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0022 IYANOUGH ROAD
�22 ,o L) a (k� DocuSign Envelope ID:2COFAF89-EC82-4382-B247-3FCAE2EF97ED �D �WE,� Town of Barnstable *Permit#i -llo" 16 Expires 6 mont fromj-pe dat } Regulatory Services Fee + anxxsTA13M Richard V.Scali,Director Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 22 Iyanough Rd. , Hyannis, MA 02601 Property Address '®Residential Value of Work$ 6000 Minimum fee of$35.00 for work und'er$6000.00 Janice santaniello, 22 Iyanough Rd. , Hyannis, MA 02601 Owner's Name&Address �g Contractor's Name Telephone Number ' ("7 f-3 " �3 1 7 Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) lie .. ❑Workman's Compensation Insurance 'yip- �: Check one: ❑ I am a sole proprietor MAY 19 2016 ® lam the Homeowner 1' ❑ I have Worker's Compensation Insurance O V i l[ OF BA H li l . U ABLE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to hL (� ®Re-roof(hurricane nailed)(not stripping. Going over 0 existing layers of roof) ❑x Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission.. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. DocuSigned by: SIGNATUC: �MAU_ SO4aun.ltflh C:\Users\Decollik\AppffaiaN[ocUWIiciosoft\Windows\Temporary Internet Files\Content.Outlook\2PIOIDHR\E)PRESS.doc Revised 040215 DocuSign Envelope ID:2COFAF89-EC82-4382-B247-3FCAE2 F w u of Barnstable Regulatory Services of Richard V.Scali,Director Building Division MANSl'ABM ` Tom Perry,Building Commissioner .➢ AfA88. i6g9• Main Street, Hyannis,MA 02601 s 200 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION 5/9/2016 Please Print. DATE: 22 Iyanough Rd. Hyannis, MA JOB LOCATION: n]aneice Santaniello street 4135317172 village "HOMEOWNER": name home phone# work phone# 1036 Williams St CURRENT MAILING ADDRESS: Longmeadow MA 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 pl; vrg.and requirements and that he/she will comply with said procedures and requirements. ,�Aantlt. �Aan.>�AJnit,�.b � ��feowner 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. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content O0 tlook\2PIOIDHR\EXPRESS.doc Revised 040215 DocuSign Envelope ID:2COFAF89-EC82-4382-B247-3FCAE2EF97ED The Commompea th of Massachusetts Deparftwit of Industrial Accidents Off"of Investig afiow 600 Washington Street Boston,M4 02111 umasxgvv/daa Workers'Compensation Insurance Affidavit:Builders/Co actursTlecteicians/Plu nbers App4icaut Information Please Print ably Niue Ad&ess: /2o d2�a� CityfStatrMp: APhone#: l — Are you an employer? eck the appropriate box: Type off project(required):2_❑ I am employer with 4- ❑ I am a.general contractor and i employees(full andfiar par"me)-: have hired.the 6- ❑New c onstructioit 2,❑ I am a;sole proprietor or paw lusted an the attached sheet +7- ❑Remodeling slbip and have no employees These sub-contractors have S- ❑Demolition woddng for me in any capacity- employees and have wodms'. 1 of worlaffs'comp-insurance Comp-insurance, 9- ❑Building addition ] 5- ❑ 'fie we a corporation.and its. 10.E]metrical repairs or additions 3- I am a homeowner doing all wow officers have exercised their 1 I- Plumbing repairs or additions, myself. [No workaW comp- right of exemption per MGL 12-❑Roof repairs insurance required.]I c- 152,§1(4) and we have no [No worws' 13-0 Other comp.insurance required-] •Any appbc=that eliedm boa*1 nm also fill oat*e section belww sb g.du!k leis'cou pansat on policg infnrmatim3- FIGmeown4ws who submit his of&wit imtcatmg they axe doing all wank and dLm hue outside am=ttm amst submit a new affadaeiit indicating sack. tcontract©rs that check this bin inw attached m additional met dmwimg the nee of the sub<,ontracmn and state whether air not those entities have employees.If the sub-contnarrurs bwe euaplagees,&}'m=provide tgr markers'comp-polky number. l ain are einpl yer drat is provid�Rg wvr kern'conWenm on insuraRcefurinyengApyeaL ,Below is thepoticy aced joh site infbrina&n. Insuranm Company Name: Policy#ear Self-ins-Lic-#: Fzpirafion Dote: Job Site Address: cityfstateizip: 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 o L 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 farm of a.STOP WORK ORDER and a fire 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- Ida F`reraaby ffy under€hapains penatties of rrry Mat fire informalumpmi ed above is acre and correct Date: — oZL�L Pho � d),Qarial we only. Do not write in this area,to be coaipktad by Cy or tmaw!r ofi" ---- City or Town: PermitUcense# Issuing Authority(truce one): , L Board of Health 2.Building Department. 3.City/Town Clerk 4.Electrical Iaspector 5.Plumbing Ynspwctor 6.Other Contact Person: Phone#: , . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ` Map Parcel`'��� ��� Application # 2-D Health Division Date Issued !