HomeMy WebLinkAbout0033 ALICIA ROAD " 33 f1/�� r�/
- - -
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
- Map -• Parcel � Application # (9 , -3
Health Division Date Issued
Conservation Division Application F J�
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic -'OKH _ Preservation/ Hyannis I 5`
Project Street Address .33 `l /t Pi el R
Qb Village
Owner CdilwS /4 7�rna(a r?2— Address—Go-me
Telephone
P rmit Request
,5 i )0 ) (0
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
a) Zoning District Flood Plain Groundwater Overlay
�'.,. P_r-oject�Valuation Construction Type
� --
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type:(Single Family Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
1 Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
` Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Q� Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new i%
Total Room Count (not including baths): existing new /t,-, , First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ;Z-1 Othepl
Central Air: ❑Yes ❑ No Fireplaces: Existing New� 6�®JJ 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 ��(� lU S EerP Lc C4 15�C7 Telephone Number X(16 V12 ^Ug/
Address a le cI G License#
(an 192-G o 1 Home Improvement Contractor#
Email #FEtzo✓%+.o:z Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE °� DATE o 0 O 2 ^� 7
FOR OFFICIAL USE ONLY
APPLICATION #
DATE ISSUED
MAP/ PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME �k-- w-LY c, /-,
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING Z�l
DATE CLOSED OUT
ASSOCIATION PLAN NO.
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Town of Barnstable'
Regulatory Services
dry Richard V.Scali Director,
Building Division
WANSTA33M Paul Roma,Building Comm
issioner
XAM
63¢ ��� 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
J .
Office: 508-862-403 8 Fax: 508-790-6230
HOMEOwNER LICENSE EXEMPTION
// -7 Please Print
DATE:
JOB LOCAnON-
—number age
/ S a �e �✓ /
"FiohMWNER": C�r l r l -r7 m �!
Ll
name home phone# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
fThe 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"ho er"c es that he/she understands the Town of Barnstable Building Department minimum inspection
procedures and ,ho
d t he/she will comply with said procedures and requirements.
Signature of 140hAow or
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or`larger-will be required t:o 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 hirexo 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.
man commu
nities require,as art of the
To ensure that the homeowner is fully aware of his/ker responsibilities, y � e, r
permit application,that the homeowner certify.that he/she understands the responsibilities of a Supervisor. On the last page
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.
Q:\WPFII,ES\FORMS\building pem it forms\EXPRESS.doc
06/20/16
Town of Barnstable
. Regulatory Services
Richard V.Scab,Director..
1"9. ``� Building Division.
Paul Roma,Building Commissioner
200 Main Street,Hyannis,MA 0260.1
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
F r.
I ,as Owner of the subject property
hereby authorize to act on my behalf;
in an 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 beforo- fence is installed and all final
inspections are performed and accepted.
II "
Signature of Owner Signature of Applicant
Print Name Print Name
Date
QXORMS:OWNERPERMISSIONPOOLS
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PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT,.NOT FOR ANY OTHER USE
LOCATION #33 ALICIA ROAD HYANNM5, MA
SCALE : 1" 30' DATE s=2s=2017� PREPARED FOR:
REFERENCE : MAP 292 PARCEL 233 CARLOS FERNANDEZ
DB 28734 PG 163 .
I HEREBY CERTIFY THAT THE STRUCTURE IN OF of MyAq
SHOWN ON THIS PLAN IS LOCATED ON THE
GROUND AS SHOWN HEREON. DANIEL
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LOCATION #33 ALICIA ROAD HYANNIS, MA
SCALE : 1 30' DATE : 6-28-2017 PREPARED - FOR:
REFERENCE MAP 292 PARCEL 233 tARLOS FERNANDEZ
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PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING. PERMIT, NOT FOR ANY OTHER USE
LOCATION #33 ALICIA ROAD HYANMS, MA
SCALE : 1 30' DATE 6-28-2017 PREPARED FOR:
REFERENCE : MAP 292 PARCEL 233 4 CARLOS FERNANDEZ
DB 28734 PG 163
I HEREBY CERTIFY THAT THE STRUCTURE �jµ OF.
SHOWN ON THIS PLAN IS LOCATED ,ON THE sa`� Sqc
GROUND AS SHOWN HEREON. o�' DAN11 yGL
off 108-362—�541 A. "
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PREPARED EXCLUSIVELY FOR THE PURPOSE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE
LOCATION #33 ALICIA ROAD HYANMS9 MA
SCALE 1 = 30' DATE :. 6-28-2017
PREPARED FOR:
REFERENCE : MAP '292 PARCEL 233 DB 28734 PG 163 CARLOS FERNANDEZ
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REFERENCE : MAP 292 PARCEL 233 CARLOS FE DEZ
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939 Maln Street (Rte 6A)
YARMOu7HPORT MA o2s7e DATE REG. LAND SURVEYOR
s1311�� .
Town of Barnstable *Permit# 6-1?—l 5
Regulatory Services Fee 6 montrom issue date
MASS. Richard V.Scali,Director
�`
Building Division
Paul Roma,Building Commissioners;. �
200 Main Street,Hyannis,MA 02601 PIE
www.town.barnstable.ma us MAY. 31 2017
Office: 508-862-4038 T p�11 Fax- 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTI o - S IABLE
Not Valid without Red X-Press Imprint
Map/parcel Number 2-9 2. ^.23.3
Property Address �f� �t.,7 ► /�
Residential Value of Work$ �go 0 -- Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address �'��'- S E&A,0/A/✓.0 ,Z_
Contractor's Name eo,�4Yz tees �0✓ f-^,e-pr'Z Telephone Number �� 6� S 3e 2�(
Home Improvement Contractor License#(if applicable) Email:
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
3-I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to,
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
D-Re-side
❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows
#of doors:
*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 Imp veme t Contractors License&Construction Supervisors License is
required.
SIGNATURE:
r`
Q:\WPFILES\FORMS\building permit fonns\EXPRESS.doc
01/25/17
27m CommompeaWafMaysa rusetts
Depaafraeut afrud-asfialAccidents
J o a Of InFew9afiew
600'Washingtow&treet
Bast-on,CIA 0211.E
- tvrv��tm�.�rrvfi�ia
Winders' CGmpensafim Iusmaice Affidavit Bwlder-dConiractr Mecfacians Phunbers
AppHcant Tmfmmafinn Please Brm f et Y
NaIIe3usmegtiaallncdQal 2 LoS �E� ram% 2
Aft 3� �� c.<'�` � D - t • ',
• City/st tef ig: Phaa�
Are you an eaplayer?Checkthe appropriate bam ' Type
.E of project r
L❑ I am a employer� 4 ❑I am a general contractor and I 6. New =sEr ti
employees(fxrlf andfor part-ime).* Rave himdffe sub-contractors
2.0 I am a sole proprietor orpartaer- listed omthe..arched sheet. 'I- ❑Remodeling
Mese smb-ccmbactars She
slip and have no employees 8.-Q Demolifion
wQ ryeg mY farim in employees and have wodwrs'
. 4. ❑Building acldifica.
[No vvp&ceW comp.tinurance comp-msuaarz l
5. ❑ We are a cc aporation and ifs 10❑Eleoricaf repairs or acicdions '
3_ I ama bomeo�ei doing all v�orlt officers have used ibgsr It[':]Plumbingre-paiss or ad�bns
❑Roafr
seM o &kars' at
r of exemption per M(M 7 gmim
insurance r weSu;�d-j l c.15Z§1(4k and we have no L
employees-(No wozke& i3_❑Other
cam-znsmumce wed-]
*Any apgfiamt&acdmftbasR— elsafiIloattieswfimbeTowshavdag&kva m&eecamp—saiinupaycyinE msnam.
ffnzne eisorbo sub=&dtis dfldngf iutNc g tiny am&fi%RUwc*Rnil gum bib autsidecoat3u:= M sobmitanewsii%dm&t bdicstine sarIa
fCaatractuts�as2eb�ec3cthubmtmsststtache��.addi6®alsheeLshoumgtbenuaeoflmesnb-cem�s�o-s�dst�etch�araattbnseeat�esba�
�pDoyees.Iftbe�vbt ha�x empIoyw-%daeymnstgmside&ek w0dare•mmp.policy aumbm
I am ars employer flrat-isprauidiry vturkers courperrsaon ir=rance for ury emprgres $ebiv istheprrticy and joh site
Frr,jarmaltarL - _
Insuaancecampanyi me:
Pfl-ficy 44 or Self itrs_Tic-4 ExpiaatiouDate:
Job Tif a Ad dre= citylStzwz�p:
Attach a copy of the workers'compensatianpolkydecasation page(showing the policy,number and expiration date).
