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II N .. , -- - ---_a --, -------------- ------- --�-- --�--- j I i. SPoxE w1ow�� ���lA� ,�' - ST� g,,'o e.Q� pruR.�D� t �L�1S ��ir��a,v�� � � �� Lam: �1�l��. _� ' . '� ti TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map jC Parcel Application # 26o 6 a � 3 _?,, Health Division Date Issued PS?, �, � S� ay Conservation Division t� _ Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Addrress Village Owner � /fii� �r2 ��� Address Telephone 617 �WP, 22,J3 ••77 Permit Request ©dl/�l�'i1,1 /"'�?rr�r ✓ L P�rv7'/1�/C Y�i �c� f �` A or 4f 7H Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total w Ate,,/. Zoning District Flood Plain Groundwater Overlay ;r Fr ect Val u�—at o� Construction Type Vo .v Lot Size Grandfathered: ElYes ❑ No If yes, attach supporting documen 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 Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor R6_ . Count c'� Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other F Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/Opal stov(�SLJ Ye9 ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing knew ize_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: k jvo 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 ---1�©/y�� ��"��� Telephone Number (�fm6 Address �l � ���"7 ��� License# Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 0.0 l2 FOR OFFICIAL USE ONLY s OPLICATION# DATE ISSUED f t MAP/PARCEL NO. ADDRESS VILLAGE I OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 1 G GAS: ROUGH FINAL FINAL BUILDING f` DATE CLOSED OUT ASSOCIATION PLAN NO. 7" TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel C� V Application # p Health Division Date Issued Conservation Division� Application Fee S ay Planning Dept. Permit Fee r. Date.Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis r` Project Street Address /O 4 I� Village -lPl2 n Owner Address ����1 �/! Telephone 6/7, Permit Request �i/7c� .Y / c���ir��,� ✓ �rv�ifiirh �c� ' { fit , y � v -,w. pry•^�'.N F.• t i Square feet: 1st floor: existing proposed F" 2nd floor: existing proposed Total ew r �, "jAti1)i� �4A'� Q� Zoning District . Flood �aink�'5 Groundwater Overlay Project Valuation ConstructiorTType -�- '�'` " ` �" J 2012. �� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documen ion. 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.) i Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: : existing`)new I Total Room Count (not eluding baths): existing new First Floor Room Count'."w ? Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other a • = Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove:'❑Yes, ❑ No ' Detached garage: ❑ existing ❑ new size_Pool:'0 existing .❑new size _ Barn: ❑ existing ❑ new' size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: r= Zon A,g Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes., site plan review.# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name --__�45,yid Telephone Number Address �l ��/.�c��j� �� License# Home Improvement Contractor# 1/1i9 Worker's. Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO DAT SIGNATURE E 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. The Commonwealth of Massachusetts Department of Industrial Accidents' Of.fice of Investigations 600 Washington Street < Boston,AM 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers APPIicant Information Please Print Le 'bl Name(Business/Organization/Individual)' . Address: .3/3 C i %State/Zi : � �'iti� Phone.#: �tY P Are you an employer?Check the appropriate box: Type of project(required):. 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* ' have hired the sub-contractors 6. ❑New construction . 2.0 I am a sole proprietor or partner- listed on the'attached sheet 7. ❑Remodeling These sub-contractors have ship and have no employees- 8. ❑Demolition working for me in any capacity. employees and have workers' ' [No workers' comp.insurance comp.insurance. 9. ❑Building addition required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 7 /3�.� I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their.workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below,is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Fa ilure.to secure coverage as required under.Section 25A of MGI;c. 152 can le ad ad to the imposition of criminal penalties g q unp p ti._s of a . fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine 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 cation. I do hereby certify under the d of.perjury that the information provided above is true and correct Si� ature: Date: T Phone#:. 