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0108 CAP'N LIJAH'S ROAD
1/� �t 0 •t 1r �! o ty ',: .i .` � .. 4 + •.t^'v. - � y. _ ;z y, a �'c7uc t .a.;l ti�J 1 rM c >. t /Ass or's map and lot number ....M-Aq.i...... 4 Se\Wage 'Permit number ............................ TOWN 'OF BARNSTABLE 323ARN9TA23- 1639. io?N BUILDING INSPECTOR APPLICATIOW FOR .PERMIT TO ...... ........................................................................................................ TYPEOF CONSTRUCTION ......... ............................................................:............................................... ........... 19 .............:...................... TO THE INSPECTOR OF BUILDINGS. The undersigned hereby '.applies for a permit according to the following information: Locatione��......( ........................................................................................................... ...........................I......... ... ProposedUse ...... ................................................................................................................................... Zoning District t ...... z�...................... --------Fire District ...... Nameof Owner .......... �,�7ew;.!. dclress .......................1........................................................... Nameof Builder ....... .................................Address ............./........ .....•............................ . .. ....... ........ ................. Nameof Architect ......... ....................Address .................................................................................... Number of Rooms ............... ................................................ ....... ................. Exterior e�(.,,.Roofing ........... .......... Z,e) Floors .... ....... ......................... Interior It, ....................... ....................... .................................................. Heating .... .....................Plumbing ................11................... ....................... ................................... ... Fireplace ..... ............. :,.� ................... ...............-Approximate Cost ....... Z4 .......... . n. .... :-*........./.Definitive Plan Approved by Planning Board --------------------------------19-------- - Area ....�Yi�l ............. Diagram of Lot and Building with Dimensions Fee .....�o.............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH L I hereby agree to conform to all the Rules and Regulations of the Town of Barnsta_blp regarding-tf�eabove construction. Name ............... ..................... Tellegen-Ferrone Associates A=192- 78 t 186ZI 1 1/2 story, ............ Permit for .................................... single family dwelling ...................................................................... Capt'n Lij Location . . ........................1h....Road.a.....ad .... ................. Centervillb .............................................. I Owner ...........Tel.l.e.gen.-.Ferrone.Associates, Inc. ....... . . ...... . . .................................. Type of Construction ....................... / frame.................... ........................................ �........ Plot ............................ t �t.2 9 September 15 76 Permit Granted ...........n.......io:�. 19 Date of Inspection ....................................19 Date Completed .........Ij........ .1.............19 r PERMIT REFUSED .............................. ................ ............ 19 .. ............... .. ............................. ............................................. J.............................. ............................................................................... ............................................................................... Approved ...................1-1 4. ....... 19 .......................... .................................. .................................................... Assessor's map and •lot +number :..�� ....... ...1 1 Q!(�- �c� U 4r � rs- 7 =' SEPTIC SYSTEM 'MUST B 7 r 1"•'STALLED IN COMPLIANCE r ra Se,jge 'Permit number ... ......... .!z.�..........i...................... \r ?TI 1 A ITICLE 11 STATE �'` SA-01TA 7Y CODE AND TOWN ;T IA�TI T1� BARN K� A L��TI ����yc (/�tT THE ® .11 1 \ OF iJ► C1�1 SIPAT] �E � HASB.STODLE, • f} 1 iAem9 _ - BUILDING ANSPECTOR 4 ��� y' 4'' APPLICATION"`FOR PERMIT TO ...... ....:�:....... �'�.l% :...rV aTYPE OF CONSTRUCTION ......... h ........................���/��`P.. ..........y............................................. Ci TO THE INSPECTOR OF BUILDINGS: The undersigned h eby applies for a permit according to the f lowing information: Location ...t........ .............. ......................C./✓ .......... .... �9' Proposed Use ........ .......................... ,Zoning District ........................... �,,�... .. ................................:......................Fire District ...... .... �✓.`... `` Nameof Owner `^� ' ^........,?..................... ...