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0023 SQUARE RIGGER LANE
3P-A Town of Barnstable _ , .ri U11C11I1 Post This Card So That it is Visible From the Street Approved,Plans Must be Retained on Job and this Card Mu , _ g snxxseaHLe, ; � PP Must be Kept Posted Until Final'Inspection Has Been Made. s6Yq ♦ Permit Where a Certificate of Occupancy is Required,such Building shall-Not be Occupied'until a Final has been made. ` Permit No. B-19-761 Applicant Name: Michael McMahon Approvals .Date Issued: 03/12/2019 Current Use: Structure Permit Type: Building- Insulation --Residential Expiration Date: 09/12/2019 Foundation: Location: 23 SQUARE RIGGER LANE, HYANNIS Map/Lot: 272-199 Zoning District: RC-1 Sheathing: ,. ,Owner on Record: AMICK, MICHAEL Contractor Nam e •,MICHAEL T MCMAHON Framing: 1 Address: 23 SQUARE RIGGER LANE Contractor License CS,068111 2 HYANNIS, MA 02601 m ! Est. Project Cost: $4,130.00 Chimney : Description: Weatherization,weather stripping, air sealing, blown cellulose °_- Permit Fee: $85.00 j Insulation: Project Review Req: �, ` Fee Plaid:'F 585.00 3/12/2019 Final: 3 Plumbing/Gas _ Rough Plumbing: "",,Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after`issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: . All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service.: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing. *` Rough: .2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until theinspector has approved the various stages of construction. Final: "Pe rsons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site � All Permit Cards are the property,of the APPLICANT-ISSUED RECIPIENT t, Final: C TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 271 Z�L -7� Map Parcel Application Health Division Date Issued ' Y—l(P Conservation Division Application'Fee "00 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address VillageS � _�� Owner �&AO C-�c,- � ` � Address 7-S Telephone ncs .� �� r-o��C,,C 9 Permit Request ` �+ ,, o�ro Square feet: 1 st floor: existing Wproposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatiot f) i0�� 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 2� & Historic House: ❑Yes 0 No On Old Kin 's Highway: ❑Y g g ges o Basement Type: ull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new new Half: existing new Number of Bedrooms: 3 existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 4,5dS ❑ Oil ❑ Electric ❑ OtherCD Central Air: tlyat�❑ No Fireplaces: Existing New Existing wood/coal sto : ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existingCO � size_ Attached garage: xisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: o Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ C n Commercial ❑Yes ❑ No If yes, site plan review# W -- Current Use - --_ ,- - Proposed Use M - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ,b Telephone Number Address �,0 License #_ CS 1 1�_?i?i I \,.1 L'ZS 1�[_ � \/ �, Home Improvement Contractor# Email ►Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FR THIS PROJECT WILL BE TAKEN TO SIGNATURE ___ DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ' ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ti ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 4 4 27te Compiomvealth of-Vassacilusetts Departnent o,f IndrtsiWal Accidents - Ofilke o,f Imestigations ---- - — 600-WashirzgIon-,S&eet --- _ _ Boston ?CIA 02111 ivio.niasagovIdia Warkers' Compensation Insurance Affidavit:Builder-,/CnntractorsAEIectricianslPhunbers Na= acme meant^�ati fL 7a1�:: f�o� Addms cityistalter a �. M nt;;r SC 8 (���- I C sl Are you an employer?Check the appropriate bow Type of project(requi eq: I_❑ I am employer with 4. ❑I am a general contractor and I G- ❑New ogees(full.and`or part-time).*,pf have Hired the sub-contractors _ 2. a sale proprietor orpartner- Tisted on the attached sheet 7. ❑Remodeling ship and have no employees. These sub-contac#ors have 8. ❑Demolition -wone for me in any g employees and have'wodcers' c��3'= # 9. ❑Building addition v; or10ers'Wing.insnranre'_ comp-insurance —I ] t 5- ❑ We we a corporation and its 10.❑Electrical repairs or additions 3.❑ I am.a homeoumer doing all work. officers have exercised their ILL]Plumbing repairs or additions myself[No work=' right of exemption per MGL 12:❑Roof repairs insurance required-]i c.152,§l(4)6 andwe have no employees-[No workers■ 13-❑Other comp-nuance ed-] #Anyapphc thatchecksbos#l— also,fill antihesectionbelowshavdn-ItheirworkerecompeasatianpoEryiofn=atio3- I Homeowners who submit this affidavit in&ca ng they are doing all wool and then him outside cmtacturs ffict snhmit a new affidavit indicating such_ fCamxactors that check this boot must attached at sddilianal sheet showing the nacre of the sub-cemtniu as aad state whether ar not tbose entities have eatployem Ifthe sub-caatatcrors have empleyee%they mtsipruuide the workers'romp.palicg number. lam an sntpL Uvr beat is prmniding rs�orlrers'cot gmzsatiort inmirance,for my*entpLof eL—L Below is tltepatiey Md job rite iriforatation Imsurance:Company lame: Policy tt or Self-ins.Lic.;k Expiration Date: Job Site Address: CityfState/2ap: Attach a copy of the workers'coanpensationpolicy declaration page(showing the policy number and expiration date). Failure to secure coverage as requitu-ed.under Section 25A of MGL c 152 ceu lead to the imposition of criminal penalties of a fine up to$1,50DUOO andlor one-year impprisoranwt,as well as civil peualties.in the form of a STOP WORK ORDERand a Erne of up to$250-00 a dap against the violator. Be adUdsed that a copy of this statement maybe forwarded to the Office of Investigations ofthe DIA for iflsurdace coverage verification_ I do hereby cerfify under thapains andpenabYes o f'petltxy that tits iaformafianprmRrkd bmIe rs aard carrect S2enature_ Date_ ZCi Phone ordid use turfy: Do not write in this area,to be muipleteod by city artoivn offs at City or Town: PermitTkense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.C tyffown Clerk'A.Electrical Inspector S.Plumbing Inspector 6.Other Coact Person: Phone#: Information and Instructions . Massachusetts General Laws chapter 152 requires all UIEPIoyers to provide worker'compensation for their employees. pm uantto this statute,a a ernployze is defined as-" -.every person in the service of another under aay contrast of hire, express or implied,oral or writtMI, An employer is defined as"an individual,partnership,association,corporation or other Iegal entity,or airy 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 - dwelIi ag house of another who employs persons to do mafiite ce,construction or repair 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 stains 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 msm-ance.coverage required." Additionally.MM chapter 152,§25C(7)states"Neither the commcmwealih nor any of its political subdivisions shall enter mto any cont-ad for the performance ofpublic wont until acceptable evidence of compliance with the fi n-ance. requirements of this cbaptEr have been presented to the contracting autbozityf Applicants Please till out the woi3='compensation affidavit completEly,by checking the boxes that apply to your sitnation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificates)of inn=ce. Limited Liability Companies(LLC)or Lmit--d LiabEily-Partamships(LLP)withno employees other than the members or partnm-s,are not r6gai ed to cant'workers'compensation insurance If an LLC or LLP does have employees,a policy is required. B e advised that this aiRda-Vit may be submiffed to the Drpartma-ut of ladustrial Accidents for con�mation of m Vance coverage. Also be sure to sign and date the affidavit The affidavit should be retamr-d to the city or town that the application for the permit or license is being requested,not the Department of Lnia--istulAccidents. Should you have any questions regarding the law or if you are req=d to obtam a workers' compensation policy,please call the Department at the number listed below Self-insured companies should enter their self-ice license number an the,appropriate line. City or Town Officials Please be sure that the affidavit is complete and pried legibly. The Department has provided a space at the bottom of the affidavit for you to fry out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the pen i; l crose number which w71 be used as a reference number. In addition,an applicant that must submit multiple permit)Ucense applicatiam in.any given year,need only submit one affidavit indicating current policy inl�zIIation(if necessary)and under"lob Site Address"the applicant should write"all locations in (cityy or town)."A copy of the-affidavit that has been officially stamped or malted by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses A new affidavit must be,filled oiut each year.Where a homeowner or citizen is obtaining a license of permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT regai u d to complete this affidavit ons would lrlte to thank ou is advance for our cooperation and should you have any questions, The Office oflmvestigan y y op please do not hesitate to give us a call. The Department's address,telephone and fax number. The CamanwmME of Massach�t�s , Ilegaitnmt of Iudistial Accidence ofam of kvegtkatio--� �� I�fA E1�111 - Tf,-1,4 617-'27-4900 ext 4-06 or 1-977= SAFE Fax 9 617` 27-774-9 Revised 4-24-07 -mas5-ga-VIdia r A C Guide to Wood Corzstructiov in Hi�Ir WrAd Areas:110 mph end Zone - - Massachusetts Checklist for CoInOiance(78o chgR.oi:2_l.i)r P1 c>z=.ic . 