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HomeMy WebLinkAbout0390 ELLIOTT ROAD o 'El G N k y .. a .• ° o a. v a a i Town of Barnstable *Permit# - ` Regulatory Services fee 6mont � issuedate * SARNS MI • Mass. Richard V."Scali,Director` Building Division 4 Paul Roma,Building Commissioner' 200 Main Street,Hyannis,MA 02601 . QU ' www.town.barnstable.ma.us T® 6.2 4 20 Office: 508-862-4038 /. N OF�44F= 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL Not Valid without Red X-Press Imprint A Map/parcel Number , y �p Property Address i x T � I'l/ Ae�� ❑Residential Value of Work.$ .Minimum fee of$35.00,for work`under$6000.00 Owner's Name&Address Contractor's Name_ Telephone Number 77 r Home Improvement Contractor License#(if applicable) Email: A/ r��� ' • �; ��" � Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance V z Check one: ❑ I a sole proprietor OT am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Requ check box) Re-roof(hurricane nailed)(stripping old shingles)f All construction debris will be take to ❑ of(hurricane nailed)(not stripping. Going over existing layers of roof) [ Fe�sti' Replacement Windows/doors/sliders.U-Valued .o, (maximum.32)#of windows #of doors: t ❑ Smoke/Carbon Monoxide detectors 4'floor plans marked with red Sand inspections required. Separate Electrical&Fire Permits required., *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. 'A copy_of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms XP S.doo 06/20/16 L f The Coznwompealth of Massy;di=ettr Deparb aeat of rndustrialAcddmdY Owe afIrctW&d9atia=. 600 Wasltaurgton Street _-- Bastozz,MA OZ1-1I Wnrkers' Campensa tion 7nsurance Af Edavit:Bydlders/CuntraciGnMecftki L-JP] ambers Applicant Tnfarrmafean Please Prim .Name(B Address: T // Are you an employer?.Check the appropriate box: -Type of project(required): I.❑ I ant a employer vdth. 4 ❑I am a general contractor and I 6. ❑New conshmcticn employees(fun an&or part4ime).* have hiredthe snub-contractors 2.❑ I am a sale proprietor orpartner- listed on the attached sheet: 'I_ ❑Remodeling These sob-contractors hate ski and have as zmpluyees 9- ❑Demalifiou w for roe in a employees and hnre worms' IO gg capacity- 1 9. .❑Building addition jNo 'comp.i .ce comp_tt,�.a� j 5. ❑ We are a corporation and its 16-❑Electrical repairs or a 4dions r . 3_ am a homeowner doing all work officers have a xcised tizeir 1 L❑Plumbing repairs or additions myself a workers' right of exemption per MGL c_ISZ §I(4},and Webavena 13.0 Roof repairs . insurance required-]I , employees.[NO workers' 13_❑other cop_mice reqaire&I 6,3.ay apP&mwIdat chedmbos ffl Est also fiIIouEth�secf�onbcIosyshamug ihe¢wadce�c�p��t;�,a•Paycyiafoemsao� #Muneowners who submit slas sfEd2vA mdkztmg&-y are&mg all wak®ad dzen lire outside romiRmu nm submit a new affidnit in dirmlin sadi ICaatmctors tfis2 cher]c tWs bwE mist atlach au addiii®a]sheet showing tha acme of the�mad state whether ar not those errtiiiesl�see employees.IftharshaveempIainzs,the}'nnrstpm4idethe�tsnd�'trm.P•PdticFnumisar_ I am an enipIoysr fliatis prauidbW workers'cougwzsaf&-ii utsrira=e for my emp&yem $etbry is theprsFicy and job sUe irtformafinn. _ . . . Insurance Company Name: -Policy 4t or Self-ins.Lic- EzpiratioaDaate: Job Re Address_ CitVIStafe r=__' Attach a-copy of&e warlmrs'campensaflonpolicy declaration page(showing the poficy number and respiration date). Failmm to secure coverage as required.under Section 23A of MGL c.152 can lead to the imposition of criminal penalties of a Erne up to$1,SOa OU andlar one-year aE,as we11 as cirri peaalties.in ate fay of a STGP FT(}RR QBDERand a f of up-to$250-Ca a dap against the violator. Be adcdsed that a copy of this statement may be Ekwuded to the Office of Izvestegations of the DJA far insurance coveragt vedfica#ion. I'do J-refry cer*undw the s andpmaltfin af et try thatthe infortuatkrrpro4iiWabat,e' trus arr correct Siosratnr Date- Phone ik —/�.� OBEsi d um marry. Da not wife in dd3 area,to be minpTeted by cky artown*jOk&t My or Town: Pertmtll kense;ff Issuing Andwrity(catIe floe): L Board of Health Buffsfing Depmlme¢t 3.drown Clerk 4.Electrical Imspector S.Plumbing Inspector 6.Other Comfact Person: Phi#- Taformation. and lastruc ons MRC�ar-I;T.ce is cTcb=sa Laws chapter I52 requires all Moyers to provide worIXas'=:[peasat M fis their employees. Pmsaant to this stattm,an mP&Y=is defined ate.evezy person m ffie sravi ce of another under BILy coltmd of bire� t express or i33TH04,oral or wrhmE " fin eraplvyer is defined as"an and fir,i Part =br p,associEdQn.colPorEffon or oil legal euiity,or any two or more of fhe fforegoing=nEaged is a joint cntmlxdm,and inchodmg the legal repres vex of a deceased emplayerr,or the receiver or t mst,=of an individual,parft=sbip,association or ofhetlegal entity,employing employees- However fhe owner of a,dweIIing house hayingnot more than three apm meads and who resides fhermn,or the occupant of the - dweIIing house of andher who employs persons to do maintenance,cansU c on or repair work on such dwelling house or on the grounds or bui7dmg appu tmz:r3t thereto shall not because of sarh employment be deemed to be an employer." MM chapter 152,§25C(6)also stdrs that"every state or Iocal ficensnag agency shall withhold fhe issuance or renewal of a license or permit to operate a business or to construct buadiugs in the commonwealth for any applicant-who has notproduced acmpfahle evidence of compfianm with tlm insurance coverage re:qused-" A&Rdonally.MEL chzptfx' M.§25CM states-Feithea-the comm�nor any off political subdivisions shall enter�in�any:coniract`f the p once ofpublio uric vI ac aTtable evidence of compliance via the insm`�ces. rem m enfs of this chapter bane been presented to the z - ApPii� please f al oin the vtotlo'zs'compensation affidavit completely,by chmciing the boxes Ihat apply to your sitnation and,if sob-contractor(s)name(s), addresses)and phone— ex(s) along Keith their=tificate(s) of necessary' PIY s wi$ino Io ees other than the bis,o an=. Limited Lmb�ity Companies(-LC)or LkatedLiabfiityPmt=mbip (LLP) �p Y mernbers or partners,are not regLmed to cony wmic& compensation fi=aac- If an LLC or LIP does have employees,a policy isrequned. Be advised that this affidayk may besabmRtt:dto the.Depaitmentof Industrial Accidents for confirmation ofmsormce coverage. Also be sure to sign and date the afadzvit. The affidavit should be refrmmed to!he city or town that the application for the p=oit or license is being mqueste-.d,not the Department of L n SiTi Accidents. Should you have any gaestL s regardmg the laW Or- you.are reed to obtain a workers' =mpe s do policy,please ca.II t3d Departneat at the number listed below. Se2frkmmr d con3panies should enter their self-fi mn- ce license number an.the appropriate line. City or Town Ofixd2k please be sure that the a$tdavit is COMPIete and priit:dlegfIy The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office oflnvestigations has to comtactyou regm ding the applicant- please;be sure to fill in the permit cease Tonnber which will be used as a refirvnee member. In addition,an applicant that must submt multiple pennWHcense applitafions is any given year,need only submit one affidavit indicatmg,cvseat policy inforn.atioa Cif necessary)and undra`Job Si L-Address"the appIic,ant should write"aII 1oc cos in (may or town) "A copy of the-affidavit that has been officially stamped or wed by l he city or tows maybe provided In the - applicant as prooftilat a valid affidavit is on file for fc me permits or licenses_ A new affidavitnn st be filled Di±each year.Where a home owner or citizen.is obtaining a license or pemnit not related in any business or commerci2l venture (ie. a dog license or permit to bum leaves etc.)said person is NOT required to campIete this affidavit The Office of Investigations wouldlICeto thankyouia advance foryour cocpedon and sbovldyou have any goesiions, please do not hem to give us a call The Deparlme afS addmss,telephone and fax number: 4 th of l B MA Ed111 Tc,-L 4 617-727-4900 Qlt 4flf ar 1477-MASSAM Fax 4 617 727 7749 IZeviserl4-24-07 „R C/ , Town of Barnstable Regulatory Services r � Richard V.Scan,Director059. - �► Building Division. Paul Roma,Balding 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 Builderti4, as Owner of the subject ro p . PeY hereby authorize to act on my behalf in all matters relative to work authorized by this building permit application for: D 4 (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools m are not to be filled or utilized before fence is installed and all final ` inspections are performed and accepted. atuie-o ' er Signature of Applicant Print Name Print Name ZZ/Q:FORMS:OWN MPERMISSIONPOOLS Town of Barnstable r Regulatory Services oiET Richard V.Scali,Director Building Division `• Paul Roma,Building Commissioner PIAM e59. �� 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: - efl.,?41116 — JOB LOCATION: //O num er street 1/ village "HOMEOWNER": ' 5�'� / name home phone work phone# CURRENT MAILING ADDRESS: G `` cityhown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINMON 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 lie/she understands the Town of Barnstable•Building Department minimum inspection proc s and r ements and a/she will comply with said procedures and requirements. Signature of Homeo er 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 Supervisors,Section 2.1 ,This lack of awareness often (see Appendix Q,Rules&Regulations for Licensing Constructionp , 5). _ persons. In this case our Board cannot results in serious problems,particularly when the homeowner hires unlicensed , P +P Y P 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 requir"e,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 y { ,..� Assessor's map and 'lot. number . ..r'. ...... ., SEPTIC SYSTEM MUST BE , Sewage Permit number ............................... INSTALLED IN COMPLIANCE WITH ARTIC.E jI STATE 11 SANIT R c.: Q ?NE,\T ♦ TOWN OF B A R 1 .' TOWN: EAiIST"LE, MAI BUILDING INSPECTOR �., APPLICATION FOR PERMIT TO ...: v'... .L.U..G'................................................................................... TYPEOF CONSTRUCTION .............fALeA1--7.Q .—.; ..................................................:..................................... ......5...`..............................19� .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... tv t Q �I S ..:`�G ............................... r j ProposedUse ......c itiA . t ..�....-.................................. ................................................................................................. Zoning District ........................................................................Fire District ......... 'C.� �..... ..�J.:S.... ............................ Name of Owner � . ..................Address -g 1j Name of Builder v` S � . Address C�/ .............,,...................... ...`........... ...... ............. . .... .!l.l. .. ...... . I Nameof Architect ..................................................................Address .................................................................................... G.....�l CQ S-.>,. t Numberof Rooms ............/ ...................:...........................Foundation ........ ..............................--...............•...... Exterior ...........f�.�/. .,C......... ...................................Roofing ..........: ✓ /................................................ Floors // ►��`1 e1 � ......................Interior W `.� C� "/ 4........................................................ ........... ... .......................................... ( .— Heating .. .tl........... �....... ! ....:............Plumbing .............Z..... ......� . .......................... Fireplace .. ",.......`-e. �..... .L`_.................Approximate Cost ............(.......f........................................ ..... Definitive Plan Approved by Planning Board __________________________ -----19- -- • : Area .....J..911..� '. ...:...... II 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'Barristable regarding the above construction. Name ......................................................�........... Largay, John 19182 two story No .........*....�.iO-"Permit for. .................................... single family dwelling .................................................................... ........... Elli6t Road Loco oq 0...... . ......................:..................... ....... ... Centerville ..................................................................I........... John Largay Owder ...................................................... ........... frame Tylp,!�of Construction ............................. ........... ........... ........:...................:.................................. Plot ... ....................... Lot ................................ ay Permit Granted ..........M............5..................1977 Date of Inspection ................19 Date Completed ..........19 ---;PERMIT REFUSED Q..... ...............I......................................... 19 .......................................I..............................I............ T ........................................................................ ........................... ..................................... .............................................................................. �Approved ................................................ 19 ............................................................................... ............................................................................... ., r ,.,� �r ��,�, ��,..,,..;.w. _,,.,,, e...�,-..,fir:�^tr�.Tr�s; _ �; s+;a:...9.. T.r"e;a:... G,.�-.;;a.,•...y.-n.�G-'^ ..dcLT-v.•' `�K:�yq�: c �.. Assessor's map and lot n urn nber ....�.............. �.........._.... fJ /)`' C — V" J��^ �' U a .z ^� Sewa6i Permit number 6:2 y `T"ET°� TOWN OF BARNSTABLE Z 33JflB9TAIILE, M639 o w ,,m� , BUILDING INSPECTOR �Fay a' , 077 1- c� APPLICATION FOR PERMIT TO ....... ................. ........'..................................................................................... TYPE OF CONSTRUCTION ! ...... �L_:............................................................................................. ~J' - .................................... .. r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �� I �2 "� 1, ...:.:............................................................:....... �............................. ...................................................................... ProposedUse ...... 'A--A (1..� (.:"'.................................................................................................................................... .......................................Fire District C-� c..^ .. Zoning District ................................ .......... .........U...$7... .................................. Name of Owner G��. �`� ..................Address . Name of Builder ....... � ....11` .....5� .'?...`... ' ............................Address ►, ��� f�.'p� ........................................................................ 1t c Nameof Architect ...................................................................Address .................................................................................... Number of Rooms le) ........Foundation �� CP ...` ... Exterior ............Y? �t.........6 .e.v.�:....................................Roofing ........... ` .` ................................................ ...Interior W�. C� Floors .......... .......................................... ............................................ Heating .........t 11............ '�....... .! .. ..................Plumbing ...................... Z........ o t 2- '� .................................... Fireplace ` .......�.x-.��`A 1.� ...................Approximate Cost ..... / ,Cl .......}.. ... ...... Definitive Plan Approved by Planning Board ________________________________19________ , Area ..... � .'��1.. ......... Diagram of Lot and Building with Dimensions Feet SUBJECT TO APPROVAL OF BOARD OF HEALTH t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam e�C��!^^ 'Y.... .................... ... r................ U . ^-���� Largay, John A=227-140 l�l�� two a�wz No.�--.--. Permit for ------.� ---. ^ ~ �ogl fam1l dwelling � Looahon � � a / � ' —'''--'---------------------- ' ^ . � John Owner -------'������__________ ' � Type of Construction ----f---rmma------- ^ -----~---.----------------.. ' ` � Plot ............................ Lot ................................ _ ` May 5 77 Permit Granted -------------lA ' Date of | ---.---------lV �-,- ` � Dote Completed ...................................... - PERMIT REFUSED ....... ........................................................ lQ ' � ~ . r ........................................................... ----- ................................................— . ` ^' �� .------. .-m� ----.------ ' . U ' � '---^'— ''—^^^--'--^—^---- ' v " � � »,� � . �� � . Approved ................................................. lg ^ --------------------^--^''^—^ ` ---------------------...--... . . � � � ` | Imo- ,REA LOWING: ENTERTAINMENT D E LABLED AS THEIR USE. G DEPT. WILL DETERMINE THE Message Page 1 of 1 Coyle, Brenda ` From: Coyle, Brenda Sent: Friday, March 24 2017 3:01 PM I To: 'njenkinsadvantage@gmail.com' Subject: 390 Elliott Road Centerville Good Afternoon, Nelson I'm in the process of typing your Agreement for Accessory Use of'Residential Buildings Associated with Residence.Sally wanted me to remind you, that you will need to obtain another building permit for the changes. I will let you know once the Building Commissioner signs the Agreement. If you have any questions, please feel welcome to contact me at 508- 862-4039 or Sally at 4031: Thank you, Brenda Coyle Permit Tech. Town of Barnstable 200 Main Street * Hyannis, MA 02601 I 3/24/2017 Town of Barnstable �1HE fn._ Regulatory Services BAMsTear.E. Richard V.Scali,Director A i639 Building Division rFn Paul Roma,Building Commissioner 200 Main Street,-Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR ACCESSORY USE OF RESIDENTIAL BUILDINGS ASSOCIATED__ WITH RESIDENCE I Nelson C. Jenkins, President of The Jensett Corporation the undersigned of The Jensett Corporation,being the owner of property situated at 390 Elliott Road, Centerville,MA 02632 holding title under a deed recorded with the Barnstable County Registry of Deeds in Book 29832,Page 241,being shown on Assessors' Map 224 as Parcel 140, hereby agree, certify, warrant and represent to the Town of Barnstable that the 2"d Floor above the Garage in the residence located on the same parcel as above-described,which contains Great Room above the Garage, is not intended for and shall not be used as a permanent, separate apartment for year-round or summer occupancy,for rent in any fashion. The intended and authorized use is for the occasional guests associated with the residential use on the same premises. This separate unit shall not be used for a"Family Apartment" (as defined in Zoning Ordinances)which would require application and approval of a special permit and compliance with the Family Apartment Rules and Regulations. This separate unit shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules,regulations,and zoning ordinances. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated,which shall run with the land and binding future owners. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. , WITNESS our hands and seals this day of 201' TOWN OF BARNSTABLE OWNER:The Jensett Corporation By: Nelson C.Jenkins,President Paul Roma Building Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date Then personally appeared the above-named (owner), ' and made oath as to the truth of the foregoing instrument,before me. Notary Public My Commission Expires: Q:word/accessoryagreement Parcel Detail Page 1 of 4 i MA Logged In As: Parcel Detail Friday,.March 24 2017 Parcel Lookup Parcel Info .........................................._ _..........................................................._...................................................... ........... ... ........... .... ..... . . Parcel ID 227-140 1 Developer Lot LOT 40 Location 390 ELLIOTT ROAD Pri Frontage 93 Sec Road Sec Frontage Village Centerville Fire District C-O-MM Town sewer exists at this address NO Road Index r492 � Asbuilt Septic Scan: Interactive Map 227140_1x ? , Owner Info owner JENSETT CORPORATI4 Co- I Owner TIC DRIVE Street2 Streetl @04 MIS city IMARSTONS MILLS 1 State MA Zip 02 448 Country -w Land Info__ __ ___ Acres 0.43 use Single Fam MDL-01 zoning RCS �)Nghbd 0108 71 Topography V6ove Street I Road Paved Utilities Public Water,Gas,Septic Location Construction Info Building 1 of 1 Year 1977 -- � Roof Gable/Hip Ext Wood Shirigle Built Struct Wall Livin _Area 3128 Cover Asph/F GIs/Cmp T Rof pe None J is , Style IColonial wau Plastered Rooms 4nBedrooms Model residential Floor Carpet Roomsn Bh 3 Full-1 Half Grade Average Plus Type Hot Water (RoTl oms 7 RoomsHeat Stories un 2mStories Fuel OII F ati n Poured Conc. � Gross I5664 Area Permit History Issue Date Purpose Permit# Amount Insp Date Comments 2/15/2017 Addn Alt-Res 17-298 $12,000 Replace Garage Walls w/24 Construction http://issgl2/intranet/prODdata/ParcelDetail.aspx?ID=15924 3/24/2017 f _ Parcel Detail Page 2 of 4 4 Replace W/2x12 Construction. Replace Garage Walls w/ 1/2 CDX. Replace Roof w/5/8 CDX Add Slider or Patio Door to Rear of Structure. Enclose Breezeway W/For 3 Season Porch. RESTORE TO SINGLE FAMILY -REMOVE KITCHENETTE, REMOVAL AND REPLACE STRUCTURAL BEAM IN GARAGE EXISTING DOOR ABOVE GARAGE 9/9/2016 Restre to Singl Fam 16-2513 $12,000 DOORS W./WINDOW INSTALL NEW HEADERS ABOVE NEW WINDOW AND BOTH GARAGE DOORS FIX AND REPAIR ROOF AND ALL SHEET ROCK IN AND,ABOVE GARAGE re-roof stripping old 6/30/2017 shingles - dumpster, 8/24/2016 Sid/Wind/Roof/Door 16-2452 $20,000 12:00:00 reside & replace 14 AM windows. 29 u-value & 2 doors Visit History .... ...... ............................................................................................................ ........ ......... ......... ....... .. ...... Date Who Purpose_ 12/14/2009 12:00:00 AM, Paul Talbot Cyclical Inspection 10/10/2001 12:00:00 AM Paul Talbot Meas/Listed-Interior Access Sales.History Line Sale Date Owner Book/Page Sale Price 1 7/29/2016 JENSETT CORPORATION 29832/241 $250,000 2 9/25/2014 LONGSTRETH, WILLIAM ESTATE OF 28404/73 $0 3 1/7/1998 LONGSTRETH, WILLIAM 11156/180 $200,000 4 . 8/15/1987 SEVANO, STACEY L 5894/45 $325,000 http;//issgl2/intranet/propdata/ParcelDetail.aspx?ID=15924 3/24/2017 r Parcel Detail Page 3 of 4 15 16/1/1977 1LARGAY, JOHN & CHRISTINA B 12519/262 1 $0] Assessment History Save Building Total Parcel # Year Value XF Value OB Value Land Value Value 1 2017 $243,300 $53,800 $8,800 $203,100 $509,000 . 