4K/7 �W 223S %-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 &PIumbing I.nspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,constriction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment.be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall. enter into any contract.for,the performance of public work anti!acceptable evidence of compliance vZth the insurance requirements of this chapter have been presented to the contracting authority." Applicants rxi Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance..If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department.at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit'license applications in any given year,need only submit one affidavit indicating current Policy information(if necessary)and under"Job Ske Address"the applicant should write"all-locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your.cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone,and fax number: The Commonwealth of Massachusetts Department of industrial Accidents . Office of Investlgat one 600 Washington Street Boston, IOTA 02111 Tel.#617-727-4944 ext 406 or 1-8 77 MASSA.FE Revised 11-22-06 Fax#617-727-•7749 www.mass.gov4a AYYC Giiide to Y•Yodd Cojistructiolt ill HiSh::YYilid Areas: 110 lnph WhidZone Massachusetts Cieck st for Compliance'(180 cn'I:R5301:1.1.1)' Check Complianrc • 1.1 SCOPE . Wind Speed.(3-sec. gust)......... .... ... ............................................. ..... .... ............ . .: mph i10 Wind Exposure Category...._....... ....... ....... .... ... .........._ B Wind Exposure Category..........:.....Engineering Required For Entire Project .... ...... ........1.. C 1.2 APPLICABILITY Number of Stories (a roof which exceeds B in 12 slope shall be considered a story) stories <2 stories Roof Pitch ..(Fig 2) .:................. s 12:12 Mean Roof Height ................. (Fig 2)............... ............ ......_ft S 33' Building Width',W .................. :.._......:_(Fig 3)............I... : .............................. _ft 5 Bb' -Building Length, L ...............................................................(Fig.3).................................................... •ft <80' Building Aspect Ratio (LW) ....... (Fig 4)... 3:1 Nominpl Height of Tallest'Opening .. ......... .....................(Fig 4).... ........ ......... _,__... 5 61.8" 1.3 FRAMING CONNECTIONS General compliance with framing connections .. . ..... ........(Table 2) ........ ............. .... ...... .. . ..._.... ...... 2.1 FOUNDATION Foundation Walls meeting requirements of 780•CMR 5404.1 Concrete.............:....::.. .:: ..::......::..:.. ..:.,............_::................--.......: ........ ........ _...... ...... ConcreteMasonry .......... ......... .......... ...._............... ........ ..:............................................................ 2.2 ANCHORAGE TO FOUNDATIO:N��' 518"Anchor Bolts-imbedded or 518".Proprietary Mechanical Anchors as an altemative in concrete only Bolt Spacing—.general .... .....:. (Table 4) in. Bolt Spacing from endrjoint of plate..............................(Fig 5).... ................. in. :5 6"_12". Bolt Embedment—,concrete......... ...... ................(Fig 5).................................................._in.>_7" Bolt Embedment masonry ............(Fig 5 ....................................... in.>_ 15" Plate Washer......... .................... .. ..............(Fig 5)..... ...... ...:. .....:, .............:_...> 3"x 3"x 1/." 3.1 FLOORS Floor framing member spans checked ....:. .. ...........(per 780 CM Chapter 55) ........... Maximum Floor Opening (Dimension... ............................(Fig 6)....,................................................. ft<_12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall (Fib6)....:. ........ .... ........: Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall.................(Fig 7).....:.....:..... ........: . ......_.Tft�<d ' .Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall...::.,.........(Fig 8):.:.............. ................. ft < d Floor Bracing.at Endwatis............................ ............. (Fig 9)..... ...... .... Floor Sheathing Type ... .(per 780 CMR Chapter 55) ........ Floor Sheathing Thickness:....: ..... .. .... : ...... ......: .. .......(per 780 CMR Chapter`55)...........I........... in. Floor Sheathing Fastenings..... ........: -:::...........(Table 2).._d nails at in edge f. in field 4.1 WALLS Wall Height Loadbearing Walls..: .....:...:.................................:.._.....(Fig 10 and Table 5)....... ........ ...._,:_ft <_1.0' Non-Loadbearing walls......• ........ ........7..............(Fig 10 and Table 5).....I...........:.. ...._.._ft 5 20' Wall Stud Spacing :: ......................................................(Fig 10 and Table 5)................... in. 15; o.c: Wall Story Offsets ................................... ...............(Figs 7&8 ............................. ft s d 4.2 EXTERIOR WALLS'. - Wood Studs Loadbearing walls...................................... ..............(Table 5)..... . ..._:_ ... ..:.. :: .2x' _ ft_in.. Non-Loadbearing walls:.....: ........................................(Table 5)..............................2x - it_in. T- Gable End Wall Bracing . Full Height Endwall Studs... .(Fig 1 D)..... ........ WSP•Attic Floor Length..................: ......I.. ..............(Fig.11).............................................. ft>W13 Gypsum Ceiling Length (if WSP hot used)............:..: .:(Rg 11)........................ ..I........._ft>0.91N ; and 2•x4 Continuous Lateral'Brace @ 6.ft. o.c, .. (Fig 11)............................:................................ . or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft..spacing jn end joist.or truss bays_. Double Top Plate (Fig 13 and Table 6 Splice Length ............:.:. ........:....... ............... ( 9 )...........,,...........,............ ft . Splice Connection (no. of 16d common nails)..............(Table 6)........:.......,....:.................................... i ATVC Guide to Wood Cor-rstrixt orr Ur High lllindAreas: IXO fuph Whid Zorre Massachusetts CII.eeklist for- Compliance (780 CNIR s301.Z:1:1)) .Loadbearing Wall Connections • Lateral(no. of 16d common nails)....................... ..:.....(Tables 7)..................................................... Non-Loadbearing Wall Connections Lateral no, of 16d common nails ......................... ...... able 8 Load Bearing.Wall Openings (record.largest opening but check all openings for compliance to Table 9) HeaderSpans .........................................................(Table 9).................................._ft=in.511' SillPlate Spans ..............................:.........................(Table 9)................................... ft_in.511' Full Height Studs (no. ofstuds)....................................(Table 9)..................................... ................ Non-Load Bearing Wall Openings (record.largest opening but check all openings for compliance to Table 9)' Header Spans...:.........................:....................:..........(Table 9).......:.:.... ._._..:...:...:.._ft_in.512' Sill Plate Spans.............................................:.............(Table 9).................................._ft_in.5 12" Full Height Studs (no_ of studs)....................................(Table 9)....................................................... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously Minimum Building Dimension, W Nominal Height of Tallest OpeningZ ` SheathingType..............................................(note 4)....:................................................. Edge Nail Spacing................:..I.....................(Table 10 or note 4 if less)........................ in. Field.Nail Spacing........._.............:..................(Table 10) :-.:...._._:......._............_....._..-._._.. in. Shear Connection (no. of 16d common nails)(Table 1D)................._............................._.._...._ Percent Full-Height Sheathing...................:...(Table 10).........._................................ .__._...._% 5%Additional Sheathing for Wall with Opening> 6'8"(Design Concepts).................... Maximum Building Dimension, L Nominal Hei ht of Tallest O 9 P 9Z...............................:.........................................=<68 enin SheathingType..............................................