HomeMy WebLinkAbout0059 BAY LANE ACTIVE
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TOWN OF BARNSTABLIE BUILDING PERMIT APPLICATION
Map Parcel ® 7 OF �,RNSTABq Application - — / S D
Health Division ''+ `� ,:f ,� Date Issued
Conservation Division Application Feg
Planning Dept. _�,�� � Permit Fee
Date Definitive'Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address _6 Xad
Village c � /Y"
Owner Z f,/�✓tJ_ �4`�^Address 6"9 ,� r/ L/� I/�
Telephone 7 9�"Ai 16 ✓�� �y '
Permit Request X ,
m v d
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new 4',5
Zoning District Flood Plain Groundwater Overlay
Project Valuation 4/5,AC Construction Type
Lot Size /4- A Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(# units)
Age of Existing Structure 0,3 �92�5 Historic House: ❑Yes �d No On Old King's Highway: ❑Yes )KNo
Basement Type: XFull ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: 4 Gas ❑ Oil ❑ Electric ❑ Other
Central Air: XYes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: Oexisting ❑ 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
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name J'71-:/l./ Telephone Number
Address �9 ✓��1 f�' 1-,4A b, License #
Home Improvement Contractor#
cVgr's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURv1� G� DATE s ~ /
I
- FOR OFFICIAL USE ONLY
APPLICATION #
DATE ISSUED
MAP/ PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
27e C9ffi.MMWmm
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C�Fr�de tQ aid Cn air izr H'��Fr rFid r rr:Id a srgh H7zrdZoFie -
• Massachusei Chest for Co mpjEance ugD-Cl kSD1?I.1)�
iftd Sipeed V( -= .g<M4 110 rnph
- 12 AFMCABLIlY .
4fcunbier DfStnxim(a rDmf vHch 8 in 12 sbpe steal Ise cmiskiered a dxy) s3aries 5 2 siaries -
. Rn13fP%=h FIR•2) _ 51212
Woo t aafHt (rig2)
319ding Wd%lht
Bt&rng LengHk L 3} �s Sir
�g Aspea Ra m(i14i►� Fg 4) : '
- N
-2
cniulai Height�TaIlest 4
�� tF�s )
• 1.3 FRAMING MXN EMIONS Y
Germs!c mpffan D=vrfi1 framing amn=5D= (T•able 2) - -
2.1 FOUNOATIah[ - _ -
Fmmds5an Watss mei5ng regckernenL-of 730 CMR 5604_1 -r
__.._
Caner MB=W•_ _ _ _ .
22 AH O?_A§E TD FOTI MAnDhi -
51W Anc hDr Ebb bnbedded Dr Wr PrDprieh y,Meti=ira7 Anchors as an alted five in cams&orify
Bo-It speicim--general_.__.._�_�._._._ (Tab44) im
Batt Spamg fmm snd J*,t r$P� (Fig 5)
BDIt Embedment-=n=L— (Fig 5)- _ y
BDit Embedment-nrasan y _ (Fg 5)
Ploa or - (Fg 5) >3`x 3'x Y,-
3_1 F?_ODRS -
FioDrframirag mestrber spans fiedced (per 7.80 CTR Chapter 55)
Ma i=4rn Four O*img¢unem;bn Fig 6) 1z
Full Height Wag Studs at Fknr Qp ml gs less$ran 2`Sum Yt►al{(1=tg 6)
Mb)int im Fbnr Jost Seiiacks. .
Suppaifng Lnadbearmg Waits or Shearwalt (Fig 7) c d
Masdmurn CWfLTeredFDDrJDisfs T
SUPpDraW LOadbearmg ft US DrShearWall (Fig B) c d
Flogj3rar:hg �lfiaai�e (T-ig 9) —
' FfDDrSb�img Type _{per7S0 CMR Ctsapir=r 53} •. _
FIDDr Sfsea ft ing Thickross _ (pex 730 CNR Chapter 55)
DcrSh ing Faslemg - (Tablm z)__d rraus-at in edge 1 in fie#d-
4iwailie;ght ' .