1.1 'SCOPE. - - 110 mph Wind Exposure Category- _._.__-.._.__..___-- ._- _B Wind Exposure Category._......_.._..�.-Engineering RegUi ed For Entim Project_ ----__ --- -------. _C 12 APPLICABILITY -Number of Stories(a roaf Which But 12 MDp5 90 be - 1 Roaf Filch _.-.._(Fig 2) - s 12:12 Mean Roof Height __-_—ft s•33' cr Building Width,W-__. __ _- -�(Fig 3)------�.--_..: __ —ft `B Building L.engfft,L ft s B(r Q' Building Aspect Ratio(L/W) _ ----_----(Fig 4)-- --- -- 5 3:1 Nominal Height of Tallest Dpening2 _ =__-.__._.:_ (Fig 4) 6 B" ._ 13 FRAMING CONNECTIONS .' General compl"ranee widt framing ci3nnectians�...�__.:�(Table 2)_ - .. ,__ :._- 2.1 FOUNDATION Foundation Walls meeting reguiremwft of M CMR 54M.1 Caner _-------•--.._.__.. ..-..... ..._..............-------•-•---------------------------------•------_---------- Gorrcrete Masonry....... --._-___-_ ___-_-.----____.__ _______-----_:-_-----_. ._ 2 2 ANCHORAGE TD FDUNDATIONt�, 5/8`Anchor Bolls*imbedded nr 5/B`Prap6eta y Mechanical Anchors as an atfemative in concrete only Bolt Spacing-general------------------------------ •.(Table 4) ----- --- in Bolt Spaduig from endTjoint of plate--------(Fig 5) Bolt Embedment-concrete_-:__. -.(Fi9 5}---- - - in.>7" Bolt Embedment-masonry. ..-..��._.. __(Fig�--=- _ ___..__�_— in-_>15* Plate Washer-_ ------(Fig 5)------- -. _ ?3`x 3.x 3.1 FLOORS , - Fioorframing member spans checked, Ma)dmurn Fbor Opening i3imension Full Height Wag Studs at Floor Openings less f inn 2`from Exterior Wall Fig 6)....................................... • •• Mb;drnum Floor Joist Setbacks SuppDMng Loadbearing Walls or ShearwaA___-____(Fig 7} T Maximum Canfilevend Floor JoirsL-- Supparfing Lhadbearing Walls or Shear•wrall__. (Fig B)__ .---- ___.._.__ ___:___. ft <-d. •FioarBmcing at —'. _. Floor Sheathing Type ..__- ____.- .-(per 7B0 CMIR Ctzapier 55)___.-.= --�-_.- - Floor Sheathing Thidmess —____-_ _ :-(per 7B0 CMR Chapter .._..__ in_ Floor Sheathing Fasferiritg- -•-..•----- :---(Table 2)__d pals at in edge/—in field . 4-1 WALLS Wag Height Laadbearing wags._. --- - ---- -(Fig 10 and Table 5)__-- _ft 510' Non•-Laadbearing walls - -r (Fig 10 and Table 5) ft WaB Stud Spacing -_-- _.- -- ---- - g 10 and Table 5)_---___- _in_s 247 n_r Wag Sto►y Offsets _ -. __ _-(Figs 7&B)... —fi: c d , 42 DCTEFJOldWALLe ' Whod Studs -(Table in. Non4aadbeaiing (Table 5) Gable Fed Wall Bracing' — — -— Full Height Endwall Studs WSP-At=6c Fit"Length-- ft zVU3 Gypsum Calling Length[if WSP not used)-_------_(F1g ft?-0.9W- and 2 x4 Continuous Lafm-al Brace Q 5 ft:o.r-_(Fig 11�----------------------- ' or 1 x 3 geiTing furring snips Q 161 spacing•rain_x9h 2 x 4 blocidng @ 4 fL spacing in end joist or truss bays Double Tap (Fig I Band Table 6)--- ��-- __ ___ ft Splice Length .---=---.- — _ Spiiice Connection(no:of 15d common naf-)- (Table ATYC tluide to PVood Corrstrucfiaa iri lIigfi rid ftreas: IIO Firp"ii 'i�rd Zo>ie ' Massachusetts Checklist for CompJjance(790 cmRDol.m-i)' i oadbearing Wall Connections Lateral (no.of 16d common nab)_:_— (Tables 7) _-- Non4xadbearing Wall Connections Lateral(no-of 15d common Load Bearing Wall Openings(record largest opening but check all openings for Mnf pllance to Table 9) Header Spans _._.— ... ---__.-__.(Table 9).._.:_. ..— _ft ar.<11'. Sib Plate S ..__ —. pans ._(Table 9)___�.____.__..__tt in._11' Full Height Studs (no. of sf)ds)___ ---(Table _-:- NDa Load Bearing Wall Openings(record largest opening bitt check all openings far compliance to Table 9) Header Spans_._.___.__ Shc Plate Spans.._.—_____._ _ __.(Table 9).. ---ft _ft in-512' Fug Height Studs (no.of studs) -_-- -(Table 9)-__ Exterior Wall Sheathing to Resist Uplift and Sheaf Simultaneausfy4 W"mum Building Dimension,W Nominal Height of Tallest DpeningZ ................. Sheathing Type_. _—.__-_.--(note 4)-.-- Edge Nag Spacing (Table 10 or note 4 if}ess)____.______. m_ Field Nall Spacing__....._.-_--_--- —__.(Table 10)_�.—__ Shear Connection(no.of 16d common nails)(Table Percent Full-Height Sheathing—_- __ - (Table 10)______-_----------_--_--_.._% 5%Additional Sheathing for Will with Opening>VW(Design Concepts)—._._.__.__. Maximum Buildmg Dimension,L _ Nominal Height of Tallest Openine .:-._................................................... _<B'S" ` Sheathing Type____-- __----____-- Edge Nail_Spacing_..._ __ —_(Table 11 or note 4 if Feld Nail Spacing___. _(Table 11) ___—___ __ in Shear Connection(no.of 15d common nails)(Table 11)__._.� ____w_. Percent Full•-Height Sheathing______ M...(Table 11)_. —. —__% 5%Additionaf Sheathing for Wag with'Opening>6'8"(Design Concepts) .- - Walf Cladding Rated for Wind Speed? 5.1 ROOFS Roof framing member spans checked?----.(For Rafters use AWC Span Toot,see BBRS Webske) Roof Overhang ---------- --------..._------.—------(Figure 19)----:------ ft!9 smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Waifs : Proprietary Connectors -_--r—..(Table 12).___ U= plf Latest_____..._ .._. .__(Tab)e 12)___ _-- .—L= pif Shear.__.—_ .—_._--• _-(Table 12}----•----_--.__—_____ S= ptf Ridge Strap Connections,if collar fies not used per page 21... (Table 13)_ --------._T= pif Gable Rake Outtooker---------------- .__. ..—__ __{Figure 20):--_--- ft s smaller of 2'or 1.12 ' Truss or Ratter Gonnecfions at Non-Laadbearrng Wags Proprietary Connectors -- Uplrlt___.__--- --.-------_(Table 14) U= lb. Lateral(no-of 16d common nails)_-(Table 14)......................................L= . lb- Roof Sheathing Type— :_ -__—____(per 780 CMR Chapters 53 and 59)------------- Rc of'Sheathing Thickness_ _...—. _ _—_-----_--_____ _ _try 2!:7116'W5P Roaf Sheathing Fastening.--_— — Notes: ` -1. _ This Est shall be met in ft entirety,excluding the specific exception noted in 2, to comply with the requirements of TBD CMR-53012.1.1 Item 1. ff the checklist is met in its entirety then the following metal straps and hold downs are not requined per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 ; b. 20 Gage Straps per Figure 11 c. Upfrr-I• Straps per Figure 14 ct All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 1Ba and Figure 18b 2 'Exception:Opening heights ofup to 8 ft.shall be permrlted when 5%is added to the percent fu"elght sheathing 'requirements sh6m in Tables'10 and 11. 3.. The bottom srlf platy:in exterior wallas shag be a mk*r m 2 in-nominal thicimess pressure treed 92-grade. AWC Guide fo Wood Ccrrstruction in Hj;g r WrcdAreas_110 mph end Zone M assaciusei-ts ec is ff r `omg lance(iso ClYIR s3.oi_fJ l)r a. From Tables ID and 11 and location of wall sheathing and Balding Aspect Ratio,determine Perc6gt Full--Height Sheathing and I,larl Spacing requirements ----6:_--CNoad-Stru�ratPaneLs s(�f!-be rniniinum thic—mess of7fiS'-andbe'mstalled as-f6lfovrs;V------ f. Panels shall be installed Wh strength ands parallel to studs. I M-hDr!Z-DntW -D D�fQDP—and-b-B-n ut_ On single siniy construction,panels shall be attached to bottom plates and top member of the double top plate. plate and to band joist at botinm of panel.Lipper attachment of lower panel shall be made tD band joist and lower attachment made to lowest plate at first fioDr framing. v. Horhmntal nall spacing at double top plates, band joists,and girders shall-be a double row of 8d staggered 9 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment b. Glazing proton:a),new house Dr horizontal addifron—required if prnjecf•is_ i mile Dr closertD shore(generally.south of Rte.ZB or north of Rte.S) b)vertical addition—not required uriless there is extensive renovabc;n to ibe'first floor c)reptar..emenfiYWdows—needs energy CDnservatton cDmpfiarice only(chap 93) S.Wood Frame Construction Manual(WFCM)for 110 MPH,Exposure B maybe obtained from the American Wood Council (AWC)website YsrlerMis REM Oo-r r r�ba ur>3rs - ATS'b c .. • it !1 tI n it it E •ii • it it t ■ C o - i u tl i• ■ � c \ill Lt 11cl tr it Lt • 117 ti II (] 1 ^ tl 1 at R3 f i IS _ i t tr_ [� z S ii is l I i it 11 Is + 1 Is 7 rt _x STAGGEFED NAXPATTffW • `"� ! �' � DDLtf3LE6tft[L®G'_ES?AR4Ti DUAL . See Dat-Ran Next Page Vertical and HDrlmrilal WalUng Detail , Verliral and Horizanisl Nailing i for Panel Affachmmt fDF Panel At(mlLmanf ' t 11ngxsrA11M MASS, 039. Town of Barnstable �� Regulatory Services -- —----- ert ,Dit eetov Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 f Fax: 508-790-6230 Property Owner Must Complete and Sign This Section -If Using A Builder • . i � 1 as Owner of the subject property hereby authorize 1 �� �n�. cS� to act on my behalf, in all matters relative to work authorized by;this building permit application for: Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFILESTORMS\building permit forms\EXPRESS.doc Revised 040215 Y , Town of Barnstable Regulatory Services dFT Richard V.Scali,Director Building Division KAM 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 to amend and adopt.such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 t Massachusetts Public Department of Safety $oard,of Building'Regulations and Standards. S All S upenistir License: C"75281 TODD Y4bANTA0 1 .r .. ; _ 10 ECHO RI) West Yarmouth I%A '6L CI Expiratio6, ,k -'�'•"�' 03/12/2017 Commissioner. ,u���;� :,,,:d/�e�''�smmanusecilllz�a dl�ir:zzac/zurtelta Office of ConsumerAffairs&,$usinessRegulation, OMEIMPROVEMENT'CONTRACTOR 4 .