(note 4)...................................................... Edge Nail Spacing......................................... able 1 i or note 4 if less).........:.............. in. Field Nail Spacing...........................................(Table 11).........:....................................... in. Shear Connection (no. of 16d common nails)(Table 11)........................................................ Percent Full-Height Sheathing.:.....................(Table 11).......:......................I.............:....... _% 5%Additional Sheathing for Wall with Opening > 6'8" (Design Concepts).:.................. Wall Cladding Ratedfor Wind Speed?...............•---....--•-•---..._......._....._...._.._..._. ............................................................... L1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool, see BBRS Website) Roof Overhang ...................................................(Figure 19) ............. ft 5 smaller of 2' or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)...... .....................................U= plf Lateral...............................................(Table.12)..............................................L=pif Shear.........:.....................................(Table 12)...............................................S= plf Ridge'Strap Connections, if collar ties not used per page 21... (Table 13)................ ............... T= plf Gable Rake Outlooker..........................................(Figure 20) ............._ft 5 smaller of 2' or L/2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift.............:....:.............................(Table 14).................................. ..........U= lb. Lateral(no. of 16d common nails)...(Table 14).......................................L= . 1b. Roof Sheathing Type................:..................................(per 780 CMR Chapters 58 and 59) ............ Roof Sheathing Thickness..................:.:.........:......:..... ............................................. . in.i 7/16" WSP Roof Sheathing Fastening............................................(Table 2)..................... ................................... >tes: This.checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR•5301.2.1.1 Item 1: If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per.Figure 11 c_ Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b Exception: Opening heights of up to 8 ft_.shall be permitted when 5% is added to We percent full-height sheathing requIrenients shown in Tables 10 and 11_ The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. A JYC Guide to Wood Corrstrtrction hi P*',gh I-Yiad rheas: JIO nzph,IJInd Lone Ar assacliitsctts CIZE1cl�lisf for Compliance (�t;o cn4R 5301.2_1:1)' 4: a. From Tables 10 and II and location of wall sheathing and Building Aspect Ratio, determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16* and be installed as follows: 1. Panels shall be installed with strength axis parallel to studs: ii. All horizontal joints shall occur over and be nailed to framing. iii. On single,story construction, panels shall be attached to bottom plates and top.member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower"panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of 8d staggered M 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment 5- Glazing protection: a) new house or horizontal addition—required if project is 1 mile or closer to,sho�e (generally, south of Rte.28 or north of Rie. 6) b)vertical addition—not required unless there is extensive renovation to the first'floor c) replacement windows—needs energy conservation compliance only(chap 93) S. Wood Frame Construction Manual (WFCM)for 110 MPH, Exposure B may,be obtained from the American Wood Council (AWC)website. - I --WHEN THIS EDGE RESTS ON FPAJING USESd NAfLS AT 5-o n IJ 1 J{ - 1 •-•� 14 - 11 woo i. t, i F it i{ m 1 1 d it I it 1 r1 t , ri4 r 1' 1 1 liJ 11 t l 1 1 1 (q[ + t - FARMING.MEMBER$'� � •I I �1- 'ir 0 ii If Vy 1 LU cDSEr-b.+FnL,a-rE 1 •w 11 1I psO I a JI ' > J I I I ILI 1 -- ----- r' STAGC,EREflDDUSLE 3'Mid ESPGE tl I NNL PATTERN PANEL PANLL PANES EDGE-. ROUBLENAIL EDGE SPAGXYC DETAL' See Detail on Next Page Detail Vertical and Horizontal Nailing Vertical and Horizontal Nailing. for Pane)Attachment for Panel Attachment. - - I Town of Barnstable ' o Regulato Services t.3, rs n�+es �g Thomas F.Geiler,Director i639. � ► '` Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma,us Office: 508-862-403 8 Fax: 508-790-6230 _ Property OwnereMust a Complete and Sign�This Section If�Usin g A.Builder T' ,as Owner of the subject property hereby authorize to act on mybehal in all'ma.tters relative to work authorized by this building permit (Addressi of Job) s 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 i Utilized until all final inspections,are performed and accepted:. '- Signature of Owner Signature of Applicant Print Name Print Name Date Q:FOR W OWNERPEPWSSIONPOOLS Town of Barnstable Regulatory Services eller,Director Thomas F.G sniaysTAKY, « , ec or 59. 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 HOMEOWNER LICENSE EXEMPTION Please Print DA'TE:t . 12 JOB LOCATION: numb street village "HOMEOWNER �0.,OVI name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code Pe 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. �J DEFINITION OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to b 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"c rtifie that she understands the Town of Barnstable Building Department rninimum inspection pr e e ents and that he/she will comply with said procedures and requirements. Signature of Homeowner 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 12.7.0 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 caret amend and adopt such.a form/certification for use in your community.. Q:forms:homeexempt p / A 4 2V xV °cr� . it �'� `'' PC4, 13 , f, l ©®� �' Pei q r L?l c io eve r � THE FOLLOWING I� IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) Im ^A CC DATA c , " t I .7 �So . 10E P�:L is ) .. 24.oa Z �� D I : 2 C,dG1U S F. WI D'rH 2�3' F2oQT.5 B 3c- ' ��Q S6 1O �.. i �-oT I ,L� NQ U _ i L I-7C,>, oo -�� � �n 7`, �S �. �-- r � `, -n �� L �� �D N HOFM $ � t O� �' L. 57 + H 2 � 4 orsT���o4 h� SUR ... n- - ►CIF DIXCOtJ CE:RTIFIEID PLOT PLAN +-!/F "DA LLO V.% ! B 'si-+oorT FLY 1,ti 6 .f I� .:Ro D A, , c�l.rr .Q�! �.LE' NEW CONSTRUCTION ONLY TOP OF FOUN:DATIO.N I�;� FEET IN El.ov/ I.OW POINT OF ADJACENT , .�, ��r �.I�,���,e.�j1c ROAD. SCAT"E= i q-�' DATE� °:a2 oa $'L, LOREDGE EMGNVEERING`C4./N `` : 1 CERTIFY THAT THE Fou��A-nc�J CLIENT aL SHQVYN .•ON THIS PLAN . LS LOCATED EGISTERED RE©ISYERED �I 124` ON. THE:'G6tOUND AS NDICATE® ANR CIVLL LAND J08:NI�. ._. SURVEYOR DR.�Yi -�� Q,� CONFORMS ;TO. THE ;ZONING LA�i ,. ENGINEER SS OF BARNSTAB CH. BYE Q T12 MAIN :STREET d[ 03.8'C, , H YA N f�I S, M A S S SHEET I 'QF I' - -----� DATE R LAND �lRVEYQR : ,. M h _.'. f MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING t-12t (Print or Type) -� e)0,N 1I -LQU . Massa Date��In 19 OK Permit trot' _1 Building Location 10 to "Owner's Owners Name" San d— �P/IA144EMLLU Type of Occupancy 1CLo New Renovation Replacement ^ Plans Submitted: Yes[ No N ¢ N W off Y 2 2 yf N N U y) cc ¢ O CC W W ¢ O u m h'• x /f J MCC W ~ � m W i J W � � a c • .c W W N W Z t e Q W A W O W H = N ¢ ¢ C7 F = J H Z W W 1► F� ` J N W Z < W J < C ~ i &A W Z O 2 W o N x < W > ¢ W 7 < ¢ < < O O W a O W ►- ¢ x O v x ; O v J u e > o a O SUB—BSMT, BASEMENT 1ST FLOOR 2ND FLOOR 3AD FLOOR I 4TNFLOOR STNFLOOR GTNFLOOR 7TNFLOOR 8TN FLOOR Installing Company Name SNnwl S PT.iTMRTHC & HF.ATTNG Check One: Certificate Address P.O. BOX 39 ❑ .Corporation W BARNSTABLE, MA 02668 ❑ Partnership Business Telephone 362-9111 Firm/Co. Name of Licensed Plumber or Gas Fitter CHRISTOPHER SNOW INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes MC No ❑ If you have checked y". please indicate the type coverage by checking the appropriate box., A liability insurance policy VC Other type of indemnity❑ Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws. and that my signature on this permit application waives this requirement. Check one: - Owner(] Agent ❑ Signature of Owner or Owners!gent I hereby certify that all of the details and information I have submitted(or entered)in above lication are true and accurate to the best of my knowledge and that all plumbing work and installations Wormed under the permit ism s applicabo will be in complian ith all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gen By T of License: Plumber gn r an or titer Title Gasfittw Master License Number 10705 G /Town gJourneyman 1 � y � � S Assessor s map and lot number .. /.....:.