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0065 EBEN SMITH ROAD
�,. :, .. -' .� ... .. � � ... ti ., - � °2, _ o i. - a � _ , o � G �. _ � � m � v. .. � � '..0 .. ... :, j � _ � ., ... 65 Eben Smith Road vIr"I F Centerville, MA 02632 a ' °`' I 508-420-1947 't April 5, 2011 Mr. Thomas Perry Building Commissioner 200 Main Street Hyannis, MA 02601 `' RE: 65 Eben Smith Road, Centerville, MA <� Dear Mr. Perry: We are asking for permission to run a separate electric utility to our garage located at 65 Eben Smith Road, Centerville, MA. The reason for this request is a cost factor. The garage will be used for residential use only i.e. storage of our own vehicles. Very truly yours, can ?. Roycrof c' sa Joyce roft .ram oFt�r� Town of Barnstable �erm�it Expires 6 montlrs roi ue date Regulatory Services Fee BARNSMBLE. Thomas F.Geiler,Director - MASS 1639. ��� Building Division taJ1/09 Tom Perry,CBO, Building Commissioner OV 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 1 —7' I Property Address,to ( Rood_ & l-I r V ' J Pi V"f n �� al(esidential Value of Work a 5 iSv Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) ❑Workman's Compensation Insurance Q � M IT Check one: ❑ I,am a sole proprietor SEP 3 0 200E 9-11 am the Homeowner ❑ I have Worker's Compensation Insurance TOWN OF BARNS[`AUE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side . ❑ Replacement Windows/doors/sliders.U-Value (maximum.44) •Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Im ovement Contractors License is required. SIGNATURE: Q:Eorms:buildingpermits/express Revised 123107 4 The Commonwealth of Massachusetts Department of Industrial Accidents } Office of Investigations 600 Washington Street " t -'? Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): _ AL Address: City/State/Zip: /�� , Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. [:] New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' comp. insurance.$ 9. ❑ Building addition [No workers' comp. insurance p• quired.] 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 I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c..152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the 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: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER'and a fine of up to$2'50.00 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 tify unde th (� e ain an pe 1 ' of perjury that the information provided above is true and correct. Si naturU Date: l 30 0 Pho/ew. 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 S. 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." it 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 with 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-contractors)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pen-nit 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 locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or'town may be provided to the applicant as proof that a valid affidavit is on file for 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia I of�►,F,� Town of Barnstable o Regulatory Services .� RARNsz,AB Thomas F. Geiler,Director Mass. 1639. ��� Building Division TEt)MA'I A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION �j Please Print DATE: � © � / —r l 10B LOCATION: number street p village "HOMEOWNER": Ci v ° -S-,9 6 - '`` 70 — f 9 q naT6 home phone# work phone# I CURRENT MAILING ADDRESS: saku_� 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"c rtifies that he/she understands the Town of Barnstable Building Department A ins ec pr ce res n .requirements and that he/she will comply with said procedures and 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 helshe 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:\WPFILES\FORMS\bomeexempt.DOC �YHE, Town of Barnstable Regulatory Services ' anFwARS. a Thomas F. Geiler,Director 'OTEt6yq. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, , as Owner of the.subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O W N ERP E RM IS S I ON 'y�pF1NE lqy, Town of Barnstable Regulatory Services ' = ELUMSTABLE, MAM. g Thomas F.Geiler,Director �'°rFcra�m Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 February 2, 2007 Sean Roycroft 65 Eben Smith Rd. Centerville, Ma. 02632 RE: 65 Eben Smith Rd. Map : 171 Parcel: 198 Dear Mr. Marney: This letter is in response to two applications submitted to do work at the above referenced address. Unfortunately, the applications can not be approved at this time because you have not provided the documents necessary. This office requested the documents on or about January 2, 2007 and to this date the documents have not been received. If you decide, at a later date, that you wish to go forward with the project you must apply again and provide the necessary documents. If this office can be of any further assistance please do not hesitate to call. I may be reached at (508) 862-4034. Sincerely, ffieeL. Lauzon Local Inspector Q:zoning5 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map / 7 / Parcel / !0 Application# OX0 6 Health Division Conservation Division Permit# Tax Collector Date Issued 02 �.. d 7 Treasurer a Application Fee J1166 r "� •4- Planning Dept. y+` Permit Fee `o d Date Definitive Plan Approved by Planning Board j �3 Historic-OKH Preservation/Hyannis Project Street Address oe!