HomeMy WebLinkAbout0161 BUCKWOOD DRIVE �=-^,
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13 Application number.............................................
Fee ....
.........................................
= APR 24 20
1' 19' Building Inspectors Initials.. . .......................
S IABLE Date Issued....'....... ..... . ..................................
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Map/Parcel.............:...................................................
TOWN OF BARNSTABLE
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION
Address of Project: ,[ 6
NUNMI STREET VILLAGE a c
Owner's Name: Old' Phone Number --I) 7S.Od
Email Address:/"C�DYI,S7a�e� Cell Phone Number 6-Of --7 76 oW 9ir
Project cost$ 00 Check one Residential Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby authorize
to make application for a building permit in accordance with 780 CMR
Owner Signature: Date:
TYPE OF WORK
Siding 0 Windows (no header change)# Insulation/Weatherization
0 Doors(no header change)# Commercial Doors require'an inspector's review
Roof(not applying more than 1 layer of shingles)
Construction Debris will be going to
CONTRACTOR'S INFORMATION
Contractor's name
Home Improvement Contractors Registration(if applicable)# (attach copy)
Construction Supervisor's License# - (attach copy)'
,e
Email of Contractor Phone number
ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY 1S IN
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.
APPLICATION NUMBER.......................................................�,
*For Tents Only*
Date Tent(s) will be erected Removed on number of tents total
Does the tent have sides?Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X X X
Additional tent dimensions can be attached on a separate piece of paper.
Purpose of Event
Check one: this event is a: for profit non-profit event
Check one: Food served Yes No
Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent
Fuel source being used LP tank 20 lbs. or>Yes No______, if yes, a gas permit is required.
Natural Gas Yes No , if yes,a gas permit is required.
If food is being served at your event please obtain a Health Department approval between the hours
of 8:00am-9.30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval.
*WOOD/COAL/PELLET STOVES
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back - left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's Name:
Telephone Number "'7�� �(��(� Cell or Work number ,,5D0 — -7 76_ 92 d,
I understand my responsibilities under the rules and regulations for Licensed Construction
Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand
the construction inspection procedures,specific inspections and documentation required by 780
CMR and the Town of Ba stable.
Signatur 1.OW t Date A c;�0/9
APPLICANT'S SIGNATURE
Signatura6jd4eJA16,t, y
All permit applications are subject to a buildi `g i ' l's approval prior to issuance.
. Town ®f Barnstable n;, c ..., - §'~ €`,a -,�.- ''a <. ._: , .,.....:..,. ,- .'s��� s '� �.a'.'„ .. tea ..; yg
Post This Card$O:T�ldt�t is Visible°From the Street ;Approvetl Plans Niust'be Retained-on lob;and this Card Must::be�Ke t ' :;
idmin
�AILMASS�. .. �, � "' a". `" . .x; t ! s: �`x. K P z. �
:a aB . PostedUntil Final Inspection Has Been-Matle - x °
ea ru+ Where a Certcate;of Occupancy�ts�Required suchBu�ldmg shall Not be Occupieduntil a Final'Inspeion has been made , _.
e ° ��
�. �:.....���:w. .�
Permit No. B-19-1374 Applicant Name: SZURLEY, RALPH J& DONNA L TRS Approvals
Date Issued: 04/25/2019 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/25/2019 Foundation:
Location: 161 BUCKWOOD DRIVE,HYANNIS Map/Lot 272 029 Zoning District: RC-1 Sheathing:
Owner on Record: SZURLEY, RALPH 1& DONNA L TRS � Gontractor Name Framing: 1
Address: 161 BUCKWOOD DRIVES ntractor Licensee
v 2
HYANNIS MA 02601 EastProJect Cost: $ 1,000.00
Chimney:
Description: SIDING Permit Fee: $35.00
Insulation:
E Fee:;Paid ' $35.00
Project Review Req:
Date. 4/25/2019 Final:
1
ri � Q Plumbing/Gas
- a 1 a .�.
Rough Plumbing:
, .5
Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced r,issuance.
All work authorized by this permit shall conform to the approved a ppI i2kion and the approved construction document for which this permit has been granted.
Rough Gas:
--All-construction,-alte ratio ns_and changes of_use_of any building and structures shall be in compliance with the local zoning by laws and codes.
This permit shall be displayed in a location clearly visible from access st eetor road and-shall-be maintained-open-for public inspection for the entire duration of the Final Gas:
work until the completion of the same.
The Certificate of Occupancy will not be issued until all applicable signatures by the$Building and Fire Officials are.provided on.�this permit. Electrical
Inspections Required for All Construction Work
P q Service:
Minimum of Five Call Ins
1.Foundation or Footing r
2.Sheathing Inspection x Rough:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed'
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Rough:
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final:
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/ContractorsTlectricians/Plumbers
Applicant Information r Please Print Legibly
Name(Business/Organization/Individual): 074 ka `ZC.���
Address:�(pr-
/.�City/State/Zip: CeGfG1 d 'Phone#:
Are you an employer Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. P4,Remodeling
ship and have no employees These sub-contractors have g, '❑Demolition
workingfor me in an capacity. employees and have workers'
Y P tY• $ 9. ❑Building addition
[No workers' comp.insurance comp.insurance.