LDa>dbmartv►ta3iLs- (Fig 10 and Table 5) ft 510'•
NDts4_a3dbsw rg waa- - (Fig 10 and Table 5)
Wal Stud Spacing (Fg 10 and Table 5) in__<_<24'ctD:
-l►tft>od�s - - _
• t rs�dfsR�;og+ s (Ts�fe } .2ac__—it_in.
h}nrr-L�at$earuig '(Table 5)
Gable End Ya9 Brdr ing t — —
Firai Heij�ttEndwafl Stl& (Fig iD) _ • '
WSP,Afic FDx L _ - �Fg 11) ft,=VO
•GYPS=Ca av Lmvth(rf WSP mt used) '[Fig 11) _fr z 031 ► _ _
and 2 x4 Cbn2w-ts Lateral Raba_P_6 ft rZG_(Fig 1t�_�_�_�.+.__.:._ _ -
tar-Z x 3=TP9 furring dips L l r spacing-rttin_Vr 2 x 4 bbcitV P-4 f t s�g 1n end)DM or fr,=
DaableTrDp Pis&
_RPUM L.ftwih (Fq 13-md Tabu 51 ---_ rr
A EVC guide to Woad Carrsf WZ:6an itt 11�19fr �Hjzd l`rrzy IIO APT, WM_ d Oatze . _--
Massa dinsetts CheckHA'for CompbEance cno amm-5301-7 I- )i
wax cor=xffam - -
- f�-rtd(na-t�I s d common tsaifs�
wan Connetfons
L.-&rsd(nm c#1 Sd=am=naffs) S)Md Opm ca:fa Tabfe 9
Lid o-Ss(rmc d hugest�g but al )
i-eadar Spam (Table 9) _it_m-s If,
sm Fb3to Spins (Table 9)
. Fug KE4d Sfnds (nc_of studs[ PENS 9)
Nc mizad Bearmg Wag Dpmwugs(record kiwi apr:*V alit check A operal far=mpliance is Table 9)
(Table 3) _ nz s 1Z`
M FWD j-parr (Table 9) _ft_IrL 512`
FuH[ice studs(no.of sleds) rTable:9) -
advior Wall Sheaffiirsg m Rest Upfilt and Sileaac Sittu&neDw -
h�azaranrf BrAdusg Diinersion,W -
f lnmbW Height of Talled OpenmgeF- .... .
sheaf ing T,� ( 4)
Hige Nat Spacing - (Table`10 or note 4 bless) rL
Feld Mall Sparing (Table 10) - m-
ShearConmecffon(no.of 1fd fxmrnon nags)(Table 10) - -
Pencmt FuI(-Height Shewhbg - (Cable 1 D) %
- 5 i6 AddMorml Sheaff-ing for Wali vJh Opersing>5'S'(Desi9rt Concept!;)
fAaxkroxn D'trnensbri,L -
N j Heigtft ofTaffest S S Er
` Shsafisirtg Type
Edge Nail Spacing (Table 11 or rife.4 jf Lm) a?-
Feld Na Spacing --- - (Table- _ m-
Shmr Conrmdmn(no_of isd cammm nails)(Table 11) _ —% _
_ Pew Fu>F Height SI> g (Table 11) — ,
s%Addrmrtad Sfteaff dng fior fto w1 i Opening>Bf r(Design concepts}
Wahl Cbdcgng - -
Ra!d for Wind Speed?
S_1 GOOFS_ -
Rnaf framarg membet-spar=d 't (ForFu ftem useAWC Span TwL see BBRS Web_5a .
RDDf Overhang ._ (Figure 19) - $ snfatier of or[l3
Trim ar RSIIJ�r CortneCODns at LDadhmrmg VVFalfs - ..
• ptopdahiry F etdnrs ([able t2} - - r U= pif .
