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tq Of.Barnstable *Permit 4M 61
O,* A UCj 2 ? Expires 6 months from issue date
2012 Regulatory Services Fee
+ nAxxsrest
MASS.T Thomas F.Geiler,Director
Eo � OF gAR�
STABLL-BBuilding Division K SI2,fJI2L
Tom Perry,CBO, Building Commissioner,
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma us
Office: 508-862-4038 Fax: 50.8-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X Press Imprint
Map/parcel Number }
Pro e Address3� e-C � d cU1 21 I t AA.
RResidential Value of Work )OW Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address (-e' L(,a��'�
Contractor's Name I '1 C_ �J� Telephone Number t ' ?�1
n�J -77 ,
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Chg�k one:
�❑jj I am a sole proprietor
❑ I 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) L
jRe-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to �,whc gr� h/
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side
#of doors
❑: Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and 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'
require
SIGNATURE:
QAWPFILES\FORMS\building permit formsT)XPRESS.doC
Revised 053012
f �
IAMSrABLE.
9� ' Town of Barnstable
10tFc l�r•+''
Regulatory Services
Thomas F. Geiler,Director
Building Division
Thomas Perry,CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601-
www.town.barnstable.nia.us
Office: 508-8624038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
.,,owner of the e ro subject !
n� l property
rtY_
hereby authorize 4,1 GeL� GAF tcxi� to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of Jo
� — /� a
Signature of Owner Date
Print Name
If Property Owner is applying for permit, please complete the Homeowners License Exemption Form_ on the
reverse side.
QAWPFILES\FORMS\building permit forms\E)PRESS.doc
Revised 051811
!y
�tHE Town of Barnstable
Regulatory Services
Sr'ABM ' Thomas F.Geiler,Director
MAS&
` ram 39. Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 0260.1
www.town.barnstable.ma.us
Office: 508-862-4038 _ Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION.
Please Print
DATE:
JOB LOCATION:
number street vill e
"HOMEOWNER":
name home phone# ork phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was a nded to include owner-occu ie dwellin s of six units or less and to allow
homeowners to engage an individual for hire who es not possess a license, ro ded that the owner acts as su ervisor.
EFINTTION OF HOMED R
Person(s)who owns a parcel of land on which he/she sides or intends to resi e,on which there is,or is intended to be,a one or two-
family dwelling,attached or detached structures access to such use and/or arm structures. A person who constructs more than one
home in a two-year period shall not be considered a hom wner. Such"ho eowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be res onsible for all ch work erformed under the building permit. (Section
109.1.1)
The undersigned"homeowner"assumes responsibility for co m liance ith the State Building Code and other applicable codes,
bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the own of Barnstable Building Department minimum inspection
procedures and requirements and that he/she will comply with said r cedures and requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 c . is feet or larger will required to comply with the State Building Code
Section 127.0 Construction Control.
HO . WNER'S EXEMPTION -
The Code states that: "Any homeowner perfming work for which a buil 'ng pelrmit is.required shall be exempt
from the provisions of this section(Section 109.1.1-Licensing of construction Supery ors); provided that if the homeowner
engages a person(s)for hire to do such work,that such Homeowner shall act as-supervi r."
Many homeowners who use this exemption are unaware that they are assuming th responsibilities of a supervisor
(see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) his lack of awareness often
results in serious problems,particularly when the homeowner hires unlicensed persons. In this se,our Board cannot
proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner ach �g as Supervisor is
ultimately responsible. ''
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page
of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in
your community.
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
`'-vised 051811
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel �- I Permit#
Health Division - ®"37 Date Issued
Conservation Division a Application Fee ,540 ®D
Tax Collector Permit Fees 3
Treasurer kJ �o
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address 0
6 f n tv/a V
Village C OD 6-L!
