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0268 PINE STREET
134— 0 o J��gECVCLE0�02 UPC 12543 No. 53LOR 'o'OOSi,CpNSV��� HASTINGS, MN ` D aK.�s�z� d� 5,� ��/�- o►� - ,e w'�'—�-- �� , � .. �� 'Town of BarnstablePermit:20� �a Regulatory Services ate: oFTMETgy. Richard V. Scali Director),,li r `� �•� Building Division AUIFRz8525- a" MASS. Tom Perry, Building Commissioner 9Q, Mass. �, Y� g +pT i639- Aye 200 Main Street, Hyannis,MA 02601 ED MA'S www.town.barnstable.ma.us Office: 508-862-4038 1i ��"' Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: V �eS �l2912 `P YC4Phone: 9 - 3 7 Install at: )P/h e— S�_ Village: A Z n L —1 Map/Parcel: ,�j _ Date: Stove <PNew/Used Type: Radiant/Circulating C. Manufacturer: Lab. No. D. Model No.: Chimney New/Existing (If existing,please note date of last cleaning) Flue Size C? ` C. Are other appliances attached to Flue? /1 0 D. Pre-fab Type and Manufacturer E. Masonry: Line mine earth /� A. Materials: 6, �k e 5T6,M C �0 4 C A-e I -e— B. Sub Floor Construction: ll/vG P i Installer Name: �h✓l� ��� �� �— Address: .SA, Phone: 6 - ? :3 `7— 4, —r — Location of Installation: H.I.0 Registrat' n# Construction jupervisor# OR check V Homeowner Installing,no license required LICENSED INSTALLERS SIGNAT APPLICANTS SIGNATURE. APPROVED BY: /j o /S- Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove Rev 11/4/13 T IX Cbmwo4nveah*of Uassachuse2 Depwhnwt of I uksbz'cd Accddents (T�C�rfzvestrgatioru 600 Wmhhzgka Street Bostozj,MA 02M wwwanamgayydia W rkers' CompensafionInsurance.4ffitdavit:Bugder-JContractorsMe;ct .cianMumbers Applicant Irffarmafaon Please PrintibFy I�Tat (BiisineaslOrg miz onrindrvidnaly: �hg �� s r2- C Y,62 4ed Q __� CityfStat jfp:&,6/Vn SrV64- Phone �D ? -73'1 Are you as employer?Check the appropriate box: F67[0] of o'ect r 4. I ama contractor anal � 1 L❑ I am a employer witli ❑ l New constrrrcon employees(full androrpartAime}* havehir�edthe smb contractors 2-❑ I am a sole proprietor orpartner- listed on the attached sheet 7- ❑Remodeling ship and horse no employees These sub-oontractors have g- ❑Demalitioa woddng for me in any capacity employees and have workers' 9. ❑Buildmg addition [Na workers' camp-insu nre Comp.insuranc 1 req ire&] 5. ❑ We are a corporationand its 10.0 Electrical repairs or additions -3-JN I am a homeoawner doing all work officers have exercised their 11-0 Plumbing repairs or addition& myself [No workers'comp- fit of exernpiion per MGL 12.0 Roof repairs incrmtnre required_]f 152,§1(4),and we have no employees-[No workers' 13.0 Other comp_insurance required j "Azy wpbxaat that checks box tl mast also fill out the section below showing iheu•woikeie compensation Policy'ui3zr�mctioo H owns who submit-&s s-d..:;.m;d1r-tip they ate d--Mg eIIr.++and&M hie outside:coatrnctommatt submit anew affidn*m&uatin such tContmcmrs that r1ledk this box mast sttacl, sa additional shee dowiog the name of the sob-errors and state whether Drum ihnse Mies have employees. If the sub-cantmcws hn a employees,dLey must provide tier workers'comp.policy number. Jain arz employer ihatis protz�trg n�orkers'compartsrrlion irrsurrutce for rrz}�etrtpfnyeea. Pezoty is the pa&y and job site informatiom Insurance CompannyName: Pdlity;#or Self-ias-Lic rk ExpiiationDate: Job mite Address Citylstatelzip- Attach a dopy of the m•orkers'compensation policy dedaratiou page-(showing the policy number and e3zpiiation date). Failure to secure•coverage as mquiredunder Section;25A of MGL c 152 can lead to the imposition of criminal penalties of a fine up to$1,500Ad andlor one yearimprisonmeat,as well as civil penalties in the fusm 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 Investigations of the DIA for insurance,coverage�jirifficaticn_ I da Ftgreb}�cetttfjr re tke its atrdpenQliies iuy that the info rm id&n prin i&d abova rcF mtd correct Dte:a Z �S S.t tore: _ _ -Phnne{# o O ff ciol use only. Dar,not writir in this area,to ba completed by cityv or town offi'ciaL City or Town: PurmitUcense# Esning Authority(circle one)- 1.Baard of IleaIth 2.Buffding Department 3.Citylrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone it: 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursnantto 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 - dwelIing 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 Iocal 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 certificaic-(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)withno 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 Indusu;al Accidents for confirmation of insurance Coverage. Also be sure to sign and date the affidavit The affidavit should be retained 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 sh.ould 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/lieense nuiaber 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 oa 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 lake 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 GommostwWth of Massachusetts DeFar4mmnt cif Ind al Aocxdwts , Qfflice of kvestigatiGm 6GG Washingtan Street Bnstan,MA 02111 Tel.A 617-727-49OG W 4-06 4r Revised 4-24-07 Fax# 617-727-7749 www.mas,govfdia i Q. ho Js r _- esponsible for making application forth ---- :permit?, -- -- --� Application for a permit is required to be made by'the owner or lessee or their agent of the building (e.g.; the _HIC registrant). If application is made other than by.the owner, written authorization of the owner must accompany the application. Such written authorization shall be signed by -the owner and shall include a statement of ownership and shall identify the owner's authorized agent, or shall'grant permission to-the lessee to apply for the permit. The full names and addresses of the owner, lessee, applicant and the.responsible officers, if the owner or lessee is a corporate body, shall be stated in the application. Please note: It is the res onsibili' of•the reqistered HIC to obtain all . permits necessary for work covered by the Home Improvement Contractor Registration Law, M.G.L. c 142A. An owner who secures his or her own permits for such shall be excluded from the guaranty fund provisions as defined in M.G.L. c. 142A_ Back to Top Q. My contractor told me I need to obtain the permits fo MY construction. May 1 obtain the relevant permits from Amy local building- department, or is the contract( j (required to do that?l While you may certainly obtain your own permits, be aware that if you do, You will fall into a homeowner exemption that*will disqualify you from being eligible to receive recourse through M.G.L c. 142A, the HIC Law, or the statutorily authorized Guaranty Fund, should aproblem arise: It is the responsibility of the registered HIC to obtain all permits necessary for work covered by the Home Improvement Contractor Registration Law M_ 142A. If the HIC you are contracting with refuses, you may wish to reconsider using that contractor's services. i oFTME. Town of Barnstable Regulatory Services * MAS�L � Thomas F.Geller,Director Building Division Tom Perry,Building Commissioner 200 Main Street Hyannis,MA'02601 www.town.barnsiable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1, , 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. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signatze of er Signature of Applicant Print Name . Print Name Date QTORMS.OWNERPSRMISSIONMOIS 6012 - �T Town of Barnstable P` Regulatory Services t Thomas F.Geiler,Director MASS �,0� Building Division 1°rfo r� • Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstablema.us Office: 508-862-4038 . Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Q' Please Print DATE JOB LOCATION: /number street �i / village "HOMEOWNER":C^�7igJ1C.�S /l C/��1P J-4 e si �. G 05�_15" 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 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 Barn table Building Department minirrmn,inspection procedures and requirements and that he/she will comply with said procedures and require nts. . . . 