„/. .... � , ` Sewage Permit "number ........Z?. ..........TL/........................ !" SEP-.i C sy e�P�'o °`♦fir . � o hys I TALC,E,D -EM twu A BE = BARNSTa LE, Howse number ...... .0.6.. .................................................... ' . /mit p Tlf�N CO1l116��.f�,���� 'oos,i AS& Lz �EOYpY639- Ar TOWN OF BARN SAND BUILDING INSPECTOR `S APPLICATION FOR PERMIT TO ... ✓.. `C�4 f^' �� Z A;' � / t1 TYPE OF CONSTRUCTION --�� .... ...(t',,�.......� 7.....19.4 TO THE INSPECTOR OF BUILDINGS: r The undersigned hereby applies, for a permit according to the folllowin information: Locationlot...1.....B.... .. S �. ... �N l L..�. .:..........�: ........... Proposed Use ...... ........ ..... .. L.G.C. :...................................................................... Zoning District ......... ..1..... ... ........................ ........Fire District .............C"41.!�.6.�1.. ...� p/I Name of Owner ... ............ .. ....`... .....Ad ss .............. ?........ '�.,°. l�..... ..�✓e..S.�. � ° ....Name of Builder /k I . .. �(.. U Name of Architect .....p ` `.! -` ..... .vV..V..(!�?�17G;•... .......Address :. ............................................. Number of Rooms ................../— .............................................Foundatign .............. .5 ....................................................... Exterior ........�`+ 1 rJ �I• t1 .v........... � .I . ........... .............. ... Roofing "...... ..... Floors ......... .........Interior / 4!�:.Q�'.u.�"::�?.L�l..t�l4.���"�,�!'`..�.• ��!+��:... ............./'�.....�............ ................. Heating ..... 'W. .......5 ................... .........................Plumbing ..........GtJ. 1..............!�. ....................... 1 . .0 e................................ .,. ................Approximate Cost ............... ..�w Fireplace .... ..................... Definitive Plan Approved by Planning Board _____()d______________19__7. Area .....W-1-p.......................... ; Diagram of Lot and Building with Dimensions Fee ((11�� SUBJECT TO APPROVAL OF BOARD OF HEALTH V' ti. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. N Name '-� �.`.:f'�..:'!�- .......--` ........ 'KUPIS, BENJAMIN 23787 Ve & 1/2 Story ............. for ..0 .... Permit for .................................. Sing,le Family Dwelling ............................................................................... Lot #lB 1064 Shoot Flying Hill .Rd. Location .....:.......................................................... ,Centerville . ...................Y....................................... .................. Benjamin Ku Owner .......:.......................... ............ Type of Construction Frame .......................................... . ................................:................................................... Plot ............................ Lot ................................ Permit Granted ...February....3.�.'..... ....... ....... . .......19 82 Date of Inspection ....................................19 Date Completed 19............... /e PERMIT REFUSED . ....................... ........................................ '19 . ............. ... ........ ................................................ .*........................................ 'mod, .......... ... ............................. .............. ................... Approved ................................................ 19 ...............Y......................................... . .................. ~ ' . -I- sessdr's map and lot number THE e"Permit number TOWN OF BARNSTABLE BUILDING INSPECTOR //,(�Z2.....194/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 4. ........... J& ........../;,n.................. ...... Location/4 ......... ............ Number of Rooms ... Foundation ............... d...................................... Exierior ........ .........!eA.0. j SUBJECT TO APPROVAL OF BOARD OF HEALTH ` ' | heru6v agree to conform to all Rules o the Ru � and ReQu|oftheTovvn n Barnstable f 8ornb� regarding the above construction. ' . ^ . 1 ' y7 / k /~�` �����lJc�,��~/^ - Nome .�...'.����.. ..—.--.—.. D�� . . - 23 /8 / One & 1y2 Story No . ----� Permit for ' ` � Sio�le Family Dwelling � -------------------------'. .. / . « Lot #IB 1064 Shoot Flying Hill Rd Location -..:----------__..,___---, ^ ' - Centervi ^ � II�� � -------------.. -----------' = � . ' Ben�anzio Knoi O,vne, ..==.,�--._',=�°=��........................... � Type of Construction .......Frame � ` - ___________________.�______ r�^ , � � ^ � ' Plot ..................... ...... Lot.................................. � . }7eb�oa��- -- Permit �ronoa6 -- --- -]'�--.]p 8� ` . Date of Inspection ------------lV ' Dote Completed ...................................... � � � PERMIT REFUSED ' , --------�.���.. ....--. ---- lg � ..............................................................................' � � -'----------------^~--~----' ^ , ---.---.-----.---------~---` � ---------'---------'---^---- � � Approved ---------------- 19 � ---------------'----------- ................ '......... .................................................. . �� TOWN OF BARNSTABLE --..-------_----- Building``� e Permit No. Inspector Cash 7 �Y� avo�\ OCCUPANCY PERMIT Bond ____________ _ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department 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. �„�, ...................................................... 19...... .................................................................................................................. Building Inspector r i' i L G Joe a I.24. mow.!B Q p "� 77 a f . „ t 27 F i S7 sub t ►�/� a�xo�s CE"IFI;ED PLOT PL,'AN rF aA LLc�w . B �r-�cT FLY! �.�. NEw .CONSI`RUCTION ..ONLY TOP-'` OF FOUNDATLON ..IS.: FEET IN .�E4o� Law :POINT of ADJACENT;` ,k ,�.�1► �`�.�',t,�1�.L f � ' SL CAL EDATE f LOREDGE .ENGlI1dEER/NG CO:IN I, CERTIFY -THAT THE'' ��ATt CLIENT l EQISTERED REGISTERED SHO�IN ONE' ,THIS PLAN: i$-.;LOCATED CIVIL LAND 408 N0. `___!?4 0,N ,THE GROUND AS.':lNDIC�ITE® AN®: ENGINEER S URVEYOR CDR.SY+ ;J Q,� CONFORMS TO THE.: ZONING LAWS �------ O F BA1.R N STA S , SS. CH.®Y+ (3 r 7,,12 M I N °5 T R-E E T --- --- - ? H YA N>h1"I S M,AS 5 SHEEZ_4I�f. PE a R . ; LANE ' VYEY4R �. � ,�.R � �<-" _ .�. t° /P„E/•TM�`�y7"i�1�' 3E T/G T �e�v rC. Uoc :k ELld u,, r - '� �eDE�;� �4'o!��Er.FR-co�re��7-�'•co��'ar w k t TO /O.Pf M/IV. A L � IriDu6NT- G�. 'OL• i1X,EXTRA :> a 4:' C P/Pt E.�Yy CA ST GON C USEi CI�ETE'.: M/IV p/TC/I /VEb✓A r ,•at CBACXF/LL A . IV AC a. l�t//D,��YEL s�LAyER L • • • •• • . �•. D/ST Wit SHED ,L4•P*R it SrE eox ,: f , .•i - "- / /i . . �'� • .•, •pT/d • . • . ASNEP JTON0. 0001 _ . • • • � � • f: t . �,•� • p s 7 OR E8�;5 x 2 S 4-7t.�PD i• •. E =92.fa z /NY�C�!'Y�LEYiIT/alYs. �4.:5 �-a.a.� ,4 c:�c • _ C(sEs 7mwcAr/o/vf. /NYEJ�'f AT A!/LD/Nb pRcno:ec►,� :"S.F4'�sPa :f'T.. D/AJ�'1- INLET ;vri1C'' TRNK. too 5 �T O�l7l eT SEPT' TitKK .l aD GRONNO` *470t-7AALE /q/ T LFACKING 105►4 F7 swL6�4CT /Nl rPlrMJA&T/ON BOX OVTLZrOls za r*ON`ADO O/HS/Of.N0,4AF L.SK S-7; A vI/►.t ETN s/owL.A T1_0 P IIT � PIT FT. SCALE,: — ' DES/6X CAI TERRIA /oN . C _sT. ti�AO'.DIMEWS w�/Mse�R of e� a Sa/L L.oG t soft. TEsr • RaAGED/.SP103AL t/X/T TaT•�L ey'riI►wrEo /s;L pw 3 3 C� 0.�4L.%A�tr : SOIL.TEST�I! So/C 7! ST2 7 /o.3:v�` EtEY.1�.L q�1.TE.Qi SO/L. TEST Cf 3,: AANSU FR. AXIS An/�l RAT/ D dY P!3' G C R p v 3/OiF LI�oCH/AA� PER P/T -L� f. Iy "7 Om L�C'M/N*PON Pm -- T L v�F.M :: x 1�!'JKOIT/ON/�i�TE2.: M1 NCN: Q, TOTAL RFSSRYB l cyft'M/N6 ARF^ o�. .f T. Vf �•,yoDTFLy/•v4 /,/rcL �.A. JFti eel tN� /Me�D/tlM L'� -T ` Is s`•� ALBCRT o� R99 °W &A.O ED6E EIIRGINES�R/JVYi C�t,IIVC ._ QNo. 10951 , .�Ila29t74 p 7/2' lM/1IN Sr.. " (, A F F EL .,88. 90 _ G,`STE \� Q/STEP pQ` EL.4_!.0 NrsMwtrS: A :b F`'S`N ��j 4MD SU �� • NOO�NNO" ko" ENCOUN7E1t•60 • .e ORO�JNO _Z kV,4TER SIT S4.2 JOO �' S/�/_ r 2 APEA 2r�,o0o sF w I p T►-} 25' r ` L Fir v tQ ' twT t A N a� 3TIG SET" A-s (3iy O Io0,00 V1 ,3 N / 7b,ao G f - r o , OF •,N � �"� yc�o� aAt,, o � �. r ��� 'icy S�'A7iG C b Pu f J G a . - No.29874 /O ct. o 'P O _ b 6 aj �Z 3s�t F� �� �sTE UR��'rs� LEGEND CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION Ox0 � '��: ;, ��+ �.z, EXISTING ;CONTOUR.— — 0 --� ��a�. :- !ss�c �pT, B s Pv�' F�-Yi�q ,a• E�..�. FINISHED SPOT ELEVATION /� per rat ti� CEO—T;r l�'/•z-!__ FINISHED CONTOUR 0, ( , �, APPROYEDl QOARD OF HEALTH �' MORSE pIN No.10951�o 0 E AGENT - \sior���j SCALES / -= U DATES L DREDGE ENG/NEER/NG CQ 'Noo cC--AN13 wIC CLIENT�.,_.�. I CERTIFY THAT THE PROPOSED EGISTERE REGISTE181t J08 NO..7L?. 1 . BUILDING SHOWN ON THIS PLAN CIVIL LANDA. CONFORMS TO THE ZONING LAWS ENGINEER R DR.BY'. -- OF BARNST LEj SS. 712 MAIN ST CH. BY, c.�••1Z•.E. ;. HYANNIS; MASS. / 2. �` - y SHEET_OF DATE E0. LAND SURVEYOR