- Lafar-al (Table 12) -- - p ff - -
Shear (Table 12) S= •p - -
Ridge Strap Gxzneo5°ns,rT collar 5a not jtsed per page 21--(Table 13) T= Pif --t
Gable Rake Ouffooker - (Figure 20) ftssumlleraf2`orLIL _
Truss.or RafL-r CamneEflons at Nmgmadbeking Walls -
Propdabuy Comach us
upin (Table 14) U= O- _
Lateral(ram of 15d c nrr on naffs)—(Tablle 14)___�._ _..�.:_L= . lb. • -
. Roof Shag TYPe (per781}CMR Chaptem 53 and 9)
• RodShwg T�� -fir Y►►S'P -
f g Fasferfing (Thbli-_2) - _ -
hbhsz: es>fs tat
1• _ This d sfrafl be met in ft en5rety,W=hxf fg the-gNx C etmep5Dn noted in 2,in cmnplY w ffie req A-e
TSO CMR53D1_Z L1[fern t_ ff 9je rdiecdst'fs met in fIs exf mdy theft ffte folfINva�g maai�': and hold downs not
reqused per Sees WFCM 110 mph GLdde: _ -
a Sled Straps par Hgum E _
b. Z(1 Gage Straps per Fxjure 11
r Upot maps per Ffgtae 14 - -
i L All straps per Fgrae 17 .
m Caner Stud Hold Downs per Figure 1aa and Figure lab _
2- -won Dpmkq heights af"up jD g it shaff be pet�when 5%Es added fn She pareestfug-height sheaNnq
ws shdwn in Tables ID and 11. '
3r The:bo#inm sal plate in exfidDr veatls shall be a L L&&L�xf 2 nt nornuzal HakrIESS presr tre #2 2k
a
. `' - 74FFfCGuirf�ta�Ond Carr�-uctiorr isrf�i��fr F�uzd�fre¢s IfD�Ir�rrsd�a� '
. I asmchusett Checklist for Compliance�n:c���s�o1;r��r -
4.
a_ - Frara Tables ID and 11 and 1o2ort of wall g and BaA*U Aspet Rmo,_de�nine• -_- -
b. Wwd c{„c t1-r Panels ShaII be ni*num N:im ss of Tli 61 and be irsdaIIed as fo OW= _
_ f. Panels shall be hswad,�a sfi-engih ass parallel fn sty.
_a. ¢ll h�()ok*sW oars aver and be:mailed to kmnhx;, '
FLDn
*4 E�mty=e 1:fiDk P'anals shall be embed b boign plates and lap inwn er of the double
bp
iv. On t&o s(ary upper pan h MhaII be auacied b fhs fop member of ffie
plate and joisf at bodbm of panel.L Pper�of 1ol�rer �� dorrhir:
and knNar aff 3am=�t made to i � be rr�de to band joust
plafa atfitsE ffar�fiamn�rg.
V. Horbmnb d naH swig at dmtja lap pht..s,band Joh&,and shad•be a double row of 6d
sfayered It 3 itches on=dar piir fig xBs bebw:Negri f and H=bmnbat NBMg for Panel Af at nenf
GIazg grofec5ort a}r►e house arhotgnrdaIaddrTon-rem¢profet#�i cr�e oar dosFs-fn shore CgenaraUy.snuff of
Rf-.2B or north of Rip-L
b)variical addrmn-not -
rQxlufred fatless tf�ere fs ene,renoon fo$►e first ffoor
tr}rsplaexnentWdaiv3-needs en
ti.Ydood Frame Consi7udfon Manual. �'o0 nser�afion r�ntpfrrari�only CAP g�) .
(AD►C}v .YE fnr 1 SO MPH,Expos um El may be obtained from the A maican Wood Coumcr7
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PAREL
Ser I3afr on Nzif Page -
Vaffical and Horrz�NaTmg �
for Patxi Attrhrnenf v fist 1 1 fo I h(ar7utg
' �Panel Aflar�art�¢ - _
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Town Yof Barnstable
Regulatory Services
MAW : Richard V.Scali,Director
►� Building Division. '
Paul Roma,Building Commissioner,
200 Main Street,Hyannis,MA 02601
www.towmbarastable-ma.ns
Office: 508-862-4038 Fax: 50&790-6230
Property ?w�e ust
Complete and S This Section-
•
If Us' A Builder
'\. ,as Owner of the subject property
hereby authorize
1 '
_ to act on my b ebA
in all matters relative tow rk authorized by this bush ' permit application for:
(Address of Job)
4
**Pool fences and alarms are the responsibility of the applicant Pools
are not to be filled or utilized before fence is installed and all final;
inspections are perform' ed and accepted.