Owner Pa y 64J` --Pz�_ L&Cxrz C 7 Address 6 tic,
.Telephone S-001> ^ -7 2
Permit Request -Fo ja kt-u- `eey- �.7'l�ri ok�CA.� f �;
:23&2F
Square feet: 1st floor: existing proposed 0 2nd floor: existing proposed ® Total new 0
Zoning District Flood Plain Groundwater Overlay
Project Valuation `� . Construction Type O
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family f Two Family ❑ Multi-Family(#units)
Age of Existing Structure 7a Vid Historic House: ❑Yes Wo On Old King's Highway: ❑Yes WNo
Basement Type: Vfull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) y
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: WGas ❑Oil ❑ Electric ❑Other
Central Air: ❑Yes allo Fireplaces: Existing _ New Existing wood/coal stove: ❑Yes ❑ No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:Wexisting ❑new size Shed:t(existing ❑new' size k Other:
G I
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial 0 Yes �Oo If yes,site plan review#
Current Use 1-h rr 1c S/Ia C.e, Proposed Use Lr'v a ktc S C e.;
t BUILDER INFORMATION
Name9CUCO ( ' 1 f �
` Telephone Number 5W' 777h d6 _5 ?sell) )do
Address��ceao License# �?
&C 4A t'� ���S. 6 ts4:j Home Improvement Contractor#
' Worker's Compensation#-ScAe e0ae77`i-e-`�!`
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TOG('/1'Id� "� Sl'�� S'�ca✓1
SIGNATURE DATE _ ��
` I
FOR OFFICIAL USE ONLY f
,
s PERMIT.NO.
DATE ISSUED
MAP/PARCEL NO. _
ADDRESS y , VILLAGE s
OWNER 1
jam' r •. ` , ' - .,
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE y I
i
- t
ELECTRICAL: ROUGH FINAL '
PLUMBING: ROUGH FINAL
a
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO. `
. 1 .
` ) F
I ,
710 CMR Appendix
Table JS.ZIb(continued)
pmcriptive Fxckagcs for One and Two-Family Residential Buildings Heated with Fossil Fuel
MAXIMUM MINIMUM
Glazing Glazing Ceiling Wall Floor Rasemou Slab Heating/Cooling
te A '(e/•) U-value' R-value' R-value' R-value° Wall Pesimeta F�Pinent Efriicicn
�'
Package R-vafue6 R valud
5701 to 6500 Heating Degree Days'
Q 12% 0.40 38 13 19 10 6 Normal
R 12% 0.52 30 19 19 10 6 t Normal
S 12% 0.50 38 13 19 10 6 85 AFUE
T 15% 0.36 38 13 25 N/A N/A Normal
U 15% 0.46 38 19 19 10 6 Normal
V 1S•/. 0.44 38 13 25 NIA N/A 83 AFUE
W ISYe 0.52 30 19 19 10 6 85 AFUE
X 18% 0.32 38 13 25 N/A N/A Normal
Y 19% 0.42 38 19 25 N/A NIA Norma!
Z 18% 0.42 1 38 13 1 •19 1 10 1 6 90 AFUE
AA 18% L 0.50 30 19 19 l0 6 90 AFUE
1. ADDRESS OF PROPERTY:
(09 632
2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:
3. SQUARE FOOTAGE OF ALL GLAZING: / D9
C/
4. %GLAZING AREA(93 DIVIDED BY#2):
5. SELECT PACKAGE(Q--AA-see chart above): �A 1
NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS
ARE AVAILABLE. ASK US FOR THIS INFORMATION.
BUILDING INSPECTOR APPROVAL:
Y YES: NO:
q-forms-f980303 a
780 CMR Appendix J
Footnotes to Table J8.2.1b:
' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and
basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall
area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement.
For example,3 fl of decorative glass may be excluded from a building design with 300 f'of glazing area.
2 Ater January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with
the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for
whole units:center-of-glass U-values cannot be used.
' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full
insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38
insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity
insulating she
athing must be laced between
i used). ventilated ceilings, g p
insulation plus insulating sheathing (f ) &S g
the conditioned space and the ventilated portion of the roof.
'Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include
exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER
Wall re requirements apply to
b R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. q PP Y
Y
wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction.
ti
S The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements,
or garages).Floors over outside air must meet the ceiling requirements.