- Conservation Division Application Fee 5 V - 06 Planning Dept. Permit Fee, 3,-,- -00 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village ' . r Owner -% AddressD I(a3(, (�� � ►uw�s� St. Telephone Permit RequesP /_Lnq 4p— d vl�._9__r S d\ re Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation? tTb Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 0 Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces' Existing New Existing wood/ I stove: _5 YesEb No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑:e1cisting ❑.,new .size— Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: c Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Co =.., Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) -;Name , l 11 +,C[w` Sgq_�4v, Telephone Number��l Address License # Ah IwLr.��O� �Q• D l 0 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS ROJECT WILL BE TAKEN TO /;)8bs SIGNATURE 'DATE ? o FOR OFFICIAL USE ONLY • APPLICATION# DATE ISSUED MAP/PARCEL NO. 3 } ADDRESS VILLAGE 51 OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. c r ?TFe;GomM,07fivealth of-Vassca<chusetts DeparbmLvrt of rndrrsttial A.cciderrts v V e of In YeiaTLrgalians y 600 Washfilgt �+ � t- OFF,Street ti Boston,CIA 02I11 ivitinmaxs gvvldia Workers' Ccimpensatian Iusuranc-e�Affidavit:Builders/ContracturslEIecEr cians/Plumbers Applicant Inf6rmatian Please Print Legibly x Mimi(8 '�oganizatianfl'ndis�ual}: "- #Ad&ess: D fo GWSta�&:Z g_ ko V M e-k�u .7 Are you an employer?Cheek the appropriate box: Type of project(required): 1.❑ I am a employes with. 4. ❑I am a general contractor and I employees(full andlor part ime * have hired the sub-conhactors � ❑New a7nsfra3cfiioa listed on the attached sheet: 7. ❑Remodeling 2.❑ lam a sole proprietor or partner- _ These sub-contactors have , ship and 1>m�e no employees. �$. E]Demolition w g for me m- an c a employees and hate Workers' ° Y fY 9. ❑Building addition O�vorlcets'comp.insu€ance comp-it�rauce l r d_ 5. ❑ We.are a corporation and its . 10-El Etectri�cal repairs or additions � 1 3. I am a homeoum-er doing all work officers have exercised their 11-❑Plumbing repairs or additions myself [No wokkeis'camp „ light of exemption per MGL 12.❑Roofrepairs c.152, 1 4 and we have no insurdnce required.]'s ( k ' Io o vTorkera' 13.❑,Other. r , employees. camp.insurance required-] -- 'Arry applic that checks box AF1 must also fill cut the section below shwkng their workers'compensationparky informsriom FIonxmmesrs who submit this af5davA indicating they are doing all waA and then hire outside contractorsmnst submit anew affidavit indicating sack. =C•outractors that check.This boa must attached an additional simet shoxmg the n=e of the sub-contrwAm and state whether or not those entities have t 4 employees.Ifthesub-caatrectoeshave employees,theymvstpmvide their uorkess'comp.policy nitroher ' r .Tani an empLover treatispnnirling warkers'conrpertsrrdon insrirance for uzy*empIayees BeIow is thepa8cy and jobs site ,y M information. Insurance Company Nam. Policy 4 or Self-ins.Lic-9:. F—kpiration Date: Job Site Address: - CitylState p:' 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_157 can lead to the imposition of criminal penalties of a fine up to$1,50a OO afldlor one-y ear imprisonment,as vuell as cii ii peuallies.in the faun of a STOP WORIK ORDERand a time" - of up to$250-00 a day against the violator- Be advised that a copy of this.statement may,be fatwarded to the Office of lmvest patiow of the DIA,for insurance coverage 222ti 91 I do hereby cacti antler the pants all pe"a 's a fhattfte vc;fornritgo t prinridid aboiv is b=altd correct (Sim t o Date:r , +Dfi%dal use only. Do riot mite in this area,to be campfeted by city artbim o ciat f. City or Town: PeitmtUcense Issuing kuther€ty(circle one): 1.Board of Health 2.Building Department 3.Ciiyfrown Clerk d.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions ma_ a husetts General Laws chapter 152 requires all employers In provide wormers'compensation for their employees. pusura Otto this statute,an empIoyre is defined as.--.every person in the service of another under any contract ofhire, egpprcm or implied,oral or written." An mTroyer is defined as"an individnaI,pmtamship,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 trastee of an individual,,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more th m three apartments and who resides therein,or the occupant of the - (jwelling house of another who employs persons to do ma-intea ce,construction or repay work on such dwelling house or on the grounds or building appurtenant thereto shall not becanse 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 compuance with the insv ce.coverage required_" Additionally,MGL chapter 152,§25C(7)states cWeither the co*ninaawealth nor ray of its political subdivisions shall enter into any contract for the performance ofpublic wo>k-until acceptable evidence of compliance with the ins rrence._ rtTli ements of this chapter have been presented to the contracting an fhozityf = Applicants oikers'compensation affidavit coin Y Ietel b the boxes that apply to your sitnation and,if Please fill out thew P � Y checking th necessary,supply sob-contractors)name(s), addres (es)and phone number(s)along with their certificate(s)of mmm-a ce. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not r&qu i ed to carry workers' compensation insarance. If an LLC or LLP does have employees, a policy is regnu-ed. Be advised that this a$dayit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date--lie affidavit. The affidavit should be rutimmed to the city or town that the application for the permit or license is being requested,not the Department of Tnilu st ial Accidents. Should you have any questions regarding the law or ifyou are rem ed to obtain a workers' compensation policy,please call the Department at the nummber listed below. Self-rosined companies should enter their s e1f-i m ran ce license nummber an the appropriate line. City or Town Officials f Please be sure that the affidavit:is complete mmd primed legally_ The Department has provided a space at the bottom of the affidavit for you to fIl out in the event the Office of Investigations has to contact you regarding the applicant_ Please be sun a to fill in the permit/license number which will be used as a reference number. In addition, an.applicant that must submit multiple permitllicens5 applications in any givers year,need only submit one affidavit indicating current p oIicy ffifb ation Cif necessary)and under"Job Site Address"the applicant should write"all locations II (city or town)_"A copy of tie-affidavit that has been officially sfampped or marked by the city or town maybe provided to the - applicaut as proof that a valid affidavit is on file for fine permits or licenses_ A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Of of Inveslig-&oas would like to thank you in advance for your cooperation and should you have any qu tstions, please do not hesitate to give us a call. The Deparhmenfs address,telephone and fax number_ 'fie CaMm�aaWealth of Massachusetts ' Deparbnent of lridugtial AccZenta OfUCf-Qf Ttvestigatio--= 6Q4 Titan '+ Bast MA 0�111 T(�L 4 617'27-4900 ext 406 car 1-9 MASSAFE Fax#617-727 7M Revised 4-24 07 - uvldia AWC Guide to Wood Construction hi High )end Areas: 110 nrph bird Zone Massachusetts Checklist for Compliance(780 cMR5301.2.1.1)r Loadbearing Wall Connections • Laleial(no.of 16d common nails).....................:........(fables 7)........_.............. .._:....._..... _.....__.. Non-Loadbearing Wall Connections Lateral(no.of 16d common nails).._......_....._.__.-.__.(Table 8).._.....__.............._._................... Load Bearing Wall Openings(mcord Largest opening but check all openings for compliance to Table 9) able 9 Header Spans ....._................_._......_._.:.............(T )............................._...._ft_rn.511 able 9 .. i Sill Plate Spans ........._._........._._............�._.._..._.(T ).............._....._..... ., Full Height Studs (no.of"studs).................__:...............(Table 9)..........._....._............. �....._.... .... Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans........................ (Table g)......._........._.._._......::_ft in.51 Z SIII Plate Spans.........__.._.....:._.........._._.........._.._.(Table 9).----._----_._............ —ft— Full Height Studs(no.of studs)..._....._...._._...._..._....(Table 9)........_........................ .... Exterior Wall Sheathing to Resist Uprrft and Shear Slmultaneously4. Minimum Bwld rig'Dimension,W Nominal Height of Tallest Opening2 .................................................... _5 till' SheathingType........................ .._....._.....(note 4):.....:------------------------_-...._.------ -• In. Edge Nail Spacing....................................-.(fable 10 or note 4 if less)...-•---..._.__...:. Feld Nail Spacing. .(Table 10)....._.. _...... .... in. " Shear Connection(no.of 16d common nails)(Table 10)... ......... ...... Percent Full-Helght Sheathing.._._:.........:_.(Table 10).....................................................% 59L Additional Sheathing for Wall with Opening>6'B'(Design Concepts)._.._............. Maximum Building Dimension,L Nominal Height of Tallest OpeningZ...................................................................... 6'B' Sheathing Type..._...__....__-------- __....._._..(note 4)...__............._._._.._._....__..._.._._ Edge Nail Spacing (Table i 1 or note 4 if less).._._................. m. Feld Nail Spadng....._..................._.:..._....:_(fable 11)........._.......-........_.-.........r....... in. Shear Connection(no.of 16d common nails)(Table 11)........................._..._....._...:.......-... % Percent Full-Height Sheathing..._..........._....(Table 11)....... ---_ 5%Additional Sheathing for Wall with'Opening>B'8'(Design Concepts)--._.-..-..:.. Wall Cladding Rated for Wind Speed?.'___ - --------- ._._ `.__._._....._._ 5.1 ROOFS Roof framing member spans checked?:_.......:_..__.....(For Rafters use AWC Span Tool,see BBRS Webs'rte) . Roof Overhang •...................0......_........_............(Figure 19)............._ft 5 smaller of 2'-or U3 Truss or Rafter Connections at Loadbearing Wails Proprietary Connectors Uplit....._.._._........_....._..__.,:._..-(Table 12)........................................_U= pif Lateral.. ._.._........_....._._._-.........(Table 12)..._..._____._... ......_..._...L= ptf Shear....._.._._..-. ....(Table 12)...._........_... _. - p Ridge Strap Connections,if.collar ties not frsed per page 21... 