HomeMy WebLinkAbout0192 SIXTH AVENUE (HYANNIS)�!
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-- TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION
Map 2?�Jr` Parcel /O 1 ....Application#
Health Division Date Issued: `Z
Conservation Division , Application Fee
Tax Collector "Permit Fee � —
Treasurer,
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project.StAddress Z & ,X
Village G' _ IV A
COwner rl fi Address !�✓ U�U V f !/�
Telephone
Permit-Request--i �0 f}c.UN1009 W igidocol - close l w �2ek -yl-) be pka- 3 - -y I 44eto,
Ar 3 jyecv wll d o u,)3 (Old MerA •A Fill) VeW 'J�2 k-3T Lbj r9
Square feet: 1st floor:existing—M ID02proposed 2nd floor:existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Pro'ect Valuation O� OngConstruction Type �o c�
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family Ua-' Two Family ❑ Multi-Family(#units)
Age of Existing Structure �o� Historic House: .❑Yes alo__ On Old King's Highway: ❑Yes ❑No
Basement Type: ❑Full W rawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) 917 Basement Unfinished Area(sq.ft) -
Number of Baths: Full:existing / new Half:existing new
Number of Bedrooms: existing 3 new
Total Room Count(not including baths):existing -5— new First Floor Room Count
Heat Type and Fuel ®'Gas ❑Oil ❑Electric ❑Other
Central Air: ❑Yes Ca'No Fireplaces: Existing / New Existing wood/coal stove: ❑Yes 0'No
.a
Detached garage:❑existing ❑new size Pool:❑existing ❑new• size Barn:❑exist ng ❑new size,
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: - � -
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ _r
Commercial ❑Yes o If yes,site plan review#
Current Use si�Le TAAILV Proposed Use 2
BUILDER INFORMATION,
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(Name y�nl Telephone-Number 5eg- 3W-�8 29
rAddress -5// /��,bcd�e 114[h " L�cense# CS D 8'307
lu �, ma�I�i ,
�A D��7� Home-Improvement,Contractor#
Worker's Compensation#
ALL CONSTRUCT ION DEBRIS'RESULTING FROM THIS PROJECT WILL BE TAKEN 70-_--�-, ?,e(11Re 44��P_
SIGNATURE X_ DAT AU p7
i
FOR OFFICIAL USE ONLY f
Af PLICATION#
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DATE ISSUED ' v
MAP PARCEL NO.
ADDRESS VILLAGE
OWNER
i
DATE OF INSPECTION: '
{
FOUNDATION
f;
FRAME L! �"� �-0
INSULATION
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h}s
FIREPLACE
k
ELECTRICAL: ROUGH FINAL
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PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
4.
DATE CLOSED OUT
ASSOCIATION PLAN NO.
i1r
a
t
The Commonwealth of Massachusetts
Department oflndustrial Accidents
Office of Investigations
a 600 Washington Street
�< Boston,MA 02111'
www.mass.gov/dia '
Workers' Compensation Insurance Affidavit:Builders/Contractors/Electridans/Plumbers
_Applicant Information / 9 .Please Print Legibly
Name(Business/Organization/Individual): �3 Lk-- {.��P-koN
Address 5�%l��w P 1 _e r+1 h
City/State/Zip: rl1 DuT d :(��3Phone.#: y�S l 68 29
Are you an employer?Check the appropriate box: :Type of project(required):.
�1.❑ I am a employer with 4. I am a general contractor and I
employees(full and/or part-time).* �
have hired the sub-contractors 6. ❑N construction .
- .•+?�-� � •� listed on the-attached sheet. 7. [ 'Remodeling '
2( I am a sole proprietor or paitnar- These sub-contractors have
shipand have no employees 8. ❑Demolition:
employees and have workers'
Fvorking for me in any capacity. 9, []Building addition
mp,insurance
[No workers'co comp.insurance.
5. We are a corporation and its 10.[�Electrical repairs or additions
required.] officers have exercised their 11.[]Plumbing repairs or additions `
'3.❑ I am a homeowner doing ill-work .
right of exemption per MGL
myself.[No workers comp. 12.[]Roof repairs
insurance.re aired t c. 152, §1(4),and we have no
q ] employees. [No workers' 13.❑Other
comp•insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating"such.
#Contractors that check this box must attached an additional sheet showing the name of the Sub-contractors and state whether ornot those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I ant an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site'
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address.----- City/State/Zip:
Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date).
Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK,ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy-of this statement maybe forwarded to the Office of
Investigations of the IDIA for insurance coverage verification.
I do hereby certify.under the pains•and penalties of perjury that the information provided ab�lo�vg is true and correct.
�Siature—�--�O,y�i.
Phone
Official use only. Do not write in this area, to be completed by,city or town official
City or Town: ' Permit/License#
Issuing Authority(circle one): ;
:1.Board of Health 2.Building.Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
°F'ME� Town of Barnstable
Regulatory Services
y� M8; Thomas F.Geiler,Director
`bprE16 9. Building Division
Tom Perry,Building Commissioner _.