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 tlie responsibilities of a Supervisor. On the last page of this issue is a forin currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q forms:homecxempt r STAMP: SMOKE DETECTORS DDEETECTTOORS REVIEWED �D BARNBTARLE BUI IN G DEPT D FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING IMPORTANT—UPGRADE REQUIRE STATE BUILDING CODE REQUIRES THE UPGRADING OF SMOKE DETECTORS FOR THE ENTIRE DWELLING MIEN ONE OR MORE SLEEPING AREAS ARE ADDED OR CREAl ED. W U m N S i NOTE: A SEPARATE PERMIT IS REQUIRED FOR HEy W INSTALLATION OF SMOKE DETECTORS-THE ELECTRI ALQ'" r'o PERMIT DOES NOT SATISFY THIS REQUIREMENT. v g min m. 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MIX— L OfTENDED Pe- L OLEFT SIDE ELEVATION DRAwINGNO, �J�t=-ra } A3 1�H Jae � :k68 Pine s Gars, 13WP A� �r STAMP: I 1 NEW DECK F I O I E%. arN ROOM I sw O p N s M<AA—R0011 b O O O O°• Fe J S 2 IX MUD ENTRY II n•� t! m� II II I II LIVING Rh. 11 O I � I I II I W U Q Q n o Z II II I I�;001 W 6�SdE�J�, i EX -AR (n LD W W Z W Of J at READING- N 1 II B Q p W LLI N 6 (-....._----- _..... O F—Q Z Z O]• n 11 O O ' Z W a Q DO w `D�- Ex..UTILITY B J 71TLE: -�]a FIRST FLOOR PLAN DATE ISSUED: - O6/01/Il Ik% FLOG PLAN REMSDNS wu e T o wwro a•..ue DRAWN BY: tewtivt DRAWING ND: ?� urww wanrwrt�•woes,�Ro um ae�.e Al L i I 'i 4 1 C �I ................. ' i STAMP. • d O DOOR SCHEDULE • D._D. DOOR SIZE SYMBOL Manufocturer Motlel NOTES WIDTH HEIGHT T wN0[RSErr FwOlip 9'-P M TO ruTCH EnSTI G D] wNDERSEN FPK.DKD D'HY L'-D' _ U o M—EH F.luae a-a S _ WW wHDERSFN FsSGOCD i'-a Z N L To oe Derew mw a-o• - - o f z U TUTCH E%ISTWG - Y-L' ON xo b O m n aCDRTt STORAGE o rlwTTu+[x, - ATT C S 1- _ S_i• _ _ i ro arnnrc rvrul 3� ST- nAiW ee13Tl.w Y-i' __ M -ST— m TO - OD Y. _ CH e]n3TIHG Y-L• Ll T. W O a5 O—TCH—T,HG OTO TIwTCN E%,ST,xG __ i•-0• _ _ w LOFT � LLI Li ® k Z N LJ J H BATH ti WINDOW SCHEDULE >o�o Z z SIZE > Of SYMBOL Manulo<lura MoEel TYPE NOTES Z W D_Q WIDTH R0. HEIGHT R.O. LLJ z d' DFR99FH TiGi<Y DDL HNrG T•L -.)rD• m m O 4 54 B wrIDERSEH CZ]3 Cw3EnEHi b VY ]'-]]/D' - LLI LD N L C wNpeR3eAl THOPlb DBL WHG T-I V5• ]'-0TiD' LLI LLI Ob' n I § eEDa�n OGa,LLE Pw wRe A5 sHouw wHiH vwrt SHwO IH GR,ue3 _AL NORa9 wRE wHDER3FN,T,LT i+w]H.DD 5-5-ra,TE w Pit[Flb3HED . 0 BEDROOM L I.—Te=El n)-sT.HvwaD xw Loc,c I eeePeR—T.FlHISu WVE(I)-CGHTEnPoRwRT 9 4t LIT ia,TE 1— TITLE. COHTORKTRt TO vERPT RW Wt OPCHUG tN rI,HDC�+SCH®,1LE T RWGN FRAnIHG. L. PRO.npE•TRYXR[CN'INSECT 5ER[EN(PUII HEIGHT)I[wCN OPCRwBL[ SECOND FLOOR PLAN/ SCHEDULES L•-a Fr-o• L•-a DATE ISSUED. • O6/01/II RENSIONS: 055Ejl_N FL00R PLAN DRAWN BY: I: DRAWING NO. 4 A2 } E. STAMP: L 4 I Lfs ON V CM I Ff PI V]'CDC[PI.T PROP-A-VCNT BAIFI.e AT BLaPco uc.5 CMT RIME vENT Dro RATlRD•B'O.C.✓ yrw9cw N:.S cur9 r u•o.c. aI�Rae aD. q•(a-»)n9eacuss urr KRArt s.ceo INSUL. A. ca.rr RDpe veNr Ras C..�r ze•m•o.G I.D nR Rae Bo. d - 2�D r li O.L 15'BOAILpNG PELT d 11 RTM09 a AT E q SLOPED LtG.S v9'99LLyy BOARD .D IIT�r TCONT d 0 RAPr[R9 I. uV�(FAaPLA9TCR $ 99Fr�pp�'�V Vi VbIT TAR-9e)F19EitGW9 GATT pr/ � G9�r KCD IN51M1. qq���FT/QQ�F�-�F�� p � ]No F�n'n wAL� ulwvAX ER9 d BEDROOM wC.SNiNGLe9 5 p exwwR[ Bog rez.rlNlt T:vec ICDDwwP vT 5m PLrwwTD lR. r Ii'O.G W 5 VT RK pNFK[D FIBERDUS4 eLpE—DD SWOT✓Cd'T PWTCR(SnOOfR) w Y� ' vwrL 9wvrr veNr — camy LIILITY C Z N READING LIVING RM. QZ n �U my mG Cx.FLMR e..IleOft i C C N W w5uv°vpareOlCeoceLG uG AT ALL L) Q °i :mo Llfu Z SNEAK PANELS-TTv. � H �CRO55 SECTION /ZL(n SECTION N _ W Li 9C E. •(-0�• 9L1LC•A'•�'-Or (r) W of J N Q W ~ >O-W ZZ cp.rr Rmce vexr Z Of D_Q� M2 R'WE 8D. W 0 Q W m _ _ fplT RDce vo+r � W LO Is[euawlN a w rT I.D RIME m. A'RnF _rn_ _ (� I5.B�UILDItlNKwIG—ET �~ V) TD I li'O.C. Gp.RTwD. J.9 I li•O.C. IrP C.ft—.. �AT = LJ ENT BAFFLE AT LJ �IIW[RDrtCLG.9 R r 2W RA ClL.9 F CR9•R.'O.G w/ I ip R.VTER!r u•O.C.u✓ G 9�t>PSd Ip.5 CUPS r u•O.C. 9NPlON W.5 CUPJ I]� 5'(R-5p)IIBERGLASS BATi ' RAPT KfD INSpL R'�R-BD)rRYRGLA90 GATT KCD IN9YL STORAGE tieD iaKu em d I GUM£R9 d TITLE: . ATTIC * +D PAStu BDB T 5D Flr i cprFr BRICK STOOP ON ' - 50PFI�r�Cq[i CROSS y M.BEDRM. M.B.ATH !Q I rFxr 4•CONIC.SLAB KITCJNEN 1� NT SECTIONS C y /48'HIGH.B'THK. O DININa _ EWE 3 tr.pL rwp pN ON G'COMPACTED O ex.RIGOR GRAVEL E.D r I a,vLmt DATE ISSUED: O6/01/11 CONTINUOUS B'.4•-0' ice(ARgndF®FRptw9s GATT REVISIONS CONIC.WALL -- ON 20'.10'CONIC.FTC, 2'CONIC.DUST COVER A•JU5T TOP OF w/6 MIL v8 ON WALL FOR LEVEL 6'COMPACTED GRAVEL FLOOR TO EXIST'G �GRO55 SECTION nGR055 SECTION ' L/E TT,*.1=0 9CKE.1/A•I�-O DRAWN BY: ---- /: I DRAWING NO.: A 5 i e L • r STAMP: rx*ENneo oEu .•o wnlNe or NeW xcs 2-P.T.2.5 GIRT-TTP. � ,"' I A•aw co,s.xNoruac,rrn. u / , GrttwE I,—T— a OEGK — P I I N 1 W I U c 1 Ww 1 zln n� pV �� mm N •- V 6 w U Q CONTINUOUS B'r4'-O' Z CONC.WALL W I— CJ 20',10'CONIC.FTG ANST TOP OF N Iywj W WALL FOR LEVEL Z W —I FLOOR TO EXISTG Z � m N Q 2'CONIC.DUST CODER DRILL E G— Q W ~ w/6 MIL vB ON 2-A4 DOWELS > U• W N 6'COnPACTED GRAVEL P 12'O.C.-TYP Q W _Z Of w o o a �'r ------- � � 0000 b W lD I— N N --J 4'CONIC.SLAB Pam' w/48'HIGH.B'THK. EDGE ,2o_Iv ON 6'CIPACTED GRAVEL FOUNDATION PLAN BILL PLAWTI-5 IL LP.T. I u1A/G'DIA L.-I..A.a.0.G. •efP O.L.M% ' •-12'lR0'T ' END OP—T- wA'.S'xs•Pure NA94ER9 DATE ISSUED: 08/01/11 REVISIONS OUNDATION PLAN ANCHOR BOLT SCHEDULE BCALE 4°•I„-DT PER WFCn 110 MPH EXPOSURE B I, ALL BOLTS TO BE r DIA.GALVINIZED 2.) ALL BOLTS TO BE SECURED w/HEX HEAD NUTS w/3'.3'.i'GALV.PLATE WASHERS 3.) BOLT SPACING, DRAWN BY: _ mx 60•O.C. PRO.IECT ,. n 12'FROM CONCRETE CORNERS OR END OF PLATE ��-- nAX 7'FROM END OF PLATE AT SOLICE YA r DRANO NO.: 9# 4.) BOLT EMBEDMENT nINIi'1UN 7'DEPTH I 1 A 6 l J r STAMP, R rR� ,P.T. aGIRTrYP. �„ i--- -------------------------------------- IIIIIIII � IIII 1 J1 I I IIIIII i I I WS z`IIII I W I ZN n�Li L I p Z I U Go I aiN mW" P.T.hi LiMER BD. -3�O 63 B0.T TO mn 0'Du.LnG Bai9 I T.-11 v,aT w.NGBb TO JP>T> W U Q Z W r O W (n N LaJ Zui O �Q PaaT'T'rD iez�aD. (n< o aA.IAc Bars Q O W N A ri:Lv.»i,uwcRs O F—W Z Z o Aasi z o as W W Do m .J I I I I I I I I I 1 1 1 1 1 I I W N U, 1 I I I nnF FIRST FLOOR FRAMING PLAN DATE ISSUED:06/01 11 REVISIONS: ' DRAWN BY: 0FIR5T FLOOR FRAMING PLAN ---- �+ DRAWING NO.: ! A 7 L STAND. I fr___ ' 2.bllc'D.4 II II II II II II II II II II II - II II Ai 4 REOf fl II v�LET LCDDEP II II D Nerl uw IptDraT A.. avEP;l II _ -_ POOP vNDER II _________� _ I; j j II I I I I I I. I I iI II I I I I IXINe w o III Pa,.w h�1_L� iI Ii GLE9 =- - - - - WZNs m�� 1Fr,TI j l DaLab io a ROOND•LL Rp:F OP[NINLS g —_=c _—_—_°_ _q _--_•-------�— _°—_° III III VI jI jI_jIuI I1_• jI jII Ij 110 MPHBMSJEBWINDmNEGENERALNAILNG SCHIDLLE v Nmrof Numberaftx z- c W --bil Des common Nall. Nall. Nag u W _—_—_— _ _ Roof Romig N Ld Bocltg to f6ger(1DeMebe) 2.8d 2.1tb each and Z N W W J . ---------R _ _-----_ - Ian abaltl to water „aba z-tfio 3.13e each and O Q VM Renting H F-- __—_—_—_— _—_—_—_ 1bp Rates at lme�ctotm(facellabd) 416d 6.16d at)ctae <Or� W(n 3ud to Bod fa—bd) 2-t6e 2-16d 2a'O.C. o W Z Z —'-----'— --'—'— Ieaoerto taaderf6ce-nabd tad 1ad 1wo.c.along edge Of d Of-------- ------- loot rvmtq W CO big to St)bp Rate or Gdder(beoBb od d) d a-im perpil (L' W co . 8."to be(be.bbd) 2-ad 2-tOd each end —J Lo t— L—_—_ - -- --- ---®j bc{igl09orlap Rate(benabd) 316e 416d each bbck (V N ----- ---- ---- ---- Ied..1.1ID laam or Grder#bc—bd) 3-i5d 4-16d eachped W W S Jolt on ledgerto Stem(be—led) 3-8d 3-10d Daryad = �i q Bandloin to bit — 118d 418d Der)Dit F Band bit to 9orE Rate .®be 2-16d 3-16tl M,fo.1 ibol 9eetf ng Nbod a—hoal Pareb mrteaorgusxarpacad up b 16'o.C. ad 10d 6'edge/61btl mherserts�sVacedoacrl8'o.c. ad tlkl 1'etlpe/a'Potl 711LE: 0 ROOF FRAMING PLAN gable end-11 ormla btsa e*gable olemanp 8d 1Od 6'edge/wren ROOF �sc�LEz'-P'-o gaek end-el®ormle lmm wdactwalowooleb ad tod 6•aegof6•mn FRAMING gebbatl Ic,leonmlamrssWboloNbbcI3 ad 10d a'ee e/A•fan PLAN/ Chang ggautty NAILING G armMilboam 5dcooaa 7•edgeI1D'fan SCHEDULE "loll S..tmng Nbod 9Pretuml Panels dudsWacedrpto 24o.c. ad 10d 6-edge/12'latl DATE ISSUED: 1/2 eM 2Yl2'Fbelboeltl Poll, 0a' - 3•edBe/�fetl 06/01/11 1/7 G arm NBEoaN 54 coeaa 7'edga/10'fatl REVISIONS Rcor Bleauag -- Mod Bnctuml Panels 1'orasr 0a 10d 8'edge l l2'latl reaterthxn l' 10d tad wedge l6 red 'Cowslan resistant 11 gage bang rlalsand 16 gage depbsam permitted•check(BC foreddeamatcyutamema DRAWN BY: Naga.thasotnenMm dabd,dssghen for na0sam common wee dma Ebxandpnuemaden.hot 6quNebrd diameter and equal or gmatar length to the q—t5od nam may be sballaramd omen omon0al + prohibited. DRAWING NO.: A 8 e� L 1HErp�y Barnstable Old Kings Highway Historic District Committee O 200 Main Street, Hyannis,MA 02601,TEL: 508-862-4787 Fax 508-862-4784 fOMAt� APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with four(4)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 described below and on plans,drawings,or photographs accompanying this application for: Check all categories thatt apply; 1. Building construction: ❑ New ❑ Addition R1 Alteration 2. Te of Buildin .yp g: Q House ElGarage/barn ElShed ElCommercial El Other. 