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Yi '+ } �J t >}, 4 t -J 4 f ;s 1". 9 14 7. w: ,1 "7: � 1 S A''d�• f,lr,: '!4 i f 1 i� `«_ , , ::: r:,,, ..;. 1 ., , -, ,.,, ,:. ^"1 ,i. .ra.r (ir u x :p't ,°r ,, ,f` I.... r. l,... , :. ,:,. ,:-. :., .r 1...< I. ,';:.r u+. a n, „ , ,., , , } :#:,:. r -,r ..5 S', „{, .,:?,t .t»,, .r, trc4 R,k,a 15lPd::{+%;.;,1 .t lPij _. ,, r :,_ : ,,.'... ,. t ri:�-+e,e is e : ,.to .,," •x.., .. r - - - � tt � ".!4 r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �1C� Map A P'J'l?� Parcel Application ® lD Health Division Date Issued 7i Conservation Division - ; Application Fe Planning Dept. Permit Fee -2 Z (S Date Definitive Plan Approved by Planning Board oK 212h0J1 Historic - OKH _ Preservation/Hyannis Project Street Address �61 to S�QG� l7 Village L.L. Owner .5_0 0 l U 8 X H 4 V Address Telephone 5-0r- 721 L179 Permit Request eei w e Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 14f ,06 Construction Type swOR`P Lot Size Grandfathered: ❑Yes Z No If yes, attach supporting documentation. Dwelling Type: Single Family 0' Two Family ❑ Multi-Family (# units) Age of Existing Structure . D4 Historic House: ❑Yes C�No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) J A Basement Unfinished Area (sq.ft) Number of Baths: Full: existing / new Half: existing / new Number of Bedrooms: ,7 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 ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ _Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use NO APPLICANT INFORMATION (BUILDER OR HOMEOWNER) _ Name A ll4 ��, 0,4U- Ye,,t1 Telephone Number co�.�� ►v r 7 Address '( "�cT�� 1�.�vas License # Home Improvement Contractor# ///(0 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �ti Z4&-5- W_W - Pc S J&S,4 D SIGNATURE ;/O� '_7K-- — DATE FOR OFFICIAL USE ONLY APPLICATION# } DATE ISSUED MAP/PARCEL NO. 5) 4} ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION��� �`� So,NoS x FRAME (-QR 511-fhd INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ghsll3 L1 2 DATE CLOSED OUT ASSOCIATION PLAN NO. �4 The Commonwealth of Massachusetts Department of Industrial Accidents l ' Office of Investigations Y -J 600 Washington Street Boston, MA 02111 � yy www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business,Organizationllndividual): Vk, �. > U'� '✓1� Address: City/State/Zip: ,G"it✓t.5- Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I . r ployees (full and/or part-time). * have hued the sub-contractors 6 ❑ New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. remodeling ship and have no employees These sub-contractors have g, Q Demolition employees and have workers capacity. Buildin addition 'n for me in an9. working Y ❑ g [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or addition 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or addition myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers'. 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins, Lic.#: Expiration Date: Job Site Address:' City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fit of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify tinder thepains and penalties of perjury that the information provided above is trice and correct Date: Signature: �tT Phone# 56_ A PO 3 E6 ?__1 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other. Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partners p, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and cluding the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, a ociation or other legal entity, employing employees. However the owner of a dwelling,house having not more than ee apartments and who resides therein, or the occupant of the dwelling house of another.who employs persons do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)Nalso states that"eve state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a bu iness or to construct buildings in the commonwealth for any s applicant who has not produ� d acceptable a idence of compliance with the insurance coverage required." .. Additionally,MGL chapter 15225C(7) states `Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the ppi-f(strmarice of blic work until acceptable evidence of compliance with the insurance requirements of this chapter have be n present d to the contracting authority." Applicants Please fill out the workers' compensation a avit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractors)name(s), dress(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies (LL )� Limited Liability Partnerships (LLP)with no employees other than the members or partners, are not required to car wor ers' compensation insurance. If an LLC or LLP does have employees,a-policy is required. Be advised - at this ffidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance cov rage. Als- be sure to sign and date the affidavit.. The affidavit should be returned to the city or town that the appli ation for the rmit or license is being requested,not the Department of Industrial Accidents. 