Failme to sew coverage as requiredundw Section 25A of MCL r-1�'can lead to the imposition of rdminal penalties of a
true up to$1,50D.OU andfor one-year impdsm>=t,as well as civil penalties is the foam of a STOP WORK ORDER and a fine
of up to$25Q_0�0 a day agai st tfie violas= Be advised brat a copy of this statement maybe forwarded to the Office of
Irrvesfigations of the DIA€ar i si umnce-coverage vecEfiratiw-
•I da heraby caf#ry n r � 'a�Ferjrzi}'fhatt£rs ar�i�rrsrafLmr prwu�d abat�a is bars arr d avrrect
Sit�aature= - Date:
Piaone 19:
d3ATc,taL aw tarry. Do not Writs in ffd3 urea,fit be CWnpTetesd 5p diy ar ton n officiaL
City Cyr
Town: FerzmtMkense:ff
Issuinng Antherity(dMIe one):
L Board of Health 2.Building Depart neat 3.#AjlFowa Clerk d:Electrical Inspector S.Plumbing lnspector
6.Other
Contact Pierson: Phouff#:
-- - 6
ormation an' d Instructions '
Mamac=�Gebezal Laws chi M reg=m all emgIoyeas-to Provide worio&compensaion for their employes_
statnfm an is defined as¢_ yperson in 1hs se$vice of anotb er ender any coxdract ofhire,
Pursaazt6o
this �� .
express or implied,'oral or write"
An erVIayer is derfined as`pan inchvid aA paft��.associative,corporation or other legal 9,or any two or mmm
of the foregoing J the I of a deceased employer,or lice
ma oint aadinclndmg egal�e�ess
receiVM or tract=of an kffVl±aA par[nership,association or othearIe9a1 entity,employing employe- However the
own=of a dweMqg housm having not more;tb=three apartments and who residc-s ffierma,or the;occupantoftbe-
dwaIIiaghouse ofanothcsrwho employs.pessaustO domaiid�ance,ca,efmrr;or,orrepay work onsuch dwellinghoIIse
or on the grounds or bur7dmg aPpru-[=zI3t
tberetn shallnotbecanse of sack mraploymedbe decmedto be an employes"
MGL cd3apter 152,§25C{6)also stdzs thzt aevay state or local licensing agency shall wif hold ffie issaance or
reneml of a Tice- a or permit to opm-de a Dusmess or to construct bmZdings in the commonwealth for nay
applicantwho Teas not produced acceptable evidence of curapr M wn t1re insurance coverage regnirecif
A CHtionaIIy,MCA T I52,§25C(T)stators NTon=the c nor�y ofits poIiiical subdivisions shall
enter into any contract for th e perfonname ofpubho work until acceptable evidence of c(XITHE I=WM ffie hlmn-ance.- •
fe-shave been. e�edfn$ie r�„��j,•�,�.auiizoizly." .
• enfs of this� �
A.Pplicanrts
Plcase fol oiof the wows'compensation affidavit complem•Iy,by cheridng the boxes ffi2t aPPIy to your siination mcr if
necessal7,suPPly sol} ntact ar(s)name(s), addresses)and phone nvmber(s)along Wi htheir=-t'FaCate(s)of
;nstn�Co. Limited.LiabOy Compares(LI,C)or Limited Liability Par�hips(LI P)'�i'rti�no a I°yees other$pan 13�e
members or peas,arm not rbgaked to cant'wuzkc s'compensalion insurance If an LLC or LLP does have
employees,apolicy isrmi iced. Be advised that this affdayh may besubmitted to e th Departmentdn
of Tnct,•W
to axe at=davxt. Tbc affidavit should
' Also be sere to and da
Accidents for confi�ahon of ms�ce coverage not the D• artment of
be�ir¢ned to ffie city or town that the application fnt the petmit or license is being regt�esfed, ep
L- st-ri ai A r-dd=:L-, Mould You hm My questions regmrrmg tho law or ifyon are required to obtain a workers'
compensation ppiicL please call the Department at the numbcrlis• below. Self-iusoxEd campanies should enirr their
self-7„rnran cm licmrlse r�Txs on iiie agprapziaf�Ime
City or Toren.Otizcials -
t
Please be sure chat the affidavit is complete andprioiod Legibly. The Departmesthas provided a space.at the bottom.
of the.affidavit for yontn fill out mtho evmut the Office ofsnvesdgafics has to contact yoaregurdingfiie applicant_
Please be see to fill in the pexmh cease number which wf be used as a reference nixnbe- Ta addition,an applicant
ffiat mnst submit multiPle PCOMWlicense apP�ons m any given.ye=,need only sohmit one affidavit indir tag cat
policy infomation(if nm�sary)and under"lob Sit--Addres"the applicant should write"all locations in (cdY or
town)"A copy of-the.affdavitthathas beca officially s mnped ormmicedbythe city or town maybe provided to the'-
appHc nt as proofthat a valid affidavit is on file for fofine peuaits or Hceuses Anew affidavitxnust be fned 0i±earh
year."Where a home owner or citizen is obta 5ng a license or p=mk not related in any bmintm or commercial vdear e
Cio-a deg license or pcMk to boor leaves etc.)said person is 110T req�ed to comple#e this affidavit
1b r.Office of Ind wnuldhlce to thank you in.advance for your cooperation and Aouldyou have any questi=,
please do n.othestto give.us a call.
The Deparifm fa address,telePhaw and fax nxtmhea:
-
�of�Acci3�nts • . .
� E�11� . •
Fax#617 77-7M
Revised¢24-07 -T -
Town of Barnstable
Regulatory Services
oF �• Richard V.Scali,Director
Building Division
Paul Roma,Building Commissioner
63� ��� 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
"HOIv1EOWNER": r xze!�s
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 Barnstable Building Department minimum inspection
procedure d e nts and that he/she will comply with said procedures and requirements.
Signature of meo
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
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.
Q:\WPFILES\FORMS\building permit fomis\EXPRESS.doc .
06/20/16
�INE Town of Barnstable
Regulatory Services `
Richard V.Scab,Director "
Building Division.
Paul Roma,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.ns
Office: 508-862-403 8 Fax: 508-790-6230
Property Owner Must ,
Complete and Sign This Section
If Using A Builder
I , as Owner of the subject property
hereby authorize to act on my behalf
in all matters relative to work authorized by this building permit application for:
(Address of Job)
**Pool fences and alarms are the responsibility of the applicant Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
Signature of Owner Signature of Applicant
Print Name Print Name
Date
QFORMS:OWNERPERMISSIONPOOIS
•� 5-3 /
�F114E, Town of Barnstable *Permit#
Expires 6 months from issue date
Regulatory Services Fee
* BAatasrABLE
Richard V.Scali,Director 039.
Building Division p
Tom Perry,CBO,Building Commissioner
200 Main Street,Hyannis,MA 02601 'v 0��
www.town.bamstable.ma.us
Office: 508-862-4038 FaXN5 0-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL_ ONLY
Map/parcel Number c,2Sa 2`3`j
Not Valid without Red X--Press Imprint
o
Property Address y /�Z%�?/ /9 R� I'-S' P
❑ Residential Value of Work$ 6�'��� `` Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address L
Contractor's Name Telephone Number
Home Improvement Contractor License#(if applicable) Email:
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
�I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp. Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to 3)a M R674 1 l
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
Re-side
Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows
#of doors:
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Co tra ors is rise&Construction Supervisors License is
required.
