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Town of Barnstable *Permit# 9 ct
zwim 6IM"hit f m taw+e dote
i Regulatory Services Fee
x" Thomas F.Geller,Director
Building Division
Tom Perry, Building Commissioner
200 Main Street; Hyannis,MA 02601 X-P E E .N-7 R
Office: 508-862-4038
Fax: 508-790-6230 O C T 6 - 2004
EXPRESS PEMM APPLICATION - RESIDENTIAL ONLY
Not VaW wWwut Red X Preas hnprW TOWN OF BARNSTABLE
ap/parcel Number 51"O Z7
operty Address e�
—6
4ideutial Value of Work Minim fee $25.00 for work under$6000.00
wner's Name&Address
ontractor's Name`2 Telephone Numb�S?J'�`t'G�-
ome Improvement Contractor License#(if applicable)
a,
onstruction Supervisor's License#(if applicable)
]Workman's Compensation Insurance
Check one:
[] I .. sole proprietor
0 the Homeowner
1 bave Worker's Compensation bouraace
Murance Company Name j� G
Torkman's Cflmp-Policy#
'opy of Insurance Compliance Certificate'must be on file.
ermit Request(check box)
[] Re-roof(stripping old shingles) All construction debris will be taken to
[]Re-roof(not shipping. Going over e=tmg layers of roof)
ge-side
Replacement Windows. U Value 3 (maximum.44
f
*Whae required: Issv m of ft pamit does not cumTt compliance with other town department regulations,i.e.Wwtoria,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
Home Improvement Contractors License is required
!:Far=:w
xvise063004
Town of Barnstable
$ Regulatory Services
' MAMM& ' ' Thomas F.Geiler,Director
Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I, ��►� !�/U T�}G � `` ,as Owner of the subject property
herebyauthorize d � to act on my behalf,
in all matters relative to work authorized by this building permit application for,
(Address of Job)
f
45Kmer Date
. - Print Name
QYORM&OWNMERMISSION
r
Lkesse or regi mtlon valid for isdividul use only
before the expiration date. if found return to:
Board of Building Regulations and Standards
One Ashburton Place Rm 1301
Boston,Ma.02109
Not valid without signature
Beard of Bnikitag Reguuoom and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 126893
Expiration: 8t3J2006
Typo: Supplement Card
TtiE Horne Depot Ai-novae 5ervic
BARK AUOETTE
3200 COBB GALLEMA PKWY#20
XLTANTA,GA 30339 Adadoistratnr
r
' 9/a�/Key
Town of Barnstable *Permit# ;� ? V 7
QFSHE TOjy� Expires 6 mouths from Issue date
Regulatory Services Fee
gAliNSTAB
NAM Thomas F.Geller,Director
0,19. a Building Division R SS PERMIT
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601 SEP 2 3 2004
Office.
• 508-862-4038 TOWN O 09
Fax: 508-790-6230 � A
EXPRESS PERNIIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press rinprint
Map/parcel Number
Property Addressp4C /
Value of Work
esidential
' t �G� ���
owner is Name&Address
Telephone Number s" �2—
Contractor's Name
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
I am a sole proprietor
I a e Homeowner
have Worker's Compensation Insurance
Insurance CompanY Name
Policy# /��- i �-
Workman's Comp- Y r0
Copy of Insurance Compliance Certificate must be on file. ;
c
Permit Request(check box) C)
[] Re-roof(stripping old shingles) All construction debris will be taken to
co
Re-roof(not stripping. Going over existing layers of roof) w rn
[] Re-side.
ETIReplacement Windows. U-Value (ma�mmm•44)
*where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner mustsign Property Owner
a e required.
dof Permission.
H Improvement
Signature
Q:Fomis:expmtr
Revise053003
Town of Barnstable
yoFtHe Tojy,Fo
Regulatory Services
Thomas F.Geller,Director
r� 1619• p Building Division
jOTen�f'A� Tom Perry, Building COmmissloner
• 200
Main Street, Hyannis,MA 02601
YMW.tcIwn.b arnstable.ma.us
Fax: 508-790-6230
office: 508.-862-4038
Property owner Must
Complete and Sign This Section
If Using A Builder
as owner of the subject property
to act on my behalf'
hereby authorize
in all
matters relative to work authorized by this building pest ppiication f or;
0
(Address of job)
Date
Signature of
Print Name
i.ieense or registration valid for individul use only
before the expiration date. [f found return to:
Board of Building Regulation and Standards
One Askburten Pie"Rm 1301
Boston,Ms.02109
Net valid without signature
r - �Jf17C lid1079DtI3'/1R !�. fYtsJOaCYMLdA[�o -
°y� Heard e[Haitdtag Reguta8ess aed Standards
kWE WpRovEMENT CONTRACTOR
Registration: 126893
Expiration: 81312006
Type: Supplement Gard
THE Home D"t Al Home SeNic
FSARK AUDETTE
3200 COBB GALL.EMA PKWY#20
XLTANTA,GA 30339 Adudalstrater
rarW 1•/•hWYAi4tiAI^a1r!W-4ba w
c;:.•■EwtRRFROOOLaRTlnf C;R TfIGW 6llftleO N LffTEE/OF MFortf�R1011ftsMARSH USA INC. M0I10MTaU►ON THE O RTWICATI AaOER OTHER TOM TN THEMARATlW BUSH IN BOOKER ►DUCT.TNRS TXITEICAIE ODES ROT ANEW}.EXTEND 0R AAIE