1.. (fable 13)..._......................._T= ptf Gable Rake Oudooker.......................................(Figure 20).... ft ft 5 smaller of 2'or L12 Truss or Rafter Connections at Non4.oadbearing Walls' Proprietary Connectors Uplift_.._._........... .. ._..(fable 14)....._..._.:... Lateral(no.of 16d common nails)...(Table 14).............. ..... . ..L . ib. ...(per 780 CMR Chapters 58 and 59)...........: . Roof Sheathing Type__.:._._._........-.::....___.. ,. Roof Sheathing Thickness.............................__..:._...::_.........._._...._.................._—in.z 7/16'WSP Roof Sheathing Fastening .._.(Table 2)_..............__., g................_....... .... ..... ...._.... .......... Notes: •1. , This cheddist shall be met in its entirety,excluding the specfic exception noted In 2,to comply with the requirements of 7B0 CMR.5301.2i.1 Item 1. If the chectdist is met in its entirety then the following metal straps and hold downs are not" required per the WFCM 110 mph Guide: - a. Steel Straps per Figure 5 - b. 20 Gage Straps per Figure 11 m Uplift Straps per Figure 14 d. All Straps per Figure 17 e: Comer Stud Hold Downs per Figure 18a and Figure 18b 2 'Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent fuMeight sheathing 5 . 'requirements shown in Tables 10 and 11. 3. The bottom sill plate In exterior walls shall be a minimum 2 in.nominal thickness pressure treafed -grade. ' A FYC'Guide to Wood Construction hi High Wind Areas:110 flzph EFrnd Zone Massachusetts Checklist for Compliance(7so ch4R53at•2.f.t)' P1 Ch*=k . C4mplianco 1.1 SCOPE WindSpeed(3-sec.gust)..»....._._._............:..........»_.._..___...».._._.»»..»..._._.............._.............110 mph Wind Exposure Category................».... ._-»......._...»_......_.».......»...»»».........._.».................:.._...........:._B Wind Exposure Category................Engineering Required For Entire Project.........................................0 . 12 APPLiCABIU Y Number of Stories(a roof which exceeds B In 12 siope shag be considered a story) stories 5 2 stories; RoofPitch -....._..__.._..»»......:»»....»._...».».»..__......._»._(Fig 2) ..»..._...._...-------•................ 512.12 MeanRoof Height --»:...»..........-._.__.......»._._......»._..._(Flg 2)__»..........»..._»_.............._._.__ft s'33' Building Width,W_.._.._...__..»...».».......»..._.._..._..._»:..(Flg 3)....... _ft s BO' Building Length,L ---------(Fig3 ' Building Aspect Ratio(LJW) .._.._._.._..»»._._............_..._._(Fig 4)__.__......----_._.._....._..._..». s 3.1 Nominal Height of Tallest Opening ' 1.3 FRAMING CONNECTIONS General compliance with framing oannecfions............. .(Table 2)........................................................ Z1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 54D4.1 Conra-ete...................................................:.......................................................................... Concrete Masonry..........__._.__..__.»....._.._........ _........._-_.__._..._.___._.............._..»_.........._..... 22 ANCHORAbE TO FOUNDATION1-3 - 5/8'Anchor Bokts4mbedded or 5/8'Proprietary Mechanical Anchors as an alternative in conaete only Bolt Spacing-general.................................»..._:.(Table4)..........._....»».........._».._.__ in. Bolt Spacirig from endroknt of plate....._....._......»_....(Fig 5)._.._.._.... .................. in.5 6'-12'. Bolt Embedment-concrete...........—___..(Fig 5)......_..........................:......_.. In.z 7' got Embedment-masonry....»........_........».»-».»..-_(Fg 5)_».:.._.t-........_............._._ in.Z 15' PlateWasher..:...._»._......_...»._._._..»...__...._..._...(Flg 5)..»_.....»_.»»......_......---•---..._z 3'x 3'x'/' 3.1 FLOORS Fioorfaming member spans checked ...»_......»...._.»..»».(per 780 CMR Chapter 55)..... Maximum Floor Opening ._.. Fi 6 _ ' Pen g Qurxension...:._.._....__._ _(Fig )............»......... fts 12 . Fug Height Wall Studs at Floor Openings less than 2'from Exterior Wan(Flg 6)..:....................... ......... Mexdmtim Floor Joist Setbacks Suppoifing Laadbearing Walls or Shearwall..._--_....-(Fig 7).............:.........__.......___.._.._.. ft s d Maximum Cantilevered Floor Joists Supporftng Loadbearing Walls-or Shearwall........-__-.(Fig 8)___....»......_............... ft s d FloorBracing at Endwa(Is»_..».._.........._.._._....__.._».....»(Fig 9)_.._.._».._..---._..»...._----._..._».._....._....». Floor Sheathing Type ..._ 780 CMR Chapter 55 Floor Sheathing Thicimess»_.........._.......».............._:..._(per 7B0 CMR Chapter 55)..................� In_ Floor Sheathing FEIsterung..........................................(Table 2)_—d nails at . in edge/ to field 4.1 WALLS - Wag Height Loadbea ft walls.-.-..J......»__».._»._.............»...».(Fig 10 and Table 5 .....». ft s I Ir Non-Loadbearing walls.-..._...:......_....___....:...»._._.(Fig 10 and Table 5)....................... Its 20' Wall Stud Spacing ........-._ r 10 and Table 5 in._5 24'o.c. Wag Story Offsets ...._..:....».... •..(Figs 7&8)_.....»-•---.»