HomeMy WebLinkAbout0019 ERIN LANE v �, :�.L �.�-
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Town of Barnstable BuildIl
thi r u7, be Ke tM` a
.
vsT Post This Card So That rt is°Visible" don°Job and s Ca°d M st p
From tltie Street Approved`Plans Must be Retame
�$ Posted Until Final Inspection Has Been Made M�,s _ � ,,, p . gr,E ;. 4 v :�,:N ,,. as •w TMj� ne
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raa�' Where a Certificate of Occupancy is Required,such Building shall.Not be,Occupied until a.Final Inspection has been made
Permit No. B-20-2414 Applicant Name: Steve J Spengler. Approvals
Date Issued: 08/28/2020 Current Use: Structure
Permit Type: Building-Solar Panel-Residential Expiration Date: 02/28/2021 Foundation:
Location: 19 ERIN LANE, HYANNIS Map/Lot: 291-_0.17-010 Zoning District: RB Sheathing:
Owner on Record: CARNEIRO,JOAO M& IVONE L Contractor Na m�ISTEPHEN J SPENGLER Framing: .1
Address: 19 ERIN LN Contractor License: CS`-,071546 2
HYANNIS, MA 02601 y Est. Protect Cost: $7,040.00 Chimney
:
Description: Installation of roof mounted photovoltaic solar systems, 10 panels Permit Fee: $85.90
3.25kW Insulation:
Fee Paid: $85.90
Project Review Req: Date: 8/28/2020 Final
Plumbing/Gas
Rough Plumbing:
ink icia
This permit shall be deemed abandoned and invalid unless the work authorized by thi5permitis commenced-within six months after i an Final Plumbing:
All work authorized by this permit shall conform to the approved application and the approved construction documents for which th!s permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for pudic inspection for the entire duration of the
work until the completion of the same. !' Final Gas:
The Certificate of Occupancy will not be issued until all applicable signatures by the Building-and_Fire_O.ff-icials-are provided on this permit. Electrical
Minimum of Five Call Inspections Required for All Construction Work:
1.Foundation or Footing 1 Service:
2.Sheathing Inspection f
3.All Fireplaces must be inspected at the throat level before firest flue;lining is installed �_- Rough:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
Final:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation
7.Final Inspection before Occupancy Low Voltage Rough:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final:
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 IVIGL 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:
F_M�TL S E�,T
fj Town of Barnstable CZerrmitit f:)C9 6 3 q
Expires 6 mont!s� n issue
Regulatory Services Fee
• BARNSTABLE, «
' � Mass. Richard V.Scali,Director
1639. ,�
A�FD LtAA't A
Building Division
Tom Perry,CBO,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not valid without Red X-Press Imprint -
Map/parcel Number
/
Property Address / L Pj 1q t S
024 residential Value of Work$ 0 O ` .Cl V Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address � d A 0 _A 6 l V 15 / A 0
/ f'l II N Lily H Y '`14[u
Contractor's Name V w-yzz� '`a Telephone Number 4 �
Home Improvement Contractor License#(if applicable) t " , f Email: y`l�� g�.��� ,CCU
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
PRESS
Chef am asole proprietor ® PERMIT
❑ I am the Homeowner J p!1 N 12
❑ I have Worker's Compensation Insurance '�I® ®�o��
Insurance Company Name TOWN OF BARNSTABLE
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Reque eck box)
Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to V MAU Uo",tj1z`(L L
t ,
❑-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 Ow er Letter of Permission.
A copy of the Home Improvement Co tractors License&Construction Supervisors License is
required.
SIGNATURE: I�()�a V
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 061313
` 11
Town of Barnstable
Regulatory Services
saxxsrwst.s.
y Mnss. 8, Richard V.Scali,Director
i639..39. �0
" 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 Builder
as Owner of the subject property
hereby authorize l7F. (' 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.
Signatur of Ownergig-nature of Applicant
0013 N) R r 0 C4 �UCr
Print Name Print Name
0061-
Date
Q IORM S:O WNERPERMISSIONPOOIS
i
Town of Barnstable
Regulatory Services
Richard V.ScaIi,Director e"
°^ Building Division
Tom Perry,Building Commissioner
brass.
1639• ��� 200 Main Street, Hyannis,MA 02601
ATEO MA't a
www.town.barnstable-ma.us
Office: 568-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER':
name home phone# work phone it
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow
homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-
family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered a homeowner. Such"homeowner'shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section
109.1.1)
The undersigned"homeowner'assumes responsibility for compliance with the State Building Code and other applicable codes,
bylaws,rules and regulations. _
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
procedures and requirements and that he/she will comply with said procedures and requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code
Section 127.0 Construction Control. -
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt
from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner
engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor
(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often
results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot
proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page
of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in
your community.
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 061313
r —
•s
Tfie Commonwealth of Massachusetts
U Department oflndiatrialAccidents
Office of Investigations
600 Washington Street
Boston,Mt102111
lvivip.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Ailplicant Information Please Print Les7ibIv
Name(Business/Organizatic)mindividual):_
Address: P10- go X- L'G/
City/State/Zip: k"t Phone
Are you an employer?Check the appropriate bqx: Type of project(required):
1,ClI am a employer with 4, 1 am a general contractor and.I 6. El New construction
employees(full.andlor part-time).* have hired the sub-contractors
2.❑ f am a sole prcpridtor or partner- listed on the attached sheet,t 7. ❑Remodeling
ship and have no employees f These sub-contractors have 8. ❑Demolition
working for me in any capacity, workers'comp,insurance. g Building addition
(No workers'comp.insurance 5, ❑ We are a corporation and its 10.C1,.Electrical repairs or additions
required.) officers have exercised their
3.El I am a homeowner doing all work right of exemption per MGL I LEI Plumbing repairs or additions
myself.[No workers'comp. c.152, §1(4),'and we have no 12.[]Roof repairs
insurance required.]t employees.[No workers' ME]Other
comp,insurance required,]
*Any applicant that checks box#1 must also fill out the section below shoving their workers'compensation policy information:
t Homeowners who submit.this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such.
tContmctors that check this box must attached an additional sheet showing the name of the sub-contractors and their Markers'comp.policy information.
