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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Sle)13 lool Parcel ,Le) Application#
Health Division (ay 3 -d �
Conservation Division 3 h Z -Z Permit# q1 0�
EXISTING SEPTIC SYSTEM
Tax Collector.,—, age Issued '
LIMITED TO� Appli_#OF BEDROO
Treasurer Acation Fee �v
Planning Dept. Permit Fee vO
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address �
Village .[ T 0
Owner Address
Telephone
Permit Request i!:Zp� !�2 �2 oO1 6%1- A2co,— s51,ll)
A/Z" fJL�
Square feet: 1st floor:existing 0-0 proposed `2-0 2nd floor:existing proposed Total new �G
Zoning District Flood Plain Groundwater Overlay
Project Valuation 0()-0 Construction Type wk) /c"1 (L
Lot Size GO 0 Grandfathered: ❑Yes Oho If yes, attach supporting documentation.
Dwelling Type: Single Family 2/ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes Er�o On Old King's Highway: ❑Yes 2, o
Basement Type: mull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 5Q�T
Number of Baths: Full:existing , new % Half:existing new
Number of Bedrooms: existing new
r
Total Room Count(not including baths):existing new First Floor Room Count i 3
Heat Type and Fuel 03"bas ❑Oil ❑Electric ❑Other Z� Not
Central Air: ❑Yes Rio Fireplaces: Existing New Existing wood/coal stove=-0 Yes ❑Na"
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing Q new size
r� �3.
Attached garage:❑existing ❑new size Shed:U"existing ❑new size Other: z:? r1Z
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ErNo If yes, site plan review#
Current Use /W10Zs— %G Proposed Use :iAIGIV,�-
BUILDER INFORMATION
Name Telephone Number >
Address License#
44 Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO CALL - 7� d�
4131/
SIGNATURE DATE °'-"�� 27 ; ZC?Ci 6
FOR OFFICIAL USE ONLY
- y
PERMIT
DATE ISSUED
IAAP/PARCEL,NO. -
ADDRESS' VILLAGE .- )
OWNER`
DATE OF INSPECTION: `
FOUNDATION a
FRAME � L`l tZ g .,, 9 2X[bt
INSULATION
O
FIREPLACE
ELECTRICAL: ROUGH FINAL i
2 Q
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
i
` f ,
DATE CLOSED OUT -�
ASSOCIATION PLAN NO.
oFIHKE Town of Barnstable
Regulatory Services
" B"M'A Thomas F. Geiler,Director
r 1679. �
A fD MA'S Building Division
Thomas Perry, CBO,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.maxs
Office: 508-862-4038 Fax: 508-790-6230
PLAN REVIEW
Owner: '(\ Ma /Parcel: 0 1�3 001
p �t 1
Project Address I )?J Builder:
The following items were noted on reviewing: .
V T — ' r CC-'; 1�V,-y
'rku V"-,%.LA � /k 471-ei,. �e-4I_.., 6-- "AA I V\ CtAd Al rv•"-
rise,
3 ` " (1 � z Il
�..Vj '-'t" ��- �-e_ 23)3 z 4Lc-6 a% .saz`X,J L�
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Reviewed by: lei
Date: -2 o
Q:Forms:Plnrvw
I
o�IKE Town of Barnstable
Regulatory Services
sayszna , : Thomas F.Geiler,Director
94� 16 9. ,•� Building Division
ArEo �s Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: 1,,J 22—
JOB LOCATION:
number street village
34-1161
name —� home phone# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to
be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
require ents.
SignatLir,of Hom caner
U �
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:forms:homeexempt
TaMe Jl: b(continued) 'th>!',os+lx 1heeL
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will
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]cage $701 to 4300 Sestin DegreR Ds
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2D
1. DRESS OF PRQpERTY'
g ;'I'BRIOR�TALL'S;:
2 SQUARE FQOTAGE OF ALL •'
3. SQij * FCIOTA(3E•OF ALL'atAZ1 a• ' .
o AREA #3 DIYID�D BY#2); ^�. •"
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5. SEL hid aboYe); •
p•iRMOR$WVOLY'ED METHODS-OF DEMR DaN'G M SRGY PXCZUMMY=S .
•ARE AYAMABLE, ASK U5 FOR•TM INFORMATION,• .
BUILDING INSYBCTORAPPROYAL; '
gdacros•f3SG343a .
RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE -
New Buildings $100.0.0
Residential Addition $50.00
Altmiions/Renovations $50.00
Change of Contraotor/Builder $25,0.0
FEE VALUE WORKSBEET
NEW LIVING SPACE
o� square feet x$96/sq,foot x.0041-
plus n below(if applicable)
ALTERATIONMENOYATIONS OF EXISTING SPACE
square feet x$641sq,foot= x,0041=
phis*ombelow(if applicable) .