..._... .... ft s d ' 42 E)TERIOR•WALi 33 Wood Studs Loadbearing wag$.».»._...._......».......»........».».._.....(Table , Non-Loa*eadng :(Table ..._._._.». 5)._..._...:;..........__:.2x - ft in. Gable Fed Wag Bracing .__.... — — — Full Height Endwall Studs.....»...._.»_..»......_._._....:».Fig 10)_......»_...._....,......._.............»»»..;_:....... WSP•Att�Floor Length.-__--__..::»....__-.._-_.._.._....(Flg 11)..._..._..........._.._.......»....... ft 2W/3 _ 'Gypsum Caling Length(If WSP not used)»..:.:........_:.(Flg 11)..._......._.......................:...—ft z 0.9W _ • and 2 x 4 Cbndnuous Lateral Brace @ 6 fL o.G-(Fig 11)..............................._-..... __.._»..._s.». . or 1 x 3 cefimg fearing strips @ 16'spacing min,with 2 x 4 blocking @ 4 ft spacing in end joist or truss bays Double Top Pfafe Splice Length .._.._......_.......»»......._.»._._....._..(Fig 13 and Table 6)............. _ft • Spilka Cortnec5on(no_of 16d common nags).._....»....(Table 6)...___._»......»..»........._.:...».».».... . C AWC Guide to Wood'Conrtruction in High KindAreas 110 mph MrudZone Massachusetts Checklist for Compliance(780 CZAR s-301.2J.'I)' 4. a. From Tables 10 and 11 and location of wall sheathlhg and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nall Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: L . Panels shall be installed With strength axis parallel to studs. IL All horizontal joints shall ocau over and be nailed to framing. Ill. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. Iv. On two story construction, upper panels shall be attached to the top•member of the upper double top plate and to band joist at botbm of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nall spacing at double top plates, band joists,and girders shall be a double row of Bd staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment 5. Glazing protection:a)new house or horizontal addition—required if project is 1 mile or closer to shore(generally,south of Rte.28 or north of Rte.6) b)vertical add'Ition—not required unless there is extensive renovation to the first•tloor c)replacement windows—needs energy conservation compliance only(chap 93) 6.Wood Frame Construction Manual(WFCM)for 110 MPH, Exposure B may be obtained from the American Wood Council (AWC)website. wets E EDGErasrs oa r +r mrs rrsEad was it it 1 , Oi� x i is t It itis 14- I d I p ry15 is • 11 4 .1 1 11 it 1 � _ ( 1 •'1I I1 1 1 ®� '[E 11 11 i tl I 1 t :10 pSpIL U 1 • a If i{ i e ;E 1 i i i. i i� I• ! •� � 3`MQi I I w u a i 1 1 3' Md • DOdJ9V=�G'� � STASH uWaRACIrn ' X&A Pf37EiN PANG. PAWL IDLE AOu91.E NA1L®GESPACaYG 0E7alL , See Dahl on Next Page Detail Vertical and Horizontal Nailing Vertical and HoAmtal Nailing for Panel Attachment for Panel Aftac iment ' �VE A Town of B arnstable Reguhitory Services aF • 3•�Nb2•a:,r . 9 Mass Richard V.Sca14 Director .� a Building Division Tom Perry,Building Commissioners 200 Main Street,Hyannis,MA 02601` r www.town barustableana.us Office: 508-862-4038 Fax 508-790-6230 Property Owner Mustfz' complete and Sign This Section'-,-% • If Using A Builder, as Owner of the"subjaaect property b hereby authorize 4� W act on my bebalf, , in°all matters'rekative to work authotized.bythis buUding permit application for: ' i' 4 -(Address of Job) ''Pool fences and alarms are the responsibility of the`applicant.`Pools' are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner . ,—' R Signature`of Applicant , , 'Print Name k ~,` R ; Print Name n, .�, 21 Ir Date IJ QTORMS:0tYl`IGRLGRMISS1o1YIooLS Town of Barnstable Regalatory Services OFT rOiyy Richard V.Scali,Director ° Building DIYLSIUII t , RLRNf-TART7C « - Tom Perry,Building Commissioner Wss. p :61g. ��� 200 Mani Street; Hyannis,MA 02601 $QED a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION �� gL® i Please Print �,DATE:' � 1 Jos Loc u6n -1X v 2✓i i S -7 l number ,sum -ZHO 1EOWNar: L)`���<�w 4n � e� 3) S3 namz y homo phone#'" w6rk phone# r— NT CURRE MAIIIN. G ADDRESS: I C'� W, ---- - ---- .� © I(©C� --r- - - � ;'j - �� C zip Cone, The current exemption for"homeowners"was extended to include owner-occ�ied 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_ DEFINMON OFHONMOWNER 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 .h raeo er"certifies th a understands the Town ofBamstable Building Department minimum inspection roved es and r em is and h comply with said procedures and requirements. P uz equir !f/►h ature of Homeowner Approval of Building Official ..Not--: 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 F MCUON 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 109.11-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,RuIes&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:IWPFII E.S\FORMS\bwZdmg permit fo=s=RESS.doc Revised 061313 TMIVIN OF BA NSTABLE IVIS70N ' h Town of Barnstable * ernrit6C� � o Expires 6 months f i ate Regulatory'Services Fee Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 21 www.town.bamstable.ma.us --Office: 508-862=4038 Fax:.508-790-6230 EXPRESS PERNHT APPLICATION - _RESIDENTIAL ONLY Not Valo without Red X-Press Imprint Map/parcel Number Property Address) Gain®c.c �(f�/urtil S MA OQ&01 Residential Value of WorP LTQk Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 1m 0 r r l IJL - r � C�/\Lti(� "'I CL ii VCc yl►l S dYl l� oJ_ -::( Contractor's Name S pri n Id e � ��lJ�Gy�wi s`r�T Telephone Number S(7st' S l'7 8 .Home Improvement Contractor License#(if applicable) 1 O 3 7 5 Construction Supervisor's License f#(if applicable) ('�S �pcp y "PS PERM IT Vorkman's Compensation Insurance - . AU - Z010 Check one: LE ❑ I am a sole proprietor ti r = TOVVN,OF BARNSTA$ ❑ I am the Homeowner ®Thave Worker's Compensation Insurance Insurance Company Name 50 Gi ajtA -TVIAl.LS4"ez C mA Workman's Comp.Policy# l.J C -]W 3 O I o2 00J Copy of Insurance Compliance Certificate must accompany each permit. r ; Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of dooas'� IReplacement Windows/doors/sliders.U-Value . (maximum.44)#of windo "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: " ;•Property Owner must sign Property Owner Letter ofTermission. - a- Aropy of o vement Contractors License&Construction Supervisors License is requlm' SIGNATURE: ' QAWPFUMTORMS\building permit forms\EXPRESS.doc Revised 090809 r The Commonwealth of Massachusetts Department of IndustrialAccidents Office oflnvestigations, tf 00 Washington Street Boston,MA 02111 www.mass.gov/dia " Workers',Compensation Insurance Affidavit: Builders%Contractors/Electrictans/Plumbers Applicant Information i' -Please Print Legibly Name(Business/Organization/Individual):S1)�;V11L12 A-(We-- T'mD fbV2rM2�A� Address' i99 . ! rnS City/State/Zip: a i5 O 9(oCll Phone#:; -7 15 Are you an employer?Check the appropriate box:: Type of project(required): 1.2 1 am a employer with _ 4. �.I am a general contractor and I � 6. ❑New construction employees(full and/or part-time).'' have hired the sub-contractors . 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• 0 Demolition workingfor me in an capacity. employees and have workers' Y P tY t 9. ❑Building addition [No workers'comp:insurance comp.insurance. required.] ``5.. .We are a corporation,and its 10.E]Electrical,repairs or additions 3.❑ I am a homeowner.doing all work officers have exercised'their< 11..Q Plumbing repairs or additions myself. [No workers'comp.' -right of exemption per MGL 12.Q Roof repairs', . insurance required.]t c. 152,.§1(4),and we have no 13 Other�� employees.[No workers' ` comp.insurance required:] *Any applicant that checks box#1 must also 11 out the section below showing their workers compensation policy information. t Homeowners who submit this affidavit indicating'they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the suticontrsctors have employees,they must provide their workers'comp.policy number. I am an ettiployerthat is providing work information ers'compensation insurance for my employee& Below is the policy and Job site . ._ n Insurance Company.Name: 4�f SSOC C k Policy#or Self-ins:.Lic #:A(!�G ZOO 9 u d�o�b l i� Expiration Date: O l Job Site Address Q_,� t!A ou Q� City/State/Zip:,q 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/of 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'dayagainsi the violator. Be advised that a copy of this statement may be'forwarded to the Office of Investi ations'of the'DIA:for ins' overa a verification 1 do hereby cert' e e p nd penalties of perjury that the information provided above Is true and correct Signature: Date: � - Phone#: 75- 1-nq-V Official use only. Do not write in this area,;to be completed by city or town officlaL City or Town: Permit/Llcense# Issuing Authority.(circle one):: . 'I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector .6.Other Contact Person: Phone#: THE Town of Barnstable Regulatory Services s MALM Thomas F.Geller,Director .` ''rEn 16 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,M-A 02601 www.town.b arnstable.ma:us Office: 508-862-403 8 Fax: 508-790-6230 Property.Owner Mush If Using A Builder as Owner of the subject property otoyhereby authorize, r behalf, in all matters relative to work authorized by this binding permit application for. .1. C-UZ Q iS -(AddWss of Job) Signature of.Owner 1?ate PrintName y _ �. If PropertX Owner is applying ,for penmit.please.complete the Homeowners License Exemption Form on the,xeverse side. f1+FQRMC•f1WNARPF.RAdT.CC1f1N r. ®r DATEIMMIDDIYYYY) e/'/7RQ , CERTIFICATE OF LIABILITY.INSURANGE oPID DS . SPRIN-1' 01/05 10 PRODUCER .x THIS CERTIFICATE,IS ISSUED AS A`MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bryden 6 Sullivan Ins Agency HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 88 Falmouth Road ALTER:THE COVERAGE AFFORDED BY THE POLICIES BELOW.' Hyannis MA 02601 Phone: 508-775-6060 Fax:508-790-143:4 INSURERS AFFORDING COVERAGE;. NAIC# INSURED — INSURER A: aseocaated Industries of tM- t �' r INSURER 6, — Sprinkle Home -Improvement Inc. INSURER C 199 Barnstable Rd INSURER D % Hyannis„MA 02601 - - 'INSURER E:- — --- `—_ COVERAGES . THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING rt ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS:CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,:THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF.SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIYYYY DATE MMIDDIYYYY LIMITS s GENERAL LIABILITY 1 ." EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurence $-:4 ` CLAIMS MADE OCCUR - 'a MEO EXP(Any one person) $.