Signature of Owner_ s Signature of Applicant `
Print Name Print Naive a
Date
Q:FORMS:OWNERPERMISSIONPOOIS
Town of Barnstable
Regulatory Services
ok' Richard V.Scab,Director
Building Division
t MAM ' Paul Roma,Building Commissioner
039. F�� 200 Main Street, Hyannis,MA 02601
Tip www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
DATE: Please Print
/�,� � c J� P���
JOB LOCATION:
number street village
"HOMEOWNER^:jT:7,101/ (z7Z'b
name home phone# work phone#
CURRENT MAUNG ADDRESS: . � LA�
cityhown 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
procedure and requirements and that he/she will comply with said procedures and requirements.
ignature of Homeowner .
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code
Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt
from the provisions of this section(Section 109.1.1--Licensing of construction Supervisors);provided that if the homeowner
engages a person(s)for hire-to do such work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor
(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,.Section 2.15) This lack of awareness often
results in serious.problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot
proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page
this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in
your community.
Q:\WPFaES\FORMS\building permit foimsTYMESS.doc
0620/16
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John Schoenherr May 2, 2017
59 Bay Lane
Centerville, MA 02632
Repair and Maintain Deck
Existing deck is attached to the back of the house and measures about 1,320 square feet. The repairs
and maintenance will not change any of the dimensions.
Description of Work
1. Replace 1"x 4" pressure treated decking with 5/4 x 6" Mahogany fastened with stainless steel
screws,two screws per joist
2. Replace 1" x 8" ledger attached to the house with pressure treated 2" x 8" (diagram provided—
ledger to be replaced is highlighted in pink)
a. Current ledger attached with lag screws directly to rim joist of house through the%:"
plywood sheathing overhanging it.
b. The plywood sheathing will be covered with a self- adhering bitchathane, like Grace
Ice and Snow. Existing house wrap will overlap it.
c. Plastic drip cap flashing will be installed on top of new ledger
d. New ledger will be attached directly to rim joists through plywood sheathing
overhanging it with Ledgerl-ok screws, using two screws staggered in every other bay.
e. New joist hangers will be installed on new ledger
3. Replace six(6) posts(highlighted in pink on the diagram)
a. Existing posts are 7'tall and sit on concrete footings
b. Four of the six posts to be replaced are weather worn. They will be replaced with
pressure treated 6" x 6" posts that sit on a galvanized Simpson Strong-Tie post base,
which will be anchored into the concrete footings with%2 "anchor bolts
c. The remaining two posts to be replaced were replaced prior to my purchase of the
house and were not installed properly. They are currently made up of three 2" x 6"
pressure treated boards that have been nailed together to form the post. They will be
replaced with new 6"x 6" pressure treated posts that match the description above.
d. New posts will be notched at the top to carry the double 2" x 10" beams
e. Beams will be attached to posts with%"galvanized bolts
f. ; Joists rest on top of beams and will be nailed in place
4. Replace 2" x 8"joists selectively-where needed
5. Add hurricane clips to center beam at every joist
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TOWN OF BARNSTABLE
Permit No. _ ----
Building Inspector
•mSTau Cash ------- --- --
� �YL
OCCUPANCY PERMIT Bond x______.
Issued to Address
it rPr•t :�1
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
Board of Health Inspection date
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...... .... ..................................................................................................................
Building Inspector
I FROM
TOWN OF BARNSTABLE
C BUILDING DEPARTMENT
Mr. Francis Lahteine 367 MAIN STREET HYANNIS, MA 02801
Town Clerk Phone: 775-1120
L
I SUBJECT:
FOLD HERE
DATE
f November 16, 19 4 MESSAGE
i
I
Work has been completed under Building Permit #25676 (Bay Lane Trust) .
Please release Bond.
SIGNE4
DATE
REPLY j /1
L'
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SIGNED
N87"RMI RECIPIENT: RETAIN WHITE COPY, RETURN PINK COPY
PRINTED IN U.S.A.
SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT.
�A Assessor's map and lot number ................................... ... � , hAUSrT d s _ THEY
pTIG S '
:�i ilk ��Ll_ ICJ CC31�PLIA��CZ
Swage Permit number ...d• ........ ..............
