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0097 WEQUAQUET LANE
a r`G k C q k a, , T Town.of Barnstable *Permit# Expires 6 months from issue date Regulatory Semees Fee • snxNsrnBr�, • MASS. $ Richard V.Scali,Director 1639- r-7 12-311/ y 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 Not Valid without Red X-Press Imprint Map/parcel Number n o � Properly Address, I- ) ixl4 CR Ut4 q u GT 4 nJ Cex--rt VJ UL_ P<esesidential Value of Work$ j i Minimum fee of$35.0.0 for work under$6000.00 Owner's Name&Address !VIP iZlA.) 4� G1/1�1tJ,4�t��=� ��y ��rt�� l✓`G�1 ,A. C) 2&_3 Contractor's Name Telephone Number 102�'7 7 S— Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) n ©Workman's Compensation Insurance Check one: +� •^. ❑ I am a sole proprietor `' 4 `"` EW-J am the Homeowner , ❑ I have Worker's Compensation.Insurance TOWN OF bARNSTABLE ' Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) N,Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is ' equired. SIGNATURE: Q:IWPFILES\FORMS\building permit forms\EXPRESS. Revised 061313 27st�rrxr �rr� flasstrerfsr D'e rhmmtaf-ridustretd`Accidents 600 Wayhangfan meet YIanivanllss.garldia Workers' Compensafiaxt Insurance davit$ceders/Coniractar-,MectricianslPlumbers Applicant Infm mafion Please Print Legibly city/5tate/zip: Phone tyre you ag ernrployer"Check.t�appropriate bits: T ,._..a# o�ect �r._ . 4. I attrt�. confr3ctar and I _ I..❑ I am a employer with 6- ❑Ntw ooII.S.7 t ion Ioyees{full andlor pa t-ime}* have fired the suh�adom am a 2._ sore proprietor or partner- listed on time attached sheet: y- ❑Remodeling slip and hazte no employees Theme sub-contractors have g- ❑IJemc�lifit�u w for me in an ci c employees and have woikers' 9- working y 0_ ❑Building addition 4 vrorkexs'comp_in airanre comp-Msurancy , igvquired_] .5-❑ We are a corporationand ifs 10.0 metrical repairs ttt additions officers hn-e�rcised(heir 1 Plumbin airs or additions. 3_ am a homeowner doing all work � g rep Myself[No workers,Mrap- right ofetmption per MGL 12 ElR-Derepairs in mtrarxe required.]l c-152,§1(4) and we have as emplayees LNowotkers 13..( Other II I�.cJ4 LC comp_insaranm regaired.j- �L.W !Amy appli+mat that checks box WI yffn glso fM out the section below showing th&wodme compensadon policy t Svmeowners who submit this affidxvit in&csti E they are doing all nu&and diea hire trmside cont act=amst sulxizit a nets at�tdscdt ia>�tating such =Contrscturs that chEcik this boat mast attached an additional sheet shave-mg,the name of the P*-caak3ctars and staff whether x=t those 1 have ,zmplQyees Ifthe snlrcoutractamhate eupIoyees,they mast provide their waa rs'camp.palicpntmthrr_ lam Beiotr is tfie pa ey rued}ob site �fbrtrauharr_ Insurance Corrrgarryrl�Fame: , 1'oFcS* or Self ins Lin Fxpintionbate: Job Sim tLddress: CitylstatalZtg: Attach a ropy of the workers'compeasation policy declaration gage(showing the policy number and egrt anon date). Failure to secure coverage as regaire3under Section 25A of MGL c. IU can lead to the imposition of cxirninal penalties of a fine up to$1-500.Oa andlor one yearimpdso as well as chit penalties m the fbm of a MP WORK ORDER.and a fine ofup to$250-00 a day against the violator_ Be advised that a cry of this statement maybe forwarded to the Office of Invesfigations of ffie DIA for h3surauce,coverage yewcation_ I do hcrreby certify' r tke rs air panattis :l`�lnt7'diatthe inf orrmtdron praii&d abaue is h7w zwd correct. Siarattme: Bate le Thane i#: � � E3UEdal use only."Ike not write in ibis areer,to bg COMP&W by city or town ofJicinL City or Town: PertnitUcense# Issuing Authority(circle one): 1.Board of Health 2.Budding Department 3.CiVFown Clerk 4-Electrical Inspector S.Plumbing Tnsgerter . 