�� Village °td rt Owner ���-IIvrr1- U►� Addresses Telephone 7�"� � 6`/L.0 Permit Request �2� �e c/ go-r a-9 Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation © O o Construction Type 00 Lot Size �� i Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family � Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 0No On Old King's Highway: ❑Yes @ oo Basement Type: ❑Full ❑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: U Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal Move: Q,�es ❑No Detached garage:❑existing 21 new size Pool:❑existing ❑new size Barn:❑existing ❑n� size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: yr c o Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# ? Current Use '` Proposed Use co m (� BUILDER INFORMATION Name 4?N6)k4 C. m Telephone Number 'y`1 �3 6- of f Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE i DATE t FOR OFFICIAL USE ONLY 3 I � z PERMIT NO. DATE ISSUED MAP/PARCEL NO. i - • C ADDRESS VILLAGE 4 'OWNER - DATE OF INSPECTION: ' FOUNDATION T FRAME 3 1 I INSULATION t. i FIREPLACE ELECTRICAL: ROUGH FINAL • 3 PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ' DATE CLOSED OUT ASSOCIATION PLAN NO. ' i • February 6, 2007 Jeffrey L. Lauzon Local Inspector Town of Barnstable Building Division 200 Main Street Hyannis, MA 02601 Re: 65 Eben Smith Road, Centerville, MA Map: 171 Parcel: 198 ' Dear Mr. Lauzon: The garage to be built at 65 Eben Smith Road, Centerville,MA will be used as a �q residential garage. /Sinerely, Sean J. Royc ft V 1 &Wry Public s 4 R y-� 4 OF Y My 1.20�ee Feb v O THE 1 V Yr J1 V 1 1J ctl J.LO La U116, ~14 Regulatory Services s�tom$ Thomas F.Geiler,Director !dAFa 19,;�. Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town..barnstable.ma.us e: 508-862-403 8 Fax: 508-190-623 0 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION MGL a 142Arequires 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,wits?cer+.ain�ception$,along vs:th other requirements. 01) Type of Work: _ Address of Work; 66. Owner's Name: S` 'a y, Kos, CX10 Date of Application t_5G I hereby certify that Registration is not required for the following reason(s); OWork excluded by law OjJob Under$1,000 ❑ ilding 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 FORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OXGUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: - Date Contractor Signature Registration No. �R/tZj 1 0 0 0 b Date Owner's.Signa e Q:wpfiles.forms:hom eaffi day Rev: 060606 The Commonwealth.of Massachusetts. Department of Industrial Accidents l• Office rti of Investigations i�►r 600 Washington Street Boston MA 02 II X l� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual): Address: City/State/Zip: A,_m ((;C�, 9d 6�6 P?One4: 9 9(�4 36—6 a Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the-sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 1 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity, workers' comp:insurance. 9, ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its I equiied.] officers have exercised their 10.El Electrical repairs or additions 3. am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions . myself. [No workers' comp. - c. 152, §1(4),and we have no 12.[]Roof repairs insurance required.]t employees. [No workers' comp.insurance required.] 13.0 Other `Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 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 their workers'comp.policy information. �am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site hformadon. nsurance Company Name: 'olicy#or Self-ins.Lic.#: Expiration Date: ob Site Address: City/State/Zip: attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a . ine 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 if up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office-of avestigations of the DIA for insurance coverage verification. do hereby cer ' unde the ' a enalties of perjury that the information provided above is true and correct in afore ,, hone#: Y7r7`///' X 36 r- i2 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 bean 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 with 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 certificates)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 locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for 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 Depa iment of Industrial Accidents Of rice of lavestitgations 600 Wasbangton Street Boston,MA:02111 Tel. #617-727-4.94€l e. t 4G6 or l-$.77-MASSAFB Fax.##617-727-7749 Revised 5-26-OS www=ass.gov/dia OF1ME)� , Town of Barnstable Regulatory Services BARNSTABLE, : Thomas F.Geiler,Director y MASS. i639• p,0'Z; Building Division Tf0 MA'1 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: DD JOB LOCATION:_Ls J F_G eAn J fNt(l tt numb�err street A village W "HOMEONER L bLI ��I� 'r o U- name home phone# work phone# CURRENT MAILING ADDRESS: 65 r l 4,V_1 -7r," / O/L 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 inspection proced es d requirements and that he/she will comply with said procedures and re q ' men . Signature of 14omeo 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.L l -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 8014SW Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam\2nd Floor\D4 BC CALC®9.3 Design Report-US 1 span No cantilevers 0/12 slope Friday, December 01,2006 14:33 