HomeMy WebLinkAbout0951 OAK STREET (CENT./W.BARN) l 77 DQ;dG CStree-t-
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION'
Map Parcel 0 6 DUI Application #
BUILDING DEPT:
Health Division Date Issued 19 o� 7
Conservation Division APR 2 4 2017 Application Fee
PlanningDept. TOWN OF C�. Permit Fee 15� -
p �RNSTABLi.
Date Definitive Plan Approved by Planning Board
Historic - OKH Preservation / Hyannis
Croject=Street'Address R S► OA W S7(
Village LJ GS j �P P.tJ ST A\�SL.�
wne:!2�cPH i,) {� L� Address l`ff� Ljht ff SZ PC '(G ROhC;
"A
Permit Request ?ELLA Llj �L L
ri
Z��L C r�? C� AP�L t A�Lt 5 �►J C c, ��r>u �•� � Pr�,l�l -T-�� ic���a�
45gr c Foo—i f Z V0 K &L eJ U'SRTN ��rZ -- >rq .ff i 2oLh
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Froje�c0a Gat io Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No .
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
�- - - - APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name� l��lc-1� y�l ��.e� Telephone.Numberi
Add dre s -5 LJ T�Q S% License #
R. KG- r A 0 Home Improvement Contractor#
Emm [.A LI-W CA 5T i ) % Worker's Compensation #
ALL CONSTRUCTION DEBRIS,RESULTING,FROM THIS PROJECT WILL BE TAKEN TO
IGNATURE JDATErqj--
FOR`OFFICIAL USE°ONLY
•APPLICATION #
DATE ISSUED
MAP/PARCEL NO. � ,
1 r
..ADDRESS VILLAGE
OWNER
1
DATE OF INSPECTION:
FOUNDATION
FRAME '
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
t ,
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
• ASSOCIATION PLAN NO.
z
Town of Barnstable RECEIPT
w
eeatvsr
; 200 Main Street, Hyannis MA 02601 508-862-4038
Application for Building Permit
Application No: TB-17-1182 . Date Recieved: 4/24/2017
Job Location: 951 OAK STREET(CENT./W.BARN),WEST BARNSTABLE
Permit For: Building-Alteration INTERIOR Work Only-Residential
Contractor's Name: State Lic. No:
Address: , , Applicant Phone:
(Home)Owner's Name: SYRIALA,CARL F Phone:
(Home)Owner's Address: 951 OAK ST, WEST BARNSTABLE,MA 02668
Work Description: Replacing Pella Windows with new Pella windows Repair sheetrock in the bathroom due to leakage
4
Total Value Of Work To Be Performed: $20,000.00
Structure Size: -0.00 0.00 0.00
Width Depth Total Area
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to
accept coverage.
I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate to the best of my knowledge and belief.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24
hours in advance.
Signed: SYRIALA,CARL F 4/24/2017
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project Cost : $20,000.00 Date Paid Amount Paid Check#or CC# Pay Type
Total Permit Fee: $304.00 4/24/2017 $152.00 1039 Check
Total Permit Fee Paid: $304.00 I 4/2712017 $152.00 1040 Check
THIS ,ISN0:1RA�P�'ERMiIT
I.. J -,"f! ' 'r iK.Vf. 41!'J �t' .1.: 'r:'
i
Town of Barnstable
Regulatory Services
opt� Richard V.Scali, Director
Building Division
BAMSMUM Paul Roma,Building Commissioner
a 9.��� 200 Main Street, Hyannis,MA 02601
www.town.burnstable.ma.us Office: 508-862-4038 fax: 508-790-6230 �
HOMEOWNER LICENSE EXEMPTION
DATE:
- _ Please Print
? c�
JOB LOCATION: vinn_S t � S �1� 11-)<AI1
I L fr
�Y?_
tuber , /� Sy2 t_r-� 7X street village r
"110MEOWNER": t
� � A 1-��-(� - ����� i
name home phone 4 work phone N
CURRWF MAILING ADDRESS:
1
cilkItolvo 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 r
as su ervisor.
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 perfotmgd under the building permit (Section 109.1.1) !