QARAGES'(attached&detached)
square feet%$32/sq,ft.= x.0041=
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 feetx$96/sq,foot- x.0041=
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck x$30.00=
(number)
Fireplace/Chimney x$25.00
(iu=bm)
Inground Swimming Pool S6®.00
Above Ground Swimming Fool $25.00
RelocationlMoving $150,00
(plus above if applicable)
Permit Fee
108.41
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1 STORY
LOT 6
ry
21,10 r ,y
71.24
R1ICHARDSON ROAD
SCALE. 1 inch 20 feet
1994(e)Boron Survey Software
CERTIFIED TO: CITIZENS MORTGAGE CORPORATION
PREPARED.' 07-1 4-2005
The pcmianent structures are approximately located on the According to Federal Emergency Management Agency
ground as shown.They either conformed to the setback ��p�(M Of 1p
requirements of the local zoning ordinances in effect at .Tymap3,the major improvements on this property fall in an
the time of construction,or are exempt from violation GEORGE area designated as Zone,
enforcement action under M.G.L.Title V11.Chapter 40A, c�5' C Community Panel No. Z�696)0/1 00
Section 7,and that there are no encroachments of major COLLINS
improvements either way across property lines except as No.41784 Effective Date:
shown and noted hereon. g NOTE:Zone C is areas of minimal flooding(ro s
This designation is not based on an elevation cer•. ::�:_.
NOTE:This is not a boundary or title insurance survey.This pl was rdance to procedural and technical standards for 1:~_ace Loan
by the Massachusetts Board of Registration of professional engineers and land surveyors,250 CMR 6,05,and use for any cther purpose;s =c.Tn' _
,ised for rerordina.nreonrinn rived desrrintionn.or con^,trur_?ion.
1
"a?-i3-2?i16 iON 07;50 PIM hotel lb Lurli!::or Gn, FAX NO, 50.5117 - A
Single 11.7/8" AJST' 25 MSr°2
BC CALCO 0.2 Onsic-0 Repast-US 9 span 1 No cantilevers 1 c!' �13p '�tttuRi�,:Fl�rr r U
Build 141 16"COS I Repet%re I Gued&n3:iE.d cc)nk:L;cliun
-Namt7 BC CAW
:cats Name: Paytcr-1 :��=rvipti":
3.tit:fdSa 418 Rv;iandscr+Rd
CRY.stele,Zia:&neetwill¢,till=
Curstorr+ar
C de raports: ESR•t'144 Ng=t �ficor joists u r
.: :, n .y'Ir�r z . � e gyp. f,i , .li�x t ..�: t !�:t .} •� .
4 r
e0.1.3/$'
LL S97lbs
QL 220 tD6
ToW or Horizontoi DeUi2n Svanb:2W;t)•G i ...<_
i..ivia Dead gnaw Wind f290f Lt;'o
Tag 0964dwon Load TYFa ROL Start End ?oWS 9u°k ii�•a, _i3�4�� i2Sv� —_- --•.-
t SWdard Load ea Left OC-00.00 22.00--00 40 psf 16 rsf-'
Controls$UMMAU.__Value _ %Alfowabis t)uratl m Lead tutu Wigan Location Divolcoure
Fos,Moment 4437 ft•ibe 71 1% 100% tnternai OWmplatsr+®ss and accur@cv at+r-c-W
End Renton $01 i6e 70.0% 100% Lest bi uorifed cy Anyeh's WAo would rel
output au Wdeme of ruitEbildy fir,,i;u.tt�•
Total Load G`®fi, L1a74(0.706") 64.2% dpplicatsen_Output hars beseC on
Live Laad Defl. LJ514 t0.5141) 9$<4°10 .ads>acce3 i dition propiite~zr.
Max Defl. 0,706' 70.6mh omafy"methods,jasta0vt+r..of
Span i Depth 22.2 nJa angi wer"vvcad F!cOucts;sus:�a
mriordant.�witR currN:t lriataaltat:+r,L u:,::.
Notees and appk atals Dt:t i +.1 v».:=r
- inamilution Guide or ask%;64k
Design meets Code minittiam(U2 (�)�'r3t81 load defiejon criteria. call(so0}232 C7sa befom 6r.tallaf.. .
Design meets L'sar apa&led(U483)Live load doflectiaan criterw.
oesig+1 matte afbit.*�ry(1 1)Maximum heal deflevtion criteria. 60 CALCt.r3C FF(A.1YERi& A"
Etlteredl�isglay�d Hari2untal Spark Le-ok's)z CtM,Span+1l2 min.cnti ALt.3C1S7(&,K KRA Bald: r+
1P2 inUermadl a t>e n GOISG GL ULAM"u.SIMPLE FR Ibl,rd
,rnpc6ts Ei value baud on 23/32`trial aheatning glued and railed W,,ic,f:i. PLUS j V,SA-RIP1M, 5,vE �f•r'it:.