6.Other Contact Person: Phone-ff Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursnantto 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 Iega1 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 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 appliedn{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 pub lic v;Tork until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." . Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)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 j 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 sliould enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed Iegibly. 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/licease number which will be used as a reference number. In addition_an applicant that must submit multiple permit/Ecense applications in any given year,need only submit one affid davit indicating current policy information(if necessary)and under"Job Site 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 bum Ieaves 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. a 'Fhc,CommnnwaTth of Massachusetts {, - ,` Degartme tQf7ndustziafAcc—me i- QM�e Of T tvesti ufau 600 washinzaa S`izl�et Roston,IAA G21 11 Tel.9-617'27-49OG W4-Q6 or 1-& MAS E Revised 4-24-07 F1 - 2 - 4� www.mas -govIdia Town- of Barnstable Regulatory Services ��oFt Tgryy Richard V.Scaii,Director Building Division AARREN M ' Tom Perry,,Building Commissioner MASS 059. $ 200 Main Street, Hyannis,MA 02601 www.town.barnstablema.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION [t Please Print DATE: f JOB LOCATION: L, `-Cr N ©47_4 ,�F off' number street ��-- village e J "HOMEOWNER": �`J ✓ b �j� J 0 _ 7 7i ' S ol�j name home phone# work phone#. CURRENT MAILING ADDRESS: cityltown 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 buildingpermit. (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 procedure req ireme is and that he/she will comply with said procedures and requirements. Signature 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 problems4articularly 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. QAWPFILFS\FORMS\building permit fomu\EXPRESS.doc Revised 061313 \J oFn+e r * MMSrasr.E, "� 9� i639. Town of Barnstable `�� ` Arm MAC a Regulatory Services Richard V.Scali,Director Building.Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 — � t, . www.town.barnstable.ma. Office: 508-862 4038 - Fax508,=790-6230 Property Owner,Must . .,, ) Complete and Sign This Section If Using A Builder as Owner of the subject property hereby,authorize to act on ray 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. Q:\WPFaM\FORMS\building permit forms\EXPRESS.doc Revised 061313 Town of Barnstable Regulatory Services WE� Thomas F.Geiler,Director Building Division BAMsrnaM « Tom Perry,Building Commissioner 9� 039. ��� 200 Main Street,Hyannis,MA 02601 prFDMA'S A t Office: 508-862-4038 Fax: 508-790-6230 December 24, 2013 John Morin 97 Wequaquet Lane Centerville, MA. 02632 RE: 97 Wequaquet Ln., Centerville, Map: 250 Parcel: 063 Dear Mr. Morin: This letter is to follow up on the status of permit application number 200705626. To date, this office has no record of a final building or plumbing inspection. Records show a successful final electric inspection completed on or about March 23, 2010. Please contact this office immediately to arrange a final building inspection and have your plumbing contractor arrange for a final plumbing inspection. Thank you for your immediate attention in this matter. Respectfully, Virz L Lalizon Local Inspector jeffrey.lauzon@.town.bamstable.ma.us (508) 862-4034 TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION Map�p�b 0 Parcel ®(o Application# 76 