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HomeMy WebLinkAbout0054 TEVYAW ROAD�I I i I I t � TOWN OF BARNSTAP.LE -, ° '' , I BUILDING PERMIT - PARCEL ID 269 019 GEOBASE ID 17325 �. ADDRESS 54 TEVYAW ROAD HYANNIS I LOT UNNUMB BLOCK LOTe I �� DBA DEVELOPMENT, o5�ITT ` • v . PERMIT B051.1 DESCRIPTION °ROOF/S-DING,f THROI? d 'E t HE � V TIC NS PERMIT 'TYPE BRE-MOD TITLE / RESIDENTIAL, ALT/CONV, CONTRACTORS: PROPERTY OWNER 'Departnteni of e ARCHITECTS: 'Regulatory Services TOTAL FEES $152.50 BO14D $.00 CONSTRUCTION COSTS $25,000.00 753 MISC. NOT CODED ELSEWHERE i PRIVATE ' # 1639. BUILDING DIVISION';l DATE :ISSUED 11/08/2004 EXPIRATION DATE -v— ( --- --- 'TOWN OF BARNSTABLE 7 BUILDING PERMIT PARCEL ID 269 019 GEOBASE ID 17325 ' 6' ADDRESS 54 TEVYAW. ROAD PHONE i HYANNIS ' ZIP - i LOT UNNUMB BLOCK LOT SIZE i DBA y DEVELOPMENT DISTRICT HY PERMIT 80511 DESCRIPTION ROOF/SIDING/BATHROOM/KITCHEN/RENOVATIONS PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONV CONTRACTORS: PROPERTY OWNER Department of ARCHITECTS: Regulatory Services TOTAL FEES: $152':50 j ,.BOND $.00 V I CONSTRUCTION COSTS $25,000.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE Is*70-- * anxivsTaBr�, • "'�� �FD IMi►�A � i I BUILDING,DIVISION� 'DATE ISSUED 11/08/2004 EXPIRATION DATA A. THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CGJE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 4 APPROVED'PL'ANS'MUST BE-RETAINED-ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD,KEPT POSTED UNTIL FINAL INSPECTION 2. PRIOR TO COVERING STRUCTURAL MEMBERS PERMITS ARE REQUIRED FOR HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- I (READY TO LATH). s PA:NCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. i I - — BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTIONAPPROVALS 2 -T>t ✓� 2 2 / `ti / ,,yam ; '•; ��( `�� �/�S" I 3 1 HEATING N PECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL Persons contracting with unregistered contractors 27 GU do not have access to the gu=fund Iv WORK SHALL NO PROCEED UNfIL PERMIT WILL BECOME NULL AND VO ) IF CON- PItYlONS INDICATED ON THIS THE INSPECTOR FIAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. F TION. j f t r t i i I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 3 � Map Parcel 0 1 ,. Permit# of R fj t tI ;f ,Date,lssued Health Division I d � � �"' II,J ,-c Conservation Division ? -�7t ��; .Application Fee Tax Collector Permit Fee Treasurer 0 F— Planning Dept. EXISTING SEPTIC SYSTEM Date Definitive Plan Approved by Planning Board ri IQt Win` LIMITED TO-�Z _#OF BEDROOMS Historic-OKH Preservation/Hyannis Project Street Address J `l � `V �/-� c� Village "f Owner {64---�t��o T_ZJ Address /� .!'/Zv 4 1 IC L. Telephone -5-0 ;? 3 7 y? 2 7 Permit Request A0_a ve t4te 1)ejo hic rQ&P >!W1apP 571a//r, 0 n<ue/ 43 lnery 4C��li,e�t d►ew F_/e��r,c Square feet: 1st floor: existing I proposed f 0JL: 2nd floor: existing proposed Total new Zoning District di 4!, Flood Plain Groundwater Overlay Project Valuation` &r-Q Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure +1 �f Historic House: ❑Yes 5I o On Old King's Highway: ❑Yes Basement Type: Cl Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) Number of Baths: Full: existing I new D Half: existing ( new Number of Bedrooms: existing new _A00 Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ZGas ❑Oil ❑ Electric ❑Other , Central Air: ❑Yes q;No Fireplaces: Existing �JQ New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing Cl new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Q41 If yes, site plan review# Current Use Proposed Use OtX1,v E 1 BUILDER INFORMATION Name /. z- .S � Telephone Number .tea P off, 7 Y 7­1 Address I fle�I6C', '�IJ6 C W: License# Z"A . 6 ;�Q a)� Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /� ` 0�� FOR OFFICIAL USE ONLY (PERMIT NO. i DATE ISSUED ' j• e � 1 MAP/PARCEL NO. ADDRESS - VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION _ C3 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL is �... GAS: ROUGH . �� FINAL ra FINAL BUILDING Z c0 ' DATE CLOSED OUT ASSOCIATION PLAN NO. ---� The Commonwealth of Massachusetts Department of Industrial Accidents 600 Washington Street Boston,Mass. 02111 Workers' compensation Insurance Affidavit-General Businesses IN V/111 '-..c //+fir:Z.. ^��•� �. .. .. .. � .:Chi.,_ Vl� �V • � name' address K ( � av'c7�L6 3 oZ vhone# ,S OF—,�37—t/'`7 17 state work srta location(full addressl u.1 Tel yT �t du✓13-�t��ir F� Q I ❑ I am a so proprietor and have no one Bus em`ss Type. ❑Retail❑R eSl�asuauupar/Ea ing Establishment le working le any capacity. ElOfce❑ Sales(including Real Estate,Autos etc.) ❑I am an en Toyer with ens to ees full& art time) [ Other. ort^2 0ea6z / //////////%////l,- [ I am an employer providing workers' compensation for my employees working on this job. com anv.name: address: ' •':t.._ ,s,:;,:•;..