The undersigned"homeowner"assumes responsibility for compliance with the State.Building Code and other 3
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
uirements.
i
Signah of Homeo er
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the 1
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 F
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) I
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. L
9
r
Mckechnie, Robert
From: Mckechnie, Robert
Sent: Thursday,April 27, 2017 9:50 AM
To: 'ssyriala@comcast.net'
Subject: . application for permit#TB-1771182
Good Morning Steve,
I received your voice mail this.morning. You may not have received the last email from our system so I am sending the
information again.
The stop work fee was not applied to your application when you submitted it. When a Stop Work is issued on a property
there is a fee of$50.00 to remove it and the application fee doubles. So, in this case, an additional$152.00 has to be
paid to satisfy this requirement before the permit can be issued.
Also,the Homeowner License Exemption form was not filled out and signed. This has to be done also.
If you are able to stop by the office with a check or cash and fill out the form the permit will be issued as soon as I am
back at my desk. You could stop by anytime between 8:OOAM and 4:15PM Monday thru Friday to do this. I am normally
in the office between 8-10:30 AM and 3:30-4:30 PM.
Thank you,
Robert McKechnie
Local Inspector
Building Department
Town of Barnstable
200 Main Street
Hyannis, MA 02601
508-862-4033
1
Town of Barnstable Building
t Post This Gard So That it�is Vi;ibleFromStreet-App"roved Plans Must b'e Retained onloband fhis+CardMusi,'be=Kept •
" Posted Until final Inspection Has:Bee�n`Made. �Ay. it
� � _ G 1
, +'` Where a Certificateriof Occypancy�s Required,°such Buililing�shallNotbe Occupied untila�Fnal�lnspection fias,been�made.'�
Permit NO. B-17-1182 Applicant Name: SYRIALA,CARL F Approvals
Date Issued: 04/27/2017 Current Use: Structure
Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 10/27/2017 Foundation:
Residential Map/Lot: 216-065 Zoning District: RF Sheathing:
Location: 951 OAK STREET(CENT./WBARN),WEST
Contractor Name: framing: 1
Owner on Record: -$YRIALA,-CARLf f�, &Contractor Ucense: 2
Address: 951 OAK ST -- st-Project Cost: $20,000.00 Chimney:
y:
WESTBARNSTABLE,MA 02668 PermitFee: $304.00
insulation:
Description: Replacing Pella'Windows with new Pella:windows Repair sheetrock in Fee Paid' $304.00
the bathroom due to leakage
Date. 4/27/2017
"Final:
Project Review Req: Replacing Pella Windows with new-Pei pair _ _: �� .• .........
sheetrock in the bathroom due to leakage � ,.ter�*�l�i/�� Plumbing/Gas
-
.. ....... ............
F � Rough Plumbing
s � Building Official
FinalPlumbing:
This permit shall be deemed abandoned and invalid unless the work authorized bythis permit is commenced within six mvonthsrafter,issuance.
RoughGas:
All work authorized by this permit shall conform to the approved application and•thPapproved construction documents°for which this.permif has been granted..
� r €
All construction,alterations and changes of useof any building and structuresshall be in compliance with the local zomng•1by law and codes: final t Gas:
w4
This permit shall be displayed in a location clearly visible from access stree or&roadsand shall be maintained open for public'inspection for the entire duration of the
work until the completion of the same.
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building`and?Fire Officals€are providedion thi"s permit.
Service:
Minimum of Five Call Inspections Required for All Construction Work:_ E
1:Foundation or Footing. T; Rough:
2.Sheathing Inspection a -
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low,Voltage Rough:
6.Insulation
7:Final Inspection before Occupancy Low Voltage Final:
Whereapplicable,separate permitsare:required for Electrical,Plumbing,and Mechanical Installations. - Health .
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).
