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HomeMy WebLinkAbout0064 STUDLEY ROAD� ACTIV E TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma � # �p-�' iZ>L Parcel ii� Permit# _ 1 Health Division �q,t; g 1 aS I� � ------� Date Issued Conservation Division 2 Z1 Feed ✓Tax Collector �2 5 2001 Treasurer C SYSTEM MU 7 By TALLED IN COPAPUS, Planning Dept. gg �pg VSSe�l�,H TITLE 5 Date Definitive Plan Approved by Planning Board {g ( Historic-OKH Preservation/Hyannis Project Street Address Y S o 4- Village M/ k Ad AJ- Owner S C�, �Jy 1'J G AJ P-e ti61-c n,St.S Address G % S T Ltd t e-Y R o Telephone Permit Request � o Square feet: 1 st floor: existing I V oo proposed — 2nd floor: existing Goo proposed — Total new Valuation 7 7®O Zoning District Flood Plain 'Groundwater Overlay Construction Type w e a Lot Size Grandfathered: ❑Yes . ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Stryctu re f /� 8 Historic House: ❑Yes qNo On Old King's Highway:' ❑Yes 4No Basement Type: �3 Full O�rawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing o new Half: existing new Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing `7 new First Floor Room Count G, Heat Type and Fuel: (A Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 0 No Fireplaces: Existing y-,-S New Existing wood/coal stove: ❑Yes �o Detached garage:A/existi ng ❑new size Pool: ❑existing ❑new size Barn: ❑existing ❑new size Attached garage:2f existing A new size Shed:❑existing Cl new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded Cl Commercial ❑Yes Ja No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name. / fQy M d tic/ Telephone Number Tod Address 0 . /3 a x 7 `/a License# oo �t ly N R i s� (9 � ✓j'lG a 7 1/2 Home Improvement Contractor# n o Worker's Compensation# ti o ti l'e`e1('e ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE / DATE - a r- o/ r Y h t FOR OFFICIAL USE ONLY , 2 PERMI;r NO. r DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER - E DATE OF INSPECTION: FOUNDATIONrp-�� V - O S- Of FRAME " INSULATIONS FIREPLACE 7 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL i FINAL BUILDING DATE CLOSED OUT t - ASSOCIATION PLAN NO. rk - 1 f - a �7 IT i u.a�.DPP CLtc 'i- ` l IFL I � + zxlo ,• j I ixni- QiN� -ALL- zxs P.�dS � l I x ►xu ����� N..Cw Po�Gk r\oo ID C` If P.i SCALE: •� Q APPROV DBY• DRAWN BY -DATE: STUdLey D REVISED �1 DRAWING NUM E C N E I -C �f ------------- i I I S IFS II I I f i -liA - ; i 1 I � i r � G j T� � 19 i a•s ,� O di � oC 20C G u Laais3s:_KS r - Vz _ ? _ I g k i CA -- - ----- t a 4 'iLL r kP d % X . f ne Commonwealth of Massachusetts ........... — z Department of Industrial Accidents ' Olflceol/a�esl/BsdOos 600 Washington Street -= Boston,Mass. 02111 Workers' Com ensation Insurance davit name Q.`//'Y!d N� f.c.. /J O �✓ 4 ioauon. 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RIMS ..... .....v ...... ........... ............ ............... ..................................:.........• . ',. t.1.. :::..«.......nr vv,••., v, ......... ........... ............. ............ ......«............................-?_S. .....:::•• «•.wn,w:::::n:•::w:r.T::?:••:Y«.:k�:4:i+'•}:;:v v::.,.:•:.:::'... N.:}4::i:t}S•:}:•:3:•:i::v:::::: ::..........:•:::«......••.::::4.................:v:.v:•w::::•:::.�:::.v::'::v:::: ::w:{:+4}:3'�:i•}:•: «. .. ..Y},vJAA.�3.%....:. ... 5;: ;::,,.::::::::,.,....