I am an employer that is providing workers'compensation insurance for my employees: Below is the policy and job site
irrformatlon,
Insurance Company Name:
Policy#or Self-ins.Lic,#: Expiration Date:
i
Job Site Address:4 / q %Yi it{p � � City/State/zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date), 4
Failure to secure coverage as required under Section 25A ofMGL 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 fore 1
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be fonvarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certplri der the pa s and penalties p u that the Information provided abo a is true and correc4
Signature: D
Phone �4 Co G 3- (�
Otjlelal use only. Do not write in this area,to be completed by city or town offkiaL 4
City or Town: n 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#t
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,constriction 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 orlocatlicenshig 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 '
t
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 thew certificate(s)of
Insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the 4
members or partners,are not required to'.carry workers'compensation insurance. If an LLC or LLP does have f
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 subinit one affidavit indicating current
policy information(ifnecessary)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 now affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture.
(i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The.Office of Investigations would like.to thank you in advance for your cooperation and should you have any questions,
i
please do not hesitate to give us a call.
ti
The Department's address,telephone and fax number, '
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Wgshington Street
Boston,MA 02111
Tel.#617-727-4900 ext 406 or 1-877-MASSAFE
Revised 5-26-05 Fax#617-72777749 :
www,mass.gov/dia :
Office of Consumer Affairs&&Business Regulation 1 License or r.egistration valid for individul use only
OME IMPROVEMENT CONTRACTOR i beforeAN'i expiration date. If found return to:
egistration: 976fi, Type: Office of Consumer Affairs and Business Regulation
Exairat on c =8/28/2�1 , DBA 10
® .Pai k Plaza-Suite 5170
�`VEBB CRAFT DESIGN ~``',. Boston A OZIa '.
DAVID WEBB
25 MEADOW VIEW DR, f
EAST FALMOUTH,MA 02536
Undersecretary Not valid without signature -
v ..`Massac
husetts -Department of
Board of Building Re Public Safet
Cina�i uc
gulations and Stangar Y
' License: CS
-046189
DAVW 17 'EBB!
32 F.R Y illie IBoad
""Woods Dole MA 02543
Commissioner Expiration ,
10/29/20.16
RAN 0
GRKER
p^ g
Yoo`�oa o�
Atlantic Charter Insurance Co
mpany VDAC
NCCI Co. No.,:29211 Policy Dumber: WCV01168000
I. INSURED: Prior Policy Number New
Robert F. Tyndall.
Producer:
80 Brigantine Avenue O'Brien
s Centerville insurance
Osterville, MA 02655- federal ID:Number:174560293 Agency, Inc
Risk.ID Number: PO Box 610
Ile Centervi
Business Type: Individual 6 MA 02 32
SIC:9999 NONCLASSIFIABLE ESTABLISHMENTS
Other Named Insured: See WCE106 Other Work Places: See 1NCE107
.2. POLICY PERIOD The Policy Period.ls'From: 7/11/2014 To 7/11/2015> 12.01 A.M: Standard Time
at The Insured Mailing Address
. 3. COVERA►GES;
A. Workers Compensation.Insurance: Part One of the policy applies,to the Workers Compensation Law of.the states liste
here: MA
B. Employers Liability Insurance: Part Two of the policy applies:to work in each state listed in item 3A. The limits of our
liability under Part Two are: Bodily Injury by Accident $ 100,000 each accident
Bodily Injury by Disease $'. 5001000 . policy limit
Bodily lnjury..by Di'sease $ lob 000 each employee
C.; Other St6tes'Insured. Part.Three of the policy,applies to the states, if any, listed.here:
COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B
D. , This policy includes these endorsements and schedules: ,
- See WCE105
4. COVERAGES: `' The premium.for.this policy will be,determined by our Manual.6f Rules, Classifications; Rates &-
Rating Plans. All.information required below is subject to verification and change by audit.
Cade Premium`Basis Total Rate Per Estimated
Classifications Estimated Annual $1.00 of Annual
: °'' Remuneration. Remuneration Premium
See WC.00 00 01 .:
Minimum Premium: Deposit Premium:`:
$500
Interim. Adjustment 'Annually
S Estimated Premium` Minimum_Premium
Servicing Office:, - � ) $500
25 New Chardon Street
Boston, MK02114-4721
Issue Date .07/01/2014 Countersigned, I-,V:'
I
Cnmvriaht 19f37 iJ.ationrl ouncih 1-1 r111
.:...r:,..:.. .• Y ,..: ,: _ , a _ <;�1 6. Via" ,,y.t:"L. u...�r. ^;•ra.-1?;
' as ry: L i •.4i ^ "� �i o4 t .A
e
TOWN-'OF BARNSTABLE
Perm it No 25793____-------___
31A"STam
Building--Iiispector
Cash
.639
00 OCCUPANCY PERMIT Bond --------
X-�vT . .
Issued to Old Stacre. In.Ce Address
Tr,i*- i.n IQ -iT4-4 n T.mno mr=nn4 c
Wiring Inspector--,,.A � Inspection date ,
Plumbing Inspector"f _ �� Inspection date
Gas Inspector A110 •� Inspection date
X Engineering Department /.�ii�i l�f'I/G� ✓/ � L Inspection date"t ^..tF /
Board of Health Inspection date
THIS PERMIT WILL NOT BE VALID AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR- UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
N BUILDING CODE.