Fire Department
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
?Tie Comm rrivealth of-Massachuseffs
Dspa rtirre7it.aflnd.ayfrialAcciderds
Q -ce ofIm.restig,Qti67u
;¢ 600 Washington Street
Boston,MA 02111
--� tt�rvt�rnnss:gtrnfilirr
"Wcwkers' Campensaf an.InsuraniceAffidavat:Bmlders/CuntractnrsJEIecfiririins/Plumbers
Applies InfarmafFQn Please Print Legibly
Ciltatel '� S� Lc Phone
Are you an employer?Checkthe appropriate bo= ' 'type of project(r Tallied):
1.❑ I am a employes wit& 4 ❑I am a general contractor and I 6. ❑New construction:
employees(full au&orpart-time).* have hired the sub•-coatmctoss
2.❑ I am a sole proprietor orpartner- Tilted an the,attached sheet: I- ❑Rr�siode g
These sub-contractors have
slug and have no employees 8..❑Demoli5ioa
wad-ing fac 7 m in any capacity employees and have wo&cers' 9. ❑B.uildmg addition
jNo traders' camp.insurance comp-insuranmi
required.] 5- ❑ We are a corporation.and its 10_❑Electrical repairs or additions
�,_3..[ I am a homewAmer doing all work ofFiceas haveexercised their I❑Plumbing repairs or additions
myself[No workers'comp- if of esempfion per MGL 12.❑Roofrepaim
insinance required-]Y c.152,§1(4k andwe have no
employees:[No wod mrs' 13.El other
camp.insurance required_j
•}Any Wffczntfat checksbax 91 mn;x also filloutthe sectionbe7owshumng dieirvmikere compeumfinupoRcyinfomssaon.
1ffameoanen who snbn7it[flis Sfi7dmiinxBcx ing&-y are daing all waaic=4 dim mire outside contractors rant sohmit anew affidavit ink sud-,
ICon+=ctomest checafly s boot mast attacbed mr.addifin—I sheet shooing thenuaeof the sub-cam=domsnd state whether or=fhnse ezW&shsv
avicyees.Ifthesub-cantactaeshave employees,cheymautpww2etbRIr senrkeW comp.policy number.
I arrr all erspIoy�r tlerrt is prrruidir workers't onrpetrsrdiarr i�asrarrurca�'or err}*eirrpLo}�ees: ffeIoov is ihopo-cy curd job site
ihforr za6om
Insurance Companyy.Nanie:
'Po-ricy-4 or Self-ins.Ec.40k ExpirationDate:
Job Site Addm= City/Statelzip:
Attach a copy of the workers'compensationpoUcydechration page(showing the policy number and expiration date).
Failure to secure coverage as requiredunder Section 25A of MGL t.157—can lead to the imposition of criminal penalties of a
fine up to$L50G 00 andror one-year impsiso—t as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement.maybe forwarded to the Office of
lavesEgations o the DIA for insurance coverage wrification_
I do hereby c fj zaatder thepruris arrcF iafii+es vfg ury fJratBre irafortsuafioriprwzrled abw�a is trace azrd arrrert
<D-Gt��N a
CPhan 1 -Z _
OA%did use anTy. Do not write in this area, be complre a by city atrtowl official.
City or Tawa: PermitMicense#
IssuingAnthority(cirde one):
L Eoard of Health 2.Bui[ding Department I(itydrosQn Glens 4.Electrical Inspector 5.Phumbmg Inspector
6.Other
Contact Person: Phone#-
ormatian and Instr.ctiORS
Massachusetts GeheralLaws chapter 152 reganrs an e]mploycrs'to providewo�eas'compensation for their employees_
pmsuant to this st din.an�loye�is defined as¢_.ev=ypersonM.the sCM'Ce of another under amy coinra.ct ofbee,
express or implied oral or wdhm"
An mTroyer is defined as-aa mdiviffiA pmi sso
nership,association,corporation or other Iegal entity,or aay two or mole
of the foregoing engaged in a Joint mrbn rise,and incb ding the legal=gresentafives of a deceased a Iayer,or the
receiver or$ustee of an individnal,partnership,association or other legal entity,employmg employees- However the
owner of a dwelling house having not more than'free apartments and who resides thc=in,or the occqxant oftha-
dwelling house of another who employs persons to do mafi f trance,contraction or repair work on such dwelling house
or on the grounds or building apPurfenalt therein shall not bmanse of mach employment be deemed to be an employer-"
MGL chapter 152,§25C(S)also sites that"every state or local licence agency shall withhold ffie issuance or
renewal of a license or permit to operate a business or to'consfract bufidiags in the Commoavwealth for any
applicant who has not prodnced acceptable evidence of crimpfiance with the insurance_coverage require&"
Additionally,MGM chapter 152,§25dM stains'Neither the commonwealth nor;�my of its:political subdivisions shall
enter into any contra d for the perfounmcc ofpublic work uafal acceptable evidence of compliance with the insm`Mce..