WITH TITU- �
�� �t ! Z DARISTADLE
House number ........... ;........... .�.............. .f C��'IRONMENTAL c��t � rb a �'
OO 39• 6
i �r /� �
TOWN OF ARNSTABLE
BUILDING , INSPECTOR
APPLICATION FOR PERMIT TO ......� �� /.��k�G..z...:....................................................... ............... . .. :. :..
TYPE OF CONSTRUCTION .......abe/j.......?..:1 ekZ........ .............................. ... }' . .................
............ .�.<. ........................19 F
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...... i4 ......!'l! 1...�... er �1LC'r...........`^�1/.... ....7. .. 10...........................................................
ProposedUse .... ......(5`..e,- .....D I/./..e ..................................................................................................
Zoning District ...
..........................................................Fire District .....0 .....................................
Name of Owner ..................Address ....?vO.:y .....:e.. ....... '......:................................
/� tt ar, j
Nameof Builder .L tY! ' • ... ?e.... J.... Ztk............Address ....................................................................................
�� ar
Name of �.. /f ..... ...../.. GXi . .........Address .......`.f..............n .......................................................
Numberof Roo s ..... .......................................................Foundation ..............................................................................
Exterior ....C-�. �.`.�. ./G„f.1G1444�4 W..t1..........................Roofing .... . . .... ............................................................
Floors ..... !?�� .... dd1�...✓`. ..� l.Yp,..K....Interior !... DL ...............................................
Heating .... ................................................................Plumbing ....: v, ...........................................
Fireplace .. . ....................................................................Approximate. Cost � �. ��......................................
Definitive Plan Approved by Planning Board ----------—______-----------19_______. Area ��.d... �.!?` ...........
Diagram of Lot and Building with Dimensions 's f� ?`t Fee .,�• .............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
)
i
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
, .........
a ' BAY LANE TRUST
• jo 7 Permit for l Z Story
�...256.. .6.... .............................
............. Sk
Single Family Dwelling
...... ..................... I
Location ,Lot 41, & 10, 59 Bay Lane -
1.
Centerville ' � ► r !
............................................................... -
Bay.$ Lane Trust ' 1`
Owner ....................................................... .�
Frame f
Type of Construction
' u
Plot ............... 9 r I:.... Lot
�. .. „
-z A.........
j /�'" r ... -'' �� � 'ems i• � 7 I
Permit Granted October...2.1... ... .19 83
[` Date"of Inso a' .............19 �
..... ..... ..
Date Completed
...:......199Y
AT
son ' ?
f -
Assessor's map and lot number ............................................
cFtNETo
Sewage Permit number ... 7o��
...........................
SAUSTAXLE.
House number ............. NAB&
t639-
0,•
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ...... .....................................................................................
TYPE OF CONSTRUCTION ....... ...... ..................................................................................
............. `.......................19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
�Z Location .......2 .......X11 ...........................................?R ./,.�•J.............................................................
ProposedUse .......-) 4. ....... ...................................................................................................
4 .
Zoning District ..........................................................Fire District ..... ..........................................
Nameof Owner 21.�� .........4Mam ..... /..................Address .... ............. ......... ....................................
Name of Builder
Y7,W .............Address ....................................................................................
Nameof Architect. .... .... ....... ...... ........Address ..........I..........................................................................
Numberof Rooms ..... .......................................................Foundation ..............................................................................
Exterior �II;,,-z..........................Roofing ...................7. ..............................................
.................
...............................................
Floors ..... .1... .......... .....Interior ......
Heating .... G..................................................................Plumbing Cost... .....................................
V/
Fireplace ....71 ��/ e�,04
......................................................................Approximate Cost .....................................................
Definitive Plan Approved by Planning Board -----------------------------19--------- Area .... . ................
/7r
Diagram of Lot and Building with Dimensions
Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
/6'2 2-
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 ................ rn 4 ...............
Construction Supervisor's License ........... .............
BAY LANE TRUST °y
A=186-74 ►
No, .. .
25676 permit for 1 z Story
.............. ........... .....................
Single Family Dwelling
...............................................................................
Location ,Lot 41 & 10, 5. ...