.......................................... 19...... .......................:........................Q ........ .. ..... „:„.. ...
�� � Building Inspector
F ' `FROM
' TOWN OF BARNSTABLE
�} BUILDING DEPARTMENT
Mr. Eranca.s Lak�teir�e 67 MAIN STREET HYANNIS, MA 02WI
Tt*m Clerk
€'horse; 7751120
SUBJECT:
_ FOLD HERE
_DATE . -
may ., MESSAGE
Work has been�cx jetW _Permit {j}('� 253 3/ 25314 (R WSJ C�onstrul�t )• : g ' F�F'Ir'��E'!s i'�W Y•' .�F7',n�.. i«an' . SFNt Ip. {T eY s.4
d #Is 2579 ; 93 3 f 0 d tgt4cje
IW
- SIGNED
DATE - - - -J
REPLY (�/#
♦ SIGNED
Ne7•RMI RECIPIENT: RE.TAIN,WHiTE COPY,RETURN.PINK COPY
'• . • - - PRINTED IN U.S.A.
SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH;CARBON INTACT.
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_ q s
r _ �Asseb'�or's map and lot number ., :... ........ �...
. GG
.. THE tp�y
Sewage Permit number 6 3 .................. fi:r �, l :11 MUST V �
' .� •. i..`,.� Y"(�t:..LL.'1 i:Lr 'v�.i��•-.. wit Y : �
BA"STABLE i i4•
House number t :`: i L :. s� Mbs9
1 .............................. r
,sue,
'VMONMENTAIL CODE ft�'�J 'FOMPYAr.
TOWN OF BA�1� INS�T�ABALE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .......:...( ".. . ... . . ...... ��? !G�KA ..................................:..........
TYPE OF CONSTRUCTION .............:..... ................... ....:....... ........................
(�... ?...�`'.`.�..............t9.. 3
TO THE INSPECTOR OF YBUILDIN'GS: `.., �- r_ ;'` :.. ti '•`r .`
The undersigned hereby applies for a permit according to the following information:
Location ....... .... :..... . ...............................................................................................................................
ProposedUse .......��6&.....A r✓N t!. ..�!�........................................................................:..................
ZoningDistrict ...................Rb.............................................Fire ,District .......#j. Nu(S.................................................
Name of Owner ...... ................Address ........k;..:40AV-4?CO...............................
Name of Builder ............... ...................................Address ....................�!A-..!... ...............................................
.. ... ........
Nameof Architect ..................................................................Address ............... ...........................................
Foundation n
Number of Rooms .................................................... .......,�bd�r.�-c_st.�!/,.............................................
Exterior ......../ p46-M,
•...........................................Roofing .......... ./. ... ........ . ..............................................
FloorsC. . .... ........ ................Interior ........ ................................................. ............:....
` Heating .......�T....... ...s�.-�C...................Plumbing ......... .. 'l`�Y-....................................................
Fireplace ............................... ............. ............................'Approximate. Cost ........130 :........................................
'Definitive Plan Approved by Planning Board ------------______-----------19_______. Area ....... v ................
.......
Diagram of Lot and Building with Dimensions Fee r�
p r9
..... .. {y..............................'nn
SUBJECT TO APPROVAL OF BOARD OF HEALTHY l
L�
lot
ry
s''s—
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of B•instable regarding the above
construction.
Name . ... .......... .... ...... . 1/y
/
3 .....................
�� , ...
Construction Supervisor's License ....................................
STAGE, INC.
N� ..25793............... Permit for .... ..........
Single Family
....................................... .. .............
Location ....... ........
............ ......
..................................... ....
IIIOwner' ..Old...§�tagq...IXlq.............................
Type.of Construction .......Fr.aMe.......................
4.,
...........!.... \ I
.................................................................
Plot .......................... Lot ................................
Permit .Granted ...November 18 .....19 83
........................ ...
ti
Date of Inspection.....................................J9
Date ir 19 C npleteO~' .....15.............. .......
%
Assessor's map and lot number ... .q�."..:�.7.`� ......
014 -OAC. Py�FTHETp``4
Sewage Permit number ........ 5..`. ® �. d� o�
........................
SEPTIC SYSTF-M MUST BE t EARISTAIILE.
House number ..... .. ............................................:......... a
'STALLED IN Ct3lii PLiANCE 'op Mb 9.
WITH TITLE 5 �0 ypY a
TOWN OF BARiNiS-,jTvA�Bb�� � � A��
TO .
BUKDIHG INSPECTOR
APPLICATION FOR PERMIT TO ...... . ..... .. Y..G..n.... LX./J..... ...!.......... .................
TYPEOF CONSTRUCTION ......... a.0...................`.......................................................................................
} ...............�.....�P...................19.. ?
TO,;THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .....�.�f.... r �� ...... ......... .................................................................................................
ProposedUse ..... �'. �"!J�? '»..5.... ... ... !?:.....................................................................................................
ZoningDistrict . .................... ........ ....... ... ./ ..........Fire District .. : b ...........................................
Name of Owner G. . ...:........ . .... ..... - ..................Address f.. '1.�............
Name of Builder e....4.10y...d............................Address
Nameof Architect ..................................................................Address ....................................................................................
Numberof Rooms ................d................................................Foundation ..............................................................................
Exterior .... !?. `!/.../l.I........................................................Roofing ..... ...�-, -�f7. .1 .................................................
.l /< <!�' Interior � �' G26 r
Floors ...... ..... . .................. 4/ :?!4/
L
Heating ..................................................................................Plumbing ... �?.U.IV. �f. 1Z�Si. L.......................