^af'�!t ..::....Address ..........,........... ....... ..................................................... Name of Builder ...... .. "�.............................Address ............. ........... .. .. ,i . -.................... Name of Architect / `�.r....................Address Number of Rooms ............../....................................:.............Foundation ..,/.',D.......... a�. Exierior ../:...., /. ...:.f.G. % .. .c � Roofing dfd5t........... � ?..1�-e� /�,........... Floors 7.. /•`/ ...........................Interior ..J/ ... .�` .......G ............. .................... ,/ fl... '� Heating ....� ��................eg.;9...-I-.I........................Plumbing ..v,,,,1'J .......................<:.. Q ..:........ Fireplace i /�..1�. ..`............Approximate Cost........................ ..... ....... ( .. Definitive Plan Approved by Planning Board _______________________________19________. Area .....`�./.. ..,Sr. ...°........... Dia ram of Lot and Building with Dimensions • g 5 Fee ..... �.4............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH " 5 '4 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin a above construction. Name .......... .................` .....�.... .................... Tellegen-Ferrone Associates, Inc. 1 1/2 story 186 No ... Permit for .................................... SiQle family dwelling ......................:.......................................... Capt'n Lijah Road Location' ................................................................ Centerville........................ . . . ............................................ Owner ..........Tel.1.e.gen.-.Ferro.ne..As.soc.i.a.tes, Inc. ...... . . ...... . .......... .... .... ...... . . ... Type of Construction ..... ......................... ............ ... ............................................................... Plot ............................ Lot ......f�29 ....................... Permit Granted .........$.aptambax.:15.....19 76 Date of Inspection .. . .. . . .................1-19 -1' e Date Completed .. .... .........19 L PERMIT REFUSED/ cC 40 ................................................... 19 ''' j ............................:..........:....................................... ................................ ..................... L ..................................................... .............................................................................r.. `'Approved .............................................. 19 ............................................................................... pI .............................................................................. Assessors map and lot number ..ca� �- ~ Sewage Permit number �!l�.!.: < �'-....!/1�,.r ....... f ` Z BARNSTADLE, i House, number ......................................................................... V, "AS& D TOWN OF BARNSTABLE a ,1 BUILDING INSPECTOR APPLICATION FOR PERMIT TO 6 G? % ? . ...IK �1..... ..0...................:.. TYPEOF CONSTRUCTION ....:.� ...........................................................:............................................ ...............................19....... :. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby appliesfor as permit according to the. following information: Location ./ •... Ga.!C - ,..�, �� .....�.f���.............t tz. r�:::> r,, c�.............. l. .:............ • t ProposedUse ...................................................................................................... ZoningDistrict ....._....................................................................Fire District .............................................................................. Name of Owner Cr :+ ..'`....'Wye 7....�r .: ?i-i ::...Address .��.��...���•;�-i�r+� ,!r:r../0............................. r Name of Builder ....j;,:Y .........,.i/1•. ..�...��'4� , . /�" � �..�r=c.c /� � �>�.- -�s�............. ............ Address ............. ........................ Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ✓ .....Foundation ..... f Exieriors :...... ................................Roofing ...fie ............................................................. Floors .......................................................................................Interior ..................................:................................................. Heating ..................................................................................Plumbing .............,.................................................................... Fireplace /` ' '�p ..:...............................................................................Approximate Cost ........::.. ...................................... ......... Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area ?............. :.J _ Diagram of Lot and Building with Dimensions Fee ..................... . SUBJECT TO APPROVAL OF BOARD OF HEALTH i I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name r::. � r l!... 1 ccx .................... Te7wcomb, Linda & Tyler acu92-177 � add to oiogIo Nn --����/��nnit for ---.--------.. � -_ family dwelling -------------------.-.----- ' 108 Capt. Lijah`o Road Location ---.