9 Bay. ...Lane. .. .. .. ..... .. .... .
Centerville
...............................................................................
Bay Lane Trust
Owner ..................................................................
Type of Construction Frame.................................
.................................................
Plot ............................ Lot .................................
Permit Granted ...O6.tmbex::.21,.........19 83
Date of Inspection ....................................19
Date Completed .....................!................19
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p� Town of Barnstable *Permit#
!� - IT oA S f]�Y1f isme date
} ER I r Regulatory Services Fee
• L►axsr.+Bia. • .
Thomas F. Geiler,Director:
�,� Building Division. a k `�/Z&'t Z '
WN (��BAR����B Tom Perry,CBO, Building Commissioner
LE, 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma:us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not VaLfd without Red X-Press Imprinf
Map/parcel Number - 1'�- Z
a
Property Address
[`Residential Value of Work j M 6 61 Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address
9
Contractor's Name Telephone Number i 0k "1-7 q Cj
Home Improvement Contractor License#(if applicable)_ j. '� G 10
. /
Construction Supervisor's License#(if applicable) C V7
k
[Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
[Q-I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp. Policy#qw l'
Copy of Insurance Compliance Certificate must accompany each permit
Permit Request(check box)
❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to
❑Re-roof(hurricane nailed)(not stripping.. Going over existing-layers of roof)
[IQ/Re-side
#of doors
Replacement Windows/doors/sliders.U-Value (maximum.35)#pf windows
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. .
Separate Electrical&Fire Permits required.
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
required.
SIGNATURE: "SQAr)
Q:IWPFILESIFORMSIbuilding permit forms\D2RESS.doc
Revised 053012
Office of Consume�Affa res��gdsinesy R gulahon License or registration valid for ind e
HOME IMPROVEMENT CONTRACTOR only
before the expiration date. If.found return to:
Registration:._;�1.17610 � _
Type: Office of Consumer Affairs and Business Regulation
Expiration: . A6/2.5G2012 Individual 10 Park Plaza-Suite 5170
ST EN L. MELLOFt Boston,MA 02116
x-
V 3
STEVEN MELLOR 1 t
199 PERCIVAL DR
W BARNSTABLE,
Undersecretary Not valid without signature
Mas
setts _
Boa epartrn
rd of Build' Re t ont of P
Const Ublic.s
afetruc CS tion S4ner isor s and standa
Licen dsy
3 -049879
TEVEN `\k INI..I ,
19
W g ERCn'AL R I
ARIYSTAB Co
mmIssioner
EXPiratiorj
` 05/22 2 14
t The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
+ a 600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Orgatiization/Individual):
Address: M '�Q-r C1 y&A �)-ryv-R
City/State/Zip: -T �'Clq Phone.#: SUS
Are you
P Y ou an employer?Check the appropriate box: Type of project(required):
.1.19 1 am a em to er 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. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, ❑Demolition
workingfor me in an capacity. employees and have workers'
Y P n 9.-.❑Building addition
[No workers'comp. insurance comp.insurance.$
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance required.] t c: 152, §1(4),and we have no
employees. [No workers' 13.ED Other i�N S 1 lAO 1.v f�1
comp.insurance required.] . wAA-1
*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.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site .
information.
Insurance Company Name: oo
Policy#or Self-ins. Lic.#: )( ML Expiration Date:
Job Site Address: City/State/Zip: �� "�' �A• �
Attach a copy of the workers' comp sation 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 certify under the pains andpenaltti'es of perjury that the information provided above is true.and correct.
Signature �r '�"' Date: /
Phone#
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
enter into any contract for.the performance of public work until acceptable evidence of compliance ,nth the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractor(s)name(s), address(es)and phone number(s) along with their 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
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locaiions in__(city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. 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 burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Off cc of Investigations