Fireplace .........../:,l0............................................................Approximate Cost /� QOU
...... .. .... ...................................................
Definitive Plan Approved by Planning Board -----------____---------------19________. Area_ O!..�.. °xo `.................
Diagram of Lot and Building with Dimensions Fee / .. .........................
SUBJECT TO APPROVAL OF .BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name . .............................................
Construction Supervisor's License ���`�a 3
NADEAU, ROBE17
No '..2.7.8.45.. Permit for ....Build Dormer's..............................
Sing1p..)�amijy...I�W!�ft)jiaq.............
................ ........
Location .......1p...Erin ...!�Ly..........
kl.Y.41in.i S JA
Owner .........Robert Nadeau
.........................................................
Type of Construction .....D;�4MQ.......................
..........:.......... .....................................................
Plot .:":....................... Lot ................................
Permit Granted ..... .................19 85
Date of Inspect 19
Date- Completed 4U .......................19
Assessor's map and lot number. .............
%THE TO
41QV
.'Sewage Permit number ... ..............1.....4
....
BARNSTABLE.
House number .... ...19................................................... NAM
1639-
TOWN OYF 13ARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ............cia-4-kA"A".70......
TYPE OF CONSTRUCTION .......................(AD049A)....:12A,0�; ......................................................................
................
................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ........ /0
............................................................................................................i.................................................................
gdt ...Proposed Use ......... 4A . . . ............................................................................................
...�M ...... .. ..
Zoning District ..................;RjV ..............................................Fire District ......A&4mh,.(�s..................................................
0
Nameof Owner ......0/,X :..................Address ........ ............................. ........................
Name of Builder ....................................................................Address ....................S,�
...............................................
Nameof Architect ..................................................................Address ....................................................................................
e-21
Number of Rooms ......................... ........................................Foundation ....... C-0
...........................................Roofing .......... -rin.47a.............................................
Floors ....... .............................Interior .....................0 ....... ...........................................................................
Heating .......!41y...Li ...................Plumbing .........../... �*ff=.........................................................
Fireplace ................................................................................Approximate Cost ........tl` .........................................
Definitive Plan Approved by Planning Board ------------------------------ Area ....... ................
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH;
,Y)
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. X.
Name ..... ........ .............. .......Z,/ ........... .............
Construction Supervisor's License ....................................
OLD STAGE, INC. A=291-17,aL4n
No ..25.793.. Permit for 1 2 Story
Single Family Dwelling
.......... .................................................................
Location ,Lot 10, 19 Erin Lane
...............................................
Hyannis
........................................................
Owner ..,Old Stage, I.nc.
....:............................................
Type of Construction Fra.me
....... ..............................
................................................................................
Plot ............................ Lot
November 18, 83
Permit Granted .. .....................................19
Date of Inspection 19
Date Completed ......................................19
� 5 1 �
. �J r
Assessor's map and lot number ...........................o'�..��C
OF 7 E t0
Sewage Permit number. t�i3 " 1a g 4 e�Q ♦�
_................. ......................
Z BAWSTADLE, i
House number .....��. ............................................. yO MABa
'i►, - 0 MAX 0r'
TOWN OF BARNSTABLE
i
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ....... si t�� % �.�:`.. .. .................
TYPE OF CONSTRUCTION .......4 .. .0 ........................................................C........................................
..... ...... .............19..! 5
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ... .. . /!!?..... �,f .. ,�? I? �r .................... .................................. .. ...............................
{ .
Proposed Use �We e
f. .................. .................... ......... ............................ .. ..........................................................................
Zoning District ....:..............: .....Fire District
Name of Owner .04'.' :. .�i'„c?�'',dGc_.....................Address. ��� 7�:.s�.fl�>��. r �f 'f :...........
j
Name of Builder �.`..C'✓�' .P.....� li4i V .............Address
Nameof Architect ..................................................................Address ................ ...................................................................
Numberof Rooms ................. ..............................................Foundation ..../............................................................................
Exterior ....�.J.�?./�at..�� .r.......................................................Roofing .....;fir'„T7,'z .................................................
l
�X'LfJGel u'/ .. Interior :�.�./fie"Y, �� ::/ �.. /.� 1�r'�.
Floors L....:.:.:................................................:.............. .......
,
Heating g 9ii%t "f ¢' ✓ �. � .:.....................
F/
Fireplace j xr Approximate Cost G ��... ........................................ ... , ............................................................
r .
Definitive Plan Approved'by Planning Board ----___________/_---- ---------1 9--------. Area .'K �..' .................
Diagram of Lot and Building with Dimensions Fee /.........................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
P
r
}
{
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
` I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .................................................
Construction Supervisor's License �:j ,�: .
278�� �� Build Dormer
�o -----.. rwrmh for ---.—_------..
Single Family ZwneIl ' u
--------------.---.-------- '
Location ....l9—Lri��_W�xv__.......................... ^
______ is...........................................
Owner —.. ...D/ad���________..
Type of Construction ..F����.--------..
��������������������������.
Plot ............................ Lot -------'
'
. '
Permit Granted —.D8av..�ir,------]V 85 .
Date of Inspection ....................................19
" Doh* Completed ------------'lV '
�
�
�
,
-
�
, .
' ^
. .
-
.. .
_
-
'~
. .
. .
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
5:1 I
Map - Parcel O/ 7. 0/6 Permit# 7 /
Health Division 3 gVLX—A10-0N;% Date Issued
Conservation Division co Fee
Tax Collector
Treasurer tOI S' PTID ° �F BE
Planning Dept. `�° TAIL. � PLIANCE
Date Definitive Plan Approved by Planning Board 7WIRONMEMAL CODE AND
TOWN REr,
Historic-OKH Preservation/Hyannis
Project Street Address
Village�r,�►� ��
Owner a rhal b5, (. n-In P s tn.NI4 Ci "mac Address cl �'��it,. S1 1.