`` egistration: .. Expiration 1 0l2016 +`• Partnership; -ECHO.CUSTOM`CARPENTRY .` * f'TOpD CANTARFI j � r 10 ECHO RD. " W.YARMOUTH,MA 0267$ Undersecretary �9 r' r ` Town of Barnstable *Permit# fiw doe " ; Regulatory Services EFee 5 ST u"m' Richard V.Scali,Interim Director MILS 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 ' 1 Not VW without Red X-Press Imprint Niap/parcel Number � 2,-) � 7 9 l _ ., Pe1h' Pro Address SQUAkEL �Rta4F-� • ' dij — d APIJ tS Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address -PclYl�g Contractor's Name ,rju Pad 64-ir L&A U)t A 1 ws Telephone Number'qc)(-2 7-9-- ?POO Home Improvement Contractor License#(if applicable) /7324 Email: G Construction Supervisor's License#(if applicable) !��� w,r �..m c�a:a ��• FWorkman's Compensation Insurance Check one: MAR 2 8 20i4 ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance TOWN OE,BARNSTABLE Insurance Company Name _A Workman's Comp.Policy# 41 e---7,2/y d-3��2 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 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders.U-Value 1 30 (maximum.35)#of win #of doo . ❑ 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 Rome Improvement Contractors License&Construction Supervisors License is SIGNATURE: ' T:IKEVIN D1Building Changes\EXPRESS PERMITIEXPRESS.doc Revised 061313 ,ar.15.2014 17:56 PAUL CCN8C1' Rs'NEWAL ANL211 781 :545 1293 -ACE. o/ 7 J Renewal REM N F` 7�\t7 tt Il a,u:fu9r. brAndersen. I r AL B S. N LL'A RSEN AIA I I_ m.21 M'1::F w+horlr%teucer=NT .,+.'ev G•. '2O Abi in 14-mrI Iii-oral,Ill' i :T1=114ivCQ Imo; ,.,;; CTaip t•_p:1 Iir.=I es•�I; Phnin 8136.553.2235-ilex 401 A33.Q,:ryt ta:4r.:1 ii:x IG Ta16 uCrer:a9 Southern New Bwiand t+iindetts.LLC d/b/n Rear—at by Andor eti of&outhern NOWEnsland CUSTOM WINDOW/AND DOOR RBMODELINC AGREEMENT G:iY1�S tG ti Idt amrts:ra:eJ,ekeaG=rynra:j��+F Noce•:ea.axc_. _.K y .�,a_. .. ...�. EMHA?7ti.: f / / rrW/r+'f4I(/f •� S :Iw,�oNmxr�+-�/��i���btRTe•eD `�rtsu:�/..' �.3 lt_yrr?,j hrrs l,;r�.IJlll?:nuExvrsidly tlL;lCls to,9tilrilt1V J1c produem YuJiorYcse+irrs<:!'i, >;1tR'l'lt lest/1?n (,end S gJn.�T 7, F, ,:..4 drill I(racoid -;A=1&-fselt tsJ'Suethens 1:nr f ngjvind i'Contr ci4)r'%in xccmd:L[2c sri&&t.it rrju and ronduinns dr c rbed o i(91c l ow.and trig 11[-,a 6t cr 1hi.:,Fr:ctuaa:rid eio dill: elat:hled epr i.�.neio a Yhccar�j ct>Ilh=liirl ?}dx1 ICen:yp:'i. 7 1111 forle O Condo 0 HOA7 Tornados An�opin�t'f.� Fac,axd Sortlyt brar: Machod of Payrnenea J Chock rt 1;a5'•Ia,ced 0 C W i t itcamd ;sS'd1.���.� �rrJ 4�ef�S 7— Great tuts art:scccep4ed for de it only—nuxilny„Ida GG tFe 3darr_e at Stut a J Ca cb 133%): Prolsct Last I'fseste tee Creo4 lif ..... Est`Ir,�lrxd Cocpictian Oaie: � lnr!'ai'ryi By ioirg sh^t Aprscetaat,you Ldtaswledte&.K flekn a at Start cf labial the Balance on iubstartt:7l�`/��j 6' _. t/"��«e.a Balance en Sob:muid Complad" Job c srnot be made by credit Cemi-Wo;,o1`).c3 03:ij:.....1. !' _ cart)and must be nsado by Fa: d.eck,huik ch"k or nsb, Buyer(s)agrees and understands that this,Agreemeat eosksikutes the entire understanding. on the parties,and that there are so verbal understandings changing any of the tonic of this ACteeares,<t.$nyer(s)ac ledges that Bum(s)(1)has read th6 Agreement,anderstantls the terms of thus Agreement,and bus received ROD seed,signed,and diced copy of[bi4 Agrrourcut,inclndino tine two attached Notices of Cancellation,on the date firstwriute above and(2)was oratty initirmed of Bayer's right to cancel this Agreement-DO wT SiGN TRIS CONTRACT IF j`li$R$ A.\'Y$L,LNZ{SPACES, lRkode IsfoudSahm Ou(y)Notice to Buy%m.(1)Do not s3gdtWsAgrecmentif anyof Rhespaccsi int ed for the agreed teams to the extent of they auailabl 1uhrmation an trait blank.(2)You are entitled to a copy of tbisAg're ant at the time you rigs it.(3)You may at any tune pay oQ the run Unpaid butasce duo under this Agreement,and.in sod g youmay be entttled to receive it partial rebate of the_.finance and insurance charges.(4)The seller ham on right to tutla enter your pcetnises or commit any breach of the peace to reposse:rs goody purchased under thisAgraensaat,(5)You a ty canool this Agreement if it has not lb en signed at the main office or a branch office o4 the seller,provided yeti notify du seller athis or her main office or branch office shofar in the Agreement by registered or cerlified mall,which shall he pom I not later tiiraemichright of the third calendar day after file day on which the buyer sipps the Agreement,exeludlig Sunday rid anyholidayon which regular M-A deliver!"am Trot Made,See th.t accompanying no ticeofcs.nreIl1zdonftrM1braueW atf4notbuyee'sarights. Bo-mrWt - Renewnl lry A _f f 5�e RCN England •nnn•.uh'�udu Ivan. f Skpultur/: 5ignluv r 51 'leas lame nl'Pn,tluo illania rr f?tiiti Nana Ptirnt Maw— 7iOT4 711116]BUYER($), MAY CANCEL THIS TRANSACTION 4T ANY.TIME PRIOR TO.MIDI IGHT OF THE THIRD BUSINESS DAY A11+UR THE DATE OF THIS TRA;S&CTION.SEE TEE ATTACHED NOTICE OF.( CF.LliATION FOR:1fIS yOR AN EXPLO WATION OF THIS BIGHT. 04— — — _ — _ _ _ _ — _ — - _ _ _ _ _ _ _ _ _ _ _ NOTICEO NC W N•.o W ELATION Date of Transaction 3:45"f You may cancel m Date of Transaction You May cancel this Owwaetiom wltllout any penalty of obliptlon,within this transaction,without any pert ty or obligatlan,within three business days from the above date.If you cancel.any 1 three business drys from tho a slate.If you cancel,any property traded In,tiny payments mode by.you under the I property traded in,aryr parymentu ode by you under the Contract or Sale.and any neAotiabte Instrument extcuosd i Contratt or Safe,and-any negoei le instrument executed iSy you wilt be retumed within ten business days following i try'you will be returned within t business days following Wei by the Seller of your cancellation notice,and any i rectlpt by the Boller of your can nation notice,and any security interest arising out of the transaction will he security Intoripst arising out of a transaction will be canceled.lfyou canosl,you roust make available to theSellar l canceled.If you cane et,you must m available to the Seller at your residence,in substantially as good condition as when 1 at your resldente.in substantially good condition as when received,any goods delivered to you under this Contract or I received,any sands delivered to under this Contract or Sate.or you may,it you wish,comply with the Instructions of l Sale;or you tray,If you wrsh,eomp- With the Instrtmiens of the Sailor regnrdingthe return shipment of the,goods at the the Seller regarding the return shi ant of the goads at the seller's expense and risk.It you do malts the goods available Selloes expense and risk.If you,do alas the goods available to the Seller and the Seller does not pick them up within I to the Sadler and the Seiler does, of pick them up within twenty days of the date of cancellation,you may retain or I twenty dals of*the date:of cant el 'on,you may retain or dippose of the goods without any further obIlRation.i+f you I dispose of the goods without ally' rther vbiigation.If you fail to make the goods available to the Seller,or If you agree I fall to mi ake,the goods availivible to be Seller,or if you agree to return the goods to the Seller and fail to do soy then you l to return Lho goods eo the Seller d fill to do so,then you mWiafn liable for performance of all oblgations under the remain liable for petfiermance of II obligations under the Contract,To i mnevt this transaction,mall or deliver a signed I Contract.Tb cancel this transaeei mail or deliver a signed and dated copy of this cancellation notice or any other I and dated copy of this canceilii n notice or any other written notice.or send a telegram to Renewal byAndersenof i written notite,orsendateeeMpgrirn Renewalby Andersen of Southern New England at 26Alblon Road i n, 01865. 1 Southern New England at25AN Road.Lincoln,Rt 42S63, NOY LATi:R THAN MIDNIGHT OF I NOT LATER THAN MIDNIGHT F (Date) {Date) 1 HEREBY GANGELTNi5TRANSACTION. r f'HEREBY CANCEL THIS TRANW ION. - ., iliya`raxfgnaeuw_.— n•MtName hart • Bum%sldu"M rrl Wma Aata ltbA Copy:Waite layar Cepy;Yalkie, Buyer Copy.Pink i i Southern New England Windows d.b.a ,a Renewal by Andersen of SNE Massachusetts Department,o#Public Safety Board of Building Regulations and Standards =Cunxtruction"- jkhisat' Lice,n.se CS-095707 BRIAN D DENMS14M, `� 7,LAMBS POND�IRC " �- • • rC6arlton MA;"O15a7 "- � '; _' ,1 Commissioner 09/08/2614 Its, O ffEGo C"onmer�Aair s sint ess e �o n i U Park:Plan.=Suite 5170 Boston,'Massachusetts 02116 Home Improvement C.o'ntraetor Registration " "Registration: IM45 Type: Supplement Card SOUTHERN NEW ENGLAND WINDOW$a L' tVlrallon: 9119=14 DENNISON BRIAN :_? << - 1137 PARK EAST DRIVE w WOONSOCKET,R102895 x Update Address and mtm card.Mark.rea,ed_for ebange. r p Address ❑Renewal p Employment ❑Lost cmd cat Coe rAR inA B sin®ReQdctba Luse or registration valid forindividal use only E IMPROVEMENT CONTRACTOR before the espiratloo dare.u found return tm m of ConeumerAffaira aad Bacior�Regulatioa- tlon 773245-.. Typo: 10 Park Pima Suite 5770 Eapirgtlon 9H9M1p1A:. SupOemanl P" Boston,MA 02116' SOUTHERN NEW&d1toJ IO WINDOWS LLC. RENEWAL IS RSON DENNISRK efum BROW° t197DARK EAST DRIVE - WOONSOCiEr,Rl MM. Underaeretary Not valid without sigoeture CrmnW:30124 SOUTNEW DATE(MErtIODlYYYY) ACORD. CERTIFICATE 4F LIABILITY INSURANCE 81061M13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER ;WTj Anita Little Willis of Now Jersey,Inc. fW. ,S56 914-4660 — r�6-914-1881 1015 Briggs Road,PO Box 5005 E-MAIL . 