requ -emen4 of this chapter have been preseUfed to the contracting anthouty_"
Applicants
Please fill oht the wormers'compensation affidavit completely,by checI®g the boxes that apply to your sitnation and,if
necessary,supply sob-contacbr(s)name(s), addresses)and phonenumber(s)along wAhthdr certfficate(s)of
iosQnce. Limited Liability Companies(MC)or Limited Idabffitypartnersbips(LLP)withno =:,Ployees other thanthe
members or partners,are not regtmed to cony worriers'compensation iomrance- Iran LLC or LLP does have
esipIoyees,¢policy is required. Be advised that this affidayk maybe submitted to the Department of Industrial
Accidents for conffimation of insurance coverage Also be sure to sign and date-are affidavit The affidavit should
betamed to the city or tDwn that the applicafion fur the penuit or license is being requested,not the Department of
eTr
Ldastiial Accidents. Shouldyou have any questions regarding the Iaw or ifyou are regafted to obtain a workers'
compensation policy,please call the Department at the nmmber listed below. Self-insared companies shouId enter their
self-msarance license number on the appropriate lima.
City or Town Officials
Please be sore that the affidavit is complete and pried legibly. The Department has provided a space at the bottom
of the affidavit for you in fall out in the event the Office of Investigations has to contact you regmlling the agIPlicant
Please be sure to fill in the pen�Litllicense number which will be used as a reference number. In addition,an applicant
that must submit mulliple pemu tllicrose applications is any gin y r+�ant
en ems,need only submit one affidavit m&ca
or
policy inforrjatian(if necessary)and under`Job STL-Address"the applicant shouldv;ute"all locations in (�Y
town)."A copy of the affidavit that has been officially stamped or marked try the city ar town may be provided to the
applicant as proof fiat a valid affidavit is on file for fature'pennits or licenses Anew affidaviknrust be filled out each
year.•Where a home owner or citizen is obtaLmg a license or permit not related to any business or commercial veuirn e
_ a dog license or penit to bum leaves etc.)said person is NOT req�d to complete this affi
davitit
The Of e c of Invmlig tines would lflm 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:
' asWmlth Of aC.husttfs
' Depa rtn=t of lndnsfial A=9ents
Mace of Xnv tious
(50a-WaabhoGa S`frrlet
Boston.,MA 02111
-` a'617- -4 oxt 4-06 or 1-977-MASSAFFE
Fast 617=727 7M
Revised 4-24-07m ��t
X/ AWC Guide to Wood Constructian in High Wind Areas:110 mph.Wind Zone
Massachusetts Checkist for Compliance(790 CM5301.2.1.t)t
Q ch�k
Compliance
1.1 SCOPE
WindSpeed(3-sec,gust).................................................._....._..................................__-..110 mph —
Wind Exposure Category.............. _ ... ..........._.._.._................ ._. .. ....__..._.._..._._. .... ._ _B
1.2 APPLICABILITY
Number of Stories ........... _...........___._(Fg 2)._._.......___......... stories 52 stories _
_.�9 2)
Roof P'rWt ._._..._......_...._........_._...._.. _......_................................. s 12.12 —
Mean Roof Heigh _..__.............__. _...__.,._......_._._....(Fig 2).................._................ ft 5 33'
Building Width.W.__._........_._.__.....__: ...._ _ _.._...(Fig 3)..._.._.____.._....._.._ _.._.._..,_ft 5 80' _
Building Length,L ._................_. _.__..........._........_....._...(Fig 3).._.._.....__._......_....._.._......._._ft 5 80'
Building Aspect Ratio(UW) _.(Fig 4)._._............ ..�.__..._. ._._.. s 3:1
Nominal Height of Tallest Opening2 .... ._..._....__......___..(Fig 4).__..._.....___.:........_..__.....__ 5 6'8'
1.3 FRAMING CONNECTIONS
General compliance with framing connections.........__,.-..(Table 2)............................................._.._.......
2-1 FOUNDATION
Foundation Walls meeting requirements of 780 CMR 5404.1
Concrete......................................._........:........._._......................_.........................._............. —
ConcreteMasonry............ ........................ ...__.____.._...._.__.... ...__.__...__.......
