErnsulkredglrco�w'y`=i�a3� i y _ fiYY 4j CaL Y .A.Iw-.. r" _ + r `4C ySh Systems c Pyt{ 3ti fltifR+4Pl:u So ;Coat, ner Lou Hr''Xi So Goan( uiur)GauvE S.; (Low E) Glass y � c �.¢ a, .k� ( .,)f �� t �:� �,;m • .�„ "i a 4s., r'Utd'ti t?r,,•R?f+r i >.,; rr� t,t., ..ra• r _ � 1y +�:- h / a i i .. r �RP�t 211 " r:nsulutedglnrr filled wtth argon:gar77 r yfY '-qiy ?� r7 t uulattd glnsr frlled write.argrrn Less Transfer of Heat : _ +. $, � �;.k.-• '",5..+'¢i.: f }(f.rj'.14.:� .Y,+�c' j.. 7' ` 4 Q .,. F„�l�? °j, e CJ'3 t .P ,.�'`l'F. a.,,-n„ ... s nN. ,y Hai t.. WMrrxurrr So tCoat(.utm)ELourE c7 a k alb a ;Ma>uus,Sofrt oat(sputter)flow E ? PI s®and MaxuusT" lass s stems detect tit ,v . :� ,Cw• 4 ry 2» _ -,`�?! w �: i r r v,:� Hi R+ u a � a„ u,irtntlaad Cute lledsuiuh a on rm �w Y a,�,_ , I rnsu/ated lied wr{h a n as and block radiant heat-keeping it in your home r . '�F KMr 7fGSo Gnat'- -s 5�.: fit £{t r Mwuur76So Coas utter) • - • --. vrxR.�" w..�:,.�11[rtxuru Y' } "e'�1=0 y w q u e:low Eiruulate'd �� tra a s' 9ri ru s fis Low,-E nttrrUtted' fled { -during the winter,an out of your home during h; r� a � � (p > x4 g -0F S.t rtris- 7` I' i' ">•t" r,? YF, 'r2"t "' ✓;:r? the summer. We fill our insulated glass units with t' r �'y { t.gGrsr frl/eil w:rh aigon,gar : argot:gars'n "� heavier-than-air inert argon gas which is about 40% denser than air" to resist the transfer of `' u u-•r•. n �•.}:Y,... ._?'. - :�'-`e.b'u+"T 't':a^r3"...:,.. .'„ fi.t!r.. fi`!...,,..i";YF i^.i.J'.. rt tyL;4*$• 4:'� heat. The result is increased energyefficiency e,'ih',�:star *f,ih?.: {�Y; 7yir+lpu7 hpU-horror die. anrtfx-rmr/anon•r tern aR✓aha,u rice mnr tt;(R=//C!)n ilie U-Facrorn n t;+ ,- - ma:hr 'a�iil`'iheainidlanonlrre�RrYa(u`r.0 dit urvnre.(R"1/IIJihe Uhr4ror. 7 � ' r i,-s• 1•,: .�fit[�'ts Ht7':t`;Ya W,'!.aa:i?ya�:�f.^�.�.r+, °v!n-(0'i :�Etrr zr';r} q::t'`' .r'-.z�rr y.F.. r++fk:.t.=kxa '� �r,, r - anddecreasedutilityexpenses. + � =.' rYt._.� k rr�� ._ d �. r, • t,r +`"•• dual Unu Farron'drremm�rGpn NFRG100i(Nana alFn mmdpn Ranng Counr l)PlyGnn glna gopnnnr X." Cenrr"ofgGfafacro>z:5alcvGtttdprrt�neWun5:2nmrrlanonmfnonn(I.BN�Lawrrnre,Brrklcy,;NanorrrsllirhonrrphuJ. ,��.�a.w:`^cr, F -•�s. ..xi',.<u.: -r a'� j, i jyo„i;•��rk�`�" . ��x �,,,.h ,•pin �, a tf i4�z�� s_ ✓, ,� .G'nnFmtrfird%NFRCrlOorand%Ir�R+Phu nurudll EIJERGYSTAR ngrirmhrna. A��� ,,� md�... Reduced Condensation With Hi R+Plus .and Maxuus glass systems, ENERGY STAR products for the next 15 window condensation'is virtually eliminated. Choose your level of comfort Windows worthy of an industry leader You can maintain-higher, interior humidity years, our national energy bill would be