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.❑Plumbing repairs or additions
myself. [No workers' comp.' right of exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152,§1(4),and we have no
employees. [No workers' 13.❑ Other
comp.insurance required.] .
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site.
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the ins and penalties of perj t th informati provided abovef its true and,correct.Si atur l Date:
Cr Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Information and Instructions - -
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. .
The Office of Investigations would like to thank you in advance for our cooperation and should you have an questions,
g Y Y P Y Y
please do not hesitate to give us a call.
The Department's address,.telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington.Street
Boston,MA 02111
Tel.#617-727-4900 ext 406 or 1-877-MASSAFE
Revised 4-24-07 Fax#617-727-7749
www.mass.govfdia
SolarCity
October 24, 2016
Town of Barnstable
ATTENTION: BUILDING DEPARTMENT -
200 Main Street
Hyannis, MA 02601
RE: 161 Buckwood Drive, Hyannis
Permit Applications Submitted: September 29, 2016
Permit Nos.: TB-16-10521
E-16-2002
Our Job No.: JB-0263350
NOTICE OF CANCELLATION OF PERMIT
APPLICATIONS
This letter is to certify our proposal to install Solar(PV)at the above-referenced
property has been moved into a cancellation status.
SolarCity Corporation and Ralph Szurley will not be moving forward with the
proposed installation at this time.
If you have any questions or concerns, please don't hesitate to contact me.
Thank you for your attention to this matter.
Sincerely, '
CheryCGruenstern
4 �
Cheryl Gruenstern
Permit Coordinator
Direct Line: (508)640-5397 -= i
cgruenstern@solarcity.com v
l
112 Great Western Road,South Dennis,MA 02660 T (688)SOL-CITY solarcity.com
AL 05500.AR M-8937.AZ ROC 243771/ROC 245450.CA CSL8 888104.00 EC8041,CT HIC 0632778/ELC 0125305.DC 410 514 0 00 0 8 0/ECC902685.DE 2 01112 0 3 8 6/T7-6032.FL EC13006226.HI CT-29770.I1.15-0052.MA HIC 168572%
EL-1136MR.MD HIC 12 8 94 8/118 05.NC 30801-U.NH 0347C/12523M.NJ NJHICM13VH06160600/34EB01732700.NM EE98-379590.NV NV20121135172/C2-0078648/B2-0079719.OH EL.47707.OR CB180498/C562.PA HICPA077343.RI
AC004714/Reg 38313.TXTECL27006.LrT 8726950-5501.VA ELE2 705153 2 78.VT EM-05829.WA SOLARC•91901/SOLARC'905P7.Albany 439.Greene A-486.Nassau H240971000Q Putnam PC6041.Rockland H-11864-40-00-00.Suffolk
52057-H.Westchester WC-26088-H1S.N.Y.0 N2001384-0CA SCENYC:N.Y.C.Licensed Bectrlclan.#12610.#004485,15S Water St,6th R..Unit W.Brooktyn.NY 7120t N2013966-0CA All loans provided by SolarCity Finance Company.LLC:
CA Finance Lenders Ll cense 6054796.SolarCity Finance Company.LLC Is licensed by the Delaware State Bank Commissioner to engage in business In Delaware under license number 019422.MD Consumer Loan License 2241.NV
Installment Loan License 1L11023/I1.11024.RI Licensed Lender k20153103LL.TX Registered Creditor 1400050963-202404.VT Lender License 96766
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' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
acoWa)-6
Map Parcel 0 Application#
Health Division
Conservation Division Permit#
Tax Collector Date Issued
Treasurer Application Fee 50
Planning Dept. Permit Fee
�.r
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address �J �f'i
Village A,
Owner �` Z✓�� ✓� �. �. Address ,j �. - �
Telephone 7d
Permit Request
�---,
Square feet: 1 st floor:existing/o proposed 7o n 2nd floor:existing proposed Total new
Zoning District Flood Plain Groundwater Overlay '
Project Valuation 0 0 Construction Type
Lot Size /o . 5 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 jNo
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 5�
Heat Type and Fuel: k'Gas ❑Oil ❑Electric ❑Other
Central Air: ❑Yes I/No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No
Detached garage:kexisting Cl 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 UAo If yes, site plan review#
CurrenttUse- Proposed_Use
t1 9
BUILDER INFORMATION
Name Telephone Number
Address - License#
r Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE LI)7ar � r � ! � DATE
`r �
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO. / .• �"
ADDRESS VILLAGE
OWNER r
DATE OF INSPECTION:
FOUNDATION 0 9 I -�0
FRAME °1 49
INSULATION 0 ZY
FIREPLACE '
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
1 I
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
1 +Department oflndustrial Accidents-
Office of Investigations
600 Washington Street
Boston, MA 02111
' www-massgovldia'
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pli rmbers
Applicant Information Please Print I eldbl
Name(Hasiaess/Oro ni�ation/Iadividua]�; L., G ? ��L
r
Address: le
CityfState/Lip: -,/� 0 Phone M D r s�
Are you as employer? Check the•appropriate bog: 'Type of project(required):
1,❑ I am a employer with 4. ❑I am a general contrmior and I 5, ❑New construction
employees (tZ and/or past time)* havered the sub-contractors
2.El am a sole proprietor orpartam- d on the attached sheet t 7. ❑Remodeling
ship and have no emplayees These sub-contractors have SR ❑ pcmolition
working for me in any capacity. workers' comp,in mom
9. ❑ Buz7ding addition
[No wmkms' comp.insurance 5, ❑We are a corpgration and its
10.[1 Electrical airs or additions
eq�c•] officers have exercised their
3. I am a horleawner doing all work light of exemption per MGL 11•❑ Ph=biag repairs c r additions
aryself.[No workers' comp, c. 152,§1(4),and we have no 12.❑Roof repairs
insntaace=alufrai:]t'; employees-[No workers 13.❑ Mer
ems.n=ance rcgnired.]