Health Division Date Issued 1 Conservation Division �l� Application Fee Tax Collector Permit Fee. "� �J 4^ Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address � � ��%� Village 8A P—.Vs- L.4 L—Lr Owner�lIO ,*Vb /I' p-&A �i� Address16 Telephone v Permit Request �,D o'�� a®° 6pa tpr4yC2 i Square feet: 1st floor:existing proposed Y00 2nd floor:existing c8by proposed `19r+Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lto�G Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes X-0 On Old King's Highway: ❑Yes )<o Basement Type: )6A ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing 'OLnew. / Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new_� First Floor Room Count Heat Type and Fuel: Aas ❑Oil ❑ Electric ❑Other Central Air: AN Yes ❑No Fireplaces: Existing _ New ' Existing wood/coal stove: ❑Yes Detached garage:❑existing ❑new size Pool:❑existing ❑new size -®'Barn:❑existing ❑new;size -J Attached garageA. existing ❑new size ed:❑existing ❑new size Other: ,f = Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes >Np If yes, site plan review# Current Use . Proposed Use r- BUILDER INFORMATION Named s, 9 s, /L�gied � Telephone Number-6-h 7c5 �'5 677 Address Z7 jA r)lj i /rl) , License# P"624J Home Improvement Contractor# Worker's Compensation# `v ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r SIGNATURE DATE 4 A 4 FOR OFFICIAL USE ONLY t - APPLICATION# , DATE=ISSUED T MAR/PARCEL NO. - ADDRESS VILLAGE • , - OWNER k DATE OF INSPECTION: r , FOUNDATION V ' FRAME INSULATION Z7 6 FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 9 sh® y - i DATE CLOSED OUT - ASSOCIATION PLAN NO. '1 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, AM 02111 , www.mass.gov/dia Workers"Compensation Insurance.Affidavit;Builders/Contr.actors/Electricians/PIumbers Applicant Information Please Print Le2lbi Name(Business/Organization/Individual): '3_&_m) S a k1w •�� -Address: 2 t,a City/State/Zip: CCTV i one.#: F—)7?�So`Y®� -$v2�-3a.&y Jro, Are you an employer? Check the appropriate box: Type of project(required):. 1.❑ I am a employer with 4. I am a general contractor and I . employees(full and/or part_time).* have hired the sub-contractors 6. New construction . 2.[� I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have S. 0 Demolition working for me,in any capacity. employees and have workers' 9 +{ Building addition [No workers' comp.insurance comp.insurance.$ }� required.] 5. EJ We,are a corporation and its 10.0 Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions yseZ [No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' ..13.❑ Other comp.insurance required.] , *Amy 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. tContractors 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 providb their workers'comp.policy number. , I am an employer that is providing workers'compensation insurance for my employees Below is the policy and f ob 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),. Failure•to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penaltirs 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 WA for insurance coverage verification, Ida hereby certify Un er the pains•and enalties a perjury that the information provided above .s true and correct Sit>nature; -2 h) Date: Phone#: 7 Official use only. Do not write in this area,'tb.be completed by city ar town o JtcfaL City or Town: Permit/License# Issuing Authority(circle one): .1.Board of Health 2.Building Department 3. City/Town CIerk 4.Electrical Inspector 5.PIumbingInspector 6. Other Contact Person: Phone#: E,�y Town-of Barnstable Regulatory Services x Thomas F.Geiler,Director 163¢ Building Division prED MA'S Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax; 