2 2016 $243,300 $53,800 $8,800 $204,900 $510,800 3 2015 $252,400 $52,000 $11,100 $199,800 $515,300 4 2014 $252,400 $52,000 $11,200 $199,800 $515,400 5 2013 $252,400 $52,000 $11,400 $199,800 $515,600 6 2012 $258,100 $50,500 $9,400 $194,400 $512,400 7 2011 $305,900 $4,800 $0 $194,400 $505,100 8 2010 $306,500 $4,800 $0 $205,200 $516,500 9 2009 $327'500 $3,300 $0 $202,900 $533,700 10 2008 $335,400 $3,300 $0 $226,500 $565,200 12 2007 $334,200 $3,300 $0 $226,500 $564,000 13 2006 $324,000 $3,300 $0 $211,600 $538,900 14 2005 $292,300 $3,300' .$0 $162,000 $457,600 15 2004 $244,700 $3,300 $0 $162,000 $410,000 16 2003 $245,900 $3,300 $0 $79,400 $328,600 17 2002 $305,300 $3,300 $0 $79,400 $388,000 18 2001 $305,300 $3,500 $0 $79,400 $388,200 19 2000 $234,700 $3,400 $0 $47,400 $285,500 20 1999 $234,700 $3,400 $0 $47,400 $285,500 21 1998 $234,700 $3,400 $0 $47,400 $285,500 22 1997 $202,400 $0 $0 $39,500 $241,900 23 1996 $202,400 $0 $0 $39,500 $241,900 24 1995 $202,400 $0 $0 $39,500 $241,900 25 1994 $192,900 $0 $0 $56,900 $249,800 26 1993 $192,900 $0 $0 $56,900 $249,800 27 1992 $219,600 $0 $0 $63,200 $282,800 28 1991 $210,700 $0 $0 $79,000 $289,700 29 1990 $210,700 $0 $0 $79,000 $289,700 30 1989 $210,700 $0 $0 $79,000 $289,700 31 1988 $182,100 $0 $0 $55,500 $237,600 32 1987 $182,100 . $0 $0 $55,500 $237,600 33 1 1986 1 $182,100 $0 $0 $55,5001 $237,600 Photos http://issg12/intranet/propdata/ParcelDetaii.aspx?ID=15924 3/24/2017 Parcel I Detail - . .ge 4 of ►",y�,j .'A �` & i y,�/rs� � ..s� 1 'j�y�,�Z;y� 3.,��g�S htt • • - • • •• . ' . - D- • 59241 Message . Page 1 of 1 Coyle, Brenda From: Coyle, Brenda Sent: Friday, March 24, 2017 3:01 PM r To: 'njenkinsadvantage@gmail.com' Subject: 390 Elliott Road Centerville Good Afternoon, Nelson I'm in the process of typing your Agreement for Accessory Use of Residential Buildings Associated with Residence.Sally wanted me to remind you, that you will need to obtain another building permit for the changes. I will let you know once the Building Commissioner signs the Agreement. If you have any questions, please feel welcome to contact me at 508- 862-4039 or Sally at 4031. Thank you, Brenda Coyle Permit Tech. Town of Barnstable 200 Main Street Hyannis, MA 02601 3/24/2017 . _ Bk 3�e376 P:o 147 41-14453 Town of.Barnstable THE T Regulatory Services snRxszeaie Richard V.Scali,Director asnss p 039• �.•� Building Division Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601. Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR ACCESSORY USE OF RESIDENTIAL BUILDINGS ASSOCIATED WITH RESIDENCE I Nelson C. Jenkins, President of The Jensett Corporation the undersigned of The Jensett Corporation,being the owner of property situated at 390 Elliott Road, Centerville,MA 02632 holding title under a deed recorded with the Barnstable County Registry of Deeds in Book 29832,Page 241,being shown on Assessors' Map 224 as Parcel 140, hereby agree, certify, warrant and represent to the Town of Barnstable that the 2°a Floor above the Garage in the residence located on the same parcel as above-described,which contains Great Room above the Garage, is not intended for and shall not be used as a permanent, separate apartment for year-round or summer occupancy,for rent in any fashion. The intended and authorized use is for the occasional guests associated with the residential use on.the same premises. This separate unit shall not be used for a"Family Apartment" (as defined in Zoning Ordinances)which would require application and approval of a special permit and compliance with the Family Apartment Rules and Regulations. This separate unit shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules,.regulations,and zoning ordinances.. This Agreement shall be duly recorded'or filed-at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated,which shall run,with the land and binding future owners. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this day of Vdy'cl 2017 . TOWN OF BARNSTABLE OWNER:The Je orporation By: N son C.Jenk' s,Pre 'dfnt Paul Roma Building Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date I A(Zyt G) Z7, 2,6' 7 Then personally appeared the above-named (owner), Nok'(OA G Tt ,I i:-_' and made oath as to the truth of the foregoing instrument,before me. Notary Public My Commission Expires: r�i�r ,� 9b, MARiANNE SY AID lot Notary public COMMONWEALTH OF irU►SSAli11ETTga Q Word/accessoryagreement BARNSTABLE REGfSTRY,OF DEEDS "n"SSiO"�xwres May 23,2019 John F. Meade, Register w 1{1, �I r ;w Y� n� l r .. } TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel I Application #� 3 - -1-7 Health Division Date Issued Conservation Division Applicatio eeq&9�5t ) Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis ,GA 00 r ol Project Street Address Village Owner_ �oil��. � �.e�S' /Ja ,r1s1,� Address Telephone Permit Request , VQ2;z/1 A,6 T 4 /r10 �' T Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay O Project Valuation �AC2. Construction Type 3 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supp%tin °ocur%ntation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) j Age of Existing Structure 7 Historic House: ❑Yes ❑ No On Old King's Higlj�ay-A Yes ❑ No Basement Type: ull ❑ Crawl ❑Walkout ❑Other � �(1 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: &Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ®"No Fireplaces: Existing �� New Existing wood/coal stove: ❑Yes 3'110 Detached garage:�existing x'iss ing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ new size Shed: ❑ existin ❑ new size Other: g 9 — 9 — Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name --J! Sir/ v/�r�/ .�� Telephone Number Address _, ��S17� License # Home Improvement Contractor# Email _ rr�Y �r/ Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 3—o? 7-1 � fl FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Town of.Barnstable THE TOE Regulatory Services &"NST,mLE, : Richard V.Scali,Director '16 �.•� Building Division Tf0 MA't _ Paul Roma,Building Commissioner - 200 Main Street, Hyannis,MA 02601. Office: 508-862-4038 Fax:i508-790-62N AGREEMENT FOR ACCESSORY USE OF RESIDENTIAL BUILDINGS ASSOCIATED WITH RESIDENCE I Nelson C. Jenkins, President of The Jensett Corporation the undersigned of The Jensett Corporation,being the owner of property situated at 390 Elliott Road, Centerville,MA 02632 holding title under a deed recorded with the Barnstable County Registry of Deeds in Book 20832,Page 241,being shown on Assessors' Map 224 as Parcel 140, hereby agree, certify, warrant and represent to the Town of Barnstable that the 2nd Floor above the Garage in the residence located on the same parcel as above-described,which contains Great Room above the Garage, is not intended for and shall not be used as a permanent, separate apartment for year-round.or summer` occupancy,for rent in any fashion. The intended and authorized use is for the.occasional guests associated with the residential use on the same' premises. This separate unit shall not be used for a"Family,Apartment" (as defined in Zoning Ordinances)which would require application and approval of a special permit and compliance with the Family Apartment Rules and Regulations. This separate unit shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules,regulations,and zoning ordinances. This Agreement shall be duly recorded or Bled at the Barnstable County Registry of Deeds/Land 'Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated,which shall'run with the land and binding future owners. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this 2 7 day of 201 7 . TOWN OF BARNSTABLE OWNER:The Je orporation' By: N son C.Jea s,Pre ' nt Paul Roma Building Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,''SS Date . MQy-GG1 'L7, 1 Then personally appeared the above-named (owner), .lyyt G' �.e'�'1 t �� and made oath as to the truth of the foregoing instrument,before me. Notary Public My Commission Expires: ffi, MARIANN�f S(J IV1IN ' Notary public " COMMONWftTH OF p1�SSACi1tl ETTS r Q:word/accessoryagreement: BARNSTABLE REGISTRY.OF DEEDS MyComm►ss Exres " May 23.2019 John F. Meade, Register Of-Vff .669 ashhig# Ir�ar afF� PlersL'Prlrd Nam y� �gf I Phony �� Are.yra a emplagerZ Chc,At1mappropriafebc= �f��Q�O T of ect L❑Ia�a�lag-��x • � []Ia�aD�Tca�cksr�I * lave Iured ffff:sub cam 6 ❑Ids coasf= e I'f��.(f M foe gar�fime�. 2❑lam a sole groid arpartBes= • fisT�d calftxe s1f [] ode ' sf i and sgaesnpl ees sssls�on�iaefnr�ham 9- []Fema1 cam-i==CI-# 9. 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J.V Yy u V 1 J l u l A.&P L- a.Iv iv i ` Regulatory Services _ Richard V.Sca14 Director Building Division t 4 Paul Roma,Bui1dmg Commissioner 200 Main Street, Hyannis,M&02601 �¢ ~~ ►+►� www.town.harnstablema.ns Office: 508-962-4038 Fax: 508-740-6230 HOMEOWNERLIMSE EOWTION 9 7Plcau Print DATE / JOB LOCATION: vale n®e home phoma# work phone# CURRENP MAII.INGr11DDRFSS: � "l'��! 14T�G . �itynuwn s-bilm zip coda The cent exemption for"homeowners"was extended to include owner-occupied dwellmas of six units or less and to allow homeowmrs to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. )DMRC ION OP HOIlMOWNER Persons)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-famrly dwelling,attached or detached structures accessory to smh use and/or hnn structures. A person who wner-.Such constructs more than one home in a two-year period shall not by considered that he/she shall be "homeownee'shall submit to the Building Official on a form acceptable to the Building OflicK responsible for all such work pedaled under the building pggq (Section 104.1.1) The undersigned"homeowner,assumes responsrbi�ity 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 min inspection procedures and requirements and that he/she will comply with said procedures and ;quircm. e mature ofHo Approval om 11r E;Official _ Note: 'Iluoe-family dwellings containing 35,000 cubic feet or Iarger will be required to comply with the_ State Building Code Section 12TO eonsftuction Cunt ol. HOMEOWNER'S EXEl1IP''IION 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 1091.1-Licensing of construction Supervisors); s)for hire to.do such work,-that such Homeowner shall act provided that if the homeowner engages a Person as supervisor." Many homeowners'whouse 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 tale responsibilities of a Supervisor. On the Iasi 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 Regulatory Services . r JIMIN Err' IL , ' Richard V.Sea%Director_ _ 7dABB. . Building Division Paul Rama,EuzZdmg Commissioner 200 Main Street Hyannis,MA 02601 www.towmbarnstable.ma.us Office: 505-862-4038 Fax: SUS-190-6230 Property Owiler Mu§t Complete and Sign This Section . If Using A Builder - as Owner of the subject ptopetty hereby-anthotize c�/o / " i' 7��5� •-[�- to act on mp behalf, in an"-I'A is relative to work authorized by this building pertni-t application for. �= (Address of Job) **Pool fences and alarm. are the tespoasibility of the applicant Pools are not to be fill6d.of utilized before fence is installed and all final . inspections are petfor_med and accepted. Signatate of Applicant P tint Narne P:dnt Name Date QFOR7,20WAMPMUMSIONPOOLS e Xsr4�4 ' X�- • 61= 000"00 (NZ ` lywve /J7 r Li fi r . - La ro ov CD �ZV77 /V Z!Ilvllle�s ^i" 714 i!) i .r� is s I I I Ll f "'AR 22 2017 Ff I, 310 RED WET *�Pt� A)F-i-SoN JcN,tiNt 3 0 OAR REF o CENTE_Rtir�(� I'h � 3 : t r II N s .._.