HomeMy WebLinkAbout0051 OLD SCHOOL HOUSE RD 51 Old scl,00ltio"se
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12X16 WORKSHOP CONSTRUCTION SPECIFICATIONS
51 OLD SCHOOLHOUSE ROAD
WEST HYANNISPORT, MA
OWNER: FRANKLIN C. LAMB III
FOUNDATION CONCRETE BLOCK
SILLS 2X6 PT
FLOOR JOISTS 2X6 PT 24" ON CENTER
FLOOR 3/4 CDX PLYWOOD
WALLS 2X4 16" ON CENTER
RAFTERS AND COLLAR TIES 2X6 24" ON CENTER
BUILDING FRONT 1/2 CDX PLYWOOD WITH CEDAR CLAPBOARD SIDING
SIDE AND REAR SHEATHING 5/8 TEXTURE - 111 PLYWOOD
ROOF 1/2 CDX PLYWOOD WITH BYRD SHINGLES
TRIM 1X5 AND 1X6 PINE
INSULATION R-11 FACED
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11/02/94 17:02 'C6177277122 DEPT IND ACCID 0 001
- , (foznJno>izzueaCt1t o f Y6ajjac1z.t -4ettJ
��artne,tE o�J'ndu�trial,�lcciden�!'
600 I/VasLl&.Shy t
James J.Campbell &ton, Vaaac" 02111
Commissioner
Workers' Compensation Insurance Affidavit
Al nJ C • � 1409
enoatseci,�omiaee)
with a principal place of business at.-
(rAy/StAWzfP)
do hereby certify under the pains and penalties of perjury, that:
() 1 am an employer providing workers' compensation coverage for my employees working on
this job.
Insurance Company Policy Number
O I am a sole proprietor and have no one working for me in any capacity.
O i am a sole proprietor, general contractor or homeowner (circle one) and have hired the
contractors listed below who have the following workers' compensation policies:
Contractor Insurance Company/Policy Number
Contractor Insurance Company/Policy Number
Contractor Insurance Company/Policy Number
(�I am a homeowner performing all the work myself.
!understand that a copy of this statement will be fomzrded to the Office of lnvestiradcris of the DiA for coverage verification and that failure to secure
coverage as repaired under Section 25A of MGL 152 can lead to the imposition of criminal penalties consisdnt;of a fine of up to 51,500.00 and/or one
years' imprisonment w well as civil penalties in the form of a STOP WORK ORDER and a fine of S 100.00 a day against me.
Signed this 7-S- A day of UAR 19
Licensee/Permittee Building Department
Licensing Board
Selectmens Office
Health Department
TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375
TOWN OF BARNSTABLE BUILDING PERMIT # ,3 7.3,,c',7
TOWN OF BARNSTABLE
BUILDI?:G
-- -------------------- -
Please print.
DATE
JOB LOCATION Sc co L. Poasl-:
Number Street address :--Section -of_•town=
"HOMEOWNER" r t i.S J ®�r%r O .- _ : --
Name Home phone Work phone
K_/ c
PRESENT MAILING :ADDRESS Gok 1 D 4,
iV
City to .n State Zip code
The current exemption for "homeowners" was extended to include owner-occupied
dwellings of six units or less and to allow such homeowners to engage an in—
dividual for hire who does not possess a license, provided that the owner
acts as supervisor.
DEFINITION OF HOMEOWNER:
Person(sj who owns a parcel of land on which he/she resides or intends to re-
side, on which there is, or is intended to be, a one to six family dwelling,
attached or detached structures accessory to such use and/or farm structures.
A person who constructs more than one home in a two-year period shall not be
considered a homeowner. Such "homeowner" shall submit to the Building Official
on a form acceptable to the Building Official, that he/she shall be responsible
for all such work performed under the buildinc permit. (Section 109.1.1)
The undersigned "homeowner" assumes responsibility for compliance with the Stat
Building Code and other applicable codes, by-laws, rules and regulations.
The undersicned "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.
HOMEOWNER'S SIGNATURE ,;2,,/4%jj y- in ,.