3475 PIEDMONT ROAD,N E. aFORDaa Ir TNI FaRct a of EraNEto aESErF.
( W2%4OFF ICE COMPANIES AFFO1104MO COVEIdOf
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034924IASTR41MA- RM1A A STEADFAST INSURANCE COMPANY
MWREO CO/AVJNr
TKDAT4•OMESERVICES INC. S NIA
DOA THE HOME DEPOT A�-HOME SERVICES
24%PACES FERRY ROAD NW C�O�
BUILDING C-a C AMERICAN HOME ASSURANCE COMPANY
ATLANTA,GA 3=9
CCIMCAWSr
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THIS IS TO MTIFY THAT M40ES OF WSFRA'a DES MEROM NAVE REM ISSUED TO TW 1,AM0 NAMED IIPIEOI FOR-THE PQiC'F4NGD IFOGTF0
NarYl NITANO WO ANY AFOURFA*F 'TEAM OI 0040T1ON 0:ANY CONTRACT OR OT-4 R OOCLJMENT 1474 RESPFCT TO V6404INF CERRTISA;ATE YAW O IS20004 MJtr
FFATAN.W INSIAAINM AFFORDED Sy W KXICES OEXXIGEO MERON IS SUELECT TO A L TkE TERN13 CONDITIONS AND EXCLUSONS OF SJG+POLICES AGGREGATE
LINITSS+ONN MAY HAVE SEEN ROLKEDITPAO CLAMS
W TYPf OF WMAMCE FOEICT7H7RREI IOLXV IFFECTM FOLRA EIPMAIMM
LTA W
DATE DATE LETS
CENRAL u"Arrr GENERAL AGGREGATE s 4,OM.000
A X commeRoJI crrJERJa tlAmmar IPR 3757 GG&W 02101104 071O1t05 PQOO c7s-c0MPRcT+A" s 4,00D,0W
a,RwNNOF Omm LIMITS OF POLICY ARE EXCESS' PERSJNJ<a ADYWAJtJRY S 4,000,OOD
OANEiR'SSCOITRACTdISPAOT OF SIR. $1.000,OW PER OCC' EAOSOCaJRAENW s 4-OW-000
FIRE OAM AGE(Aiyrcn&%M s 4.000,000
IFEOExP aR s EXCLUDE()
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OIYtACELIANtJTY AJTOONLY.EAAC:OUNT
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EA01 ACOOENT s .
AGGREGATE s
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UTASAELLAFOIIM - - AGGREGATE 3
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D ENalfN1[ll aflRa.rtY X I TORY LUM<TS ER b'=t►`w ie.i`.:.~ �
ELFAOiACOMT S Ii00D,000
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RE:LOCATION NO.R1MA.
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Frank Ki+neN trlbr�.t
- w�i..M.w - K�.•f.�y-'.+�.vH'
• TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Ma c— Parcel 3���Da 7 Permit# _
p �� !:,," BA;,�g� �hEL�
i Health Division o, —CIO Date Issued 2_1 t(0
2A��?Ci�C [ ' P;a I: U
Conservation Division L ZC�% 6 Application Fee
Tax Collector ��. /�i OW-012 Permit Fee -��Z2 S��-R----'
- SEPTIC SYSTEM DUST DE .
Treasurer s ���0 �4� ~ ~Wilsio ---NSTAU.ED IN COMPLLANCE
Planning Dept. VM TITLE 6
ENVIRONMENTAL CODE ANL
Date Definitive Plan Approved by Planning Board TOWN REGULATIONS
Historic-OKH Preservation/Hyannis 3 �
y� M
Project Street Address AM LTQ`✓ TCy�
Village Tt ,471VI/1 S y�
Owner �ip/`3L'C(� A/ Address �160
Telephone J��g � 'Z7�'Y(ci0?