increasing comfort while reducing utility bills. p Features one lite of soft ENERGY STAR Window Program is a voluntary reduced by approximately $100 billion. The Enhanced Sound Control Hi R+I-lu5 coat, 7/8" single-surface partnership between the U.S: Department of. reduction in carbon dioxide emissions would s y s r E M s, multilayer vacuum-depo Energy and participating window manufacturers. be equivalent to reducing gasoline consump- Combined with the noise absorbing qualities of sition Low-E insulated ENERGY STAR performance requirements are tai- tion by 120 billion gallons, taking 17 million multi-chambered vinyl frames and R-Core insula- glass unit with argon gas. Argon gas is 40% cored to fit the energy needs of the,country's differ- cars off the road, or preserving 142 million tion,Hi R+Plus and Maxuus glass systems reduce denser than air' which means more energy ent regions. - from northern states to southern acres of trees for the next 15 years.*' .exterior noise up to 300%better than single pane efficiency for your home, states.Your investment in ENERGY STAR windows windows. will pay for itself over time,and then the savings is PlyGem Lifestyles windows ... good for you, Reduced Photochemical Damage 'Figure courtesy of Linde Gas, Inc. money in the,bank every year!, good for your home and good for the Damage to furnishings, carpets and draperies .. environment results from a photochemical process influenced Combines two lites.of You'll be doing your part-to help the environment. by:the level of visible light,the intensity of heat, M� UUS_ Low-E glass and an n,fact, if all households and businesses bought the strength of infrared radiation,and the amount insulation chamber of -. of ultra-violet radiation.A Low-E coatin s trans- argon; gas. The 7/8 - - '- dual-`surface• multila er vacuum-de osition mission level of these factors is known as the y p Damage Weighted Transmission. The table Low-E. glass .units with argon gas makes below compares the damage blocking qualities. these windows nearly five times more energy r ti � ens' of Hi R+Plus and Maxuus 7.6 glass systems. efficient than single pane glass. 4 � q Is a triple pane assembly IC1 u uS®combining two Iites•of Darnage�Welghted Tra�nsrnlsslonx rt•r' r�4eA, .�'v' tk`-�r�:`y'rt' •�'? � nX; - �, Gla.t.r s,•.crenr multilayered vacuum Y Insulutzn Glossal exDamage?ransmuszon -r i a�..g:t.^n .ks.