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Permit no. yy���
Date V011- 87
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. /
-- - -d�Cos;s
j� �Ua9 �Qyl� �Estimatet—�2�6 000
Address of:Wor-k:J =2
c.�
O�e�sName�,.
Date-ofrApplicatio`n
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded byelaw
❑Job Under$1,000
[:]Building not owner-occupied
❑Owner 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 t_Contractor Naive_ Registration No.
OR
Date Own`er's'N me
Q:fomns.homeaf6dav
oFTHEr Town of Barnstable
Regulatory Services
• snaxsTABLE,
y Mnsa �,, Thomas F. Geiler,Director -
4'ATepraw► Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.ba rnsta ble.ma.us
Office: 508-862-4038 Fax: 508-790-6230
£PropertyOwne ust
Complete and_Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize ' ' lsyl/ `` .�� e ;!5/�� " to act on my behalf,
in all matters relative to work authorized by this building permit application for:
V.A
(Address of Job)
<Sigriatu ne
Print Name
If Property Owner is applying for permit please complete the Homeowners License ,'
Exemption Form on the.reverse side. .
Q:FORMS:OWNERPERMISSION
Town of Barnstable .
�0,pTHE t ti
Regulatory Services
w BARNSrABLE, : Thomas F.Geiler,Director
9 MASS.
q,A i659• a Building Division
TED � Tom Perry,Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER':
name home phone# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to
be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the.Building Official, that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes, bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection 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 fomi/certification for use in your community.
Q:forms:homeexempt
Board ofCldm o�
idns and St� v
HOME IMPROVEMENT
CONTRACTOR
f• Regis trat on:
Ex 114630
A ration
�T0 /2009 Tr# 260568
YAe 176A
r STEVEN M..LeBARpI
STEVEN Z CONSTR'.UCTION
LePARON
54 THROWBRIDG�E
1 W YARTH' r
MOUTH / .
MA'd267-3-`
za
` Administrator � +
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+ I /ze'i�a7rrnzo�uu
GU
a BOQRD.OF BUILDIN REy I:
I ' j License: CONSTRUCTIO
N SUPERVISOR
Number CS` 058307 f'
Birthdate 05/02/b "
y _1948 .E
r
,. Expires 05/02/2008 ,
I Tr.`no: 21504
Restricted'3700 x
STEVEN M LEBARON'ar 1 I
i 54 TROWBRIDGE PATH
W YARMOUTH; MA 02673ol
{
* x+ h \ Commissioner
License or registration valid for individul use only
before the.expiration date. If found return to:
Board of Building Regulations and Standards
One Ashburton Place Rm 1301
Boston,Ma.02108
t �j a
Not valid without signature
REScheck Software Version 4.1.2
Compliance Certificate
Project Title: Porch Remodel
Report Date:11/09/07
Data filename:Untitled.rck
Energy Code: 2000 IECC
Location: Barnstable,Massachusetts
Construction Type: Single Family
Glazing Area Percentage: 4%
Heating Degree Days: 6137
Construction Site: Owner/Agent: Designer/Contractor.
192 Sixth Avenue Steve LeBaron
Hyannisport,MA 02647 Steve LeBaron Construction
Permit Date:nov.9,2007 54 Trowbridge Path
West Yarmouth,MA 02673
508-394-6829
smiebaronl@yahoo.com
Compliance:3.3%Better Than Code Maximum UA:60 Your UA:58
Ceiling 1:Flat Ceiling or Scissor Truss 265 30.0 0.0 9
Wall 1:Wood Frame,16"o.c. 337 13.0 0.0 25
Window 1:Wood Frame:Double Pane with'_ow-E 4 0.320 1
Window 2:Wood Frame:Double Pane with Low-E 4 0.320 1
Window 3:Wood Frame:Double Pane with Low-E 4 0.320 1
Door 1:Solid 21 0.560 12
Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 265 30.0 0.0 9
Compliance Statement. The proposed building design described here is consistent with the building plans,specifications,and other
calculations submitted with the permit application.The proposed building has been designed to meet the 2000 IECC requirements in
REScheck Version 4.1.2 and to comply with the mandatory requirements listed in theCCREESScheck Inspection Checklist.
3bue0i /e2areou '-AU i (dery Z�lr.>��c 9
Name-Title Signature Date
Project Notes:
Addition/Porch Remodel .
Project Title: Porch Remodel Page 1 of 1
Data filename: Untitled.rck Report date: 11/09/07
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5'0"
2x8 P.T
6Mill Polly
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1 ' SCALE
6'2" -3'6"
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----------....................._......_..........................