—po6 —I TOWN OF'BARNSTABLE BUILDING PERMIT APPJ ICATJON Map O` �� Parcel I V: OWI!l OF BARNSTABLE Application # ��' -7 `�✓ Health Division :t i Asa �: , I. Date Issued ..� 0 ., I r; Conservation Division_ Application Fee Planning Dept. Permit Fee 10 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address 12c� �ress __ 0 90 /`c�7 Village .FiVT._.12V1 /l✓ X �i� Owner _ .� D.rO � ,��/ ie/S Address ,���.s�G �rc Telephone Permit Request /S ® 1401 d� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation)66W. Construction Type �yyl�pj Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure /�77 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: O'Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 0 new Half: existing / new Number of Bedrooms: existing —new Total Room Count (not including baths): existing _2 new First Floor Room Count Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑Other yp e Central Air: ❑Yes ®'No Fireplaces: Existing & New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ®'existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ s Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name � ��e/ ,. ter/ /.�✓S Telephone Number Z Address 5, 72L � License # gg2wi-�ee Home Improvement Contractor# , Email Z/� ,yKi.�/.SAdt/.q.� ��in,��/lacy! Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 7/_ all si Inc SIGNATURE ' DATE ar 7 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER. e DATE OF INSPECTION: FOUNDATION FRAME INSULATION f FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r Dvwftxwt afIndwbid A ' 6M W ox BaMY4 MA 021Hers . AAigaida —� Pl�ase Print A.d&e Are you an em layer?Chec kthe appropriate ban po4�14e Type of project �_ - I_❑ I am a emp1cyerwi& 4. ❑I am a ee�.tal ca kactur wid I * bm hiredgre m fi. El New aoIIsfrn an - e�lrees(mil motor gart-Qime)_ 2.❑ I am a sole gDpdatw orp ut= I ❑Rem o g' 93ip aad b3V8 no eMPIOTM R Demolition wcd-ing fnrnm is arty capacity- aadbxM waders [No 'camp ice 9. ❑Bush addsftfln i ❑ We are a=poremn and its 10-❑Ekdrical regaim or adds 3. I ama h ca e r doing all wade access have exerted their 1 L❑MMA&gxepairs or adakw* , MYMMLf Pk worbaw oomp_ ligbt of per Md 12_p Roctfsepaim, ias�attce re 3 j i c.l_i2,g 1{4k andwe live as emplopees_[No wmiemaI3_❑f�er . TS.�submt&irEffidnE 61EVXmkMMIL&MIMMUMM&C Sad7_ �®L�79�CbPl�fj78�?�Ct Pdffi9A9jI; 92Shed arnut*nw . EMPIDYML Tfftsnb-crmkoeshmve empIvyea%f ueYamsrym3 i&&w adame mrsp panics n=kb- I tsu[�ErrrplQJar f7�'isgrQuia4rtg tvar&ets'raare�,�arr irrsarages�or�r;}p earp� $el'O!P is trice prr8ey a�uI)G�F3�1�8' �arraairoa � _ rr�.�.,n• yr � �' Oil/ v a. 'PORCjT.41or. Job� dress: _ Attach a copy of the Warmers'compeasafi=policy&Cbwafion gage'(shaming the PO&7 atMber and expiration date). Faffim fa sew coverage as requinA=kr Section 2-%o€AIQ.m IS eau lead to f5e imposdion of aimizai penalties of a fine up to$L5010D=&or we-yearimgdmmmerit as WeIl as civil penalties in the f=m of a STP WORT ORDERand a fim of up to$250M a dog againd the violad. 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W1" ■1/ : ■... ■ ■ ■■ • ■ •w■ :1••l. ••\1 • �" !• .a_.a •■ .. :/ .11«: 1■I ... «I..�' .t■•It :I■• 1.. ■ •■• • •- ••• •.�..11. f.- VI:. m 1a a.■..•. r .+■■u■- .n. r_f ■um r:+ ..ais • l��■ tir c� - ■ ' ■II as ' 1• a � = �'► ' • to �• 1 AWC glide tQ Waad Co ort hi H-i7-fr FfZ d ftrevu:II a gzph �rrrrdzOrze Massachuse� ChL fbf Corapl agce(rso c��xs3oi i.i�` -� Scal?E• - Wald Spegd{3-sea.g1sfJ mpft lt►Md Eire Cafrmay g - Wrd EXPOSUM ..- For E7fba Prrs et# . 12 APPL.IC.4BQ1fY . NmT bar af`kxies(a raaf vi*i amme-&B in 1Z slrspe shag be consdwBd a stark sinries 5 Z sfarim I Ffi (Fig Z} 51221Z ' Mean RvaHeight � (Fig Z} _ft c� BuDdIng VV dff-4 Lhf (Fig 3) {{ Ba' Buiid'rr?g Ung14 L (Ffi 3) _"ft c BD" RuBcUng Asper.#Ra b(L" (Fg 4) - 'c 3:1 ' z .. - No�mirsa!Height Df Tallest Dpena-rg. (Ftg 4) c s'g" i.� FRAIENG MNXEMIDNS ' y General Mmplianm vrfth honing csin 1acgDns (Table Z) - - • - . 7-1 FDUNDATIDTr[ - - FDundsSDn Waifs meetng ragrarernerds c f 7BO MR 54(34.1 _ 22 ANCHaRA;E TD FDUMDATfDMt- 516`Anchor Bolfs•fmbedded or 513w Praptiefaiy-MedanM AnchDm as an affgmaiive in canrmefa Defy Bcd Spacing-general_._ .____._.-.- -- -(Table4) Bolt Spa=.=from endrjoint of plate FFig 5) ty c 6`--IZ`. • _ Bolt Embedment-mn=de --(Fig _ BDft Embedment-masonry (Fig 5) Plate virasber ' {F)-g 5) >3`x 3'x K' 3_1 FLDD'RS ' Ff ing member spans cfumked (per 730 CMR Chapter 55) Nladnurn FoorDpe g pimansbn (Fig 6) - ftc12! ' FuU Height Wall Studs at FDor Cp: rnngs less than Z fmm Exferi Wal Fig 6)_.-�_.________---•----_--- - h4a)1 rirn Floor Joist Seth Suppi ng Laa�earirrg 1►►►aits nr Sheari�a]I (dig 7) it 5 d llVlaxbum Ca rfllwaz'edFDorJDlsfs Supparar4lbadbmrbg Wal(s DrShearwall (Fig B) <d F7afltBr�r=ir7g off fi� (Fig B} — Floor ShE�a�g Type _(per 730 WR C&VLr 5E} FIDor 5healI*ig Thirdmess '_(pet 730 CMR Cfzapter 55) rL FloorShaatfimg Fasfarm- g - (Table Z)_ a antis at fn edge[—.In field 4.f WALLS Watt Height ; f cia earhg wab - (F•rg I and Table 5) Nan-�Qa�e�ring alLs_ _ (Fig 11)and Table 5) _ft's2J1` Wall Stud Spacing . — [Fig 10 and Table 5) fn.s 2--f arx WAR S Dfy Offsets [Fgs 7 .462 EXTER PLL WAILSz WDod Sftzs _ NDn4_na*earhg gaffs.- '(Table 5) 2x - l{-- Gable End V&ff BTacing M Haig It Endwafl 5Wds WS�,A iyc FDDr Lerrg$� -Fig 11) rye Gyp==CMMV Crft+,►SP Mt U -(Fig 11) —.it z D-9w aid Z x 4 Cbnff Lm Lafral Bear e P_B ft:o_c-(Fig - or 1 x 3 crag furring slips�16`spar�g-man.�2 x 4 blr�idng�4 ff:spacing frt�d}Dist or8ztss bays - Daabie TrDp Plat$ - - • (Fig 13.and Table 5) ft WC wide to World CarrafrUrtiOn irr.R77,-h ff,-Zrzd Avery: 110 xpli WM- d Zane ' Massa chasetts Ch ec QUA for Co mpliance inn crtm 530 r L I-W i.oadbsarn g.Wail Canrerfims - - Leal(no-of 16d common nm%-) (Tables WaII Connec3ions L.-det-ai(nD_of 16d con==nark) (Table H) ' Lid Beara�g Wad Operraigs_(regard��opening btu chart:ail openings fur campEanct:to Table 9} (Table 9) Header — SM Flaia-Spans (Table 9) . FLA Height St ds (no_Of sfiids► (Table 9) Nort-Load Bearing Wall Openb gs Cr=rd largest opening bUt check all Dpenhgs for campGancs to Table 9} Hesdef Spans----_ (Table 9) _ft- sin Plate:Spans_— (Table 9) _ft in.s 12' FLA Helght Sivds(M.of studs) (Table 9) - 5darfor WaB S1isaMing to Rmsist Upf3t and Shea[Shril lianeaW Mdng Dimension,W _ NDara•►al Height ofTaliest Dp nine ...._ �� She3ihingType (n r:te-4) - - [-dge Na Sgacibg _ (Table 10 or note 4 if less) Field Nall Sparing (Table 10) - In. shear Connec ion (no_of 16d cnmman naUs)(Table 10) - • Pe�ent FuII-Height Sheatfiing (Table 1 D) —% . 5%Add BDrral Sheathing for Wal(w9h Opening;,-Z S (Design Concepts) W04mLirn Bcu7daig Dimension,L - NDmuMl F•HeFght ofTafiest note 4 _ � gSp ring ((Table 11 or rite 4 if less) Field Nall Spacing (table 11) _ in_ Shear Conneclion(na_of 16d mama at nark)(Table 11)_..�— _ Par mart FUIf&Haight Sheaf .9 (Table 11) —% 5%Add5Dnai Sheafhlng far lull with'Opening>Tr(Design Concepts) VVa;Cladding - - R2±5d for V►rind Speed? . S-1 ROOFS Roofiramarg member—spans checked? (Forge UseAV►rC Span TpoL see BBRS Wehsife) . kcDf Overhang — (Figura 19) - fts srrraBer of 2'or C!3 Timms or FZaff:nr Connections at Loadheamg V►kb - prvprietary Connectors - f� if . UP ffft _ (Table 12) - P L aiEral (Table 12) r= Pff sh •1f_ _ able i2 •ear - (T ) S= P Fudge Sbap able 13 -- P� Cannec5ons,T collar yes not jtsed P�Pa9a 21__(T ) T . • - ure 2D _ ff s srrmller of 2'or LIL Gable Rake Or�ffDaker_� _ (E=r9 }- _ Truss or FtaL-r Cannecions at Non,-L a akring Walls - . PrDprie>ary Corarec�rs • Upi — (Table 14) U= lb. _ Laferat(nD_of 16d common rrWls) . -Roof Shea$ing Type 7BQ CMR Chapters 53 and ham?.) _bL?'TI1W VV&P - RF;d 9 aT te ass -(Table 2) - -1. Th7m c�t shd be met in RE;erIfirety,emiudmg the spexiffc excepSDn noted in Z to camply with the narke reeds of: 73D GMRS3D1 Z 1.1 ltern 1. if fba chack ist is met in ft enureiy than ffYe frAowng mail straps and hold downs are not files WFG1�1110 mph tliide: -- uired _ � P� a steel Snaps per Frgur e f� - b. 2h Gage Straps per Figure 11 _ r LIpM Straps par Frgum 14 ri All Straps per Figure 17 m Comer stud Hold Downs per Figtm 13a and Ftgum lab _ Fxr-eptiom DpenkV heights Dfup fQ 3 it shall be per vlfe�d when 5%is added to the percent M-height shaafhhq ,requkarffanls si a in Tables I and 11. 3- The bo8nm-cal plane in exterior galls Shalt be a ntin]n70IIit 2 in_aDmIr ai thicimess presstae P-gta-k _ - • - .. - - _ - to - - . �FVC Guide fa Wbod Carrsr�-uctiorr rn Idib�fr HirrdArffar-110 mpfr fHr=dzailz _ • M2saachuse-fs Checklist far Camgdaace(7f o.c&-fR�aot f 4. - a . From Tables 10 and 11 and ID=e n of wan d aff ffg and gtnldiifg AIP'#RdO,dOWMIlne Pt=.nt FLS-Height. Sheadhhng and NA Spacing reg*emWts` _ - b. WDDd cf„c t ual Panels shall be rnIffhLun fhiclmess of 711 S`and be InshOad as fbnows: - f. Panels shall be hnswed Wh sfra nA ands patatiel in sites. " FL All h=m tW joinhs sfaR=r over and be Walled fn framing FL On sh 4B s4nry=Stuc5on,Panels Sha be ahtrfiad hn boffom pWW and tnp inember of the double tDp per- - iv. On htm story=mtuc5=4 upper parok shall be alfachad to fill top member of t p.upper double top place and tb band joist at hotnm of paneL UpW affajur=t c f 1mver panaJ shay be made is band joist and lower aff mcfun t made io low plain at first Boor framing. V. Horknnfal nail spacing at dpuble tap plates band jalsts,and gkdam shad'be a double rotor of ad sta2gered i t 3 hacheS on carder per figures befot4:Vmfmd and Hcemnhal Narng for pane!Affachmenf S. Cog Profec5=a)new house orhDt=Ttal addi5on—reQtiu�d if projectis i nine or cias -fo shore(geneaaify,south of Rff-- 28 or pmlh of Rfa_S) b)var6ral addMon—not required unless fhere is Wiz:ranDv4on is$le 5t3t$nor c)repl2O=arhi+r¢id=s—needs enmwconsw-atbri rrsmpWr_g onfy(chap B3) " S_Wood Frame Constudon Manual.(WFCM)for 110 MPH,Expos m B maybe obtained fmh-i the Ameritfn Vtraod Counr7 (AWC)vin _ _ 'AY• c _ • it 1l. t. _ Cff rx it=' r r it tt ' to h '►�— r _ +t Ua t s +r t` +�Q ii ft t r Q f i tt ti t7 uti r a u � t i t tt t r �. u ge ll qq i ! L T7 jr _ '� 1i4'h� � ncsr r�c bf.ta cs�rs�AC�Dc�SAL se—a Daly on Next Page - -Yerfical and Ha�Z T Haffng i�tsfall for Pates Attanhment ` al lid Noriz�r�[Naf7ug fb E Panel Affsaf ant - Town of Barnstable s Regulatory Services Richard V.Scali,Director Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us u Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must. Complete and Sign This Section If Using A Builder as Owner of the sub' property lect P PAY hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) **Pool fences and alarms ate the responsibility e onsibili of the Pools a are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. igna e o er Signature of Applicant Print Name Print Name Dae QXORMS:OWNERPERMISSIONPOOL4 Y Town of Barnstable Regulatory Services Q1F Richard V.Scali,Director Building Division . swsxarANA s Paul Roma,Building Commissioner MAM ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: /1_1�JOB LOCATION: 9 l/ jD77-K 11 F�� �y numb ! village "HOMEOWNER": �/1/�/!✓� 77 /J�/ S��l name home phoneee## work phone# CURRENT MAILING ADDRESS: . _T Z%//cSTl� .