Build 057 File Name: Roycroft Garage.BCC ©'j q 2_ Job Name: Roycroft Addition Description: 2nd Floor\D4 Address: 65 Eben Smith Rd Specifier: be City, State,Zip: Centerville, Ma' Designer: Customer: Sean Roycroft Company: Shepley Wood Products Code reports: ESR-1040 Misc: SK s 5 ti 09-07-00 BO,3-1/2" B1,3-1/2" LL 1214 Ibs LL 1214 Ibs DL 1977 Ibs DL 1977 Ibs SL 2013 Ibs SL 2012 Ibs Total Horizontal Product Length=09-07-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf.Area(psf) Left 00-00-00 09-07-00 40 10 01-04-00 2 wall Unf. Lin. (plf) Left 00-00-00 09-07-00 0 80 n/a 3 attic Unf.Area(psf) Left 00-00-00 09-07-00 20 10 10-00-00 4 Roof Unf.Area(psf) Left 00-00-00 09-07-00 15 30 14-00-00 Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 11304 ft-Ibs 70.4% 115% 2 1 -Internal Completeness and accuracy of input must End Shear 4027 Ibs 55.4% 115% 2 1 -Left be verified by anyone who would rely on Total Load Defl. U323(0.339") 74.3% 2 1 output as evidence of suitability for Live Load Defl. U521 (0.21") 69.1% 2 1 particular application.Output here based % 2 1 on building code-accepted design Max Defl. 0.339" 33.9 Span/Depth 11.5 n 1 properties and analysis methods. p p Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide 8 BO Post 3-1/2"x 3-1/2" 5204 Ibs n/a 56.6% Unspecified ( ask questions,please call B1 Post 3-1/2"x 3-1/2" 5204 lbs n/a 56.7% Unspecified 00)232-0788 before installation. BC CALC®, BC FRAMER®,AJS-, ALLJOISTO,BC RIM BOARD- BCIV, Cautions BOISE GLULAM- SIMPLE FRAMING Column at Bearing BO analyzed for bearing only,column analysis has not been performed. SYSTEM®,VERSA-LAM®,VERSA-RIM Column at Bearing 131 analyzed for bearing only,column analysis has not been performed. PLUS®,VERSA-RIM®, VERSA-STRAND®,VERSA-STUDS are Notes trademarks of Boise Wood Products, Design meets Code minimum(L/240)Total load deflection criteria. L.L.C. Design meets Code minimum(L/360) Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Connection Diagram b�— d a c a minimum=2" c=5-1/2" b minimum= 3" d= 12" Member has no side loads. Connectors are: 16d Common Nails Page 1 of 1 oisw Single 16" BCI® 90s-2.0 SP Joist\J01 ' BC CALC®9.3 Design Report-US 1 span I No cantilevers 1 0/12 slope Monday, October 30,2006 12:57 Build 057 12"OCS Non-Repetitive Glued&nailed construction File Name: BC CALC Project Job Name: Roycorft Garage Description: Typ joist over garage Address: 65 Eben Smith Rd Specifier: Bill Campbell City, State,Zip: Centerville, Ma Designer: Customer: Roycroft and Kuehne Company: Shepley Wood Products Code reports: ESR-1336 Misc: mom g 28-00-00 BO,2-1/2" B1,2-1/2" LL 560 Ibs LL 560 Ibs DL 140 Ibs DL 140 Ibs Total Horizontal Product Length=28-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% OCS 1 Standard Load Unf.Area(psf) Left 00-00-00 28-00-00 40 10 12" Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 4806 ft-Ibs 36.8% 100% 1 1 -Internal Completeness and accuracy of input must End Reaction 690 Ibs 46.8% 100% 1 1 -Left be verified by anyone who would rely on Total Load Defl. U653 (0.509") 36.7% 1 1 output as evidence of suitability for Live Load Defl. U816 (0.408") 58.8% 1 particular application.Output here based Max Defl. 0.509" 50.9% 1 1 on building code-accepted design properties and analysis methods. Span/Depth 20.8 n/a 1 Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide BO Wall/Plate 2-1/2"x 3-1/2" 700 Ibs 18.8% n/a Spruce-Pine-Fir ask questions,please call (8 B1 Wall/Plate 2-1/2"x 3-1/2" 700 Ibs 18.8% n/a Spruce-Pine-Fir o0)232-078s before installation. BC CALC®, BC FRAMER®,AJS-, Notes ALLJOISTO,BC RIM BOARD TM BCI®, BOISE GLULAMT" SIMPLE FRAMING Design meets Code minimum(U240)Total load deflection criteria. SYSTEM®,VERSA-LAM®,VERSA-RIM Design meets User specified (U480) Live load deflection criteria. PLUS®,VERSA-RIME), Design meets arbitrary(1") Maximum load deflection criteria. VERSA-STRAND®,VERSA-STUD®are Composite El value based on 23/32"thick sheathing glued and nailed to joist. trademarks of Boise wood Products, L.L.C., User Notes Floor load only L Page 1 of 1 Town of Barnstable *Permit 1 -0 Expires 6 months from issue date Regulatory Services - Feed' Thomas F.Geiler,Director CIL, ®� Building Division Tom Perry,CBO, Building Commissioner X'PRESS PERMIT 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us � �N g ,�n� Office: 508-862-4038 J'F�x�5178=7� -6230 EXPRESS PERMIT APPLICATION - RESIDENTIATLOWiF BARNSTAKE Not Valid without Red X-Press Imprint , Map/parcel Number / f ` 9 Property Address 15- Ehe,,o rmi ❑Residential Value of Work� --�-®O"Cb Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address na-VI Contractor's Name Telephone Number72 Home Improvement Contractor License#(if applicable) �J Construction Supervisor's License#(if applicable) ❑Worktman's Compensation Insurance Check one: ❑ am a sole proprietor [],,,,am the Homeowner t' ❑ I have Worker's Compensation Insurance Insurance Company Name wolkman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) � Replacement R -side Windows. U-V lue (mXimum.44) *Where required: Issuance of this peTfrut does not a "empt compliance th other town department regulations,i.e.Historic,Conservation;etc.' ***Note: Property Owner must sign Property Owner Letter of Permission. Ho ove e C tractors License is required. SIGNATURE: QTomwexpmtrg R vise071405 IN THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) im A- 1 7 L DATA PAYMEN� (.,„a` ! a.ch:,'�'xmgv..a ¢c"4s�3•Fww�w"'� ,..F � 'S t t Nt t t ¢ I (04�JN� OF BAC1fd51 INC 200:MAIM STf�CE I ,, ���NYANNIS ,'M�1' �E•.1 ". , 2-1 t _ AMT-•Trr;��C�t�`� � E�,_ st •, AMT APPI '1EiT PAYMf fib , 0 i �'.