APPROV7•?, OF BUILDING OF FICIAL
loe
Note: Three family dwcllirc� 35, 000 cubic feet, or lareer, will be reouired
to cOM-Ply with State Code section i27 . 0, Construction Control.
The ccce _
c ` : c� :ring work for which a pe' ;it is cc builci::c
- c =(Sec .ovisicns of this section
tion 109 . 1 . 1 Licer_sinc, 0�r Supervisors) ; provided that
Home Owner engages a persons) for hire to do such work, that -such Home Owner
shall act as supervisor. "
Many Home Owners who use this exemption are unaware that they are assumi
the. responsibilities of a supervisor (see Appendix- ng
for licensing Construction Supervisors,Section 2.�15) :R Thisalackeoflawareries
often results in serious problems, particularly
unlicensed persons. In this case our Board canotene',8ome,Owner•hires
inlicensed Proceed ,against..the
person as it would with licensed Supervisor. The Home"
as supervisor is ultimately responsible. et--actin
To ensure that the Home Owner is fully aware of his/her. res onsibi1 '
communities require, as part of the permit application, . that nsibiaities,,_ man
certify that he/she understands the responsibilitie =of •as Oiie wner
s
last page of this issue is a form currently used by several towns-
On the
care to amend and adopt such a form/certification for use in your community.
ar
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3o7 Main Such fi)-, n,MA 02601
O>hoc: 508-794�227 F23c 508 775 3344 R24hCMSS�a
BUMMSoncr
Foroffroc usseonly
Permit no.
Date
AFFIDAVIT
HOME IMPROVEM Nr1C0N1 AC10RXAW
SIIPPIThO PERhIITAPPLICAZZ0N
MGL e.I42A roquirrs that the-rcooaigructian,alterations,rcamm ion,xcpak modaui=a,
impt(mrrtcnL. :rrztocal,demolition,or coasuuciioa of an addition to an pig Qw=-*=qi0d -
building containing at least one but rtoi more than four dnd ing units or to st mcWm which are ad3ac=
to such residence or building be done by rc&cr ed contractors,with certain excxptiov, along�viih other
M S TRUC7'10� OF A
T}pe of XWori~ 12-X f 4, ' Wo.QA .5/+0 t Est-Cost , a 0
Address of Work: S / dLJ� / O 01) 140 uS a eB�IS
OW�ter T�amc: f L.1 LAW
DoricofPcn-nitApplication:
I hcrrbrcutifvthat:
Rcgistmion is not rquircd for the folio-inf rtZson(S):
Work<xcluded b%-Izw
Job under S 1000
Eu;lding TKAlo ancr-occupies'
7-L-01�11cr pulling mm permit
Votic c is hcrcbv given thzt:
Ot�':�'ERS PULLT�G T --1R OV:'�i-Sr�-.,i Oz Dr-1,1-r:G VTF, ljj,�,'REGISTERED f4",Z-FRACTORS
FOR APPLICABLE FON�a DO 110T F-A% - ACCESS TO THE
h�ET7R�,T10'�PPOG=��;OP CiJf c c+.T}'FUND U``D R?;G-<. 1.42A
SICINED UNDER PENALTIESOF-PFRRT;y
OP.
