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HomeMy WebLinkAbout0184 SUDBURY LANE �� i The Town of Barnstable 5- n+� Pernut# Massachusetts Date Ila RAJUMABIZ SOLID FUEL STOVE PERMIT a7d • 30c� Fee i his constitutes an oinciai stove permit alter inspection and approval by the building inspector.' Owner Telephone no. 7 7 Address of Property ` �� J� �� `�� Village �,G,.�r Location and Stove Type �EI?S i ; Date: Building Inspector The solid fuel burning stove at,the above loc tion passed: failed: inspection. gwood oFVET The Town of Barnstable Department of Health, Safety and Environmental Services 1 ^B Building Division KAM 059. ,0�' 367 Main Street,Hyannis MA 02601 rFc Moi" Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: � { L * 1 Name: F�(IJc-t Phone#: &Ll�-' Address:. L�Y (/�� �✓ ZW Village: Type of Business: 016d Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1,the undersigned,have read and agree with th above restrictions for my home occupation I am registering. � Applicant:—(a Date o2 Homeochoc TO ALL NEW BUSINESS OWNERS a Fill in please: APPLICANT'S YOUR NAME. BUSINESS YOUR OME ADDRESS: � Sudh /S C TELEPHONE Teleph ne Number (Home) 5, 275 a ' NAME OF NEW BUSINESS bur>` - TYPE OF BUSINESS �r�: %zed �o�s IS THIS A HOME OCCUPATION?. e ADDRESS OF BUSINESS a MAP/PARCEL NUMBER When starting a new business there are sev ral things y u must don order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall). 1. GO TO BUILDING INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL) .' this individual has b, nform o ny permit requirements that pertain to this type of business. . Ala Authorized Signature COMM NTS: 2. GO TO BOARD OF HEALTH (3RtFOOR TOWN HALL)This individual ha e ' n nf rmed of tmit r �itl p + to this type of business. Authorized Signature COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMI ISTRATION BUILDING) This individual ha.. bee informed of the licensing requirements that pertain to this type of business. Authorized Signature COMMENTS: After obtaining the required signatures you must return to the Town Clerk's Office to obtain your business certificate (cost $20.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map (J 6 Parcel f 0 f U Permit# a 3 Health Division - 4�„ Z5 � Date Issued a �r Conservation Division S Application Fee 00 Tax Collector Permit Feed Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address I ?q &,C d_66 a ti-cu� Village 4q aA.1t-iS Owner Address Telephone Permit Request ISM L se_mem�— s o o E-nS a."(— l004A,-0e)r ► Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new 00 S� Zoning District Flood Plain Groundwater Overlay Project Valuation 104000 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. � i Dwelling Type: Single Family Two Family O Multi-Family(#units) j Age of Existing Structure Historic House: ❑Yes AN o On Old King's Highway: O_Yes �'No Basement Type: 2 Full ❑Crawl ❑Walkout ❑Other f �_ Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) r� - Number of Baths: Full: existing L new r Half: existing new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ®'Gas ❑Oil ❑Electric ❑Other Central Air: Q Yes ❑No Fireplaces: Existing ✓ New Existing wood/coal stove: U'les - ❑No Detached garage:❑existing ❑new size Pool:0 existing ❑new size` Barn:O existing ❑new size Attached garage:❑existing ❑new size - Shed:O'/existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION NameO,4q-1 f'Lull m . �o:�faks Telephone Number . -?,g .Address 1 g�- License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKENfTO r-k S r ! SIGNATURE DATE FOR OFFICIAL USE ONLY i 4 f r IT NO. E ISSUED MAP/PARCEL NO. r ADDRESS VILLAGE OWNER tr ' l DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 0 PIP F � DATE CLOSED OUT ASSOCIATION PLAN NO. Town of Barnstable *Permit# Expires 6 months from Issue date Regulatory Services Fee i6J9%63 Thom F.Getleri Director � �0 . � as Building Division 1 11 Tom Perry, Building Commissioner " � 200 Main Street,.Hyannis,MA 02601 J U L 1 2 2005 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE " EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X Press Imprint ,iaplparcel Number ?roperty Address �. �C 4 Y A-A t iC �C; residential Value of Work 50 O Minimum fee of•$25.00 for work under$6000.00 Jwner's Name&Address 0ATU'('e-E4 Contractor!s_Name . Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) []Workmen's Compensation Insurance Check one: ` ❑��'I a sole proprietor t l l am the Homeowner �0 I have Woiker's Compensation Insurance Insurance Company Name Workmen's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ®Re-mof(stripping old shingles) All construction debris will be taken to 6J S ❑Re roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U Value (maximum.44)' *Where required: Issuance of this perrssit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. Signature ` , QForms:expmtrg Revisc063004 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information l r, Please Print Legibly /Name (Business/Organization/Individual): l�'t 7 , • 1�'(-�!R f�J Address: .g 4 ALb._COY JCL. City/State/Zip: _ g AJ CS k4 Ph Y � one#: c Are you an employer? Check the-appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. $ Remodeling ship and have no employees These sub-contractors have 8. El Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition officers[No workers' comp.insurance 5: ❑ o area corporation and its 10.❑ Electrical repairs or additions required.] cers have exercised their 3. I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.]t 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 subcontractors and their workers'comp.policy information, I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine 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. I do hereby certi under the pains and penalties of perjury that the information provided above' true/and correct. Signature: . _ Dater Phone#: 50e ` 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#: 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 under 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 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,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall for the performance of public work until acceptable evidence of compliance with the insurance . into an contract P enter y 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-contractors)name(s), address(es) and phone number(s)along with their certificate(s)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 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. 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 le permit/license applications in any given year,need only submit one affidavit indicating current at must submit multi p that P 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 fixture permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The 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 5-26-05 www.mass.gov/dia Town of Barnstable ; Regulatory Services sAxrtszaai s, ; Thomas F.Geiler,Director � 16 9 .•� Building Division ArEO MA't A Tom Perry,Building Commissioner 200 Main Street, Hyannis,Na 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: o �-'T r`+ I'7 L14-AlAj t number street village "HOMEOWNER": (1 8:24 'CI Lk"S 50 . 7 7 Z 9c 7 G name home phone# work phone# CURRENT MAILING ADDRESS: I 8q L)8U-'-y Ciqv g" 10y 411)1:Y 0-7'6QJ 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 requir L. w--o Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be iequired 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." I .. , 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:forms:homeexempt The Commonwealth of 1Vlassachusetts -" Department of Industrial Accidents 600'Washington Street ; Boston,Mass. .02111 b,. Workers'. Coin ensation.•Insurance Affidavit-,General Businesses y ---�-�`;��•.i�'-5aw�'x64'p-.'.'.:,1:• ��'pnw.