'Should you have any questions regards 4 the law or if you are required to obtain a workers' compensation policy,please call the Departi ient at the number ' ted below. Self-insured companies should enter their self-insurance license number on the approp ate line. City or Town Officials Please be sure that the affidavit is complete d printed legibly. The Depar ent has provided a space at the bottom of the affidavit for you to fill out in the event he Office of Investigations has t ontact you regarding the applicant. Please be sure to fill in the permit/license nu ber which will be used as a referen . number. In addition, an applicant that must submit multiple permit/license appli ations in any given year, need only su it one affidavit indicating current policy information(if necessary)and under"J b Site Address"the applicant should wri "all locations in (city or town)."A copy of the affidavit that has been o icially stamped or marked by the city or to may be provided to the applicant as proof that a valid affidavit is on fil for future permits or licenses. A new affidavi ust be filled out each year. Where a home owner or citizen is obtaini a license or permit not related to any business o commercial venture (i.e. a dog license or permit to burn leaves etc.) aid person is NOT required to complete this affida The Office of Investigations would like to thank ou in advance for your cooperation and should you ha any questions, please do not hesitate to give us a call. The Department's address, telephone and fax numb : The Commo wealth of Massachusetts Department Industrial Accidents Office of estigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax # 617-727-7749 www.mass.gov/dia ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE; AND TWO-FAMTIr'Y DETACEED RESID ENTLkL*CONSTRUCTION (780 CMR 6t.00) Applicant Name: �� .� �`� Site Address; P nr Town: Applicant Phone: Applicant Signature: � � � � Date of Application: / , / /D . NEW CONSTRUCTION: choose ONE of the followin tWD'D Lions 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAAMY BUILDINGS MA�QMUM MR QvlUM- Ceiling or Slab QOption 1: Basement Fenestration exposed Wall Floor. Perimeter AFUR U-factor floors R Value R-Value wall R Value HSPF S R-Value R Value and Depth National Appliance-Encrgy .35 R-3 8 �� i R-10 R-10, Consc"A n Act(NAECA 4 ft.• 1997 as amcndcd,minimur rAtrr ass licablc Note: This form is not required if you choose either of the two versions of REScheck as listed below. ❑ Option 2: RES check Version 4.1.2 or later variant software analysis must be completed 780 CMR 6107.3.2 REScheck—Web which can be accessed at http://www.f,-ni,-rgyrDdts.gDv/resr-ht--rk/ :ADDI•`X'�O1VS:OR:A:LT�RATXOIYS.TO EXIS'I`ING BTTLT.,D�IGS.O;V�R.5 XE.AR;7.OLD* . : *buildings under 5 years old must use option#1 or#2 in New Construction section above. Complete the following formula to determine the %° of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b - a) SF 100 x — _ % of glazing (b) Glazing area equals SF b a If glazing the chart below. If glazing is> 40 % rgcee:d.to "SLNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING. LOW-RISE RESIDENTIAL BUILDINGS M NmoviUM Ceiling and Slab Perime ❑ Fenestration Mall Floor Basement Wall U-factor Exposed floors R-value R-Value R_Value R-value R-Value and De $ 39 R-3 7 a R-13 • R-19 R-l 0 R-10, 4 fe a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e.not compressed over exterior walls, and including any access o enin s . SUNROOM—An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the additiou. Note: Owner to fill out Consurner In ormation Form found in Appendix 120.P ATVC Guide to E'Vood Corlstrlletion ill Hlr.1I1 )-ViUd Areas: 1X0 rllph Wh-id Lone Massachusetts Checklist fox- Compliance (780 C,n-la 5301.2.1.1)' Check Compliance 1.1 SCOPE WindSpeed (3-sec. gust)................................ ....................... ................................................ 110 mph WindExposure.Category.....................................°........................................ .............................................................B Wind Exposure Category................Engineering Required For Entire Project .......................................0 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) / stories 5 2 stories 12 Roof Pitch :. .......................(Fig 2) ...........................................Cv.'