�7,v"`a-,--r�C+-•�sn. iYrry..r-_-yrte�-• -�_ � ..... ..' � deposition Low-E� glass K ° •� --. r:� �ap�in r�xt re s Clear Insulating 1 INN���;- with an interior glass substrate which provides two a, o o z insulating chambers of argon gas. The result is . HI RPlus tx���36�,� ti, r' . >,-t.,t n Northern South/Central rb s o' ? nearly six times more energy efficient than single t7 r�4tV1aXUUs7,LO }& .r iZ2p�0G 1 N Mostly Heating Heating&Cooling z � � pane glass'' <<'1 North/Central .Southern` ''rkTi� �-eii-�, -�' br �'��,,,, •'�. f "' •-c:3 ,� - - - Heating y Cooling'. &Cooling _ Mostly,C g_ n - RDdmage�To'�ughtedaTranrmlvronkme�ra,�dtr amounrF,af damagrri�,�x - �•, .,� ��"��?:, . wav krtgrh�r thnat,•wtU put�througb µglQe+n"gfT�r lauie`r rh��ni��the' ' hgherjrh�prnrpnFrgircf�coulrery ofPPG�lnd 'er* y ENERGY STAR qualification is based on NFRC certified product ratings. 'Figures courtesy of Linde Gas,Inc. r 4 r , 4 • T 4 1 J r 4 � � .�.i,r.•:i.*.. -fyn-. N�wcw.rtre5s,.:.r+>r ii9��� �narr�ra..w�� S t l� 4 ,r t �•7!1 i A P t 1 Ab 1-0 4x t 'My.• y� Q t ,' ' zp i � I I _ ' i I ' In a .r t ,may - - ---------------- \ \ \ _ ' .. ._ _ i ' 'Y -"yam'"�• } -�_I-l 9 RECEIVED • - Y..", . .. ,, ,-• PATE:]�,� ' _ CAPIZZI HOME IMPROVEMENT 01 p) �Cp 'S 11' { 1645 NEVYTOVYN ROAD ►,5:i_ .^� Fa'L -- ' _ � ca�F• - ,, CQTUIT, MA 02635 - — — -- _ TEL. 428-9518 / 1-800-262.5= °�� 0� h L= 13.G2 R=727.23 DRILL HOLE IN ` STONE WALL FND. BM: G5.1' `�G� �� 0 LOCUS �63.1 Fcz ` 1 ` ® + 2.4 LOCUS MAP 062.8: +62.5 +61.4 `3 �` g \.. \``� w ASSESSORS DATA: F `'z �J` Q MAP 130 PARCEL 23 LOCUS ADDRESS: 4163.7�� .`O �p + 5 +61_ Oo #145 CEDAR STREET,WEST BARNSTABLE,MA "� LL �60.6 p �0Q QQ z REFERENCE DEED: 25237-347 4163.7 Q = REFERENCE PLANS: �64.6 O� `�6- +61.1 242-G5, 181-3, 224-134 CEDAR ST LAYOUT Q. i ZONING DISTRICT:RF z i ✓�' c O,o- RC BUILDING SETBACKS: FRONT-30' 464i7 63.6 — 9c�F0 - - +61.9 51DE 4 REAR- 15' TIMBER 5TAIR5 FEMA DATA:ZONE'X"-NON HAZARD i TIMBER DECK - MAP: 25001 C0534J ,�� O �6, MAP DATE:JULY I G,2014 01500 +62.8 >+62.2 PLAN VERTICAL DATUM: NAVD88 GALLON TANK SEPTIC COMPONENTS+63.4 TOWN AS-BUILT SHOWN PER CARD i (p co, �� j i LOCUS IS IN WIND EXPOSURE ZONE"B" PLAN LEGEND EX15TIINNG OVER BY STRUCTURES = 5% PROPOSED COVER BY STRUCTURES =7.5% L---- --`-� ® APPROXIMATE WELL Sy LEACHING TRENCH 6 DB ES r------------- - +63.4 SPOT GRADE �OhW OVERHEAD WIRE5 SC - "/�lO �'p AAA 4, UTILITY POLE ►►�p��N O nj ♦ �� C,ISTEf� 9� ^^ r PSTEPHEN� yp r J. �► DOYLE �� co �o o NO. 37559 P .♦ i l90F �0� ♦ PARCEL 23 4G,093± S.F. PLOT PLAN OF LAND �0 �-� PREPARED FOR # 145 CEDAR 5TREET WE5T BARNSTABLE, MA55ACHU5ETT5 DATE: OCTOBER 10, 201 G 0 30 60 Feet SCALE: 1" = 30' SCALE: 1" = 30' 5270 58' 03"W 37.G9' PLAN REVISIONS: IRON PIN BESIDE STONE WALL FND. 5TEPHEN DOYLE AND A55OCIATE5 DRILL HOLE IN 42 CANTERBURY LANE STONE WALL FND. p EAST FALMOUTH, MA55ACHU5E175 0253G �V TELEPHONE: 508 540-2534 5J D5U RVEY@ AOL.COM