�.5�:�'"�Fy;N`gtil.. .. ' � , �A."w'hau� . name: address: ? V Gt Or✓�l Q/G/ "rt vl,t� city 46, /A rtl S state. /"G l4 zip;_ ©A 6 0/ phone# 5 US-- 7--25- 7�? work site location(full address): ❑ I am a sole proprietor and have no one Business Type.: ❑Retail❑RestaurantBai/Eating Establishment working in any capacity. ❑Office❑ Sales('including Real Estate,Autos etc.) ❑I am an ere to with tin to es(full& art time.): ®Other ��0&u n t Y' �I am an employer providing workers compensation for my emp oy es wo ling on this job comTianV'nauiet city Atone;#.:'. i' I am a sole proprietor and have hired the independent contractors listed below who have the following workers' ; compensation polices: company n'atiie' address:. :'1• 1 tifione'#1 cifY• - .. `. insurance,co. - 71 #�� •�•'•:; ' ':.•.• . ;e•'`., e awe• comp non , .. .. .1 .. 77 address-. city :pone:# t: Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me..I understand that o copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby cerfi nder the par s andpenalties of perjury that the information provided above is true and correct/ Signature ` -Q'G`-" Date l S' a Print name Phone# ENEMM official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department _ ❑Licensing Board ❑-checkif immediate response is required ❑Selectmen's Office []Health Department contact person: phone#; ❑Other ' (revised SepL 2003) S � Information and Instructions Massachusetts General Laws',ch4apter�152 section 25.requires all ee#loyers.to provide workers'.compensation for their.. employees; As quoted from the 'law". an employee is.defined as every person m the service'of another under any contract of hire, express or implied; oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, ' any two or more of the foregoing engaged in ajoint.enferprise, 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. ..; 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 bean 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.cdmmonwealth for any applicant who has 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 contract for the performance of public work until liance with the insurance requirements of this chapter have been presented to the contracting . acceptable evidence of comp authority. Applicants Please fit]in .the workers' compensation affidavit completely,by checking the box that applies to your situation..Please supply company name, address.and phone numbers along with a certificate of insurance as all affidavits may be submitted to the DeP artment-of Industrial Accidents for confi=tion 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 regardinglhe."law"or if you are required to obtain a.workers' compensation policy,please call the Department at the number hsted.below. , City or Towns . at the affidavit is complete and.printed legtbly. .The Department has provided a space at the bottom of the ore that oP Please be s . .. flee of Investigations has to contact ou regarding the applicant Please or ou to fill out in the event the Of fiY g, g PP affidavit f y permit/license number.which will be used as a reference number. The.affidavits r4y.be' returned to be sure to fill:in the p erm . the Department b'y mail or FAX.unless othei'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. The Department's address,telephone and fax number: . The Commonwealth Of Massachusetts Deparhnent of Industrial Accidents awe of lelrostlplotlens . 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext:406 E Town of Barnstable OF T!'I i0� . Regulatory Services 13 SrnarZ, Thomas F.Geller,Director Y MAS9. 16119. Building Division A�BD M Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4018 Fax: 508-790-6230 Permit no. Date 1 05 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. Type of Work: ��+ dZ�S Estimated Cost Address of Work: Owner's Name: / Date of Application: ( 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 M�er pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRA114 OR GUARANTY FUND UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. I L j0 , Date Owner's Name Q:form -.homeaffidav RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE , New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 C Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE ' square feet x$96/sq.foot 6 O x.0041= J-//• d plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot- x.0041= plus frombelow(if applicable) - GARAGES(attached&detached) square