� .. Town of Barnstable �OF 114E Tp�� Regulatory Services sAxNszAa , ; Thomas F.Geiler,Director 9 MASS. �. sa39• Building Division rfD MP'I s Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION r� Please Print „ DATE: 6D42-9 I C.(1p ben /� r �p JOB LOCATION: i,2 -7 i'l�l� `'-61— e4 '"r Ul I number '(� / street J I village p •'HOMEOWNER": 5P Q lK) T�O�G1rC�-CT' � 1-ao- 1 T- -1-7�^ o 3� —�b 2 C// name home phone# work phone# CURRENT MAajNG ADDRESS:A l�l� city/town state zip code 1 The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and f 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 of two-familydwelling,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 woikperformed 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 reqVmen,' Si ure of Ho' eowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner'performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:fomis:homeexempt �� 1/tG l...VIIa//r vlr r►a.arrrar � i.�»..v»...--.......— Department of Industrial Accidents Office of Investigations a 600 Washington Street Boston, MA 02111 y www massgov/dia Workers' CompensationInsurance Affidavit: Builders/Contractors/Electricians/Plunmbers Applicant Information Please Print Legibly Name (Business/organization/Individual): Address: City/State/Zip:�-�Vll�' y l� �179 � 3Phone#: Are you au employer? Check the-appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6' El New construction 2.❑ I am a sole proprietor or pa►ner- listed on the attached sheet. $ 7, ❑ Remodeling ship and have no employees These sub-contractors have 8: ❑ Demolition working for mein any capacity. workers' comp.insurance. g, El Building addition [No workers' romp.insurance 5. ❑ We are a corporation and its - equir ed.] officers have exercised their 10.❑ Electrical repairs c)r additions 3., I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs ox additions myself.(No workers' comp, c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t . employees.(No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information t Homeowners wbo submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such =Contractors-that.cbeck thisboa must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy inforrnsticn. I am an employer that is providing workers'compensation Insurance for my employees. Below is the policy anrl.yob site information. Insurance Company Name: ' Policy#or Self-ins.Lie. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50Q.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 nder the pains andpenalties ofperjury that the information provided above is true and correct. Si mature: Date: o Phone#: G _ (Q Z 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.Bo2rd of health 2.Building Departmez�c. 3.City/Town Clerk 4.Electrical inspector.5.Flumbina Inspector 6. Otther 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 enTloyment 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 ofpublic work until acceptable evidence of compliance with the insurance regniremeurts of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The-affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact'you regarding the applicant. Please be sure to fill in the permiVlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permitqicense 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 locations in ' (city or gown)."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 than a valid affidavit is on file for future permits or licenses. Anew 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 lnvestigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel, t 617-727-4900 ent 406*or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.govlain 7 Tc �.,i V � z 0 u 60 k7e� � ; Department oflndustriat Office of Invesd • 600 Washington S Bostoni,MA 021 ww -massgov/d Workers' Compensation Insurance Affidavit; Build M l cant Information me qusiaess/0rganizatioa/Individu4: f Aress: .y/State/Zip: • ph you an employer? Check the•approprlate boa: I am a employer with 4. ❑ I am a general co employees (fall and/or part time).* have hired the sg I am a sole proprietor or partner- listed on ibe atta ship and have no employees These sub-contra worldng for me in any capac}ty.. workers' comp. ' [No workers' comp.in=zace 5. ❑ We are a corpm required.] officers have ex I am a homeowner doing all work right of eaeuipti myself:[No workers, comp, c. 152,§1(4), an insurance required:] t . employees.[so camp.iasurmce Tplicaat that checks box#1 must also fill out the 3ect1cm below ebowing ibex w Boman who submit this affidavit indieadug they an doing at work amdffiea Assessor's office (1st floor): Assessor's map and lot number ' . ! .." ... FTNeTO� Board of Health (3rd floor): Sewage Permit number .... C�o.. Z L� -1" Z BaaasTenLE, ....................... ....... .. . . Engineering Department (3rd floor): 3 ,s�1639* YJ1Da House number ....................................................................... 'Fp MAR d APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO °................................................... ........................................................................ TYPEOF CONSTRUCTION ..................................................................................................................................... .................. 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ,.r.....�. �'J �6 eA)....� 1744 PP . ���7 /.•✓/ t� .. Location � Proposed Use �!.W��-�•........::.... Zoning District ....Fire District / 4d� t�Gtrs... l El S 7 .......Address � � P GD 7 � � YJY q JAJ S Nameof Owner I eP .�>�..."........... .................................................................................. Nameof Builder ................................................. .....Address ....................................................?............................... • r^ J ! 7-N P Name of Architect / l .1/�:j..............Address �� �'..............�................................................ Number of Rooms ..............................Foundation Exterior .....64f.ps / N.��`�`;.t.�.^�.,.......................Roofing .......f�.SP1441,L��.................................................. ................... llJ�b Interior . ..ev 4 Floors ............ .f.-............................................................. ................I............�:...:'.............................................. / or6- g ` ........................................................Plumbing ....! .t.'�Tf-f $ Heating ..............-.r-/...... elf` Fireplace ............... Approximate Cost..!.......< ...................................................... ©© .................................................... .. .. Definitive Plan Approved by Planning Board ----�_ __ v j-_......19.0_ '. Area /!..D r . ..................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH A OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all .the Rules and Regulations of the Town=of Bar'nstableeggrdrng thefa'bove construction. , Name .......... ...s............. ........:.... .;_� L.......... Construction Supervisor's License '` 1 -- LEBEL SOLLOWS TRUST A=171-230 No .,310 9.7.. permit for .....11 Story ............... Single Family Dwelling ......... ............................................................... Location ..Lot #165, 65 Eben Smith Road ............................................... Centerville ............................................................................... Owner . Lebel Sollows Trust ................................................................. { Type of Construction Fram. e ....... .............................. ............................................................................... Plot ............................ Lot ................................. August `,19, 87 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 'j.,... ... ,:_ ,.. ,:use •. �.,-ate 7.e.s.Nus.,.,,s,w�:,itrr.,a.m�N.�.•:��- a�, OWN OF BARNSTABLE, MASSACHUSETTS BUILDING PER Au171't 23U August J.9 W � 0 TE 19 PERMIT 'D�®+• l Lebec Sollows J�Vel EJ;l 7-tC ADDRESS l,il U Route i3s, RvanYil Jil:.i_.i APPLIC (NO.) (STR E'ET) ` (CONTR'S LICENSEI Build dleiii:I: 1 ti1W� 1 -iit 1rI'� NUMBER OF i PERMIT TO � '�1`j-�'��' 'r`"'' -� ��� DWELLING UNITS - - (_1' STORY .Y 1- (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) c• "I I: .._ ZONING ..(. • AT (LOCATION) - lift lr-LV� - f)..i L.0 ei"it:�:11'2''-1 �C<,�rtb t;r-�>Te�r�r-i �l�> DISTRICT IN0.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT BLOCK LOTSIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE -USE GROUP '` .t BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: u;cw3.g(J #Lio--524 .. AREA OR 1140 s IC :PERMIT VOLUME �' ESTIMATED COST $ 60,00y FEE 1i L' (CUBIC/SQUARE FEET) -- s OWNER Lr liP.l 'SU11(�W:i ITLLaL l BUILDING DEPT r; ADDRESS 1Cfi l l-(� KUlat.' .LJc , S't'%:I :!ili;.v "i.1 By THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE® BUILDING.CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE AP;i-,LI{,ANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ALL CONSTRUCTION WORK: PERMITS ARE REQUIRED FORELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. - POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 3 HEATING IN CTION APPRO ALS ENGINE G DEPARTN)ENT is - �7 OTHER � BOARD OF HEA Nav9�'/( WORK SFIALL NOT PROCEED UNTIL THE INSPEC- ?E RM I T W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SI1( MQNTHS OF DATE THE ARRANGED FOR BY TELEPHVE OR WRITTEN CONSTRUCTION. PERMIT iS ISSUED AS NOTED ABOVE. NOTIFICATION. O o C�THE TOWN OF BARNSTABLE Permit No. 3AQ�7....... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash HYANNIS,MASS.02601 Bond .... ....�ry��.. v� i r CERTIFICATE OF USE AND OCCUPANCY Issued to Lebel Sollows Trust Address Lot #165, 65 Eben Smith Road Centerville, Massachusetts USE GROUP FIRE•GRAD'ING ' OCCUPANCY LOAD 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. December 15, 19 87 ... ................. ......... ..... ..................... Building Inspector r f TOWN OF BARNSTABLE BUILDING DEPARTMENT _ INARa°TAU ' TOWN OFFICE BUILDING rua i6J9. � HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: /Z.//6/F'7 An Occupancy Permit has been issued for the building authorized by BuildingPermit �$...........&le/ �'. ........................................................................................................................................_................... issued tos ..........Gl�S � Please release the performance bond. All ,o,�o�as�•o rz• ; 0 Q r 7� 0 ' `i�2u�o-sue ,�, � %� ••.