�/✓�Z 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 an quirement ,and that he/she will comply with said procedures and requirements. gnature of om er - Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION _ The Code states.that: "Any homeowner performing work for which a building permit_is required shall be exempt from the provisions of this section(Section 109.1.1--Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire-to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming,the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit fomis\EXPRESS.doc 06/20/16 5 TQ. U URI STABLE of i vk-n-A *'I,c MIA 559610NOS- $` N r �i�+tb5ts�9 Zsvns 9 apCk C rrrac�E s-rF_P � CCNOCeLVIL-LC c' 8'�soN®ru��s y' A 71 Rl 2X g tit JO/.C1` q Q VO f2_f go7N smoc r Ado C7 p L V HvR$Zt(RtJC CL-,^5 Toly ro guar' LI-9- navy 2"1S7Immm, 202� PT POR7 Al, it -.7 r-7--- j. IlCaSIA10 ------------- 2x 1 c, F , 14 Ou 5 E' I L li if I Ll P" _.I.ELffJE /v'7 ........... ... .... Oc... IJ, FOOT' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION G1D ii Ma D Application.# p Par el cC, B�1l�.OPN D I Health Division pT Date Issue Conservation Division AUG 312016 Application ee Planning Dept. TOWN OF BARNSTABLE Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address9� Village Owner r�.S2 AAO / / /il✓S" Address �� Telephone — W— f& Permit RequestWdZw w iS/ ti lw f® GU //[✓ l� / x7L �i4i Gam' // T i' Square feed: 1 st f or: existing ing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project ValuatioZZ.;1_229. Wconstruction Type Lot Size Grandfathered: ❑Yes 2 o If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family (# units) ` Age of Existing Structure �` Historic House: ❑Yes Flo On Old King's Highway: ❑Yes a eo Basement Type: ZUII ❑ 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: ❑ Gas U Oil ❑ Electric yp ect c ❑ Other Central Air: ❑Yes ®"No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ exi ting ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION- (BUILDER OR HOMEOWNER) Name �'l���if/ ./.Ei(�i�/, .C� Telephone Number Z7141—j'R- Address ,�0 License # Home Improvement Contractor# Email /✓lEri��i�S' /y�1rr✓ ��/J9A�/�®�Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTIINNG- FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATES FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VI LLAG E OWNER I DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r•` _ ~, 4 AWC Guide to Woad Carrsfr=liorf La H!;Tfr Fimd,4rias:.11rmPh Pr7trdz'On9* Massachusetts CheckNst for ComoanCe 980 LMR5301:2.l.l)l - RI M . 1.1 SCOPE. V&d Speed{3-s=gust)_ — - 110 mph Wind IxpD=m category - s -- 1.2 APPUC B►LIiY . - -- ----'_Number of Rk ies(a roofvficii ems 8 b l2 siopd—�hal be-mnsider d a sinry)- sbrk s-:9 2 sfnries.- Roof PSI, _- ' - - (Fig 2) _ s 12-12 - Mean Fbof Height -_ (Fg 2) ft SIT Binding Width,W (Fig 3)— Bt Bmldirrg Langfft,L - _ (Fig 3) _t�_s Sir Building Aspect Rafio(L([r►r} (Fig 4) s 3:1 - N ninat Height afTaIlest DpeffmgZ _ (Fig 4) 13 FR4I.li NG CONNECTIONS . General compranmewffli frarzung r_nneci nrm_ (Tablet) _ ---- . 2-1 FOUNDATIDN - Foundsfion Walls meefitg rDgL*ernerft of 7B0 ChIIR S4D4.1 - Canes-_�._.. .___._.._._._..----------- - - ------- -----------.._---•- -;...�.. -._-_ CDncreta.Masonry_ -. 22 A CHORASE TO FDUNDA-RDRt3 - - • 518"Anchor SoJfstirrtberjded or sIB'Ptvpriefaiy htierfianiral Anchors as an alfa<mafive in cones only . Batt Spacing-general.-• --------•-------- [Table 4} i� - Batt Spa=g from eudrjomt oFplate (Fig 5) in.s 6=-12". _ Bolt Embedment-conra-eb (Fig 5).__ _in-y r Bolt Embedment-masonry PIS Washer. (Fig 5) 3'x 3'X T 3.1 FLDOEZS - Floorfranung memberspans checked (peS 730 CMR Chapin 55) - Mmlm m Floor deeming annemm- (Fig 6} c 12' •. Full Height Waff Stzrds at Floor Qperiings Iess ffr n 2'from Exterinr Wan(Fig-6}_.:_.--------- ' I►rihD*mbnFloor Just Sefbacka ~---~-r• - SuppDffng Laadbearing Waifs ar SheanVA—(Fig 7) Maxhnum Canfrlevered Floor JoisLm Supporting L'aadbSalutg W or Shearwall-_ (Fig 8) Floor.Bradng at Endwalls _ —[F9 9)- Floor 5h�aff�ing Type _(per780 CMi-Chapter 55) Floor Sheativng ThMmess -(per 730 GMR Chapter 55) Floor Sheathing Fasf e4mg_ _ (Cable 2)_ d nails at in edge f_in field , 4_f WALLS WaD Height - Loadbearing crags (Fig 1-0 and Table 5) ft"_C 1 tr Mort-Lo adb�ring Walls- (F►g 10 and Tabu 5) ft-S zT V&U Sfud spacing .— (Fig 18 and Table 5) _In`5 2.:Vl a.M - Yifaif Story Dftseis -(Fgs 7&8) _ft c d 42 EXTM ORI V ALL5a lhfood Studs _ - L�dbeariag�t%raDs [Cai?Ie�} :..—.•�c_-_fit_in. _ Nmg_madi erring walls.+_� ;(Tab)e 5) Z)c_-_ft_h. Gable End WaD Bracing' FWD Height Endwail Studs ,Fig 1 D} _ - WSP,AfSc Floor Length (Fig 11) 'Gyps=Cabling Length[ff W5P not Used) (F)g 11) ft;_a-m - - mhd 2 x4 Confi=ous LaferW Brain P_B fit:a_c-(F91i)_..__..-____..------•-- or 1 x 3=Ttng fining slips 1Fi spar ingz*L wn 2 x 4 bb=k'tg @ 4 ft.spacing in end jarst ortn=bays DcFahie Tap Plafa - Rprrm Lan-nth (Fig 1s and Table 6)_ 4._ ft _ c�prrm CbDmec&n (nn:of 15d mrnmm nail=)- (Cable 6) A FYC Guide fo Woad Can xfmcft,777 iri pligfr - � achasetis Ch e ekat fQr Comp Ban cecnooviR53o1 711)I Loadbearhg V&u CorlRec5otxs -.Ia (no_of 16d common ros) (Tables 7) - NeBring Wag Connections Latar-al(no_of 16d common nags) (Table S} .--- Load Bering Wag Openings(record largest opening but dh a al apenings for compliance fn Table 9) Header Spans (fable 9) —fE—in.<11` Srll Plats Spans _ Fug Height Studs (no_ofstids) --(Table 9}.._. Non4xad Being Wag Openings Cre=d la Umt opening but check aff openings for compliance bn Table 9) • (Table 9) _ft' itt_5 tZ` Header Spans___-_— (Table 9)_ —fr—in 5 tr Sgl Plate Spans.— - Fug Height Studs(no.of studs) (Table 9)_ . 6dejiorWag SheaMing b Resist Upltit and Shea[Simuffaneousv _ _ hlf'mimr art Scalding Dimension.W NDmW Height ofTallesEOpe:ningZ ._•----------- — — ' Sbea:$►ing Type ____(not--4)_ - Edge Nall t3parnig - (Table 10 or note 4 if less) In- Field Bare Spacing_ (labile 1D) fn_ ShearConnecfion(no_of 16d Common nails)(Table PercenEFuff-Heigf�E•Sheaifiing_ - (table 10) — 5%Additional Sheathing for Walt W fh OPenfng>•6'l3S"(Design Concepts) -- Maxdrnurn gr uldutg Dimension,L - 5a" hlomhW HeightofTagestOpeninq?--_____-----------------..--------------Y — e— . FS�hg� 9 Fagg— (fable 11 or nofr=4 if less)_..._ UL T able 11) m- �e{d Karl 5 R . F Pacing no.of 15d common naffs — Shear Connection( }(Table 11)— _% percent Fug-Height 5hehmg {Table 11) - 5%Addrlional Sheathing for Wall with Opening>:6'B'(Design Concepfs)_ Wad Cladding - — - Rafad Jbr Wend Speed? 5-1 fZOOFS - R.aof framing membersparts cherdmt7 (For Ratters use AWC Sparc Tool.see BSRS•Websi�) Roof O�rerhang ----(F �g l9) _ ft g sma0er of 2'or Cf3 Tres or Rafter Connections at Wadbearmg Wags Proprietary connecbrs U-- plf Upltit (Table 12)_ _ PT Ural -Rable 12)- Sheer [fable 12).— p�- Ridge Strap Connections,if&agar ties not jlsed per page 21_- (Table 13) T Plf - - . - Gable Rake Otrtlooker —___ (F ut�2i)).��- ft s smager of 2`or LIZ Tcuss or Rafter Connections at NorA oadbeMng Wags - - Propriebuy Corners able 14) U= lb_ Upfdt_ - (T . Lateral(no_of i 6d Common nags)—(Table 14)------_—.-------------._.—L Rtaof 5heafhing Type (per7BD CRfiR Chapters 5B and 59)-----_------ . Roof ing Thickness.—. _- —in_?T/16'WSP Roof&mat ing Fas�g (fable 2) _ - — Not '1. , This dust shall be met at r�s en5rety,exciudmg.ff a spec exi�p5on noted in 2,in comply with the requfrernert�of 711D CMR-5301.2.1_1 Item I. If ff-a cheddst is mat in rls entirety ff-rm the Mowing metal straps and hold dooms ate not raqLfired par fha WFCM 110 mph Glide_ a_ Sfref Straps per Figure 11 - - h. 2A Gage�per Figure - c Uprut Scraps per Fegma 14 d All Straps per Figum 17 _ _ Carver Stud Ho)d Downs per Frg jm 1 Sa and Figure 1 Bb _ Z . e=epbom Opening heights ofup.to B fL shall be Permed when 5%is added fn the percent fuQ-height shetfting ' •reguirernerft,,shoes in Tables 10 and 11. 3- The botfnm s9 plats in exterior waII_s.shall be a minunurn 2 fn.norrtfnal thickness pressure itt s$2-grade. r _ tiFkrC`Gr�ide fQ f�`�arl Carrsi5-uriort zrr I �fr f��uzd.4reas_lion h mud ooze Massa chusett •Checldist for Compliance cmQ clvI:ru4aot-7:f:1)r 4_ - - a. From Tables i D and 11 and ioca8on of Wau WaaNn9 and E,hAr mg Asper#Rabfo,determine Pere&nf Fug-Height SheWmg and NA Spacing requiremerrfs - b. Wood Sbuciural Panels shall be m]nhmn fhiclmass of 7116'and be installed as frADws: - - 1: Panels shall be Installed Wb strength ass paral<el to sleds. n- All horb=tal joints shall o=r over and be nalled to finning_ __— rn_ Dn single stnfy=nsfiuucfion,panels shall be atbdied b bDtiDm plates and bnp.inember oFfhe double p--- — - _ two-sorry raneb rr-Bo0.-upper-panL-JsshafLbb--Ached toJhe top member-af-iha upper double.to phda and fa band joist at bofbm of panel U P Upper aifiarF+mrnt of lower panel shall be made to hand joist . and lower afiachmw t made fn lowest plate at fast ff¢orframirrg. , V. Horrmnfal nail sparing afdwble top plates, lxmd joists,and girders sha l-be a double row of Sd - staggered 9t 3 inches on carder per figures below:Varffrd and Horfmnf d htarTrng for Panel Affachment $. Glazing prvferd;art a)Crew house orhorimnfall addr�on-rerjtrired�projerf'Is i mr7e or dosPrin shore(geneialfy,south of Rfa 7-8 or north rf Itfa,6) b)Vi?I�r1r I addffion-not rmlWad unless them is a, renmrdon to'Hie fast floor c)replar;amerrtkidows-needs eneW.consetvaf Dn mrnpWq!only(chap 93) " S.Wood Frame Corrs$uction Manual(WFCM)for 11D MPH,Fxposttre B may be obtained fram the Arnarb�n Wood Cauncrl (A�fJC)wef�s V _ _ r ' l te�ssrsnat • t. tr •t ' t l u = •a. _ ti rr r , - at - i t • 'Q it �@ ar 1� I[ t m ii rnl It It 'I 1=- rt i rt}_ tt i t l • � l` . s}� r 1 ` a>sbrrtve r�r.,�= _ tt t.i ra tl t ! t E [ 1 sJs = ' t •� fI ll~ - I t t � t i itii c t c [ i Td1cL!'4II ,f z PANEL tiiS — '� - +Fa32E - AQr1�1=144JLE�]GESPAC tEUXL, Sea DSW Pn Nam Page -�eriical and-Hora�n{a[l�arTrng : ' Deft( • , , for Panel RtEach=t ' Ver5ml mid IJDAM;nW Nailing _ for Panel Affacztlmerit ' 77m Coznutamveah%ajf 1Massadtusetls Deparivre ut 0' r-triaa1Acddd7dg r. G o}��gatoiss. -- 600 WashiNgtOR&reet .Boston,M4 02HI TMIRma-v gmldia Workers' Cfumpensatimt Insurance davit lhilder-JQ m- tra--ctursfEkddgiausJPh�nbers AppRican#IIIfGr=aHGXE — Please PriIIt f ' Addr D G ' case you an employer?Checkthe appropriate ba-m da T �fp ra ect r❑ I a>g a employer u'itb ❑I am a general canfz$ctcr and I F ] = employees(full audforpar time * have]aired.the subLcoatmctom �- ❑ consaucEion 2.El am sale pzo�psiefar argastner_ listed on-fete atfgclYed sbee 7 []Retnodeliug drip and have no employees These sub-con�tract=have � �Demaliiiflg Wading, far IIte in a capacity employees aadhaveorlcers' WO wudm S'camp.in=-ance camp_ms=v--$ g_ ❑Built adEfion (] We are a corporafion.and ifs' 10-❑Electrical repairs cr a dcEdous 3- I am.a homeouner doing all Work officers have exercised their 1 L[]Piutabingregaiss or ad&tians my-self[No workers'oamg- fig�t of exemption per MGL i7(�I�oofrepais is+cnranre ret IItEBd.�f C. ,§1( andwe bane no employees_[No Warizers, i3f £?Hier mmr er�ca) OAmy aPPa lint dhed�Box R test alga fM oatthe swffcm below-,&a= e- g � campezmdjan Ha Mmuers VdW suhmft dns affidaeii instic t. Poycgiaf Mn2ff L g�'Y a�chin;siFaraa3c sad6�ldxe aut9der,+..