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Home My WebLink About0012 PARTRIDGE WAY . r Town of Barnstable cam, Pp, _ h Post This Card So,That�t isV�sible,From the Street A roved.Plans Must be Retained on Job and this Card Must be Ke Shed ,'' ,r„ .tt,.. ��r..,,. ka.,,W'"'� ay. ,w , ,•^�a� "'i+� , ��,w .. ' ,.. .;. �+r rn ?w `.�'r iw` '°`.•.cep''.- ury,.,,,; '° '"'��,� k +:a pt' �' �MAIM ¢ Posted!Until Final,lnspection Has Been,M'ade � .a, s. � �.: Nud Wn Where;a Certificate'of Occu anc ,is Requirecl,su h,Buildin shall Nofbe Occur ied until anal In±s ectionyfias been maw• de Registrati0 p Y•� g P� p Registration Number: B-20-1809 Applicant Name: Jayne Cedeno Approvals P Date Issued: 07/16/2020 Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 01/16/2021 Foundation: Location: 12 PARTRIDGE WAY,CENTERVILLE Map/Lot: 208-070 Zoning District: RC Sheathing: Owner on Record: CEDENO,ANTHONY G&JAYNE E Contractor Name:''' Framing: 1 Address: 12 PARTRIDGE WAY Contractor License: . 2 Centerville, MA 02632 Est. Project Cost: $4,000.00 Chimney: Description: 10 x 16 shed to be installed in open lot area of property Permit Feb: $35.00 . Fee Paid:, $35.00 Insulation: Project Review Req: SHED REGISTRATION 12'X 16'SHED. MINIMUM OF EN FEET . FROM SIDE AND REAR PROPERTY LINES AND TWENljY Dat FEET ' ",,.�- e �': 7/16/2020 Final: FROM FOOT PROPERTY LINES. p Plumbing/Gas Rough Plumbing: Building Official r final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. f I. t Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for zoning inspection for the entire duration of the Final Gas: work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures b'the Building and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: Service. 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is Installed" 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.bamstable.ma.us Pre-application for Business Certificate Date —/ Map Parcel V Applicant Information Applicants Name Applicants Address_/,2 GZ �4. Lt>GC.�! Email Address Telephone Number;14 Listed ❑ Unlisted ❑ z S®g 13-7- '75,71 00 0 Uj Business Information f U J OU-� w W z New Business? ----------------------------------------• (g No 2cnE: pz ? Business is a registered corporation? ------------------------- Yes �Io H If yes Name of Corporation ULU Does business operate under the registered corporate name? Yes Io a � Q ' Oz 2 Is the business a sole proprietorship or home occupation? --------- es No U Q I-- W a If yes then a Home Occupation Registration is required—See Building Division Staff � :D0 g U Name of Business k)j —66k_ Business Address 12 �9 /LA Ate* ..► �rlv"Itt- _G 2 Type of Business M CL-e-S) . Building Commissioner Office Use Only Conditions. —1 dZ � qb '—� _ Building Commissioner . G1in- - eg Date Clerk Office Use Only . Town of Barnstable. . Building Department pp SHE rp� Brian Florence,CB0 o� Building Commissioner w BARNSTABLE, ► 200 Main Street,Hyannis,MA 02601 9 MASS. i639• www.town.barnstable.ma.us /'TED Mph A Office: 508-862-4038 . Fax`.�508-790'6230 Approved: Fee: Permit#: v HOME OCCUPATION REGISTRATION" Date: _ I Name: �J 2 Phone# q R-7 - !?a(7 QJ Address: 2 Yl K Village:c l Ap Name of Business: ra a� (yC ars Type of Business: (Yl 4(�'c� Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions"of Section 4-1.4 of the,Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in.traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located Z within that dwelling unit. p Such use occupies no more than 400 square feet of.space. a W • : . There are no external alterations to the dwelling which are not customary in residential buildings, and there - cc is no outside evidence of such use. UJ No traffic will be generated in excess.of normal residential volumes. O Q cn The use does not involve the production of offensive noise,vibration;smoke,dust or other particular LL uJ Z matter,odors;electrical disturbance,heat,glare,humidity or other objectionable effects, U) E: There is no storage or use of toxic or hazardous materials;or flammable or.explosive materials,in excess = Op Z of normal household quantities:. _ �= Any need for parking generated by such use shall be met on the same lot containing the Customary Home 0 Occupation,and not within the required front,yard: There is no exterior storage:or display of materials or equipment: a_CcLu g. • . There are no:commercial vehicles related to the Customary Home Occupation,other than one van or one 0 Q pick-up truck not to exceed one ton L capacity,and one trailer.not toy exceed 20 feet in length and not to.. O Z 2 exceed 4 tires,parked on the same lot containing the Customary.Home Occupation. U No sign shall be displayed indicating the Customary Home Occupation: C j J If the Customary Home Occupation is listed or advertised as a business,the street address shall not be _ D D O . included. U No person shall be employed in the.Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant:_JL, Date: Homeoc.doc Rev. 10/17 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map V ' Parcel Application Health Division Date Issued 11-9 Conservation Division Application Fee G nn Planning Dept. Permit Fee V Date Definitive Plan Approved by Planning Board Historic - OKH. _Preservation/ Hyannis { Project Street Address Village ' �o� .r✓�l Jaw Address Ownery� o��b i �t/f► Telephone 'IQ6 :fL u Permit Request re,,�s�� - f a- �c, /� "_[( bd'9.-z� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project.Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other ,, Basement Finished Area (sq.ft.) Basement Unfinis110%(sq.ft) Number of Baths: Full: existing new Half: ej �o new Number of Bedrooms: existing —new rO�N� ®�?416 Total Room Count (not including baths): existing new Fiir44%bRoom 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER), Name Telephone Number- Address License# Home Improvement Contractor# Email J Worker's Compensation # ALL CONSTnUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �I'1� n-c' ,✓-,mn SIGNATURE DATE 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. Aparftneut afradm trid Accid ' 600 WashbWmx,Sttl:eet "B[ts&q,MA 02HI � x tvrvIa�mrnf X Warkem' CunTe Ins"ce Af Edwit lkgdersiCanh-AeL rr&TllecEtir_ian fflhm,ers ---— - I—u- f;an- _. _FleaseFria _ -Addre s~ F Crtgf phrono 6 8- �.eq ` �t Are you an emplayer?.Ched k"the appropriate bon Oo'�l.�� Tpp�of project(redluo<e* I_❑ I ant a=ployer vd& 4. ❑I am ' genxd confsctor and I * have lured1he sulncont�tos ` El New ootlstcudioix • employees(full andfor Fazt-dime j. , 2.❑ I am a sole prapiigtor orpart= ,.- listed&the aftffdmd.sheet and have no 1 These sdb-coa�ractors have ��• ❑DemalifiiorF . - waddng forme is any capacity. ,• o aadhave waricers' 9_°a Bnildmg addition. c %ne�trarxrr , INC comp_fiL comp- -1 5. We aie a cmparafi=and i s' 16-❑Eleefddxi repairs or addisoas 3.[t-]'Tama homeamaer doing all work officers have Wised fi r 11-F1 Flumbsagrepaim or additions ds work='0=3p TiffU Of egempfiog per M,G- iasmaace r d- �c~1 ¢1(4�nadwebaveav L.❑F.oafiepass . emplogees.`[1`Tawa�ress' I3.Of7iher cam_k=ancz requir�j •Anyap C=tcber s'bosR, alsafMo=theswkmbeiawsTsaniagdekv;m&ers'm��m+ionpolscyimfmmzsaml- #] 6lII4tSW}S6SET]�ti48�d2tSi9Ftl7efaie��4SllW �eaEoats> actasamstsuftmitanewaffdseitsacIL iftst ci�ec3[tlgs T1aac must sitacbed m saditi®at slneeY sho�eiag ti�ea�e of the�amri state vrlsethe�arnattbase e�shs� • emg�loyees.Iftbe rn,h..resnA,sr+a„e�e empTog�s,tbeySffistpiasddetlaeir w�'�•galicg ffU1�feL . I am tag erltpL sr tliatis pran g yvarkers'ca restdzirrt gfsriratrca fvr my emp&j B'etow is iftepalicy ed jaFa srfa iu,�orrardivn. '. - _ Insumnce Campanymame Poficl*-,4,orSelf js LI c. 1 tauRafe= Job Site A,d&v= w` CitylStafr.� .�g- Affmha sapy of the v nrl rs°cam pensatianpolicy declaration page(showing the policy number and ee p irdon&4 Fare to seame coverage as.requkedunder Section 25A o€MCA c_157 can lead to The imposition of crimhud penalties of a flue up to$L50D OD an&or one-yearim}uisaamenk sus welt as civ2 penalties is the fa=of a STOP WORK ORDERand a fine ofUPtOMDaa&yaSaimdffiemol2dnr. Be advised that a copy of tans zbkmot nag be fartaarded to the Office of Imrest ta&=ofihe DIA for`make coverage l X do Fter-aby eet thepaznns arctF} r�atti s of .ped4q thatffre in orwatim pro ieW abates is bars and earreet aWWai sise only. 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To IN "■ ■■.:1t1 _ It■_ I /a- / r" ••l.t tlfi■ 1• 11- :•r- •tr ii■ • ■■1 1■_ �... - � _ 1 • .1 In t - ■■ ■ ■' J■ - •■■ ■' ■■■. ■• ■ •«•11. 1• Ya t■It■■.■nt ■ It ■f .n rr• _ _ • .tar■ • ■f- r�•t■t fl ii■ - .�Ila• -/•�+tit ■ • n .�•.r ■.1 Ala • .- 'r•1■•.a I• ■" 1 ■ t■•'■ tt.f [a- K■•71 nt u ■■ M raw ll■t • •l ■:• _n• •■..■u. -.y:, •n: til - • ■ ■■ :r �•n/�r a ••r:m •••■�.+ •n■t•�■r. •a ••/ • ►: r.1 to ��•.t •■■wI ■f ■nut.� +-1�1 ■ ••• .■ rl .la .Ir ft....•« n■ ■■- .tr• ■•rlt_I■- 11 ■ ■ lAN [■ r - ■ n - ■a.1 n- it•. t r■Ino I :n a • ■ -7 r �• «r a m:+■ •. r r ■�a •- - [t- r•.[•fn • ■r .•n■_ 1 • •r n 71 an n u: 04•a■t a Oi■r ■ ■• �a:_n.in ■: _ _ r. - •- f - u PI n n • nr 1 :+r - n.m r� •n 1 1 ■;. ■��■ - .; «■ - ■Inn■M ■ .a a to•■ :n •• .n • 71 rl r�� •■ ■nn 1 m �■•. 1 n a ■n u■ ".a 1•.1 n ■ `•■•1■ 1■ tIr •�•rl 11 �1t - :/•■ r:ra nr n .f1• ?•i:■ •• n •■o. ■•t 1�rw .t .n MINTarw•• Ir ■u ww� � n•'f •r • ■•- -tt■ • n. ■ •►:fir •)■M.1• rnnr:>.• n .r.n.f�■ •• 11� ►ll n !r to .- r •• • ■ Ia la" fais a•r r:n.•. n •• - n. • n•. I ■r 7- t■ uuu - r�:■n a. • ►�f 'u 0■-• 1 nu •- 71«■ • 1 J _■ ��a.a - ■•n r••.� • au i:!• •r r n u: rar� ui r tim I .• :tom■ a .i:; r■Yn r_w • r•um■� R_ •il■m - •■• ra■ • r a■n 1 q ■ ta• �■ w r r« •II O :■pr .■ t• r•nn �,.- n �■■. 1 .■ an r- n •n r•••�? .0•n a■• 1.■r r a •f t. - .n •■�a n■ r!i ��.•.tie n• +•! ! �� Town of Barnstable Regulatory Services BAH1 AM Richard V.Scab,Director „39. Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner st , 4 mp16te"and Sign T Section If Us A B er . I , as Owner of the subject property hereby authorize to act on my behalf in all matters relative to work authorized by uilding permit application for. (Address of Jo ) **Pool fences and alarms are the res onsibility� the applicant Pools are not to be filled or utilized be f re fence is in ed end all final ; inspections are performed and a cepted. ti Signature of Owner Signature of Applicant Y Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS Town of Barnstable T - Regulatory Services of Richard V.Scab, Director Building Division sMaNsrwur$ Paul Roma,Building Commissioner `.� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print f ,--DATE: t 30B LOCATION: number J street village "HOMEAWNER Sb8 7 tT -/ 4if' -7 17-C/a I 1 nam home phone# work phone# CURRENT MAMINGADDRESS: city/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. t / 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 buildin&ermit. (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 reclIments. Si(!lof I#meowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required . shall be exempt from the.provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map dZA Parcel 070 - Application #06 U®63 f 4 Health Division Date Issued 1 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address A r Village �GYI' ?�Y�✓.�� Owner 4- 6 Address r Telephone — a — Permit Request �G�- -CkX n Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0 690 Construction Type Lot Size , 7.2 0 cll,.e Grandfathered: ❑Yes ,a No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ;W No On Old King's Highway: ❑Yes No Basement Type: A Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) 1fD D Sge Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new G Half: existing D new o Number of Bedrooms: existing (5 new Total Room Count (not including baths): existing !a new o First Floor Room Count -7 Heat Type and Fuel: 1arGas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes A No Fireplaces: Existing ( New c3 Existing wood/coal stove: ❑Yes No Detached garage: X 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# I _� Current Use Proposed Use %'R - o APPLICANT INFORMATION r� (BUILDER OR HOMEOWNER) T� T ram, Name i2c_ Telephone Number v Address /2 License # ��i'l f- ✓ //-� , ��" Q��?Z Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# 4. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME �t o INSULATION o FIREPLACE ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING WQA DATE CLOSED OUT ` ASSOCIATION PLAN NO.. z ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street c� Boston, MA 02111 yyi www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Tndi:vidual): VwLA L_ � r • Address: I22a_—r,� ' cu < ' City/State/Zip: ✓ n"z Vhone #: - d Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ T am a general contractor;and I * have hired the sub-contractors 6 ❑ New construction employees (full and/or part-time). Remodeling 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ g p p These sub-contractors have ship and have no employees 8. ❑ Demolition and have workers' working for me,in any capacity. employees 9 ❑ Building addition [No workers' comp. insurance comp. insurance.$ ;` q ] 5. ❑1)We are a corporation and its 10.❑ Electrical repairs or additic 3.LvJ 1 am la homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additit myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.❑ 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workcrs'comp,policy number. I am an employer that is providing workers'compensation insurance for any employees. Below is the policy andjob site information. Insurance Company Name,: Expiration Date:Ex Policy#or Self-ins,Lie;#: _ p 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 lead4o the imposition of criminal penalties of fine up to$1,500.00 an one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ldo hereby certify under the pains a penalties of perjury that the information provided above is true and correct Si nature: Date: ` Phone# p$ /! S 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 Phone#: Contact Person: Information and Instructions Massac setts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant this statute an Y ernP to ee is defined as "...every person in the service another under any contract of hire, express or plied, oral or written." An employer is defined as"an individual, partnership, association,corporati or other legal entity, or any two or more of the fc egoin engaged in a joint enterprise, and including the legal repre ntatives of a deceased employer, or the receiver or trust e of an individual,partnership, association or other legal tity, employing employees. However the owner of a dwells g house having not more than three apartments and w resides therein, or the occupant of the dwelling house of other who employs persons to do maintenance, con ction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of s ch employment be deemed to be an employer." MGL chapter 152, §25 (6)also states that"every state or local lice ing agency shall withhold the issuance or renewal of a license or ermit to operate a business or to constr t buildings in the commonwealth for any applicant who has not p duced acceptable evidence of compli ce with the insurance coverage required." .. Additionally,MGL chapter 52, §25C(7) states "Neither the co onwealth nor any of its political subdivisions shall enter into any contract for th performance of public work until aceptable evidence of compliance with the insurance requirements of this chapter h ve been presented to the contra ing authority." Applicants Please fill out the workers' comVthat n affidavit com etely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractore(s), address(e and phone number(s) along with their certificate(s)of insurance. Limited Liability Co (LLC)or Li ted Liability Partnerships (LLP)with no employees other than the members or partners, are not reqcarry worke 'compensation insurance. If an LLC or LLP does have employees, a policy is required. ed that thi affidavit may be submitted to the Department of Industrial Accidents for confirmation of ins c verage. Also be sure to sign and date the affidavit.. The affidavit should be returned to the city or town thpp 'catio for the pennit or license is being requested,not the Department of Industrial Accidents. 'Should youny ues ons regarding the law or if you are required to obtain a workers' compensation policy,please call artm at the number listed below. Self-insured companies should enter their self insurance license number onrop ' line. City or Town Officials Please be sure that the affidavit is com ete and pri ed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in event the Off. e of Investigations has to contact you regarding the applicant. Please be sure to fill in the perm]'Yt* ense number whic will be used as a reference number. In addition,an applicant affidavit indicating current c e applications in a given ear,need only submit one affida g that must submit multi le enni/ ens pp g y y P P policy information(if necessary and under"Job Site Addr s"the applicant should write"all locations in (city or town)."A copy of the affidav' that has been officially stamp or marked by the city or town may be provided to the applicant as proof that a va ' affidavit is on file for future pen .ts or licenses. Anew affidavit must be filled out each year. Where a home own or citizen is obtaining a license or pe it not related to any business or commercial venture (i.e. a dog license or pe it to burn leaves etc.)said person is NOT equired to complete this affidavit, The Office of Inve gations would like to thank yo,u in advance for yo cooperation and should you have any questions, please do not he to to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachus is Department of Ind ustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 TO. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICXCIENCY FOR ONE, AND TWO-FAM LY DETACHED RESIDENTTAL'CONSTR,UCTION (780 CMR 61.00) Applicant Name: Site Address: fi print Town: Applicant Phone: �j Applicant Signature Date of Alica.tion:: PP NEW CONSTRUCTION: choose ONE of the followin two-options) 780 CII 2M TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR. NEW ONE- AND TWO-FA-11rM•Y BUILDINGS MA)QMUM MLNTMTlM Ceiling or Basement Slab ❑ Option l: Fenestration exposed Wall Floor WallPerimeter AF UE HSPF U-factor floors R-Value R-Value R Value R Value R-Value and De th National Appiiance acr R-10 35 R-3 8 R-19 R-19 R-10 ' conscrvalioh Act NAE( 4 1997 as amended,minirn rafts as FLpplicabic 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 (--nCrgYrDdes.goy/resrhecl(/ A�DDX OlV5.01Z AY1z'�RA`z`6O 8.TO R')a' s `ING$rJLGDXI�TGS.O S R•5 YEAS�SOLD* *)3uildiags under 5 years old must use option#1 or#2 in New Construction section'aboye. 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 a • (b) Glazing area equals_SF If •lazin is<:40%.ire the chart below. • : If glazing is >40 % •rpcee•'d to "SU14ROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA,ADDITIONS TO EXISTDI G. LOW-RISE RESIDENTIAL BUILDINGS 14�TTIMUM MAXIMUM Slab Peru- ram% Ceiling and w�l Floor Basementwall LV )~enestration -Exposed floors R-Vah . U-factor R-value R-Value R-value -Value - and De ,3� R-37 a R-13 . R-19 R-10 R-10, 4 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 corn ressed over exterior walls, and includingan access o enin s . ' SUN-ROOM—An addition or alteration to an existing building/dwelling unit where the tot glazing area of said addition exceeds 40% of the combined gross wall and ceiling area off additiou. Note: Owner to fill out Consurner Iii ormation Form found in Appendix 120,P `Fowif of Barnstable Regulaiory Services Thomas T Geiler,Director MASS. g • �P i6yq. k`a Building Division rEO t`Ay Tom Perry,Building Commissioner 200.Maid-Street,. fy_anpis,MA 026.01 . •�t�sv.town.barnstable.ma.us t� Office 508-862--4038 f Fax: 508-790-6230 x HOl•IF-OGS'NER LICF-NSF EXEMPTION Please Print DATE: JOB LOCATION: number street • v llage --'HOMEOWNER": V S rn V g" 7 to 7 - 9a 9 � nam hones phone# worl_pbonc# CURRENT MAILING ADDRESS: 1 v city/town q state zip code The current exemption for"homeowners" was extended to'includc owner-occupied dwelliazs 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 EOMEO'ivNER. Persons) who owns a parcel of land on which be/sbe resides or intends to reside, on which tht re 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 BmIding 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) Therundcrsigned"homeowner"assumcs,responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner' certifies that he/shc understands the Town of Barnstable Building Dcpartrpcnt minimum inspection procedur"cs and requirements and that be/sbe will comply with said procedures and rcrgrrrircm_nts. • F � , Signatii of omeowner Approval of Building OffiA"cial 1 Note; Three-fa aily dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building:Code Section 127.0 Construction Control. HOM-EDVYNER'S EX�MYTION t c states that "An homeowner performing work for which a building pmTMt is required shall be exempt from the provisions The Cod Y of this scction.(Scction 1O9.1.1 -Licensing of construction Supervisors);provided that if the horncowntr engages a pe-son(s)for hire to do such work, that such Homcownrr shall act as supervisor.,. Many horncowncrs who use this cxcrrrption arc unaware that they arc assuming the respdQsibJhbcs of a supervisor(see Appendix Q. Rules&Regulations for Licensing Construction supervisors,Section 2. S) This lack of awarrncss often results in scriovs problems,particularly when the homeowner hires unlicensed persons• In this ease,our Board cannot proceed against the unlicensed person.as ii would with a licensed supervisor. The homcowocr acting es Supervisor is ultimately responsible. To ensure that the homeowner-is fully aware of his/her responsibilities,many communities require,m part of the permit application, that the hDMC0 finer ccrtrfy thathrlshc understands the responsnbilitics of a Supcnr sor. On the last page of this issue is a.form currently used by use in your eonununity. several towns. 'You may care t amend and adopt such itform/ccrtifieation for • r � r Town of arastahle r Regulat y Services t - '"��`�"B r Thomas F Geiler,Director 163¢ � 91� Bail ug Division Tom Perry, uilding Commissioner 200 Main S eet, Hyannis,MA 02601 www.tawn_barnstable.ma.us Office: 508-862-4038 a, Fax: 508-79( Pro erty Owner Must ple and Sign This Section f Usin ABuilder as Owner.of the su.bject.property hereby authorize to act oa my 6eb9 f, .M all matters relative to rk authorized by building permit application for. (Address of b) Sign tur of Owner Print Name If Property Owner is applying foi-pem.-a_it please Complete. the Homeowners License Exemption Form on the reverse side. Member Calculations Report Mid-Cape Home Center 465 AT 134 PO Box 1418 South Dennis,MA 02660 (508)398-6071 (508)398-4559 Level Name: SECOND FLOOR Status: Ready to Plot Application: Floor Non-Residential: No i 7' 611 Design Date:2/8/2010 4:46:11 PM Report Date:2/8/2010 4:48:37 PM Obiect: Flush Beam#9 General: Product: 1 3/4"x 7 1/4" 1.9E Microllam LVL Plies: 2 Deflection Criteria: Standard,Live Load L/360,Total Load L/240 Member Weight(plf)per ply: 3.7 f Design Value Control Value Result Moment (Ft-lbs) 5890 8182 Passed Shear (lbs.) -2596 5544 Passed Live Load Deflection (") 17 .24" Passed Total Load Deflection (") .29" .31 Passed . Reaction (lbs.) 3473 4200 Passed Bearings Bearing Location Input Length Required Length 1 Wall#2 0 3" 3" 2 Wall#4 T 6"� . 3" 3 Reactions: Assumed Member Weight(plf): 14 Location Dead Load Live Load Total Load Uplift- 1 (lbs.) 1.5" 1526 1972 3498 0 2(lbs.) 7'4.5" 1526 1972 3498 0 Loads: Roof Load Duration Factor: 115% Load Location Live Dead Type Distributed(plf) 3"to 0 0 to 0 .81 to 81 Roof Distributed(plf) T Y to 3" 0 to 0 81 to 81 Roof Distributed(plf) 7'6"to T 3" 0 to 0 81 to 81 Roof Distributed(plf) 3"to 0 0 to 0 0 to 0 Roof Distributed(plf) 7'3"to 3" 0 to 0 0 to 0 Roof Distributed(plf) 7'6"to T 3" 0 to 0 0 to 0 Roof Distributed(plf) 0 to 3" 282.8 to 282.8 299.3 to 299.3 Roof Distributed(plf)- 0 to 3" 226.1 to 226.1 0 to 0 Floor See iLevel®Framer's Pocket Guide for Product Trademark Information TJ-Xpert 6.50 (#695)A Page 1 BUILDERSYSTEMS 12 PARTRIDGE.JOB Design,mate:2/8/2010 4:46:11 PM Report Date:2/8/2010 4:48:37 PM Distributed(plf) 0 to 3" -31.5 to-31.5 0 to 0 Floor Distributed(plf) 3"to 7'3" 28,18 to 282.8 299.3 to 299.3 Roof Distributed(plf) 3"to 7'3" 226.1 to 226.1 0 to 0 Floor Distributed(plf) 3"to 7'3" -31.5 to-31.5 0 to 0 Floor Distributed(plo 7'3"to 7'6" 282.8 to 282.9 299.3 to 299.3 Roof Distributed(plf) T 3"to T 6" 226.1 to 226.1 0 to 0 Floor Distributed(plf) 7'3"to 7'6" -31.5 to-31.5 0 to 0 Floor Notes: Design Methodology: ASD Only positive(downward acting)loads are detailed in the diagram above. IMPORTANT! The analysis presented above is output from software developed,by iLevel®. Allowable product values shown are in accordance with current iLevel®materials and code accepted design valuos.i The specific product application,input design1oads and stated dimensions have been provided by others,have not been checked for conformance with the design drawings of the.' building,and have not been reviewed by iLevel®Engineering. See iLevel®Framer's Pocket Guide for Product Trademark Information TJ-Xpert 6.50 (#695)A Page 2 BUILDERSYSTEMS 12 PARTRIDGE.JOB Member Calculations Report Mid-Cape Home Center 465 RT 134 PO Box 1418 South Dennis,MA 02660 (508)398-6071 (508)398-4559 Level Name: SECOND_FLOOR Status: Ready to Plot . Application: Floor = Non-Residential: No 2 Design Date:2/8/2010 4:46:11 PM ReporttDate:2/8/2010 4.49:43 PM Object: Flush Beam#9 General: Product: 1 3/4"x 7 1/4" 1.9E Microllam LVL Plies: 2 Deflection Criteria: Standard,Live Load L/360,Total Load U240 Member Weight(plf)per ply: 3.7 Design Value Control Value Result . Moment (Ft-lbs) 5890 8182 Passed Shear (lbs.) -25.96 5544 Passed Live Load Deflection (") .17" .24" Passed Total Load Deflection (") .29" .31" Passed Reaction (lbs.) 3473 4200 Passed Bearings: Bearing Location Input Length Required Length 1 Wall#2 0 3" 3" . 2 Wall#4 76 3' 3 Reactions: Assumed Member Weight(plf): 14 Location Dead Load- Live Load Total Load Uplift 1 (lbs.) 1.5" 1526 1972 3498 0 2(lbs.) 7'4.5" 1526 1972 3498 0 Loads Roof Load Duration Factor: 115% Load Location Live Dead Type Distributed(plf) 3"to 0 0 to 0 81 to 81 Roof Distributed(plf) T 3"to 3" 0 to 0 81 to 81 Roof Distributed(plf) 7'6"to T 3" 0 to 0 81 to 81 Roof Distributed(plf) 3"to 0 0 to 0 0 to 0 Roof Distributed(plf) T Y to 3" 0 to 0 0 to 0 Roof Distributed(plf) 7'6".to T 3' 0 to 0 0 to 0 Roof Distributed(plf) 0 to 3" 282.8 to 282.8 299.3 to 299.3 Roof Distributed(plf) 0 to 3" 226.1 to 226.1 0 to 0 Floor See iLevel®Framer's Pocket Guide for Product Trademark Information TJ-Xpert 6.50 (#695)A Page i BUILDERSYSTEMS 12 PARTRIDGE.JOB Design Dane:2/8%2010 4:46:11 PM Report Date:2/8/2010 4:49:43 PM Distributed(plf) 0 to 3" -31.5.to 731:5 0 to 0 Floor Distributed(plf) 3"to 7'3" 282.8 to 282.8 299.3 to 299.3 Roof Distributed(plf) 3"to T 3" 226.I to 226.1 0 to 0 ; Floor Distributed(plf) 3"to 7'3" . -31.5 to-31.5 0 to 0 Floor Distributed(plf) T 3"to 7'6." 282.8 to 282.8 299.3 to 299.3. Roof Distributed(plf) 7'3"to 7'6 226.1 to 226.1 0 to 0 Floor Distributed(plf) 7'3"to 7'6" -31.5 to-31.5 0 to 0 Floor Notes Design Methodology: ASD Only positive(downward acting)loads are detailed in the diagram above. IMPORTANT! The analysis presented above is output from software developed by iLevel®. Allowable product values-,shown are in accordance with current iLevel®materials and code accepted design values. The specific product application,input design loads and stated dimensions have been provided by others,have not been checked for conformance with the design drawings of the building,and have not been reviewed by iLevel®Engineering.. See iLevel®Framer's Pocket Guide for Product Trademark Information TJ-Xpert 6.50 (#695)A Page 2 BUILDERSYSTEMS 12 PARTRIDGE.JOB TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION SA,PI '1ABLE Map d Parcel ��— NO-C,N�z��- Permit# (o g Health Division q 5 0�� a�6 1o? l -7 A-51 10: 00ate Issued � �� Conservation Division 4 � Application Fee .,.-t5_ 69-z') Tax Collector rj/�/!O .�_7�P,5 T blivisiU� Permit Fee r ` 87 Treasurer li SEPTIC SYSTEM MUST DE Planning Dept. INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board WITH TITLE 5 ENVIRONMENTAL CODE Ate[. Historic-OKH Preservation/Hyannis TOvw'IJ RCGLPLA,71C�_3 Project Street Address, A N Village (,o Owner /}''.\i- rim- �/N e U AI-0 Address r>` jl- -� W A ti - -� � I � , Telephone y T Permit Request F AY C^ o s - �✓9 1 a £' �(� I ti f ( to f -- ti t er i-w 0 tip` K)P�,ilJ 'Z Ll Z W'g I( Aol Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new `Y Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure _ Historic House: ❑Yes alo On Old King's Highway: ❑Yes 0-i'd'o Basement Type: 0f'u11 ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) -ALA,.iv-( Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 2 new Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing 3 U?1&-tr,) new First Floor Room Count Heat Type and Fuel: 06as ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ��2 o Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:Coexisting ❑new size Pool: ❑existing ❑new size Barn:0 existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Clio If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name jlP.� t_ ,� Telephone Number 1 > r Address License# Q S Z V 4 Home Improvement Contractor# I l S Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 11/\ DATE FOR OFFICIAL USE ONLY PERMIT NOr DATE ISSUED l MAP/PARCEL NO. ADDRESS i-. - �" VILLAGE- ;OWNER DATE OF°INSPECTION: FOUNDATION - FRAME _ 1`� !_� �% h INSULATION U 3,30 - FIREPLACE J ELECTRICAL: ROUGH FINAL J 4 ^4 PLUMBING: ROUGH - FINAL GAS: ROUGH 9I " FINAL FINAL'BUILDING A c - 7.4 DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts ' Department of Industrial Accidents - _ OIfICC 01/BYBSI/g81/8/IS 600 Washington Street Boston,Mass. 02111 i Workers Com ensation Insurance Affidavit name A�^ \ �-•p 1 \ v�-.> � ......location: 1 elf............. .-. ..-.. _.__.............-----_.._........_.._..__......__ _---_.._-...._..._______ - -_- ----.. city phone# V > 7 t ❑ I am a homeowner performing all work w myself E ' �1am a sole r ri,tor and have no one workin in ca achy . ... ................. .... ....... :;:^F:{j:y;:i:::isiii:{:i:}:;:j!j}:i:?:;:i}i:;:?ii:;i::':;i:"r:}:,::}:i%2::`:?<:.:::iS<n;::;Ytiy:::::i'''::':::k%:ii';':::;iti<:i:{::}•::;Y:t•:?:�,.:.....::..... nwxm $id3i •:�,:::::•:: }?# .............. .? ......�% " %':it: i% iii% 'NO: 'x,>,<Ce?.CD`�''s�`i?� i�>:j. i;rasi':';?ii :>�:;�<':i::::.;ii::'' ;>:i��iasi'2ii'::i`i:':; i;:;;:i`�.^;.i2�:i'�>::?�::•:::>E:i�::;;�:;•; Ali fs�an uGee am a sole propriet general contractor r homeowner(circle one)and have hired the contractors listed below who have the o...li..c...e..s..:..::::.:.............::.::.......... ::............:..... :::::.::............:........:..::.::.::.:..:::::;........ :::.. 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Ill '.: :k:i:� .. ::•>:•::;::::�':;•.:•::�::.:•�::.:•::•:..,..:::•:•::.'L.:.;,::•:::.:..., Failure to secure coverage a,requited under Section Z5A of MGL 15Z can lead to the imposition of criminal penalties of a fine up to$1,500.00 andlor one years,imprisonment as wen as dvfi penalties in the form of a STOP WORK ORDER and a Ste of$100.00 a day against ma I understand that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certifylu &r the pains and penalties of perjury that the information provided above itru,and correct Sigaat ire t' Date f Print name l l P Z ,k Phone# � l �'a,-� , official use only t write in this area to be completed by city or town official city or town: p ermit(license# ❑Building Department � OLicwing Board is required ❑Selectmen's Office ❑checkif immediate response4 /r []Health Department phone#; contact person: �Ofiur (cevited 9/95 PJA) Information and Instructions Massachusetts General ws chapter 152 section 25 require .all employers to provide workers' compensation for their employees. As quoted fr in the"law", an employee is define as every person in the service of another under any contract of hire, express or impli oral or written. An employer is defined an individual, partnership, associati , corporation or other legal entity, or any two or more of the foregoing engaged ' a joint enterprise, and including the le al representatives of a deceased employer, or the receiver or � trustee of an individual partnership, association or other legal ntity, employing employees. However the owner of a we dwelling house having of more than three apa rtments and who ''sides therein, or the occupant of the dwelling house of another w employs p rsons to do maintenance, construction o ;repair work on such dwelling house or on the grounds or building app ereto shall not because of such employm be deemed to be an employer. MGL chapter 15 a 'on 25 also states that every state or local censing agency shall withhold the issuance or renewal of a license or pe ' to operate a business or to construct buil gs in the commonwealth for any applicant who has not produced accept le evidence of compliance with the insur ce coverage required. Additionally,neither the commonwealth nor its political subdivisions shall enter into y contract for the performance of public work until acceptable evidence o c ce with the insurance requirements this chapter have been presented to the contracting authority. Applicants Please fill in the wor ers' compensation t completely,by chec ' the box that applies to your situation and supplying companDepy es,address and phone n ers along with a ce cate of insurance as all affidavits maybe submitted to the ent of Industrial Accidents confirmation of' ance coverage. Also be sure to sign and date the affidavit. affidavit should be returned to th . or town the application for the permit or license is being requested, not a Department of Industrial Accidents. uld you ve any questions regarding the"law"or if you Please call D ent at the number listed below. co ensation policy, eP are required to obtain workers mp P Y�P City or Towns Please be sure that the davit is complete and printed legibly. The Department provided a space at the bottom of time the Office of Investigations has to contact regarding the applicant. Please affidavit for you to fill o in the event g be sure to fill in the p `tense number which will be used as a reference numb affidavits may be returned to the D artmeirt b mail or AX unless other arrangements have been made. ep Y . .. The Office of Investigations ould like to thank you in advance for you cooperation sho ou have any questions. please do not hesitate to give a'call. The Department's address,tel hone and fax number: ' The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investlgatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 .a, °pIME 7, Town of Barnstable Regulatory Services 1ARMSTABLE, ' Thomas F.Geiler,Director MASS 9`�pr16 MA.�a`�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: 4& �8 ) P 6 h F\ Estimated Cost Address of Work: Owner's Name: Date of Application: ✓L71,9 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: C I"� k f%,4-V1'L I I S Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav f P�OFTHE To��o Town of Barnstable Regulatory Services '+ BnF = Thomas F.Geiler,Director y nsasa MA$S. �* `bplfD yq;.,1. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A. Builder I, G (2 , as Owner of the subject property hereby authorize k1i,ke- e,,, / to act on my behalf, in all matters relative to work authorized ythis building permit application for(address of Job) 1� Qri� Ylatur Owne Date 0 Print Name RESIDENTIAL BUILDING PERA= FEES 3 APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 ZS- Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/REN VATIONS OF EXISTING SPACE �sZ square feet x$64/sq.foot= x.0031 plus from below(if applicable) ACCESSORY STRUCTURE>120 sq. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >150 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (der) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee . -MAM8-2003 THU 12:49 PM FAX NO, P. 02 Ir 14 fir' Cry 9 0 -r,OIT z �I t }'c c 'A `114 LOT 7 7 L� V . _ n. , n - - 1 t. �'�r n r,• _ 1 (J� iU Y l s toxh", '�c Th : MORTGAGE IN SEC";ION N!ao s or FLOOD 7101VE' Cy" `1� �tiVN; Jw N71'<f► T;'J1rL�i: dank Lne onty 1")F+;I,P) T�P:t'' _ n:�1y � -- ...�._---- Hk;c.,IsrRX C� NR: f4Ff' Glr, _77�'4CzI��I'lR/ �'_�14---- DATE,: r %• it ` --t�jJ�.L}Z' ,,�i'VZ",�n�` �,, [�.--fi•6,J �.f-!._ �1�. ?. M.�:•� ---. �- PLAN RFF'; _�:��.��-. I i f,�'t�I'I:'s Y+ C;tI'Ft'I't l�'Y .i3O.., SSI;Y �1.(�(, ty`l�l)�;s'.I�•1 r�'°H' tl.:!l..wi__ ,..,�,�,`--- �� '�'� SURVEY , , �► . NIA E R E SHOWNr r SJ• 7 r KILDING , '�,�i{• ��.,-. SHOWN ON 'IICI1, PLAN I i LOCATED ON THE GROUND AS r`' ' � ��> CONSLILTAM'S SHOWN AND Tf f AT ITS POS111ON DOF-iS _ CONFOR.M PAUL `I.',U TI~IC 7,UNING LAW Sf,TFtA.CK 17C'' UI17EMENTS OF 711-iF. C, A. ��; hOH (SUITE 1) '1'()WN -Uf, f1r�V.�'7'�I I� ' _ANn '�HA1' MERIT14EW V , 1'1' 7)()�,:�_..ni��-- I,I(. `Nt1'IIIN Tl.I' SPECIAL > f..00 A/.,' pD �zose INDUSTRY ROAD ,, ,• „ r fl �ztf, Mc. MARSTONS MILLS. MA. 026.18 Ai�C..1 A.� aEIC tiYN ON "1'�II� Ii.U. D, MAP I;)AC L L1_.r! TEL: �2n�.A055 (an t 1iv Chit ic.rli ?�!1001 0(JOf� 'A ' 10--.'5�553 Assessor's Office(1st floor) Map62�zeLot. /64 Permit# Fe?_3 1 Conservation Office(4th floor) Date Iss ed -7 ' Board of Health(3rd floor)(8:30-9:30/1:00- 2:00 Fee 0 d Engineering Dept. (3rd floor) House#1 Planning De . 1st floor/School Admin. Bldg.); • BARNS ABLE. Definitive/Plan Ap r ved by Planning Board 19 MASS. fE0 IAA's� I TOWN OYBARNSTABL.E Building Permit Application 1 ? Ao/� Project Street Address _ � � q � - Village Ce.UletevtU\. rY1A Owner g . Tep, 5e 6A0 Address '? S y ANC ;1 Telephone 9103 Permit Request Total 1 StoryArea include 1 story garages&decks square feet / ( rY g g ) q ,y Total 2 Story Area(total of 1st& 2nd stories) square feet Estimated Project Cost $ J,300. 6Q r 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 Family 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 S�G f/BN Telephone Number Address S q poyToye Dr. License# 05-f-20 VAemovTA M14, ozo-q Home Im ovement Contractor# Wert nsa ion# CBS-IVO94 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 hl60l h SIGNATURE DATE !/ q S' BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. #8831 DATE ISSUED July 12, 1995 MAP/PARCEL NO. 208.070 ADDRESS 12 Partridge Way VILLAGE Centerville, MA 02632 OWNER Jean Margaret Jensen & N.D.Diamond & Packer � 9 DATE OF INSPECTION: FOUNDATION a ' FRAME - INSULATION FIREPLACE! ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Assessor's map and lot number SEPTIC SYSTEM! MUST BE —. {. _ INSTALLED IN CC��I''LIANCE cc ' Sewage Permit number Q� ........ ..... �d, -C WITH A T!CLE f1 STATE SA N ITf'.RY CODE AN TOWN �r FTHE t .y •+ TOWN OF` BARN_ �9'TA`BL�E H9HB9TAFILE, "b 9 t^ BUI:LDIHG I INSPECTOR . APPLICATION FOR(PERMIT TO ........� -z...... � .................. ..................................... ' TYPE OF CONSTRUCTION ............. ..... ...................................: i ............ .:r..19.7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........... ` . �.............. .................................. ProposedUse ......... ..................................................... Zoning District ............Fire District ............................................... Name of Owner . . ... ... ..........Address ...../... ........c, l�.. ........ OQ Name of Builder , .....Address .....�..Jr Nameof Architect ......6.........., .... 1 e=..........................Address .................. ........................................... Number of Rooms ................ .........................:...................Foundation .......................... Exterior ......41-unit........ ..... ....:............................Roofing ........... . . 4ea. Floors ::...............:...............................Interior ...... �� .................................................. �, Heating ..........we. ...... .................................Plumbing ........ ........ ...... ..................... .. Fireplace ..................4-11t?......................................................... Approximate. Cost .P Definitive Plan Approved by Planning Board ------------------_-------------19________. Area ........_....................... Diagram of Lot and Building with Dimensions Fee ................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Q �7 Name . . ..... a..T� rt-6�11!a........ - Drake, Helen C. ' No —' Permit for —..dozzo�r-----.. ^ * ----.. .----------. ,. ' � ' - Location �� ar Way � —.-------"------`°---^.. / ...............................C le________. . . . - ' . Owner ............................................8el `._____.. Type of Conotrucdon ............ rame................... , p / ` —.—.--.-------------'------- ~~Pl~^ ---------. Lot ----------_ ' ' . . ` - . . . ° c6 19 76 Permit Granted —--. / . --Date of Inspection ' -u ' Dote Completed .��/��U,�..«'..��...... ' . . _ ' O��um x lA ' -----,—.-; .......................................^ . . , , . ' �-----..—..L.---..'.~�.'--------__... - . . . ........................................ �----------... ~ ^� '--'----'--------`~'~--^^~----- —~ ' ............................ . Approved . ................................................. lg � - . ;-----------------~-------�.. --------------------'--.--... � ' A complete TJ=Xpert° framing plan requires the iLevel° Framer's Pocket Guide See iLevel® Framer's Pocket Guide for Product Trademark Information --Xpert . n ''TJsoftware _ 1 1 1 • - 0 CREATED BY p� ��p 11pI, JOB COMMENTS Mid-Cape Home Center PNEI�I��NTDAWING 465 RT 134 • BUILDER SYSTEMS PO Box 1418 18' 10" g 12 PARTRIDGE WY South Dennis., MA 02660 —3' —�~—7' 6'I10" 2' CENTERVILLE MA (508) 398-6071 FAX: (508) 398-4559 Ml # M2 — — 2. _ 2 .— SYMBOL LEGEND 4 0 , Point Load - d- Line 'Load ' I L.1 Area Load L • LEVEL NOTES n� File Name: BUILDERSYSTEMS 12 PARTRIDGE.JOB Level Name: SECOND FLOOR Plotted: 2/8/2010 16:50 Joists By Others Design Status: SECOND FLOOR...2/8/2010 16:50 i I ROOF LOADS.....2/8/2010 16:40 i { i NOTE: Level design times indicated above provide iassurance for proper level stacking. Design Methodology: ASD w ! w Floor Area Loading Is: ,40psf Live Load and 12 psf Dead Load iMaximum Joist Deflection: L/240 TotalL Load TJ-Pro Rating Information: " i I Weighted Average: NA Lowest Rating: NA Highest Rating: NA i T i Glued & Nailed Decking is Required Direct Applied Ceiling of 1/2" Gypsum is Required 1 X 4 Strapping is Required. Floor Decking: 23/32" Panels (24" Span•Rating) Layout Scale: 1/4" = 1' 18, 10" Page 1 of 1 JOIST AND BEAM LIST` Plot ID Length Product ? Plies Qty FOR THE TJ-XPERT WARRANTYSEE FRAMER'S POCKET GUIDE Ml 8' 1 3/4" x 7 1/4" 1.9E Microllam LVL 2 2 Preliminary Layout M2 6' 1 3/4" x 7 1/4" 1.95 Microllam LVL 2 2 for Review and Approval TJ-Xpert 6.50(#695)C6.50 D6.50 S6.50 P6.50 Lewis and Weldon Custom Kitchens s. Y °` Jayne &Tony Cedeno 111 Airport Rd - � �;> , .. ...� > �° 12,Partridge Way. Hyannis, MA + ��; Lam. Centerville MA 02632 508) 778-5757 G . �..z 508-790-1945 [12-O:i-09] 508-737-9091 Cell Room 1 Not To Scale 281 5/8 .Win72. . .L, - jam;• ,. 1 /2 0.1/2 --1 U2 16. �, 16 24' . j 3 _ 131/4' 131/4- 13�1�5174 131/4 131/4 n t a � �•\•^�j - �( 39 - 2 ' ' 57 - 14 24 2a �,•'. - i---'�f f _ MORE „ - � 1 /2 301/2�...:; 1 /2 •141/2 ,z 30 18 ��„, �44>1/2 j-� - _ , ... 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