SIGNATURE:
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 061313
Parcel Detail Page 1 of 3
4H�
I e
TAHLEr uS, "fi.
Logged In As: Parcel Detail Thursday,March 26 2015
Parcel Lookup
Parcel Info
Parcel ID 292-233 I Developeer Lo LOT 105
Location j33 ALICIA ROAD I Pri FrontageSec
89
Sec Road I MEGAN ROAD I Frontage 84
Village JHYANNIS �I Fire District FHYANNIS
Town sewer exists at this address �I Road Index r0018 -_�_ ..._•__.. _ _I
Asbuilt Septic Scan: Interactive
292233_1 Map gym,
I�
Owner Info
Owner ZARTARIAN,JEFFERY C ) Co-Owner %FERNANDEZ,JOSE G&CARLOS H I
Streetl 1439 PITCHER'S WAY vI Street2� � I
City JHYANNIS I State AMA I Zip 02601� Country
Land Info
Acres 10.25 use[_& gle Fam MDL-01 I zoning�RB Ivghbd[0104
Topography Level _ _�( Road Paved I
Utilities ISeptic,Gas,Public Water I Location _
Construction Info
Building 1 of 1
Year[1973 I Roof Ga� ble/Hip Ext
ood Shingle Built Struct Wall J g I
Living Roof 'AC
Area 1627 I Cover Asph/F GIs/Cmp ( Type None
style Cape Cod I Int Drywall Bed`�4 Bedrooms ( � s.`�
Wall Rooms
Int Bath � � .
Model Residentia'1 I Floor Carpet Rooms 2 Full-0 Half
Grade Average Neat Hot Air I Total i'�Rooms I ^ "'
Type Rooms -
Stories 1 1/2 StOfIBS I Heat[Gas Found Pour c.
Fuel ationl
Gross 3259I
Area
Permit History
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=23082 3/26/2015
Diff
Ct�rrs� et�xf�FerdtFi� c�ssrreTius
Department oIndmstrid Accidents
-- _ Office ofInvesegations
600 Wa5hiagton Street
Boston,,MA 02111
wtt-�tv?rrt ass go-r-5tiiia
Wurkers' CampensationInsurance Affidavit:Bu-ifders/Contra:ctorslE echiciaus/PTu-mbers.
Argicant Information .(2-/-95 Z Please Prnaf Le,-ibly
Name(3nsimssl0rganizafiouffiDHvid*a1):
A dress= 2
tityft;& : ,� �►'��S bz6o( anf--
4 �IK T 3 2
—C�
Are you an,employer?Check the appropriate bax 4 T of. o'ect .r
_ eoezal contractor and I } -
L❑ I a_*n a employer with. ❑ I am a g. 6_ ❑Newcmgtruc#ion
er" 1ayees(full andlorpart time) hat ehiredthe sub-contractors.
2_❑ I,Z Tn a sofa propaetor Of partner-
ship on the attached sheet 7- ❑Remodeliag.
These suh-coatrsctors have
slip ai:d i�zie nr��loyess $_ ❑T?emnlifioa
working �L mn Y � �r in an c c+ _ employ and have raoricers'
� 9_ ❑Euildsg addition
I No AfQr £1S' coa]p_finurance co=-ins ranC�
r�ed'] 5-❑ Tre arz a corporation and its If}_❑Electrical repairs or additions
affiirus hati--exercidse tfer 1I_. Flumbin
hom�i�n�doing all�voik i ❑ >}repairs or additions
Dry-self [No tvcrb ers'camp- Light of e:�tioaper MGL 12.❑Roof repots
i}l g ira nce recp Lred_]i c_152, §1(4�and we fE�nca
emplay-ees,_[No Workers' 13_0 other
comp_ins-arancz r-zgturecl_J
'Any fpg'r.cvnt dixr cbPcks boa r1=st aLcn ffn o-ut tha compensation pohry sni
9 Fioraecwn s ctho mbnut this x�fdxva i fr o caey are 6z g xm&r�then hire outside contra rom Emsi submit a nL:affi rzt mcrir_as.�suctL
;. tc curs tb-sa charA- this box must ached a,i 36diiiinnxi suet h mg t1L n of ffie srl3 3dnrs�md stsh machete[txllni i3 se fist/
�plIIyefs- I��sub-cont�cEais 1v-c e empIoy�s,the}�vsi giu4-ine�-r rzark�s'coon.poLcg nwnbez
�af;z arz a:aipL�y�r ihrc�ispra-t�tdirzg t.t�or�ars'corrrparurizvtt iztsrtr�zrtcetot rn� prrr�v£�y�c�. �e.�atF is rft�Po�ic}raid}ob ait�
r
}7df OfYE,L[t.r La:ir<
lii.)C�.L dilC.e Gornpa�1rl�Iame: .
Pol c 41 of Self--rnA_lit-�P: Expiration Date:
Job Situ Address: cibq sta zip:
AttacEt a copy of the-workers'compensation policy declarztion page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A o€MGL c. 152 can lead to the imposition of-criminal penalties of a
fine up to$1500_Qf}andtor one-7 earimlrtiso eat,as well as civil penalties in the fbe m of a STOP WORK ORDIR and a fine.
efup.to$250.00 a day against the violator_ Be advised That a copy of this siaie t maybe forwarded to tine Office-of
IirresEigations of t#le DIA fur in�rc3mct�coverage veri%ation-
I dri hereby ceriifp it, t ai penis is Df thatfhs infornzaticrnprmidgd abznro is.bwz and arrect
aieaatuze: Bate: 0
Phone 9
Of iciaL use only. Eta trot sprite in tfi&area,:a bit ca-mpreted by city or torn of f'ciaL
City or Town: PerrsritlLicense
Issuing Authority(drele one):
1.Reard of 3edth Building Ilepartmerlt I GitFtfown Clerk 4_Electrical inspector S.Plumbing L�-ctor
.6.Other
ConTxct Person: Phone#_
6
y�
information and tustructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant-to this statute,an ernployee 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 suc h 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 cornmonvi�eaith for arr;
applicant who has not produced acceptable evidence of coraplia.n.ce vrit_h the insurance.coverage re.quireci."
Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political s.?bdivisior s sh alI
enter into any contract for the pefiormance of public work until acceptable evidence of compli.o�uce,,,ith the insurance
requirements of this chapter have Deer presented to the contracting authority."
Applicants —
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to;:cur situai cn and
necessary,supply sub-contractors)name's), address(es)and phone n` be,-(s) along with their ceri:ficatc(s) o.i
insurance. Limited Liability Companies(LLC) or Limited Liabilty Pa ef�} ps(T_.LP)e{Chl no emrloycts other Than the
members or partners, are not regtred to carry workers' compensation=i l'i ante_ If an LLC or LLP does have
employees, a policy is required- fie advised that this affidavit may be s.bmifted to the Deparbu:nent of industral
r-
Accidents for confirrnahon of,aim—ante i-ove_age. Also be sure to sign and date the aibadav t. "11-e af—U(Ja,rit sho?id
be returned to the city or town that he application for the permit or license is being requested, not the Depai-Iment cf
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtai a workers'
compensation policy,please call th�,Depa�nent at he number listed below. Self-insured companies snood enter-i ei r
self-insurance license number on iue appropriate at.
City or Town OfFacia-Is
Please be sure that the affidavit is cnmplete and printed legibly. The Depa iment has provided a space a,the bot;_om
of the affidavit for you to fi11 out in he event the Office ofInvestigaiious has to contact you re2.rdirg the applicant
Please be sure to fill in the permitficense 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 indica-ang cu_er:t
policy information (if necessary) and under"Job Site Address"the applicant should vvnt--"311 locan-ons Lz--(city or
town)."A copy of the affidavit that has been officially stamped or marred by he city or town may be provided to the
applicant as proof that a valid affidavit Is on file for future permits or Lcenses_ A new affidavit m.f`st be filled out each
year_Where a home owner or citi,?eu i-z obtaining a license or permit not related to any business or CoyprnerCjal venture
(i.e. a dog license or permit to burn leaves etc.)said person is NTOT required to complete this aifidw,-it_
The Office of Investigations would like,to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call_
The Department's address,telephone and tax number `
Thy Comm aawf—,al&of MassachLua�t� -
Dtpaz m.eul Qf bidust6al AQci:der.