600 Washington Street.
Boston, MA 02111
Tel. ##617--727-4900 ext 404 or 1-877-MASSAFE
Revised 11-22-06 Fax##f 17-727-7749
www.mass.govldia
:4 y .. ' -
'THE� Town of Barnstable
Regulatory Services
•. snatvsr�,s[.B, "
y MASS. g Thomas F.Geiler,Director
16.39. �0
'gFn►�+" Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
wwwaown.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
h , as Owner of the subject property ,
herebyQathotize � � 1_� 1�(�- to act on my behalf,
in all matters relative to work authorized by this building permit:
5� Lom— (Qkw
(Addy ss of Job)
**Pool fences and alarms are the responsibility of.the applicant. Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
e of Owner Signature of Applicant
A 6
P ' Name Print Name
�Z
Date
QTORMS:OWNERPERMISSIONPOOLS 6/2012
IME Town of Barnstable
" Regulatory Services'
* aAtwsrAat E Thomas F. Geiler,Director
i639• •• Building Division
tfD MA'I A _
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
wwwaown.barnstable.ma.us r
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION: '
numbers street, village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwelling of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to
be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit, (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other.
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements.
Signature of Homeowner `..
Approval of Building Offrcial'
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to.do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require;as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used.by
several towns. You may care t amend and adopt such a form,/certification for use in your community.
Q:forms:homeexempt
DAT4(Nkl^7Dwyr,
ACORD. CERTIFICATE OF LIABILITY INSURANCE 1
IFICATE IS ISSiT D AS A MA1'tEf� QR INFQRRkATIaN
PRQOUCER F ^.^a: �C8-ESL_„04 ;srl ET@-65s_g^39 A{1lI�Y AND CQMFERS NO RIe4HT;3 UPON THE CEpq'{tFIT6
T a - kOLDEft. THIS CERiIflcATia DOES MOT AMEND E16TEMD OR
Easte_n _n,.u_ance Crocp LL -Cc=...Erc: Lines R BY THE PD IES BELOW.
233 nest Central Street ALTER THE COYERAt�E AFCO
Iatick A"A C1760 ' . IMAIO#
4N.SURERS AFFQRDINO CCYERAQE
!MBUF�RA: t c
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INSURED -c Steven L Me'Ltor 'n'
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iHi POLICIES Cr INSUQA��E LISTED BELLS 1i:'vF. 3=>:-"+ 'S3CBD p3 THE IJS`7 tl^ T+I'A �OJS FOn THE ?`SLIC: ?O I07 INDICATED.
,cT77I?SETA«I`rICi A^.i` AY2ITLM°�=, iEFX Arrc"PLar. BY -RE Fl,
eF1T TO 2Z
IFICATE *P,�" SE i6S7EL -Ct �CF SUCH g7ISCiES a1G EC--?E LLM:TS SROWU X'4YGISeL[v* FELUGb?TY V9YSJPATFIdL'TGLP_N.
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pE 0R3 T-P.8 FEE'-?�•T=v? DArt FLT ISSUING L�:S7REA
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�r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Z24Map Parcel 7 q—6D , Permit#
Health Division ����g� �� Qj Date Issued
�c I
l
Conservation Division Fee. P
Tax Collector
Treasurer�: r �S D 1 -MAR i'T. Q `. �+ SEPTIC SYSTEM MUST ICE
INS
t'0 TALLED IN COMPLIANCE
Planning Dept. ;`""'�'` :}( .� _ V,61TH TITLE 5
Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND
•a TOWN REGULATIONS.
Historic-OKH Preservation/Hyannis
Project Street
PAddress
r ,� rx C
Village � AQ���i 1�`e �fYlC4,
Owner�s S Address
Telephone
Permit Request &nnnxz��_ �A C*fvA (-a. Ley— 1!9k!e 0A^ 1_.-9_
LAI
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Valuation f ()o-o Zoning District Flood Plain Groundwater Overlay
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 7 Historic House: 0 Yes ❑ No On Old King's Highway: ❑Yes 0 No
Basement Type: dfull ❑Crawl ❑Walkout ❑Other .