8rtita.flttle@wiltis.com PO Box 5005 INLURER P1 AFFORDING COVERAGE NAIL s Mount Laurel,NJ 08054 INSURER A:Selective insurance Co of the S 39926 INSURED INSURER B 1,Argonaut Insurance Co. 19801 Southern New England Windows LLC INsuRERc;Beacon Mutual Ins.Co. 24017 D1B/A Renewal by Andersen INSURER D 26 Albion Road INSURE Lincoln,RI 02865 INSURER F{ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, I&M Pau INSR TYPE OF INSURANCE WSRPOLICY NUMBER POL QYIfMi UNITS A GENERAL LIABILITY S202945900 0811012013�08/10/201 EACH OCCURRENCE $1 000 000 MUM rrr•RRBENT � $100 000 X COMMERCIAL GENERAL LIABILITY I Pi�iS! E9{E ___ CLAIMS-MADE t OCCUR 4 LED EXP-(Any am pEison) $1 O 000 I I PERSONAL&ADV INJURY $1 00Q 000 { GENERAL AGGREGATE s3,000,000 GEN'L AGGREGATE UMIT APPLIES PER: I f t {PRODUCTS-COMP/OPAGG $3 00Q 000 POLICY PRO- LOC f $ A AUTOMOBILE LIABILITY S202945900 D811012013 08/1012014 DOMB�INdentsiNCLELIMIT 1,000.000 X ANY AUTO BODILY INJURY(Per parson) $ ALL OWNED SCHEDULED I AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X AAU f�ED 1 PPROPERTY DAMAGE $ 1; $ A X UMBRELLA LIAB OCCUR S202945900 8d1012013 08/10/201 EACH OCCURRENCE $ 000ADQ__ EXCESS LIAR _ CLAIMS-MADE AGGREGATE i5'000.000 DED I TRETERMON 1 $ C WORKERS COMPENSATION l AND EMPLOYERS'LIABILITY 000Q066028-RI 8/21/2013 08/21/201 X Yrc STATU D'rFt B ANY PROPRIETORIPARTNEWEXECUTIVEYIN AiC927818352394 DQ112013 08121/201A E.L.EACH ACCIDENT $1 000 000 OFFICER/MEMSER EXCLUDED? C N/A y (M a ndatory In NH) I I E.L.DISEASE-EA EMPLOYEE $1 DDD 000 DESCRI TP Ie under ON OF OPERATIONS bEiow ' E.L.DISEASE-POLICY LIMIT $1 00D 000 1 , 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Anson ACORD 1(1,Addltlanal RErnaft Schedule,if bnote space is mqulred) c , CERTIFICATE HOLDER CANCELLATION Southern NE LLC �{ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 26 Albion Road ACCORDANCE WITH THE POLICY PROVISIONS. Lincoln,RI 02865 AUTHORIZED REPRESENTATIVE i 01988-2010 ACORD CORPORATION.All rights reserved: ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD ;`S215109/M215088 AXL The Commonwealth of Massachuseuts DeP=tment ofIndresWal Accidents Office oflnvadgadons 600 Washington Street Boston,MA 02111 www massgovrdia Workers' Compensation Insurance Affidavit. Builders/Contractors/Electricians/Plumbers Aipplicant Information Please Print Lec-q*hlv Name(Business/Organizationfindividual) A Address: a 10 �O City/State/Zip:_L l lco A/ Phone#: Are you an employer?Check the appropriate box: of project(required): 4. Iama � p ) ( eq �: 1.[�I am a ernptoyer with a� � ❑ general contractor and I � ❑ • employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' y ❑Demolition Building addition [No workers'comp..insurance comp.insurance. required.] 5.❑ We are a corporation and its 14.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their . 11.[]Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL. 1211 Roof repairs insurance required.)t c.152,§1(4),and we have no employees.[No workers' 13.gOther 1016XW t book ` comp.insurance required.] �DA "Any applicant that checks box#1 must also fill out the section below showing their workers'compmution policy information. #Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors most submit a new affidavit indicating such. Coimaetors that check this box must attached an additional sheet showing the name of the sub-contractors and slate whether.or not those entities have employees. If the sub-controcM have employees,they must provide their worker'cDmp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. � ' Insurance Company Name: SUj— ell Policy#or Self-ins.Lie.#: � ����f 3 /lj Expiration Date. d oa r Job Site Address: 2 u1412c 7�1 E(.�IZ �� City/State/Tp: aU!S Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonments as well as civil penalties in the form of a STOP WORK ORDER and a fine Df 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 DIA for insurance coverage verification r do/Iereby cert/ under the pains and penalties of perjury that the information provided above is true correct ;iQnature: Date: 3 77 /4 ,hone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# I 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#: i PLOT PLAN of a S 22°p PROPOSED ADDITION 2 S6,P ` at 23 SQUARE RIGGER LANE AS. MAP 272 BARNSTABLE, MASSACHUSETTS PARCEL 200 _ For: James P. &Patricia O. Archibald a 23 Square Rigger Lane gl 87, Hyannis, Massachusetts 02601 S 83°201,55,,E 'y November 24,2009 Scale 1"=20' EXISTING FOUNDATION Allan Kingsbury, g ury, P.L.S. 220 Tremont Street 22 Carver, Massachusetts 02330 AS. MAP 272 , , - Or g� e N 508-866-3200 PARCEL 201 Assessors Map 272 Parcel 423 �g2 N �' Zoning District: RC-1 N o 113. W w Deed Book 10834 Page 72 r a Plan Book 425.Pagd 29 e �,/ Setbacks: (Open Space) Front- 20' \ p� o Side=7.5' N; In, Rear- 7.5' LOT 123 AS. LOT 272-199 N ■ Denotes dh/cb found A= 7,167±S.F. 0.1645t Ac. I certify that the existing foundation shown hereon 97.26' is actually located on the ground as-dimensioned. N 94°26 24" OF E �Q'•(H S qn AS.MAP 272 LAN LA s PARCEL 198 a }� A L. o KINGSBURY a' v U 9 #26101 a I COO) FS I s l Eel �4 sUR\IS:3 ,F C F ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION n ,v � 41/ Map Parcel l CST t"' ` j Permit# 77(0�� ,Y11TIoit„A ylL"-� (" �• � �`} t 141�i1iV. Health Division c,)�/- � n+ 9AXt/� C� . Date Issued a® Conservation Division 7hqk, Fee 1' 37 i Tax Collector 71 �0a Treasurer I�3 aV Planning Dept. Date Definitive Plan Approved by Planning Board ' Historic-OKH Preservation/Hyannis ' Project Street Address 3 S y —M Village 1 O--Vrn +s Owner e—Y e 4- �3 '<-+ ; Address 2-3 S } Telephone 0 sn Permit Request f t - L Square feet: 1st floor: existing proposed 2nd floor: existing —7 6--V proposed Total new Valuation a® Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Fr-Dwelling Type: Single Family )d Two Family ❑ Multi-Family(#units) Age of Existing Structure V �J tz -Y Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: 'mull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) (a 0 Basement Unfinished Area(sq.ft) a4 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: )5 Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes XNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:�existing ❑new size Shed:❑existing ❑new size Other: ZoningBoard of Appeals Authorization ❑ Appeal# Recorded Cl PP Pp Commercial ❑Yes ❑ No If yes, site plan review# Current Use _ Proposed Use n BUILDER INFORMATION ��1 t' Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �� D'V&>V v is FOR.OFFICIAL USE ONLY - - - -� MIT.NO. I - DATE ISSUED MAP/PARCEL NO. t ' S ADDRESS' o .' �. ' , i , • ' ' • i ` • � • � ` ) ' i. L ' ' R . — •.. ; ^,' I. VILLAGE OWNER.r DATE OF INSPECTION FOUNDATION r FRAME !O rL00® ! INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL r .Jf v PLUMBING: ROUGH FINALS , GAS: _ ROUGH FINAL FINAL BUILDING.- CO DATE CL-OSED'OUT ' ASSOCIATION PLAN NO. : . .� The Town of Barnstable NAM Department of Health Safety and Environmental Services ram . Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commission: 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 orto structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. ` l Type of Work: �- °`e ��h Estimated Cost . o Address of Work: V &-ne L n v Owner's Name: '� � z-•n �s 1 °� ��� 10 L7 r Date of Application: u % 1 3 I hereby certify that: Registration is not required for the following reason(s): ' [3 Work excluded by law C]Job Under S 1,000 Building not owner-occupied 11Owner 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. s OR q7 Date O er's ame q:fortm:Affidav The Commonwealth of Massachusetts o Ind�� Accidents , Department�a aflmresti�8uoas i = 600 wasishIgton Street s� ` Boston,l{Iass. 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Imd ts�ommmt m of the DlA for coverage ve:inclu ' one years,in be forwarded to the omge of u copy of this statement mayvvi&d above is Wsp coned wars arrd paralties of Perjury�dw°�formaaort Pr 1 do hereby certify ender theP t7 v C> Date Sizuature � phaat: C) O �"l r-TMt name � s P y2 � � ofSdal ofikew use only do not write in this area to be completed by city or town QBuowg D ep�nent permdtBiesnse# ❑Licensing Bow city or town: ❑Selectmen's C)Mce response is required ❑Health Department checkifimmediate phi ❑Other------ — contact person: Information and Instracfions =, s all employers to provide workers' compens�IIon fo:" ems �gassachusetts General Laws chapter 152 section 25 requires P arson in the service of another under and' cc==- cmplovees. As quoted from the'law",an employee is defined as every p of hire. express or implied,oral or written. r is defined as an individual partnership, association, corporation or other legal entity', or an� two or more ,.,n emploti a le representatives of a deceased empio.Ier, or the race:'.