•`�' Q N J CERTIFIED PLOT PLAN LOCATION FOR: t� SCALE: /"22<2" DATE: REFERENCE: a41--'/A-/,f!j, .o,C.•q.�,r .��CA.���•O �9T�QAi2.ci�-i���-� .P�s��ST27/ 1 CERTIFY TO THE BES F MY KNOWLEDGE AND BELIEF FROM INFORMATION RC REDTHATTHE �oy"��/�T/O�/ SHOWN ON THIS PLAN IS L CATED N THE GROUND AS SHOWN HEREON. 8112 OF D TE R ESSIONAL LAN SURVEYOR g .►OS . v MONAHAN,ift ti J. M. MONA AN, JR. & ASSOC ( ATES "° ' 0 PROFESSIONAL LAND SURVEYORS & ENGINEERS 9E�ISTE�`��p� TOWNE- PL-AZA - 900 ROUT-E 134 SOUTH DENN.IS, MA. 02660 SURv�I J.N. 87-97 - - -. - Assessor's office Ust floor): >>�y// '� *THE t ASse�sor's map.and lot number /.../..1...�... ��.. o o�y Board of Health (3rd floor): S wa a Permit numberf. .� EM64LLE® Q:®61fi+P�. g g floor): ................. � � B�9TLDLE. i Engineering Department (3rd floor): ,r !NI'�H �'B'TLE 5 00 1639• 9 House number .......................:................................................ . EPMRONMENTAL COD a :'too war aye APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only-' TOWN REGULAMNS TOWN. OF . BARNSTABLE BUILDING 'I.HSPECTOR APPLICATION FOR PERMIT TO al! c.I?....... ..........'sc?.J,`3.................................................................... n TYPE OF CONSTRUCTION ..........:KJ .......... ..-.......................................................................... .......................................... 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to the following information: Location .......Lca ..... .. ?. ........1 ,3 .... Z.•T74.....�;b....................... L C��................... ProposedUse ..... -� ���......... .................................................................................................................................. Zoning District ...............)e..e.,................................................Fire District ......... ................................................... Name of Owner +�. ��(,(_0G�1S ^C1�5(� 13 Q �V� �3� J�yAj� .. ..................... Address ... K C Nameof Builder .............................4..................1). v.....Address ..........u...................................................................... �, ,.� 1/ Name of Architect /1� 4.1�✓��. i . .......P ..............Address A9 ......M. ^� Number of Rooms ..................1 ...........................................Foundation . �c'e'E� � .............................................................................. . Exterior .....&AAS....../ :5f-1.>.!`-)I... 6........................Roofing. ....... .. S'p Floors. ............/„4 ...............................................Interior ........ !4 L. ............................................. Heating ............ `5........................................................Plumbing ..... .r.. .�4r!rc-�.. 8 �4-5 .......................... Fireplace 7.L5'......................................................Approximate Cost .......4.0 ��.................. ............................................ Definitive Plan Approved by Planning Board ---Z 4_0 C_)L_______19 Area ........... �:/..� .. ................. Diagram of Lot and Building with Dimensions Fee pp SUBJECT TO APPROVAL OF BOARD OF HEALTH C v\� /l OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of t To of stab ar in a above construction. Z i Name ...... ........ .......................................... ..... . .. . . Construction Supervisor's License ®.¢...............�....... T �EBEL SOLLOWS TRUST 3,1097 112 Story ............. Permit for .................................... .,...................... .Single . family Dwelling ................ ......................... .............. Location, ....Lot t...#.165, 65 Eben Smith Rd. ................. .....................Ce.n.te.rvi.l.l.e................ . .... .. .... ....... .. . .. ................ Owner ...L.eb.e.1...S 0 1.1 ow.s...Trust. . .............. .. ....... .. .......... .. .... .. .. .......................................... Type of Construction Frame ............................. ........ ................ Plot ......................... Lot ................................ Per"M it Granted ..,.August. 1.. - ..................... ..............19 87 .. 4 - . . --, I 1�1 .4 Date.of Inspection .....................................19 Date,'Completed 4: 1 .....109 k7 Icr..,ter m d,-s� ,;�,.�::..R S.* ,,€�:•. ._T, ... F ar�,. 5,`.�;.,��e.ta:'Sa:7_e.p,:r,�#L;�.�-+:c*,.,�,,t,:..,CYwse�i•;.ro ,:c.=�.a.�F-s.•.SFL.k:.+:i+v'+r.:t'6b�fi.:+%�+^.�3y�` .e,..-.,,... .:>^s._:._ µ ,.,. �t... Assessor's office Ust floor): v� Assessor's map and lot number ...�.,,/..�� ��i cF THE to and of Health (3rd floor): age Permit number ..... 46ard ' 9 al.! ..... ................. Z R9Rd9TORLE, Hr�glneering Department (3rd floo:O' °o,s�N 9 ouse number .................................. :.................. �Eo Yak a\ Definitive Plan Approved by Plannin ___________________________19________ . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...( !?�.✓.! !C'T Rc G� ?�1� {�A/L�/i �!......! d TYPEOF CONSTRUCTION ................/ ...................................................................................................... ................