•"�. bone#•' ' • city: .;• . ..' ... ... :`L? -,�:,: (�] I am a sole proprietor and hove hired the independent contractors listed below who have the following workers' compensation polices: ; comren name: W. ., hone# ; insurance co. = �:;'.•':;i• y // ///////// / //// / / / r //%/ / com'aria name: ; address: • • . ' tee• .� ' - hone# ftistirsnce eo.' ./. / � /// % /// / :..•... j. `•� Failure to secure coverage as required under Section 25A of MGL 152 eaalead to the imposition of criminalpenalties of a fine up to$1,SOD.DO and/or. one years'Imprisonment as well as civil peaslties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand;that a _. copy of this statement may be forwarded to the Office of Investigations of the DIAfor coverage verification. I do hereby certify under the pain d penalties of perjury that the information provided above is true and correct Date ll 0—E ° Signature ` a� - Priat name 64. r"+ Phone# s 0 � 7— _ .fe�.,_..,.`aac���'-_=•�,-•�"+r�,"'��„�� ¢�`' a'.-s'.�'+�+.a��m.�+�s�ram. '-'-� ter.. �•��-'� official use only do not write in this area to be completed by city or town official .t permit/licease# ❑Building Department city or town, ❑Licensing Board ❑Selectmen's Office r ❑cheek if immediate response is required ❑ucaith Department - phone#; ❑Other y contaet person — (revered Sept 2003) 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. An employer is defined as an individual,partnership, association,corporation or other Iegal 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 ers association or other legal entity, employing employees. However the owner of a trustee of an individual, partnership, g e apartments and who resides therein, or the occupant of the dwelling house of t more than three dwelling house having no P . g other who Toys persons to do maintenance,construction or repair work on such dwelling house or on the grounds or an �. 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,neither the 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 contracting authority. Applicants Please fill 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 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 cityor 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 Investigations has to contact you regarding the applicant'. Please be sure to fill in the perrrut/license number which w01 b'e used as a reference number. The affidavits.may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would lice to thank you in.advance for you cooperation and should you have any questions, please do not hesitate to give us a call. s The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Ot "o[levestieadons 600 Washington Street Boston,Ma. 02111 fair#: (617)727-7749 phone#: (617) 727-4900 ext:406 FSFIE,py, Town of Barnstable Regulatory Services BARNST^B Thomas F.Geiler,Director 9`bA,E 0,39. p 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:T�V C)you+i,O w Estimated Cost. �,Y`0 13 © + c o Address of Work: "'0,V LA 01L U - 6 Owner's Name: Date of Application: 1'fl`u^ Q-1 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 NO] vner 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. OR Date Owner's Name Q:forms:homeaffidav RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE ; New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE `0 square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= 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 Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) II Permit Fee projcost Rev:063004 7E0 CMR Appmdt:! Table J5.21b(continued) •. praeriptive Packages for One and Two-Family Residential Buildings Heated with Fossil Fuel M=MUM MINIMUM Glazing Glaung Ceiling Wall Floor Basement Slab Heating/Cooling Area'(%) U.value= R-vaiud R-values R-values Wall Perimeter Equipment EfTici=cy' R-valu,O Package 5701 to 6500 Hating Degm Days' Q 6 Normal 12% 0.40 38 13 19 10 Normal R 12/° 0.52 30 19 19 10 6 S 12% 0.50 38 13 19 10 6 85 AFUE IV Normal T 15% 0.36 38 13 ZS N/A Normal U 15% 0.46 38 19 19 10 6 V IS% 0.44 38 13 25 N/A NIA 85 AFUE W IS% 0.52 30 19 19 10 6 85 AFUE X 18% 0.32 38 13 25 NIA N/A Normal ormal Y 18% 0.42 38 19 25 N/A N/A 0 AFUE Z 18% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY Sri T�ev a rc 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 110 a,�-7 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 ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303 a 780 CMR Appendix J 7�1 Footnotes to Table J9.2.1b: 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 if of decorative glass may be excluded from a building design with 300 RI 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 R-49 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. + represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include Wall R-values represe ty 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. 