feet x$321sq.I ACCESSORY STRUCTURE>120.sq.ft. >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.0041= STAND ALONE PERMITS Open Porch x$30.00= • (number) • Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 — Above Ground Swimrning Pool S25.00. Relocation/Moving S150.00 (plus above if applicable) / O Permit Fee Proicost Rev:063004 M CUR Approft J TahleJS.T3h(continued) Prescriptive Packaga for One and Two-Familr Residential Buildings Heated with Feud Fuels MAXfMUM MINIMUM Glazing Glaring Ceiling Wall Floor Basement 91ab Heating/cooling 8 eta Equipment Efficiency' Arse'(%) U-value' R-value' R-value' R-valuer wan ' R-value° R due'. Package 5701 to 6500 Heating Degree Days' Normal 12/• 0.40 38 13 19 10 6 e Normal Q R 12% 0.52 30 19 19 10 6 6 85 AFUE S 120/6 0.50 38 13 19 10 __NIA Normal -38 13 ZS NIA -----=6 ------ --Normal--- ------ -----._.._ . U '15% 0.46 38 19 19 10 NIA AFUE 19 V 15% 0.44 38 19 19 10 6 85 AFUE w 15% 0.52 30 !9 10 NIA Normal x 19% 032 38 13 25 NIA NIA Normal y 18% 0.42 38 19 25 N/A 6 90 AFUE Z 19% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 to 1. ADDRESS OF PROPERTY: I'g5 &- --�'�'�'� � y Pe� 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ETERM NING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a i 780 CMR Appendix J Footnotes to Table J$.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 fl of glazing area. =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. 3 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-sub5rituted-for-R49 insulation: Ceiling Rvalues-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. 4 Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing(if used). Do not include all.For example, an R 19 requirement could be met EITHER and interior P � exterior siding, structural sheathing, drywall. 1 to in . Wall requirements apply_ R-6 insulating sheath q PP b R-19 cavity insulation OR R 13 cavity insulation plus g g Y wood-frarhe 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. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and 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. ° If the building utilizes elebtric 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 J5.2.1a 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 J1.5.3b. If a door contains glass and an aggregate U-value rating for that 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). 43 I� IHE Town of Barnstable ]regulatory Services * satsTnarE;.* ... ...., =:::::•.<. Thomas.-F:•:Oeiler,�D'-.ec or Masa 94,Ar i639• ,•� ."-Building Division . . ED MA't A '-Tom I i rry;'Ruildang Coirimissiiirier 200 Main Street, Hyannis,MA 02601 wwwAown.barnstable.ma.us - Office: 508-862-4038 _ ���������� - Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: I fS'1 S"_k 6-A1" number street c� ( village "HOMEOWNER": t.n-c , ) W SOS-- _I1s— name �✓+�� home phone# work phone# CURRENT MAILING ADDRESS: 404L -/.( �- - ,{i S • //� C��-�CU 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 rLot 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 l09.1.1) 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 re uirements. Signature of Homeowrier 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 perforating 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:forms:homeexempt .......... -5F/L ck LS , 44 PuenP �'.iaSe� I _ + I fir LI r1� C I 09 1 (R L Gam.,,, j4.UQ$j?1`1,_' \!.J� e i { R1 0 P, { r Elec+rec. i sIS3 � ... ..... ..__...__.._.�....,_ �..�__.........__ � ... _,. �� ...., ,7 y� 9 1 ETEC 0 S REVIEWED NSTABLE BUILDING DEPT. DATE c Wi Boca' Crum L� FIRE DEPARTMENT DATE ^TN. SIGNATURES ARE REQUIRED FOR PERMITTING TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION "`cJ Map c7 70 Parcel C_ Permit# 70 � Y T Health Division�WZ-S�5- ,21—a Date Issued 03 Conservation Division R �s / �� �� Application wFe Tax Collector Permit Fee 94 cc Treasurer 7 Planning Dept. CONNECTIONLOPUCANTWff OBTAINASEW Date Definitive Plan Approved by Planning Board RNGMEEMGDdViSIONPRIORTo CONSTRUCTIOX Historic-OKH Preservation/Hyannis Project Street Address Village 14�4-DAI5 Owner s1x��1 F'I • iLK105 Address i� Scl �ueY � Y9-6vAut5 Telephone -715 — A q I?