Telephone 6 ^�[
Permit Request lJ Ito X 2—Co
A/6 ke-� 61222 hd�,Z-,,&�21
awl
Square feet: 1 Aloor: existing78'0 proposed V/16 2nd floor: existing 78 e, proposed 5'1 G Total new
Estimated Project Cost q 7940 Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: 0 Yes O No If yes, attach supporting documentation.
Dwelling Type: Single Family Q` .Two�Family 0 Multi-Family(#units)
Age of Existing Structure "O e-) • Historic House: ❑Yes ❑No 'On Old King's Highway: ❑Yes ❑No
Basement Type: " II ❑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 C9'Oil ❑Electric O Other
Central Air: Cl Yes (214 Fireplaces: Existing New Existing wood/coalrstove: O Yes 0 No
Detached garage:O existing ❑new size Pool:0 existing ❑new size Barn:0 existing O new size
Attached garage:❑existing 0 new size Shed:0 existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial Cl Yes ❑No If yes, site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name ����'°, Y Telephone Number
Address License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE4,— DATE _ • 13 ,OZ'
1 i
FOR OFFICIAL USE ONLY
PERMIT NO.
IF
DATE ISSUED
MAP/PARCEL NO.
ADDRESS , ' VILLAGE
OWNER
DATE OF INSPECTION: " f
FOUNDATION ''
FRAME
INSULATION - Fr
FIREPLACE
ELECTRICAL: ROUGH FINAL '
PLUMBING: ROUG '� :. FINAL
GAS: ROUG 3 FINAL
FINAL BUILDING
DATE CLOSED OUT jr,
ASSOCIATION PLAN NO. C7
rt
,Z
��_ _ — The Commonwealth of Massachusetts
. n- - - Department of Industrial Accidents . '
?I - ._ O///CC Of//IYBSI%g8�0/IS
.. -- 600 Washington Street
__:`..,. Boston,Mass. 02111
Workers' Com ensation Insurance Affidavit
%/////l4/l!/!�////////% /A///////////////////////////////////////////////////////////////////� ///////// ///" /���jjjjjjjj/////����������������������������
name: 1 l , ,k j QL 11 , S C.,, (� M Lhi ,L, Ct vLG
location: 1-0` . J�rt L.r)
citv A baa_Cn o I phone# R'',Q- f'3(,e& _
❑ I am a homeowner performing all work myself.
❑ I am.a sole r netor and have no one workin in ca achy
%%%%%%%%%%%%% /%/%%%%/%//////�///%///%%%%%%/%%/ %///%%%/%/O/%%%%%%%%%%%%��/��%%%/////�%%�%%%�%%%/���/G%%�%%/�%////
❑ I am an employer providing workers' compensation for my employees working on this job.
.
:,.::. ..
1.o an name::: : ::.; .:*::;:::>::>:::..<...........::. ..........:;
C mp V ...:.:.
.;::.. .:.::.::;
addressc ::::.::.::......::.:::...:.::.;:...:::.::.;::::::. .:;.:.::.::::.::..:.;.::::.:.;;:.;.:.;:.;.>;;::::.;:.;:.:.:;:.:;.;;>:;;;:.;:.;::;:.
c
phone#:.:: .:
tpsprance co. . : ..:.:
..... mle #. :.:.::::::.:..:
❑ I am a sole proprietor, general contractor, or homeowner( ' c1e one)and have hired the contractors listed below who
have
the following workers' com ensation olices:
:
>.:
Com anv name:;:
address..: :.::.:.::....:...:.: ;...;....:::%::::<.::•:::>:.;
rL
rlty'
;:.:: :.::.::: ::::: :::::.:::::::::..:x.:..:::::::.. ::...
:._ pone >>'
::..:.:..:::.;:::.:::.:::.:::....:...:::.::.::::.................... .::.................................... .......::::.....
nsnrance ca _..: .:.. .. _:: ohcvC::: ::.
e:;;;>:
:..
CUDtP<::;:;all� R the X.�` �: :` : ::: ?::::`:::":: � ` ' :::::::: ?- '� ':::: ' :::::::::::: :: :::�':
V .. . ........ .. . ....... _. .......
.X.:.—::
address:
cttvi
. .. ;.,.. ............ ........ .... ...
:::::.;::..%;::.:.;:.;:.:;:::.::.::.
..........:..:.:.. .:::.
. .:.:::::::::::.::
4.
.............................. .............:...
prance co:n�.
::.:;:..
:.
�/
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification
I do hereby certify under the pains and penalties of perjury that the information provided above is truo and correct
Signature Date / - ?"Do
Print name Phone#
official use only do not write in this area to be completed by city or town official
city or town: ' permit/license# ❑Building Department
❑check if immediate response is required ❑Licensing Board
P q []Selectmen's Office
01,01011111,
. ❑Health Department
contact person: phone#; ❑Other
(revised 9/95 PIA)
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law", 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 section 25 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,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 in the workers compensation affidavit completely,by checking the box that applies to your situation and
supplying company names, 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 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.
City or Towns
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. The affidavits may be returned io
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of invesugatlons
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406, 409 or 375
M CAR App=Wis!