6 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 d:acribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " 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 J5.2.1 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 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 Town of Barnstable Regulatory Services •AMSTASM : Thomas F.Geiler,Director 69. Building Division Tom Perry,Building Commissioner t 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print q� DATE: �' y U' JOB LOCATION: �e V . Cv Vl 1S number strew i age "HOMEOWNER": ro 14(Ke64 190$-k3-1 H-)oa-7 SC"1n„g namdQ home phone# work phone# CURRENT MAILING ADDRESS: V,0 rL. ►IL 140� C,P-v4-P,Yl11 l , G�� 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 proc es and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control.. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) .This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed personas 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:fotms:homeexempt 24'-0" 12'-0" 10'-0" i I > > I —=----=-------- I I I LLW - -- --_---- I I z I I I ---- — BATH I -------- —fi I I — ------- I ———————— ———— --------------------- \ GARAGEI — I \ I I a BEDROOM < d-—————— ---4- VP KITCHEN I RAMIL I I I I I z N I I I )�� I I I � --- I I O =' U- m I Q BEDROOM LIVING ROOM o� L.I. z -------- -_- -_-= I---------- �70 2 � OIUI Q z 8'-6" z I I < T-O" 24'-0" MAIN FLOOR PLAN U-1 z n Q � O � W o ® ®® ® FM z 0 17 ®® ®® W J W W . z Q FRONT ELEVATION Q �„ W Z . • � 2 I ry O W i z � > Lr) Q 1 rylYlY O V n l/1 Q m w QIlluillilUillill w w Z REAR ELEVATION w Z . f- J ® ® W • z n O t/1 ® V .......... ........ .... .......... lJ 1 Z RIGHT SIDE ELEVATION m w QW w IIIIIII lilt] ® ® Q `^ � Z Z ►fin = LEFT SI DE ELEVATION 4 24'-D" 12'-0" --- �- C31� c 0 DECK I a Ll I F 0 O I II Q00 BATHROOM In ---- —LAUNDRY— -- --- --- BEDROOM 94 d w o 0 �' ao s � o� KITCHEN I \ t——————————— =— VP I ROOMY I / I O I I O > > RR. I I _--! O N aY / LL- ————— ———— —— - I O S I � d I cl- BEDROOM LIVING ROOM � Lu z T PROPOSE[)5 DFLOOR PLAN N Q SMOKE i � 0 ---L-- KE ETECTO Q ----- ��� cr RS REVIEWE D Z I BA ABLE BUILDING DEPT, uj Z D F... Q 'H7!FIREDEp }+ c rURf,ARTMENT AR-c/7ECUI DATE L(1 S Rf0 ' FOR PfR'H/TT/N� 24'-0" CN O. LLI z � sh W O Qos � n o. - z ®® 7mow �® dW W z � Q PROPOSED FRONT ELEVATION < > Z UJ Z t _ tn 6 rn a./ O w i z � i � W o o s � N R �O � � Z FH ® co �1 1 O Q ^O 1l- W 1 7W L� PROPOSED REAR ELEVATION PR � .. � Z Z H } O W Q � TTTTTT os z o0 LEFT SIDE ELEVATION 0 ® (D J a. W W EE � Q Z U-) _ RIGHTSIDE ELEVATION Q F k Town o 'rB�rnstable *Permit# p� Ezplres 6 months from Issue data , : Regulatory Services Fee sZ�S". r-9-0 M"�' �' Thomas F.Geller Director Building Division ' Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 PRESS PERMIT Office: 5087862-4038 Fax: 508-790-6230 � 2004 EXPRESS PERMIT APPLICATION - RESIDEMQLUtQNI, ,F BARNSTABLE } Not Valid without Red X-Press Imprint Map/parcel Number Property Address C4 ^.. [r Residential Value of Work 6'O n o• 22 Minimum fee of•$25.00 for work under$6000.00 Owner's Name&Address JRu ron /nP e—d e C A-19-1 f 'g Broxd)ll Dike CeYr4c r v,,11 e , ,;,A , Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) w Construction Supervisor's License#(if applicable) ❑Workmen's Compensation Insurance Check one: , ❑�am a sole proprietor Ie�J j an the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) [r].4I,e-roof(stripping old shingles) All construction debris will be taken to _ l Ve r ❑Re-roof(not stripping. Going over existing layers of roof) a Reside replacement Windows. U-Value (maximum.44) *where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must ' Property Owner Letter of Permission. ,dome ImprMankaotenfticense is required. Signature QForms:expmtrg Revisc063004 r Ao KE Town of Barnstable Regulatory Services Thomas F.Geller,Director RAMMAJIM Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 wwwAown.barnstable.ma.'us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION / Please Print DATE LOB LOCATION: O �e V y a ul � , �cy�yL/1,� iLc L1 : oco 6 0 I number street village "HONMVNER": nanid home phone# work phone# CURRENT MAH.ING ADDRESS: Z Rd 7Z K- /k,f P,Ct b/J 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 he/she understands the Town of Barnstable Building Department minimum inspection procedures and re ements and that he/she will comply with said procedures and requirements. Signature of Homeowner - Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsbilities 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 fonnIcertification for use in your community. Q:forms:homeexempt