= the foregoing engaged in a joint enterprise, and including rep to employees. However the own-of a a ustee of an individual,partnership, association or other legal ratify, employing emP Y not mote thin three apartments and who resides therein, or the occupant of the dweliin_house dwelling house having constructionor s work on such dwelling house or on the group another who employs persons to do maintena� , building appurtenant thereto shall not because of such employment be deemed to,be an employer. 152 section 25 also states that every state or local licensing agency shall withhold the issuance or rer e-. -. ,1GL chapter in the commonwealth for any appiicant wnc of a Iicense or permit to operate a business or to construct buildings aced acceptable evidence of compliance with the insurance coverage required. Additionally', neither tiz. not produced P of its political subdivisions shall enter into any contract for the performance of public work uLy.. commoni�ealth nor a� P d to the cotty=---_ acceptable evidence of compliance with the insurance of this chapter have been preserve requu� authority. :applicants easati.on affidavit completely,by checking the box that applies to your situsuon and Please fill in the workers comp hone numbers g With certificate of insurance as all a'davits may b,. supplying comPan3' nd �a m of insurance coverage. Also be sure to scams =- submitted to the Departmmt of the lication for the permite L be rer�ed���5'or town that aPP °` .. I'I date the affidavit. The affidavit should Acdde�. Should you have any Questions regarding the "law" or L being requested,not the Department of Industnat �tithe number listed below. are required to obtain a workers' =upe�toh.pohay,P�call the Dap W. City or Towns complete and printed legibly. The Department has provided a spa=at the bottom o:the Please be sure that the affidavit is comp has to coutact you regarding the applicant. Please amdavit for you to fill out m the event the Office of number. The affidavits may be reed TO be sure to fill in the peimitfikense number which wfilbe used e a refbeen. ma e- the Department by mail or FAX unless other arrangements have been made- the Of fice of Investigations would Ike to thank you in advance for y'ou cooperation and should you have any questions. Di se do not hesitate to give us a call. E. Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of lavestigatlons 600 Washington Street Boston,Ma. 02111 fax 0: (617) 727-7749 phone #: (617) 7274900 eat. 406, 409 or 375 ESTINA TED PROJECT COST WORKSHEET Value LIVING SPACE (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER r' �fy —oiQcfe g> square feet X 4??/sq. foot Total Estimated Project Cost J - °F1He royti° Department of Health Safety and Environmental Services • Building Division IAFWSPABLB, ' 367 Main Street,Hyannis MA 02601 MASS. 9 165 9. `0g' �p�EO MA'16 Office: 508-862-4038 Ralph Crossen . Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: TV L..y 1 3 b�7 JOB LOCATION: �'� _91�?v/q r2 t E'r?— L 64 r P GL✓'1 n CS, number /n street village) .HOMEOWNER":� vt�►�'—� P A oz W t ��t..� home phone# work phone# name CURRENT MAILING ADDRESS: 2- 3 'SCFUIqR C ^ L--Ar7 0 "c cif, o 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, rop vided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Persons)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 1.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. Si �ofowner 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 lop .4 -- 0 — -- o -- K 0t-'V- 41t>6 -2,6-331v,,-33: V3 s-39 c Ai Y y) 'Z-) ( L --�� r 12 VIP" s Te- ol - y - �-- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3"1,)- Parcel Application #Q 061Health.Divisi I/ _� 3 Date Issued ( < Ct B Conservation Division ' : Application Fee it xv Planning Dept. Permit Fee _1�0 � Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Z 3 S A V-t C161.0,(7— L-1�4 . Village Owner �) ttt96 t 'PA-TV1(AA AP?ZAIfSAk-D Address SAME Telephone S b$ 0 5141 Permit Request T& 2�- t'� ! 4SL-e- of: AA. 1D 5AC-V- aF �}vt�E ,grDD 1�1G N W�w ��-PLAc.Ii ��C�'� I�1� ►�1A`�'C�r� B�. �jC�S'C I rt,L J � ��� IbGp W tt t. p, C�pM'C�i IJf�N ArM I �oM /De�td Square feet: 1 st floor: existing In 0 proposed 1060 2nd floor: existing proposed _Total new WO Zoning District CSC " I Flood Plain Groundwater Overlay Project Valuation ` 6) vob Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family td Two Family ❑ Multi-Family (# units) Age of Existing Structure ZZ Historic House: ❑Yes ;d No On Old King's Highway: ❑Yes )4 No Basement Type: $Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) . Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 2 new o Half: existing new Number of Bedrooms: 3 existing��new 3 ToT,4t Total Room Count (not including baths): existing 'S new I First Floor Room Count (Av Heat Type and Fuel: N(Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage:A existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes �No If yes, site plan review# Current Use Proposed Use Q APPLICANT INFORMATION s -~ (BUILDER OR HOMEOWNER) Ica NameFs'-ff4L NILA"Fo /$Af�4j-TAS�tt %tz!t g elephone Number 7 og� t5 Z m co Address J!1 Fn-t.t,fr-S License # NIA OZ-ao l Home Improvement Contractor# 5-1 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 0 FOR OFFICIAL USE ONLY -.. 'APPLICATION# NTr=ISSUED-, MAP/PARCEL N0. - ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION c l2.3'�Y FRAME klmay INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 1 PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT ! ASSOCIATION PLAN NO. 4 , Town of Barnstable Regulatory SerAces s . Thomas F. Geiler, Director 6 Biding Division Thomas perry, CBO,Building Commissioner 200 Maio Street, Hyannis,MA 02601 www.town.barnstab le.ma.us Offices 508-862-4038 Fax. 508-790-6230 PLAN REVIEW Owner: �� -�� Map/Parcel: .I Project Address S f "kz ] Q �fG�.��Builder: t4-1 The following items were noted on reviewing: Reviewed by: Date: Q:Fornis:Plnrvw f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street cr Boston, MA 02111 ' www.mass.gov/dia ,1 Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeIYibly Name (Business/Organizati on/Indivi dual):?*V+WVftUe_/ $tiL%L&VV!7 Address: j ;City/State/Zip: Rjpkt4t4k &U01 Phone #: SDt3 • �Q1�' 2 1Are you an employer? Check the appropriate box: Type of project(required): 1,,.❑ I am a employer with 4. [VI am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction '2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• '❑ Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp. insurance comp. insurance.1 required.] 5: ❑ We are a corporation and its 1011 Electrical repairs or additions 3.El am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions r, myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t C. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 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 sub-contractors have employees,they must provide their workers'comp,policy number. 1 am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy andjob site information. Insurance Company Name: Policy#or Self-ins, Lie.#:` Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify nder t pa' nd penalties of perjury that the information provided above is true and correct w a Date: Signature: PAI Phone#: 50$ ' 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#: d 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 Linder any contract of hire, express or implied, oral or written." An employer is defined as"an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who,;employs persons,to do,maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a,licensd or peribif 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 subdivisirns shall enter into any contract for the performance of public work until acceptable evidence of compliance with the i.:surance requirements of this chapter have been presented to the contracting authority.'.' Applicants . Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s), address(es) and phone number(s) along with their certificates)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships (LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pen-nit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew 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, please do not hesitate to give us a call, The Department's address, telephone and fax number: ,. The Commonwealth of Massachusetts Department of Industrial Accidents . Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1.-877-MASSAFE Fax # 617-727-7749. Revised 4-24-07 www.mass.gov/dia AWC Chide/v Wood Colisll't'0011 in Ha, h Wind Areas:110 n1,vh {Yirrrl Zo1ce 1 /lassaclitlsetts Checklist fOt• C'Gmplimice(780(:l)-1R-301.-2.1.1),' Check w Compliance 1.1 SCOPE 110 mph WindSpeed(3-sec.gust).................................................................................................................. ......................B Wind Exposure Category """""""""' P 9 ry...:..:...........................................................:............I..... C Wind Exposure Category...:......:.....Engineering Required For Entire Protect................... .... .............. 