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) j
Number of Baths: Full: existing new to Half:existing new
Number of Bedrooms: existing �J new
Total Room Count(not including baths): existing new V First Floor Room Count
Heat Type and Fuel: was ❑Oil ❑Electric 0 Other
Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: 0 Yes ❑ No
Detached garage:0 existing ❑new size Pool: 0 existing ❑new size Barn:❑existing ❑new size
Attached garage: ❑existing ❑new size Shed:0 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 S eD
Address !ff)bx License# So 9
_Cl?n4. /�A0:�LU Home Improvement Contractor# t t5
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE IQP DATE
,
FOR OFFICIAL-USE ONLY
PERMIT NO. of !i - t7:�T
< _
DATE ISSUED
a MAP/PARCEL NO. 77N - - ,
ADDRESS - VILLAGE ~ '
OWNER
47
f r
DATE OF INSPECTION:
e
F FOUNDATION
FRAME -
INSULATION r s
FIREPLACE
r
ELECTRICAL: ROUGH_. FINALco
`
PLUMBING: ROUGH e Ins FINAL a
' r r,
GAS: ROUGH 4" r_ FINAL
FINAL BUILDING
'r fin.
DATE CLOSED OUT I" ir') i
r nj s. r
ts'
ASSOCIATION PLAN NO.
f
The Town of Barnstable
r •
fl1BNSPABLE. •
. '9 Regulatory Services
` SEC 'S Thomas F. Geiler, Director
Building Division
Elbert Ulshoeffer, Building Commissioner
367 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 witli other-
requirements.
Type of Work: k ILVVA�l stimated Cost S o o d. (3'.
Address of Work: ' UA
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
❑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 y for a permit as the agent of the owner:
7t`l
V!��Z) 5
cam, l
Date Contractor Name Registration No.
OR
Date Owner's Name
q:forms:Affidav
The Commonwealth of Massachusetts
,4 ,__ __..z Department of Industrial Accidents
. �t -= '• , '� : OflICt 01/Oi�CSI/OBIIOOS
600 Washington Street
Boston,Mass 02111
Workers' Cam cessation Insurance Affildavit
name: , JQ
location:
city ` --•Ii'` Q phone#
❑ I am a homeowner performing all work myself
❑ I am a sole Uplietor and have no one working in mm cmicitr
workers' compensation for say employees working on this job.
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Fanne to seem tender Section coverage as regoaed tend Section 25A of MQ.1S2 eau lead to the impodam of er miml penaaltfees of a Eae up to s1,00.00 and/or
am yes imprisonment as weU as etv4 pmal"es in the form of a STOP WORK ORDER and a am of 5100.00 a day against me. I understand that a
eopy of this statement may be forwarded to the OIDee of investigations of the DIA for coverage verinatiom
I do hoeby certify under the pains mid penalties o perjury that the information provided above is tn.and toff d
Sigas�s D�
Print name �� y lL� A ll I br Phame# 1
ainciai use only do not write in this am to be completed by city or town oMdal
city or town: penadt/Acense# ❑Btmding Department
❑Ilcensia;Board
❑cbeckifimmediate response is required ❑sdeenmea's Office
_ C3sealth Department
contact person: phone#; ❑des
(m ued 9195 PIA)
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Steco@capecod.net
* STRUCTURAL&CONSULTING ENGINEERS
81 RED BROOK ROAD WAQUOIT, MA 02536
C.F. FEWORE,A.S.C.E., P.E.
14 March 2001
Steven Mellor,Builder
P.O. Box 334
W. Barnstable, MA.02668
Re: 59 Bay Lane
Centerville,Mass
Dear Steve:
I have reviewed the information you have given me regarding the loft area over the 24'x24' area over the
garage in order to size a steel beam. A W8x35 steel beam will satisfactorily carry a 30 PSF live load
(bedroom) in this area.
If you have any further questions, please do not hesitate to call.
Sincerely yours,.
'STECO ENGINEERING COMPANY
les F Fewore,P.E.
President ►►®( AA
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®.5� CHARLES F.
Z FEWORE m
40
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BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number:.CS O49879
Birtltdabe: 05/2211957
Expires 05/22/2002 Tr.no: 25093
Restricted TO:.. 00
STEVEN L MELLOR
PO BOX 334 :
W BARNSTABLE, MA 02668 Administrator
. � ��ie �amvmoozuseal� a�✓�a�,fivae�
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR 1
Registration: 117610
Expiration: 10/25/2002
Type: INDIVIDUAL
STEVEN L.MELLOR
STEVEN MELLOR
199 PERCIVAL DR/PO SOX 334
W BARNSTABLE,MA 02668
Administrator .
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Boston,ma,02108
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