The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must
meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned
basements must be included with the other glazing. Basement doors must meet the door U-value requirement
&scribed in Note b.
'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs.
' If the building utilizes electric resistance heating use compliance approach 3;4, or 5. if you plan to install more
than one piece of heating equipment &,more than one piece of cooling equipment, the equipment with the lowest
efficiency must meet or exceed the efficiency required by the selected package.
'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a
NOTES:
a) Glazing areas and U-values are maximum acceptable levels. Insulation R values are minimum acceptable levels.
R-value requirements are for insulation only and do not include structural components.
b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested
and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value
in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the
glass area of the door with your windows and use the opaque door U-value to determine compliance of the door.
One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35).
c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with
different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to
the R-value requirement for that component. Glazing or door components comply if the area-weighted average U-
value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors).
43
RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE
New Buildings,Additions $50.00
Alterations/Renovations $25.00 v 5
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
square feet x$96/sq.foot= x.0031=
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
square feet x$64/sq.foot o x.0031= �
plus from below(if applicable)
GARAGES(attached&detached)
square feet x$32/sq. ft.= x.0031=
ACCESSORY STRUCTURE>120 sq.ft.
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf- 1000 sf 75.00
>1000 sf- 1500 sf 100.00
>1500 sf-Same as new building permit:
square feet x$96/sq.foot= x.0031=
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck x$30.00=
J (number)
Fireplace/Chimney x$25.00=
(number)
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable)
Permit Fee
projcost
`oF,He�oyti The Town of Barnstable
NP ��
BARN_ABLE. ' Department of Health Safety and Environmental Services
MASS. 4
9 `00
rFo MPS Building Division
367 Main Street,Hyannis,MA 02601
Office: 508-862-4038
Fax: 508-790-6230
PLAN REVIEW
Owner: Pt T)Z U k iq c Map/Parcel: / '9 /dz
Project Address: Builder: 91U c4 11A LL s
Gee r>rt fo/LL 4
The following items were noted on reviewing:
co/vef l2 lir--7r JC cr& A/
D 7 W dt'�L.&ow,,��
sTs - /fir 11 7—C %�rC--,6 i� /7 :Z;y
Ct dog Svc GG&t /Z-
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off) �"!J f G f� ��/�//YG J d/STS fJ F1✓G�/l�fl G�^/�� �7`/LUGy""vl'��L l'U�4 LL
3� 4PP 47716- h'cG,155 5-
L,�/
S� 1/IL�� ��5'TlZ.�� T i o sir d i m l� f � W PP)- 7—Jc�.�s.
Reviewed by:
Date:
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��FTHE lob, Town of Barnstable *Permit# o
yP �s TOWN OF BARNSTABLE Expires 6monihsfrom issue date
Services Fee 2 � �
y 1639..asnss. 1003 JAIL 13 A jeelatory
F. Geiler,Director
'ED MAC Building Division
Building Commissioner IT
D i V I S( �00 Main Street, Hyannis,MA 02601
Office: 508-862-4038 - JAN 112003
Fax: 508-790-6230 �
EXPRESS PERK ffT APPLICATION — RESIDENT9W MAWN STABLE.
p Not Validwithout Red X-Press Imprint
Map/parcel Number
Property Address QLG O C J Q '
C
[Residential Value of Work ® oo q
Owner's Name&Address R- t�, —P L JL<jcx, c-
pc/ p u
Contractor's Name LJ C �� ...�Jelephone Number -771 66
Dome Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable F77 /
❑Workman's Compensation Insurance
Check one:
I am a sole proprietor
I am the Homeowner
❑ I have Worker's Compensation Insurance I
Insurance Company Name l vA '` t
Workman's Comp.Policy#
Permit Request(check box)
J�LRe-roof(stripping old shingles) All construction debris will be taken to 4 jC/W �V •^i�Lslt/c
Sq.
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum.44)
Other(specify) S, I fa ,
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
Signature
QYorms:expmtrg
Revised121901