( CT.... �............19.SS TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......... .J........... lF�11).....Plnl7 1P, �!1/? QV/LLF .............................................. .. ...... �... ....:.............................. , ProposedUse ............. ............................................................................................................................................ Zoning District ................. .Y..................................................Fire District .................f�... .. .....�"� ................................. f Name of Owner /L,:/ ?n.......�..- v. !j .......Address ....44 ..... 3E!v..... .......... D,.................... Nameof Builder ............... ................................. /...........Address ...................../.�........1............................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..................................................................Foundation ..........nD{?JC.......T�..............................:..... Exterior ................ Di ......PRI.9)&.L-.O.-C......................Roofing t .................................................................................... n 4 Floors .................: Ar': �(�D ........................................Interior ............�:?. EC,L ............................................... Heating .............. 17.✓..F.................................Plumbing .................."OV.6� .................................................... .............. . ............... ............. .Approximate Cost .............YlFireplace ........................... ...............................,Area a6 Diagram of Lot and Building with Dimensions Fee .-.........,..J..(W/.`-................. i I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding fhe above construction. Name '� /-at.......... 1�'!�......... ..;�f Construction Supervisor's Licensed.r,0r •�•............... GENT, WILLIAM P. A=171-198 rn Convert Gara e to Na ... 2 .k"r": Permit for .................................. ......F.amj, y...Room( Single Family Dwelling Location .....�.5...FbQ.�? ...Smith Road ....................C.� t.�xv 1,le.............................. Owner .......W.j.J.J.iam P. Gent ...............:............ Type of Construction .. ame......................... ............................................................................... Plot ............................ Lot ................................ Permit Granted October , 19 88 .............................18.. . Date of Inspection ....................................19 Date Completed ......................................19 1 f r r r Assessor's office.(lst floor): �j /` �! /. ....................C :*� avq�. e�.rtl��� I!E`�: ' �oF r►+e Tod Assessor's map and lot number ... .... ... . .. a Oa�rid of Health .(3rd floor): WQ ge Permit, number. ...::.. Wo ............... BABa9TlLBLE, i eering Department (3rd/finer)" = µ.y �o rasa 0� J 39 'House number .......................... :.....: T 1'il`� °r\e t oe, a Definitive Plan Approved by Planning • __________`______. _19 APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 -P.M. only; TOWN OF BARNSTABLE 6UILDIN�G ,- INSPECTOR r . ti✓�.t'T C��4,C�d� /I�I/L 120D APPLICATION FOR PERMIT TO :.......��......................1`................!� ............. h TYPE OF CONSTRUCTION ......:..........14..1�.I ..... ..................... .......................'....... l.----.... .. `a TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 4.� ���� On) �� � ���z� g Location ...............>�?............................................................................. . .... Proposed Use .�An'l�LqW Y. ............. . ....................... ......................................... .. Zoning District .................. ..... ..:..`.... .. .. ..:.....:.....Fire District �`L/ /`< Name of Owner .... .. ...lL / m.....;.�...... .......Address ...A$.. 3 � �lTfl ................. Name of Builder ...... ......f.....................:..............:.........::.Address .... / / Name of Architect ...................... ......... ..............................Address .......... . ................... ........................................ Number of Rooms ..............................................4..... .....Foundation wi?/GR'4'4 ... ........ ...................................................... Exlerior ................djgi IC......9`�f).t)6.0—.......................Roofing ............ Floors y ....'............AM4004 ..........................................Interior ........... SHE T C Heating ......57.—A.of.... g /V� ...............°. Plumbing OU 0............... .... ........ ...: +W o U c Fireplace .... ........ .................. ::.....Approximate Cost ........... Area V/i ✓/..... (FL Diagram of Lot and Building with Dimensions { �6 g g ( Fee ' ...... .0.. ............ OCCUPANCY PERMITS REOUIRED FOR 'NEW DWELLINGS ✓I hereby agree to-conform to all the Rules and Regulations of the Town of Barnstable regarding the above = construction; ......... ..' ' Name ..... ........ . . .. s Construction Supervisor's License ...�.....,p.� , ti GENT, WILLIAM P•. " +323VbB__ Convert Gara e ` No ...... .... .�Permit for ................................. . - to Famiay Room/Single Family Dwelling g h - Location ...65...Eben Smith Road - Location �. ......... Centeryi•lle...... .. ;..... _.......... x . ................................. Owner ..,.William...P.r...Gent.:.... Type of"Corist�uction Frame - ......... y- ..... .. ... .....