+,�re,.r�st suhmk:L 3mwzmdzeit mdieafin rx fCautm cfoist3ur chec3t i3¢sbox mast zttadfea as additiaast sfxeet shamtag them of the gab camiisctas and stale trhethec arnat Phase e s_=emPkryees.Ifthesuhtuat�aes�eemgIofw_%gheYamrtp ide h it marks,'cam . P PQ&5 aumltes I axt are euiplapsr tJirrPis prat.2dirrg ttrorkees�can�rtsrdiott ursrirartca,jor�rry emrplu}�ees $elaav is the paFicy arm jala sites ire,jarm¢hbn Ins mnceCompanyName: Policy 4 or Self-ice Uc. F�piaatiaa f�- Job Site Address: C. �` ziP= Attach a copy of the workers'compensatioap.olicy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredurider Section 25A o€MGI,c.15-7 can lead to the imposition of cdmhw penalties of a fine up to$UOD OD a r&or one-yew imp dsonmer,4 as Drell as ci7l pen&Wes.ut the fora of a STOP WORK ORDER and a Eke of up to$2fADQ a day aga inst the violafur_ Be adidsed flint a COPY of this shatement maybe fxvarded to the Of ace of Iavestgafiores offhe DJA for incnmce—covmga ve€ficabon_ Ida he rehy cet#5t andgr thif 'es aced puns gfpedju thatthe irf ornza�� . . .{` prm-ided abot19' tiug ed tre-, Date: 0Pd d uss anFj. Do not wrote in this area, be caatspletej by city ar bjvff 407ciat City or Town.: PeruribU.cease Issue x&ority(ca cle one): L Board of Health 3.Bwlrng Department 3.f ityfTowt Clerk 4�Electrical Iaspectnr S.Phnubing Inspector 6.Other Contact Person: Phone#: 6 Taformation and Tastrac ons 152 reggaes all�ployMs D pravide war ns'= ens�iaa for flieiF rnglayees- u�s�rh,Tsetfs C==al Laws ersGnat$reseavice of anoib�aimder nay co�ract ofb Pmsaaoti o ties staid,an�Ioyee is defined as _every P y impress or innplii oral wrap associafion,�poration or oti�s legal Y=or n two or mare is d_fined as as individual,p deceased layer,or the An P& m a joint ,andmch�mg fbe legal resea'faizves of a �p of the faregomg employing Mployees.. However file dyer or trustee of imdi4idnal,p �as�ociation or otherlegal entity, oftbe - not mote t ma three apmI mebs and who insides therein,or fb a occupant er of a dweIImg house h V nzg _ air wwk.on such dwDIHng house own canstra�°n or rep dw eIIing house of mffir who P= to da == be deemed to be an employer." or on.the gmmds or bmidmg apPt[ � iezeto shaIlnotbecanse of such employmaut -every state or local ficerrsmg ag cy shall wiffihOId$ie issnanee or 1_�IGL r_hapf�r I52,§25C(6�also sf s very in tiie commonwealiji for any e of a ficease or permit to operate a business or to construct badings ren wal -fie�suiaace eoYexage required- t roc aced acceptable evidcace of cd7nPEMM with _ - shall applicant mho has no pnor iay ofits polaical snbdivisrons Addztiona.IIy,MC;Z���_§����al�Tedherthe _ ���the insmnnce._ eui�r m� any caatrart fartheperformance ofpubfic�o��Z affable evidence of camp reqem uirents of this cbapt=have be=presented to the E0fh03iiy--7 _ fh_eboxes-fit apply t0 Your siiaatil and,if Please f�Il oirt tile-workers compensation affidavit completE .by d=ang their ce cafe(s) of sub cordxacfnr(s)name(s), addr'ss(cs) nPhonem=.bm(s)-atangwzth necessary,supply s w&no maployees other thanfh.e insetranee LimidLiA�F Companies g-LC)orl, edl iabr7ityP F ) are not ' to cant'wozkers' cumpmsafim iiLS ace If an LI.0 or F LP does have m-e�,rs°r Pis' m be s to the Depa,-Invent of Indzlsixial Policy is Be advisedthatthis affidaYirt may The affidavi�tshould Io ess a CY affidavit-� Y = P Alsa be sure to signs and dat��3re Accidents for conf=of m Of hz"ance� age not the Dr-pmtneat of be r�tomed to fireY or fDvrIl that fize application ftu the permit or license is b-`�regal u have any q�`d� g the law or ifyou are regnh'ed to obfsm a w d eutE Indastdal cd— ShouldYo anies should eamr heir compe�saiionpofiey,Please caIl the Depaifrneut of the rmmberlistedbelow: pelf-msareci r�P self-m crrr�n ce license m mbm am ire agproptiafs liIIe. City or,Town Q$cials_.- .._ .._---- -. __ - _ - ----- zs lete and Iegi� y- The Depa2tmenthas pro4ided a space at.tilebottom. Please be sure that the ID fM of imp Pad. has to contar-tyoureg� the applicant of the davit for you hi fll out m the event tare Office of7nv e sure to f M i a tire-pen t2 cease mrnbes which vffi be wed as a ref my nt�b� �affiidayt m&c�g can-mt Please b - 'ans m Yam•need only submzt an . ust sabmit multiple permii'Ihceuse applimfi any 1�= "aII locations in (�Y o_ fiat m _ , d oT1 uolicY information(if necesauy)and under`Job Address fie applica .h be r vided to the ' ed Or ciiY or tows may P ,� da ' f3iathas bey officially stamp Olt each vrt ed fhe-affi be hIl `own)_ A copy of "censer Anew a$idavaraJzst or Ti ' o that a valid affidava is on fle:[or�.pem.xis commercial ve�� applicant as prof alicense or e�ztnotrelatedA,aaybmir=s or year.'Where a home owner or citizen is obtaining P Iete Ibis affidavit (ie.a dog license or p�to bra Ieaves etc-)said Person KOT � camp ' n and ShoIIld you have any question, like to thank u is advance o Your coaperatr The Office oX Inw-�+�cafrnns would Ya please da not hesrtatC to t a call i The gepffifmmfs address,fnlephone and fax rMber_ _ T�a C=MMvMIa uEMRsMChusCtt9 AocilEnt of atlnvfiow-*MA U21.11 T61.. 617' -49OG rnd 406 or 1- ` Fax0 617-`27-7M , Revisea 4-24-0 T w w w_m a&e VAFa Town of Barnstable Regulatory Services GSM , Richard V.Scali, Director Building Division "A"MASS� ` Paul Roma,Building Commissioner 6s9. 16 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print. DATE: JOB LOCATION:_� �jOT�� number street /village "HOMEOWNER": OC ` name / home phone%## work phone# CURRENT MAILING ADDRESS: pity/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 1.09.1.1) 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. f - Si lure of Home 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." a 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 to amend and adopt such a form/certification for use in your community. Town of Barnstable Regulatory Services Richard V.Scali,Director •`� Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 F7: 508-790-6230 Property Owner Must. t �Coniplete and Sign This.Section If Using A Builder '� z�a ; . � ;�', ram• ,-.�' I , as Owner of the subject property hereby authorize to act on my behA in all matters relative to work authorized by this building permit application for: (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed.ind all final-�- inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name tx i✓F a�' P Date Q:FORMS:OWNERPERMISSIONPOOLS r Mass. Corporations, external master page Page 1 of 2 Corporations Division Business Entity Summary k ID Number: 001118018 Request � �equest certificate New search Summary for: THE JENSETT CORPORATION The exact name of the Domestic Profit Corporation: THE JENSETT CORPORATION Entity type: Domestic Profit Corporation Identification Number: 001118018 Date of Organization in Massachusetts: 10-07-2013 Last date certain: Current Fiscal Month/Day: 12/31 The location of the Principal Office: Address: 504 MISTIC DR. City or town, State, Zip code, MARSTONS MILLS, MA 02648 USA Country: The name and address of the Registered Agent: Name: NELSON C. JENKINS Address: 504 MISTIC.DR. City or town, State, Zip code, MARSTONS MILLS, MA 02648 USA Country: The Officers and Directors of the Corporation: Title Individual Name Address PRESIDENT NELSON C. JENKINS 504 MISTIC DR. MARSTONS MILLS, MA 02648 USA TREASURER NELSON C. JENKINS 504 MISTIC DR. MARSTONS MILLS, MA 02648 USA SECRETARY NELSON'C. JENKINS 504 MISTIC DR. MARSTONS MILLS, MA 02648 USA DIRECTOR NELSON C. JENKINS 504 MISTIC DR. MARSTONS MILLS, MA 02648 USA Business entity stock is publicly traded: ❑ http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=001118018&... 8/31/2016 1 Mass. Corporations, external master page Page 2 of 2 The total number of shares and the par value, if any, of each class of stock which this business entity is authorized to issue: Total Authorized Total issued and Class of Stock Par value per share outstanding No. of shares Total par No.of shares value CNP $ 0.00 175,000 $ 0.00 0 CNP $ 0.00 100,000 $ 0.00. 0 ❑ ❑Confidential ❑Merger ❑ Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS T Administrative Dissolution Annual Report Application For Revival Articles of Amendment � View filings Comments or notes associated with this business entity: ;ice.. New search http://corp.sec.state.ma.us/Corp Web/CorpSe,arch/CorpSummary.aspx?FEIN=001118018&... 8/31/2016 jog TAYLOR DESIGN tr LG -p 4. _ t� t :Lftcus aT�]a:' i_ me-CK-za EY ` M.A.JS�•C�!•JS�TTS J't'A�'l� .1'�s?ta..�r°;''7C.d�cz'�,8 - C,Dr�►J ..�..:__ 7oo ,F _ .. 4/`/"f_' •.`- '[�'. . y I`V9 4..pr. 4,^A, 'Po�.�s r TAYLOR DESIGN a T -PC- : Sr�-�`t3�;•=-t S P�±'S :Z4, � c.�,� - ._�Sit 4o.r_ SS,PS� ' • _:+ 'tl. .: .. $•ark Fa..8. •., � ,f..s. �„S .„t s + f.e'� x}_ f4 - 30.•�4�z4� p ... ` o t •fie. 't.,. - � f .. � ,, `� . " .k °M' . !ak>dW - af�j• ai :haWT 4 a >Y6 ... +L�c.� .e � J.w ad «�•,h.t +�.n«rrea,. +.M'^3i ..- , � t y4.E � f' F ..i y l4�L-Vt�'j c...'� - _ ex�sr'rice r�.•n �—�r—t�. ees Tulin yqLK�G�"�1["-etJ l.t� MMITM uTfEDRAL cvlim DRSTm nH BEAM W O.G &NWTRIM a ' ry Exisrews UNM 'WtlBV ,r4N ... MSTM 2dA 1*'0/— JOMT'9 NO Foos F O.N. DOOR W JOIST AT Tie"ME MW - 1 �h 9 m LALLI'COL. End ERD ., ; it V 3o c or,h Nm E ' STM BEAM ABO S � wo c xio�c, t 4 `fl 1. p•. "� by\,."' .7c. -� • � " a .. 3� d € n t]�D DAD n 8���y �A �y . T � �r�aa�SpacE �3 ���2s 1 "OkII/No q�G 31 Tows 0 ?416 P - q�STgeC� -i- �- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel . App lication Health Division Date Issued�'1S 17 Conservation Division_ Application Fee &9Z Planning Dept. Permit Fee 40� Z� Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address Village Owner A ax_✓ rd.S Address r G �� 1��Vw eyw,5. Telephone ,F Permit Request C `� . x �a r* , x� / 6t S AV /�, �x Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total riew Zoning District Flood Plain Groundwater Overlay Project Valuation CZVConstruction Type Lot,Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family O'/ Two Family ❑ Multi-Family(# units) Age of Existing Structure 7 Historic House: ❑Yes W- o On Old King's Highway: ❑ C�Yes 'I� ❑'Fu Basement Type: ll ❑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 I new First Floor Room Count Heat Type and Fuel: O'Gluas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes C�'No Fireplaces: Existing 3New�U�LDIIVg wood/coal stove: ❑Yes 9� Detached garage: ❑existing ❑ new size_Pool: ❑existing FEBvO�i � Barn: ❑ existing ❑ new size_ Attached garage: O'existing ❑ new size _Shed: ❑ exiwYaew size _ Other: FSAF3NS7'AE3LE Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ._,.,_lam_ Name d.�/ �t/r�/�►/�. Tele hone Number — ;�7 16_F1 N r' Address � J �si 7G .�- License # Home Improvement Contractor# Email i✓>,�i✓�rrrlSi��.o% �1 G�l�•/lo/1'I Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO lo SIGNATURE X'e/11 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. - ADDRESS VILLAGE OWNER i DATE OF INSPECTION: FOUNDATION . I FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i r REAR 310 tu-ior oo by ecvoN-Tevr�rUs i I `�p, Roor sN�esaiN�j 2� �2 v4 toss �.. 6�oG 3 13 to I g VJLs s U CLIPS 6�• aX 6 AdG SNEArdIN(� � ' tk6 msf 9-M � pc`Rsoal tdla� ho6.� BUILDING DEPT fE8 07 2017 TOWN Of BARUSTABL E 12oN'r 310 eWor iZf CEwrtrRVILLE NELSD+J E)Vr'W s 1 R��aE Rlr)4,LC V07►uT 3 ,�1� 16 03('5 , I i a*f FLO 6x Q 9� `OL %MQER ►E %F*MS $�Z �— 3- I'/ �c i 1'� LV L s oFyrrvEN r � R �.X�6 wRus \IZ A6 r 1 VEIZ f�cA►- I 6X% Exsls*T) (i 2)L10 Q IIV oc- 3o15'r Ar 4f3L EMps. �T. BUILDING DEPT° FEB 07 2017 TOWN OF BARNSTABLE /�an�aH ti4 Ali v N � z a- s N O � 0 d Sf} 61 �1 � � Q � Q S i r O ti H TitERVhI�TRv N 3o6$ x BUILDING DEPT, FEB 07 2017 TOWN OF BARNSTABLE 3EArn POC.KCt' 1. O s l � M ta<SiS71N4 Zx10 Ftpog •tortf COASTN4 Zslb Root sossir f i cx8 �VL Posr BUILDING DEPT: mod" toN�r�wT� i�o�NORtR�rJ 7 x 6 waw FEB 07 2017 TOWN OF 6ARNSTAf3 if The Commonwealth gfMam dhaetEr DaParbxemt&f1hd=bia1Acddaz& 600 wasbuwoa.S reet Boston,MA#2HI ' �-vrv��sma��g�av}���I�ia�//'Y� /�'+�� l�77 Wu-rke& �eniz1 lt{1Iusur di10 fdE�Hall.Lee Qm P�4Ll= "�L1.