4�Zee oz�nv�tg��Fans
600 WasEngtan Ste,
TtT_ 617 7--/WGo w 406 or 1-977 SS SE
4-2�07
Fax< 617-727-7,t�
Revised -
�vww.mass-gov,R,a
j THE Tp , Town of Barnstable
Regulatory Services
9RhUMAMSTARM Richard V.Scali,Director
Eo;p- 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
Propertyy-Owner Must
Complete and Sign'TWs Section
If Using A Builder
I, 64i?ZCI5' b` - Lj9WR pv P�FZ , as Owner of the subject property
hereby authorize 90 ,V fixy, /n�<Q rn40 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 alid all final
inspections are performed and accepted.
Signature of er Signature of Applicant
Print Name Print Name
0-3/
Date
QTORMS;O WNERPERMISSIONPOOLS
Town of Barnstable :
Regulatory Services
�� re Teti Richard V.ScaIi,Director Y
Building Division
f 'E
t znRxsrt►srE Tom Perry,Building Commissioner
nrns&
1639. 200 Main Street, Hyannis,MA 02601
pTED '�a www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
DATE:
�_S 0 ���� Please Print
/ y� // , ,� /� f t/ �y
JOB LOCATION: .3 3 /7—L 1'G //r "l _0 G 4 ���/S -o 2'" 1
number street village
xol�owlJER r�L�s �E/Zav�rovD 2 ��y�S Z o.3Z(2
name home phone# work phone#
CURRENT MAMIN6 ADDRESS: � �/�!�/Q- fib
All
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- _
F �
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
procedures an r e that /she will comply with said procedures and requirements.
11 §_�
Signature of Ho
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be iequired'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 persou(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 c6mmuuities 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.
QAVvTFILES\FORMS\building permit forms\EXPRESS.doc
Revised 061313
0-2
THE
TOWN OF BARNSTABLE
BARNSTABLE, 0 4
639-1
a M BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .........................................................................
TYPE OF CONSTRUCTION .... ......... ................................................................
...........19.23
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
,�711 "0.
Location .... 1149 '00,
........................................................................................... ......................................................
Proposed Use .......... ""........
59......................
Zoning District ... ....................................... .............Fire District ...91
.........................................
Name of Owner /.........Address .............. ....... ................ .. .... .
........ ..........
Nameof Builder .....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
J
.......... ....... e�..........
. ..................
Number of Rooms ..... . .........................................................Foundation ...... ................
.(�`7 �. .4W.4! ......Roofing .....
Exterior . ... ......W, . .. . . . ..... .A404
............�.Aw�;........................Interior ...... ............ ...................................................................
Floors
Heating .........-q....Plumbing ........./......................................................................
?. - aAzt-�- ... W,�... ....
Fireplace ............... ................................................................Approximate Cost
............................................. ...Difinitive Plan Approved by Planning Board -Z�- - ----------- ------19---7---o 9s
Diagram of Lot and Building with Dimensions
o
LU
< Ui
-J <
0
Q = LLJ
ry
N IA
0
00
Ilk W � W,jal!p
(L (n
ris L4 I
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
......
Name .. ....... ... . ........ ........O ..... . ... ... ... ..........
4:/-y " I
� Da William E. Jr.oneryl
'
`
. ' .
No .... Permitfor --......-.s....�.
single
'----`'---^^—'"------='—^—''t�—''
� �� Alicia Road
Locationr�:�..-----------------'— �
`
..........................Hya.ruds......................................
�
Owner ---_.��3]iam.E._Dam _���__. �
frame
Type of Construction --.-----....................
�
_.---~--.—.—.---.—.--.--------.
'
. '
�LQ� 4
Plot ------.--_ Lot .---..c.�'�---..
`
/
. .
PermitPermitGranted —..March�����.7...................lg 73 -
Date of Inspection . 19
Date Completed
`
PERMIT REFUSED
.----.__.------.------- 19
---.—.---.—.----.----------.--.
-^----'—'---'--------'-------'''
--_----.------.----.—~—.—.---... � �=
_.-------.--.---.—..----.----.-' . �^
Approved ................................................ 19 �
'
.....................'...'............'...'...`,,,.........,,,......��
^ ^
—.'------.---.----...--...---..,, �
'
W ;4
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel v Application #
Health Division Date Issued y-�7
Conservation Division ApplicatienfiFee ".
Planning Dept. P�ermitFeec�•��
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street
/Address 33 11 G 64 94o
Village l7 1,1l¢ "1v/ 5 O 2 6
Owner eWAL0 5 orERIV A/U Z 7 Address
Telephone ✓��cy� - 3 �/
Permit Request p o 6 e T
c�, c
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project�Valuation 0 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 ❑_:e isting O new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: �.m:�
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ _
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
- - - - _-_- (BUILDER OR HOMEOWNER)
-. rrC�-SSZ3L1�.
Name eWr2 10Sd7 (ZI✓i}NVA'-Z Telephone.wNumber„A)rct;
•
Address 9_33�Z � G��/� 02.0 License #
r
A ay Al I S M 02 ( 0 ( Home Improvement Contractor#
Email ISAa J-04 &XPA 0 7125 R /f oZ o 42A4 Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIG
1
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCELNO.
ADDRESS VILLAGE
OWNER
4
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
_ The Conrmornvea&h ofHassachuseitr
Department oflnduriri&Accidents
` Of j'zce of Inveytgations
600 WashhVton Street
Boston,MA 02111
www.massgavldia
Workers' Compensation Insm-ance Affidaviti Btulde&Contractors[Mectriciam/Plm.bers
Applicant Information L Please Prioat Legibly'
r- Name''(Bfsm s orggmz tm&din&4: �,O WDE 2
-City_St'afe`lZip�r G�.N 6'?i9 0Zolol Phone#:. '6 -eel Z. -5-9-2-3 q0c(
Are you an employer?Check the appropriate bmc • Type of project(required):
1.ElI am a employer with 4. 0 I am a general contractor and I
employees(tiiII and/or pazt tie)_
have hired the sub-contractors
6 ❑NeWconsfrnction
2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling
ship and have no employees These sob-contractors have g. ❑Detaolition
working for me is any capacity employees and have workers' 9. B addition
-n�
[No workers'comp.incrn comp.insurance.t ❑
5. ❑ We are a corporation and its I IEl Electrical repairs or additions i
J-3.V&Z homeowner do' all work officers have exercised their 11. Planb'mg ❑ mg repairs or additions
m elf [No wormers'comp. right of exemption per MGL 12.❑Roof repairs
incimn,re r ]t c. 152, §1(4),and we have no
employees.[No workers' 13.0 Omer
comp.insurance regma-ed_]
t
*Any applicantthat checks box#1 most also fM andthe s=tion bclnW showing their worker'compensation policy hniormzEDn_
t Born wnera who submit this affidavit indicating they arm doing all work and thm him ortsido contractors most submit anew of davit indicaTng such-
trnntracmrs tart check this box mast attached an additional sheet showing the name of the ors aid state whether or not those entities have
employees. If the sub-contractors have employes,they mast provide their workers'comp,policy mmmber.
I am an employer fhat is pravirsirzg workers'compensation insurm:ce for my employees. Below is the policy and job s&z
information,
Insurance Company.Name:
Policy#or Self-ins.Lic.# ExpirationDate:
Job=Site A-dd' ��°G/�. �� City B&Ziip,&AIWIT AM 026af
Attach a copy of the workers' compensation policy declaration page(showing the policy b re and expiration date).