�::::,,.. otettadoai of a fine up to S1,S00.00 sailor F-Ebwe to seems coverage as requited under Section M otMGL M an lead to the impositlsn penalties rase yam,imprisonment as well as dvII penalties in the form of a STOP WORK ORDER and a fins otS100.00 a day against toe. I under>tmd find s copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verMatim I do hereby certify undo the pawns and penalties of perjury thatth *#brntadon provided above is&w.and corned Sipature � -Hate S e P i zY o 1 - Print name tl 5o rt T'e Phone 5 0 6 cf 9 A otfidal use only do not write in this arcs to be completed by city or town ofildal permli icene 0 ❑Banding Depardnent city or town• - OI,lcensing Board • ❑Selectmen's Ofihce ❑checklf immediate response is required ❑Health Department phone 0, - ❑Other contact person: Onsseo 9195 PIA) r Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire, express or implied,oral or written. co oration or other legal entity,or any two or more of An employer is defined as an individual partnership, association,, rp . ; ed in a joint enterprise. and,.includin the le representatives of a deceased employer, or the recerver or ' the'foregoing engaged J �: - � g � 1 employees. I�owcver the owner of a trustee of as individual,partnership, association or other legalentity„emp oying emP Y dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neitherthe commonwealth nor any of its political subdivisions shall enter into anY contract for the PCrf0rM2nc`of public work until acceptable evidence of compliance with the insurance requite ofthis chapter have been presented to the cemtracting authority. Applicants Please fill in the workers' compensation affidavit com by checking king the box-that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance.as all affidavits maybe submitted to the Department of Industrial Accidents for confimatio�of insurance coverage. Also be sure to sign and or that the "application for the permit or license is date the affidavit, The affidavit should be returned to the city �P b sled,n slag reque ot`the Department of Industrial Accidents- Should yan have any questionsquestionsregarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the comber listed below• City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of lnvestigzt�=-has to contact you regarding the applicant. Please be se to fill in the petmitdicense number which will be used as a reference number. The affidavits maybe t^ ur the Department by maul or FAX unless other arrangements have been made. The Office of Investigations would bike to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Dine of Investigations 600 Washington Street Boston,Ma 02111 fax#: (617)727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment •$25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE feet x$64/s .foot= x.0031= square q plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ftt >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) "7- Deck I� � �� 1 a C, 5 x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 .Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost PROF IHE The Town of Barnstable 9 MASS. g Regulatory Services `bA 059' .`0 Thomas F. Geiler, Director' rED MAi Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 ,. Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. n Estimated Cost o Type of Work: \1 V,` Address of Work: Owner's Name: N Date of Application: �— I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR LING ITH UNREGISTERED ORK DO NOT HAVE CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT 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: 9 �V Registration No. Date Contractor Name OR Date Owner's Name q:forms:A ffidav:rev-070601 3 x nc x W W z ro ee = N oc =O W a c >O c * m m ue = z O ¢ 3 a r p ZC W CDu=c Z oc a aCSo oae J >>_ -c W CD VL-Lj o p = v=i O >YW a = '' ¢� O v a W J— o o eOc $ o Gaa a a �o�c� ~O c p O x S'- Ci= 00 CD a OO ® O V O C DC N Q E CD $(Va I CZ O NLi 2 EF� ,t E-- _ o Eo I m �o.t m� _m Evo76 t Eg o W ES II =_ppeo O N 3 m aN 6X W o3iZ Q _ore lP G = ems z W if r � O ------------------------- e_ Ef W SIG o F H a v e a Fm --------------- ---------------------- o�0 O � c I N O - _ • C� I� � Z -o o =-71, r # ✓k �o a uueall! a��aaoac%uae�: Board of Building Regulations and Standard:. HOME IMPROVEMENT CONTRACTOR Registration: 104862 Expiration:_07/15/2002 E 'r Type DBA STRATFORD GENERAL CONTRA Raymond LaBonte PO BOX 79242 J' � f., Dartmouth,MA 02747 Administrator ,J/ ....