------------------ � Centerville . ----'---------^------------' - � Linda & Tyler Newcomb Owner ------------------~--... � frame ' Plot ............................ L/t ' � � | ' c � , � ?9 ' - � Date of InspectionPERMIT FUSED � � � � � -- � -- --^` .................................... '---- / ' 19 � � ...................... ............ ........................................... � ----.-------------.-...--~.-... L-� N�J r Assessor's ` map and lot number ` - ( - es.THE t0� S ewage .Permit number ........_ / :. : : IN co , .. Hous6,�number B, vlit�'i!TITLE "'3` ENW4NMENTAL CO C i63q �0 TOWN OF: B,ARNSTA "ElEGULAT'o"S BUILDING : INSPECTOR APPLICATION FOR PERMIT TO .. Q� al...!..�/JG Os'rz_ 4�.... ........ ..................... TYPEOF CONSTRUCTION ....................................................................................................... .......... 1 : �......................19.f TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .`. .8.... .. ....�;,/............... :............ Proposed Use ..................................................... Zoning District ........................................................................Fire' District Name of Owner ..f.... ..� ....Address .�G. ... ..y�6/.............................. Name of Builder ... . ... .... ... ......Address . .....1�-u 'nc. ....jd/, . ... . ............ Nameof Architect ..................................................................Address ..............................r....................................... ................ Number of Rooms ... ....:.......................................................Foundation .....G'itarG`'Gti..............I.......................... Exterior ................................................................Roofing ...!.1/ . ...................................................... .. ..... Floors ............................................................Interior ....................... '.............................................................. Heating ......................................................................Plumbing .........................................:........................................ Fireplace ............. ............................................................Approximate Cost ... G1...... ....G.. ................... ... . .. Definitive.Plan Approved by Planning Board ________________________________19__=_____ . Area ........ Q.....S'.....:........ Diagram of Lot and Building with Dimensions Fee �— SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...11..... .. .................... Newcomb, 4j-y2ja & Tyler jqz 1�143 add to single No .......... for .................................... family`dwelling ............................................................................... Location 108 Captl Lijah's Road ................................................................ .........................C.e.nte..r.........vill.e................................ . ...... . Linda & Tyler Newcomb Owner .................................................................. frame Type. of Construction .......................................... { � !7.' � ICJ. � + ~ ................................................................................ Plot ............... Lot ..................... ........... Permit',Granted .......5.ep.t qrnt'.er "19 79 Date 6431)rspeXction .......... . ....—. . . . . 19 Date Completed Y .67...............19 PERMIT REFUSED .... 19....................... ................................. 141 ........ . ...... .11W................................................ C ........ Ilk. .......... ....................... z......... ............ ....................... XpprC047 .... 19. ...........ry.............................. . . . ....... ...... ..................................................... ......................................................................... TOWN OF BARNSTABLE BUILDING'PERMIT APPLICATION Map %y Parcel Permit# J b / 't 0 Health Division ~Ii�Y f Date Issued Conservation Division Fee 50 00 Tax Collector VA Y �ee0 i j t Treasurer I c0 r Planning Dept. , A' /\ Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address - Village t e-ni' -0/l e Owner� &jmaen,b. t��n Address 'aL'i i a 5Rd, &At'_ty d/e Telephone Permit Request 8 D/as- Q ` X l q mud rao4q addi*6 4 ad ia ce-17t ,Cxls�4n neya Intidt4cm wratn1 ci�, r �er� p �of� Square feet: 1st floor: existing proposed 2nd floor: existing 6I.L proposed Total new /to Valuation A , /o�-x Zoning District Flood Plain Groundwater Overlay Construction Type W OQd Aame Lot Size 31 "re Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Gd' Two Family ❑ Multi-Family(#units) Age of Existing Structure U rS Historic House: ❑Yes vfto On Old King's Highway: ❑Yes to Basement Type: 8/Full VICrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Ig f1 Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing-3 new C) Total Room Count(not including baths): existing new First Floor Room Count -eXi6t 6- mw (o Heat Type and Fuel: ®Gas ❑Oil ❑ Electric ❑Other Central Air: VYes ❑No Fireplaces: Existing J- New Existing wood/coal stove: ❑Yes Id No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:9/existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 2 No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name In Telephone Number Address_ 0,1—n /, License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE , J s��,,= DATE Al 0 1 FOR OFFICIAL USE ONLY PERMIT'NO. - - • DATE'ISSUED -} i MAP/PARCE_ L NO: ' - - 1 ADDRESS - VILL:AGE' OWNER t. DATE OF INSPECTION FOUNDATION r "� FRAME INSULATION ~� 1 r FIREPLACE r= 1 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL i FINAL BUILDING 4 - 1 DATE CLOSED OUT ASSOCIATION PLAN NO. kvlv 0,5 DO \ . l o T 28A 25� ao0��9 ,STJV tE CERTIFIED PLOT PLAN f dl' TF_�_fIaPE fZTY_ SoT__ _ �J q HIGH= �.: o //Z/9 .. . . rrJA SCALE.. . . . . ORATE !/ � REFERQItCE• D/l� _ .. 8zFss� sv2s==map �/,�sA�! ivc' � .�1vGas-Su2u,tiys OF INjs I�1$Ss. 5 �Pli/ I•�8`L,. 27Tcr• I t fi#Y T"ff THE St-owN On THIS PLAN Es LOCATEDOW raE� c . . N ON �' AS SIN HEREON.17030 Q GIST gR y�� su 4 /Z,/ PETITIONER: M 1Sft:1 0 LAN© ¢UR1iEYOR ae c.ommonweauls o_r Massachusg= k =u Department of IndusVialAccidents 600 Washington Sheet �.� Boston,Mass. 9211717 Workers, Compensation Insurance Amdavit citv rhane -M--2219 I am a homeowner pe m=mg all wa&myself ❑ I am a sole a:vt Ctcr.aad have as one working in=7 caaadtav ❑ I am as etaplover providing wastes'ts . easatioafarJay job. Xx o. 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L•:TTs>:•:fi••:•:oi:•}.�:.. ........ ...,,.:.>.:•:.>:•FF�;,�,.h{;':v.,.eft.{.:::}:�°;�<c.a!:,.r.,�.:.:. , •�• '•`■ ••o s�„. •-:{- rx?•rx... n :e � •:4 L: v.Q^... } avf•Owl +MPC-000007p'. :.::•J.ay.:•::::....... }:x:0}}}F;SO:i-}}x:.:..........v:::.v::. I. I--------- Oe iv: taL;•• {.. �.. ""'Y0p!i+ ..-. „"^+vO7T'..vr):i7:?{i^,'•vti^L;::Cn.Wit{;:::{?{•}ii•}:;?!•:::;•;.....-}i}i:4:<:: /+ Faib�e w sesame cv Verase as reqwlvd under Setsibazu of mcm 152 amimd to tha iatpadtloaofe:immai gmattfa ofaBae aP to SLMt?i one Yeats'tmprisor=m as tmg as c tvQ peaaitlss to the form of a STOP VMM OIt,=mda din otSICDM a dmy aptmt tm. I umdt:s= copF of thta statemeas=m7 be fOrw2rded to the pMcc 01lavesd9adom oftba D?Aforwveiapvedfi=dm, Ida hm7-hv cc Tri&tatde the pains=d penaldn of pelyu7 that the infom=ion pnvvided abovr is truss=�carrae; Date �� �� /0 ✓ Prk t name Ll a,A aI, Al-e- ,J U)�•. ►���dam, _Phone#,�v�f '��t'-���/ ottldal USE only do not"rite in this area to be eompieted by edt)or town otadal dt►or town: petmit/1laase�! QBuQdia�Deparans j check if lmmedlate response is required LJI1,.g Board �ftlte ❑s.]= aen s ❑Health Depatcmatt contact per3on: phonem, ❑Other • • • • • Nt• • _11 J / / •�••/•�• •M •1 /• • • • •1•�• • It• •1 • ••.1 • • •« .•• •r1 • •• • •t1 • • •1 •r. ./•1• • 1 • • ••• • _ • wNY•• • • «X • q1• • • • • 1 ••• •1 •.• •• • 1• •«J,.I•less We Pee 19••.t •Y. w•••1 /1 •• • n • 1• ••• • .1/as11 ,•• .• •••w•1•. .1• • •• 1 • • -k •�1 -tn •1 •• • •1•.nl • • • • J n 4141 • l n• •• • •t• • % • ••• • / • •• rl • /• t � 1 • •�«:n � •1 'll MI w/11• • • ••�1.1 • •�•••••�• I• • .a1 w••1• • w • • ••II • Y.•1..� /IY.t .• •:1 a' 1 r �: M 1 II • .11 I 1 1 t • 1 • r' / • ' �1• • • •/ tl • • : a' v oil kj11 r 1 a IN sts 0 t •V/1 0 1 t / 1 ;.1, 11via 1 • 111.1 • I 1 1 .11 • r • 1 1 I L / • • • : r I 1 Y Iffte fa all 1 •• •1 •1 /l II / Y' 1 ,,,1 • •IIIIIIIIF •• 1••1• J •••.• • 1 • •• .•1 • Il •• ••«: • • •/ `I •11 `I• - ' �11/{�1 11/1• .11 state M 1.1 • • • • • •Ip•In .I• • Ut •• to Ur1• —• a•• w11rw11♦ 81 •11 «• ./• •mot t • • • •1 • • /q•p �•• mg sLGj� ������ ����������������/!//���������.�«�/.U/sG4G�LGLG%/s%///////sLG�/�iLCGj •• •• • •/•��1•. worn wt •t:•• •It .it• •r. t «•nn• -Is / • Ma ,•t• • t• • ••; •t✓.t .l• • 1• ♦ruru •r• .t•• •N•1• n ••n• _ ••• wy .It • • tl•r•• tosses •..•, •ral• _ • � • ••• 1• •t • •1• ♦••••. r« •w1/1. t•1 '«•111./•/Irl• •11 •1 Ia aI•:It r r• .,,tom .� I&to kI at .1• • ✓.I• •1• 1.1 •••1• • ••�• t • •• , •Y.• •I•�••1 •1 as •11 ♦••Y rM ♦�•tl\ t •11 • t ' • 1 • .a1 • 1� • •It •11•• • •1 • • • • 1 •at of •• w•t a• fin a r •I as r• •Y.UI•U1. aY. _ a• «•rllr. w • a �.•r_• •al• • • - .••• «:sea � lot • O • •••Q ra• uu•• •� ' a1 r• 1 a/•._• •V.••Ia • • • • .t• •• •• • •.a• • L •r, 1 •••• .a•• t.•' tIN•• •wt 1 1 11 11 1 1 1 I] • •11 / 1 1 1 1 1 � 1 1 I 1 1 1 I I y� The Town of Barnstable a�snts;r�t.e. • b'"&IL Regulatory Services E16 w+° Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 5087862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: I�l/D I(✓ /� 10B LOCATION: 169 C:dp�a &g fer o l 1 e— numbeerr street village ..HOMEOWNER": !�!I'1(,�. i'UP.1,1)��mh�f�tP/cS0�1 � �IQ1lYlp� e/'viP/i o-ii name home phone# work phone# CURRENT MAILING ADDRESS: (y 16 b "In 1 i&h`S 8 d. denter✓ille mi e6L 3J city/town state rip code The current exemption for"homeowners'was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Sign1iture 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 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:EXEMPTN : ( t RESIDENTIAL BUILDING PERMIT FEES ` APPLICATION FEE New Buildings,Additions $50.00 .� Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq. foot= / x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft.l >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf-.1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) J Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost aa*na Table .1=b(CondmiwO Pmeripthe Pac agn for Une and Two-famll!Re>jdmdd Bai~Hneed P0�FOB MAXIMUM 8!lIIV1MUM Glaring Glaring Ceiling Wall floor Bates�c 31eb Eq*Pail rn=EiMd= Area'('/o) U-valuer It valuer R-vwuef Rrvalrrd wa Padm9e &wwoar &-wind 5108 to 6500 Headwl De6reo UAW Q 120% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal 3 AFUE 12%. 0.50 38 '13 19 10. 6 2-5ni T 15% 036 38 13 25 WA WA Nomrme U 15% 0.46 38 19 19 10 6 Normal V 15•/. 0.44 38 13 25 WA WA IS AFUE W 15% 0.52 30 19 19 10 6 tS AFUE X 18% 032 38 13 25 WA WA Normal Y 18% 0.42 38 19 25 WA WA Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 18% OSO 30 19 19 10 6 90 AFIJE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q-AA-see chart above): nLO U NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. . S I - ( 9 11-2 � BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a I 780 CMR Appendix J Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass docgrs, skylights:, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wal!, area. expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. . For example,3 ftZ of decorative glass may be excluded from a building design with 300 fl of glazing area. ' After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table JI.5.3a. U-values are for - whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the stun of cavity insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing,and interior drywall For example,an R.19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to mem"ame construction. "Me floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. Tl:e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must me=t the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned br.,ements must be included with the other glazing. Basement doors must meet the door U-value requirement d_scribed 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 J5Z.l a NOTES: levels. a)Glazing areas and U-values are maximum acceptable levels.Insulation R acceptable minimum values are include structural components. R-value requirements are for insulation only and do not P 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 glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One doo r may be excluded from this requirement(Le.,may have a U-value greater than 0.35). equal c If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas wi o different insulation levels,the component complies if the area-weighted average R-value is greater than or e q 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 L. G T l A kM TN^ l /: i � r J �r� LEAN M'� 'D`nr�.v 9 n \ 2 r. M/AJ/AgU/t/! ; J u/L.D/NG S ETOACkf emu/��ME,vrs l ZU ):',OO /T /p' SIDE /O T2E�tL PeO,nOSED 3 •BE.,a200MS SE P T/c 5 yS 7-F--" CON,5 T2 UC TiON �7 SHALL CONFO/ZM TO MASS., OES/GA�/ F 30oLOW GAL p,AY ENV1RoA1ME/VTAL CODE T/TLL Y A,-VD: 7-04,j.,/ OF ;_N_; L-EACN ZATE <: M/N. 11A/6N PTLOPOSED AlEALTN TZEGUL.A T/ONS O' 7bP OF /020 o05E;J 'L.EACA,/ ,eEA )(7 FO UNOAT/ON MANHOLE tCO✓E,P- TO EX TEND TO �M/oEe✓/0US CoV6,e N//TN/N /' pF. F//�//SHEO G2ADE TO A2EVErl/7- F/A/ES F/20/�•1 /rVF/LT2AT/rV6 /B"CO✓E-�5 �'� D/ST � I\ STONE �' I /� , GO✓AE 4^cAsr I BOX 4'D/A. TER- p rR A M/,y pr TCN P/T Y¢../FOOT /OM/N - - ` /4" �4"�i00T �Z. M/n/ /�/rcA/ -/_ �/Zr j)/A. _Y- M1AJ �I"IFOOT " � � ` WASHE0 /000 _ e -�- /vvEzr cfSTorvE GALLON/ /NVEeT /,V v, CA PAC/T Y A e 0uN0 SE,oT/G TA A/.e � F1 EV. CWATG2T/GNT) 6CW-O / OF /NVE QT ,y/ /vVEor /VO GA.eBAGE G,2/NDEP- ul3�u/C- �► c- 2, S/TE PLAN TAN. I e A A,> LOCA7-/0A/ /i*�r-.42y/C.L6 /'-1 F /U' F"/_'rr.,' F.r::L' //,%:; �1r•.J/� ,2EFE2�nlCE j;L LL err_ A P SEpriC TAn/K, D .2/-5T' /BUTioA✓ BOX �S OUTLETS AND LE.ACr IIA1G P/T FO C� TO BE Of LE/n/F02CED GO vC 2ETE 3000 20000 H-/0 LOAD/n/G �Y C e. S N0 2T /NC. x U /4 7-0r2y LAA/E- /'ems 'ra` O,e/VEWAY NOT TO BE LOCA`E� ' \,ti, . OVEN SYSTEM Un/LE.55 H- 20 DE NN/S MA SS' a • _ ;,r.,> l DE.S/GrV L0,14r-)/NG /S USED. i V %t/,.t;' 7'r'. [/ t Ft HAr i ":,.,'r;._L r: i,�/�1. �i .`F 7f/.f. /'.?t<. ,./ _rF. i•,�li''- OATE HE<iLTf/ .4GF.t/7 i f� I sy ':.' see ewr':ym�+waw,mwe..•wc.,....:..,..._. a i � r r`I j fMF vrvi� •r.+ �F -a i (a5T1�1� yJWR C T IruLe 1his beawv�ot,& urge 2�p F OOP . _ t Ex►STt A�(o Ex tS -INC LIV MS POoM � to � n � K+Tc.��+•� g, Iriowl J � iEx�STt►J6 g, .. 1 S�Fioo� TM 3 The Connttonivealth o,f afassachusens Department of Industrial Accidents 0llic9al117vestlgJI1WS `��'_:� _=r•:�+�` 600 f i aslrinl;tun Strc ct �k+�• ,� Boston. Maxv. f12111 Workers' Compensation Insurance Affidavit alinlGnt inftirntatititi• _ Plc•tse PRINT Iebjy_ '~�—M-� name. ,,;rrnflt._NQoa� 'MA e_ A �. hon•!t I am a homeowner performing all work myself. 1`7 1 am a sole proprietor and have no one workin-2 in any capacity • fir... «..,, -..-•— •--,.�._...-..,�..-..��c1.-w.w�-,7�Tn+-i�'.-__ _ � _ ......s,w�.....•.`-.......--��- [j 1 am an emplover providing workers* compensation for my employees working on this job. conitionv name! •rtitlrccc• city• nhnnc i#• iwmrince cn nniicv _ �G I am a sole proprietor. general contractor. or homeowner(circle one) and have hired the contractors listed below who the following workers* compensation polices: cnm :in%* Warne• ati►i rccc• cin nhnnc II• in ' nniicv d _ c�irnncc cn .�. con►nnny n•►►nc• addres.r. cin•• nhnnc it• insurance co "of icy d Attach additional sheet if necci_ia7.:.::r, 3'`' ,- ,,.-d%"c..y.y... .. .....: ...,..�. •...,..._.:._..:�.. ,..,.-r.: .:_�.=.. ..•—•.._y... Failure to secure co eraee as required under eetion.SA of 51GL 152 can lead to the imposition of criminai penalties Of a line up to S1.500.00 andiL unc Fears•imprisonment:as.yell:rs civil penalties in the form 0172 STOP IVORK ORDER and a rule of S100.00 a da)•against me. I understand that cope of this statement may be forh•arded to the OMce of Investigations of the DIA for coverage verification. I'lo lterehr cc 1.1 a Ic pains and penalties of perjure•Ilia'the information prodded above is true and correct. A7S ignature Date Print name am A Ila Jakl um'"`A ebb Phone* .271 '�ofTiciai use univ do not write in this area to be completed by city or town official city or tmvn: permit/license# r•tlluilding Department !]Licensing Board C check if immediate response is required (]Scicetmen s Office l: — nticalth Department Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers* compensation employees. As quoted from the "law"- an eyllplitree is defined as every person in the service of another under contract of hire, express or implied. oral or written. An emplurer is defined as an individual. partnership, association. corporation or other legal entity. or ally two the foregoingettLaged in a joint enterprise.and including the le-al representatives of a deceased employer, or receiver or tntstee of an individual , partnership. association or other legal entity, employing employees. How owner of a dwelling_ house having not more than three apartments and who resides therein. or the occupant of t dwelling house of another who employs persons to do maintenance , construction or repair work on such dwel' or oft the grounds or building appurtenant thereto shall not because of such employment be deemed to be an er. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issu.inc renewal of a license or permit to operate a business or to construct buildings in the commoni-calth for ai 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 th performance of public work until acceptable evidence of compliance with the insurance requirements of this cl. been presented to the contracting authority. _...�_.�.._.�.._ .. ... -• - Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situatio: supplying company names. address and phone numbers 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. 11 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 "taw"or if you are re 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 bo the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applican be sure to fill in the permitllicense number which will be used as a reference number. The affidavits may be reti 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 an. qt please do not hesitate to give us a cell. Tile Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of investigations 600 Washington Street Boston. Ma. 02111 THE The Town of Bar l: . nstab e • a�uuvsrnsie, » - � Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only 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: ;f�mAe Q.JA t &-i Est.Cost—A ,W-- Address of Work:— t LAI t Owner's Name Date of Permit Application: 3 I hereby certify that: Registration is not required for the following reason(s): a _Work excleded by!aw Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: s Date Contractor Name Registration No. OR D to Owner's Name V , • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE l I6 I G'7 JOB LOCATION I<J t�(.�.� L I"S 1C d, l:e/! Number Street address Section of town "HOMEOWNER" L l Name Home phone Work phone - PRESENT MAILING ADDRESS ��� //1 /. S a City town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, 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 Officia on a form acceptable to the Building Official, that he/she shall be responsibl for all such work performed under the building permit. (Section 109.1. 1) The undersigned "homeowner" assumes responsibility for compliance with the Sta- Building Code and other applicable codes, by-laws, rules and regulations. 'The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Deparinnent minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. - x i HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the P provisions of this section (Section 109.1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption �are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for •licensing Construction Supervisors, Section 2.15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our. Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "dwner.' actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, man communities require, as part of the permit application," that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map � � Parcel / '7:% i T0WN10FBAPNNST1A41Anit# Health Division 0� A� _ ` Pli 2;W Issued Conservation Divisio r S / ®oZ Fee r� Tax Collector ---- 3 IUIs�a r L 11Y MfS T EIPA MUST BE Treasurer — p� ;. E r'. L!,-_-D 114 COMPLIANCE Planning Dept. 11i ITH TITLE 5 NTAL CODE AND Date Definitive Plan Approved by Planning Board Ji�3 pa`1GUL m 0 m 0- Historic-OKH Preservation/Hyannis Project Street Address it)9 e,&0 P4 1.i�Gf A`S kat Village 6Pn4_1(V, Oe— Owner,T�l'YlPS 2de-aon �.eada N�Lt�11 Gzr S4�Address (Jaoe Telephone (_1)9) l r7/ — e/'%/ / Permit Request (lam c L,rC. /J-X 14 C/di'CIC4 S-17-e d_ NO' SQ` � 1.4sla.11 Sono t.6-c-s Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation o66 Zoning District Flood Plain Groundwater Overlay Construction Type -P6�, ` 0,"7; (.oo) ;t ilnw� Lot Size A 060 S q' Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. D�velling Type: Single Family Y Two Family ❑ Multi-Family(#units) Age of Existing Structure oZ.S q--S Historic House: ❑Yes LIPlb� On Old King's Highway: ❑Yes YIN' Basement Type: Oct Full VCrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing C3 new U Half: existing new 6 Number of Bedrooms: existing new 6 Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: 44e/s ❑ No Fireplaces: Existing -� ' New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size i Attached garage: ❑existing ❑new size _ Shed: 3/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 Z-y/ 6t a— Q/a Telephone Number Address l/�� �QT_ lCt S �d, License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE h A J A DATE 0310110Y FOR OFFICIAL USE ONLY PUMIT NO. - DATE ISSUED MAP/PARCEL NO.. ADDRESS VILLAGE OWNER.. DATE OF INSPECTION: ' FOUNDATION FRAME r INSULATION -. �r FIREPLACE ELECTRICAL: ROUGH FINAL ; k � • t PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. L °f Inc rA,_� The Town of Barnstable MAS& g Regulatory Services fc5 .;��10 Thomas F. Geiler, Director Building Division ,Peter F. DiMatteo Building Commissioner 367 Main Street,Hyannis MA 02601 . lice: 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, ro vement imP ,removal demolition, owner-occupied or construction of as addition to any pre-existing P demo 1 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 b re gistered istered contractors,with certain exceptions,along with other Y g requirements. FstimatedCost � Type of Work:„ 115�//Zt,�?� CtEGL'� �S(^�.2�_ . Address of Work: /UY e��7 T kk Owner's Names fib► if Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 ❑B Iding not.owner-occupied wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED. CONTRACTORS FOR APPLICABLE HOME IMPROVEmOENT 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. O Date Owner's Name .cca.... __mrvm The Commonwer'Ith of Massachusetts Department of Industrial Accidents • == - � . 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I umde:stmd that a copy of tLis statement ray be forwarded to the Otsce of Investigations of the MIA for coverage vermatlon, I do hereby certify under the pabu mid patalbies of perjury tha the informs ion provided above is true.mtd correct Signature Date (TmcWw* do not wrks to this area to be completed by dry or town oiIIcial perndt/lteeme t1 - ❑Bf Department OLeenamg Board dWe response is required ❑Selectmen's OMce ®HeelthDepartm phone#; _ ❑Other Owaud 9195 PIA) 1 1 It 11 1 � 1 1 � 1 • • • • i•• 1 •111 /o • // / •.r•11�• �/ • - • 1 • e M`1 • 1• •�/ •11 •:/ • •Iee• 1 - y• • goals • • • 1 :.• Y • / 1�• - / le• •Jim efee ' • Is •« 1 •1• • •• .0 •e • • •�1 w•J^. a•11 • •U ••• • ••• • • • • le • :.le • �• 11 a el �.II �1 • -11• 1• • N • e �.% • w:/•It-.t• • •L :I �• �.HH • ••1 •1 •• • • 1 11• II • o1�1 @blow. •« .10 •11 • • / e M-PT-fifid., • • •�/ • e e• 1. 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S• F �Ct • r'' SL1r`` DATA &AIR q. • ° � T ... . ��RYEVQPa * saxxsrnat.E, The Town of Barnstable MASS 9� 03: �0 Regulatory Services MAy° Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 200 Main Street,Hyannis MA 02601 . ce: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE:--a"/�6 JOB LOCATION: V (�� ?/� �: C��j f Gd u�/Z !�Vj He --ggn--umber 9 a_ street y Village „HOMEOWNER":UC�L?�'1FP.S 1� 6cLo_ 7e-:;P— r ,11410 ( 'e yL' name home hone# work phone ,�..�j �J P p o # CURRENT MAILING ADDRESS: 161f ('.,L�O t/a Lii"w &-rykry the city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an.individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1..1) The undersigned"homeowner"assumes responsibility for compliance with the State.Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and 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 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:EXEM 'TN r. ' M tj 1 • - C 0IJCRET�.LL -I- lBLOCK; ! �So�ID) •. � I - Ll �II �1NE ,gOF '�20r#IZD: I i N " l L VJOn!