Fail=to secure coverage as required under Secdon25A ofMGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,50.0.00 and/or one year impriso=ent,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up t0$250.00 a day against the violator. Be advised that a copy of this statemezrt may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify er' peryiny that the informaion providers above is true and co
t
Official use only. Do not write in this area,to be corn
pleted by city or town ojjuiaL
City or Town: PerraWLicense.#
Issomig Autho.....
... _....__ .
I.Board of Health I Building Department 3.C#yaowa Clerk 4,Electrical Inspector S.Plumbing Inspector .
6.Other
Contact Person. Phone#:
`Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
pmmmtto Ibis statute,an employee is defined as"...every person in the service of another wader any contract of hire,
express or implied,oral or wriff�
An employer is defined as"au individnal,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint uprise,and mchiding the legal represenfafives 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 mother who employs persons to do maintenance,construction or repair work on such dwelling house
or oa the grounds or budding appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicantwho has not produced acceptable evidence of compliance with the insurance.coverage required."
Additionally,MGL chapter 152,§25C(7)sins"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the perfmmaace ofpublic work until acceptable evidence of compliance with the lumn-an ce._
requirements of this chapter have been presented to the contracting arrthoiity."
Applicants
Please fill out the workers'compensation affidavit completely,by checldag the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s), addresses)and phone number(s)along with their certificates)of
inns-ance. 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 maybe submitted to the Department of Industrial
Accidents for confirmation ofinsurance 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 Iaw 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
t Please be sure that the affidavit is complete and printed legibly. The Department has provided a space st 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 perm icense number which will be used as a reference number. In addition,an applicant
that must submit multiple permitdicense applications in any given year,need only submit one affidavit indicating current
policy information Cif 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
(Le. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number.
-The Cammcmweallh-of Massachusetts
Deparhneat of lnduirial:A.ceMents
Office ofkvesfigatio=
6�4'(�ashingtan t
Boston,MA 02111
Tcl,#617 727-4900 cxt 4€6 or I--&'7-MASS.AFE
Fax#617-727-7744
Revised 424-07 ,mass_gov/dia
d
A FYC Grcirle to Wood Construction► ur Hi-fi hind Areas:110 tizph TYind Zofze
Massachusetts Checklist for Compliance (780 Ch-rR 5301:2.1.1)'
Check
- Compliance
1.1 SCOPE
Wind Speed(3-sec gust). .....................................:........... ........... .............................. ..... 110 mph
. ..... .... .....
Wind Exposure Category .
Wind Exposure Category................Engineering Required For Entire Project........................................0
12 APPLICABILITY
Number of Stories(a roof which exceeds B.in 12 slope shall be considered a story) stories _<2 stories
Roof Pitch.................
.........................................................(Fig 2) .......... ........................ s 12:12
MeanRoof Height..................................................... (Fig 2)................................................._ft _<'33'
Building Width,W <80,
BuildingLength,L ..............................................................(Fig 3)............................................ ft s 80'
Building Aspect Ratio(UW) ................................................(Fig 4)................................................. _<3:1
Nominal Height of Tallest Opening .............:........... "
---.......(Fig 4).::............................................. . _6 B
1.3 FRAMING CONNECTIONS
General compliance with framing coinnections.............:......(Table 2).................................::............................
2.1 FOUNDATION
Foundation Walls meeting requirements of 780 CMR 5404.1
Concrete...............................................:.....:....................:...:....:......::.......:....:.:.....:..:............ .
ConcreteMasonry...........................................................................:.........................:...............:.................
2-2 ANCHORAGE TO FOUNDATIW-3
5/8'Anchor Bolts"imbedded or 5/8'Proprietary Mechanical Anchors as an alternative in concrete only
Bolt Spacing—general ...........................................(Table 4)............................................... in.
Bolt Spacing from endroint of plate.......................:.....(Fig 5)...................:::...............
Bolt Embedment—concrete..:.................::. .--•.............(Fig 5).........:...:........... in.>7"
Bolt Embedment—masonry.........................................(Fig 5)........:................................... . in.a,15"
Plate Washer..:............ ......... ............._........(Fig 5)..............................................>3"x 3'x'/�. .
3.1 FLOORS
Floor•framing member spans checked .........:..:..:............::.(per 78O CMR Chapter 55)...................................
.; Maximum Floor Opening Dimension................................... 6)............_... . ft<_.12'
.... ................................Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)..........................................
Maximum Floor Joist Setbacks
Supporting Loadbearing Waft or Shearwall.................(Fig 7)..................................................:. ft <d
Maximum Cantilevered Floor Joists
Supporting Loadbearing Walls orShean all.........:..:..:(Fg 8)...............:.................................... ft sd
FloorBracingat Endwalls....................................:...............(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/ in field
4.1 WALLS
Wall Height
g ........................... ...(Fig 10 and Table 5) < '
• Loadbearin waifs.:........:. .............. ............--..-.......... ft _10
Non-Loadbearing walls ....(Fig 10 and Table 5) _ft`s 20' -
Wall Stud Spacing .........................................................(Fig 10 and Table 5)................... in. 24`o.c.
Wall Story Offsets ... :..::.(Figs 7&8)................................... ft s d
4.2 EXTERIOR.WALLS'
Wood Studs
LaadbeariFlg Walls.......................................................(Table 5)... .....................
.fix - ft in.
Non-Loadbearing walls..................................................
.. ........ .........................(Table 5)..............................2x in.
Gable End Wall Bracing :
Full Height Endwall Studs...................................... .(Fig 10)........................ ...............•--........ ........
..... .. ......
WSP-Attic Floor Length..............:.::..........:...................(Fig 11)............................................. ftzW/3
Gypsum Ceiling Length(if WSP not used F 11 >_
and 2 x 4 Cbntinuous Lateral Brace @ 6 ft.o.c...(Fig 11)................:............................................
or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays
Double Top Plate ;
Splice Length .................:.......................................(Fig 13 and Table 6):.....................:..:.........:_ft
p ( mmon nails)..............(Table 6).......................................
Splice Connection no.of 16d co ..............•..•_
AFDC Cuide to 1•Vood Construction in High Wind Areas: 110 fnph ff"nd Zone
Massachusetts Checklist for Compliance (790 CIV1R5301.2.t.1)r
Loadbearing Wall Connections
Lateral (no.of 16d common nails) ........(Tables')..................•..................................
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 to Table 9)
Header Spans ........................................................(Table 9)............................... _ft_in.<11'
SIRPlate Spans- ........................................................(Table 9)..................................._it_rn.<_11
Full Height Studs (no.of studs).................................... able S
Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9)
Header Spans.:...........................................................(Table 9)..................... _ft_rn 1 Z'
..
SillPlate Spans......................:....................................(Table 9)................................... ft_in. 12'
Full Height Studs(no.of studs)....................................(fable 9)........--•........................_ ......
Exterior Wall Sheathing to Resist Uplift and Shear SimultaneousV.
Minimum Building Dimension,W
Nominal Height of Tallest Opening z ..............................................................................._<
Sheathing Type..............................................(note 4):...:............................................
.._.
Edge Nail Spacing.•.......................................(Table 10 or note 4 if less).......................... in.. i
Field Nail Spacing..........................................(fable 10).................................................. in.
Shear Connection(no.of 16d common nails)(Table 10)......................................................
Percent Full-Height Sheathing........:..........:...(Table 10)...................................................._%
5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)....................
Maximum Building Dimension, L
Nominal Height of Tallest Openingz.........................................................................=6 8
SheathingType..............................................(note 4)..................................................... in.
Edge Nail Spacing................................_.......(Table 11 or note 4 if less)........................
Feld Nail Spacing:......................................... able 11 in.
Shear Connection(no. of 16d common nails)(fable 11)........................................:..............
_
Percent Full-Height Sheathing........................(Table 11).............................................:....... %
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<smaller of 2'or L/3
Truss or Rafter Connections at Loadbearing Walls '
Proprietary Connectors
Uplift................................... ....(Table 12).............................................U- plf
Lateral........................... (Table 12).............................................L= plf
Shear...............................................(Table 12)............................................. plf.