�/.c..t v BOARD OF BUILDING REGULATIONS [ I Licsnse:.CONSTRUC71ON SUPERVISOR Number CS 009604 Expires 041-1 002 Tr.no: 19675 -Restricted Tit 00 Fr `>' RAYMOND L LABONTE PO BOX 79242 DARTMOUTH, MA 02747 Administrator TOWN OF BARNSTABLE BUILDING PERMIT:APPLICATION ILI Map - Par I. Permit# S 3`7 ?C� Health Divisio _ Date Issued 2� Conservation Division Fee Tax Collectors ds/3t/oi C& Treasur AJ ` 3 f ( SEPTIC SYSTEM MUST BF INSTALLED IN COMPLIArtiLE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE P�I' f� � H TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street AddressLIy Le Village T�N t J I S Owner i- Q P N Pe pi A e g, AST Address �( �(u(A LC_ Telephone s o s "?`7 SAS r y�J Permit Request R 9) L A $�k I. NLE i c J,,.3 Nam, is rTc% ig �Nd UGol� Rc PLN�e_ F(Lobv-r Pic 1-0r1-c Wiwd 3tvThwIn,do CLA-P13� �1 g, r> fs INTc/L t61& 1u&LL._ Square feet: 1st floor: existing 10.1(P proposed O_ 2nd floor: existing proposed o Total new Valuation Y_ , god Zoning District Flood.Plain Groundwater Overlay Construction Type Wn,r- r Awl;AYS Lot Size 9 0 X 130 Grandfathered: ❑Yes Y No If yes, attach supporting documentation. Dwelling Type: Single Family C Two Family ❑ Multi-Family(#units) Age of Existing Structure ors S Historic House: ❑Yes ANo On Old King's Highway: ❑Yes 3 No Basement Type: 3 Full IN Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 02 do Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ["Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes YNo Fireplaces: Existing e S New Existing wood/coal stove: ❑Yes Ca 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 U�No If yes, site plan review# h�J� Current Use Proposed Use " BUILDER INFORMATION Name `T L vT'c Telephone Number 6 9.9 Y 3 Address b Z License# N. D tti rLT m o,,T h M i- 0 z l V Home Improvement Contractor# / O Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO (ZN ST N b i_ (. SIGNATURE 4 DATE Z'3 0 /© f 5 ' FOR OFFICIAL USE ONLY r PERMIT NO. _ _ - � - • - , � - � -. " DATrISSUED MAP/PARCEL NO: ADDRESS , .VILLAGE 'r OWNER DATE OF INSPECTION: FOUNDATION`' . FRAME s INSULATION FIREPLACE r` ELECTRICAL: ROUGH t FINAL _t PLUMBING: ROUGH ' ` _ FINAL' GAS: ROUGH` z ; FINAL FINAL BUILDING a DATE CLOSED OUT ASSOCIATION PLAN NO. i r i �/zc �o�nv�auiealy o�/�ac�ii�ae� BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 009604 ' pines:04/16/2002 r.no: 19675 -- .0 Restricted RAYMOND L LABONTE _ PO BOX 79242 ..i DARTMOUTH, MA 02747 Administrator ✓1. i�omvnzoyuuea�i a��uaaaac�ivar/la Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: R�Isralion ` Board of Building Regulations and Standards ion 07/15/2002 One Ashburton Place Rm 1301 Boston,Ma.02108 ype: DBA STRATFORD GENERAL CONTRA Raymond LaBonte PO BOX 79242 � ,� Dartmouth,MA 02747 Administrator got valid hout signature Y v ESTIMA TED PROJECT COST WORKSH/FET LIVING SPACE Value (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$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Value • N Regulatory Services `b'¢ •,•$ Thomas F. Geiler,Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street.Hyannis MA M601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date ArYIDAVIT HOME IMPROVEMENT CONTRACTORCATION SUPPLEMENT TO PERMIT nstruction.alterations.renovation.repair.modernization.conversion. MGL c. 142A requires that the"reco owner.occupied improvement,removal.demolition.or constructionof as addition to any pre-existing building containing at least one but not more than four dwelling twits ar to soructttres which are adjacent to such residence or building be done