*Any applicant list checla box#1 must also fM out the action below showing their workers'oompensatioa poUcyinfarmatioL •.
t Aarneowntm who submit this affidavit indicating they aTe doing eM work aad1hen hive outside eautrnotmi west submit anew affidavit indicating:such
ICoatnotma that check this boa must attached as additional cheat showing the name of the cub-conttzhors and their wc&cs'camp,poFcy infvzm xem
I am an employer that is providing workers'compensation insurance for my employees Below is the pa7icy and job site'
Tnfa m4dion. .
wtziuco Company Name ,
?'ahcy#.or 5s.Lie. P Dade:
lob Site.Address: aty/S Ip:
Attach a copy of the workers' compensation p.alicy declaration page(showing the policy number and expiration date).
Failure to securs coverage as required under Station 25A of MGL c. 152 tau lead to tie imposition of criminal penalties of a
fine up to$1,5N.00 and/or one-year bmprisonuuent,as well as cj4 penirdes in t w.fainn of.a STOP STORK ORDER and a fine
of up to$250.00 a day kgainst Ike violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DU for romance coverage veri$cation.
I do hereby cerd under lobe pa d penalties of rjurp that the information provided above is true and correct.
Si fora;
Date:
C'
Phone# S—Z 77 s� Pia �,a
✓,J`� ia+kit . Do t Mft M Ms tea,to 3 e c feted by city mar tpm eftid ,
City or Town: Permit/License#
Dasuing Autharity(circle one):
1.Board of health 2.Building Department 3.City/Town Clerk 4.Electdcai inspector 5.Plumbing Inspeetor•
6. Other
CGuLactPerson: Phone#: l
�oFtNE ra,, Town of Barnstable
Regulatory Services
r BARNSTABLE,
9 MASS. �, Thomas F.Geiler,Director
E1 39. 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
Permit no.
Date b
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements.
Type of Work: ^ Estimated Cost dO L)
Address of Work: //
Owner's Name: /2' ,41 a z 1�/C
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
❑Job Under$1,000
[]Building not owner-occupied
�20wner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date Contractor Signature Registration No.
Date O er's Si ature
Q:wpfiles.forms:homeaffidav
Rev: 060606
Table JS.Zlb(continued)
Prescriptive Packages for 06 and Two-Family Residential Baildtngs Heated with fmii Fuels
MA.XiMUM MINIMUM
(3Iazing Gluing Ceiling Wall Floor Basement - Slab Arcal('/a) U-value= R-value, R-value' R-valtua Wall Perimeter Equipment EtFcietuy'
Package R value° R-value,
5701 to 6500 Heating Degree IDays2
W 12% 1 0.40 38 13 19 10 6 Normal
R 12va 0.52 30 19 19 10 6 Normal
S 12% 0.50 38 13 19 10 6 85 AFUE
T 15% 036 38 13 25 N/A N/A Normal
U 15% 1 0.46 38 19 19 10 6 Normal
V 15% 0.44 38 13 23 N/A N/A 85 AFUE
W 15% 0.52 30 19 19 10 6 85 AFUE
X 19% 032 38 13 25 N/A N/A Normal
Y 18% 0.42 38 19 25 N/A N/A Normal
Z 18% 0.42 38 13 19 10 6 90 AFUE
AA 18% 0.50 30 19 19 10 6 90 AFUE
1. ADDRESS OF PROPERTY:
v
2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:
3. SQUARE FOOTAGE OF ALL GLAZING:
4. %GLAZING AREA(#3 DIVIDED BY#2):
5. SELECT PACKAGE (Q--AA-see chart above):
NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS
ARE AVAILABLE. ASK US FOR THIS INFORMATION.
BUILDING INSPECTOR APPROVAL:
YES: NO:
q-forms-f9803O3a
� ram,
Town of Barnstable
iHe
Regulatory Services
BARrrszAst.E Thomas F.Geiler,Director
MASS'1619• Building Division
♦0
Ar fo r^A� Tom Perry,Building Commis,'sioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
;e: 508-862-403 8 Fax: 508-7907623 0
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION: Ih &tck _Dr`
Lumber street villa e
"HOMEOWNER": lJ71 zcx 7 — C��O S� 76 —&033 /
e ome phone# wor•phone#
CURRENT MAIIJNG ADDRESS: T
A
or—c—ity/tovin 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 of 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 proced es and requirements and that he/she will comply with said procedures and
re ements.