3. Exterior Painting roof 52 new roof CKcolor/material change, of trim, siding, window, door 4. Sign : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign ri CO a--• 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court `C� OtherA_ Ch 6. Pool ❑ Swimming ❑ Other man-made pool ❑ Solar panels ❑ '6ther Type or Print Legibly: Date a 12 b 1 l NOTE All applications must be signed by the current owner Owner(print): C hU IVC- �`k tr-r) e-- P d,"e& 'e— Telephone ` �,I#:,, —(j�- -M Address of Proposed Work: 2�i PI n-e. Sf Village YJ . G "-Qap Lot# Mailing Address(if different Owner's Signature ' Descri tion of Proposed Work: Give particulars of work to be done�f'(,L,P_ F�t- co O T w i+h C�d u Si,2 ed— r� A-62S "d feplAc e wow o-eiw Y-):e L&) yjiodou)S dwaa 1 v-�0.l c+- 0 0 ioje,cior. add :e m�, k n(4 ohnU4, Add (0,QPV,40,- . ArUk-j�cm in "a-f- gx_ 4kad,-e,_ Agent or Contractor(print): C h 0-0 I`e S E�i f e A f,_ Telephone Address: i (A' 0 ' (49 Contractor/Agent' signature: e1fL4Z09_ For committee use only. This Certificate is hereby APPROVED/DENIED Date 161 h2k Members signatures RECEIVED 0q V_ 01 SEP 2 0 2011 APPROVED OCT 12 2011 Tmvn of Barns"nole Old iC€IH,1's fngir7: ty �UiYtff'it.k:-k: 1 QA8oards and,Commissions\Old Kings Highway\0KHApplications\0KH DRAFT 2011 Cert Appropriateness DRAFT doc I CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 5 copies Foundation Type: (Max. 12"exposed) (material -brick/cement,other�P Siding Type: Clapboard_ shingle other / Material: red cedar white cedar �other Color: nakuL' y Chimney Material( u6 1 `fhb i I 13 o cV, Color: 8 Roof Material: (make& style) /14— C cTu )Iud Color: Black . �p 1 W-e 04),efWO0 d Roof Pitch(s): (7/12 minimum) (specify on plans for new buildings, major additions) Window and door trim material: wood other material, specify Size of cornerboa+rds a size of casings (1 X 4 min.) X color +0-41 Rakes Ist member 2°d member Depth of.overhang 4co sene-s Window: (make/model) material_ vu1111M color U kA (Provide window schedule on plan for new buildings, major additions) Window grills(please check all that apply_: true divided lights_ exterior glued grills_ grills between glass_removable interior None Door style and make: �hC.�`'y1iR`�"�J material �Jl✓ 1 Color: W-eiherL ei (d Ma�S ' ( I Garage Door,Style QUSt.20,d Size of opening Material ,-JM . Colors �Q�- eif IUA L �yt�►'Y.� Shutter Type/Style/Material: 1� jai wshC, Color: U):e fi'P 1'4 M.C?Y3 Gutter Type/Material: A fu fy) 1 (lid ry-1 Color: Deck material: wood ✓ other material, specify Color: io Skylight, type/make/model/: A,- material Color: Size: Sign size: _l 0-1 Type/Materials: C010C. lie Fence Type(max 6 ) Style GC-- ma ?F Color: 2011 2 � Retaining wall: Material: �- QCT 12 noSEP Town of Barnstable -rO\NN OF g'S H1gh"°`Li&hting� freestanding on buildinb-d Kin „ .._ illumvlat�%ng�si°gn OTHER INFORMATION: THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTED Please provide samples of paint colors manufacturers brochure of windows,doors,garage door,fences,lamp posts etc Signed: (plan preparer) 1L 4 ✓lam r._ Print Name Vl!'1 �da► ��A, 2 QABoards and Conunissions\01d Kings Highway\OKHApplications\OKH DRAFT 2011 Cert Appropriateness DRAFT.doc only . individul use istratiOn valid for d return irat. date. If four a ulatiou License or reg and Business R g before the exp {fairs Office of ConsumeT A5110 10 park Ylaza suites Boston,MA 0211b out signature Not valid W — ir�;lJ�a l'111151'IlS - 11l'11:11'tlll l'll( III I'll I)Ill �:III'It I U/te TQo-�7rnrzoa7,CueCrlGlb o/�C%/�aJJCcc�CCJeCfiJ- f3o:u'(I Of 13uillling Re� ulali(nts.:utllI:ul(I:u'llti:;' I Office of Consumer Affairs&Business Regulation Construction Supervisor License. Veglst OMEIMPROVEMENTCONTRACTOR License: CS 104802 ration: 169693 Type: xpiration::::,:7/2T/2Q1:3, DBA ELDREDGE FRAME4 REMODEL '. CHARLES ELDREDGE ` 268 PINE ST CHARLES ELDREDGE`IIL` WEST BARNSTABLE, MA 02668 !{ 268 PINE ST W. BARNSTABLE,MA 02668`' " Undersecretary �' —` Expiration: 5/16/2014 I TOWN OF BARNSTABLE.BUILDING PERMIT APPLICATION Map Parcel `�1� Application # � d� Health Division Date Issued ti, Z Conservation Division Application Fee lu Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH_ _ Preservation / Hyannis Project Street ,A�d—dress RE' <X&'T�, Village aj AA(K/(OCR/ Addres ✓/�' �� Telephone Permit Request �� t�t`� OX/ Fo _Z77fie A17 ofN Al Z5?JJ NO A� F�/Z�eitS'PoQCN i `�" wave rx/ST'i h% �eo2oOr- 7"o hi�i° l" h<sr l�/�vSTi�,y FrsrPrc;►,r�'�9r> �t'►P �,D � /QF/ C e lv.It 6d/S G' �irye� =rnnnc�e Square feet: 1 st floor: existing 4kid 2.nd floor: existing proposed _Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �� Construction Type i4a n/"� Lot Size chi®l4S" � _ Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family .S Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes WFNo On Old King's Highway: It 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: Y existing new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas a Oil ❑ Electric ❑ Other Central Air: ❑Yes 19 No Fireplaces: Existing J—New Existing wood/coal stove: ii 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: : Li i = Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# d Current Use Proposed Use l c tv APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name�1? L s �EL./�i2e .CI Telephone Number Address 2 ,6 D Pit) e_ S� License # C S D g 6 DL 02— 6 69 Home Improvement Contractor# 16.g 693 Worker's Compensation # iacc Sdo76y7O1,201 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOI-3,41z A 57-i9QIC L-1yn0 F; SIGNATURE DATE FOR OFFICIAL USE ONLY t$ , .f APPLICATION# t _DATE ISSUED MAP/PARCEL NO;:; ADDRESS. ' VILLAGE 7 OWNER DATE OF INSPECTION: 0K-5 f UNDATION i�;�Nbs 3 t�n� � K s• t if'��1c�-� o� 7 s.�. FRAME SSG G y� R'� 7 zo sty �F/jt C E ----INSULATIOI\Ik f ��:"?/4— Rw • .r FIREPLACE s ELECTRICAL: ROUGH FINAL red PLUMBING: ROUGH FINAL GAS.-,,--, ROUGH A,,:: -z->� FINAL FINAL.BUtLD.INGas �� - i DATE CLOSED OUT, r. t ASSOCIATION PLAN NO. �„*Ih Town of arnstable . Regulatory Services ?=Age Thom, as F. Geiler,Director husz i6s9' Building Division Thomas Perry, CB0,Building Commissioner 260 Mait Street, Hyannis,MA. 02601' www.Eown.b arruta b l e.w a.us 'Officec 508-862--4038 Fax: 508-790-6230 PLANREVIE 2, oC�o � 3 � � Owner Qi+.v-a`� �'r G Map/Pmel: Project Address 0440 /toe S- l!, Builder: '051-_ The following iterns were noted-on reviewing: Reviewed by: _ V Date: ® Z— The Commonwealth of Massachusetts Department oflndustrial Accidents 600 Washington Street Boston, Mai 02111 .www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plnmbers Applicant Information Please Print Legibly Name tBn�ess/Ozga�tion/IndiF'idaal):G h�IlZL eS' `1.aRe 1,04gc 9P r'R e¢-Rer»o�eL Address: City/Sta&zip: Phone#: _5_0 g- 3X�z-- le�.1ss-�S'o8-�3?�63d� Are you an employer?Check the appropriate box: G'CC 1.DQ I am a employer with 4. I am a Type of project(required): . �_ ❑ 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- wed on the attached sheet: 7. g Rrmodelmg ship and have no employees These sub-eontractors have g ❑Demolition working for m-in any capacity. employees and have workers' [No workers' corm.insurance comp.insurance.