by registered ,with certain exceptions.along with other n Estimated Costa Type of work:�il e tie o V a o l tN Address of Work Owner's Name: m Per ) Date of Application: l3 0/0 1 I hereby certify that Registration is not required for the following reason(s): OWork excluded by law []Job Under S1.000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWN PERMIT OR DEALING WITH UNREGISTERED OWNERS PULLING THEIRovEmENT WORK DO NOT HAVE CONTRACTORS FOR APPLI PROGRAM OLE HOME AR G�FUND UNDER MGL c.142A. ACCESS TO THE ARBITRATION s SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Registration No. Date Contractor Name OR Date Owner's Name q:forms:Affidav / / " rrr / •w ti 1 ........... 11 1 1 ........ 1 1 1 • /ii S•/f SSS:ifS'/• 4";.y / /%:::.::_::��:�' �.�:-'7 f.S.S_ . 11 1•/1�•• 1 •N • 11 1 • 11 11 • • •• • 1• 1 1• • 1 • • ••� 1 1 .11 KI• M ' ////////// , 11 1 :1111• • • • • 1 1_ • «• 111• 1 • • 1 • ii :11111 • • • •.� 1 . 1 1 .1 vl 11 1 1 11 1 1 1111 ■ • / •• I 1 111 t • 11 II LI I NI / 11 1 1 6• 1 «•111 • �. . • • '1 n gggigg 1 • el u 1 : 1 1 . d ?mod a 1 1 - /SY/5/ I n 1 1 1 1 1 " I i 1 1 H y il• - �1 I I 1 1 _I'rrr.7 I� - • • • 1 :A' - I I I I i• • 11 1 u . -------------- use onlY do not write in this area to be completed by 1. 1 1 • . . 1 1:1 j '1 UI �• cityor town oflicill i . penn"Cense 0but 1 OLIce-ing Board • i l'• is required OH ealthDeparbn • 1 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers compensapm for cow employees. As quoted from the "law",an employee is defined as every person in the service of another unde r any of hire, express or implied, oral or written. S An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more a the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receive: 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 building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or rene, ct buildings in the commonwealth for an applicant who h business or to construct Y permit too operate a busm � of a license or p p not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any coact for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers'.compensation affidavit completely,by checldng the box that applies to your sitar and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and " date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if yo being requested, are required to obtain a workers' compensation policy,please call the Department at the number listed below. r �1A City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of tt affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please ' .. -- er. The affidavits may be returned to be sure to fill in the peraut/liceose number which will be used as a reference numb Y the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. ---------------- IFEWN The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 750CHKAVPwxfizJ i TablsJL=(amdaaad) Pack""for ano sad-rwo•Ssnu RnideatLi Baiidt°p Anted with Fang Faeb . pmuip lNA7KiM011'1 Floor HaM a12 M OM= Slab K=i*Coolin6 (11 c wan wan �� Ara(-A) Uwaioar Ww a &"'110 Rrva!>� R.valua` &valna' 5101 to 6d00 Deg=Dmw NowW 19 10 6 1Z%L QuiO Normal I 12% 032 30 19 19 10 6 85 AFUE S 12% am 32 U 19 10 6 13 2i WA WA Normal T 15% 0.36 38 6 Normal U 15% 0A6 3= 19 19 10 115 AFUE V 15'iL 00 33 13- ZS WA WA is AFUE W 13'K am 30 19 19 10 ti Normal �[ 18% am 3i 13 25 WA WA Normal Y 18'A Ou12 ins 19 25 WA WA 13 19 IO 6 90 AFUE y IE9i 0.42 ti 90 Ann AA 1� 030 30 19 19 t0 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL E)CTERIOR WALLS: S 1 ft 3. SQUARE FOOTAGE OF ALL GLAZING:_ n � 400 . 