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.13 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 forrn/certification for use in your community.
Q:forms:homeexempt
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� aa�c;a:sc�1
M gt,t�l0rp
Z �.
27.5' 1
BSS
7500'
DESIGN S13'2520W
BUCKWOOD DRIVE
I CERTIFYAT THE STRUCTURES ARE
LAND SURVEYING
CERTIFIED PLOT PLAN LOCATE ON LOT AS SHOWN.
CIVIL ENGINEERING PREPARED FOR
LAND PLANNING
R ALP H & DONNA PROFESSIONA AN SURVEYOR
BSS Design, Incorporated S Z U R LE Y
161
Z a
164 Katharine Lee Bates Rd 16 q I B U C K WO 0 D DRIVE DATE:
Falmouth Massachusetts 02540 BARNSTABLE, MASSACHUSETTS
508.540.8805 FAX 508.548.8313
scale 1"_ 2 0' dote. SEPT 23, 2004 d EJP
drawn job number 4164 dwg number D4-120
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A
..' T TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION /jam/vim
ti
00, y
Map-_YA Parcel A Permit# C
��
Health Division 5— 73� �'�I icl QS Date Issued
Conservation Division J 6 Application Fe
Tax Collector k Permit Ff 14� r,2Co
Treasurer • (� It SEPTIC SYSTEM MUST BF
INSTALLED IN COMPLIANCE
Planning Dept. WITH TITLE 5
Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND
• TOWN REGULATIONS
Historic-OKH Preservation/Hyannis •
Project Street Address &/ agett"',W)d �)Mxe_
Village
Owner /1 T Aoxxa &U!"� Address l ( Lt oo f�• Q
Telephone �D ^ -7•74--��1
Permit Request r" -SO&Qq4 -Side 071C
dP4,
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuatiof�a6VR 0� Construction Type U)_ F
Lot Size Ve OCL Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family '0/ Two Family ❑ Multi-Family(#units)
Age of Existing Structure_ S` Historic House: ❑Yes qlo On Old King's Highway: ❑Yes [d'IVo
Basement Type: y'Full ❑Crawl ❑Walkout ❑Other
1=
Basement Finished Area(sq.ft.) /U/A 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 'E Other
Central Air: ' Yes ❑No Fireplaces: Existing New Existing wood/coaGstove: ❑Yes ty'No
Detached garage:®'existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑mew size
� I r- c
Attached garage:❑existing ❑new size Shed:0existing ❑new size Other: _ I T''
N.,
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ , .•
Commercial ❑Yes ta No If yes, site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name Telephone Number ,
a ,
Address License#
r
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO :&Wsk 6 Ile ,r1cl /mil/
SIGNATUREIAUXteLll? e_y) DATE
FOR OFFICIAL USE ONLY
i
PERMIT NO. -,
DATE ISSUED
MAP%PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME l ! p
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
m
PLUMBING: ROU As S FINAL
cc
—
p
GAS: ROU- ®FINAL
FINAL BUILDING pa ;;E =C /r/A/ Q A ,(® -n
20 �-� d��
2 M 0
� trruno
' DATE CLOSED.OUT. Q rn
ASSOCIATION PLAN NO: M e3 _
RESIDENTIAL BUILDING PERNUT FEES
APPLICATION FEE
New Buildings $100.00
Residential Addition $ 50.00 S'0 �►
Alterations/Renovations $50.00
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
6 * , .� square feet x$96/sq.foot= � '� � 7 x.0041=
plus from below(if applicable) f f• i
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
square feet x$64/sq.foot= x.0041=
plus from below(if applicable)
GARAGES(attached&detached)
square feet x$32/sq.ft.= x.0041=
ACCESSORY STRUCTURE>120 sq.ft.
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf- 1000 sf. 75.00
>1000 sf=1500 sf 100.00
>1500 sf-Same as new building permit:
square feet x$96/sq.foot= x.0041=
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck.._. ... _ .. . x$30.00=
(number)
Fireplace/Chimney . x$25.00=
(number)
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00 d/
(plus above if applicable)
Permit Fee . 17
Projcost
Rev:063004
\.The Cotn ;nvealth of Massachusetts .
Departmen
t Of/Indus'
�j��'�i�aa{IAcleidents'
6Q0'Washington Street _
Boston;mass, . t12J�TX
workers' C m ensation,'snsurance AffidaQit-General
i•
• address: ', }�•. .. � � ho e#• -•�. �� �Y v�✓ ,
site-locafiozi full address :' : ' []Retail❑Restaurant/Bar/Eating Establishment
wor dhave'no onb $psiness TYP Ea1•$stale,Antos etc.)'
X aip•a sole�roprietox an O��0 Salts(including R
..1.
vrorl iug in any capacity
T am am em 10 e�with etn'to ees(full&' art tune: []Other
////////G////////////// //////////i///////////// •ob. .