TableJS-2.1b(condoned)
Prescriptive Packages for One and Two-Family Residential Buildings Heated with Fossil Fuels
MAXIMUM MINIMUM
Glazing Blazing Ceiling Wall I Floor I Basement Slab Heating/Cooling
Arta'(OK) U-value` ft-vaitte' R-value' R value' Wall ft=.ter EgWpmm Eflicicrcy'
PackaII_e R value` R valtW
5701 to 6500 Heating Degree Days'
Q 12% 0.40 38 13 19 10 6 Normal
R 12% 0.52 30 19 19 10 6 Normal
S 12% 0.50 38 13 19 t0 6 83 AFUE
T 15% 0.36 38 13 2S N/A N/A Normal
U 15% 0.46 38 19 19 10 6 Normal
V 15% 0.44 38 13 25 N/A N/A 85 AFUE
W 15% 0.52 30 19 19 10 6 8S AFUE
X 18'/e 0.32 38 13 25 NIA N/A Normal
Y 19% 0.42 38 1 19 25 N/A N/A Normal
Z 19% 0.42 38 13 19 10 6 90 AFUE
AA 19% 0.50 30 19 19 10 6 90 AFUE
1. ADDRESS OF PROPERTY: ��_ v` /„ ,
A�rtnJ.
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-f980303a
s
780 CMR Appendix J
Footnotes to Table J5.2.1b:
' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and
basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall
area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement.
For example,3 ft'of decorative glass may be excluded from a building design with 300 ft'of glazing area.
' After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with
the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for
whole units: center-of-glass U-values cannot be used.
' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full
insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38
insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity
insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between
the conditioned space and the ventilated portion of the roof.
Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include
exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER
by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to
wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction.
'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements,
or garages).Floors over outside air must meet the ceiling requirements.
T}:e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must
me-t the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned
bv..iements must be included with the other glazing. Basement doors must meet the door U-value requirement
described in Note b.
7 The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs.
' If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more
than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest
efficiency must meet or exceed the efficiency required by the selected package.
'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a
NOTES:
a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels.
R-value requirements are for insulation only and do not include structural components.
b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested
and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value
in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the
glass area of the door with your windows and use the opaque door U-value to determine compliance of the door.
One'door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35).
c) If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with
different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to
the R-value requirement for that component. Glazing or door components comply if the area-weighted average U-
value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors).
43
°F THE' ti
The Town of Barnstable
• &6,RNSraet.e.
MASS. Department of Health Safety and Environmental Services
Eo;p�A�O Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Permit no.
Date
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
Address of Work: C t:v,yt L�v1 '1 6&!Ln1J
Owner's Name: !1 1 G�t�4 OL nQ S
Date of Application: 40—f 3 0 l)
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
E�6wner 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 Name Registration No.
Date O er' ame
f
I
q:forms:Affidav
ARTICLE XLVII. REGULATION OF WASTEWATER DISCHARGE
Section 1 INTRODUCTION
1-1 Findings
The health, safety and welfare of the residents of the Town of
Barnstable and its neighboring towns are dependent upon an adequate
supply of pure groundwater. The Town's entire drinking water supply is
derived from groundwater, and the United States Environmental Protection
Agency has designated all of Cape Cod as a "sole source aquifer"
requiring special care and protection. The groundwater system is
internally connected with surface waters, lakes, streams and coastal
estuaries, which constitute important recreational and economic
resources of the Town. Contamination of the aquifer and related surface
water resources pose a serious threat to the health, safety and
financial well-being of the Town.
1-2 Purpose
The purpose of this article is to protect the public health,
safety and welfare by maintaining quality groundwater through the
regulation of the volume of certain wastewater discharges.
Section 2 GENERAL PROVISIONS
2-1 Prohibition
No person, company, corporation, entity, trust or firm shall
install a new individual on-site sewage disposal system which will
produce more than three hundred and thirty (330) gallons per day of
wastewater discharge unless in compliance with the standards established
by Section 3 herein.
2-2 Certification of Compliance/When Required
A certificate of compliance with this article shall be received
from the Board of Health or its designed prior to the commencement of
any activity regulated by Section 2-1 herein.
Section 3 STANDARDS
3-1 Maximum Allowable Wastewater Discharge
within 'Zones of contribution to existing and proposed public
supply wells, the maximum allowable wastewater discharge from new
individual on-site sewage disposal systems shall not exceed three
hundred and thirty (330) gallons per acre per day.
Zones of Contribution to public supply wells are shown on a map
entitled "Revised Groundwater Protection Overlay Districts Map" Planning
Department, dated April 1993, which is on file in the office of the Town
Clerk.
The Zones of Contribution to public supply wells were determined
by SEA Consultants Inc. in their report dated September 1985, entitled
"Groundwater and Water Resource Protection Plan, Barnstable, MA",
revised by SEA Consultants Inc. , September, 1989. The GP Overlay
District is also revised to include: the Zone of Contribution to the
West Barnstable well #15-75 determined by the Cape Cod Commission; and
the Zone of Contribution to proven future Barnstable Fire District well
L
#8-90 determined by Whitman and Howard, Inc. The reports and maps are
on file with the Town Clerk.
3-2 Additional Limitation/Certain Areas
In addition to the standards of Section 3-1 herein, within 2, 000
feet of existing and proposed public supply wells as shown on the map
entitled "Revised Groundwater protection Overlay Districts Map" Planning
Department, dated April 1993, the maximum allowable wastewater discharge
from a new individual on-site sewage disposal system shall not exceed
two thousand gallons per day, unless located outside of the SP zone to
the existing and proposed public supply wells. (Section 3-1 and 3-2
amended by item #94-059 on 12/16/93 - Barnstable Town Council)
3-3 Flow Rate Determinations
To determine compliance with Sections 3-1 and 3-2 herein,
wastewater flow rates shall be determined according to Title V of the
State Environmental; Code, subject to the interpretation of the Board of
Health.