(p Permit Request f✓l A-K.0 P A-m I L� Roo M ,�d A-RA•frL ee%u _ Qj tee-or t- rC/o(41 doves Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family a Two Family ❑ Multi-Family(#units) Age of Existing Structure f YieS Historic House: 0 Yes O/No On Old King's Highway: ❑ 'es DNo s= s� Basement Type: C(Full ❑Crawl ❑Walkout ❑Other =~) > Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) oI —n _ Number of Baths: Full: existing new Half:existing i ne* co Number of Bedrooms: existing 'Z new rn Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: Q Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:0 existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage: existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name L'9/ F/ Telephone Number 50 Address Lc.k e ca. License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -3 SIGNATURE U�-- 2 �cl�-�= DATE • - FOR OFFICIAL USE ONLY Y • ' W F -PERM:IT NO. k DATE ISSUED r' MAP/PARCEL NO. ADDRESS- f` VILLAGE E OWNER ; 1 i J� DATE OF INSPECTION: " FOUNDATION FRAME i,.FX" J-//,(Z o 3 Z-A :I INSULATION 61N S U 8'l -3 �� 0 1 FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINALBUILDING5 �/n/ - r^ � ti DATE CLOSED OUTS , ASSOCIATION PLAN NO. f , x `_ _ r I ' _-_,_•_-_ 77se Commonwealth of Massachusetts ,:Department of Industrial Accidents - 'M Omer pfflc�.s • - 600 Washington Siren - Boston,Mass 02111 Workers' Com e"satinn Insw Afffdavif r r cwIUs name: ( �N� Sure r�u-R'y ' u�.• � • , location: yphjOJfSphone# 60�-?7�-�g96 I am a homeowner PerfurminS all wmk uVSdE ❑ I am a sole=mme==d hzm.=one wuddng is=V cPicity for .`:7a�kr:'.:�+o 2aZ{•En•}�}u.'}:3.a:`r:{'m 5:r^,:.�• ak,-`�.\:;t�sr.':+•',?x`x.\h.,,Y5.•;,}"y•.,:.•r,iaR}v:�p.::w{yn}.\,,r#cOTny'a-.:n•S)✓,i•,cF};'..<#fi.Lan.:v,c;.r}sfir_,5eo3.;:,?o,i.:'YTJ..4.}.v k:^0 r..e\f"„.v:.;.•te!•x•.}r•,}:{?.••'}::2.3.;,,f•,r:,•a»\,4TY h,•aa:A4.„\•++•2-T}?r,3G.,.:t„r..\:4��.!ph r:,t"£}:•::+:F:.c.:•a:T}'�:!:k.,�f':.?,h:,;`•:;avr 1><..G�t; ,. 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(:F\:7v:r,.;:r.�h^.. .a..<.v;:+%#.3{i\�S�?:tiTittt lkFi• LL�a a �.1'w vc�r.`.`��;•�,.•r� t•;H.a�RaTa.'-,,r#':•r:...yr SK{}:�c•::;{.r•.:r,..,.,•a;w.rr.;:r, ........:5 .'�•44�T,t;�c•'.•'sbr�herJ v.:fY�,Tiar•:G:�'4iri:,.. ^.:a •7,gcr,:,oyc •:pa!,..c.,o.{cn;`;`+Tm•:9r.:..... .::•%: '�, ia,a�a�.y, .eC.`icA�- 'YY. - � ''h,l•.`� �y, �•^J.Qi')�'`,•`n��,,:.jM7!•.!rw,it2�,t�. Eaibae to•��. *d rs,gtdrei tsar 8eetiaa SSA of Mcr.ISt ee;lean ee tb ateaheiod of a fill-M W cusaam muWar os�r n, as W&as drQ peasitlra fa the form of a SL 0P WOGS OHDFS aai a lhsa o[AOOAO a day asafast ms.I tha!a copy of thls staimmed m+1 be forwarded to We(]IDtt of Ia eldgS iams of the DIA t'or. P under the pane=11 penalties cf perjM7 prorided above it trrsR aas�rarrrd I do hrre3y ccti}' _ ' 7 a-f l v-5 Sigmftrre C�`7���. �_ �f.c.61-i�t•+S - - . . Fh,®e� �0�'r -7�S-�7``�9 6 Print nsmr ottldai me aaiy do not wefta is this area to be c=pfcied b'T city or taaa oI P * ❑ uMat T)epsrtmeat City or tom+: ❑Lwwiat Board ❑Sdecsmm's OIDu ❑cht&if iaonedL&u r"Pone is requ'red ❑Heslfh D egarms� Contact person• (�ststa 9/9S PJN - . ... . :lee■. . . . . .- t• . • t ware • • • as • • • ■ Y • Y 1 • J• 1 : 1 t 1 1 / • 1 • • - 1 • t t 11 1 1 • 1 . t e 1 1 • t • • 1 te1t1 1 1 ' 1 1 • 1 • • - • e 1 1 1 11 • - 1 ■ 1 1 1 t Y • ••• 1 �• • • It. •• 1•w, t•• 1•w ■ _ l -.Iltw ■1w• .w r•1.1• Itl •/ •.1 • •. 1 • • • • •/. lttf elewte e• • e •• •Y • •we • •1.1w • e t■ It .• a•• r•w• �•t w•t•. •1 /te «t.t••w 1. •��•\ • �•\�• • • r•1111 •e■ of is • t • 1 .n •.nt-+ ..w .•Its \••t■ eet•e■ •.• m• In rw eef\.cu •1 1. a .n . { ff a •\ 1e • t1•e w •1•a• - _ 1 e 1 ■ • • •• •• w�a •1 1 ew • «•-luf• •/ wlenn■tram 4 4..W,iFt1 e■ .11 r .\•.• - 1 i• / • i••. e •• \ \ wuN•.• e• w w• •1 1•••■ ■1 .• w .1• • \+1•01 • 1 t-loa• o • 1 is •••• t • • 1 ww• �••-► tr• 1 1 tt 1 e •\t w11 •acres •. «•wilt. �••■ • ••1 t • ••t • •1.•. ••1\ - 1 •\ •. \t•w•1 .1 e1 1t•1••• -• • • ��/!/L!!///l/.(//jj�OOM/!//O/jjjjj��j���j/jjjj��jj�jj���jjjj��j�j�jj�����/�j��� 1 1 .. • • ill • t tt •e wt1 /• � if • • .