/� ft 1233 Mean Roof Height .................................................... (Fig 2).................................................4 ft _< ' 33 BuildingWidth,W ......................:........................................(Fig 3)............................I...................- -s 5 8. BuildingLength, L ........................................................:.....(Fig 3)...............................................?�-ft 5 80' 4 3:1 Building Aspect Ratio(UW) ......................(Fig )..................... .. -Vol Nominal Height of Tallest Opening2 ............... (Fig 4)....................:..................................................... 5 618" 1.3 FRAMING CONNECTIONS General compliance with framing connections.....................(Table 2)............................................................... 2.1 FOUNDATION, Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete..°............°......I. ........................................................................................ Concrete Masonry.......................................................:............. ...............................................:......I........ ,:. 2.2 ANCHORAGE 7o FOUNDATION�.3 y�fC t?��>� 494� p6sr ldjlc' w�l�Ir4��OA f 518"Anchor Bolts=imbedded or 5/8" Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general ........................::(Table 4)....°.................................... ... . Bolt Spacing from endrjoint of plate ................:............(Fig 5)..................: ... .............. in. <-6"-12" Bolt Embedment-concrete.......................................°.(Fig 5).....................................:........... in.?7„ Bolt Embedment 7 masonry............................°............(Fig 5).....:......i............................... in.> 15" Plate Washer.................... ......:........(Fig 5)..............................................>3"x 3.x 3.1 FLOORS Floor-framing member spans checked .......................:.......(per 780 CMR Chapter 55) .....�� ... ............ . Maximum Floor Opening Qimension........................°..........(Fig 6)............ ................. .................. ft<_12 Full freight Wall Studs at Floor Openings less than 2'from Exterior Wall (Fig 6)..*....... .............................r Maximum Floor Joist Setbacks Supporting Loadbearing.Wail's or Shearwall................(Fig 7)...................................................._VA ft s d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls'or Sheanaall................(Fig 8)..................................°.........ffi /l ft 5 6........ a .. ... Floor.Bracing at Endwalls....................................................(Fig 9)...................:...... ���1�6 �1.....2�� Floor Sheathing Type ........................................................(per 780 CMR Chapter 5).....:y.....:............. Floor Sheathing Thickness ...........................................:.....(per 780 CMR Chapter.55).j..,...:............. in. Floor Sheathing g Fastenin .................. ........................(Table 2)... a' d nails at (a in edge/fi eld 4.1 WALLS Wall Height " Loadbearing walls..........:.............°.....................`........(Fig 10 and Table 5)...°.......................—ft <-10' Non-Loadbearing walls...... .....'......°.............................(Fig 10 and Table 5)...........................—ft s 20' Wall Stud Spacing ............ ...........................................(Fig 10 and Table 5)...................—in.-<24"o.c. Wall Story Offsets ............................:..(Figs 7.&8)................°........................... ft s d, ry — 4.2 EXTERIOR WALLS' Wood Studs ....................t (Table 2x ft in. Loadbearing walls......................... ...........( ble 5):............................. — — ��-- Non-Loadbearing walls..................................... ..........(Table 5)..............................2x—-_ft_in. Gable End Wall Bracing' ! 1 ' Full Height Endwall Studs............................................(Fig 10)....................:................:...........:... ........ WSP-Attic Floor Length.................................:................(Fig 11)-.........................................._ft>_W/3 Gypsum Ceiling Length if WSP not used ....:............:.(Fig 11 ft>_0.9W , and 2 x4 Continuous Lateral Brace @ 6 ft. o.c. .. (Fig I)................°............................................ or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft. spacing in end joist or truss bays Double Top Plate AWC Ccride to Hlood Corrstrrr Clio rr in.. High Pflircd Areas: I10 irtpir Wind Zone Massachusetts Checklist for Compliance (7s0 CiA'IR5301.2.1.1)' Loadbearing Wall Connections Lateral (no.of,)6d common nails)................................(Tables 7)......................................:............... Non-Loadbearing Wa'11 Connections Lateral (no.of 16q common nails)................................(Table 8)....................................................... Load Bearing Wall Ope'n�,ings (record largest opening but c eck all openings for compliance to Table 9) HeaderSpans .... ................................:................. (Table 9).................................. ft_in. <_ 11' . Sill Plate Spans :�............................................... .(Table 9)..:..............................._ft_m. 11 Non-Load Beat St Wall o. 8 studs)................................. ..(Table 9)....................................................... Full Height Studs no. o nin�gs (record largest openin but check all openings for compliance to Table 9) HeaderSpans.................. .................................:.... ..:(Table 9).................................._ft_in. -< 12' SillPlate Spans.... ............. ..:............................... ...(Table 9).................................._ft_in.5 12" Full Height Studs (no. of studs)............................... ....(Table 9)....................................................... Exterior Wall Sheathing to Resist Uplift and Shear Sim taneously4 Minimum Building Dimension, . Nominal Height of Tallest OpeningZ ..... ......................................................................... SheathingType.................. .................... ......(note 4)...................................................... Edge Nail Spacing...... ....... .................. ......(Table 10 or note 4 if less).....................:.. in. Field Nail Spacing.................. .............. .......(Table 10)................................................. in. Shear Connection (no. of 16d mmon ails)(Table 10)......................................................._ Percent Full-Height Sheathing... ......... ........(Table 10)...................................................._% 5%Additional Sheathing or ll with Opening > 6'8"(Design Concepts).................... Maximum Building Dimension, L . • Nominal Height of Tallest Opening2.. SheathingType................................... .........(note 4)............................................................................ Edge Nail Spacing..................:.......... . .......(Table 11 or note 4 if less)........................ - Field Nail Spacing............:................. .... ..:..(Table 11)................................................. in.i Shear Connection(no. of 16d Comm na s)(Table 11)........................................................ Percent Full-Height Sheathing...... ... .........:(Table 11)...................................................._ 5%Additional Sheathing for Wall •Opening> 6'8"(Design Concepts)..........., . wi• .. Wall Cladding Ratedfor Wind Speed?................................... ................ ........ ............................................................... 5.1 ROOFS Roof framing member spans checked?............ .....:....(For R ers use AWC Span Tool, see BBRS Website) Roof Overhang ........................................ .........(Figure 9) ............. ft 5 smaller of 2'or V3 Truss or Rafter Connections at Loadbearing W-Ils Proprietary Connectors Uplift....................................I.........(Table 12)...... ...............................::...U= plf Lateral.................................. .........(Table 12)......... ..................................L= plf .If Shear..................................... .........(Table.l2).............. ..............................S= •P Ridge Strap Connections, if collar ties not used er page 21... (Table 13).. ... Gable Rake Outlooker................................. ........(Figure 20) ............. ft smaller of 2 or L/2 ' Truss or Rafter Connections at Non-Loadbearin Walls Proprietary Connectors Uplift....................................... ........(Table 14)............................ ..............U= lb. Lateral (no. of 16d common na s)...(Table 14)........................... ..........L= . lb. Roof Sheathing Type................:.... (per 780 CMR Chapters 58 and ) ............. Roof Sheathing Thickness i Z 7/16'WSP Roof Sheathing Fastening..................................... ......(Table 2)...I.........................:.............. ...I....... Notes: 1. This checklist shall be met in its entirety, excluding the pecific exception noted in 2, to comply with a requirements of 780 CMR•5301.2.1.1 Item 1. If the checklist is met in it entirety then the following metal straps and ho downs are.not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Fi ure 18b 2. ' Exception:Opening heights of up to 8 ft. shall be permitt d when 5% is added to the percent full-height sheathing 'requirer6ents shown in Tables 10 and 11. 3. The bottom Of plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. { sr o Town of Barn-stable ` Regulatory Services suwsr�st.E. 9 MA & $ Thomas F.Geiler,Director 16 '%.Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstab l e.ma.us Office: 508-862-403 8 Fax: 508-790-6230 t Property Owner Must Complete and Sign This Section If Using A Builder f t ec bj as Owner of the suproperty J , hereby authorize ;Y/A �': (IxUrff�.r/ to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address o Job) 61'r zv��_ Signature of Owner Date f Print Name f If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. n.rnn r n.ncr nrcn nan i rrnnrn�., Town of Barnstable Regulatory Services - Thomas F. Geiler,Director :. EARrrsrwsr e. Building Divisi rFD Tom Perry,Building Com 'ssioner .... .... -_ .... ..200-Maii.Street,—Hyannis; -02601 www.town.barnsta le-ma.us Office: 508-962-403 8 Fax: 508-790-6230 HOA\WNER LI E EXEMPTION ease P int DATE: JOB LOCATION: number s c village "HOMEOWNER!" name ho p ne# work phone# CURRENT MAILING ADDRESS: city/town states zip code The current exemption for"homeowners"was extetdo include owne _occupied dwellings of six units or less and to allow homeowners to engage an individual for hio does not posse °a license,provided that the owner acts as supervisor. DEFINTTOF HOMEON'PNER Persons)who owns a parcel of land onwhich he/shdes or intends to resid on which there is, oris intended to- be, none or two-family dwelling, attached or detachuctures accessory to sue use and/or farm structures. A person who constructs more than one home in a twoperiod shall not be consid a homeowner. Such "homeowner"shall submit to the Building Official orm acceptable to the Buildin Official,that he/she shall be res onsible for all such work erformed under the b ermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibili y for compliance with the State Btiildin ode and other applicable codes,bylaws,rules and regulations. The undersigned."homeownee'.certifies that-he/she i derstands the Town of Barnstable,Buildiag D arhnent minimum inspection procedures and requirements that he/she will comply with said procedures an requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,0 0 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNE 'S EXEMPTION The Code states that "Any homeowner performing work fo which a building pernvt is required shall be exempt from the provisions of this section(Section 109.].)-Licensing of eanstructiom Supervisors); rovidcd 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 th are as the responsibilities of a supervisor(sec Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) is lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot occed 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 msponrsrbilities, y communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Superviso On the last page of this issue is a farm currently used by several towns. You may care t amrnd and adopt such a fomn/certification.for use in your community. Q:forms:homerxempt /ee�oma�nanu�a a a�./aaet¢cju�ae4a Board of Building Regniadons and Standards. V. HOME IMPRQVEMENTCONTRACTOR r Registration: 116609 Expiration 9/2010 Tr# 268043 `'Type:,'Indpidual BILLY E CAUTHEN - BILLY CAUTHEN 86$ETH LANE ` 'HYANNIS,.MA 02601 l Adaiinistrator Massachusetts-pe Boars!of Pantitent of Publie Safeh Building Regulations a. Construction Supervisor St:tiiilards License: CS L Icense Restrict 9975 ed.,to: ,00. 86 ETH At, UTHEN HYANNIS," 026U1 :. f"' nissioner Expiration; 8/1 �011' Tr#; 2156. r.' r' i ._-,...r.._ 1. < �rrwrr�wr wrw� x � W Y l \ f� v2, `.......... , ? �, y�N cK Op j t.O, �. ;; 1;k.,., ?y �S1,..tom S ,• ,_ $ - y _ ¢ �..� .� r� � .G,•3,"-^r °�' t..\�*-s7.� } �t' �`Tti �`'K tr va,�>c� i': ;,p x-0�*t r , * s r Parcel 13? Permit# ' � 41� 4th floor 8:30- 9:30/1:00- 2:00 ,�1 ( ) ( . ) Date Issued d Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) i " S—("2Fee Engineering Dept.(3rd floor) House# HE r�-Oow 4DP ST BE 19 SEPTIC INSTALLLIANCE TOWN OF BARNSTABLE ' WITH TITLE 5 Bui ding Permit Application , ENVIRONMENTAL CODE AND ' T011M REGULATIONS Project Stre Address ezi Village Owner 9L gecc Address 'J ' �JTelepho Permit Request First Floor square feet ' Second Floor square feet Estimated Project Cost $ Q-7lD . d?) Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Fa ly , Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths �?�— No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached ✓ -Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name �_U Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE S�. — 7 _ l°� o� �,, DATE "�, _ !S , l`�C� BUILDING PERMIT DENIED FOR THE FOLL®®OWING RE SS) } - FOR OFFICIAL USE ONLY _ A PERM NO. DA SUED - M MAP/PARCEL NO. 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