4. %GLAZING AREA(#3 DIVIDID BY#2): 15 � 5. SELECT PACKAGE(Q AA-see chart above): NOTE: OTHER MORE INVOLVED ME MODS OF DETERbUNING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a 780 CMR Appendix J tootes to Table JS.Z-lb: -o doors, skylights, and Foo "bliss (mchubg siidiag°lass of the 1 � area is the ratio of the area Sig to the gross wall doors Giaziag candb..d space,but eaaudiag opaque ) basement windows if located is walls that inclose attmm ffiY����the U--value requirement arcs,expresses as a perzeatage.Up to 1/o of the total�buff ft design with 300&of glazing errL For example,3 fl of decorative glass MAY be excluded to� =with s ABor J==Y 1, 1999,gig U-Md ea mast be tested and dommmeased by the a*= tee pro ' or taken from Table J1.53a. U-values are for the National Fmestratioa Rating Com:a1 whole suits:ceatcr-Of-giass U-values cmn be use& t� ®, If the insubtion achieves the full ' The cetging R values do not assume a isised be substituted for R 3 8 insulation thickness over the eataiar WAM without �+ R-30: >mmY Ce forR-49 iasatatioa. t�tngR-vsht���the sum of raviry iasuIation and R-38 insulation may be shwftg must be placed between insulation plus insulating sheathing(if rased).Far vmdlated g the conditioned space and the vendamd PWdmm ofd•:°0L . Do not include 'Wall R-values represent the tam of the.wa11 a avity�msalattcs Pin ms�sheammg(ff�be met EITHER dye•FCr�an R 19 = to bor siding,snntcnaal S. R-6 8 sheamiag, requirements lY y R-19 cavity insulati® OR R-13 �►nY ems,bw do not apply to moral-frame construction' or?"'(concrete,mssomQY,logy Toned ( as emwlspaces,basements; 'The floor requiremc=apply to floors over or garages).Floors over outside y&di t���with as average depth less than 50%below grade must •ne entire oPaque Portion Of nay IDdivldualWAUL Wado=. and �g 8IM doors of conditioned race: the same R-vahre tr�niremmt.a+ ab�1C- �e� doors mtat meet the door U-vatue rcquirement basements must be included with the other•glazto$. dsaioed in Note b. nabs.Add additional R-2 for heated slabs- 'The R value requiremeats are for;heated u m install more uu'Iizes elearic resistance"heating use compliance 3,4.or 5. If you p If the building. wd a�cooling��the equtpmmt with the lowest than one pieceof heating rat or mote than _ eafficiency must meet or exceed-the effrcic=7 'For Heating Degree Day requitffieats of the closest city or tow ace TWO J32-1a NOTES: levels Insnlsdmm Rrvalues are minimum acceptable levels. a)Glazing areas and U-vetoes am maxaaum k R-value requirements are for insulation only and do not imahtde s o S=t thau�P D�U-values must be tested mast have a U-value no S� b) opaque doors in the building envelope . the IVZ C test Pm�or takes from the door U-value and documented by the in U-value rating farthest door is not available, include the at Table J1S3b.If a door contains glass��ft�e door U-�m dmmz compliance of the door. glass area of the door with your windows �C�ffiY have a U-vat�,�035). one door may be excluded from this requirem two or more areas with c) If a ceiling,wall►floor,basement wall.stab-edge ortaawl space watt comP�. if the$�weigbsed average R-value.is 'ban or equal to different insulation levels,the component ooaaPLes door poneg. Ply if the area-weighted average U- the R-value requirement for that component. Glazing U-� eM(035 for doors). value of all windows or doors is less than or equal : � I � Q a � 3 3 • 3 d CO I TNf o,tS Zy � W hlj- I t� o.C R ,l wki-L ctvot-Ji kUmetE 3,. ' � 11 � s I .............. � t f ---------------- a t�-- - ° i e r CD C W c d eae oc m Z CD s 2' ¢ a Q a0 z `L =O O o ¢ ¢ 3 a K Z � m a � ID WZO OV CD Q E p a d N Z� II/IYd 1Q1 X J11 '� ' 'm-^ (no )� l I \ I II INa �( I 1 �� �� lqr m O 4 h O am 2 N � aQ o ---------------- ------------------------------------- -------------- as EP Em m� a�N� m m am v� N 3 o't I � m�c m --------------------------------------- c o E E t m= Q E�tlo _ aEo 0 o aCD -------------------- Z o W if v tl E= E z� W `n Q E c v gj N oll•� z, m— � z W S i G II C\I o ^- z Q o f IN -S"t r Engineering Dept.