Ridge Strap Connections,if collar ties not used per page 21... (fable 13)...............................T= pif
Gable Rake Outlooker................:.........................(Figure 20).............—ft-<smaller of 2'or L/2
Truss or Rafter Connections at Non-Loadbearing Walls
Proprietary Connectors
Uplift................... ..`(Table 14)............................................U= lb.
................... ...
Lateral(no.of 16d common nails)...(fable 14).......................................L=
.....(per 780 CMR Chapters 58 and 59)......... . lb.
. - Roof Sheathing Type.............................................. .
Roof Sheathing Thickness _in.>_7/16'WSP
_......... ..................
RoofSheathing Fastening............................................(fable 2)........................................................._ r
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. 2b Gage Straps per Figure 11
c. Uplift Straps per Figure 14
d. All Straps per Figure 17
e. Comer Stud Hold Downs per Figure 1 Ba and Figure 18b
2. Exception:Opening heights of up to 8 ft shall be permitted when 5%is added to the percent full-height 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.
AFYC Guide to Wood Corr.ctructiort in High 14,7ndAreas: 110,nplr 1/YindZone
Massachusetts CIIP.CICl1Sf forCOIIII]I1SllCe (780 ChgR 5301.2.1A)'
4.
a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Perc6nt Full-Height
Sheathing and Nail Spacing requirements
b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows:
I. Panels shall be installed with strength axis parallel to studs.
ii. All horizontal joints shall occur over and be nailed to framing.
III. On single story construction,panels shall be attached to bottom plates and top member of the double
top plate.
iv. On two story construction, upper panels shall be attached to the top.member of the upper double top
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 8d
staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment
5. Glazing protection: a)new house or horizontal addition—required if project Is 1 mile or closer to shore(generally,south of
Rte.28 or north of Rte.6)
b)vertical addition—not required unless there is extensive renovation to the first floor
c)replacement windows—needs energy conservation compliance only(chap 93)
6.Wood Frame Construction Manual(WFCM)for 110 MPH, Exposure B may be obtained from the American Wood Council
(AWC)website.
-WHM-niS EDGE RESTS ON
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IAL
DOU9LE97GE ------ 1�1 STAGGER® 3•MMJ
NAX;SPACW. i XMI.PATTERN . PANS
PANEL _
+^ PAWL EDGE oouS ENWLEDGESPAcnr.DEmL
See Detail on Next Page
ticals Horizontal Nailing Detail
Ver and H g Vertical and Horizontal Nailing
for Panel Attachment for Panel Attachment t "
I ,
�TMET Town of Barnstable
Regulatory Services
RAMSTAMYM,�. �, Richard V.Scab,Director
A� 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
_ . Property Owner Must
Complete and Sign This Section
If Using A BuilderY
i , ,
I, as Owner of the subject property
�f
hereb authorize to act on m behalf,
Y Y
in all matters relative to work authorized'bythis building permit application for.
(Address of Job)
w
'"'Pool.
fences and alarms are-the responsibility of the applicant. Pools
are not to be filleTor utilized before fence is installed and all final
inspections are/performed and accepted.
Signature of Owner „ Signature of Applicant }
i
Print Name Print Name
Date
QTORMS:O WNERPERMISSIONPOOLS
Town of Barnstable
Regulatory Services
��oETHE roiyy Richard V.Scali,Director
' Building Division
sAxxsTAsr� Tom Perry,Building Commissioner
MASS.
y� %6 g �3 � 200 Main Street, Hyannis,MA 02601
QED www.town.barnstable.ma.us
Office: 568-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
®r , J_ Please Print
DAT'Et "1, l l ( r
JOB LOCATION: °� ��' �VNAA-
viUagc_
"HOMEOWNER": CIA Y L��J n= � 3 V -)—y =,Zn- [ 66�(J Uv
nainc,e ,r w home phone#,. work-p hone#
• er
CURRENT MAILING ADDRESS:
..Clly�tDW11 —_
The current exemption for"homeowners"was extended to incI de'o ner o upied dwellings o�f 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"homeowne ' rti ies he/she understands the Town of Barnstable Building Department minimum inspection
procedures and req t h h-will comply with said procedures and requirements.
Signariuc'of Homeb
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,RuIes&R.egulations 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 Iicensed 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:\WPFaM\FORMS\building permit foms\EXPRESS.doc
Revised 061313
of Town of Barnstable *Permit# 7 S4 C 6
Expires 6 months from issue date
SAMszAS Regulatory Services Fee s d—z7
MAW
1639. Thomas�b
mas F.Geiler,Director Building Division
Tom Perry, Building Commissioner
Office: 508-862-4038 200 Main Street, Hyannis,MA 02601 IT
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONL'UG 2 5 2004
Not Valid without Red X-Press Imprint
17 �� TOWN OF BARNSTABLE
Map/parcel Number
Property Address G
Residential Value of Work , ��.0d Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address �e $��- "�Q-; p►/�
m 0 Ali �
Contractor's Name1�4=4kk Telephone Number Off— t/a d
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
JQ I have Worker's Compensation Insurance
Insurance Company Name/ Cil� I-C
W orkman's Comp.Policy# G
0
Copy of Insurance Compliance Certificate'must be on file.
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. U-Value (maximum.44) AY 'Scy." Y).,A-,Trr*,j
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
Home Improve ent ctors a is required
Signature
Q:Forms:expmtrg
Revise063004 1 J
r -
Town. of Barnstable .
Regulatory Ser ees
Thomas E.Geller,Director
: $
9� s659• Alm Building DivisYon
plFD t+�� TomYerry, Building Commissioner
200 Main Street, Hymis:MA 02601
Pax: 508-790-6230
Office.; 5O&S62-4038
-� property OwUexMust -
_ Si This Section
Co _..
• rn
�fete a n
. g�
if Using A Builder
,-as Owne rof the subject property
I, _... .
'to ect on mybelialf; — --
hereby authorsze .
' e to work authorized bytMs building permit application for
matters relative
(Ad ss of Job
Date. -- .
Si °f e .
Prsat Name
r ✓'�2C U/6'/I7/19t4?t(llf�ILLG/L¢�� JQ/.�U6
. * BOARD OF BUILD1tdG REGtJLAT10NS
License; CONSTRUGT.ION SUPERVISOR'
n NUmte� CS 07.6820
{ Expires 08l28t2005 Tr.no: 3715
j ,
{ KENNETH:6i PERRY
j CENTERVILLE, MA 02632 Administrator
.....
CA—
Board,o[Buifding,Regutations and'Standards
HOME IMPROVEMENT CONTRACTOR
e•:t �
Registrahori: 1.32282
Ezprratio n: 121ZI/2004
Type: D®'A
K.P. REMODELING
KENNETH PERRY
19 GUILDFORD RD.
Centerville, MA 02632
Administrator
'�,Ai sso_&office (1st floor): ; _
_F7NET0
Assessors map-and lot number ....... 7. ..... SEPTIC SYSTEM MUST BE
Board of Health (3rd floor): INSTALLED 1N COMPLIANCE
CSewage Permit number ..................:.....C.�( � ........ WITH TITLE 5 t 33AUSeTODLE.
\ Engineering Department (3rd floor). ��S ENVIRONMENTAL CODE /4N® i639" e°q
House number 3 :.............. TO o gar a`
APPLICATIONS PROCESSED 8:30-9:30 A.M. .and, 1:00-2.00 P.M. only t
TIONS
TOWN OF BARNSTABLE.
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ............................ c�<................................................................................
TYPE -OF CONSTRUCTION ................ e` ........ Cis S 2.3 Q,,..............................................
................. ................192��
TO THE INSPECTOR OF BUILDINGS: ll
The undersigned hereby applies for a permit according to the following information:
Location .............. . 7!� ...... .1. .1..2....r..S�.:......... \`��.X�K)..c-Z.......m:(-). ..a.......oz.GaQ.�......
. ...
Proposed Use ..:.......... �� �. .�.t's ,\��
Zoning District \K' a: ...................Fire District ................1..,.