` . ....... ...... .. `......... � Plot , -Lot � i I ' • Permit Granted ....Octobef_`,1.8.r� .. ' 88 - - Date of Inspection .... 19 Date Completed ... . .............. ..............19 d IT 26' 14'4r 14'4T -q• . - AND. C)c' C4 - 21046 1 I I I I I L�tN� UP w DN: F W 00 CL LLLLLIJJ E"" m x HALF.WALL .. - O co a G¢ �g AND. .. .AND. - A31 A31 _ a _ b. -AND. - AND. - t? A31 A31 GARAGE STORAGE . - (4•CONC.SLAB - - - LTJ ri - PITCH 7 TO O.H.DOORS) .. .. 4 a + A A a A A A A AND. _ - 3V x 6'B' W - Wr � .. _ �. V -34r . - - FRAME FOR FUTURE O.M.DOOR' .. 1017 x 9•Q'O.H.DOOR . _ AND. AND. - - . AND. - AND.- CONC.. AND. AND. C ... - 21046 � 2f006� � APRON � - '� - 6'-4' 3,d. 6.41 10'd 3.T F--1 zs'a zea Z FIRST FLOOR PLAN NorEs: SECOND FLOOR PLAN z 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS " GARAGE. ='.1120 S.F. &DIMENSIONS IN THE FIELD SCALE: 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, 1/4 F-V DETAILS,&FINISHES IN THE FIELD WITH OWNER DATE: " 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT THE DESIGNER SHALL BE NOTIFIED IF ANY I O�I I�2006 FIRST FLOOR TO BE T-0"ABOVE CONCRETE SLAB -- - - - ERRORS OR OMISSIONS ARE FOUND ON 4.) ALL CONSTRUCTION TO CONFORM TO 760 CMR MASSACHUSETTS THESE DRAWINGS PRIOR TO START OF _ .. CONSTRUCTION.THE BUILDING CONTRACTOR STATE BUILDING CODE _ - - WILL BE RESPONSIBLE FOR THE CONTENT DRAWING NO.:., - . - - - WINGS IF CONSTRUCTION TI C THESE DRAWINGS LA ON SF TY INSTAL FROM TO NEW E PROVIDE U TILI O STREET GARAGE - 5•) - COMMENCES WITHOUT NOTIFYING THE , VIA UNDERGROUND CONNECTIONS TO COMPLY W/ALL LOCAL CODES DESIGNER OF ANY ERRORS OR OMISSIONS, THESE DRAWINGS ARE SOLELY FOR THE USE 6.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS ON THE PROPERTY NOTED.ANY OTHER USE OF TO BE 3000 PSI THESE DRAWINGS REQUIRES THE WRITTEN - - CONSENT OF THE DESIGNER.THESE DRAWINGS ARE PROTECTED UNDER THE ARCHITECTURAL " COPYRIGHT PROTECTION ACT OF 1990. Z C� pQc�i 4. . 11 1 x 8 RAKE BOARDS . . W/1 x 3 DRIP BOARD W N W 00 CEILING OISTS 12 OM OFT.. -_- La=: Im X v 0..I¢ N : LJ I.- ECOND FLOOR - - - UBFLOORR -- - - TOP OF PLATE' m . - - - TOP.OF FOUND. - FRONT ELEVATION CONT.RIDGE VENT . TYPICAL ASPHALT _ ROOF SHINGLa - . . BOTTOM OF - - - CEILING JOISTS I 1 x 8 FASCIAS ECOND FLOOR - FRIEZE BOARDS .. TOP OF PLATE W ..0 SHINGLE SIDING rW, S a-TO WEATHERLO Ix x6 CORNERBOARDS SCALE: 1-0 DATE: 1 OI 11I`'.006 TOP OF FOUND. �. —— NIIIIIIIII DRAWING NO. RIGHT SIDE ELEVATION WAS Ca ¢ o. N - —1 x 8 RAKE BOARDS - �"' w-w .. W/1 x 3 DRIP BOARD � W (n W c j W in CW.� BOTTOM OF I, . .. 12 CEILING JOI C]C¢">C - - c? SECOND FLOOR - SUBFLOOR TOP OF PLATE - - 4 TOP OF FOUND. - - REAR ELEVATION FCONT.RIDGE VENT U TVPICALASPHALT - _ O ROOF SHINGLES _ - BOTTOM OF - .-. CEILING JOIST CA - -FRIEZE BOARDS v . .. .. .. � �... - - SECOND FLOOR - - SUBFLOOR_ _ W co TOP OF PLA - -W TIT C/) CO W.C.SHINGLE SIDING - - - 5"-TO WEATHER SCALE: 1x5„xe 1/4" = F-0, _ `. . .r. CORNERBOARDS . . DATE: 10/11/2006 TOP of FOUNo. DRAWING NO.: LEFT SIDE ELEVATIONG3 c"i) rn N '. ----------------------- ---- — ——— I .. h CONT.RIDGE VENT L � 'p X cn TYP. ROOF CONST. v0 a L¢7 - I .I - _ •2 x 10 ROOF RAFTERS®16'o.c. . trr COX PLYWOOD ROOF SHEATHING - - - I - — -ASPHALT ROOF SHINGLES 2 x 6^s 32'o.o. •15LB.FELT.PAPER . I TYP.B*CONC. - - -2 x 12 RIDGE BOARD - FOUND.WALLS SIMPSON H 2.5 HURRICANE CUPS II M I IC ALL RAFTER ENDS - U I i--TYP.B'z 18' � -ICE/WATER SHIELD AT BOTTOM - I. CONC.FOOTI . _ 3'0'OF ROOF - BOTTOM OOF - 2x B'cCb 16'o.c. CEILING J ISTS - m I I I ,2 t2� i UNFINISHED I. w STORAGE F LYWOOD SUBFLOOR. SECOND FLOOR LUED 6 NAILED . I L I SUBFLOOR CONTROL JOINT AT MIDPOINT OF CONC.SLAB 16'ENGINEERED JOISTS 16'o.c. TOP OF PLATE I. 'GARAGE I I CO Fl vE�SNUM �. . (4-CONC:SLAB I I TYP.WALL CONST. W PITCH 2'TO O.H.DOORS) I _ ..I - - 1.2 x 6 STUDS @ 16'o.c. l - 2.1?PLYWOOD SHEATHING3. W.C. R 4.TYVEK VAPOR BARRIER > c na I I I I Aa GARAGE . - l - I `DROP TOP OF FOUND. I N TYP.1?.DIA ANCHOR 'CONC.SLAB 46'o.c.BOLTS - � .. .AT SIDE DOORS--rl_ I. _ 4 SLOPE 2'TOWARDS. ro DOOR) TOP OF FOUND. UCO DC WALLS r I I i i DROFOOTINGS 0 P TOP UND. I i A SECTION @GARAGE W/2x6KEY w L —_------- -- -——— ------ J -- .GONG.--------- — CONC.._--------- . - APRON APRON- 1� w FOUNDATION PLAN C/) elo SCALE: DATE: 10/11/2006 DRAWING NO.: �r 28'4r 28'4r N Qcr¢ Q' I N 00 CS 10 �m��X .. MULTI LVL BEAM O u D - - J w _ - w - - z �i _w - .. A A A A A4 A4 " w J L) rT, W V O MULTI LVL HEADER MULTI LVL HEADER - _ _ _ L) . SECOND FLOOR FRAMING PLAN ROOF FRAMING PLAN w w NOTES: NOTES: SCALE: 1.VERIFY ALL FRAMING DETAILS W/ENGINEERED 1.) ALL ROOF RAFTERS TO BE 2 X S JOIST SUPPLIER PRIOR TO START OF CONSTRUCTION UNLESS OTHERWISE NOTED I I4 I-�� 2.USE SIMPSON JOIST HANGERS ON ALL JOISTS 2.) USE SIMPSON H 2.5 HURRICANE CLIPS -3.FOLLOW ENGINEERED JOIST MANUFACTURERS AT ALL RAFTERS ENDS DATE: FASTENING REQUIREMENTS 3.)VERIFY GUTTER TYPEILAYOUT I 0/I I/ZOQC) W/OWNERS DRAWING NO.: h�Ek'�BY C25-R7/�Y 7;LIA7 .�gip%�T�.�? ©�/ f�•��e�� /�/©, /�8 ��e� sH©i-c��u ca N �-�/� PLAN AS 7i5��� .GC>�'r4?�1� ©N TIC" Gf�'ot//`//1� j E,7�-Al sue/71 R®/,► } 41 9 ' ti -3014 9 N � DOYLE',ltt H No.88589 /STER�� SUP14 2,9 AS5E,5'S D Pc- MAR /7/ 1 9,10 2 8_ -- t ©,� G.q/</1 � � PROPosE.� t -5-�51411/ '4111"D S 61sAA1 /1�10 y SllOtr//N& ThjC Pi2oF'os Gi?/<' 6 r ,� — � 2JQ� I - -57 Zo. 7 " 7 6/° .33 76.IS* 3P3 .r H5R"BY C�,�T/��' 7-1%47. 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