* 9 ❑Bufiding addition . required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11. Plrmmbin❑ g repairs or additions myself [No workers' comp. right of exemption per MGL 12 Roof r 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 mst also U out the section below showing their works'compensation t Homeowners who submit this affidavit inrh�ng they are doing an work and thin hire outside policy iafarmation contractnra meat submit a aeon affidavit indicating such xContrsctors that check this box mast attached an additional sheet showing the name of the sub-contractors and state whether or not those antities have employers If the sub-eontowtors have employers,they mostpcavide their work=,camp. policy cy ofi numb=. lam an employer that is protJid nj workers'compensation insurance for eery ernployeea Below is the poficy and job site information, Insurance Company Name: J6119(/L S-r6A- 7 .�, Policy#or Self-ins.Lc.#: �,�/�(� , �f 7460 701 _-2 0// .Expiration Date: Job Site Address:_D Attach'a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Fadrn-e to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fmae up to$1,500.00 and/or one-year impusomneut, 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 c of this statement may Y be forwarded to the Office of Investigations of the DIA for 7ncrmmre coverage verification. Ida hereby certify under the pacers and penalties ofP�j7'that&e inf�` 7 abo verap and correct S' ture: / � Phone 3 6 2 �� use only. Do not write in this area to becompleted b city or town offzci¢L ity or Town: Permi:tUcense# [[Q�107�zW ssuing Author ity(circle one): L Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector .6. Other Contact Person: Phone#: �,, ',1 f 1 i r •• r,' 'CERTIFICATE OF LIABILITY INSURANCE ACORU DATE(MMIDDIYYYY) 12/28/2011 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Blackstone Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 37 Harvard Street Suite 213 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Worcester, MA 01609 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA A.E.I.0 Eldredge Frame&Remodeling INSURER B: 268 Pine Street INSURER C: West Barnstable, MA 02668 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSRD TYPE OF INSURANCE POLICY NUMBER DA ( M 00U1 TE( Mi0%0 LIMITS GENERALLIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED CLAIMS MADE OCCUR PREMISES Eaoceuence S MED EXP(Any one person) S PERSONAL 8 ADV INJURY S GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S POLICY PROJECT LOC AUTOMOBILE LIABILITY (Ea accident) nt)ANGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY g SCHEDULED AUTOS (Per P-) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per occident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG S EXCESSIUMBRELLA LJABILnY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE S S DEDUCTIBLE $ RETENTION S $ WORKERS COMPENSATION AND EMPLOYE ORYRS'LIABILITY ✓ T LIMITS ER- A ANY PROPRIETOH/PARTNERIEXECUTIVE WCC5007607012011 10/01/2011 10/01/2012 E.L.EACH ACCIDENT S 100,000 OFFICER/MEMBEREXCLUDED? E.L. ISEAS'c-EA EMPLOYEE S 100,000 II yes,deschoe under 500,000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER Charles Eldredge is covered by the workers compensation policy. CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Building Department DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 15 DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SMALL Hyannis, MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATNE ACORD 25(2001/08) ©ACORD CORPORATION 1988 e 1 I I i I AWC Gnirle to ll%or! Consti-u-Vion in His ll Wind k-eas: 110 mph kVrnrl Zone Massachusetts Checklist for COmpbance (780 C51I`R 55301:2.1.1), ✓0 Check Compliance 1.'1 SCOPE WindSpeed(3-sec.gust).................................................................. ................................................ 110 mph WindExposure Category.................. .............................................. .............................................................CB Wind Exposure Category................Engineering Required For Entire Project ....................................... 1.2 APPLICABILITY Number of Stories (a roof which exceeds 8 in 12 slope shall be considered a story) rZ stories s 2 stories Roof Pitch (Fig 2) s 12:12 Mean Roof Height ..(Fig 2)................................................ ft 5'.33' Building Width, W .......................... ........................... ..(Fig 3)............................................... ft 5 0' Biilidliig Length, L .................................................. ...........(Fig 3)...........................:.::.::::::::::::::�:: f1 s'80' Building Aspect Ratio(L/W) ...............................................(Fig 4)................................................ 5 3:1 Nominal Height of Tallest Opening2 .............................:.....(Fig 4)................................................lvbTs 6'8" 1.3 FRAMING CONNECTIONS General compliance with framing oonnections....................(Table 2)............................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of.780 CMR 5404.1 Concrete....................................................................................................................I.......... ConcreteMasonry.............................................:...................... ............................................................... 2.2 ANCHORAGE TO FOUNDATION1'3. 5t8"Anchor Bolts imbedded or 5184 Proprietary Mechanical Anchors as an alternative in concrete only / Bolt Spacing—general ..........................................(Table 4)............... ................. ... &M in. V Bolt Spacing from end4oint of plate .............................(Fig 5)..................:................. in.s °—12". .l�. Bolt Embedment—concrete...........:.............................(Fig 5).................................'....:........... n. 3 7" Bolt Embedment—masonry..........................................(Fig 5)............r............................... in.a 15" PlateWasher................................................................(Fig 5)..............................................s 3"x X x '/," 3:1 FLOORS Floor-framing member spans checked .................................(per 780 CMR Chapter 55)....................... .......... Maximum Floor Opening plmensfon..................... ...............(Fig ti)...................................................�C, ft 512' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)..:....I................. Maximum Floor.Joist Setbacks Supporting Loadbearing Wails or Shearwall................(Fig.7)..................................................... a ft s d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls.pr Shearwall...:............(Fig 8).....................................................--a ft s d Floor.Bracing at Endwalls..............:.....................................(Fig 9)................................................................... Floor Sheathing Type ..:.. . ............I...................................(per 780 CMR.Chapter 55)....................... . .. ........... Floor Sheathing Thickness .................................................(per 780 CMR Chapter 58)..:................... in. Floor Sheathing Fastening..............:...............:...................(Table 2)..yd nails at- In / ,in field z 4.1 WALLS Wall Height Loadbearing walls. .• .(Fig 10 and Table 5)........................I. ft s 10' Non-Loadbearing walls... ........................................(Fig 10 and Table 5)........................ ft s 20' ! Wall Stud Spacing ........................................................(Fig 10 and Table 5)................... in.s 24°.o:c. Wall Story Offsets .........I..............................................(Figs 7&8). ................................ .... .0- ft s d 4.2 EXTERIOR-WALLS' I Wood Studs Loadbearing walls.........................................................(Table )........ ................�x _Jft in. ,e-- ........2x ft In. Non-Loadbearing walls...................,.......................,....(Table 5)...................... �, / Gable End Wall Bracing' Full Heldht Endwall Studs ......................(Fig 10)................................................................. WSP.Attic Floor Lehglh;.....:...:......:..............................(Fig 11)............................................ ft ZW/3 'Gypsum Ceiling Length(If WSP not used)....:..............(Fig 11)............................................— ft z 0.9W and-2 x 4 Continuous Lateral Brace.@ 6 ft. o.c. .. (Fig 11)............................................................. or 1 .x3 ceiling.furring strlps @ 16"spacing min. with 2 x 4 blocking @ 4 R, spacing in end joist or truss bays AWC Gid de to I•Mood Construction hi Higk lllhi f,-freas: I10Inph- hVind Zorce Massa cht:isetts .Checklist foz- Comphance (?s0 Ci%1111 S3bu.I.I)' Loadbearing Wail Connections Lateral(no. of 16d common nails).......................'.........(Tables 7)..................................................... Non-Loadbearing Wall Connections / Lateral(no.of 16d common nails)................................(Table 8)....................................................... Load Bearing Wall Openings (record largest opening but check all openings for compliance t Table 9) Header Spans ..........................................................(Table9)................................ ft Z-''in.511' t Sill Plate Spans ........................................................(Table 9)................................: t in. � Full Height Studs (no. of slbds)..........:.........................(Table 9)............................1................_.. .... Non-Load Bearing Wall Openings (record largest opening but check all openings for complia ce to Table 9)' Header Spans...... ..... Table 9 ft.... o In. 5 12' Sill Plate Spans.......................................................... (Table 9)............I.................... . ft e7in. 5 12' Full Height Studs(no.of studs)....................................(Table 9)....................................................... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously Minimum Building Dimension, W Nominal Height of Tallest Opening2 Ys( 6'8"� j Sheathing Type..: . . ..... �'°l ...........................................(note 4)... ............. ........................... L Edge Nail Spacing ..(Table 10 or note 4 if less)...................... in. Field Nail Spacing...........................................(Table 10)............................................... . in. Shear Connection (no.of 16d common nails)(Table 10)....................................................... Percent Full-Height Sheathing.:.................:...(Table 10).................................I.................. 5%Additional Sheathing for Walt with Opening> 6'8'(Design Concepts).................... Maximum Building Dimenslon, L Nominal Height of Tallest Open►ng2.............................. .` ..............................(ill SheathingType..............................................(note 4)....J............................................... s� 'Edge Nail Spacing.........................................(Table 11 or note 4 If less)........................ in. FieldNall Spacing..........................................(Table 11)................:................................ n. Shear Connection(no. of 16d common nails)(Table 11)........................................:.............. . Percent Full-Height Sheathing........................(Table 11)............................................:.......5 5%Additional Sheathing for Wall with•Opening> 6'8"(Design Concepts).................... Wall Cladding Ratedfor Wind Speed?............................................................... ............................................................... 5.1 ROOFS / Roof framing member spans checked?.................. (For Rafters use AWC Span Tool,see BBRS Website) , Roof Overhang ...................................................(Figure 19).............�ft S smaller of 2'or U3 r Truss or Rafter Connections at Loadbearing Walls Proprietary.Connectors Uplift............ ...............................(Table 12)............................................U=,,2ejlf Lateral.............................................(Table 12)..............................................L=Y-WPif Shear............................:'..................(Table 12)...................................,........S=-YL plf Ridge Strap Connections,if collar ties not used per page 21... (Table 13)...............................T=�pff Gable Rake Outlooker............................................(Figure 20) ft 5 smaller of 2'or U/ ' Truss or Rafter Connections at Non-Loadbearing Walls Proprietary' Connectors Uplift ., Table 14 .U=t V ib. Lateral(no, of 16d common nails)...(Table 14)........:..............................L�Ib. Roof Sheathing Type...................................................(per 780 CMR Chapters 58..anq 59) ............ Roof Sheathing Thickness.....................................:..... .................................,/:cf—!! _in.?7/16'WSP Roof Sheathing Fastening............................................(Table 2)......................................................... ' Notes: ` 1. This checklist shall be met in Its entirety, excluding the specific exception noted In 2,,to comply with the requirements of 780 CMR.5301:2.1.1 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 1 i c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure I Ba and Figure 18b Exgeptlon:Opening heights of up io 8 ft. shall be permitted when 5%is added to the percent full-height sheathing -'requirements shown in Tables 10 and 11. The bottom sill plate In exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2'9r6de.- ' N oF ' ti own of Barnstable Regulatory ♦ ♦ v 9 aras.9. Thomas F.Geiler,Director i63y. �� �Eo rr►r�' Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize /a.ft t eS /'003 iP to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) ignature of Owner Date G��te e� I=Z19R eolg e Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION l Town of Barnstable �F'iHE T �P Regulatory Services s�xrrsrnsrir Thomas F.Geiler,Director MASS. 1639• .�� Building Division rED MA't b Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us I � 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 responsible for all such work performed under the building permit. (Section 109.1.1) D Il 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.e Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet.or larger will be r"equired 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:fomu:homeexempt REScheck Software Version 4.4.1 Compliance Certificate w Energy Code: 2009 IECC Location: West Barnstable, Massachusetts Construction Type: Single Family Project Type: Addition/Alteration ' Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: Charles Eldredge 268 Pine Street West Barnstable,MA Compliance:Passes Compliance:0.4%Better Than Code Maximum UA:277 Your UA:276 The%Better or Worse Than Code index reflects how close to compliance the house is based on code tradeoff rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. AssemblyGross Cavity Cont. Glazing UA or or D•• Perimeter • Ceiling 1:Flat Ceiling or Scissor Truss — — -- --- — Exemption:Framing cavity filled with insulation. Wall 1:Wood Frame,16"o.c. 571 19.0 0.0 6 Window 1:Vinyl Frame:Double Pane with Low-E 241 0.340 82 ®; Door 1:Solid 20 0.400 8 Door 2:Glass 213 0.330 70 Wall 2:Wood Frame, 16"o.c. 571 19.0 0.0 34 Wall 3:Wood Frame, 16"o.c. 632 19.0 0.0 38 Wall 4:Wood Frame, 16"o.c. 632 19.0 0.0 38 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space — -- — — — Exemption:Framing cavity filled with insulation. 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 4.4.1 and to comply with the mandatory requirements listed in the REScheck Ins p In Checklist. ;z 12 „ Name-Title Signature Date ` 4> Project Title: Report date: 07/21/11 Data filename: C:\Users\Daniels\Documents\REScheck\eldredge.rck Page 1 of 4 Parcel Detail Page 1 of 3 '� -ten r•,,•'�+- � � VT A.�f.•..,�`. �(/"(�C/�It'/' V � "" _ FP_:;'�. '��'F• n� � MA55, re ,.._ ^ .