\���2r(�?.Name of Owner .�o�.�f�...C?.:.�.2,�..C�C., ..............Address ...,,�...�,-�.....��.�c;�.2....�.�....... ���1 5 ..........
Nameof Builder ....P. i14:.V..........................................Address ............. ..:.....................................................
Name of Architect ... clf";.............................................Address ............S.f. .C',..........................................................
Numberof Rooms ..................................................................Foundation ..............................................................................
Exlerior ....................................................................................Roofing ....................................................................................
Floors ......................................................................................Interior ....................................................................................
Heating ...............Plumbing
................................................................... ..................................................................................
Fireplace ..................................................................................Approximate Cost ................t.0 .... Sa.............................
Definitive Plan Approved by Planning Board, 19 Area :...........
Diagram of Lot and Building with Dimensions Fee /�' —`................ ............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
xi CC�4,\
10, C1
41
-- c9
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.... .d!:22�C��. ....................................
Construction Supervisor's License ....................................
k �
L MEENEILL, GORDON G. r
c -No ..29090••. permit for ... uild Deck -
r
............. S i j .y..dwelling•...............
,Location ...33..Alicia....Raad....
..... .. _ - -
' t
.....H. �Mias..........................................
Owner .......Gordan.... .en�7. 1.........:......... „
r • T:
` -Frame
Type of Construction ..:.......................................
t .......................:..................... �:.... ........ a `
Plot ............................ 'Lot v ............... n...............
{ Permit f Marc'h�26, $6 t ,
• Granted .......................................19'
e r
Date of Inspection ......................................19
Date Completed ...................:.�.:.............19
!` /
S.
A )� y�7�i�vim, •� •+ - ` J 'Y
°L. V r°•Z i
r
;tom 1
�..
\;A�sessor°s�office (1st floor): ?NET
Assessor's map and lot number ......... ......
Board of Health Ord floor):
Sewage Permit number ................... �, �_ >;ooDAMSTwre�
Engineering Department Ord floor):
'. .e
House number a`
APPLICATIONS PROCESSED 8:30-9:30 A.M,.,,aand_1;000 00 P.M. -only
TOWNy OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ............................ ....cr.. ............................................. ......................
TYPE OF CONSTRUCTION � � C �C11\ Nz s.C'
� r
................ �i�2. ................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location 3-2 ...... 2....... ..c .:: � �`... m ....... ... . S
.............. .1. .... - ...�,............. . .
Proposed Use .......'....... ^� .. z.m >�1�.................
IR
Zoning District ................... .-... .......................................Fire District ........:....40.:t.z...,��
1 ` ..........................................
Name of Owner .��t� r ... ?.:.tllr..z.,. .:^� .,\.\...............Address ...: �:....���,���� �' �::.....�:�'�zr.?�9:. :�.........
Name of Builder �r r O
.........Address ............--...-....1................................................................
Name of Architect ....Address .......................
Number of Rooms ..................................................................Foundation ............
................................................
.....................
`r
4
Exterior ......................................... ..........................................Roofing ..........................................................
Floors .........................................................................:............Interior. ....................................................................................
Heating ..................................................................................Plumbing .....................'............................................................
/ ,C'>t X�• C'� l
Fireplace ..............:................................................................:..Approximate Cost ........./A...........................C...............................
\,'..,
Definitive Plan Approved by Planning Board ,,. -
--------19__ _ . Area _%
Diagram of Lot and Building with Dimensions Fee ................:............................. .
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I
1)
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
t Name ...........................
Construction Supervisor's License ....................................
MEENEILL, GORDON G. A=292-233
129090 Build Deck
No. ..... Permit for
Single •Family Dwelling
................- ...........................
3.3 Alicia Road
Location. ..............................................
...........
H annis
Y...
;.
Owner .......Gordon G. Meeneill
... ......
Type'of Construction ....,,.,Frame
}
Plot ............................. Lot .....
Permit Granted Ma-reh '26, 86
.. 19
Date of Inspection ....................................19
Date Completed .......................:..............19 ,
�6qp I
Asspssor's`�ffioe (1st floor): ' _7
,Assessor's`map' and lot number l�l:... ....:. 8� ������ ���T 8� OFTNElO
Q�
C �f
Board of Health (3rd floor): • f`h.41 ®MP 0AN
•
Sewage Permit number .......3:.-... . ... :.?.:... ;:. :.... WITH TITLE 5 i 33iaa9rsnce. S
i
Engineering Department (3rd.floor): 3 f,; '.PiEF,JTALC ODE �''�• +ao r a
2
House number ........................... �J'......`. ?�...�. n : ,�'n.� „ > ,y a"R pY.a\0�
APPLICATIONS PROCESSED 8:30--9:30 A.M. and'1:00.-2:00`P.M. only=
TOWN 'OF , .BARNSTABLE
BUILDING . INVECTO.R
t . .
APPLICATION FOR PERMIT TO ..:"...Construc,t full dormer and raise+roof pitch
...... ...............
TYPE OF- CONSTRUCTION ...................:....Wood Frame
... ..... .. .............. ....................................................... -
...March.:.16-... -----------------1987.--
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
3 Alicia Rd H annis
Location ..................... ......... .....::.............................................................................................................
Sin ie 'famil
ProposedUse .......:.:.......... ..................... ......................................:.......................................................................................
•
Zoning District ........................R...B.............................................Fire District ..................Hy... annis..............................................:..
Name of Owner Mr. Gordan•:MacNeill 33,Alicia Rd Hyannis
........ .......................................................:.....Address ......:..................................
Name of Builder ,Bill drostOn Address Box 138 Ostery lle, Ma
....... .................................................... .... .........:.........
Nameof Architect .....:...................:.......:...........................:....Address•.........................................:.:........................................
2 (existing) existing
Numberof Rooms .................................................................Foundation ..............................................................................
Exlerior White Cedar . Asphaul.t shingle '
.............................................................:Roofing ..... ........................................................... ...
Floors car art sheetrock
........ .....................................................Interior ...................................
Forced hot air ..Plumbin one addti'onal bath
' Heating g :..........................................................................
Fireplace extend existing chimmey +Approximate Cost ................22, 000.00
Definitive Plan Approved b Planning Board _______________
Y 9 -- ---------------)9----=--- • Area. .. .....
Diagram of Lot and Building. with Dimensions Fee .. ............................
SUBJECT TO APPROVAL OF BOARD,OF HEALTH -
r ' -
v n
r t
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to cill the Rules and Regulations of the Town of arnstab e•regarding the above
construction.
Name ...................................................................................
Construction Supervisor's License 014112
MACNE 3.LL, GGRDAN
i,.
^ 30520 BUILD DORMER
...... Permit for ....:...............................
i Single Family Dwelling r
Fw......................................................................... r
Location•..3.3.-Alicia Road... 7„ fi
.......
Hyannis a
Ot
Gordan MacNeill
Owner ............................ {s -
' Type of-it a Frame ":
Plot.......... ....`.`...... .... "Lot .............................
M .
#March 17 ' 87 ,.
Permit Granted .. ... ......1'9
Date of Inspection ..... ..., . Z�;.......19� t
Date Completed ............... ..19
�} ^ fi ... :ate' l I r .y •f f!
f !�� as 1}* �� , _ 1^? .r; -•# - e L r
�^•. Ay! a .. ... h+ .•� n # :i•` `� P `{ ? .J 1.1 r T , .r•.. ` I ( ! 7 1•
4-5
'�` ,�� �}• � � j ,� �. .� �.. i r�. c { ! :gypt -
Assessor's offioe (1st floor): �7 - THE
Asse sor's'`map and lot number ......,... .`�/li..? ........... ��� ro``
Board of Health (3rd floor): WP o
d �
Sewage Permit number ...... ..-./..7.-.iS.?..... .:11.............. 2 33AB39T11DLE.
Engineering Department (3rd floor): J� 3 .yjl _,(1 'a rhea
0� O 39• a
House number �b 0
......................................�. .............................. "�0 SAY a
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ........Construct full dormer and raise roof pitch
.............................................................................................................