Permit Request Lfab% ��,QAJ �1�2(d ��/1✓n(/i�9 T"/DES
AUZ rN DOS Tim LI/�e��» 4-
Square feet: 1 st floor: existing �7�g. proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation '�07� (Q<9'D 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 0/0 f Historic House: ❑Yes �(No On Old King's Highway: ❑Yes ANo
Basement Type: Ad Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing / new o2 Half: existing new
Number of Bedrooms: existing_ new
Total Room Count(not including baths): existing new S First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil �6 Electric ❑Other c f1(/feQ!�r7a 7U D/L 4� S
Central Air: A Yes ❑ No Fireplaces: Existing -� New Existing wood/coal stove: ❑Yes 14 No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing ❑new size Shed: ❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes No If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name Telephone Number
Address C� TC)vt/ (/� License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
—'SIGNATURE T DATE /--- `�D�
r
FOR OFFICIAL USE ONLY
r
PERM+'NO. _
DATEISSUED
MAP/PARCEL NO. `
' r .
ADDRESS VILLAGE" r ,
OWNER
r
DATE OF INSPECTION:
FOUNDATION
r
FRAME y'7 �t�h� a /< Li � .
��
t
INSULATION i NS td VIIIZa 3 (� )
FIREPLACE 1 ;
ELECTRICAL: ROUGH FINAL' r
PLUMBING: ROUGH :_ FINAL ' ►
GAS: ROUGT� FINAL,r
FINAL BUILDING a r r
DATE CLOSED OUT'
ASSOCIATION PLAN NO.
°F11HE Town of Barnstable
Regulatory Services
'* BAMSTABLE, ' Thomas F.Geller,Director
MAsa
9�A 039• a Building Division
lFD MP't
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. rldj kV.
.. 1
Type of Work: ��/�ON /ll�&Eioz � Estimated Cost Bj
Address of Work:
Owner's Name:
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
;F Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
R '
G
Datt Owne s ame
Q:forms:homeaffidav
The Commonwealth of Massachusetts
M
Department of Industrial Accidents
Office of/oyesaffatioas
_ 600 Washington Street
? Boston,Mass. 02111
idavit
— ,
Workers' CompensationInsurance� ����������������������������������������������
name: v v
location
city ¢ n S r4 26 O
shone
(�C I am a homeowner pedearag all work myself. /t'Z' (Dor co/y
❑ I am a sole r rietor and have no one worlds m ca acity ®�= jW 5. orle6 yl ah7iel4C7D�.
I am an employer rovl g n?P
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❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who
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gXMM to secure coverage as required under Section 25A of MGL 152 can lead to the Imposition of crfrninal penalties of a>hne up to$1,S00.00 and/or
one yam,imprisonment as weIl as civil penalties 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 maybe forwarded to the Office of Investigations of the DIA for coverage verification.
I do hereby c fy under the p,` ' and penalties of perjury that the information provided above is truce and correct
Date � -
Signature
Print name oz Phone# 77`*4 23
official use only do not write in this area to be completed by city or town official
city or town: peradt/licen+e# ❑Building Department
❑Licensing Board
nse is re uired ❑Selectmen's Office
❑checkif immediate ropo q []Health Department
contact person:
phone#; _ C3 Other
(Devised 9/95 PJA)
P
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.
�P
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
house ha not more than three apartments and who resides therein, or the occupant of the dwelling house of
dwelling � or on the Quads or
another who employs persons to do maintenance , construction or repair work on such dwelling house 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 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 and
company names, address and phone numbers along with a certificate of insurance as all affidavits maybe
supplying
' P Y
?` 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 sate 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 peimitMcense number which will be 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 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
Department of Industrial Accidents
flifice of Investlgatlons
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 eat. 406, 409 or 375
Permit Number
MECcheck Compliance Report Checked By/Date
2000 IECC
MECcheckSoftware Version 3.4 Release la
Data filename: C:\Program Files\Check\MECcheck\Wyrick48 Walton.cck
TITLE: Wyrick Residence
CITY:Barnstable
STATE:Massachusetts
HDD:6137
CONSTRUCTION TYPE: Single Family
DATE: 12/10/02
DATE OF PLANS: 11/07/2002
PROJECT INFORMATION:
48 Walton Avenue
Hyannis,MA 02601
COMPLIANCE:Passes
Maximum UA=229
Your Home=225
1.7%Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Flat Ceiling or Scissor Truss 1048 30.0 0.0 37
Wall 1:Wood Frame, 16"o.c. 1170 13.0 0.0 77
Window 1: Wood Frame:Double Pane with Low-E 60 0.340 20
Window 2:Wood Frame:Double Pane with Low-E 74 0.330 24
Door 1: Solid 19 0.330 6
Door 2:Glass 80 0.330 26
Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1059 30.0 0.0 35
Furnace 1:Forced Hot Air, 80 AFUE
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications,and other calculations submitted with the permit application. The proposed building has been designed to
meet the 2000 IECC requirements in MECcheckVersion 3.4 Release la and to comply with the mandatory requirements
listed in the MECcheckInspection Checklist.