` ••'tom Logged In As: Parcel Detail Wednesday, December 28 2011 Parcel Lookup Parcel Info Developer Parcel ID 153-017 Lot Location 1268 PINE STREET I Pri Frontage 1322 I Sec Sec Road IFrontage Village IWEST BARNSTABLE I Fire District JW BARNSTABLE Town sewer exists at this address No I Road Index 1259 Interactive Map Owner Info Owner JELDREDGE, CHARLES A III & KERRIE A I Co-Owner Streetl 268 PINE ST I Street2 F I City JW BARNSTABLE I State MA I zip 02668 I Country I —J Land Info Acres 12.25 I use I Single Fam MDL-01 I zoning IRF I Nghbd 0106 Topography Level I Road Paved Utilities I Gas,Well,Septic I Location Construction Info Building 1 of 1 Year r1952 I Roof Gable/Hip I Ext Wood Shingle Built Struct Wall Living 1706 Roof As h/�F GIs/Cm AC NoneK° Area 11 I Cover! p p I Type Int Bed Style I Ranch I wall(Drywall I Rooms 4 Bedrooms s. Int Bath 24 Model Residential I Floor Hardwood ( Rooms 4 Full I Grade lAverage Plus I Heat Hot Water I Total 8 Rooms Type Rooms Heat L Stories 11 Story I Fuel Oil I Found-ation Typical Gross 3250 �I Area Permit History http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=10331 12/28/2011 Parcel Detail Page 2 of 3 Issue Date Purpose Permit# Amount Insp Date Comments 4/1/1985 IB27780 1$15,000 1/15/1987 12:00:00 AM I WB ADD'N - Visit History Date Who Purpose 1/17/2008 12:00:00 AM Paul Talbot Cyclical Inspection 10/20/2004 12:00:00 AM Gary Brennan Cycl Insp Completed-Update 9/24/2004 12:00:00 AM Paul Talbot Meas/Est 5/11/2000 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 1/15/1986 12:00:00 AM IFIR Sales History Line Sale Date Owner Book/Page Sale Price 1 6/29/2004 ELDREDGE,CHARLES A III&KERRIE A 18773/080 $475,000 2 9/2/1997 BURLING, ELMER R TR 10928/271 $0 3 11/22/1996 BURLING, ELMER R TR 10496/271 $1 4 11/30/1970 BURLING, ELMER&GRACE 1 1492/214 $0 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2011 $169,500 $3,000 $6,900 $179,300 $358,700 2 2010 $169,400 $3,000 $7,300 $182,200 $361,goo 3 2009 $180,700 $2,400 $3,600 $209,900 $396,600 4 2008 $215,300 $2,400 $0 $224,800 $442,500 6 2007 $215,300 $2,400 $0 $224,800 $442,500 7 2006 $219,400 $2,400 $0 $245,800 $467,600 8 2005 $205,100 $2,300 $0 $245,800 $453,200 9 2004 $168,100 $2,300 $0 $245,800 $416,200 10 2003 $143,100 $2,300 $0 $78,800 $224,200 11 2002 $143,100 $2,300 $0 $78,800 $224,200 12 2001 $143,100 $2,300 $0 $78,800 $224,200 13 2000 $115,400 $2,300 $0 $56,300 $174,000 14 1999 $115,400 $2,300 $0 $56,300 $174,000 15 1998 $115,400 $2,300 $0 $56,300 $174,000 16 1997 $124,700 $0 $0 $43,300 $168,000 17 1996 $124,700 $0 $0 $43,300 $168,000 18 1995 $124,700 $0 $0 $43,300 $168,000 19 1994 $117,600 $0 $0 $61,300 $178,900 20 1993 $117,600 $0 $0 $62,600 $180,200 21 1992 $134,000 $0 $0 $68,100 $202,100 22 1991 $139,200 $0 $0 $99,000 $238,200 23 1990 $139,200 $0 $0 $99,000 $238,200 24 1989 $139,200 $0 $0 $99,000 $238,200 25 1988 $88,000 $0 $0 $37,100 $125,100 26 1987 $81,400 $0 $0 $37,100 $118,500 27 1 1986 1 $79,100 $0 $0 $37,1001 $116,200 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=10331 12/28/2011 DetailParcel Page 3 of 3 Mir "'Ift Ad y 4 �i'f� �a I'.r>d )' �t �l r � �j t ���. �� '-i / ! .:•' ' '- �,��.---��_'�_�'�—.—r-.'-'��-���"': �� rt•r� .�r l✓z'y'-r'`. �'.��f';, "i'.;'^4 ���E�.'". �t✓Y., .r.. �sf_ t�" �Lu`„�`' �•+ .,`'�_—' 'E.yid�__ _-. � .y .-_ _ . . 1 12/28/2011 I ti Town of Barnstable Permit: 0S o 3 Regulatory Services Date•f/, 3/ 0F1He Kok Thomas F. Geiler, Director P� ~� Building Division ---- Fee ` BARNSTABLE, ` Tom Perry, Building Commissioner D `I LI MASS. 039• ��0 , 200 Main Street, Hyannis, MA 02601 k www.town.barnstable.ma.us SEP 2 O� Office: 508-862-4038 By-�/ a56'-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: Cil/44Le-5-e/��eA/2i'eTZ ehone: -737 K �; 6,5— Install at: oZ 68 Fin e— Village: Y7-46L e- Map/Parcel: �D f 7 Date: Stove A. New se B. Type: Radiant/Circulating`a C. Manufacturer: - [�®®o1ZC�O��iis-/I�i @dab. No. ��g fir' �a— D. Model No.:ljeiyt®!(of oD sere: #� 97$? Chimney A. New/Existing (If existing, please note date of last cleaning) g/�1 kep B. Flue Size �,( g C. Are other appliances attached to Flue? /10 D. Pre-f Type and Ma facturer E. ILVII ason Line nlined Hear A. Materials: 1'11A-S'a n gg/ B. Sub Floor Construction: &100 A Installer Name: Address: Phone: Location of Installation: H.I.0 Registration # Construction Supervisor# OR check VHomeowner Installing, no license required APPLICANTS SIGNATURE APPROVED BY: lee - o Please make checks payable to the Town of Barnstable *This constitutes an of stove permit after inspection, photographed, and approved by the Building Inspector Q:forms:stove Rcv 103107 ' The Commonwealth of Massachusetts Department of Industrial Accidents Of fcce of Investigations a 600 Washington Street �< Boston,MA 02111' www.mass.gov/dia ' Workers} Compensation Insurance Affiddvit: Builders/Contractors/Electricians/Plumbers Applicant Information np Please Print Legibly. Name(Business/Organization/Individual): g Address: ( nCity/State/Zip: � ,2 n S TAG L't �A a ho .#: • Are.you an employer? Check the appropriate bog: .Type of project(required):• 4. I am a general contractor and I 1.❑ I am a employer with � 6. ❑New construction . employees (full and/or part-time).* • have hired the sub-contractors 2.0 I am a'sole proprietor or partner- listed on the-attach.ed sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, Demolition -;working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp.insurance . comp. insurance.$ 5 We are a corporation and its 10.❑Blectrical repairs or additions required.] ' '3.® I am a homeowner doing ill-work. . officers have exercised their l l.[]Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.E]Roof repairs insurance.required.]t c. 152, §l(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 Subcontractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must providt;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$1,500.00 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 statemerit maybe forwarded to the Office of Invesdizations of the DIA for insurance coverage verification. I do hereby certify under the pains•and pe aloes of perjury that the information provided above is rue and.correct. Date: 2 d Si ature: . — Phone 5 (a Fr only. Do not write in this area, tb be completed by.city or town official n: ' Permit/License# Is hority(circle one): Health 2.Building Department 3. City/Tosvn Clerk 4.Electrical Inspector 5.Plumbing Inspector rson: Phone#: 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 iwthe commonwealth for any applicant who has not produced,acceptable evidence of compliance'with'the insurance coverage required." Additionally,MGL ehapter.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-compl auce with:tlie 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-contlactor(s)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 tc give us a call. The Department's address,telephone-and fax number:. The Commonwealth of Massachusetts N-partmimt of IndwWal.A.coideets Qffice of Uvestlgattouc 60f1 WaWngtoli Sheet B.oston,.MA Q2111 - . Tel. #617-727 4900 ext 406 or 1-877 MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mas,-,gov/dia oF1HE r� 'down of Barnstable Regulatory Services BARNSrABLE Thomas F.Geiler,Director MASS. 9�A 039. Building Division rED MA'I A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION q l Please Print DATE: / AA 1 /,010 JOB LOCATION: 6 D �/�d �A '04 number,!� street c� village .,HOMEOWNER": &ewAt.es Eton o-e_ �09..3d a-,�j//d —��r—` 3-1—4:3(;,.r name n 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 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. rgnature 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 169.1.1 -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/certifrcation for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC �1HEr, Town-of Barnstable Regulatory Services BAMSTABLE, Thomas F. Geiler,Director Mass. 139. Building Division Tom Perry,Building Commissioner, 200 Main-Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 r ' ` Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION r Town of Barnstable �ofYH�raw Regulatory-Services o Thomas F. Geiler,Director . • Building Division STABLE, y MASS.. Tom Perry, Building Commissioner i639. °tEo ,eA 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 x: 508-790-6230 Approved: Fee: Permit#: .aO&O HOME OCCUPATION REGISTRATION ��) Nauie: �h/42 L eS r L P9 Phone 8 36 `�6 Address: !� �>h e Village: Le/, 43,v2 hs 1/20L +P Name of Business: I�Cd�/Z ��.