/� t' n form ployees worlin n s .
�rrt er providing vrorkers'cbmvensa io y em ;• :: -°:. :..:;�. ��...•,.,,;:. ' •'' . ..1 an. toy ,t -;
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17
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ns / rietor aad'have the independent contractors listed below who have the following
'workers'
x a sole pxoP
polices:
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pensation p .'• ., '�:� k�,r:,�•t•:•,f;.!.:r•: •!
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✓ '•*•?�:.3ii�it�•'/.�I.;A•.,•.1,; •�: ?• -.?1+\•t• t t•,•�'I•, '�t,5 .r. •�:,^+i•:•'i« •.^,
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t•,,Va ,.•,. `• •,t'.tr•. :. ,:3 .I, ,� «4,. ,.r •MOI1E 3i:• '�:.�M'�••`':4�•t er 1'';:p:•.. ::V':;�1.71•:'t1
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,. .tom•:: �::•�''. 4• it'••,q• ,e? ,f, �•� to +,•,t•,•:,5 tr•,,L• .Y• ,�:VS;h�rlrtil+.S,•r:1'.+'":'M ,tf• •.}'i,a""'
• •�i''}4•.• •,:• 't,;!' i \•: .�:. ✓•sii:; ><.;ilyS+:�•�J.1,,. O'IICI':i'ti• ^ ^' '
y ft' .Q,�;.SS`:;3'::. ,Y�a, .4,;J. •.tt...'J.1:t•
tit.+ 1,';it••a^'r '
fnsiirriG`b+'ian or coverage as requiro the ImpositiO
ed under Section 25A of MGL 152 WOE O nd a fino of00 of c e �y agnsmn�Y undreratand that tt
Failure to secureenelties the fdi'm of a STOP
one years'impriionmettt as well as eilt>ip
copy of this statement maybe forwarded to the Office of Ynveitigatiom of the DTAfor coverage verification
under the pain and p alties of perjury that the information provided above is true a�o�e/
I do hereby c r4fy Date Y
Signature d,t t hone# (IiZ 77,S"� . ®y ,
Print name
y tcial use only do not mite in thls area to be completed by city or Town affMeW
off ❑Building Department
permit/iic ens e# ❑Licensing Board
city or town: []selectmen's Office
[}checkif immediate response is required ❑Health Department ,
'[]Other______
phone#;
contact person:
(revised Sept 2DO) a
r
• Informiafaon and Instructions. '
' a1 L'aws chapter 152 section 25 requires all employers to proviab aVorker.s comp ens atidn for'their•-
Massachusetts Gerier
e 103'e ; ,As quoted-fronithe fqW., an employee is.defined as every person in the service o another undo any contract
of hire;express or implied oral or wntten,
wtners , association, corporation or other legal entity, or any fwo or rngre of
An empi�yer is defined as an individual,pp
the foregoing mgaged'm a•]o�.nt enterpzrse,and including the legal representatives of a deceased,employer, or the•receiver or
artnershi association or other legal entity, employing employees• 'Plowevei.the owner of a
.trustee of,an individual,p Px
dwellirrg house having noftaore than three apartments and resides therein, or the:occupant of the:dwelling House bf
`,�,ho persons to do mainkeuance, construction or repair work orr such&.welling house'6r on the grounds or
another .empibys t oY , ..
betiding.appurtenant thereto shall not because of sueli employment be deemed to be art 1 er,
GL chapter 152 section 25 also sfates that'eve'ry. s°tate'or Iacal licensing•ageney All withhold the fssuance dr renewaI
or to construct in Y PP.
Of a license or per]J to operate e'e of o businesslfanoe with the insurance coverage re�qufi'ed. Ailditi ally;neither th o has
not pro acceptable eviden nnp
nozrnoonwealthnor.any•of its political subdivisions shall enter into any contract for the performance of public work untq
acceptable evidence of compliance with t�e insurance requirements•of this chapter have been presented to the contracting
• , _.....
authority.
ro
ME
Applicants '
Please fm is the woe's'.eonvensation affidavit completely,by checking the box that applies to your situation.,Please
supply company name, address and phone numbers along with a certificate of insurance as all affidavits 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 pern it or license is being
d
re ueste , not tie Department o�Tndustrial A.ceideuts. Should you have any questions regarding the*`law"or if you are
q ensationpQHV,Please call the Depart nmt at.the ntunber listeAbelovr. .
required to v taro a workers'•comp y
VIE rNIZ/01EV/1
City or Towns .
pleasebe sure that the affidavit is cbinplete and.prmted legiibly. The Depar6menthas provided the a space. licaiat. P at flid om of the
affidavit for you to fill out in'the event the Office of Investigations bas to contact you xeg dwg pp
be sea e to fillip the pmn it�licensa number which will,tie used as a reference number. Tbe.affidavits maybe xeturned tq
�;j g9wdshavebeenmade•• •': '
the D ep artment b'. or F AX•uriless other arran .