+/ •ru oe 1. n rt,nv •\1 r mt• t •• •r. a l u. • nu•�• 1 • • � t t •-1••w1 -•• tltlte•-1 •t ■ • e ►• -1•-• w•r newt •w 1 i/•- _e • w.•ft t � t• • t M f•.■e•B -.9491 SEA dellov.218-- • t • •.N r • •• r•••-1 .t7•It e• t• • • • ��------��-------(//j/----- •. 1f•a•1 •• -+ •■el• •• •- mile/••« t 1 1 l e l l l • e • 1 °ptME,° Town of Barnstable Regulatory Services B"?MABLE, " Thomas F.Geiler,Director Mass. 9`bp,1639.ta`�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 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. Type.of Work: G171©a"A sae. Estimated Cost 5000 , v 0 Address of Work: P.lZ y t Y A-,l)�l t l(C� O ho Q/ Owner's Name: 71 Date of Application: a. l 3 I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 ['Ouilding not owner-occupied wner 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. Dat4 Owner's Name Q:forms:homeaffidav RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 90, Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE p / 6 S*' square feet x$96/sq.foot= / kx.0031= ` • 6 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE 1 square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >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) Deck 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 �l.. projcost The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION / Please Print DATE:_ `7 to JOB LOCATION: 04 `S number street village t � � �� NS S'oV T77"-a99 G w1� "HOMEOWNER": ( v C y 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. DEFINTITON 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 proced es and requirements. f 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 perfomring work for which a building pemut 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. M T f t • . LI pa lb It I h h —mil O Povred �T CohcrC•fC GGru�G I I ac. wa�lg . I I� v v Garcr DPL• �,z 100, rt-7"S�er �14456m i . (�oo� L 30�?�/c�6s aX a orade Iz i - � Floor �o��S x s � �+ C, -7"7' X 7bx h/I -I 15 ak w i hd��s CCyNs� ,kale S• ro \ T O � X F . i Ce 17 3 IJ -y K s � From:Joe Madera 508-862�6007 To:Dan Slason Date:3/27/2003 Time:9:15:32 AM Page 2 of 2 r , BC CALC@ 2002 DESIGN REPORT-US Thursday,March 27,2003 09:13 File Single 1 3/4" x 9 1/2"VERSA-LAM@ 3100 SP Name - D Slason.BCC:FBo1 Job Name DAN SLASON Description - DESIGN ASSUMES NO FLOOR LOADING Address Specifier - City,State,Zip Designer - Joe Madera Customer Dan Slason Company - SHEPLEY WOOD PRODUCTS Code reports ICBO 5512,BOCA 98-52,SBCCI 9852 Misc - Gable End Beam 1 Standard Load-40 PSF l 10 PSF Tributary.0t-00-o0 AL BO B1 260 Ibs LL 260 Ibs LL 615lbs DL 615lbs DL Total Horizontal Length-13-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End . Live Dead Trib. Dur. S Standard Unf.Area Load Left 00-00-00 13-00-00 40 PSF 10 PSF 01-00-00 100 Member Type: Floor Beam 1 wall above Unf.Lin.Load Left 00-00-00 13-00-00 0 PLF 80 PLF n/a 100 Number of Spans - 1 Left Cantilever No Controls Summary Right Cantilever No Control Type Value %Allowable Duration Loadcase Span Location Moment 2845 ft-Ibs 40.8% Q 100% 2 1-Internal Slope 0/12 End Shear 769 Ibs 23.9% 0_100% 2 1-Left Tributary 01-00-00 Total Deflection L/450(0.346") 53.2% 2 1 Repetitive n/a Live Deflection L/1517(0.103") 23.7% 2 1 Construction Type n/a Span/Depth 16.4 1 Live Load 40 PSF Dead Load 10 PSF NOTES: Part Load 0 PSF Design meets Code minimum(1-1240)Total load deflection criteria. Duration 100 Design meets Code minimum(L/360)Live load deflection criteria. Minimum bearing length for 130 is 1-1/2". Disclosure Minimum bearing length for B1 is 1-1/2". The completeness and accuracy of Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing the input must be verified by anyone who would rely on the output as evidence of suitability for a particular application. The output above is based upon building code-accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an = Installation Guide or if you have any questions,please cad (800)232-0788 before beginning product installation. BC CALC®,BC FRAMER®, BCIS, \ BC RIM BOARDT" BC OSB RIM \ BOARDT" BOISE GLULAMT", VERSA-LAM®,VERSA-RIM, VERSA-RIM PLUS®, \ VERSA-STRANDT", VERSA-STUD®,ALLJOISTS and AJST"are registered trademarks of Boise Cascade Corporation. Assessors map and lot number:............................ ? OF TFI E t0 Sewage Perri t number .:.............................I...................::,................. . / •• 1i BABd9TODLE, i House number ,........................ ........' ...........:............. 90o M639 00 • �'0 MPY�. TOWN OF BARNSTABLE BUILDING INSPECTOR ' APPLICATION FOR PERMIT TO ...,,Construct Single Familsy Dwelling TYPE, OF CONSTRUCTION .............:WAAA.,Kr4Rg ,,;,,,,,,,,,,,,.. March 20. 19- 84...... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......Lot...# 3........Sudbl.t?':.,y...rr .na_.�. ?T ?.11Z',? .�. .bl :sm., ......... " /.. ........................................ ProposedUse ...... ...... .................................. ............. .. t.!......J.. ..�i ::{......................................... Zoning District ........... .. ....................................................Fire District '............HVa� 1IDS1� ................................................Name of Owner .... .......Address ..... �5.2AI?XiO:4th....AAA.r....HVa.21X1 S SS. �Jev Co. ^ Name of Builder �.�::��Q.�?...R„Q�.�-:..�r�.:t.r.............a.........s.ZAd�lness ....................................Sa;ITIe..................................... Nameof Architect ..................................................................Address .......................................................................-............ Number of Rooms ................ Foundation Six.................................................. .........P...G. ........................................................... Exterior .. 1a��b�a.,xc •• x1ci�q shing-1,eS........ ......Roofing .........As-oha.lt••Shin4les FloorsCS.r^P t' ..................................................Interior ..........ahSS G AC .................................................. Heating ......sas..... ..W.k . .........Plumbing ........ WO — COppeT................... ................................................... ................ ... ..... Fireplace None ................Approximate. Cost �4 0 000 .00 .. .................................................. .......$4.0.,.0.00.....00................................... Definitive Plan Approved by Planning Board -------------------_-----------19________ . Area ....1056 Sq.f t. .......... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ' a r t 1 IJ �\ i� i k � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �W � Name reS. .............. - � 0009$9 Construction Supervisor's License .................................... t CAPRICORN REALTY TRUST A=270-306 No ..:2626.7. permit for ...3A..jqt.Qr.Y............ r , Single Family...WQ.jj ji,)<Zc�.............. _ ..... ........ , Lot 43 ' Location ..................i.... .�k...Sudbury...-Lane ................HYannis........:. Owner .. Capricorn Rga1.�y...Tr.U.S t.... Type of Construction ...F.mime...............:.......... ................................................................................ Plot ............................ Lot'................................ Permit Granted ....APril•.. .t...............19 84 Date of Inspection 19 Date Completed ................ .................19 rj i TOWN OF BARNSTABLE 26267 Permit No. — — ` ,1 Building Inspector }11+u+*� Cash' /YL —------_---- —__—_�____ f6yV. e°" -. 00CUPANCY PERMIT Bond -____ Issued to f' nr�cbnrn � Trti�ci- Address T,r* A'A- IRA chv3],-niy r T Rnn� RftPnni_C_ Wiring Inspector ,/,% Inspection date Plumbing Inspector Inspection date Gras Inspector /, - Inspection date X Engineering Department 1 �,�, , �. Inspection date - - v Board'of Health err try �.�G Inspection date � r 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. 19 _.,......_. ....._..... .......... , .........s..i..., ' .......................... . Building } Inspector t ` - - FROM - TOWN OF BARNSTABLE Mr. Francis Lahteine BUILDING DEPARTMENT Town Clerk $67 MAIN STREET HYANNIS, MA' 02WI Phone: 775-1120 SUBJECT: FOLD HERE " DATE - August 14, 1984 MESSAGE Work has been completed under the following Building Permits: #26127 (Capricorn Realty Trust) #26265 (Capricorn Realty Trust) #26267 (Capricorn Realty Trust) Please release Bonds. " A "'n _ SIGNED Cle .