� ����""L 4' Q,.Yn0 A e TYPe of business: y eTiOh Map/Lot: ✓F3 — © / INTENT: It is the iuteut of this section to allow tlae residents of'the"Toavn of Barnstable to opertte a liome occupation aRtlain siatlde Family dtvelliugs,subject to the provisiotis of Section 4.-1.4�of the Zoningordinanc•e, provided that the acti6ty shall not be discernible 6-ona outside the dwelling: there shall be no increase iu noise or odor;no visual alteration to tlae premises avlaich Would suggest utytlling otlier than a residential use; no increase in traffic above normal residential volumes; and no increase in air or ground pater pollution. After registration tirith the Building Inspector,a customary Home occupation shall be permitted as of right subject to tlae following conditions: • The actkity.is carried on by(lie permanent resident of a single furaily residential chvelliag unit, lot•ated withiia that dwelling unit.. • Sucla use occupies no more than 4.00 square feet of space. • There are no extertaal alterations to the davelling avltich are not customary in residential huilclings,<bid there is uo outside evidence of such use. • No traffic a+rill be generated iia excess of normal residential volumes. The use does not-involve the production of offensive noise, aribration,smoke, dust or other pau•ticular matter, Mors,electrical disturbance,heat,glare, humidity or other objectionable effects. • There is no storage or use of toxic or hazardntlS materials, or flanuiiable or explosive materials, in excess of nomial laouselaold quauitittes. • Any need for parkinggenerated by such use shall be met on the same lot containing tlae Customay Home Occupatiou,wid not aalthin the required front yard. • There is no exterior storage oi•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 Occ•rrpatiou. • No sigaa shall be displayed indicating the Cus(omary Home Occupation. • If the Custona;uy Home Occupation is listed or aclver(ised;is a business,the street address shall viol be inc•lucled. • No person shall be employed in the Customary Horne Occupation who is'not a pennaucnt resident of tlae dwelling unit. 1, file undersigned, have read and agree pith the ab ve restrictions Ibr nay home occupation I ana registerriing. Applicant Date: YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you.must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street,.Hyannis, MA 02601 (Town Hall) DATE: � �/� Fill in please: APPLICANT'S YOUR NAME S: h A!�L e C 0/Z e BUSINESS YOUR HOME ADDRESS: �6 V Pin Q -ST TELEPHONE # Home Telephone Number ' i'S 3 6 �/ NAME OF CORPORATION: NAME OF NEW BUSINESS 6W/ e I= � t Q TYPE OF BUSINESS e J e r�e�/e.C Co IS THIS A HOME OCCUPATION?, _YES NO ADDRESS OF BUSINESS 45'41►-� MAP/PARCEL NUMBER 1D (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. MUST COMPLY WITH HOME OCCUPATION A.' BUILDING CO ISSI NER's FI RULES AND REGULATIONS. FAILURE TO This indivi I al h erTinf of ny ermit requirements that pertain to this type of btl� l.Y MAY RESULT IN FINES. Au rize igr I re COM ENTJ. " . o 2. BOARD OF HEALTH1v ' 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: t r• PERMIT PAYMEOT RECEIPT ���✓`'� '.TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 .f DATE: 07/14/11 TIME: 13:37 -----------------TOTALS----------------- PERMIT $ PAID 35.00 AMT TENDERED: 35.00 AMT APPLIED: 35.00 CHANGE: .00 APPLICATION NUMBER: 201103720 PAYMENT METH: CHECK PAYMENT REF: 2221 Assessor's map and lot number ..../...J�... ....- .,%. . ® SEPTIC SySTE Sewage Permit number .......... //12 ' ' n "NSTALLE0 IN WITH TI � STABLE, i House number ....... .. . .... . .. ... .......... . r TOWN AEGU TOWN OF BARNSTABLE j r BUILDING - INSPECT" APPLICATION FOR PERMIT TO ...I....... ..... .. .. ........ ... .... .............. ................. TYPE OF CONSTRUCTION ............I .. ... .. .. . . ...... ... .... ........ .............. . .................... ...................19 TO 'THE INSPECTOR OF BUILDINGS: The undersigned ��heereby applies for a permit according to the following information: LocationCJ.......... ....... ................... .. .. .. .. ... ... ..:............ Proposed Use ... ..... .. . � a 02 WZoning District ...:............... . .. ..... ........................................................... . Name of Owner .. . ...................Address .X;2 . ........ ...r.. .. ... . .... .. . :. . Name of Builder .. .........................Address ...................! ....................//...... Nameof Architec ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exlerior ........... . . .. ............................................Roofing .................................................................................... Floors .....................................Interior ................................................................... .................................................................. Heating ...........................................................:......................Plumbing ....................... ................................................. Fireplace ..:...........................................:..................................:Approximate Cost f Definitive Plan Approved by Planning Board _____ �� 19 . Area .j��.......................... Diagram of Lot and Building with Dimensions Fee <........... SUBJECT TO APPROVAL OF BOARD OF HEALTH ` we S T I I hereby agree to conform to all the Rules and Regulations-ofYthe`Town of Barnstable regarding the above construction. Name ..........r..... ...... ............ BURLING, E. R. 22504 ADD & REMODEL No ................. Permit for .................................... Sinqle Fami ...................................iY... .............. Location .....268....Pine...S.....tr...e.et.................... .. .... West Barnstable ............................................................................... Owner .......E......R........................Bur...i..n...9......................... Type of Construction ...........Frame............................... ............ ................................................................... Plot ............................ Lot ................................ Permit Granted ...S.eptem��he ..J,1 2-r...19 80 Date of Inspection ................x... ..... 19� Date Completed ..................... ...19 PERMIT REFUSED' .................1-1-1-111-1--11-1................. 19 M............................................................ ............. 03 !i ..v.�.. ...................................................... rn ..................................................... 0. -7 App ....................................... 19 .................................................... ................... ............................................................ Assessor's map and. lot number .../, ..�.�.�.7...... THE cF ro Sewage Permit number .......................................... � 7£� S� �� I I."LE[""IN C0UP l�4�9ar� • Z BARNSTODLE, House number ' WITH TITLE 5 M" :...�......................... 9�p i6}q• 6� CC, _ ENVIRONMENTAL C0IDE i t"n '°�aM of. TOWN OF BARNS"TABS E • t BUILDING INSPECTOR APPLICATION :FOR PERMIT TO ?IIJ+O Sf£�O 9� �GsE ........................... �1T/O TYPEOF CONSTRUCTION ......................... P�.................................................................................. 0.........9t TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: O � Location ........�.c k.d.............� 'cam .. ..........1 . .....Z. R.C1!1-fM.&4,f. ProposedUse ......� ...,.............................................................................................................. Zoning District ......W.....................................................Fire District ....V.4.&A.ve ........................... Name of Owner .. ., �Y.C'G./.1y T-19A.. 1�!, .......5:....�..... .. Nameof Builder .. ... . .. .. ..........................Address .................. . ................................ Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .........................:.................................................... Exierior ....................................................................................Roofing .................................................................................... Floors .........................Interior ....................................... ............................................................. ............................................. Heating Plumbing Fireplace ..................................................................................Approximate. Cost ........��J�.. ................................ Definitive Plan Approved by Planning Board ---------------____-----------19________. Area ..`............. ................... Diagram of Lot and Building with Dimensions !Ir Fee !0D`� SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. . :......... ... .. ............../ ................... Construction Supervisor's License .................................... BURLING, E. R. No Permit for ..Add...Shed to Garage ..................... ...........E.nc.l.9s.e...P-a.tiA,/...Single...Family Dwelling .. .... .. .... .. ... .. .... .. .. . . .. .. ....... Location aiae 15tAze.e.t;....................... ...................Keat..13.axas.table.................... Owner ...... .......................... Type of Construction ...F.r.ame.......................... ................................................................................ Plot .............. .............. Lot ................................ Permit Granted .....April 19..............19 85 ..................... .. Date of Inspection ................... 19 ,Date Completed ...................... .19 5f. Assessor's map and lot number ... ::`�•.3....:.4..�..rl......._. / moo*THE Tod Sewage Permit number...........................................:—:t ��L7f� �z T& v 4 Z BAHBSTABLE, i House number ............. ...........:....................................._ s rne163 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO A................0 TYPEOF CONSTRUCTION ........................ ........ ....•................................................................................. ................... ................../.........19.?5..�r�. TO THE INSPECTOR OF BUILDINGS: U The undersigned hereby,applies for a permit according to the following information: Location .... ✓. C f�`✓ ti >..............-'.� '..:° 0 Proposed,Use ..... ....:,................................................................................................................................................ Zoning District r....................... Fire District :. Name of Owner .. ........... . :..:.. ...:....::......................Address ........ ....... ...... 0 Name of Builder_:-r-=--- .. � =.........................Address .............................................. .. ...................... Nameof Architect ...............................................................7 Address .................................................................................... Numberof Rooms ............................................................:.....Foundation .............................................................................. Exterior .......Roofing Floors ..................................................................:::.................Interior .................................................................................... Heating .....................................................Plumbing .................................................................................. Fireplace .....o...........................................................................Appr te.`Cost ........ .��.7................................................... Definitive Plan Approved by Planning Board '-----------_------_-----------19 _ . Area U....;. ................ Diagram of Lot and Building with Dimensions Fee �D'�� .. ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH �2 - l� I i � tia • i e bir c. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. n Name ............................................................. ................... Construction Supervisor's License .r*�.�/G..r .... 'BURLING, E. R. A=153-017 No ....2.7.7.80. Permit for ...Shed to Garage ........................ Enclose PAtio/ Single Family......................y Dw. Location ......2 6.8...P.i.ne...S.t.re.e.t........................ .. .. .. .... .. .. .... .. .. .....................M....est Bar................. ................... Owner .. .....E.........R......Burling........................... Type of Construction, .-F?Z4MQ........................ ............................................................................... Plot ............................ Lot ................................ Permit Granted ......April 19. ......19 85 ............................ Date of Inspection ....................................19 Date Completed ..:................ ..................19 .................................19 tr VG C �e, &-b 7 1�wc-e— -led Assessors map p and lot number .. Sewage Permit number ..... ��,:A.r 2 TABLE, NAGIL 41 .. � era House number ......:�` ?.-.....: .. ....�.�..,�..L..i..::.... 900 039 e� �o Mar a. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... v- � ...�..f/.I . ............ TYPE OF CONSTRUCTION ........... (. :. � /I � . ! �Y�........... 'j."� ...... V .......�..... � "I.r�r�, ............... ...............................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby� /applies for (a permit according to the following information: Location -1................... .. ..s., / /f ..:................................................... - r �-�/✓�s�i, 4 Proposed Use ......................:............i . ...................................................................................................................................... ZoningDistrict ...........................................Fire District ........................... ..:: ��.....! .....................) V�f � �L J Name of Owner ..�- �C. ./1� �,� : ..................Address .. C� !Dyjr7....,..:�� l.. . i �Jt Name of Builder ......:o?tif!,�.d),r /��/ J.........................Address � /!/(... ��' ................. ro .................. .............. Nameof Architect..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ` ............................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... HeatingPlumbing .....................`,. r....................................................... Fireplace ..................................................................................Approximate Cost ..... ..!.. . ...`.................................... . Definitive Plan Approved by Planning Board ----S, _'"_741'. ) f T— - 19 — Area ....k ............ Diagram of Lot and Building with Dimensions Feel �........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH i .'�� ice. ��` �, �f✓W� �� X I hereby agree to conform to all the Rules.and Regulations of the Town of Barnstable regarding the above construction. Name .. ....: 1 , ... .. �'. eti1i�s "............. T _NG X4t A=153-17 BURLING, E. R. No .1114.25 . Permit for ..ADD...T.Q.0�&..... ....... 5 3 1 REMODEL Single Family Dwelling .................................. ................................ ............ 268 Pine Street, Location ... ...... .................... .................. ..... ............... West Barnstable .......................................................... .. ................. Owner ......F........ram.e................................................ .. .. Type of Construction ...F. ..ame..... .................... ................................................................................ Plot ............................. Lot ... ................... 606'tembe 12, 80 Permit Granted ...................... ..........19 Date of.Inspection .,............. ...19 Date Completed ................ .................19 PERMIT REFUSED .............. 19 /* ............. .......................................... ............................................................ . ............... Approved............................... 19 .............:............I ......................... T....q.............. ...................................................... ........................