The Office of Investigations would like to thank y'ou in.advance for you cooperation and s3�ould you have any questions,
hate to us ,•call. ,
please do not-hesitate 8�
Thelow
p Deartment's address,telephone and fax number: . '
The Commonwealth Of Massachusetts
Department-of Industrial Acdcdents
• . Bitke of 1a�esena .
600 Washington Street
Boston,MR. 02111
fax#: (617)727-7749
Town of Barnstable
Regulatory Services
s zn$ ThomasF.Geller,Director
" 1619. Building Division
Tom Perry,Building Commissioner
200 Main.Street, Hyannis,MA 02601 ,
Fax: 508-790-6230
Office: 508-862-4038
permit no.
Date
AFFMAVIT
ROME IMPROVEMENT CONTRACTOR LAW
sW?LEMENT TO PERMIT APPLICATION
MGL c.142A requires that the ''on or construction onstruction of an addition totruction,alterations, anypr.existing owr,►er-an,repair, �c pied conversion,
•improvement,removal,demohti ,
budding containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements,
Estimated Cost y"
Type of Work: -
_
Ad dress ofWork: � �� � � �� • ��� .
.
Owner's Name:
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):.
[]Work excluded by law
❑lob Under$1,000
[]g ' ding not owner-occupied
Owner pulling own permit
Notice is hereby given that: TJrtREGJ�TERED
OWNERS P�, JG TgEIR OWN PERMIT OR DEALING WITFS
CONTRACTORS FOP,APPLICAB
ACCESS TO THE�3rTRATION PROOMM GR AM OR GUARANTXIMTROyEWINTWOpX F[TND UNDER IYJGL c 142A,
SIGNED UNDER PENALTIES OF PERJURY
Ihereby apply for a permit as the agent of the owner:
Contractor Name Registrationhio.
Date
JOwner'$ ark
T..fie • ,
r
oFtlE, Town of Barnstable
Regulatory Services
Thomas F.
sextvsrna�, Geiler,* ,Director
9�A 3 9 A Building Division
rFD MA't
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: 7 1-0 V
JOB LOCATION: / /S -
m/ber ` street Vvillage
"HOMEOWNER"! 7
na ome plibne# work phone#
CURRENT MA LING ADDRESS:
o�
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 inspec n, ocedures and equirements and that he/she will comply wi said procedures and
Signatu f Ho owner
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 personas it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:forms:homeexempt
N12'49'30"E
75.01'
SHED
SHED LOT ' 26
w
10,895' SF o
52.8' :t
00
to
81.3' '
LOT 36 S.A.S: LOT 36
41 6'
GARAGE D-BOX
SEPTIC
TANK 0
15.5' 0
DECK
2.7'
29.6' a
EXISTING
HOUSE in
32.8' (0
3 �OF
O PORCH
THCUQ
M Jar*-"
&�KER
is Um
Z
27.5' .
BS S 7500'
D E S I G N S13'25'20"W
BUCKMOOD DRIVE
l CERTIFY � AT THE STRUCTURES ARE
LAND SURVEYING
CERTIFIED PLOT PLAN LOCATE
CDT AS SHOWN.
CIVIL ENGINEERING- PREPARED FOR
LAND PLANNING
RALPH & DONNA
SZURLE I PROFESSIONA AN ; SURVEYOR
BSS Design,. Incorporated DATE: Z.3 d t
164 Katharine Ue Bates.Rd 161 BUCK WOOD DRIVE l
Falmouth Massachusetts 02540 BARNSTABLE, MASSACHUSETTS'
508.540.8805 FAX 508.548.8313
scale date ' drawn job number dwg number
1"= 20' SEPT 23, 2004 EJP, 4164 D4-120
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�`: ' '��e �ariinzoizuie¢ll�i o�✓�caea��a�
�\ Board of Building Regulations and Standat&
HOME IMPROVEMENT CONTRACTOR
Registration: 110230
Expiration: 10/9/2004
Type: Individual
CRAIG FARRENKOFF
CRAIGG FARRENKOPF
95 ACRE HILL RD _
PgARNSTABLE,MA 02630
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L CATI O N OF PROPERTY LINES MAY NOT BE ACCU RATE STANDARD LEGEND
NOTE;not all symbols will appear on a map
- -
" ) GOLF COURSE FAIRWAY
EDGE OF offlouflus TREES
^ EDGE OF BRUSH
r
ORCHARD OR NURSERY
s "* t . x' K ,: v-v-v-v EDGE OF CONIFEROUS TREES
MARSH AREA
— — EDGE OF WATER
- - - GIRT ROAD
DRIVEWAY
PARKING LOT
PAVED ROAD
DRAINAGE DITCH
PATH/TRAIL
\'= ��
�s�kY ff � -- PARCEL LINE**
�� 6 `t ,.;; �_` MAP 326 MAP#
Il _ _ MAP ,272r . °36i' PARCEL NUMBER
/ HOUSE NUMBER
\.