Bathroom
Bedroom 2 Bedroom 3 Kitche
..............................:
walls removed
Dec 24 07 02:51p THOMAS M. MC AULIOE 978-562-7953 p:1
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LO T 51 .340
OLD TOT
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ILLS. zovE..• ,h,$,. This '_V0FTGAGE IN s PECT'I0 NN Flan As For FLOOD ZO1G'AE'.• T"
Hank Use Cnly
TOWN. —j Sr HY�I:LVIKIS?ORT — — _ REGISTRY p W _-ER- SEE B0 V _
DEED RFC': _1195l-'228 — — — - BLJ�C'EF: T1?'O S_&� is � cuff - _._.— — . - — — — -
DkTE: 18/94a ,� , - - - - - - - - - -
_.
[ HEREBY CERTIFY TO LALI Y=�7_ TITLE I_'YZ- C0._____ Hof �� YANKEE SURVEY
_ __ _ ______-THAT THE BUILDING
9�A
SH0�4N ON THIS PLAN IS LOCATED ON, THE GROUND AS gad PAOL ��' � CONSULTANT'S
'SHOWN AND THAT ITS POSIT`_ON DOES CONFOPM A. � 40B (SUITE 1)
` O THE ZO1tiINIG LA SETBACK REQUIREMENTS OF THE �� MEfiI'Ti EW '� �
TOWN OF __BAR:VSTASLF INDliSTRY ROAD
------------- No. "t, t
�LI�D THAT 1�
V� DOES_AQ: T DE �'�ITHIN THE SPECIAL FLOOD �-AZARD �s�*E�������a��a`� 1SARSTONS MILLS, MA. 02648
AREA AS SHOWN ON THE H.U.D. MAP DATED_����= o�a� �a�a5 TEL: 428-0055
Cor ani_t: Panel 250001 0000 D
FAX: 420-5515
v, TH)S PLAN NOT MADE FROM AN INSTRUMENT S.
T'lUL a 51 RI t.�`4T',-FL5 -------- SURVEY. 1\�OT TO BE USED FOR FENCES, .ETC. 14670 D'i�
BOME, Single 3-1/2" x 9-1/4" VERSA-LAW 2.0 3100 SP Roof Header1R1301
BC CALC®9.5 Design Report-US 1 span No cantilevers 1 0/12 slope Monday, December 17, 2007 15:30
Build 91 16-00-00 OCS
File Name: BC CALC Project
Job Name: Kitchen Addition Description: RB01
Address: 192 Sixth Avenue Specifier: Kitchen Beam
City, State, Zip: Hyannisport, ma 02647 Designer: . Steve LeBaron
Customer: McAuliffe Company:
Code reports: ESR-1040 Misc:
�0
12
. a
11-05-00
BO,3-1/2" B1,3-1/2"
DL 1422 Ibs DI 1422 Ibs
` SL 3653 lbs SL 3653 Ibs
Total Horizontal Product Length=11-05-00
Load Summary Live Dead Snow Wind Roof Live
Tag Description Load Type Ref. Start End 100% 90% 115% 133% 126%. ocS
1 Standard Load Unf. Area(psf) Left 00-00-00 11-05-00 15 40 16-00-00
Load Disclosure
Controls Summary Value %Allowable Duration Case Span Location Completeness and accuracy of input must
Pos. Moment 13346 ft-Ibs 87.4% 115% 3 1 -Internal be verified by anyone who would rely on
End Shear 4131 Ibs 58.4% 115% 3 1 -Left output as evidence of suitability for particular
Total Load Defl. U210(0.625") 85.5% 3 1 application.Output here based on building
Live Load Defl. U292(0.45') 82.1% 3 1 code-accepted design properties and
Max Defl. 0.625" 62.5% 3 1 analysis methods.Installation of BOISE
engineered wood products must be in
Span/Depth 14.2 n/a 0 1 accordance with current Installation Guide
and applicable building codes.To obtain
%Allow %Allow Installation Guide or ask questions,please
Bearing Supports Dim.(L x W) Value Support Member Material call(888)234.0056 before installation.
BO Post 3-1/2"x 3-1/2" 5075 Ibs 57.1% 55.2% Spruce-Pine-Fir
B1 Post 3-1/2"x 3-1/2" 5075 Ibs 57.1% 55.2% Spruce-Pine-Fir BC CALC®,BC FRAMER®,AJSTM,
ALLJOISTO,BC RIM BOARD-,BCI®,
BOISE GLULAM-,SIMPLE FRAMING
Cautious SYSTEM®,VERSA-LAM®,VERSA-RIM
Column at Bearing BO analyzed for bearing only, column analysis has not been performed. PLUS®,VERSA-RIM@,
Column at Bearing 131 analyzed for bearing only, column analysis has not been performed. VERSA-STRANDS,VERSA-STUDS are
For roof members with slope(1/4)/12 or less final design must ensure that ponding trademarks of Boise Wood Products,L.L.C.
instability will not occur.
For roof members with slope(1/2)/12 or less final design must account for Rain-on-Snow
surcharge load.
Notes
Design meets Code minimum(U180)Total load deflection criteria.
Design meets Code minimum(U240)Live load deflection criteria.
Design meets arbitrary(1") Maximum load deflection criteria.
Member Slope=0, consider drainage.
Page 1 of 1
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14'1 SCALE SfD= NUMBER: