HomeMy WebLinkAbout0313 RIVERVIEW LANE ,31,E ever-w ��w h��
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ommonwea h of Massachusetts
,wfi�nn Sheet etal Permit
Map d d`d Parcel O 9 6 O f
Date: Permit#
Estimated Job Cost: $ 7606 Permit Fee: $
Plans Submitted: YES NO Plans Reviewed: YES NO-
Business License# S N7 Applicant License #
Business Information: Property Owner/Job Location Information:
Name: M R Pl�,�.� Rll Name:1� .vl Q�2"! P(Z
Street: 6 AA �✓ Street: 3/'3 12;yer-Oi(!!w (,l
City/Town: Ce^A e f`y� W e 00 A City/Town:
Telephone: �68 WV'(fl y 3 Telephone: 8 7�5 rSCo
Photo I.D. required/Copy of Photo I.D. attached: YES D- N YL-7
S aff Initial
J-1/M-1-unrestricted license
J-2/M-2-restricted to dwellings.3-stories or less and commercial up to 10,000 sq. ft./2-stories or less
Residential: 1-2 family V Multi-family Condo/Townhouses Other
Commercial: Office Retail Industrial Educational -3
Fire Dept. Approval Institutional_ Other , r=
Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories:
Sheet metal work to be completed: New Work: Renovation:
r HVAC Metal Watershed Roofing Kitchen Exhaust System .�
Metal Chimney./Vents Air Balancing
Provide detailed description of work to be done:
sysie&A
A�r k 4,1 j tl c,,j(T' -00(1
NSURANCE COVERAGE:
have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes ❑ No ❑
IF you have checked Yes, indicate the type of coverage by checking the appropriate box below:
liability insurance policy [ Other type of indemnity ❑ Bond ❑
DWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the
Jlassachusetts General Laws,and that my signature on this permit application waives this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owners Agent
3y checking this box❑,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and
iccurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
n compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
ti
Duct inspection required prior to insulation installation:YES NO
Progress Inspections
Date Comments
Final Inspection
Date Comments
a
Type of License:
I
3y ❑ Master
Ile
❑ Master-Restricted
,ity/Town
❑Journeyperson nature of Licensee
lem rit#
❑Journeyperson-Restricted License Number:
'ee$ ❑
Check at www:mass.goy/dgl
nspector Signature of Permit Approval
IKE
Town of Barnstable
Regulatory Services
s r
YKASS
� Thomas F.Geiler,Director
16;q. 1V�
o► � Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038
Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A.Builder
nn , as Owner of the subject property
hereby authorize- /J PIT Z�ed^ti/ p
to act on my behalf,
in all matters relative to work authorized by this building permit
(Address of job)
Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled before fence.is installed and pools are not to be
utilized until all final inspections are performed and accepted.
ignatur of Own Signature of Applicant
Print Name Print Name
Date
Q TORMS:O W NERPERMIS SIONPOOLS
HE Town of Barnstable
Regulatory Services
* iAxivsTAsr.�, : Thomas F.Geiler,Director
y MASS.
1639. �•�� Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.b arnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street
village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was exten d to inc l de owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire ho do not possess a license,provided that the owner acts as
supervisor.
DEFINITION F OMEOWNER
Person(s)who owns a parcel of land on which he/she resi or intends to reside, on which'there is, or is intended to
be, a one or two-family dwelling,attached or detached stru tares accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year e 'od shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a f rni cceptable to the Building Official,that he/she shall be
responsible for all such work Performed under the buil ' e it. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility or co ante with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she derstands Town of Barnstable Building Department
minimum inspection procedures and requirements d that he/she comply with said procedures and
requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings con 35,000 cubic feet or larg will be required to comply with the
Mate Building Code Section 127.0 Construc ' n Control.
OMEOWNER'S EXEMPTION
The Code states that: "Any homeowner pe orming work for which a building permit i equired shall be exempt from the provisions
of this section(Section 109.1.1 -Licensing of constru tion Supervisors);provided that if the homeo er engages a person(s)for hire to do such
work,'that such Homeowner shall act as supervisor."
Many homeowners who use this exempti are unaware that they are assuming the responsib ides of a supervisor(see Appendix Q,
Riles&Regulations for Licensing Construction Su ervisors,Section 2.15)_This lack of awareness often sults in serious problems,particularly
wren the homeowner hires unlicensed persons. In is case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor i ultimately responsible.
To ensure that the homeowner is fully a 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
Home Energy Raters LLC BTorrey @EnergyCodeHelp.com
Box 989,E.Sandwich,Ma 02537 888-503-2233
Duct Leakage Test
V
Address 313 Riverview Lane Centerville, MA 02632
Date October 15, 2012
Contractor PlumbRite
Test Type Post Construction Leakage to Outside
Conditioned floor area =1360 Sq FT.
To comply with Section 403.2.2 Of the 2009 IECC Code in this home
the Maximum duct leakage CFM < 109 CFM (1360/100 x8 = 109)
Duct leakage tested = 47 CFM
This Home complies with Section 403.2.2 Of the 2009 IECC Code
Test Mode - Pressurization
Test Pressure = - 25.0 Pascals
Equipment - Series B Minneapolis Duct Blaster
Duct Leakage as Percentage of Floor area = 3.46%
Contact our office with any questions,
Bruce Torrey,
Certified HERS Rater
Home Energy Raters LLC
°*'THE r�
Town of Barnstable *Pe�
Expires 6 nronthsfronr iss re date
°^ Regulatory Services Fee
M y ,
BARN STABLE. +
v MAC g Thomas F. Geiler,Director
1639• Cd5
pTFD MA'I a
Building Division
Tom Perry, CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION = RESIDENTIAL ONLY
p Not Valid without Red X-Press Imprint
Map/parcel Number Z; —(1//-'def
Property Address ��✓ d(/1J�7�/c � 'P
\Q Residential Value of Work `-7 �+ Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address
Contractor's Name (�V ' ( [ rGC �� P;C9,&9 64 Telephone Number_f^
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one: JAN 2 2 2010
"�am a sole proprietor TOWN OF B�1RNSTA .
❑ l am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name �. v t�TG✓w'
Workman's Comp:Policy#
Copy of Insurance Compliance Certificate must accompany each permit. .
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to,
❑ Re-roof(not stripping. Going over existing layers of roof)
Re-side
#of doors
�Q Replacement Windows/doors/sliders.'U-Value F (maximum .44)#of windows
*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'Licenseµis
required.
SIGNATURE:
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 090809
�1HE Tp� Town of Barnstable
Regulatory Services ,
BA INSIABLE, Thomas F. Geiler,Director
Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.nia.us
Office: 508-862-4038 Fax: 508-790-6230
Prop erty. O nerMust
Complete and Sign This Section
If Using A Builder
I,�/!9 OA4 , as Owner of the subject property
hereby authorize ,pii��_ ,/�� to act on my behalf,
in all matters relative to work authorized by this building permit application for
(Address of Job)
Signature of.Owner Date
Print Name
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the reverse side.
OTORMS:OWNER-PERM ISSION
am,
Town of Barnstable
F 1KE r '
o Regulatory Services
' Thomas F. Geiler,Director
x
+� BARNSTABLE,
t 1639 Building Division
���
pTfo MAC a 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 EXEM TION
Please Print
DATE:
JOB LOCATION:
number
street village
"HOMEOWNER":
name home ph ne# work phone tJ
CURRENT MAILING ADDRESS:
city/t wn state zip code
The current exemption for"homeowners" as extend to include owner-occupied dwellings of six units or less and
homeowners to engage an individ 1 for hir who does not possess a license,provided that the owner acts as
to allow
supervisor.
FINI ON OF HOMEOWNER
Person(s)who owns a parcel of land on whic he/ e resides or intends to reside,on which there is, or is intended to
be,a one or two-family dwelling, attached or et ched structures accessory to such use and/or farm structures. A
person who constructs more than one home in o-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Of 'al on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed
unde e buildin ermit. (Section 109.1.1)
The undersigned"homeowner"assumes res onsi •lity for compliance with the State Building Code and other
applicable codes,bylaws,rules and regula ons.
The undersigned"homeowner"certifies at he/she u derstands the Town of Barnstable Building Department
minimum
inspection procedures and
re irements an at he/she will comply with said procedures and
P
requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dw llings containing 35,000 cube feet or larger will be required to comply with the
State Building Code Section 12 .0 Construction Control.