' �9 2 FOOT CONTOUR LINE
10 FOOT CONTOUR LINE
Elevation based on NGVD29
;•�4.9 SPOT ELEVATION
' STONE WALL
FENCE
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-r� RAIL ROAD TRACK
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T O W N O F B A R N S T A B L E O E 0 6 R A P N i C 1 N F O R M A T 1 O N S Y S T E M S U N I T a SIGN ® STORM DRAIN
N PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE;The parcel lines are only graphic representations DATA SOURCES:Planimenics(man-made features)were interpreted from 1995 aerial photogmphs by The James
1"=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted ham 1989 aerial photographs by GEOD 0 UTILITY POLE n TOWER
w r. 0. 15 30 National Me Accuracy Standards at this do not represent actual relationships to physical objects Corporation.Planimetria,topography,and vegetation were mapped to meet National Map Accuracy Standards -0 LIGHT POLE o ELECTRIC BOX
1 INCH=30 FEET* enlarged sco e. on the map. at a scale of 1"=100'. Parcel lines were digitized from FY2004 Town of Barnstable Assessors tac maps.
Assessor's office(1st Floor): �f �^c ? N.
Assessor'sinip dnd'1ot number 777- / 9— D 9 f '.' t `TME T
. 7 Qv° `
Board of Health(3rd floor): O.1�. �'" '"� s�t.
Sewage Permit number, t WO room
��+
1 BAB3ST"LL,
Engineering Department(3rd floor) i / , C�, ® ���`�� 6� rasa
House number °°�'b30- \®�'
Definitive Plan Approved by Planning Board 19 o Yav d
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 CO a
TYPE OF CONSTRUCTION wood Am 2-
No-ue /3 19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location /�l duckt w'd 01-1pe,
Proposed Use t^u(r
E Zoning District /°1 f✓ Fire District
Name of Owner RC,CId/1 J J 7-ur y Address /CQ f Rue C� Of f�, /5�G/cL/.LyCC- � 2hi,
Name of Builder IQ t SZLIf/,P-t- Address G/ goekajaad 0t, lkauw5z
Name of Architect Address
Number of Rooms '-' Foundation pre- ra,!5
Exterior TE'�( uY�° /-ll V 426,0 >1 J'/ /?q1,e5 Roofing Q,5D)WO
Floors (�l1Yl C��7 e� Interior
HeatingU? Plumbing
Fireplace GLt Approximate Cost 411 'toe), UU
Area J
Diagram of Lot and Building with Dimensions_ ___ _ -----Fee_
a
' 3
���-�•G--�,�,— Q g _ _ � '�, , tea
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' Of CUPANCY PERMITS REQUIRED FOR NEW DV'1ELLINGS
P
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.
Name 0604
Construction Supervisor's License
_ ti b
SZURLEY, RALPH J.
No 33360 Permit For Build Garage
Accessory to Dwelling
Location 161 Buckwood Drive
Hyannis
Owner Ralph J. Szurley
Type of Construction Frame
x
,u Plot Lot
.v. Permit Granted November 14 , 19 89
Date of Inspection 19
-21,9�Date Completed19 {
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TOWN OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please print.
DATE =?'
JOB: LOCATION
- �.�<a,►" �/.�//mil
N.Um er Street address e_ o town
..HOMEOWNER"
Cam''
ame �t
ome phone Work phone '
PRESENT MAILING ADDRESS Z ,�.�o � ,��
+es�, ity town state-
ip co e
The current exemption for "homeowners" was extended to include Owner-occupied.
dwellings. of six: units .or less an o allow such 'homeoWners to engage. an..in-
ivi ua for hire Who does not possess a license; provided that the owner
acts' as supervisor. (State Building Code Section .
!DEFINITION OF HOMEOWNER:
;Person(s-) who owns a parcel of land on which he/she resides or intends to re--:side, on which there is, or is intended to be, a one to six 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 ,Officiel,
on,a. form acceptable to the Building Official,
;for' all. such work performed under the bui-iding that he/she shall be responsible
permi ec ion109.1--TT-
The undersigned "homeowner" assumes responsibility for compliance with the State
:Building Code and other applicable codes, by-laws, rules and regulations.
:The undersigned "homeowner" certifies that he/she understands the Town of
Barnstable Building Department.%inimum inspection procedures and requirements
!and .that he/she will comply with said procedu es and requirements:
HOMEOWNER'S SIGNATURE pE <
APPROVAL .OF BUILDING OFFICIAL
Note: Three family dwellings 35,000 cubic feet,``or ,larger, will be required
.to comply with State Building Code Section 127.0, Construction Control .
�/ • VV
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HOME OWNER'S EXEMPTION
The. Code state that : "Any Home Owner
Permit is required shall be exempt
for which a � bullding
p provisions of this section
(Section 109.1 .1 — Licensing of Construction Supervisors) ; -provided that if a
"Home Owner engages a persons) for hire to do such work, that such Home Owner
shall act as supervisor. "
Many Home Owners who use this*exemption are unaware that the are
the responsibillties of a supervisor (see Appendix Q, Rules andRe ulatming.
for. Licensing Construction Supervisors, Section 2.15) . This lack of w
g. Ions
::; often results In serious problems a artiness
Unlicensed Particularly when the,, Home Owner hires
Persons. In this case our Board cannot"=proceed against the
unlicensed person as It would with licensed Supervisor.. The Home Owner acting
: .as supervisor Is ultimately rqpppn.slble.
To ensure that the Home. Owner Is fullyaw
communiti many
are of his/h
es require, as part of the permit application,rethatsthei'HomeSPOwner
certify that he/she understands the responsibilities of a supervisor . On the
last+'page of this Issue is a form currently used by several towns. You may
care to amend and adopt such a form/certification for use in your communit y
Y
Weyerhaeuser De,.IEenter
HIncklex Home Center
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Assessor's office(1 t Floor): � �y � 61 � `T�f t
Assessor's map and lot number / �o
Board of Hearth(3rd floor):_-�-��
Sewage Permit number 6 wp ��"t l o cate ZA A1e 0(-', Beaa9 rsnLL, I
Engineering Department(3rd floor): / Q rues
House number / / `�' °° '639-
Definitive Plan Approved by Planning Board 190 ypY d
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00 2:00 P.M.only a
TOWN OF ByARNS.TABLE
BUILDING INSPECTOR ;
APPLICATION FOR PERMIT TO Ladd( /d clo f o l/'o-
TYPE OF CONSTRUCTION
199
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according
/to the following information:
Location //11
Proposed Use 4i
,kf UCH'1 n l 5
Zoning District �� � ` Fire District
Name of Owner /A l �l �, ) G�(�f t Address �Cc l (�l�C�6u oe C 3r i 4au W<z 11 et'
r L C
Name of Builder 1C!�r�/) J, �J71.!(��f/ Address &/ SLrckwood Dt, /Y</oC u15—, X0.
r
Name of Architect. /Ifow e Address
Number of Rooms 'Foundation are ros�-
Exterior TP3(ti r r e /~l I It ad o d .5/+�/1 ��S Roofing /S Q 11Gt T
Floors ���f/"N�' Interior
r
Heating 11 ffll P Plumbing
Fireplace /( >`I�.4 D Approximate Cost
xi
Area
Diagram of Lot and Building with Dimensions Fee
-J
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i
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o
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i
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OC.CUPANC `PEAMITSFiEd IRED r0MP.4EW DWELLINGS
I,hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.
Name. v'
eP4
Construction Supervisor's License
s
SZURLEY, RALPH J. A=272-029
0?
No 33360 Permit For Build Garage
q
,Accessory to Dwelling
• 3
�-�-Location 161 Buckwood Drive
Hyannis
Owner Ralph J. Szurley
Type of Construction Frame
Plot Lot
Permit Granted November 1 4 _ 19 89
Date of Inspection 19
Date Completed 19 `+
4
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Weyerhaeuser OesignCer,lhr
Hinkley Home Center
Hyann I s,Ma 508-115-0100
61
m
I'10
91 -
1316,
24' -- 24'
LL
m in in m_
S T
Legend Header —Stud _I'late _,,Rafter •],,Gable
I---1Ratter span
1---401 stance to stud ou is l,,le edge from etud outs l de edge Innovls Interactive Technolo9les
Site Description: You selected 70 MPH High Wind and 30 PSF Roof Load. You need to provide a
foundation with anchor bolts spaced no more than 36" apart and holdown hardware at each opening
or corner.
Garage Roof: You selected Rafter construction, with a 10' Interior Height,
no Overhang, and 6/12 Roof Pitch.
Roof Rafters and Wall Studs: Set rafters and studs 16" center to center.
Use 12 nails for each rafter to ceiling joist and ceiling joist splice connection.
Be sure to follow the Garage Construction Details available from your store salesperson.
WARNING: BUILDING A GARAGE REQUIRES SKILL AND EXPERIENCE WITH LARGE STRUCTURAL ASSEMBLIES AND ROOF CONSTRUCTION. HANDLING THESE MATERIALS AND
WORKING AT HEIGHTS IS DANGEROUS. IF YOU ARE NOT FAMILIAR WITH SAFE BUILDING PRACTICES FOR SUCH A STRUCTURE, GET HELP FROM A COMPETENT BUILDING
CONTRACTOR.
THE SUGGESTED DESIGN IS NOT A FINISHED BUILDING PLAN. THE SUGGESTED DESIGN IS NOT FOR AN ATTACHED GARAGE NOR IS THE GARAGE INTENDED TO BE
INHABITED. YOU ARE RESPONSIBLE FOR ALL MEASUREMENTS BEING CORRECT, FOR VERIFYING THAT THE SUGGESTED DESIGN MEETS ALL LOCAL BUILDING CODES AND
REQUIREMENTS, FOR VERIFYING THAT THE SUGGESTED DESIGN IS CONSISTENT WITH CONDITIONS AT THE CONSTRUCTION SITE, FOR PROPER CONSTRUCTION AND USE
OF MATERIALS, AND FOR THE COMPLETED STRUCTURE. CHECK THE SUGGESTED DESIGN WITH YOUR ARCHITECT.
THE SUGGESTED GARAGE DESIGN REQUIRES SPRUCE-PINE-FIR LUMBER.