1.2 APPLICABILITY stories s 2 stories, Number of Stories(a roof which exceeds 8.in 12 slope shall be considered a story) <12:12 " RoofPilch....................:..:.....:............................I...............(Fig2 s, Mean Roof Height ..........................................:..........:........(Fig 2)................................................ ft :<33' Building Width,W..........................I.................................,..(Fig 3)................................................�--ft s 80' s BuildingLength,L ............................................................. (Fig 3)...................•.....:......................'ma 0 3:1 ft 80' c.< Building Aspect Ratio(UW) ....:..........................................(Fig 4)..............................................:._` 6,8, Nominal Heigfi't of Tallest Openmg .............................:.....(Fig 4)........................................... . 1.3 FRAMING CONNECTIONS _✓ General compliance with framing connections....................(Table 2)....................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete..............:. Concrete Masonry ".................... I......... 2.2 ANCHORAGE TO FOUNDATION"' 5/8'Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as'an alternative.in concrete only �_in. Bolt Spacing—general.........................:..............:.(Table 4).......:..................................... 9 Boll Spacing from end/joint of plate............................. ................ (Fig 5)..................:.........::...... Bolt Embedment-concrete..........................................(Fig 5).....................................:. m.>_7" 5 .INA in.>_15 BoltEmbedment-masonry.......................:.................(Fig ).........:..r.............................. ..................... Fi 5 >3' x3"xY.,, PlateWasher........................................... ( 9 )............................................ 3.1 FLOORS .... er,780 CMR Chapter 55 Floorframing member spans checked ......�). (P p """""""' "'""""' • . ft 512' ✓ Maximum Floor Opening Dimension....:.......::.....................(Fig 6).................................. ...... ......-0- Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)..:........................I.. ........ Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig.7)..............................:.................... 0 ft s d . Maximum Cantilevered'FloorJoists 0 Supporting Loadbearing Walls or Sheanvall................(Fig 8) ................•.•••. .................ft sd 4 ............ Floor.Bracmg at Endwalls.`..a.:........:................. """'`'(Fig 780 CMR-Cha ter 55 Floor Sheathing Type ......:......................:...... ........(p P ) ..+ (per 780 C Chapter 55 .. Floor Sheathing Thickness ...........................:.. (p P ) eld _ Floor Sheathing Fastening...,-.•...........................................(Table 2).. d nails at�in.edge/�I in field i 4.1 WALLS Wall Height t ft 510' ....(Fig 10 and Table 5 Loadbearing walls ......:. ( 9 )...•.........:........... ... - ft 1201 Non-Loadbeanng walls.:............................:................(Fig 10 and Table 5)...........................in.s 24".o'.c. Wall Stud Spacing .........................................:..............(Fig 10 and Table 5)...................� 0 fl _d .....(Figs 7&8)........................................ _ ' Wall Story Offsets ................................:......:............ ,, 4.2 EXTERIOR WALLS' t t Wood Studs } Loadbeanng walls..................................... .......(Table 5)...........................'2x ft in. ..... Table 6 ...................:..........2x4- ft in. Non-Loadbearing walls................::............... ( ) ���jjjTTT Gable End Wall Bracing Full Height Endwall Studs........................... ..........(Fig 10)..........:......................................0 ft zW/3 ; '.....:.............................(Fig 11 WSP Attic Floor Length,.....:..... ( 9 )............................................�>0.9W 'Gypsum Ceiling Length(if WSP not used ..................(Fig 11 .,.... and 2;x 4 Continuous Lateral Brace.@ 6 ft.o.c...(Fig 11)....................................................... ' or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays Double Top Plate (Fig 13 and Table 6 (�ft Splice Length .......:......... :..................•:.. ( 9 )...........:............ Q Solice Connection(no.of 16d common nails) ....(Table 6).......................................... It We Guide to bf%od Constrtrctiorr Hliiid Areas: 110 ncph. Wirt/Zoire (�rrl�1�S�1CIlItSOtt,S CI1C'.C.ICI1Sf 161' C0111IJ11,-1110e (780 C�tRs3oi.2.l.f�' / Loadbearing Wall Connections / Lateral(no.of 16d common nails)................................(Tables 7)..................................................... Z VVV Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Table 8)....................................................... ?/ Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9)..................................3 ft 0 in._<11' 1 Sill.Plate Spans ........................................................(Table 9).................................. 0 ft_in.511' Full Height Studs (no.of s(uds)..............:.....................(Table 9)....................................I.................. Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans...............................................................(Table9)..................................�,ft 0 in.512' Sill Plate Spans..'..........................................................(Table 9)................................... O ft_in.5 12" Full Height Studs(no.of studs)....................................(Table 9)........................................................!2 - Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W �� Nominal_Height of Tallest Opening? .....•......................................................................i9Jft�6,8„ SheathingType..............................................(note 4)..................................................... 2- Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................ in. ✓ Field Nail Spacing...........................::.............(Table 10).......:.........................................A2en. Shear Connection(no.of 16d common nails)(Table 10).........................................,............. Percent Full-Hel ht Sheathing Table 10 ...................................................W% 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).................... Maximum Building Dimension,L 1111, NominalHeight of Tallest Opening...................................................................... '&1 6'8" ✓ SheathingType...'......................... ............:..(note 4)....:........................................I....... l �� Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ in. J� Field Nail Spacing.........................................(Table 11).................,...............................A_Z!!!in. Shear Connection(no.of 16d common nails)(Table 11)........................................:.............. y Percent Full-Height Sheathing 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).................:.. Wall Cladding 4 _. Ratedfor Wind Speed?.......:.......................................................................................................I............. ✓ 5.1 ROOFS. / Roof framing member spans checked?........................(For Rafters use AWC Sppan Tooi,see BBRS Website) Vy FI ure 19 1�ft 5 smaller of 2'or L/3 V Roof Overhang ........................................... 9 ).............52 Truss or Rafter Connections at Loadbearing Walls Proprietary.Connectors Uplift................................................(Table 12)......:.....................................U=ZO3plf Lateral.............................................(Table 12).............................................L=jpplf Shear............. ................................(Table 12)...................................,........S= pIf Ridge Strap Connections,if olla if t used per page 21...(Table 13)...............................T= plf Gable Rake Outlooker.......................................... Fi ure.20 ft 5 smaller of 2 or L/2, Truss`or Rafter Conhections at Non-Loadbearing Walls Proprietary Connectors Uplift.......................:........................(Table 14)................................I.......I...U- 1 lb. ✓ Lateral(no.of 16d common nails)...(Table 14)........:......... =. ... ..... .. .. ...L- . Ib, Roof Sheathing Type...........:....:.:................................(per 780 CMR Chapters 58 and 59)............ Roof Sheathing Thickness..'..,.................................:..... .......................I..................... n.?7/16"WSP Roof Sheathing Fastening....'.......................................(Table 2)..................... ............11—....................... L Notes. 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301:2.1.1 Item 1.If the checklist 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,I I c. Uplift Straps per Figure 14, d. All Straps per Figure 17 e. Corner 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 full-height sheathing -'requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade.. . ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: p�'��i�, t,,� Site Address: Z,3 S Q.tAA� �'k�HE� print Town: —r Applicant Phone: 50 • (p k5 - Z_$l Applicant Signature: Date of Application: /o •:2-2 • 09 NEW CONSTRUCTION: choose ONE.of.the following two'options) 780 CMR TABLE 6107.4 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE-AND TWO-FAMILY BUILDINGS MAXIMUM . MINIMUM Ceiling or Slab Option 1: Basement p Fenestration exposed Wall Floor Perimeter Wall . AFUE HSPF SEER U-factor floors R-Value R-Value R-Value R-Value R-Value and Depth National Appliance Energy 3 5 R-3 8 R-19 R=19 R-10 R-10, Conservation Act(NAECA)of 4 ft. 1987 as amended,minimums or greater as applicable . Note: This form is not required if you choose either of the two versions of REScheck as listed below. ❑ Option 2: RES check Version 4.1.2 or later variant software analysis must be completed (780 CMR 6107.3.2) REScheck-Web which can be accessed at http://www.energycodes.gov/rescheek/ ADDITIONS ORALTERATIONS,TO EXISTING BUILDINGS OVER,5 YEARS OLD* *Buildings under 5 years old must use option#1 or#2 in New Construction section above. Complete the following formula to determine the %-of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b= a) _SF Y 100 x % of glazing (b) Glazing area equals qQ SF b a If glazing is<'40%.use the chart below. If glazing is> 40%proceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING : LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM d Ceiling and Slab Perimeter Fenestration . Wall Floor Basement Wall U-factor Exposed floors R-Value R-value R-Value R-Value R-Value and De th .39 R-3 7 a R-13 R-19 R-10 R-10, 4 feet a R-30 ceiling insulation may be used,in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e.not compressed over exterior walls, and including any access openings). El glazing -An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note: Owner to fill out Consumer Information Form (found in Appendix 120.P) THE Tp� Town of Barnstable O Regulatory Services f " Thomas F. Geiler,Director 9� E16 p�A�O� Building Division Tom Perry,Building Commissioner ! 200 Main Street,'Hyannis,MA 02601 f I www.town.barnstable.ma.us offic6: 508-862-4038 Fax`. 508-790-6230 1 Property Owner Must f Complete and Sign This Section If Using A Builder Atzc44 i iBA L-b , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. lip (Address of Job) oCf 99 P 16!1 gnature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side.. Q:FORM S:OINNERPERM1SSION ram, Town of Barnstable oF1� o Regulatory Services !: anxrtsrAsr E x Thomas F. Geiler,Director MASS. iG19. ,�� Building Division s AT f py a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us 1 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Pease 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 form/certification for use in your community. Q:\WPFILES\FOR.MS\homcexempt.DDC Subcontractors { STACY&SONS Brian Stacy 41 WESTBURY WAY COTUIT, MA 02635 774-255-0291 ? Workers comp policy : #6011916012009 Effective date : 5/30/09 ---- 5/30/10 r Board of A ilig:IT watio s attd Standards 5... r u° Construction Supervisor Lic$n5 .r Li,' eS 96399 ! Birth i0/2`9/19t5 /2010 Ti# 96399 ti r� PETER MUNRO 97 HARBOR BLU -- -= HYANNtS,IYICA 021;01 Comm�ssi:uer �• Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR, Regis aRiO 151016 i s /11/20101 Trii• 273249 - r7) Ype A f BARNSTABLEU PETER MUNRO 97 HARBOR BLUE HYANNIS,MA 02601 Administrator N r a N ` O,pp, PLOT PLAN of ' ` Y 720 02 6 .� o PROPOSED ADDITION 'E Qat 23 S UARE RIGGER LANE y AS.MAP 272` BARNSTABLE, MASSACHUSETTS PARCEL 200 . a o- For: James P. &Patricia O. Archibald _ 10 .23 Square Rigger Lane 91.871 Hyannis, Massachusetts 02601 S 83°20'SS"g 'y October 14,2 e009 Scal 1 20', PROPOSED >.. r ADDITION ti # • .. k -` Allan Xingsbury,`P L S 220 Tremont Street Carver,,Massachusetts 02330 sAS.MAP 272 II2S 0 508-866-3200 PARCEL 201 N oti 77, 1125 Cij t^h`r w Assessors Map 272 Parcel 423. Zoning District: RC-1 N / BICIS. K G Q V N o. . Deed Book 10834 Page 72• _ TD v Plan Book 425 Page 29 CIO PIE 00 Setbacks: (Open Space) ` Front- 2 ' v LOT'123 N ��, Sider 7.5' AS. LOT 272-199 '� Rear- 7:5' A=7,167±S.F. ar 0.1645f Ac Denotes&cb found 97.261 N 940 26 2411 E �� sow ALLA KINGSBURYco 26101 o, c AS.MAP 272 V'E4 'PARCEL-198 3 TOWN OF BARNSTABLE Building Department - Foundation Permit Date t i- l c � Permit # Name ' Location Q 14 Y Insp. of Bldgs. THE TOWN OF BARNSTABLE Permit No:.320............ BUILDING DEPARTMENT TOWN OFFICE BUILDING,659 Cash 7 Yl F ��torrv' HYANNIS.MASS.02601 Bond ..... ... CERTIFICATE OF USE AND OCCUPANCY Issued to Capricorn Realty Trust Address Lot #12 3, 23 Square Rigger Lane Hyannis, Massachusetts USE GROUP FIRE GRADING OCCUPANCY LOAD 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 BUILDING CODE. March 8 89 .._� ..... ...........!......... 19................. /� -�/ Building Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT _ Bsay9T % TOWN OFFICE BUILDING rb 9 HYANNIS, MASS. 02601 i MEMO TO: Town Clerk c FROM: Building Department DATE: An Occupancy Permit. has been issued for the building authorized by BuildingPermit �$.......... � ......._. ..' .............................. ......._....... ................._ ............................ issued to ............. ! 6l //, f%;/(.. // ..../ % / :.......................... ...._..........._........._...........w.... Please release the performance bond. { ` � I r THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) DA-A- �-C&- TLA RMITyTOWN,,OF BARNSTABLE, lv(AS6ALr9V.:IIcriS DATE 19 PERMIT NO. - '1 • APPLICANT' ... _ .� . -. ADDRESS - - ---- .. - 'N IND.) (STREET) (CONTR'S LICENSE)NUMBER OF PERMIT TO (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) _ Y., DISTRICT (NO.) (STREET) BETWEEN - AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE _ BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: AREA OR t .� PERMIT VOLUME ESTIMATED COST FEE ` (CUBIC/SQUARE FEET) OWNER _. BUILDING DE PT. ADDRESS _ _ __.._....._ BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO BEFORE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. _ POST THIS CAR® SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPR V LS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS I r / C� HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT • T' Tb l-cJ/R��-'� OTHER j BOAR 0 HEALTH 1 ¢ WORK SH,%LL NOT PROCEED UNTIL THE INSPEC- ?E RM I T 'V!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HNS.`PPROVED THE VARIODUS STAGES OF 'CORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR 'VVRITTEN CONSTRUCT' PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION z A OF BAR�NSTABLE, MASSACHUSCIHS - � � 'B ��'`� � ='.�1'�i:-•1.�J . �z DATE 19 PERMIT N0. .r. APPLICANT i•1 c: __ _. ' _.. r :. -f. ,. .e; .-:• I Si�; i ADDRESS IN0.) (STREET) (CONTR'S LICENSE) i PERMIT TO L4a-L..1C1 <_i:y'c`=•�.'.i.�' °_.% I �r NUMBER OF .,Sz :..�.:.'..(.. d".,-, -1,t:... DWELLING UNITS t (TYPE OF IMPROVEMENT) ( NO. ) STORY - I, (PROPOSED USE) L• rt :_..: AT (LOCATION).' t: � .. .?.R'.i_ i:�; ••t. :F.:. .. ZONING S`•� � (NO.) (STREET) DISTRICT BETWEEN AND - (CROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN'•HEIGHT AND.SHALL CONFORM IN CONSTRUCTI TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: mC"3"Al 1 30 _ { " AREA OR "!). < -_- • PERMIT VOLUME )" ESTbMATED COST "�" "" FEE .O� ' t (CUBIC/SQUARE FEET) I OWNER t � JL)i F.! iU ?-=4 .I;cl.1� l.. .:.•f.:., i3ti 1'.:0li BUILDING DE PT: I ADDRESS BY ^� THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY OPr�AR=t+THEREOF• EITHER TEMP:ORARICY ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER' C PERMANENTLY. T.,HE BUILDING CODE"MUST%BE A; PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MA48E,OBTAINE FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE AP-P.LICANT FROM THE"'CONDIT.101 OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. - %4 . MINIMUM OF THREE CALL WHERE APPLICAB APPROVED PLANS MUST BE RETAINED ON JOB AND THIS LESE'P`ARATE INSPECTIONS REQUIRED FOR" ♦ � ALL CONSTRUCTION WORK: ' CARD KEPT POSTED. UNTIL FINAL INSPECTION-HAS BEEN PERMITS ARE REQUIRED FOR ' a. ELECTRICAL, PLUMB�INGi"'AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPA NCY IS RE- •'MECH ANICAL INSTALLATY..IONS j.. 2.PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL rw j FINAL INSPECTION TI 70 LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE s- s, F OCCUPANCY. - POST THIS C RD SO IT IS VISIBLE FROM STREET . BUILDING INSPECTION APPR V LS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 � n " 2 2 2 v l� t B HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT OTHER BOARD OF HEALTH 0 _ _ WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN de TOR.HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CONSTRUCTI�': ARRANGED FOR BY TELEPHONE OR WRITT; PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. .� A offioe 1st floor):s . s Assessor's _ p oFlNcro map and lot number ...........> .....,......(................ Board of Health (3rd floor): UST CONNECT TO TOWN SEWER vage Permit number ........... ..:'....--..............�D �.o�yl 7`/1F�8d' i BaassTsnLL. : kglineering Department (3rd floor): moo rb39- ♦� o K.J, Housenumber ........................................................................ o gar a* APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M: only TOWN OF • BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..