- - s PERSONAL 8 AOV INJURY $ �_- _ i GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMPIOP AGG $ PRO-'"" POLICY, JECT AUTOMOBILE LIABILITY -COMBINED SINGLE LIMIT ANY AUTO (Ea accident) '`' $ �. ' ALL OWNED AUTOS BODILY INJURY -- SCHEDULEDAUTOS j . (Per person) $ HIRED AUTOS ; BODILY INJURY NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE f" "(Per accident) L$ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO i I' OTHER THAN EA`ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACM.00GURRENCE' $ OCCUR CLAIMS MADE I AGGREGATE" $ . DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION TORYLIMITS ER AND EMPLOYERS'LIABILITY Y!N " — L -- A 'ANY PROPRIETOR/PARTNER/EXECUTIVq--,I AWC70049,4301201-0 I 0 1/0 1/10 01/01/11-E.L EACHACCIDENT $500000 OFFICER/MEMBER EXCLUDED? —— — (Mandatory in NH) E.L.DISEASE•EA EMPLOYEE_$5000OO it yes,describe under .:. SPECIAL.PROVISIONS below .- - - E L DISEASE-POLICY LIMIT .$500000- • ' '.. OTHER I DESCRIPTION OFOPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE.'HOLDER CANCELLATION SHOULD ANY OF THE'ABOVE DESCRIBED POLICIES RE CANCELLED BEFORE THE EXPIRATION SPRNKHO „ DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL lb DAYS:WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED.TO THE LEFT,BUT FAILURE TO'DO SO SHALL Sprinkle. Home Improvement, Inc IMPOSE NO OBLIGATION OR LIABILITY.OF ANY KIND UPON THE INSURER,ITS AGENTS OR Fax #508-775.1350 'Margo..Ma'k REPRESENTATIVES. 199 Barnstable Rd`:. AUTHORIZED REPRESENTATIVE annis MA 02601 Kelley A.Sullivan ACORD.25(2009tr01) 01988-2009 ACORD"CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Office f` o, ma r" s x' siness egu a o en se or registration validlor individul use only Lie HOME 1MPR01Fl=M.ANT CONTRACTOR before the expiration.date. If found return to: Registration: 103757 Type Uftice of Consumer Affairs and Bus►ness Regulation Expiration.:. L 12 Private Corporate! JO.Park Plaza Suite.5170 -- Boston,MA 02116' S KLE`HOM-E—fyf Ne. C7\ Brad sotift(1e - ) a''le'Ftd A t99.Barnst b �.� HY&MIs,M 026 � '�; secre tg" _may: zy Not valid withoutsign..'tere M I Restricted to: 00 �t`s:ichusetts- De�xrtment of Public.$ufeh" Board of Building Regulation~,and Stxndards Construction Supervisor License { 00 Unrestricted 1G-1 2 Family Homes License: CS 6643 Restricted to: 00 BRAD K SPRINKLE ' Failure to,possess a current edition of the 190 LOTHROPS LANEr, '`' Massachusetts State Building Code W BARNS BLE, MA 02668 is cause for revocation of this license. =; ! Refer to' WWW.Mass.Gov/DPS Expiration: 10/8/2011 ('ummissiunrr Tr#: 5478 -r_,......_..-.. ._..`...... •�-�. ��.-.�-r...-.-.. •y..-err. .. -.,,,_,- _ _ ......�-��. � ._ -y.Y-.,..r..,-_.� .,.... _ �-.,�-�-'^'�,Y_.�.: ,..--.-....-.- ..•...---^�..__,. Assessor's mop and lot number SEPTIC SYST224 T NSTAL.LED Ilse CO"r 1Al l` Sewage Permit number �€ 1t����:5.`...�.. ��.... � '-� WITH ARTICLE- 11 Q,TPATE S A t 4 1 T N Y C 0,D 4 A14 P TOWN Q�ofT�ETo�° TOWN OF BARN -LE Z EAEB9TAIILE, i "6 9 c M Cb BUILDING INSPECTOR ar a• , APPLICATION FOR PERMIT TO �..e..... .......7:)......P.................. .l. ........................... TYPE OF CONSTRUCTION ...........................�. ..(", ............................... ............ . ... ..... It�......... ........ ... ........19.?.5' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �� Location ........... ...�'^... '13 ... . ..C:1......1. ..`.....:....... ........ ..............................�U.�l... �..�...................... Proposed Use ................. 7....�.......................... ........................................................................................ ........... Zoning District ........... ..........................................Fire District ........ ................................. Name of Owner / 'i0'r/O'n o SA&EAddress �c .' .. . ? ?. !r1........�.........`....................... Name of Builder A./a ..........v.d—w. l..l'�1.......................Address .................................................................................... Nameof Architect ..................................................................Address ..................................................................................... Number of Rooms ..................................................................Foundation ... ..!......,�!,!C S . ....................................... WQ Exterior ........... ....................... ................................................Roofing ..........,�S .. 4 :.!............................................... .. Floors ............. .......................................................... Interior ............� ..................... Heating ........ .��...... ......................Plumbing ...................�j ....................................................... Fireplace ..................................................................................Approximate Cost .......... Q. .c............................. ..