3-4 New System Defined
For the purposes of this article, the phrase "install a new
individual on-site sewage disposal system" shall not include the
maintenance, repair and alteration of an existing individual on-site
sewage disposal system. However in no case shall the discharge of
wastewater increase beyond that present prior to such maintenance,
repair and alteration.
3-5
Any new system not in violation of the standards contained within
Section 3 shall be deemed to be in compliance with Section 3 .
Section 4 ADMINISTRATION
This article shall be administered by the Board of Health or its
designee by verifying compliance with the provisions established herein.
Within ten (10) working days of receipt of a request for a certificate
of compliance, the Board of Health or its designee shall notify the
applicants thereof as to the approval or disapproval of the request.
Upon determination that all provisions of this article are being met, a
certificate of compliance shall be issued. However, in instances where
an upgrading of an existing individual on-site sewage disposal system is
proposed, the Board of Health may require from an applicant evidence
that the proposed upgrading will not adversely affect the groundwater
quality.
Section 5 ENFORCEMENT
The provisions of this article shall be enforced by the Board of
Health or its designee, which may, according to law, enter upon any
premises at any reasonable time to inspect for compliance.
Section 6 VIOLATIONS
Written notice of any violation of this article shall be given by
the Board of Health or its designee specifying the nature of the
violation and a time within which compliance must be achieved.
l -
Section 7 PENALTIES
Penalty for failure to comply with any provision of this article
shall be three hundred dollars ($300.00) per day of violation.
Section 8. SEVERABILITY
Each provision of this article shall be construed as separate. if
any part of this article shall be held invalid for any reason, the
remainder shall continue in full force and effect.
Adopted November 7, 1987-Art.3.
Approved December 3, 1987.
Revised November 4, 1989.
Amended Nov. 1, 1990
MAScheck COMPLIANCE REPORT
Massachusetts Energy Code Permit #
MAScheck Software Version 2.0
Checked by/Date
CITY: Hyannis s
STATE: Massachusetts
- HDD: 5973
CONSTRUCTION TYPE: 1 or 2 family, detached
HEATING SYSTEM TYPE: Other (Non-Electric Resistance)
DATE: 6-9-2000
DATE OF PLANS:
TITLE:
COMPLIANCE: PASSES
Required UA = 97. _
Your Home _9,7
Area or Insul Sheath Glazing/Door
Perimeter . R-Value R-Value U-Value UA
-------------------------------------------------------------------------------
CEILINGS 384 30.0 0.0 14
WALLS: Wood Frame, 16" O.C. 448 13.0 3.0 32
GLAZING: Windows or Doors 73 0.400 29
DOORS 20 0.350 ' 7
FLOORS: Over Unconditioned Space 384 25.0 15
-------------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design represented in these
documents is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building
has been designed to meet the requirements of the Massachusetts Energy Code.
The heating load for this building, and the cooling load if appropriate
has been determined using the applicable Standard Design Conditions found
in the Code. The HVAC equipment selected to heat or cool the building
shall be no greater than 125% of the design load as specified in
sections 780CMR 1310 and J4 .4.
Builder/Designer Date
MAScheck INSPECTION CHECKLIST
Massachusetts Energy Code
MAScheck Software Version .2,.0 _._ _r.._, .......
DATE: 6-9-2000
Bldg.
Dept.
Use
CEILINGS:
[ ] 1. R-30
Comments/Location
WALLS:
[ ] 1. Wood Frame, 16 O.C. , R-13 + R-3
Comments/Location
WINDOWS AND GLASS DOORS:
[ ] 1. U-value: 0.40
For windows without labeled U-values,, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments/Location
DOORS:
[ ] 1. U-value: 0.35
Comments/Location
FLOORS:
[ ] 1. Over Unconditioned Space, R-25
Comments/Location
AIR LEAKAGE:
[ ] Joints, penetrations, and all other such openings . in the building
envelope that are sources of air leakage must be sealed. . Recessed
lights must be type IC rated and installed with, no penetrations
or installed inside an appropriate air-tight assembly with a 0.5"
clearance from combustible materials and 3" clearance from insulation.
VAPOR RETARDER:
[ ] Required on the warm-in-winter side of all non-vented framed
ceilings, walls, and floors.
MATERIALS IDENTIFICATION:
[ ] Materials and equipment must be identified so that compliance can
be determined. ` Manufacturer manuals for all installed heating
and cooling equipment and service water heating equipment must be
provided. Insulation R-values and glazing U-values must be clearly
marked on the building plans or specifications.
DUCT INSULATION:
[ ] . Ducts in unconditioned spaces must be insulated to R-5.
Ducts outside the building must be insulated to R-8.0.
DUCT CONSTRUCTION:
[ ] All ducts must be sealed with mastic and fibrous backing tape.
Pressure-sensitive tape may be used for fibrous ducts. The HVAC
system must provide a. means for balancing air and water systems.
K
TEMPERATURE CONTROLS:
[ J Thermostats are required for each separate HVAC system. A manual
or automatic means to partially restrict or shut off the heating
-- and/or cooling -input- to �each zone or floor- shall- be--provided - -" - - -
HVAC EQUIPMENT SIZING:
[ ] Rated output capacity of the heating/cooling system is
not greater than 125% of the design load as specified
in sections 780CMR 1310 and J4 .4.
MISC REQUIREMENTS:
[ ] Refer to 780 CMR, Appendix J for requirements relating to swimming
pools, HVAC piping conveying fluids above 120 F or chilled fluids
below 55 F, and circulating hot water systems.