�A# .tX.L1Q .... ... .�, glp... amily,,,,dwelling,, TYPE OF CONSTRUCTION .......wood frame ........................ March- 1 t9S8.-. TO THE,INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....Lot...123................................SgpAp. ...Ri.gger• Lane.............Hy,anu s.c...k!A..................................... ProposedUse ........................................................................ ..........................................................:........................................ Zoning District R•B.........................I................................Fire District ......Hyannis Name of Owner .,Capricorn•••Realty...Trust••,••..•.•Address ....7.65 Falmouth Road, Hyannis, MA ..... .... ........ Name of Builder ..FranQ,O...R.,E,t„,pEV....-,CQ.,.1RC.....Address .....7.6.5...F.alMoLidh...RQAd.r....ffy.,?.ani.5....... Nameof Architect ..................................................................Address ........................................................:........................... Number of Rooms ...Six.......................................................Foundation ......,P..,.0............................................................. ... Exterior Clapboard and/or shingles..................Roofing asphalt shingles ................................ Floors ..Q.a.r.pe.t....................................................................Interior ..she-etro.ck.......................................................... I ' Heating ...CiAF3-F..,W.A.......................................................Plumbing .....TWQ:-.CQp.1<?K......................... Fireplace Yes....................................................................Approximate Cost $50, 000 . 00 ........................ 1,;Z09..................... Definitive Plan Approved by Planning Board ---------------------_----------19-------- . Area ...5.....ft. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 0 J. 4v --------------- 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 .......0.0.0.9.$9............. CAPRICORN REALTY TRUST 0 ..3.209.8.. Permit for ... 'A...S.tOKY............. Single Family Dwelling.......... ........................................................ Location ......23r Square Rigger Lane ............. S............................................... Owner .,.Capricorn Realty...Trust Type of Construction ...Frame........................... Plot ............................ Lot ................................... Permit Granted .....3.LZI.Yr...2.I.................19 F88'\ Date of Inspection ....... ....................196 ......... 7 Date, ompl to . .....IF...../ _C 0 . ......................1 qj Gf Assessor's offioe (1st floor); L� fTHEr Assessor's map and lot number /.....:":.. I` Board of Health (3rd floor): '3 ^ ^8 Sewrige Permit number Z BaassTsnLE. . �.,1 VAai E ering Department Qrd floor): 'oo ,639, •� Housenumber ....................................................................... a� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00'P.M. only r T0WN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO aingIg...fA znq................................. TYPE OF CONSTRUCTION .......Wood...f ram.....e. .......................... ..... ......................................................................... ..........March......---.1............I9.g 8.- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for, a!permit according to the following information: Location .....Lot...123 ...............Square...Riciger...Lane.r....... ....Hyannis.r...M ..................................... ..... ProposedUse ................................................................................................................................................................. Zoning District R•B.........................I................................Fire District ......Hyannis .............. ..................................................... Name of Owner ..Capricorn Realty...Trust..........Address ....765 Falmouth Road, Hyannis, MA .................................................................... Name of Builder ..Dra.nco...R.: DEv......G(�...Ix1G.....Address .....7..6.5...Fucalr!lmlth...Red c�.,-AN-yanxi7..s.:...Nf;A: Nameof Architect ............................................... ..............Address .................................................................................... r Number of Rooms ...a9 J.x.......................................................Foundation ......P-C. .................... :........................................ ` Exterior Clapboard and/or s.hingle.S........•,.•"•....Roofing ..asphalt shingles.......... Floors ..Ca..rP.er.t....................................................................Interior ..s.hee.tro.rk.................................................. Heating ...G .......................................................Plumbing .....TW07nQppper ........................................................ Fireplace Yes....................................................................Approximate Cost $5O, 000. 00 .............. .................................................................... Definitive Plan Approved by Planning Board _____________________19-------- . Area ... ......Sq....ft......... Diagram of Lot and Building with Dimensions Fee 4`l 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// �1..: Construction Supervisor's License ........0.0.Q9.8.R............. CAPRICORN REALTY TRUST A=272-199 32 .. Permit for ...1 z Stor No ....... .......... Bangle Family Dwelling ......................................................................... location .,Lot #123, 23 Square Rigger Lane .............................................. Hyannis ............................................................................... Owner Capric. . . orn. ...Re. alty. ....Trust. . . ........... . ....... .. .. ....... .... .... .. . .. Type of Construction .......Frame... ................................ ............................................................................... Plot ............................ Lot ................................ Permit Granted ....J.1?lY...21..................19 88 Date of Inspection ....................................19 Date Completed ......................................19 r 1 IMPORTANT CONSTRUCTION THAT INCREASES LIVING SPACE C'b (" 0 -_- Bf`YOW-1200 SO. FT. PER LEVEL MAY REQUIRE THE - - IN Of--ADDITIONAL SMOKE. DETECTORS. � ---- ---- NOTE A..SEPARATE PERMIT fS=REQUIR...ED FOR THE � 1 _ • " ----- -:' ,: . � -�HLE CTRICALI T L,A IONOFSKEDETECTORS I PERMIT DOES NOT{ ATISFY THIS.REQUIREMENT. i �qAgo q�yUSft4STq opF r - � - YA MADE REQUIRED DIN OKE _ ! - -ate ---;=- � +� G SIRE _ N � ED _ AIL S THE UPIR• OKE ADING OF � i TECTOR FOR THE ENTIRE DWELLING WHEN RE SLE ING AREAS ARE ADDED tR CREATE - 1 NOTE A :SEPARA PERMIT 1S REQUIRED FOR THE CT,Q EVIEWED Cm=.%ftREQUIREMENT. TORS-THEELECTRICAL aI BgRNSTABLE BUILDING DEPT. DATE FIRE DEPARTMENT - - DATE OTH S NATURES ARE REQU%RED FOR PERMIT E Y (� - [yam , __-----..__--- _.--.._. . .. �K! - i o _ Q APPROVED BY: SCALE: I/V �• � DRAWN BY DATE: +6 L�/;1 �� REVISED fw l v j/.R� DRAWING NUMBER � r x k /- 71. {y� i `J �,:,�.'.. ) . • - '. S. x 00 5 M W n • k V n SCALE: f �� r I APPROVED BY: DRAWN BY i DATE: tA b Y 2, - REVISED l DRAWING NUMBER � ���fit.• 4j Ut ll.� L , • F: ' t poe - __ i ------------ ---------------- , I' _ ! t -- , ititii J s i 1 I t 9 SCALE: i ( APPROVED BY: DRAWN BY P i DATE: (O .-� .4 REVISED DRAWING NUMBER I�Ltrl �� 1`b I i rfi _. . _ SCALE: r f APPROVED BY: DRAWN BY � 1 DATE: REVISED F�VACIWI:� j`� DRAWING NUMBER ' i- Zf ID �I d��t✓ "ST)%-6 ka O ,L, I I L J D t eb t _ I - t.,�t� I f ._ I .__— '_ _. '.L...''tC_I 4 V/^'.1 4✓i.�. ��,F'1�4/ � �ie't\ I�,(� 1 of ..A: ::.._.._..._._..... ,._._.�. -T G - M %' etc � vt5 e.� s PT i l MI V4 d M. i o t U� pk � SCALE: s APPROVED BY: DRAWN BY P 'DATE: O�'�� (� REVISED Q ( - DRAWING NUMBER G ' d �/� A rt —r W Z—A t D��. , U W-1 Z !p Kf? GbLkA9- -TIE— ; i i I e2 R L/Al I yv V - w � lti1 !-4 (I L-- t 0 A L 4 !ML-x!_.V-�. �y;,I b i�I(n � A I �.". — �: u E�UJ SSA'� L q" ILI> V\I ! k/L V—P!Mt1✓ 1 lo'' d . C S' ...............____._.__..___.__ ^_ L� ALA A�U k ri ----"".._-- � k , LiI 5� v e SCALE: �� I ( APPROVED BY: DRAWN BY P► DATE:. 0 REVISED DRAWING NUMBER If �r �✓ --R S.4Z 5 P6.z 9 I i i j is - I 90�3 , zz N i FND. ,p '7 N �' N LO-r i z_z.. N •s� ,9 HOUSE' \3.90 L©T Z Q- ss GA 0� LOT' s � I E� f OF a--f C. ys PLANNING BOARD G FRANK �, Z� WHITING N No. 29869 -�o TOWN OF BARNSTABLE-ZONING EG R BY-LAWS DATED SEPT 14 1987 ZONE: RC-1 _ j SETBACKS (OPEN SRC E> FRONT 20' SIDE = 7.5' REAR 7.5' PROPERTY LINES SHOWN HEREON WERE COMPILED FROM PLANS OF RECORD AND DO NOT REPRESENT PROJECT NO. 3.3035.20 AN ACTUAL SURVEY ON THE GROUND. PLOT PLAN THE STRUCTURE DEPICTED ON THIS PLAN WAS LOCATED ON THE GROUND BY SURVEY ON JUNE 30 1988 in AND EXISTS AS SHOWN AS OF THE DATE OF LOCATION. BARNSTABLE MASS . THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY AND SCALE: 1" = 20' JUL,Y 1 1988 SHOULD NOT BE USED FOR ANY OTHER PURPOSE. THE BSC GROUP-CAPE COD INC (BARNSTABLE) 3236 MAIN STREET 33 DA E PROFESSIONAL LAND SURVEYOV BARNSTABLE VILLAGE, MA. 02630 (617) 362--81 III