HomeMy WebLinkAbout0498 SOUTH MAIN STREET _ - - - -
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1
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�pTME T Town of Barnstaple *PerttuE 4-41
Qy Upires 6 mondts from issue date f
Regulatory Services Fee has. a
/A1tNSTABt�.1•'
Thomas F.Geller,Director
019.
Building Division.
Peter F.Dillatteo, Building Commissioner
367,MainStreet. Hyannis,MA02601w X-PRESS PERMIT
Office: 508-862 '038
Fax: 508-790-62210 DEC 4 2001
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
�G 7 a Not valid without Red X-F"=,fmPriR1 TOWN OF BARNSTABLE
Map;parcel Number, � ��''G?D If `D Z-0 7 l Z
Property Address `7` .7 6O J '
Value of work ,2
'Residential ,,ee
Owner's Name&:Address -
D
Contractor's Tame `— t�'S �/ 7G/�f C " Telephone Number
Home Improvement Contractor license 4(if applicable)
Construction Supervisor's License._(if applicable) f
t
❑Workman,s Compensation Insurance
Check one:
I am a sole proprietor
I am the Homeosmer
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy
Permit Request(check box)
Re-roof(stripping old shingles)
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (mLa=•44)
❑ Other(specify)
atiori.
*Where required: Issuance of this permit does not exempt compliance with other town depamnent regulations.i.e.Historic.Conser%
i
Si 3nature
Q:Fortns:espmttr:r`t110601
f: � �6ee -�aamvino?zuiea�i ����1
Board of Building Regulations and Standards
HOME IMPRQVEMENT CONRAG FOR
Registra,ltrtr\= Q4497
34i 0 _44/2002
�
AYPividual
cHARk 's:.M MITI tr , ` ssl
Charles Mitchell
EIDER ST. ate, r
_'OUTH PORT,,MA 02675 "`
-Ad
r
BOARD OF BU'LLDING REGULATIONS
License GgNSTRUCTION SUPERVISOR
NumberCS . . 042341
Ba ftwhda'6 o097261393'
Expires 09/ 6/2Q03 Tr.no: 3647
Restated
CHARLES M MITCHELL _
12 EIDER ST -
YARMOUTH PORT, MA 02675 Adrrrinistrater
r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, , ,
p 6�D. Parcel 6 0 Permit# �Ar (
Health Division -J`n ,L �, Date lssued� a _ _
Conservation Division L z, 91 Olt Fee. �-
Tax Collector = StP=
Treasurer C,M INS 9ALLEP IN.CO.MPLIANCE
WITH TITLE 5
@� '1RO1�91 E 3°�AL E AND
D e' '' roved by Planning Board TO%TN R ULA riCaN�
H f.
Project Street Address �SUU ( � M 4 J r( Oil ;
Village
Owner Wilt Address
Telephone C.����)2 ?/" EQ3 ¢
Permit Request LOQt W U/U OF QNI� 6 d 0 1=7- Q 7=bcl-r
Flo�ON7, <t)f=. �ktSI l�l Gr ��LL!A
iVc-1- s 0 �(� r—r S i
3
Square feet: 1st floor:existing -proposed 2nd floor:existing proposed Total new
Estimated Project Cost Zoning District Flood Plain i3r Groundwater Overlay
Construction Type (,&)00,0 - 7=W4A49 ,
Lot Size ° Z G Graridfathered: 3 Yes ❑No If yes, attach supporting documentation.