(3rd floor) Map 3 D G Parcel Permit# ✓�a2 House# (�� Date Issued Board of Health(3rd /or)(8:15 =9:30/,1:00-4:30) ,ee 0 conservation Office(4th floor)(8:30-9:30/1:00 2:00)- I i . -o Q � SEPTI MUST BE 19 INSTA PI.IANCE EN1/IR® CODE AND >; TOWN OF;BARNSTABLE TOWN REGULATIONS Building Oe 7iVApplication , ect Street ddress .- Village -- Owner r Address ._S r-'o- IC ;. Telephone 4t~ Permit Re est i First Floor / 9 J square feet-'`' Second Floor S'.�/ square feet Construction Type C, Estimated Project Cost $ Zoning District Flood Plain Water Protection 74, Lot Size Grandfathered p Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes QNo On Old King's Highway ❑Yes M-No Basement Type: 6full @Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 566 Number of Baths: Full: Existing / New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing (, New First Floor Room Count Heat Type and Fuel: ❑Gas ;S Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing 4,1 New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ,Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeal:;_0_71f tation ❑ Appeal# Recorded❑ Commercial ❑Yes yes, site plan review# Current Use Proposed Use FALL Builder Information �.c.� A,&„�, C N zo rJ"T Telephone Number sffa �- q 2 l y3 P.b. /3 o X, 7 R Z y? License# ®©I trio -L, o 12T 2- n�,Z-X /moo , 02-7Y7 Home Improvement Contractor# %6Worker's Compensation# ONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS SED STRUCTURES ON THE LOT. NSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE L' S��p. � `j % 9 J- BB I��G PERMIT DEIE`D, O)R_T FOLLOWING REASONS �y � 4 1 S FOR OFFICIAL USE ONLY PERMIT NO. ?302 DATE ISSUED MAP/PARCEL NO. ADDRESS a # VILLAGEi OWNER _ DATE OF INSPECTION:, # - ' FOUNDATION- s FRAME' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: b'ROUGH,I.I FINAL FINAL BUILDINGs'- l (�f DATE CLOSED OUT , ASSOCIATION PLAN ham•) (.3 tN ,� rI •. The Commonwealth of Massachusetts =T__ Department of Industrial Accidents ,: Ofllcr at/mres�igadolls 600 Washington Stfeet Boston,Mass. 41111 Workers' Compensation Insurance davit Caate / ///i.'/� i.�/////%%//%�/�/�/�PI' e e: ocation- , �itv 1� T ��r !� 11 phone it 5a 9 oZ�I �/7 ❑ I am a homeowner performing all work myself. I am a sole p etor and have no one working in any capacity ❑ I am an employer providing workers' compensation for my employees working on this job. comonnv flume: address: - city -. "hone insurance co. 2n11CV# I am a sole proprieto enerai contractor r homeowner(circle one)and have hired the contractors listed below who have ,. ... .- �,.._. ,.. v.. ..... .. .,._ ,......... ...., _. .� . .. �_..... the following workers' compensation polices: - .... .. comoanv name �; IT R W T F6,�L n�� i►- �t� tlifi2 '/a c fiu �d�4 addretr ��p �U i� 1,/ z L/ dhr. shone#,.. �'� ' insurnnce cm' �. .icy# ... 7..z. �.0 f1.. prG. •,: M:i::3::. - - 00111171111V name, 23L it V,6 L, " _.. address �� f t�� �6 N /1 !Y •__ city phone t #, �� :ter ..'.• t. iri" :.eta,.• lieu# +� ^;* %.,:� .: insurance ca. Fa0nre to seems covera;e as required undue Section 2SA of G e f L 152 can lead to timposifion of czimini peneWa of a Uae up to S1.SOOAO and/or ape years'imprbome eg ea wa en civil penalties in the form of a STOP WORK ORDER and a Gnu of SIOLO0 a day against me. I understand that a copy of tits statement may be forwarded to the Omee of Invadgedom of the DIA for coverar veriaeadoa. I do hereby cord the pains avid penalties of perjury that the information provided above is trw and correct } Signature ADee L Prig name t '� e w , Phmte -SOS .'9 q 2,2 6��'3 =i AM oincw use only do not write in thht area to be completed by city or town otacial. city or town: permitll[eense 0 J < 3Buiidln;Department i�Licen:ta;Board (C3 chmkif immediate response 6 required ❑seleeoaews Omce C3B:ealth Department contact person: phone k ❑Other :............ Uewua 9195 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers compensation for their employees. As quoted from the "law",an employee is defined as every person in the service of another under any cotto-- of hire,express or implied. oral or written. a An employer is defined as an individual- partnership, association, corporation or other legal entity, or any two or rsore of me foregoing engaged in a joint enterprise.and including the legal representatives of a deceased employer, or the recewer . 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 ,,td=..�;o.... igm.,ors to do maintenance , construction or repair work an such dwelling house or on the grounds o: a:......... .. .....r r I building appurtenant thereto shall not because of such employment be deemed to bean employer. _._ MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neithetthe commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the cartaactizL authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your srtnation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits ma, v be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers'compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly- The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of iavesfligations has to contact you regarding the applicant. Please be sure to fill in the pet nftffl se number which will be used as a reference number. The affidavits may be retumed`ic the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank'you in advance for you cooperation and should you have any questions., please.,io not hesitate to give us a call. rnz FEE The Dep:.rnment's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents _ Office of Imlestloadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 °FtME The Town of Barnstable • BAxivsTABM • 1�6J� Department of Health Safety and Environmental Services ArEDNlO'�p Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. r/Type of Work: Da.IM f,Y A— Q 0 a l..C_(•` Estimated Cost vocio dress of Work: % 4 ✓Owner's Name: M/Z r'? 44, 10,e 2 of -t k c a`s i �atef Application: 5 z eT i I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 1 19 ( 9.3 V ls� Date Contracto Name Registration No. OR Date Owner's Name q:fbr ms:Affidav : 780 CMR Agpeaft j Table JS Z.1b(continued) Prescriptive Packages for One and Two-Family Residential Buildings Heated with Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab Heating/Cooling Am ('/°) U-value] R-value R value' R-value° Wall Perimeter Equipment Etlicieacy' Package R value° R value' $701 to 6500 Hating Degree Days' Q 12% 0.40 1 38 13 19 1 l0 6 Normal R 12% 0.52 30 19 19 1 10 6 Normal S 12% 0.50 38 13 19 l0 6 85 AFUE T 15% 0.36 38 13 25 N/A N/A Normal U IS'/e 0.46 38 19 19 10 6 Normal V IS'/e 0.44 38 13 25 N/A N/A 85 AFUE W IS% 0.52 30 19 19 10 6 8S AFUE X 18% 0.32 38 13 25 N/A N/A Normal Y 18% 0.42 38 1 19 25 1 N/A N/A Normal Z 19% 0.42 38 13 19 10 6 90 AFUE AA 111% 0.50 30 19 19 7 10 6 90 AFUE 1. ADDRESS OF PROPERTY: &q G I—Lj j L e (1 qJ4 C1 � j 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: GIB 5 �T 3. SQUARE FOOTAGE OF ALL GLAZING: W b 4. %GLAZING AREA(#3 DIVIDED BY#2): 0,y 5. SELECT PACKAGE(Q--AA-see chart above): e � I , � i CVvlvuC,v� d SKI I irc �� x� I Al i3v, LA ZG( i, �ce�— W Tk 19 jtASS SL,d, NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-i980303a 780 CMR Appendix J Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft'of decorative glass may be excluded from a building design with 300 ft of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. s The entire opaque portion of any individual basement wall with an averag/depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows wand sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. ' 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. e If the building utilizes electric resistance heating use compliance-approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.I a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J 1.5.3b. If a door contains glass and an aggregate U-value rating for than door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. ,One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). Y 43 ....