•DATE - REPLY II SIGNED .. . Ne7-RMI w - - RECIPIENT:RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. SENDER.- SNAP OUT YEL•LOW.COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. rW 4 4 VAT'E < 4�0" /pE 4 , _ e> 0T Y3 r . `t NA til- Al I V 4 P��_t'''�uk �•t[ � 'rya S t>x t r y y. t OWN R S } 'v Iv X NaWAI , �a,o so `4 OFA14,rgc CERTIFIED PLOT PLAN n�� ROBERT �, ° r �LI S 1U RY L/9 BRUCU g FLORE IN _ DATE Dfif IGE ENG/NEERlIVQ I CERTIFY THAT THE � FoND r, ,�� CUIENT /vc® , SHOWN ON THIS PLAN IS LOCATED fi E©ISTERE. REGISTKRED �R CIVIL LAND J48a MQ.;ga YS`` ON THE GROUND AS . INDICATED AWO ` ' ENGINEER 8URVEYOR MYi G CONFORMS TO THE ZONING LAWS y OF SARNSTABLE MASS. CK DYe 712 MAIN STREET H YA N f✓ i S; MASS. : SKMT4'F. ' L.,: DATE REG. 1.ANQ. 9vItVEYOR 777 Assessors map,and lot number... .................................... M .. UST CONNECT TO TOWN SEWER 3 T"E Sewage Permit number .......... ........................................ House number :.. M- Zo . AHBSTIIDLE, i MAM O YPY.�\00 TOWN * OF BARNSTABLE .: BUILDING .INSPECTOR APPLICATION FOR PERMIT TO ... Construct xSirrgle Family .Dwelling '• TYPE OF CONSTRUCTION ........... 0......................... March...201.................19..84 + TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......lat..14.3....:...Sudbury..Lane......H.ya ni.s......y1iass.,........................................................................... ProposedUse ........................................ ............................ ............................ .............. .................................................. Zoning District R.-A! Fire District Hyannis Name of Owner ....CaprdCos:n..Realtt. ...aUr s:t;........Address .....7.65... Name of Builder e1.AX1Q.0...R0A1_Z5.:G.P....).QV.A.QQ..%.,.1XtWress ....................................SPimlp................................... Nameof Architect ..............................................:....................Address .................................................................................... Number of Rooms ........$.iX..................................................Foundation P C Exterior ..Q1.gP.b.Q.9X.d...4Z?4 Q.r....,�kl. ??g�..�,5................Roofing .........t Sphaltr...Sh111 1e.s......................... Floors .........Q.ar.2Q:.L`.................:...............:...........................Interior ............ he.Q..4x Q.QX.................................................. Heating gas...-. .. .W ti . ......Plumbing ........:1:wo....- Copper.......................................... ........................................................ .... Fireplace None A roximate Cost .......$ 0 , 000 .00 p ................................................. PP .... ..:. ........ . Definitive Plan Approved by-Planning Board -----------_-------------------19________ Area ..........Sc .f t . Diagram of Lot and Building with Dimensions Fee ✓ ( �..J............ .... ...................... 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 Construction Supervisor's License ........000,989 ;J.,rAPRICORN REALTY TRUST RUS/, 1.26267.. Permit for ...V2.........ory................. ....... Single Family Dwellin ............. ............ ............................ Location ....Lot 43, 184 Sudbury Lane ........................................................... ....................... .................. Caprforn 'Realtv .Trust O�v er ................. .............................................. T�pg�f-. Construction' J�Ka.m.e........ ................ C', •. ...................... ......................................................... E. Plots,.......................... Lot ................................ Perng GraGranted ...... ril............I..6..,...............19 84 Date of lKspec'tiori ... .................................19 Date,Completed t�..........19r k 7W ` • _ - ! � � •.� r�fry, 4 k. 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