s
DZIC O� CA runic
Assessor's OlTice(1st floor) Map ear— , Permit#_
�Conscrvation Office Oth floor Zr Date Issued_ //Z 6 9r
Board of Health Wd floor)
Engineering Dept. Ord floor) House#
Planning Dept. (1st floor/School Admin.Bldg.): �� SEPTI ST BE
Definitive Plan Approved by Plarining Board 19 INSTALL I LIANCE
5
(Applications processed 8:30-9:30 a.m. & 1:00-2:00 p.m.) ENVIRONMENTAL CODE AND
TOWN REGULATIONS
TOWN OF BARNSTABLE
�I Building Permit Application
J t
Pro'ect Street Address 'a
G
Village \f , (-4�4 AJA/1.S � 7" Fire District
Owner i, A, At X _I J �° 1-1*61a 115 Address
Telephone Ho - '4OIM a
Permit Request: Aj SrA ue-'j 6AS 0 A An ) '�. ` � J � / ���s� g A A�
Zoning District � g Flood Plain Water Protection
Lot Size I r od Grandfathered
Zoning Board of Appeals Authorization Recorded
Current Use Proposed Use k-A s a nJ 6--linv NA41
Construction T)Ne 'v\/0 0 a 1:519 AAl
Eaistin2 Information
Dwelling Type: Single Family Two family Multi-family
Age of structure 'd 1 1/ /.I,0 Basement bZ Pauje&v-_-* C c,,d G�2e-
Historic House 0 Finished
Old King's Highway AIO nfinis
Number of Baths No. of Bedrooms
Total Room Count(not including baths) g First Floor 4
Heat Type and Fuel O_'_' Central Air Al co Fireplaces S
Garage: Detached Other Detached Structures: Pool
ttache� I C.i4R� Barn
None hed X 1'L
Other
Builder Information
Name ow y eQ Telephone number
Address License#
Home Improvement Contractor#
Worker's Compensation #
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
Proiect Cost 61�7. `/ ova
Fee
L�
SIGNATURE DATE
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
BPERM T
FOR OFFICE USE ONLY
1/26/95 37397
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267. 176
DRESS 51 Old School House Road VILLAGE W. Hyannisport
Franklin C. Lamb III
OWNER
r
DATE OF(INSPECTION:
I
FOUNDATION
FRAME 1
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH ` ' FINAL
GAS: ` ROUGH FINAL t
FINAL BUILDING-..
DATE CLOSED O T: w'
ASSOCIATE PLAN,' ; r
.N(�
.v a •.n gy ` ..
0
Assessor's map and lot number ......?.4.2......�u.ee......
tEPM SYSTEM MUST SE
INSTALLED IN COMPLIANCE
Sewage- Permit number ...... . ..............I.................................. WITH ARTICLE 11 STATE
THE SANITARY ConE-LND TOWN
IP c
TOWN OF BARNr'Sq ABLE
MARNST"LIS,
mum
s639.
0 M - ,j BUILDING ' INSPECTOR
%
APPLICATIONFOR PERMIT TO .............................................................................................................................
TYPEOF CONSTRUCTION ........................................................................................................................................
. ...........................//
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a perm/it/acc?rding to the following information:
Location
....... . . ......................................
..4.0 . . ..........
.. ..... . ... . ......4��A
7 ................ .... ..........
ProposedUse ... ....... .............................................I.........................
Zoning District .......................................... m..(3. RA. iIDT -ict ..............................................................................
8 E r e sY
Nameof Owner ................................. ...Address ........... .......................................1�.......
Name of Builder ...)I Address ......../................. .. .......................... .........
................................................................. . ... ...
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ..................................................................Foundation ....P6 I./
Exterior ..[ ......................................................................Roofing ...
/................................................................
C "p—t—
Floors ....... ...................................................................Interior .... R.............................................................
Heating ...........................................................Plumbing ........ .....................................................................
Fireplace ....... ................... .....................................................Approximate Cost ........................�on
... ..... ......
f-1
i Coe
19 ..................................
Definitive Plan Approved by Planning Board ---------- Area
Diagram of Lot and Building with Dimensions Fee ......... ..............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
4k
14
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1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ......... ....v ....
.............................................
... ..
Jackson, Lee
No .1 3..... Permit for ........l..1/2..sto.z7
single family dwelling
Location S.�....°la..scnoolhouse..dad...........
....................... ..Hyannis ....................
Owner Lee Jackson
.....................................................
Type of Construction frame
.........................
......... <.................................................................. c�
Plot ............................ Lot .............. ............. j
Permit Granted
2
Date of Inspection ...............p...... ............19
Date Completed ...�� '! ...�.A.....19
PERMIT REFUSED O
................................................................ 19
...............................................................................
...................................................................:............
• ...............................................................................
...............................................................................
p
Approved