+4y�•iS uy r Fi mi errs Na= Addresw Are ya>r an ezaployer?.f�eckl3ze appropriate bay ® Type of project{req�ed}: I_❑ I oat a employes vreitb. 4 ❑I a:a a g coniz$ctor anc€I - ' employees(�11 aralfor part-�.me�* eve hired.ffze suer-coal G_ Iwlew 2.❑ I am a style proprietor orpartaw- tided mtlte att6ched sheet ship and have no employees These sub-comtactas have s wanting forme in any capacity_ employees and have wodmers'INC 9_ El addifaddition.■comp_ a COMP.Ri,CTifa,FR P 5. ❑ We are a torporatim a-ad its 1 repairs or ad&Ems 3_L11 I am homeovmer doing all vorit ofcen hum ese med theft 1L grepaim or ad&iems Mysdf[Na worlaers'oamxp_ of you per Mtn. L-�r�epairs t�ce required,-]i c.1Si2,J1(4h andwelmvrena � employees_[No wodss' 1J_0oa= camsp_insmartoe regwred] •�YB�aicheda'6oz�lIImstelsaf�o�th�sec�oabclaaslr�iagffie¢saa�'cea'mmp�+mfi,,••Pey�y ®- . F�ameovra��¢ho sabmit slris d $nep dn=do-ia.�d1F Wa�c e�ad�hae aatsideComzacm[samd So3tmit a new a�dseit m Sarli rCa=Cft='Mstcbecktl¢sbaitnill st =-Adis sheet sSoor€agthea�oEthesab ca �dstafe�he���notthnsee�bse� employees.If the snfi-�:shzm mmpluFear,gheY PM7vidLL&gff��'�.IaaTicga�lreL lam gun evzplapsr dutispravhURZ markers'canTmsmffan i=wa=fbr my eng7krom Below fs flteprr&cp avid jOb site isforezadozL Isvice Campauy Name: 'PajjCy41CWSeI€jnL Ito.;� gi iazzI3ate_ Job Site Address: esty Attach a copy of the warkere compmsationpoUcy declaration page(shoviug the policy mmaber and expiration bate). Failure to secum coverage as requirednudes Section 25A of MGL m 15 can lead to the imposition of coal pemattaes of a fuze up to SL50D-GD sadlor ax e-yearimpdsm=eut,as wcd as civs1 peualti es a the foaa of a STOOP WORK ORDEZand a brae of up to$250M a day againd ffie violdnr. Be advised that a copy of this statement maybe fornded to the Off ee of Iav'estsgadom ofihe DIA the in=mnm coverage v on_ Pala&ff*cwtyy uj Bs ' and Dma a 'pzdW r fFiatflee infarmadvaprntiderl t hum" bars id correct Siaaa_at""L- r Date- Q Phone ik ZZ49 Ojiddmeanly. 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D= _ ■ ■ 3 Bit. is ■ la_■ _• I ■Y 1. ••■ • ■IY Town of Barnstable Regulatory Services q Richard V.Scali, Director Building Division Paul Roma,Building Commissioner 1639. �� 200 Main Street, Hyannis,MA 02601 �a www.town.barnstable.ma.us Office: 508-862-4038 . Fax: 508-790-623 0 HOMEOWNER LICENSE EXEMPTION Please Print DATE: ✓J JOB LOCATION: number —�/_ street village "HOMEOWNER": r� =�F1•�/�JS T� f- �,�� _ name home phone# work phone# . CURRENT MAILINGADDRESS: ���� G crty/town state yip 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 strictures. 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. S' ature of Ho eo Approval of Building Official Note: Three-f anily 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 to amend and adopt such a form/certification for use in your community. �I r Town of Barnstable $ Regulatory Services B"JDIIMA� Richard V.Scali,Director s63�q. 0r�, * Building Division Paul Roma,Building Commissioner 200 Main Sheet,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 bebaK in all matters relative to work authorized by this building permit application for. (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools, are not to be filled or utilized before fence is installed and all final . inspections are performed and accepted. Signature of Owner Signature of Applicant J Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS KOOF l Efv E ACTS WALL. 5rHC747-l/n/Cl 5 s Iti CAT W►w L TOP fLATF ►n ore FIG ► S 0V A I �� Fa5c9 t} ► I, e ► i e (-Om vENr EDha ► +SEM4 f'O . m (� ® co ► ► , , O l � e rdu ffEMI"f�WOa Roof FRAf4L;I VG1 390 ELLIOT- RQ CENTERvILI.� M� x6 RiDEie Potr y%b aoST 3 — I3/4e,X I Z Lvt.BEAM a 6 Pot, j r / _ Z / N tV ' 4 A QO t: P T x I s elXiZ ROOF RRFTEGCS ` � X 1'd" LV R►OG� Z CAl"or l2AL. cewmial �. a \ AA Ll 6 Po5 r 3 13/y X IZ LvL R►DtiC 4s6 POST _ 16 , CD. Q r 6x6 R,tutE osr ® N CC VA CWM O CD tJ— 0 f t � `• 51 SON CoNNeF4T®R 2 3/41 y( �SO,okS , 00( plwecsr f ! TIE gEafAS f: Oc X6wRo F 66`Oc CL IL �! ` MR maparo • s .o oSt Fe F EfSISTINIT - - LU c J m ujLL- C~!� ® zLL- 0"' ®Boise Cascade Quadruple 1-3/4" x 18" VERSA-LAM®2.0 3100 SP Floor Beam1F1301 Dry 1 span No cantilevers 1 0/12 slope February 3, 2017 10:00:46 BC CALC®Design Report Build 5684 File Name: BC CALC Project _ Job Name: Jenkins Description: Designs\FB01 Address: 390 Elliot Road Specifier: jlm City, State,Zip: Centerville, MA Designer: Customer: Company: Shepley Wood Products Code reports: ESR-1040 Misc: mggm za a of � b -- OR :.E �_ ... „'lefi..a 'an,,,.,,A.�..,.. a,,.,, 24-00-00 BO 131 Total Horizontal Product Length=24-00-00 Reaction Summary(Down/Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live B0, 3-1/2" 5,760/0 2,598/0 B1, 3-1/2" 5,760/0 2,598/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf.Area(lb/ft^2) L 00-00-00 24-00-00 40 15 12-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 48,250 ft-Ibs 51.7% 100% 1 12-00-00 End Shear 7.110 lbs 29.7% 100% 1 01-09-08 Total Load Defl. U399(0.707") 60.1% n/a 1 12-00-00 Live Load Defl. U579(0.488") 62.1% n/a 2 12-00-00 Max Defl. 0.707" 70.7% n/a 1 12-00-00 Span/Depth 15.7 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member Material BO Post 3-1/2"x 7" 8,358 Ibs n/a 45.5% Unspecified B1 Post 3-1/2"x 7" 8,358 Ibs n/a 45.5% Unspecified Notes Design meets Code minimum (U240)Total load deflection criteria. Design meets Code minimum(U360) Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. Calculations assume member is fully braced. Design based on Dry Service Condition. Fastener Manufacturer:TrussLok(tm) BUILDING DEPT FEB 0 7 2017 TOWN OF RARNSTABLF Page 1 of 2 a ®Boise Cascade Quadruple 1-314"_x 18" VERSA-LAM® 2.0 3100 SP Floor Beam\F1301 Dry 1 span No cantilevers 1 0/12 slope February 3, 2017 10:00:46 BC CALC®Design Report Build 5684 - File Name: BC CALC Project Job Name: Jenkins Description: Designs\FB01 Address: 390 Elliot Road Specifier: jlm City, State,Zip: Centerville, MA Designer: Customer: Company: Shepley Wood Products Code reports: ESR-1040 Misc.. Connection Diagram Disclosure z�{ b d Completeness and accuracy of input must L� be verified by anyone who would rely on a output as evidence of suitability for • . • particular application.Output here based on building code-accepted design properties and analysis methods. • • • Installation of Boise Cascade engineered wood products must be in accordance with a current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum =2" c= 14" (800)232-0788 before installation. b minimum=4" d=24" e minimum = 1" . BC CALC®,BC FRAMER®,AJST^^ ALLJOIST®,BC RIM BOARD T"',BCI®, BOISE GLULAMT"',SIMPLE FRAMING Calculated Side Load=330.0 Ib/ft SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIM®, Beams 7 inches wide will be assumed to be either top-loaded only, or equally loaded from VERSA-STRAND®,VERSA-STUD(g)are each side. trademarks of Boise Cascade Wood All TrussLok screws may be installed from one side of multiple ply VERSA-LAM beams. Products L.L.C. All TrussLok screws may be installed from one side of multiply Versa-Lam beams. Connectors are: FMTSL634 TAYLOR DESIGN LC— J T i L-T LC .D`.0{'7��D L �r-r'� c--fv rt-*4t_ L.v >�i-•�- . = ct®c' P s �-i ry :Es?'vkx bon..9s . 1-2'0� �oIF 5 7' t k t 2 rs� s✓vim-�J �j da V 7 (C 37 1.9 4)) "AA0 PLC ©� 4 1c C.- 57'- u 2_ t �4xll r/�. wc`5 1"t 9 ce p 4,'7 C-75 i TAY IO R DESIGN �L L�L z t•�l= . 7 ���__ �0.4 Sa = 5'8,4 �iz"�r .� 3�.�4 t,•� ZZ7 0 1/4 LvL�5 ,A•x 903 Pam . E ISTNG RIDGE ear+ �— _--------_ E<ISTTWa TIE SEAM 6' O.G. ��, Z- 1�4x. t.,✓CAS -X1314 NUMAIM G'S�c''ii.T 1GM 1 1 i i MCSTW� 216N a u`O.G JOCST3 — row ROQ' FOR oJd LYXR iLOR9 JO[bT AT T18 "► Ll no? t VCCCCH PLOM BEAM w STM Wt2O6 SALLY CO— E/ai 00 i `tom GLL`cY .� T% MEN ' •t b GARAGE ` STM. W-W nawE a *IO.G. 04 1 4 ``- i t f i i { 1 N BUILnim M , PT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r Map Parcel O TOWN OE BARNSTABLE ` Application # �� r7 ^ �� Health Division Date Issued 3 -l`f-i ] 0� Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address Village " - Owner Address ,� j3T�Gi � Grf Telephone 7711- �PY171-/J'�? Permit Request �r/C� 4zegs 42w 3,:u5 saw;goat 1) Square feet: 1 st floor: existing t� proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuati ,,60 40 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family a_____'Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes 4-1 o On Old King's Highway: ❑Yes ff<O Basement Type: O'Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing4p- new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing 9 new First Floor Room Count Heat Type and Fuel: alC as ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes 0'No Fireplaces: Existing &7- New Existing wood/coal stove: ❑Yes a,#�o Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: �xisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION - - (BUILDER OR HOMEOWNER) Name .���i✓ ,v� �5 Telephone Number Address License # A6eHome Improvement Contractor# Email 41��'�✓ oi/V�G"re7'bA.y . �•'��'//�,�./�6�I Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 3 �O FOR OFFICIAL USE ONLY APPLICATION # -DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION k FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I Deate�t c �Ie 660 Maslnagton � cast r A MH •. . �v�vTur�ra���dra_ • ' • Wbiim s' CuEqpexiafmuIusm-kmcm Affi&vi .Rmikiersf ctl�rsJL' cbrL n hers APPHcamfIIIfazf Pease A•ey= en gloyerZ Cfiacl€theapprapziafebc=O Type nfpruject€reqEe=dk- L❑ I am a empkyarwift ❑I am a ge�a cosaactur mCl I 6 New dtait • emglcs�rc�s(fril�aMfofgar-time�* Ir�el•�etlf�e sub..rna6�,�� ❑ • Z❑ ram a sale gsu eiBs argartues- . Iisted omf m at#arfi-d €, `f- and have These subL-C=ftact=ham El vcddng :ffit mein anycap?c j�• ° =aadhacezg s' . camp-km=na.$ g- Q 5-❑ Team cozp arafiunandifs t 1�❑E1�[ric�irepai�ora nus 3. 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Bill �■ nr /■.. t ■ ■.f■■tkl .■ r■I/r r:. it V:■. t r1F nI A r • ■■ ■ l •w■_:Ik■]t •'\t • ■.. 1• II_.■ \I I■ l .I■. In •r n ►\..r .1■.Ir J.■ ■.■ / \. I_• \ r 1k- O►r t ■n.■1 .■u w l �r■n■ .n l rr nnn■r ' tN a il;■ - .. � 1 n.ti •-■ nr a AWC Gaide to Woad Construcdan in High Wind A4 eas:110 mph,Wirrd Zone- Nwsachttsetfis Checklist for Compliance(790 CAIR 53012.1.1)' 1.1 SCOPE Wind Speed(3-sec,gust).. .............: _..___:.».---.._..»....». »_..._...11D mph Wind Exposure Category_._.. »............................._. 1.2 APPLICABILITY Number of Stories ................ "..__.._._(Fig Z).s:: ».».�... stories 52 stories Ptcf Roof Pt ....�.___»:... .. »_....».......... -.ry_.... �9 2) ... _._._._...._.. 512:12 Mean Roof—Height _..»._..._ .._.._ ....._._.» .-_.(Fig 2) _ ft _. ._`Y..._ _ _.�._._. <33' _.. _ ». _ Bwldmg Width,W. .__:_ �__.. ».. _..__._.____ (Fig 3)-----------_----_ _-.._.._ W._.___..: ft 5 80' Bwlding Length,L ..........» » .(Fig 3)._ ....»___...__....__..__..». _ft s 80' Building Aspect Ratio(tJW) »_._...._.. _..:»...�_. ...:.(Fig 4)._............... .:5 3.1 Nominal Height of Tallest Opening2 (Fig 4)._._............_........_,._.: 1.3 FRAMING CONNECTIONS .General compliance with framing connections.-..-_.__:. (Table 2) . 2.1 FOUNDATION Foundation Walls meefing requirements of 730 CMR 5404.1 , Concrete........................................................................................ Cancrete-Masonry............. ..................... _.._-_....._........__........._ .._... �».. 22 ANCHORAGETO FOUNDATION1'3 5/a'Anchor Bolts imbedded or 50 Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general............................. (Table 4)........._.._.-..:-----.»---.------.-.- , Bolt Spacing from endrjolnt of plate _......................__(Fig _..-----.^.. :.:.......�. in.5 6'-12" Bolt Embedment- (Fig in.> Bolt Embedment-masonry............... :...____,. �_.(Fig5 __........_.__. PlateWasher...............................::....__. .......... (Fig 5) -.._.........._....-.. 3-x 3'x'/.' 3.1 FLOORS Floor framing member spans checked ....._..__:_....._.......:(per 780 CMR Chapter 55):.__...::...:...................» Maximum Floor Opening Dimension_.__._............. .(Fig 6)......_........ ft s 12'or L/2 or W/2 Full Height Wall Studs at Floor Openings less than Z.from Exterior Wall(Fig 6)..:...._.........:................_._» Maximum F1oorJoist Setbacks Supporting Loadbearing Walls or Shearwall_..............(Fg))__.___-_...................................,• ft s d Maximum Cantilevered Floor Joists _ Supporting Laadbearing Walls or Shean+rall--•:- :._......(Fig 8)........ ..........._.___..................:.. ft 5 d Floor Bracing at Endwalls:»t... :.`_.:::�_::..._::.....:_�:.(Fig 9)...._...._.:........_._...... Floor Sheathing Type »' gyp ....._.....................»....._.._...........».. er 78D CMR Chapter 55)___�._..__...._.._._:.».._.' Floor Sheathing Thickness........_... .._.»..._.__.. .. _ .(per 780 CMR Chapter 55)._....._..... _,».. in. Floor � Sheathing Fastenin _.. able 2)_ d rtalls at in edge/ infield,, 4.1 WALLS � 9 "f` t, ''' .•..�. �� . Wall Height Laadbearing walls_:._._..c_.--._:.» _......._...._..(Fig 10 and Table 5).».._��......._._.., ft 5 to, Non-Laadbearing walls_..._.._......._.. .................:_.(Fig 10 and Table 5).»_.._....._......... _ft 5 20 ( g in.5 24"o.c. Wall Stud Spacing Fi 10 and Table 5 Wall Story Offsets ». _.»......... ....... (Figs 7&B)_ . ._.. .....».. _ Its d 42 EXTERIOR WALLS' Wood Studs Loadbeadn*g walls_.........__.. ....__........... (i able 5)..................-_.......2x - ft_in Non-Loadbearing walls»:__,__......__..._... :......_...»..:(Table 5)_...:.:..._..._._.:._..2x - ft in. Gable End Wall Bracing -' —. Full Heigh Endwall Studs...... (Fig 10).............. .._.................»_.._* ..:...... WSP Attic Floor ' Length .............»... _.»..........._.(Fig 1 i). ._........ .....».... :ft yW/3 Gypsum Gelling la gth(if WSP not used)-....._. _. (Fig 11)....._.........._....»_..._---•--.:._ft 0,9W 2 x4 Continuous lateral Brace @ 6 fL o.c.-.(Fig 11)........._......... Double Top Plate Splice Length ............. _._ _. _._............._..(Fig 13 and-Table 6)�.__:..._....._.__.:... _ft Splice Connection(no.of 16d common nark). ._.._.(Table 6). _..�__.. _.__......__........»._.__.... AWC Guide to Wood Construction in High end Areas:11 D mph f�usd Zane Massachusetts Checklist for Compliance(78o'iam 53oi.2.1.1)t L.oadbearing Wall Connections Lateral(no.of endnafled 16d common nags)..._.»..__(table 7�___.___:__.. ...._.._ _....._. ....._.. Non--oadbeiring Wag Connections Lateral(no.ofendnaied 16d common nals)_.:_.--..(Table e).__:....:__.__.....__..._._...__._._.._._. Load Bearing Wall Openings(record largest opening but check all openings for compriance to Table 9) Header Spans (Table 9)._..__._._.._........... —ft_in.s 11, ll Si Plate Spans __...__.._._._.....�ft_in. Full Height Studs(no.of studs)__._..___. _. ___(Table Nort-Load Bearing Wag Openings(record largest opening but check all openings for compliance to Table 9) Header (Table —ft—in.S 12' Sill Plate Spans. ..._ .. ..._..__.._ ....._ ......._(Table 9)........_._. . ._._.__... —ft—in.s 12' Full Height Studs(6o,of studs)._......__ __.. _ :(Table 9)_._ ........ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W • Nominal Height of Tallest Op eningZ ............. ._.' �.__._...._ .»:.....:__._... .._ ._... s Er _ Sheathing Type._ .._______.._.. .____....(note 4}.._..:._._......._ ......__._.._...._.....__. _ Edge Nag 5paang._.. _._._._ .._._..__ _ ..[Table 1 D or note 4 if less)_.._ ...__...._.__in. -. Field Nall Spacing_........_...._ .._..:...._.._ ...(Table 10).............._....__.___......... _.�__.. Shear Connection(no.Of 16d common nails)(Table 1 . _ Percent Full-Height Sheathing..___* __(Table ia)___:----._..__.._ .........._.._.__- _% 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts)_...___-.__..-. — Maximum Building,Dimension,L Nominal Height of Tallest OpeningZ..._..__. ...:..................._-. Sheathing (note 4).____...__.._. >.._...._ .... _ Edge Nag Spacing..._..... __._____._.. _.. (Table 11 or note 4 ff less).....--- ...._..._._i Feld Nail Spacing._.._.__ ...._ :.._. _...._..(Table 1 In. _ Shear Connection(no.of 16d common nails)(Table 1 _...._-._........ _ Percent Full-Height Sheathing...._.................(Table 11).__._.._ ;.. »---_.-_Ao 5%Additional Sheathing for Wag with Opening>6'B'(Design Concepts)--------_ .... Wall Cladding Rated inr Wind Speed? .__.__.__._...... ..__.____....._._ ..---•..._._ _..._.. - _ . _—.._ __.... 5.1 ROOFS Roof framing member spans checked?___-—.(Far Rafters use AWC Span Tool,see BBRS Website) _ Roof Overhang ...............................................(Figure 19).............._ft s smaller of 2'or LI3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors 12)...................___..._._.-.._U= plf Lateral.._..._....................__..........(table 12).....»... ..............L=_pif Shear__. _.. S_Of Ridge Strap Connections,If collar ties not used per page 21.....(Table 13). _......_..._........._.T= pif _ Gable-Rake Ouffpoker......._.............................. (Figure 20)...............—ft-5 smaller of 2'or L/2 Truss or Rafter Connections at Non-Laadbearing Walls Proprietary Connectors Uplift_._. ...:__.._...._- _.. .. (table..14)...... t1= i6. Lateral(no,of 16d common nails)_(Table 14)........... ....»_.... ._...f+.:L=_Ib• Roof Sheathing Type._.___..._: ___. __......_.._......(per 780 CMR Chapters 58 and 59):................ _. Roof Sheathing Thickness_.__...... _.._._. _:._.._, _.... ......... ...__._..... _in. T116'WSP _ Roof Sheathing Fastening.._.....__........._.___ __.(Tabfe.2)_._.._ ......_._�.. ...._.. .._.__ — _ Notes: 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply.with the requirements of 780 CMR 53012.1.1 Item 1.If the checklist Is met in its en5rety then the following metal straps and hold downs are not required per die WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Fgium 11 c. Uplift Straps per Figure 14 d. . All Straps per Figure 17 e. Comer Stud Hold Downs par Figure 1 Ba• 2- Exception:Opening heights of up to 8 ft,shall be permitted when 5%is added to.the percent fufl-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shag be a minimum 2,in.nominal.thickness.pressure treated#2-$rade. I .•'T ram[ _ _ r- • - - -� - - - - _ _ �4FF�Garde�p �f affr�Carr�S-uctso�m f��Fr�rrzrfl4reu.�I�0��� �fud.�a,�z� - MasmtYhusatt Chad for CampHmee ua c-fa-ta as)I - - a. F=vm Tables ID and 11 and ID=Ed T❑f wag Waging and Fence FU&Height' S 5aMbg and NA Spacing re ds _ - b- •Wmd Sfrudrrral FanaFs-,aW be.mu*=Ncar—of 711 r and he bshlled as Mmvsz- - - - L Panels shall be hsfalled Wr sires ads parAml 5 sh& . I Al horh=W j6r&-..shall oaf•auar and be;nalled to iimip-q uL Dn siMf a s:bfy=s-hxfior;panels shall be aladied b b❑tam pis and�!P:meiriber of$re double _ nr Ian czmrin Irfi❑ PP'�I��� dzait ed in �fap r�einber�f�et�ppr� d❑ubie#np—. - plair=and b band jbm at bcdnm of panel Upper affa ❑f lrnwer pane!shall be made In bared joM . and 1Dtrreraifacrmerrt made to lowest p(afa at fr-,t$v❑rfiarrring H❑rtmttbl narl spicing at dcrr�ile bp Pfai�s,band 1❑fists,and grrdam shalt be a double raw of ad - siagge eti�t 3 mrdras❑n ca p�ngw-rs bel❑�v.Ue�n"ra�and Hnrimrl hlarTing f❑r Farrel Affacl�nent S-• G12mbg pmtc5cqc a)treat house If projecf Is t m�e or dasFs shore wana'- fp,&Ddh of Rfe ZS or riarih of Ftf-6) - � b)�fi�l addm❑n-n❑f n=quGi�t.uiless ifr�� e�ir❑��on fn$�e�st'ti❑or c)raplac�n�rtC�aidous-Tre s Maw eanserYation mmpEcahc:�only(crap 33) - E-Wood F,r.ame Construdi❑n hKanual_OWCh,q fDr 110 MPH,Bprsi a S may he❑biauredfiTsrn'fhe Armmi�a7 WoDd Cot�nml YK(AWC) - Ft��J tF� tL LL-a F Lr I i ct = at LLL rr I - ■[ C[. y r - - frL tL t�_ I11 ,1 LI, k t 1 E ri XL LC • - •• f,GEf�JEC,�" 1 I _ 't�`q.?Anff� _ � - PAf�S- ' * ��� �rT Fc7�'•1�„ � tY'ITI.�ttLErf FTY�'SPRa4[i�I. - ' See Dats$en RpxfPage - trerlZl Snd H❑r�iTl IdaT09 � 1�� - ► lfa IrFaj and 1 fcrai IsarTmq l- 'tt$ � C1717r�� 'fDF1e1 6iizxr_Ftr,�raif _ - ToWn of Barnstable Regulatory Services R�S711TR['AAT_ . Richard V.Scab,Director Building Division Paul Roma,Building Commissioner 200 Main Street;Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 F= 509-790-6230 Property Owtier Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby-anthornze to act on my beha]:� in all matters rektive to work authorized by this building permit application for:-• ." _ i�®_.,��ITT i�:G/ ( oE�/T�.2f/�//.� �'�� • (Address of Job) **Pool fences and alarms are the responsibility of the applicant.Pools are not to be filled or utilized before fence is installed And all final . inspections are performed and accepted. Signal=e f er Signature of cant Jp,v s Print Na t P Print Name Date QFoxMs:DV44MERMIssI0r D0IS Town of Barnstable Regulatory Semees y _ piF Richard V.Scab, Director Building Division i SAMS ABM : Paul Roma,Building Commissioner . XASI 200 Mein Street Hyannis,MA 02601 www.town.barnstable.ma.us Office: 509-962-4038 Fax: 509-790-6230 HOMEOWNER LICENSE EXE Wn0N Picase Print DATE O JOB LOCAnam: number, Z nano hom0 phJane# work phone# CURRENT MAILINGADDRFSS: 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. - - DEFINMON OF HOMEOWNER Persons)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 Bolding Official,that lie/she shall be responsible for all such work perfoffied under the building permit (Section 109.1.1) The undersigned"homeowner= ass®es responsibility for compliance with the State Building Code and other applicable codes,bylaws,rates and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Binding Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. S' Ho cx Approval of Bmlding Official Note: Tbree-family dwellings containing 35,000 cubic feet or larger will be required to comply wi$i the State Building Code Section 127:0 Construction Control HOMEOWNER'S EX rION 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 prerson(s)for hire to.do such work,.that such Homeowner shall act as supervisor.". Many homeowners who ase this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Constrnc on Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed eed against the unlicensed person as it would with a licensed persons. In this case,our Board cannot proc 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 to amend and adopt such a form/certification for use in your community. l ►Z-386 Ti + A �ElEf{ pp IC1U E W;rIOOo) �B/ M -LU FT-T —1 2x6 wAl�t 16° x 2p 6 HPtLF vJ is Gk. a 0 C C Lo S�"��E��_R�V sue' v ►o.�I�!h't"A! IB�l�f ,,,� �2Y-L PT FOOK FOIST ('—'5 Ib" O-L 04 -qop txS1ST/in/� 2oNCR TE Se�/3 x 1 0 RA¢T&RS iZ 38 ImSYMON DEG TN LVL RIO§F CA-FNEVRaL CaC-uPJb, L.ve- O£AM I �I WpE6 fnsysPt .'o�/ CRSCM0 Jr 0 Z Rowr i 1 0 �i q }�O• 20 . 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