22 ANCHORAGE TO FOUNDATION1,3
5/8'Anchor Bolts imbedded or 5/8'Proprietary Mechanical Anchors as an alternative in concrete only
BoltSpacing-general.............................. (Table 4)......................................... in-
Bolt Spacing from endroint of plate ........ (Fig 5)....... _._._..._...... in.5 6'-12" _
Bolt Embedment-conixete.._...._... .._ . _.__.._._..:.(Fig 5).................
Bolt Embedment-masonry.....................................(Fig 5)._.......__....................._--._.. in.z 15'
Plate Washer._.........._...................................____.(Fig 5}.._.._........................:....._.2 3'x 3'x'/4' —
3.1 FLOORS
Floor.framing member spans checked .................._...._.(per 780 CMR Chapter 55)..._............................. _
Maximum Floor Opening Dimension_.__..__ _................:.(Fig 6)......................_.,�ft 512'or U2 or W12
Full Height Wall Studs at Floor Openings less than 2'from Exterior.Wall(Fig 6)................................... _
Maximum Floor Joist Setbacks
• Supporting Loadbearing Walls or Shearwall...............(Fig 7)......__..............................._..._.._ft 5 d _
Ma)dmum Cantilevered Roar Joists
Supporting Loadbearing Walls or Shearwall................(Fig 8)........................._...................... ft 5 d _
Floor Bracing at Endwalis.........................._.................._.(Fig 9)..._..............._.__._........_:..........._.. __.
Floor Sheathing Type ..................................................._..(per 780 CMR Chapter 55)......_.._...-.----_.. _ .
Floor Sheathing Thickness (per 780 CMR Chapter 55).................... in.
Floor Sheathing Fastening.___....._.. ........_... ._...._.,._,.(Table 2),_d nails at_in edge/_infield
4.1 WALLS
Wall Height
Loadbearing walls.............................._................_..(Fig 1d and Table 5)........ ft 510' _
Non-Loadbearing walls....._..........._........ _. (Fig 10 and Table.5)._._.._..................
ft 5 20'
Wall Stud Spacing .........................__._......_.................(Fig 10 and Table 5).....- ...._..._in.5 24'o.c.
Wall Story Offsets ...._._...:......_._._..........._..........._.(Figs 7&8)....................................__it 5 d
42 EXTERIOR WALLS'
Wood Studs
Loadbearing walls.......... _..._......................____.(Table 5)....................._.......be -_ft_in.
Non-Loadbearing walls.... ............-___......(Table 5)___..._.._......__--___Zx -_ft_in.
Gable End Wall Bracing
Full Height Endwall Studs.........._.___,____.__-_--- _(Flg 10)......__.._..._..__....._.._.„. . ._.._. ..........
WSP Attic Floor Length_.................. _._........ .._(Fig 1i) ........ ft>W/3
Gypsum Ceiling Length(if WSP not used)...___:..__ (Fig 11).....................__..�__._._.. _ft z 0,9W
2 x 4 Continuous Lateral Brace @ 6 ft_o.c._.(Fig 11).:............................_..__.._..._..__.__.
Double Top Plate
Splice Length ..................... (Fig 13 and Table 6) ._._..._.._.._.__.....____ft
Splice Connection(no,of 16d common nails):.._.._..__.(Table 6}.__,.,._.._._..__.......__...._.,. _.._....._
AWC Guide to Wood Construction in High Wind Areas:110 rrsph Wind Zone
Mass'achttsetts Checklistlor Compliance(7so cmR s31n.2.u)t
Loadbearing Wail Connections
Lateral(no.of endnaled 16d common nails).--.—{Table,7). __.___.._.__..... _....._..._.......
Non-Loadbea rig Wall Connections
Lateral(no.of endnaled 16d common nails)_._.__..._(fable 8)._._........__.........._...-......_....
.
Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9)
Header Spans _.._.._..._ ,...._......._...___ (fable 9):._._....................._ft_In.511,
Sill Plate Spans _..._._....___..._........:... .._�. ..(Table 9).____..._.___....._..._.._ft_in.-Cl V
Full Height Studs (no.of studs)__._...___ _..__._ (Table 9)__..__._..__....._.__._...._..._._...._.
Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9)
Header Spans. .__.._. ..-_...(Table 9)__..___.._._..-.-.._ _R_In.51Z
Sill Plate Spans........... .�.._..._. ............_._.._.._(fable 9)_......_....,....._........ ft_in.512'
Full Height Studs(no.of studs)-_-....._._...-_:._....__...(Cable 9)..._.___..........._......._.....__....._.._....
Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4
M'mimum Building Dimension,W
Nominal Height of Tallest OpeningZ ...............
_..._.._......
_....
......
_.......
_.....
__._._.._..
Sheathing T ...... note 4
Edge Nab Spacng._... ._...._. _......_.___. (Table 10 or note 4 if less)_.-__..._-...._.__in.
Field Nap Spacing.........._..._.._.._.........__..(Table 10).............. .. .._. ...._.._........ in.
Shear Connection(no.-of 16d common nals)(Table 10)_-___-___._..-._-..._...--_.._..-........
Percent Fup-Height Sheathing.-_.....___......(Table 10)_.._ ......
5%Additional Sheathing for Wall with Opening>63 (Design Concepts)---.--
Maximum Building Dimension,L
Nominal Height of Tallest Openin?..._..._.:.................................................
Sheathing Type............................ ........... ....:...._..
Edge Nap Spacng.........._.._..____._..__.. (Table 11 or note 4 if less)......_......:....._._in.
Feld Nail Spacing... .__:....__..........._..(Table 11)...................._..__....__._._. _-.. in.
Shear Connection(no,of 16d common nails)(Table 11).__...__....._....._-_---------_....._......
Percent Full-Height Sheathing...._.................(Table
5%Additional Sheathing for Wall with Opening>6'8'Wall Cladding, (Design Concepts)........._. ._..
Rated for Wind Speed?......... ..... . .........__... ._ _ ........_.:_... .. _.._.. _._.._.._......__...
5.1 ROOFS
Roof framfng member spans checked?._.... .._.._.._.(For Ratters use AWC Span Tool,see BBRS Webslte)
Roof Overhang .....__............................................(Figure 19). ......... _ft s smaller of 2'or L13-
Truss or Rafter Connections at Loadbearing Walls
Proprietary Connectors - - . ._-
Uplift._ ._ ..._ _._......._ ...._..___.(Table 12).................. ..... U=_plf
Lateral...._._........_---.-.-...__-.:........(Table 12)........_..._..._._..._._... ..._.....L= plf
Shear.:._........._......_.._.._._._.._..(Table _.._.... ..._..........___._.
Ridge Strap Connections,if collar ties not used per page 21..._(Table 13)...,....._.. _......... .T= pif
Gable Rake Out[poker................................. ... . (Figure 20). ......... _ft s smaller of 2'or Lf2
Truss or Rafter Connections at Non-Loadbearing Walls
Proprietary Connectors ,
Uprrft................ ._...._.._. _._..._(Table 14)....... ...__.._...---....... ...... U= lb.
Lateral(no.of 16d common nails)..(Table 14)...............................+_....:L= lb.
Roof Sheathing Type._._ .... ..._......._......._...._.....(per 780 CMR Chapters 58 and 59)....
Roof Sheathing Thiciaiess_........ ._..........._......._...._..___...._in.a 7/16'WSP
Roof Sheahing Fastening._........__......._..___..._......(Table 2)..._.._ ......_... ...__........�._
Notes;
1. This checkrist must be met in its entirety,excluding the specilic exception noted in 2,to comply with the requirements of
780 CMR 530121.1 Item 1.If the checklist Is met in its entirety then the following metal straps and hold downs are not
required per the WFCM 110 mph Guide:
a. Steel Straps per Figure 5
b. 20 Gage Straps per Figure 11
c. Uplift Straps per Figure 14
d.• All Straps per Figure 17
e. Comer Stud Hold Dooms per Figure 18a
2 Exception:Opening heights of up to 8 f t shall be permitted when 5%is added to the percent fuMeight sheathing
requirements shown in Tables 10 and 11.
3. The bottom sill plate In exterior walls shall be a minimum 2.in.nominal thickness.pressure treated#2-grade.
f
AWC Grade to Wood Consiruckon in Sigh Wind Areas: I10 mph Wind Zone
Massachusetts Checklist for Compliance(7soCMRSO1.z.1.1)I
4.
a. From Table 10 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height
Sheathing requirements
'b. Wood Structural Panels shall be minimum thickness of 711 V and be installed as follows.,
L Panels shall be installed-with strength axis parallel to studs.