�....... Definitive Plan Approved by Planning Board '-------------------------------19________. Area ........ t/ ..�-............. ... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........ ............ .. .,,�j,/;r....... .. . .. .. � Sable, Morton { 17853 add to single No ................. Permit for .................................... family dwelling ............................................................................... 38 Iyanough Road Location ................................................................ Hyannis ............................................................................... 1 Owner ........................Marton....Sable...................................... frame Type of Construction .......................................... Plot ............................ Lot ................................ 3 - Permit Granted .......:Ju13..29...............19 75 _ s r Date of Inspection !./ 19 ............................ Date Completed /» j PERMIT REFUSED f ............................................,..................... 19 ........................................................... ............................ Approved .............................................. 19 a ' F ............................................................................... • r .a 7. �C�. � r�+. `+.�aa'� �{' ♦ C k�"r�'r♦-T;.� l3� 71`-ti'"""Y+vs "�.:y''� ^. --1 Assessor's map and lot number 13. .. e............... ............ Sewage Permit number �?'t �.:�!>/ ...�?. Z� THEra�� TOWN OF BARNSTABLE • BARNST"LE, i ,639. BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... "" �?�..!y..... • '.�t........ �..: ....:...................... w` TYPE OF CONSTRUCTION %.. �r- ................. ` r ................................ .......... • ........ ? ... ........19.�•`a•'r- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............ ..t�.. �t%? r r. 1............�" .................T!. "� Proposed Use iJr' ��............�?......................................................................:............................................... ........................... ZoningDistrict ........... .........................................Fire District ........ ..........................:........................................ Name of Owner ...........................................................`.......... Address Name of Builder P(/TILT Ow.40.�.K)......................Address .................. Nameof Architect ..................................................................Address ......................................—.....�........................................... Number of Rooms ..............................Foundation .......... . " J' � Exterior ................!�.Y..�.........................................................Roofing ........... ..c�.........�..l.............................................. Floors ............. ...........................................................Interior ............e) ptc!tq!?. ^...................................... Heating_, , G1. /� rRc. ,.........................Plumbing ............. ................................................................... .......... ....................... Fireplace .......--r.r-'. ""'""�.......................................................Approximate Cost ........... .................................:n....... Definitive Plan Approved by Planning Board ________________________________19--------. Area � 9/ KJ ... :! .......... Diagram of Lot and Building with Dimensions Fee '�-••..."" ................... ................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 14 1 /&se 1 .I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. // / Name ...... !,,..........(. A'I ..... { JSable, Morton A=325-58 17853 add to single No ................. Permit for .................................... family dwelling ............................................................................... Location y,,38�Iyanough Road .............................................................. Hyannis ............................................................................... Owner Morton Sa 1e Type of Construction ..............ame,,..._............... .............................................. ................................ Plot ............................ ot ................................ Permit Granted „July 29 ..... 19 75 Date of Inspection ............:......................19 Date Completed ..................... ................19 PERMIT EFUSED ............................... ........................... 19 ............................................................................... .............................................................................. ...................................... ........................... ApprXve .:...................................61119 ............................................................................... f ...............................................................................