Dwelling Type:{Single Family lid Two Family ❑ Multi-Family(#units)
Age of Existing Structure /0 a Historic House: ❑Yes U No On Old King's Highway: ❑Yes i(No
Basement Type: 34ull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) &lA Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing / new IVA " Half:existing / .new At14
Number of Bedrooms: existing ZY new
Total Room Count(not including baths): existing - new First Floor Room Count
Heat Type and Fuel: ❑Gas Ui/O it 0 Electric ❑Other -
Central Air: ❑Yes V�No Fireplaces: Existing Z New A Existing wood/coal stove: 0 Yes "lo
Detached garage:E existing ❑new size'7 6&wPo6l:❑existing ❑new size 1,Jh Barn:❑existing ❑new size Al�4
Attached garage:❑existing ❑new size Shed:❑existing ❑new size /4 Other: "
Zoning Board'of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes l�No If yes,site plan review#
Current Use ,ei6l IOeIQI�//4-L- Proposed Use E—5;s 1�/-►-�
BUILDER INFORMATION* .
F
- Name -Telephone Number
Address License# "
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED' _ - _.•
it ' ,.. • •r- 'r ,.
4 MAP/PARCEL NO.'.
ADDRESS' � ^ ^ m _ }c' ` r VILLAGE
OWNERi
DATE OF INSPECTION:
FOUNDATION. .r
FRAME
INSULATION '
FIREPLACE r. ,�. j ry �r -� •- . _�. r - f F ,�_ `' '
ELECTRICAL: ' ROUGHt ; FINAL' +
z PLUMBING: ROUGH FINAL
r GAS: '- ROUGH,.µ e~ FINAL
t �`? r `
FINAL BUILDING.
\ DATE CLOSED
r . ASSOCIATION PLAN NO.
°F TFIE tpL_
The Town of Barnstable ;
9MAM Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601 ,
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Permit no.
Date
AFFIDAVIT
1 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: ;"/ZGN i R5i-1 Estimated Cost /SK
Address of Work: �7 �Z .� shy M�-ll� 6r �, 6�t ft,cui cc £, A4A
Owner's Name: �,�t t.1M A�
Date of Application: /20/4 f
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:
Date Contractor Name Registration No.
Date Owner's Name
q:forms:Affidav
=CUR Apponki
TabbdS.Z2b(eoadsaea�
pmeriptive Piano for One and Tw04a=*RaMeadal Baiidtnp Hated with Food Fade
MAXIMUM MINIMUM
Ceiling Wall Floor Baum= Slab Heatiswcooling
Areal�('K) UU due R vales' R value' &valuLJ Wall pWim= �� ��
R,•vaiuep &va1w
5"1 to 6500 Harlan Degree Dar'
Q 12% 0.40 38 13 19 10 6 Normal
R 12% 0.52 30 19 19 10 6 Normal
S l2•ii 030 38 13 19 10 6 U AFUE
T 13yi 036 3a 13 23 WA WA Normal
U OA6 38 1 19 19 10 6 Normal
i� as 3's �+ '•` ivh `:,::. S AIVE
W 13% 032 30 19 19 10 6 115 AFUE
X 11131. 032 38 13 23 WA WA Normal
Y lS•A 0.42 38 19 25 WA WA Normal
t 11 b .42 31 13 19 10 6 90 AFUE
AA IV/. 0 30 19 19 10 6 90 AnM
1. ADDRESS OF PROPERTY:
2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:
3. SQUARE FOOTAGE OF ALL GLAZING.
4. %GLAZING AREA(#3 DIVIDED BY#2):
S. SELECT PACKAGE(Q—AA-see chart above):
NOTE: OTHER MORE INVOLVED METHODS OF D G ENERGY REQUIREMENTS
ARE AVAILABLE. ASK US FOR THIS INFORMATION.
4
BUILDING INSPECTOR APPROVAL:
YES: NO: 1
9-forms-f980303a
780 CMR Appendix J
Footnotes to Table J5.2.1b:
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 ft of glazing area.
'After 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
insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed-,between
• -
me conaiiionea spacc and uic --' -`- -vi i3n of utiiv vvt
vcuuiaw Y-
`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
by R 19 cavity insulation OR R 13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to
wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction.
'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
described in Note b.