Builder/Designer Date
MECcheck Inspection Checklist
2000 IECC
MECcheckSoftware Version 3.4 Release la
DATE: 12/10/02
TITLE:Wyrick Residence
Bldg. I
Dept.
Use
I
Ceilings:
[ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation
I Comments:
Above-Grade Walls:
[ ] I 1. Wall 1:Wood Frame, 16"o.c.,R-13.0 cavity insulation
Comments:
I
Doors:
[ ] I 1. Door 1: Solid,U-factor:0.330
Comments:
I
Floors:
[ ] I 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation
Comments:
I
Heating and Cooling Equipment:
[ ] I 1. Furnace 1:Forced Hot Air,80 AFUE or higher
Make and Model Number
Air Leakage:
[ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] I Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly
with a 0.5"clearance from combustible materials. If non-IC rated,the fixture must be installed with a
I 3"clearance from insulation.
I
Vapor Retarder:
[ ] ( Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
I
Materials Identification:
[ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] I Materials and equipment must be identified so that compliance can be determined.
[ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating
I equipment must be provided.
[ ] ( Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on
I the building plans or specifications.
Duct Insulation:
[ ] I Ducts in unconditioned spaces must be insulated to R-5.
I Ducts outside the building must be insulated to R-6.5.
I
Duct Construction:
[ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics
I (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted.
I Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
i operating at less than 2 in.w.g.(500 Pa).
[ ] I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
[ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder.
[ ] I Air filters are required in the return air system.
[ ] i The HVAC system must provide a means for balancing air and water systems..
I Temperature Controls:
[ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to
I partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided.
I
i Service Water Heating:
[ ] I Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part of a circulating system.
[ ] I Insulate circulating hot water pipes to the levels in Table 1.
I Circulating Hot Water Systems:
[ ] I Insulate circulating hot water pipes to the levels in Table 1.
I Swimming Pools:
[ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
I of the heating energy is from non-depletable sources. Pool pumps require a time clock.
I Heating and Cooling Piping Insulation:
[ ] I HVAC piping conveying fluids above 105 T or chilled fluids below 55 T must be insulated to the
I levels in Table 2.
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1,5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
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
4-�---
square feet x$96/sq.foot= 00• 14 x .0031= ��� ��
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
y -� quare feet x$q s 64/s .foot= �U�r x.0031=
� �
plus from below(if applicable)
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= 30.
(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
�F I;4LE # ca2z0 CENSUS TRACT
FL � PAGE
CLIENT : Attorney John Sul 1 ivan DEED ROOK
PLAN BOOK PAGE LOT B-8
OWNER : Jose h'& Catherine Gaid.is ASSESSORS PLAN PLOT
APPLICANT : Shirenne Baker
MORTGAGE INSPECTION PLAN OF LAND -
I N
BARNSTA . BLE
FEBRUARY 20, 1985
SCALE: 1"= 30 '
100 , 03 '
LOT B8
LOT B9
LOT B7
0
SHED O
u11
q48
I��I 1 STORY
33't
M
100 . 00 '
W A L T 0 N AVENUE
THE LOCATION OF THE DWELLING AS SHOWN HEREON
IS INCOMPLIANCE WITH THE LOCAL APPLICABLE y�
ZONING BY-LAV/S WITH RESPECT TO HORIZONTAL ,►!`�Mq��.�
DIMENSIONAL REQUIREMENTS , 2��P� a qrl-
i/ KENNEYH �
THE DWELLING SHOWN HERE DOES NOT FALL !"lITH'N I� pERRE1RA
I A SPECIAL FLOOD HAZARD ZONE AS DFL I NFATED I N� 7�
_ _ ,.,......... — w,)Qnnni nATcn in/1 /R� `
- • „� .Zc�;istry District of Barnetable sNE,E
County
LAND IN BARNSTABLE
December, 19146
Whitney & BasFett, Engineers
'' � See Sheet 2
�u
Z y } -E At det o0
v / 8
0
0
o e/O a
o°
�O p
B9
C lid g
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The Town of Barnstable
Regulatory Services
Thomas F. Geiler, Director
Building Division
Tom Perry, Building Commissioner
200 Main Street,Hyannis MA 02601
)ffice: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION: `10
number street village
"HOMEOWNER": 1 ���Q/�/�[fCiG'�
name L home phone# work phone#
CURRENT MAILING ADDRESS: Sq172 S b O l/E
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 B arnstable Building
Department minimum inspection procedures and requirements and that he%she will comply with said
pr ures and requireipents
Signature of eowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply
with the State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the
provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a
person(s)for hire to do such work,that such Homeowner shall act as supervisor"
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see
Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in
serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the
unlicensed person as it would with a licensed-Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit
application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a
form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. ,
------------------
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