� IS �j LL 2 X N i1 <A FTEp-S i I ! - ALl sICE�s J}nvs I ! G neZ-4- EN o LOO V' RS a'X.y Ge LL�4K% n E s I I j rvoT S I�t)w u� `f X�{ :TU p Pir�T� qxq P�y�2X8' rti00� jol3�T5 ; 12X1 eves I , I �:, The Town of Barnstable `"R 'MASS. g Regulatory Services 1659• �.• Thomas F. Geiler,Director, rE0 ra'1 . Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no, & Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION ,e 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. Estimated Cost— Address 006 Type of Work:�S ��`h d rl a l c Address of Work: l� C:Ge�J I,-) I h Mersa n Owner's Name• T Date of Application: I hereby certify that: a Registration is not required for the following reason(s): Work excluded by law []Job Under$1,000 ❑Bu• ding not owner-occupied caner pulling own permit Notice is hereby given that: UNREGISTERED OWNERS PULLING THEIR OWN PERMIT OR DEALING WITWO�DO NOT HAVE CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Registration No. Date Contractor Name OR 7L Date Owner's Name q:forms:Affidav:rev-07060 t A Engineering Dept.(3rd floor) Map "Parcel Permit# 19 ll, House# 0 Q� Date Issued Board of Health(3rd floor)'(8:15 -9:30/1:00-4:30) Fee Conservation Office(4th floor)(8:30-9:30/1:00-2:00) �3 SEPTIC SYSTEM MUST BE �INST�lQ,LE® C P IN TH NCE 19 MIR®p/N E � O MA TOWN OF BARNSTABLE B/uildi,ngL Permit Application Project Street Address Village _Gen-ie ryi 6 el �} Owner L wdA J N Address Telephone IV— .2.f 41 Permit Request e617 vwf !" ba Sind, HoOf �0 &nk/� - l -1e10(7 c ,,'' First Floor( /S�ina ) �7(� square feet Second Floor �o��--�2�t.rS /l �_square feet Construction Type yIGL/II-Z �f°Z S� addZ o/i Estimated Project Cost $ 41 Zoning District Flood Plain Water Protection Lot Size j!v 6-,5-4 Grandfathered ❑Yes ❑No Dwelling Type: Single Family 8r/ Two Family ❑ Multi-Family(#units) Age of Existing Structure oZU U/-,� Historic House ❑Yes aTo On Old King's Highway ❑Yes ;�40 Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other ` Basement Finished Area(sq.ft.) /c 0 S f Basement Unfinished Area(sq.ft) I, Number of Baths: Full: Existing aL New Half: Existing �- New No. of Bedrooms: Existing & New Total Room Count(not including baths): Existing New Clbl 2> First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air ryes Ll No Fireplaces: Existing c � New Existing wood/coal stove ❑Yes M40 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name DUAA ek Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO IGNATURE DATE —;PA9/507 BIIIF FOR THE FOLLOWING REASON(S) - ° .o yF tr FOR OFFICIAL USE ONLY _ d i PERMIT NO. C.co( DATE ISSUED MAP/PARCEL NO. ADDRESS 1 VILLAGE OWNER ]DATE OF INSPECTION: FOUNDATION �7� q-7 FRAME INSULATION 1 FIREPLACE r ELECTRICA, ; .t ROUGH FINAL PLUMBING:-- ROUGH FINAL , GAS: ` " `l ROUGH FINAL FINAL BUILDING DATE CLOSED"OUT ASSOCIATION PLAN NO. J , Lo 7- W107W A 7- e-raAC4� f'2or'aScD LLO Sp: rQ k)a r'r v f IWE V 26 , 9-;�6 r� { t Tdp,PJ IJ. Jr/k<-. 25 Jf p,r 2s 2$ 4 (5„_ /8 " 96 / 44 Tom. l f L.C)T �C L L 40 - / !r V, U _ �3 u/LD//vG s ETc3,nc� .eE=Qu�,��M�vrs 20' 3 BE��OOMS SEPTIC 5 y5 T&M CONS T2 UG T/ON SHA LL CoA1FOIzM TO MASS . DES/G/V FLOW 3 O d GALI aA Y E/v✓/2 coo6 T/TL L Y, An/O TOWN OF IAA /`N,j 7"/3/ L E L G-A C / 2 A TE 2 M/A/. //A/C z/ �OP OF </E<tLT,�/ rz��uLATio/vs P20,c:�'05Ev L.EACAI A,eEA G d0 FO UNDAT/ON , M A N N O LE CD t/E,� To EX TE AIZ:) TO /MpE,2✓/0CJS G'O V,E W/ TA4/n/ /' OF TO p2E✓eA.17- G-5 .c20M /A./F/LT2AT/.U6 S TO/vE _.-dA6. ��}' _ /B"co✓G—/Z,5 _ I D/ST. 40C.A57- I VOX �I Z/"W/�C N "M/N AIIAII Mull/ 'f r/G,vr 4` p/TAN FLOW L/tiE —_�_TC t/ /4'IFOOT /O"M/N �4 �FDOT A 2" M/n/ /�/rc�i J, P/T D/A. _Y- M/ti/ /4'"FOOT ^ YVASNEO /O 0 O _ /NVE:2T CA ,aA C/ T y A 0UA/O SE,oT/C 7-AV,- EV. CWATG12T/GNT) 8027-OAf OF vE,er C3 c`sr� rL /IV VE.ZT NO GA,eeAGE G.c/NDEP- �ul�so 4- c�C C? � � 6 " 2 > L.00A7-/OA/ G'E--J7 E-ZV/G,C-4 OF /O' Fs'Qr t✓✓�r /�.� L1nt/� /2 EFE 2 EAfC E_ /�./ L 2-r AS S,�4 4,,IA l 500/4-- 2-724-. F',�1�� C 5ED7-/(:: TAN, / 7-,Q/6U7-/ON BOX CS 007G..E7--5) AND LEACH/NG F�/T TO BE OF ,�E/n/F0,2CED GO.�lCT2ETE / - / �l _,' � r "� ,wt CONG2�TE ST,2�.VGT�/ �000 7�5/ M/N. J L. c.- ''' STEEL 20000 "' H- /O LOA DIAA5i �y c. ,e. s�io,�T /nic. �EAL��ov�,,� � /4 ro,P-y LANE o� �, ,�,e/VE WAY n/OT To BE LoGaTED CRAIU '�� 0✓E.2 SYSTEM UNLESS fl- 20 DE_A J/V1-5 ML1 SS. 4 gaYMOND SHORT �� DES/GA/ LOAD/A/O /S USED. ate. 27433 ,o'fS't G?" �' z5 z!-:�/40 t.uAi AA-,,z>To IT v va / Tel ?'f/�'`•�,(„j.JL L>/n✓C-� �ET:"„��:.;� 1�-:.�= .� R �_ az� ,,� A.2 n/5 T,4 /w.G.L !OA TE A/E4 L T;-/ AGE.c/T D T F tl P,Z- e0 V,4 L FRAM I NG SECT ION ALL DIMENSION LUMBER SHALL BE Kb SPF NO. 2 OR BETTE-R. x COLLAR TIE 2 x RAFTER @ " O.G. SHINGLE 2x &CEILING JOIST @ " O.C. w/Is I.B. FELT � I 1 � 1 Ix PINE FACIA R- 30 KRAFT FACED FG BATES SOFFIT VENT R- UNFACED FG BATES W/(,-MIL POLY VAPOR BARRIER - PINE SOFFIT (I st E 2No FLOOD) I . J� I 1 1 1 1 2 x b FLOOR JOIST (isr 2ND FLOOR) - I 1 1 Z SILL SILL SEAL 'L 0 ANCHOR BOLT @ 6,-0" O.G. CONCRETE FOUNDATION WALL t t - J f FFD1S 7� - =AiDPCA� A � cut �Qc�1 — _. 775 VIP J I y f i i 4 e -- r I i t Tfi lilt , TI I , - t r Bftc FRONT — t 8 _ F;o6( k 1 t,S x 6 tip O.C. _ sA - tvAUS1/119, till ucs .. S T® . o - ..- mT V_- _a r- r- 1 -1-T -f 1 I - - ^� l i I i