I AD horizontal joints shall occur over and be railed to framing.
ill. On single story construction,panels shall be attached to bottom plates and top member of the double
top plate.
iv. On two story construction,upper panels shall be attached to the top member of the upper double top
plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist
and lower attachment made to lowest plate at first floor framing.
v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of Bd
staggered at 3 inches on center per the Figure, Vertical and Horizontal Nailing for Panel Attachment
1 1
AWC Guide to Wood Construction in High Wind Areas:l l o mph HInd Zone
Massachusetts Checklist for Compliance(7so cmR s3oi.2.j.i)'
-VWgM MIS EDGE ors off
AT
F[W&,Z EW Sd NA L$
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• PJtN9_ .l•1 j_
Sea DeWl on Next Page
Vertical and Horizontal Nailing
for Panel Attachment
r
Town of Barnstable
ti
` Regulatory Services
EARNTMM Richard V.Scali,Director
Eo.;;+� Building Division
Paul Roma,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 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.
i
Signature of Owner Signature of Applicant
Print Name Print Name
Date
Q:FORMS:OWNERPERMISSIONPOOI S
: . Town of Barnstable
Regulatory Services
pU'THE b Richard V.Scali, Director
Building Division
a�xtasT�sr.E• Paul Roma,Building Commissioner
urea i639• e� 200 Main Street, Hyannis,MA 02601
�
prED �► www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
JOB LOCATION:
number street village
"•HOT MOWNER":
name. home phone# work phone#
CU NT MAILING AD RED SS:� •
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,govided that the owner acts
as supervisor.
DEFINITION OF HOMEOWNER
Persons)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.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required
shall be exempt from the provisions of this section(Section 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.
r
LETTERS OF AUTHORITY FOR Docket No. Commonwealth of Massachusetts
BA17P0369EA The Trial Court
PERSONAL REPRESENTATIVE ' Probate and Family court
Estate of: Barnstable Probate and Family Court
3195 Main Street
Carl Frederick Syriala
PO Box 346
Barnstable, MA 02630
Date of Death: 11/12/2016 (508)375-6710
To:
Stephen P Syriala
175 Water Street
Pembroke, MA 02359
l8bL:8 �j TT�dH
You have been appointed and qualified as Personal Representative in Supervised ❑X Unsupervised
administration of this estate on March 13, 2017
(date)
These letters are proof of your authority to act pursuant to G. L. c. 1906, except for the following restrictions if any:
Pursuant to G. L. c. 1906, §3-108(4),the Personal Representative shall have no right to possess estate assets as
provided in §3-709 beyond that necessary to confirm title thereto in the successors to the estate and claims, other than
expenses of administration, if any, shall not be paid.
The Personal.Representative was appointed before March 31, 2012 as Executor or Administrator of the estate.
` Do Not Write Below This Line-For Court Use Only)
• :;.,z:;• 1. 1 � y) 1 j
CERTIFICATION
I certify that it.appears by the.records of this Court that said appointment remains in full force and effect. IN TESTIMONY
WHEREOF j. ave.hereunto set my hand and affixed the seal of said Court.
iOfd/�II�Aa>
Date "'�rirnu. March 13,2017
Anastasia W Perrino, Register of Probate
MPC 751 (4/15/16)
.,
oFTrq,,, Town of Barnstable Prmit
Regulatory Services �e�6m`nths orn ' ue date
MarvsswsLE,
MASS
1 ��� Thomas F. Geiler,Director
'OrFn MAt''
Building Division /
Tom Perry, CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstab le.ma.us
Office: 508-862-4038
EXPRESS PERMIT APPLICATION. - RESIDENTIAL ONLY 508-790-6230
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address C'S I n 1
® Residential Value of Work 0 '6p Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address �;K f S ,n lot
Contractor's Name cf �:�f� Telephone Number "-5 c Z -,2 F-7
Home Improvement Contractor License#(if applicable) 0: / Y Q
r�
Construction Supervisor's License#(if applicable) S yo
❑Workman's Compensation Insurance S F F
Check one:
® I am a sole proprietor TOWN lei= EARNS!RSA+�-
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Namew�
Workman's Comp. Policy# 200 1
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑ Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
Replacement Windows/doors/sliders. U-Value #of doors
6 (maximum .44)#of windows_ y
`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.