HOMEOWNER'S E PTION
The Code states that: homeowner performing work for which a uilding permit is required shall be exempt from the provisions
of this section(Section 109.1.1 -Lic rising of construction Supervisors);provide that if the homeowner engages a person(s)for hire to dQ such
work,that such Homeowner shall a t as supervisor."
Many homeowners wh use this exemption are unaware that they are as ming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensin Construction Supervisors,Section 2.15) This lac of awareness often results in serious problems,particularly
when.the homeowner hires unlic sed persons. In this case,our Board cannot procee' against the unlicensed person as it would with a licensed
Supervisor. The homeowner acti as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many ommunities require,as part of the permit application,
that the homeowner certify that helshe understands the responsibilities of a Supervisor. O the last page of this issue is a form currently used by .
several towns. You may care t amend and adopt such a fomi/certification for use in your c unity.
Q:\WPF.ILESTORMS\homrexempt.DOC
e:
ess�r' TCS
s map and lot number ..
SeIL411 M MUST PIS THE
wage Permit number v 1 ��-�-��
d
WIT14 TITLE 5 4
2 <.. _ BASBSTABUE i
0 House number �JROWME CLs R'
TOWN REGU A -TIO oo�cYaY.a\0�'
6 `
K. TOWN OF BARNSTABLE
BUILDING AINSPECTOR .
APPLICATION FOR PERMIT TO ...eQi. .. ...... re..................................................
TYPE OF CONSTRUCTION
....................... .....94.....19.$.y
k
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to tte following information:
Location "3..V....!1�ll .t�.V.. ¢W.......h. .ni....... . ........ .....................
ProposedUse .........�,?���►r�. ...... y.........:.............................................................................................................
Zoning District ..........R..c.................................................Fire District ..... ....F(r�.. ....................
Name of Owner V,./..c..Cjr.......s ��AiP.Et'i.S............Address .1.7...Y..a.4s,�.+.....�k�S�.....�—�?.!!!^.Y......(/ ..1� '5
Name of Builder zI. ,,y.......... ..� .!'Y�'ata.i...4......Address ��aZ......1&P..-A ..43-Ro '.K......��Q,..........Sd.�l�,
Nameof Architect ......... /� ...........................................Address ....................................................................................
Number of Rooms ........... .......................Foundation
............................... .......... /.o..::.........................................
Exierior <;Yk......5.4(,%p.L....... a- leo
ng ............A-$,Gt.4 ...........................................
Floors /Gti�r l
tom' .4Y..............................................Interior ........ . � .. .. o�.
Heatingt..r'AS.......... It ....A/d.re.A.........................Plumbing ..............I..... L................................................ {'
Fireplace ....0,nl2w................................................................Approximate Cost ...........SP.�.. �l..0...........................
...
f
Definitive Plan Approved by Planning Board ---------------____-----------19_______. Area ..... ....................... .. .. .....
Diagram of Lot and Building with Dimensions Feel...`.:''`� '......... ........... ...........
SUBJECT TO APPROVAL OF BOARD OF HEALTH
T
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Tow Barnstab re rding the above
construction.
Construction Supervisor's License ...r. .�.:?�........
1
F. H. DEVELOPERS
No 27036.... Permit for .Lone-Story............ -
Single Family Dwelling
Location ....Lot 48, & 49 313 Riverview Lane
.... .. ... _
Centerville
................... . .....................
` �`" � ..- �.`• �`'l - -
Owner ......J. F. H. De�zelopers...... ...........
Type of Construction ....�. ...........................
.*
Plot Lot ................... + .........
> {
I�. Permit'Granted ..:..Octofo
ber..1..... f 19 84
Dat rof Inspectio ......
'-..........
,Date Completed "
Y
T
i
TOWN OF BARNSTABLE Permit No. ---------_________-__-_-
Building Inspector
s.a.rr.n Cash ____-__.___�-----•----
�ry ,6)9
OCCUPANCY PERMIT Bond
Issued to Address
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
Board of Health Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
....................................................... 19............ ..................................................................................................................
Building Inspector
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