PLJ"�lA;VERSA-f21P9G9,
VEr�SA•STRANO'".VERSA•STUw; M,
' lr96amark3 of So4a Wco7 Pr°d'Jf4G ;.
(?8ge 1 of 1
MAR—i ��-f006 :"i0;d 07 50 AIM BoteI Io Liar.,13 r Uo, -�,X r 50347 > c
._.____.-.._ ._.. ------ . ,,., CYO, :,�.._4 r 74�7�
Beim,
BG CA.LCQ 9,2 Design Report US Ispar;NO c:atTtilovers►^,1 t , Slope a4turlsy;tAarcn C x. 2^.s7!3 t}i
Build id1 16,OCS t,Repet.;%*j Glued R rir'ed cnrst u+il.,Y
t.Ae Name: &0 CALC Prof-act
Job s amb' Paytt n
r�dtir>as>}: 118 fgicfaf'js rt Rd
Clty,State. zip,C®nterAk,Ms
Custcmar c;;iI5c:
Code retlt : E SR-1144 t isc stairway'her t?cr
.Y' w -, Ik n,, H r4 � > :.,t e r , •1 i .+ � ,. '+..',+ t� f.: _.u.et: mz
a
z:-Ao-trO '
LL B21'14s
Di..31411A
Total of 11or�l i]r5irn Spa 2:4lrUti _
Live Dead jrow Wind Roof Live:
1irtlSl�i End _100% OVA
T tfaifl _ _ LQrsd Y9'�Re.Y9t�+rt _. cs a `c:•:"-
1 at�ndard LowU&..Arez Left Q+S-A4`-` 00 2r-0U-+?u C per. 5 psf
2 Cam.Pt. . Lelt 10-00.OD 10.00-00 4DO tbs 159 ibis
g Conc.Pt: Lett 19.00.00 13-00-OC:r I'_1011bs 54 ibs
Controls Su nma,rv„4'6110ts LgLa Cm>:a ,,�.�n Lm��a�� Disclosure,
�aa.moment 78t38�•Ib3 61A% z+�Gv`� 1 1 -Internal Camplaiati s artti V;%,a;•Y
2Qb tbg 3?.7°r'e 113C°S ' .Ri iht he verlpi,ad by aryat*wbo would rc?ip
End R&aotian I w;tput as evide, at stvixuntp fe �n
Total Load DO. U419(0.63il 57.34A djpoicaison.nuh)Lt here t-assad cr.,
LsVe Lead rMl. L1580(0,456") 82.8°k ccL+e-rccagted design gropenes 2.+.:
Max DO. 4•F31" 831% anaipis m Omd h.stn0alion of SV;�:..
'an .
I Npth 22.2 nla enguteered waC4 pMiuct:;must t+c
accmdanaa with c-utrsm Installatit:r;C
<atd appltu bi®4utidtrto code-3.To at:'.-.;:
Notes ^_._ ...._.--:----------- Irestallatbn Guine ora3k quts!ior.7, -
Oesign meet8 Gala rttinirtlurrt(Lf240) dasscizil ccriteria, can(6001232-M8 hef,76 ina0160V
Design meets User spadfled W490) Live road de'NedOn ra!tcda BC CALS:O,B FR"ERO,A-10
Design meets jUtitta'y(14'j Mal :idrnurr%load dafte:doh Criteria.
F-ir emd0splayed HoriZontai Spun Length(S)it Clear Sear. 1°2 min.bnv be"a-r 'a; tl IGL LAM1w t SIMPLE Fl°.VA I�:
V2 Intarmadiat9 beating s raTLM®,VfikSA G4Mff,'lEi~s :
G;,rposite Et vatue based on 23/32"tniCK ette4thing ONO 2nd nOiltjd to Pit„ PLUS6:VERSA-AIM I .
VERSA-STRfrNSv VER$A-3TUL"'�.:r
rAd6Mar;.5 of dciv j',A/oed Pmdurk,� ,. i..
I Page 1 of 1 "
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SMOKE DETECTORS REVIEWED
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t( rr B E BUILDING DEPT. DATE.
FIRE DEPARTMENT DATE
BOTH SIGNATURES ARE REQUIRED FOR PERMITTING
IMPORTANT - UPGRADE REQUIRE®,;
STATE BUILDING CODE REQUIRES THE UPGRADING OF
SMOKE DETECTORS FOR THE ENTIRE DWELILING WHEN
Lam/ SLEEPING ARE 0 .
ONE OR MORE SLEEP AREAS E ADDED R CREATED
-NOTE: A .SEPARATE PERMIT IS-REQUIRED FOR THE .
INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL
PE T REQUIREMENT,
PERMIT NO SATISFY THIS
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