-..,........,......�,�:....-r......,s..'..,..�.:�a.�m:a.wu.,ecin.:m..mrewnnar.,..u,v� �dtnwu�or.,.i,n....«:,,....�,..,.nnu�..,..,�.........._...... ..-+...,.-.-..�..-�.^..... ....--,.......w..Mil�e...,..,..++..!r.•....,......_._,...,«.4.. — t }Ii Fi C-a+ 11 l T M TOWN OF BARNSTABLE BUILDINGS DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE 3 y JOB LOCAT ON 1 rJ� n1 N IS Number Street Address Section Of .Town Name Home Phone Work Phone PRESENT MAILING ADDRESS ,Qe 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 such 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 to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official• on a form acceptable to the Building Official, that he/she shall-be responsiblelfor, all"such work performed under the building .permit. (Section 109 . 1. 1) The undersigned "homeowner" assume&� responsibility_ for. compliance with the State Building Code and other applioable codes, by-laws, rules and , regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements _ HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING- OFFICIAL Note: Three family dwellings 35,000 cubic. ,feet, or la Ill be,: required to comply with State Building Code. Section 1274, Construction Control. Miscs " -- - HOME OWNER'S EXEMPTION The code states that: "Any Home Owner performing work for which a permit is required shall be exempt from the 'provisions_of ,ahis sectionlding . (Section 109. 1. 1 - Licensing of Construction Supervisors Home Owner engages a person(s) for hire to do such work, ) � provided that if Jo Owner shall act as supervisor. ,, that such Home w ti ! C Many Home. Owners :who use.;this exemption are `unaware that the responsibilities of a supervisor - see, A they are assuming for Licensing Construction Supervisors, Sectiona2 . 155) .Ru This alack eoflations awareness often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Bo'ard. cannot proceed against the unlicensed auP person as it �a Home Owner acting ascul:? �,►� ► , li^'':: ;may QA—visor. The supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, many communities require, as part of the permit application, that the Home Owner 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. t 1� Assessor's office(1st Floor): t� Assessor's map and lot number (-1 6 r f 1 44 THE Conservation a Board of Health(3rd floor): • Sewage Permit number t sssa�r�ntt Q Engineering Department(3rd floor): i630' House numberrr+r�. Definitive Plan Approved by Planning Board 1g 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 ��—/?DOF ,"SX/ j TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location l STyyI-ACy RLX dyff-i✓All Proposed Use S/AJCtE FAAII W F-rmn Zoning District Fire District Name of OwneroJGLRS �A�_CRRD Address Name of Builder V -KEW LiAERZME Address Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing 00 Fireplace Approximate Cost - Area Diagram of Lot and Building with Dimensions Fee ��U✓ 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 z A/ d44� Construction Supervisor's Licen e GARDEN, DOUGLAS W. +' No 35906 Permit For RESHINGLE ROOF Single Family Dwelling Location 64 Studley road : Hyannis ., Owner Douglas W. Garden* - Type of Construction 'Frame r _ Plots Lot _ • , r Permit Granted May 26 , 19 9 3 #jF Date of Inspection 19 Date Completed ��" 19 } y � ( 1 I► t