TYPE OF CONSTRUCTION Wood Frame
.....................................................................................................................................
....March-_.16 8
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
:
Location 33 Alicia Rd 11,yann*is
Proposed Use Single family.
y
Zoning District RB...........................................Fire District .................... dnnl..
Name of Owner Mr Gordan MacNeill ....Address 33..Alicia Rd Hyannis
Name of Builder Bill Croston ...................Address BO.x....138 Osteryille, Md r
.................................. :.....:..............
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms 2 (existing) ex. Sting.
.............................. . . ............
..........................Foundation ........... . . ............... ...................................
4hite Cedar } Asphault shingle
Exterior ....................................................................................Roofing ....................................................................................
Floors ca.r a.rt.............................................Interior .......................s..ri.e
.e.tro.c.k
.. .. .. . .. .. . ....... .. ..
......................................
Heating Forced hot air one addtional bath
g ...............................................................Plumbing .........................
Fireplace extend existing ehimmey Approximate Cost 22. 000 .00
Definitive Plan Approved by Planning Board --------------------------------19-------- • Area
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
p S kc, S( S �K"
n2 G�
3-
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 .....&�
.............................................................................
0,14112
Construction Supervisor's License .....
MACNEILL, GORDAN A=2(922-233
VR
No', 30520 permit for Build Dormer
Single Family Dwelling
........................................................................
Location 33 Alicia Road
.. . .. .......................... ......
Hyannis S
.....................................................................1.........
I
Owner Gordan MacNeill
.. ..................................................................
Type of Construction Frame
. ..........................................
Plot ............................ Lot ................................
t Permit Granted .....March.. 17.r............19 87
Date of Inspection ....................................19
Date Completed ......................................19
_ r
ssor's mapand lot number A/11-50i 0
W-4
THE
Sewage Permit number .............:ulva......................
SEPnC SYSTEM MU
AR33TABLE,
House number ................ .. ............................................I NAG&
INSTALLED IN COMP 163
W" TrrLE 6
TOWN OF B A Rg � 3 CODE AND
4...3 LATIONS
BUILDING -INSPECTOR
I�Tz� .........(P- -t Xc-1
..... ...cp
APPLICATION FOR PERMIT TO ........................ . . .. . ...........6 .. .......f..0..........................
... :k7
TYPE OF CONSTRUCTION ........... . ........................................................................
..... ..........19211
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following, information:
Location ...........15.��....... ........... ................... / ............................................................................
ProposedUse ............1 45E............................................................................................................................................
ZoningDistrict .......... ..................................Fire District ........................................................ .....................
4Z�16 447Z)ILI
Name of Owner .... ....................................Address ............4"(a.........141-.1.C1'4......R .......................
Name of Builder /*z SF
............k . ....Address ......
.Name of Architect ..................................................................Address ....................................................................................
Number of Rooms ...... ..........................................
Exierior ..........5/18UL/I .....................................................
............... .................................................Roofing ....................
Floors .......covaeT.,,r. .................................................Interior ....................................................................o...............
Heating ..................................................................................Plumbing ................LS
.. .......................................................
Is
Fireplace ......................... ........................................................Approximate Cos, ........ ........................*... . ....
Definitive Plan Approved by Planning Board------------------------------19--------- Area ........
Diagram of Lot and Building with Dimensions Fee .......... ....................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
IX L-1 CIA /2 0�
PLAN BOOK.
?A6� 3-7
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Nam ...... .. ................ .............................
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eighton, Alexander
21796 garage
46 Alicia Road
Hyannis
Alexander Leighton
PERMIT REFUSED
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ssor s map and lot number e...........
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Sewage Permit number ................:........:.......:........................
BARNSTADLE. i
House number ................ ..:1.... .-.3.. ��?!.. .. .. V MAGI a\e��
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MP
39
TOWN OF BARNSTABLE
BUILDING INSPECTOR
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APPLICATION FOR PERMIT TO ..........::.... k l...............:: ......{ ........... ....... .!. .... r� ..........................
TYPE OF CONSTRUCTION .............�:..'...': �.......�: X :i 7r..*''............................:............................................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location -_ 33 AriAnAc� :... .......................:...................................................
..................... ..-^ ......................................................:
Proposed Use ............ Ayl+F
............. .........................................
ZoningDistrict ............ T ,3 ..Fire District............................................................. ..............................................................................
Name of Owner ./-.LFMILIDP L., C'����Address ........... ,4L 1C/A ti�!�
...................................................................... .....................................................................
Name of Builder ` ` Address Z.... � r .. ! ........ ..... . .y
.Name of Architect ..................................................................Address ....................................................................................
Number of Rooms ..................................................................Foundation ...
Exierior 5LllIV/L�!={ ...Roofing 14 "(2`
..................................... . ....................
Interior Floors ....................................................................................
..............:......................................................................
Heating ..................................................................................Plumbing ..................................................................................
Fireplace ..............................Approximate Cost ...c
Definitive Plan Approved by Planning Board ________________________________19--------. Area ........:`.......................f........
Diagram of Lot and Building with Dimensions Fee /�=1 w_.--�
. .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
41-iC11-1
40 BCCK.1:Wa� _
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ...:`. ' ..........-..:,..............................
^ Leigbtoo,.Al A=292-233
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mo -----.. Permit for ------------ �
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/ -46r-&lioia Road
Location _,---.---------------..
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Hyannis .
----~---------------------'
� Alexander Leighton
� Owner ------- -. .. —.
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Approved ---------------- 19 .
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SEPH D. DALuz TELEPHONE: 775-1120
3ailding Inspator EXT. 107
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TOWN OF BARNSTABLE
�y BUILDING INSPECTOR
TOWN OFFICE BUILDING
HYANNIS, MASS. 02601
March 11, 1980
�5�_ ;Mr. Alex, Leighton'--
;_*1rA1icia _Road rJ
Hyannis, Mass =02601
Dear Mr. Leighton:
I have received a report alleging that you are repairing
automobiles in your newly constructed garage. The concern is
that a repair garage is now doing business in a residential
area. As you know you are in an RB area which permits single
family dwellings only. I must so inform you that if the allega-
tion is found to be true, you would be in violation of the Town
of Barnstable Zoning By Laws. Such a violation is subject to
a complaint filed with the First District Court in Barnstable.
If it is your desire to conduct such an operation, per-
mission must be obtained from the Board of Appeals. j
This letter will serve as notice that I will be observing
the activities on said property. j
If you have any questions , please feel free to call. my f
office.
Peace
dos7e h D. Daluz�
P
Building Inspector
JDD/df
cc: Board of Selectmen
Board of Appeals
I
December 12, 1979
Mr. Joseph DaLuz
Building Inspector
Towm of Barnstable
Hyannis, Massachusetts 02601
Dear Mr. DaLuz:
I reside at 12 Megan Road, Hyannis and also own my own home.
0n a lot adjacent to my house, which is owned by Alex Leighton.
of 46 Alicia Road, a garage 24'x22' has been erected. This
garage is on the bedroom side of my house.
When I purchased my house, I was informed that nothing could be
built on the lot as all the deeds in this development stated
that any building (such as a garage) must be attached to the
house.
Mr. Leighton is a mechanic by trade and has started to use this
garage to repair cars. As he works days, he repairs weekends
and after work.
This past Sunday afternoon a truck was driven into the garage,
the doors of the garage closed and he worked on ,thtrtruck.
Banging went on for about one hour. Last evening when he came
home from work he worked on another car in the garage.
This is a residential neighborhood and not zoned for business.
At the time the garage was started, I questioned his motives for
such a large garage (unusual size for a residential garage) and
was told to mind my business that he could do what he pleased.
I am requesting that you investigate this situation immediately
before something big gets started and things get out of hand.
Sincerely,
Francis D. O'Malley
12 Megan Road
Hyannis, MA 02601
Tel: 775-7440
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(X DONALD I. MEYERREvisEo
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-- � 2 Professional Building Designer
532
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a So. Yarmouth,cMA 02664
(508) 394-5296