----NOTES TO FIELD (Building Department Use Only)-------------------------
i
Be,:ame effective Vebruary ll, 1965, alter beuig hublislicd ui LIJU I
PATRIOT
TOWN OF BARNSTABLE
`�'p ��► OFFICE OF
1 11—MrSTAn
riva BOARD OF HEALTH
039. �� 367 MAIN STREET
OY�YM' HYANNIS, MASS. 02601
LEGAL NOTICE
INTERIM REGULATION FOR THE PROTECTION OF THE GROUNDWATER QUALITY
WITHIN ZONES OF CONTRIBUTION TO PUBLIC SUPPLY WELLS
The Board of Health, Town of Barnstable, Massachusetts, in accordance with and under the au-
thority granted by Section 31, of Chapter 111, of the General Laws of the Commonwealth of
Massachusetts, hereby adopted the following rules and regulations after a public hearing at a
meeting of the Board held on February 19, 1985:
PURPOSE
The initial findings of a townwide hydrogeologic investigation indicate that a substantial portion
of the Town's water supply may be in jeopardy from the long term build-up of nitrate-nitrogen,
primarily from the subsurface discharge of sewage effluent. It has been proven that nitrate
contamination in drinking water can be a serious public health problem. Based on these findings,
three of the nine zones of contribution to public supply wells are considered to be "at risk" zones
requiring immediate measures to mitigate the adverse impacts to the groundwater from such
discharges. These regulations are temporary and will be in effect only until the Town adopts
a ground water and water resource protection program.
RESTRICTIONS
No permit for the construction of an individual sewage disposal system shall be granted within
the zones of contribution to public supply wells identified as zones 1, 2, and 3 on a map entitled,
"Town of Barnstable, Public Supply Wells Zone of Contribution, dated February 19, 1985, and
prepared by SEA Consultants, Inc., Boston, Ma., which map is on file with the Board of Health,
unless the following standards are met:
A. The maximum allowable discharge of sanitary sewage shall not exceed 330 gallons per acre
per day unless the applicant demonstrates that the total concentration of nitrate-nitrogen
in the groundwater resulting from the proposed use will not exceed 5 mg./I. This determi-
nation shall consider the total predicted concentration of nitrate-nitrogen at the down
gradient property line of the lot upon which the proposed use is to be located.
B. Nothing in this regulation shall prohibit the approval by the Board of Health of any appli-
cation involving the maintenance, repair or alteration of an existing individual sewage
disposal system, providing that said application does not involve a change of use as defined
by existing Board of Health regulations. Where a change of use is involved, the applicant
must demonstrate compliance with this regulation.
Variance to this regulation may be granted by the Board of Health only if the applicant can
demonstrate that:
1. Connection to Town sewer is not available; and
2. That enforcement thereof would do manifest injustices however, the applicant must prove
that the installation of on-site sewage disposal systems will not have a significant adverse
effect on surface or sub-surface public or private water resources.
fiN-pFRIM REGULATION (continued) Page 2 65
In granting variances, the Board shall take into consideration, the direction of the ground water flow,
population density, soil conditions, depth to ground water, size, shape and slope of the lot, existing
and known future water supplies and other information deemed pertinent.
This lation is to take fect on the date of publication of this notice.
Robert L. Childs, Chh rman
Ann Jane Eshbaugh
WP
Grover C.M. Farrish, M. D.
BOARD OF HEALTH
TOWN OF BARNSTABLE
APPROMI AN Ia FOM
Town counsel
ESTIMATED PROJECT COST WORKSHEET
Value
LIVING SPACE s feet X$115/sq. foot= 72
(high end construction) q
(above average construction); square feet X$961sq. foot=
(average construction) square feet X$57/sq. foot=
GARAGE (UNFINISI-IED) square feet X$25/sq. foot=
PORCH square feet X$20/sq. foot=
DECK square feet X$15/sq. foot=
square feet X$??/sq. foot
OTHER =
Total Estimated Project Cost
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Building Division
r�AJOIslasr.r:. ' .367 Main Street,Hyannis MA 02601
. r4tnss.
i6?9.
��ED trlP'�h
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Comrnis_
HOJIEO%VNER LICENSE EXEMPTION
Please Print
DATE: -L^ 7 r 19 D
JOB LOCATION:
street village
Mrc.
�GV��� �cj� fl � 22�_S/agG
.•HOMEOWNER",na k(1(��.�y 5
osme home phone# work phone#
� t
CURRENT MAILING ADDRESS: .) ^� +
of /town state up 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,Rrovided 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 tinder 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 helshe understands the Town of Barnstable Building
Department minimum inspection procedures and requirements and that he/she will comply with said
procedures and requirements.
ignature of er
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
a Supervisor. On the last page of this issue is a
application.that the homeowner certify that he/she understands the responsibilities of � ! S
form currently used by several towns.You may care to amend and adopt such a form/certification for use in your community.
Q:FORh1 S:EXEM FTN
I
The Town. of Barnstable
°F1HiE' Department of Health Safety and Environmental Services
Building Division
EtAMSTABM ' 367 Main Street,Hyannis MA 02601
MASS.
9 i639. ♦�
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
HOMEOWNER LICENSE EXEMPTION
Please Print 3
DATE: ( 1 Ir 'G V
JOB LOCATION:
n mber I - street �� village
"HOMEOWNER": ca—
name I
f , home phone# work phone#
CURRENT MAILING ADDRESS:
ci /town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units
or less and to allow homeowners to engage an individual for hire who does not possess a license,provided
that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is
intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or,
farm structures. A person who constructs more than one home in a two-year period shall not be considered
a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the
Building Official,that he/she shall be responsible for all such work performed under-.the.building.permit. . -.
(Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and
other applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building
Department minimum inspection procedures and requirements and that he/she will comply with said
procedures and requirements.
Signatur of H e caner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply
with the State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the
provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a
person(s)for hire to do such work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see
Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in
serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the
unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit
application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a
form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community.
Q:FORMS:EXEMPTN
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