"Me 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 S. If you plan to install more
than one piece of heating equipment or 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(Le.,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
-r--- Department of Industrial Accidents
Office oflnresdoo ons
600 Washington Sheet
- �� Boston,Mass 02111
— Workers' Com ensation Insurance Affidavit
name: 60 l LrLIl M, Af 7-C dyy�-1 fvC, �
4 location: q V 60V�!� � M v
\\ city t ir- �I t LZ-. ( M,,o, 6Z-&,37r hone# S����3 S-S-&3
ff I am a homeo�owpner performing all work myself. �p ty
r and have no one workin *
❑ I am an employer providing workers' compensation for my employees working on this job.
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Fafime to secure coverage as regdred under Section 25A of MGL 152 can lead to the imposition of ahmiind penalties of a fine up to S1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DU for coverage verification
I do hereby certify under the pains and penalties of perjury that the information provided above is true and coma
fir----- �,
Signature s I fCi��:•�----- Date 6&12 `t _ -
t name Phone#
official use only do not write in this area to be completed by city or town official •
city or town: permit/lice nse# ❑Building Department
. Micenensmg Board
❑checkif immediate response is regdred ❑Select nen's OIDce
_ Mealth Department
contact person: phone#; ❑Other
(�eV d 9/95 PUU
',
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law",an employee is defined as every person in the service of another under any coatraer
of hire, express or implied, oral or written. _-
An employer is defined as an individual,partnership, association, corporation or other legal entit ,;for 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 o vast 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, construction 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 section 25 also states that every state or local 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,neither the
commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting
authority.
Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and
supplying company names,address and phone numbers along with a certificate of insurance as all affidavits 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.
City or Towns
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 penait/license number which will be used as a reference number. The affidavits may be returned to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a'call.
-z' 4 �,
The Department's address,telephone and fax number.
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Offlce of Imlestlgallons
600 Washington Street
Boston, Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 eat. 406, 409 or 375
The Town of Barnstable
°FTME r°r'�►o Department of Health Safety and Environmental Services
Building Division
MASEL 367 Main Street,Hyannis MA 02601
05
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION: E-/qb .�r1� 11✓11�f1`( �5/� / C V�C.C.
number street village
"HOME0WNER7:(k)1 a/AM K,
c'5- ���� �3 ( l:�)803-33 y
name home phone# work phone#
CURRENT MAILING ADDRESS: Zl ct 6 O 211/ AAAIN SZ %
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.
Signature o 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 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 frilly aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands die 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 formicertificetion for use in your community.
0TORMSIXE M" _
Farmer's Porch for South Main Street
Centerville,MA.
y f
v"
Proposal/Scope of Work
R i
For
Construction of a Farmer's Porch
at
498 South Main Street ,
*: Centerville,Massachusetts
1999 '
Farmer's Porch for South Main Street
Centerville,MA.
Project Information
1.GENERAL, The porch shall be constructed using appropriate building materials as per all applicable local codes.
In addition good housekeeping as well sound construction and engineering practices shall be employed.
2. Bill of Materials(BOMI. Construction materials in the following bill of materials include but are not limited to:
QTY MATERIAL DDvfENSIONS REMARKS
4 ea Pressure Treated 4"x4"x10' none
4 ea Pressure Treated 4"x6"x 8' none
27 ea Pressure Treated 2"x8 x10' none
24 ea Standard 2"x6"x 8' none
26 ea Standard 2"x6"x10' none
5 ea Standard 2'x4 none
8 ea Plywood(sheet) 1/2" - sheathing
95 ea Flooring(square edge) 1"x4"x 8' Mahogany
220 linear ft Strapping 1"x3" none
3-1/2 Sq Shingles - n/a . . matched to
existing on dwelling `
3. Construction particulars. The porch shall 30 ft long&8 ft deep as per the attached sketches,in particular the
porch shall erest on 2ft x 2ft"footings that meet or exceed any existing requirements. - _
4. Performance period. The porch is to be constructed within the time period of 01 July 1999 through 30 September
1999.
5. Final costs. The total cost for labor&materials to furnish this porch as constructed are not exceed$2,900.00.. .
* - ''
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