IGNATURE:
kWPFILESIFORMSIbuildi permit forms RESS.doc
wised 070110
I
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
k9i 600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information / J Please Print Legibly
Name (Business/Organization/Individual):
Address:
City/State/Zip: -_ .,�,����4 /1-ig r s Phone #: 7' -.7(2-
Fi-
re you an employer? Check the appropriate box:
Type of project(required):
.❑.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 8. ❑Demolition
working for me in any capacity. employees and have workers'
[No workers' comp. insurance comp,insurance.$ 9. ❑Building addition
required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
3.❑ I am a homeowner doingall 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' 13Z Other
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and 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: S w -
Policy#or Self-ins.Lic.#: caoo/ Q 2 0/ Expiration Date: �rL `Zd`Z
Job Site Address: q'� l.e-v1 A te, jir City/State/Zip: t-LA— p Z(
Attach a copy of the workers' compensation policy declaration'page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct
Signattire: Date: 7` V ao/,
Phone#:
Official use only. Do not write in this area, to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
�IHE Town of Barnstable
t Regulatory Services
BAffiVSTASLE. •
MASS Thomas F. Geiler,Director
o may' 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
Property Owner Must
Complete and Sign This Section
If Using A Builder
Ow
ner wner of the subject
�. l property
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit
girl 00
(Address of Job)
**Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled before fence is installed and pools are not to be
utilized until all final inspections are performed and accepted.
X
Signature of Owner 4ignatutof Applicant
Print Name Print Name
S l //
Date
Q:FORM&O WNERPERMISSIONPOOLS
ti
• rz
�IHE j Town of Barnstable
a� Regulatory Services
anarrWA LE, Thomas F.Geiler,Director
y MASS.
�p i6J9• °� Building Division
�a ntn'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
Please Print
DATE:
JOB LOCATION:
number street
village
"HOMEOWNER":
name home 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
i
responsible for all such work performed under the building permit (Section 109.1.1)
I
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1•-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue-is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:forms:homeexempt
Office`dt if.o �WM(�iiif VBGCh� jfdffffP License or registration valid for indrvidul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
-tom Type: Office of Consumer Affairs and Business Regulation
Registration: >102149 YP
10 Park Plaza-Suite 5170
° Expiration: `6�/30/2012 Individual Boston,MA 02116
b- JOHNSONIT)-
_ -. -
John Johnson _
PO Box 118 160 Ctu�ofi'st_
f, Undersecretary Not vali ithout signature
W.Barnstable, MA 02668:==%...;3
i
'Wissachu.sctts- DeIMI-tntciit iif Public Safety
j 11
Board of Building.Rc!,,ulatioits•:lnd Standards-'
Construction Supervisor-:.License'
License: CS 5409
Restricted.to- 00 "
JOHN J JOHNSON ' !
PO BOX"118 s'
W BARNSTABLE, MA 02668 '
Expiration: 6/21/2012 "
('ununissiuncr Tr#: 27304
Q �
Town of Barnstable Wit.
733CC'
Regulatory Services ste:3 pcco3
4 Thom F.Geiler,Director ca.
Building Division
1ti1°° Tom Perry, Buiidine Commissioner
200 Main Sheet, Hyannis,MA 02601
Fax: 508-790-6230
Office: 508-862-4038
TOWN OF BARNSTABLE
SOLID FUEL STOVE PERMIT
�, Phone:
Owner:
Install at: 5 O = Village: l.t�
Map/Parcel: lam` Date:
Stove
A. New/Used
B Type: Radiant/Circulating
C. Manufacturer' Lab.No.
D. Model No.: ia
Chimney
note date of last cleaning
A. New/Existing of existing,please
B. Flue Size I
u
C. Are other appliances attached to Flue?
D. Pre-fab Type and Manufacturer
E. Masonry: Lined/Un1ined
Hearth
A. Materials: '.
B. Sub Floor Construction:
0
Installer Address: DPLN-' Voi'
Name: C�1'1 i�i S r�
Phone: 608 7� / 1,- clr
Location of Installation:
APPROVED BY:
please make checks payable to the Town of Barnstable .
*This constitutes an official stove permit after inspection,photographed, and approved by the
Building IPLgn for
Q:fornwstove
TO 39W 0EZ906L80ST6 9Z:Z1 E00Z/9Z/11
r