508-790-6230 Permit no. Date • AFFIDAVIT HOME I1WTROVFA ENT 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: /D/0 010X a0 Estimated Cost ,Address of Work: Owner's Name: -1 0 ;140&/64) r Date of Application: I hereby certify that: Registration is not required for the following real on(s): []Work excluded by law nJob Under$1,000 Elpuilding 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 FORK DO NOT HAVE ACCESS''O THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL a 142A. SIGNED UNDER PENALTIES.OF PERJURY I he eby a ly for a permit as the agent of the owner: D to Contractor Name Registration No. • Date Owner's Nam . • •real!ssz.zo(eaattaaed7 • ' , p ocripth,Faelc%gd for flat xa6 Tb•a-F•smii'RaideatW Saildtaga Heste6 n ltb 1 tt FFels . „ • 14iA7CfMiTM • . MII�iiMUM • Qlaung Gfaziag Ceiling WaII hoar B33=r st • Slab •HeatinglCoolinE Amr R-yiduc, ' A vatutl A-Ye]ucj WTI -F'ounce r F.galpmcd Emc!cac:? ' Pa 'use R v3}uc� R-3'nlus 170I to 65DO Rtxilag Ikgrsr Days' Norusal 17%. 0.40 33 13 19 la Now I2Ya 0.53 30 19 -. 19 I2% Q.50 31 13 1,9 is 1[3-AFIE •r IN, 31 13 25 WANIA. Norma' I5'f. 0.46 35 19 19 la S Now U 35 AFUE� ._ I3 23 NIA 15Y. _ 0.53 30 W - I+format • .x . 1I{'/+`�033 31 :13_..�...�73;.�... �`NIA e`.N/A Nomcal y 11%. IL47 31 19 25 NIA NIA` Z 13% 6,4z 31. 13 19 id 90 AFt>B • 11% 0 50 30 19 19 TO ti 9J AF[7E i, ADDRESS OF PROPLIUY i A, 2, SQU ARE FOOTAGE OF ALL EXTERIOR WALLS: iG<D 3, SQUARE FOOTAGE OF ALL GLAZING - 4, % bLAMNG AREA•(#3 DIVIDED BY'*2): `" 7 /r► 5, SELECT PACKAGE(Q--AA-sea ahazt zbQve): ; -N0Tp; OTHER MORE IN-VOLYFD METHODS OF DE7EMYMilNG ENERG'I REQUIRE�r=S ARE AVAILABLE. ASK•US FOR THIS WORMATION, BMI)ING-INSPECTOR APPROYAL- • .YES:, N0; 5��-©oa303a JHE f `. , A'L - DA * FEE BAMMABLE, a �J y MASs.. g i639 ok Q REC. BY p'E°MAC Town of Barnsta ,off SCHED. DATE: ./_f q tY� 7 .Board of Health , 200 Main Street,Hyannis MA 02601 -' Office: 508-862-4644 Susan G.Ra'sk;R.S. FAX 508-790 6304P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM `Y'' _ LOCATION _ Property Address �Qf1 (> kcm!t �9;V7- Assessor's Map and Parcel-Number: _ � �t`o J Size of Lot: !� L Wetlands Within 300 Ft. Yes Business Name: t✓ No C Subdivision Name: APPLICANT'S.NAME: J a1�� S , R�w ^� Phone Did the owner of the property authorize you to represent him or her? Yes ✓ No PROPERTY OWNER'S NAME CONTACT PERSON Name: —9, a pij �� Name: Address: 9 7 (it�L(�U/4-Q U L/ /VJ 1 Address: Phone: '50 9— �°7� ,���, Phone: VARIANCE FROM REGULATION 91 tReg.) REASON FOR VARIANCE A � spaceneeded)- 911 jmv S--r�r17i5r _ ut 4L-S aoFr7i�,ichifrnore yC� C�pE 7/06 NATURE OF WORK: House Addition 0❑000 House Renovation ❑ Repair of Failed Septic System ❑ P Y Checklist (to be completed by offi ce staff-person receiving variance request application) . Please submit copies in 4 separate..completed sets. Four(4)copies of the completed variance request form O co Four 4 _. )n of engineered plan submitted.(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans'submitted(e.g.house plans or restaurant Icitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) Variance request application fee collected {no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only], outside dining variance renewals [same owner/leasee only], and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED NOT'APPROVED Wayne A..�Miller, ,M7�.D.Chairman REASON FOR DISAPPROVAL Q:\HEALTH\Application Forms\VARIREQ.DOC - a®Fl i S J, 4 Town of Barnstable yP�OF'iHE l�'boT Regulatory Services BARNSTAaLE Thomas F:Geiler,Director 9 MASS. g &639. .0 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 J DATE: JOB LOCATION: number street village 3,hl„) .0, ,17%2JN J "HOMEOWNER': eri ca. �i, ,J���l ©G'—/ icy O�aC�— a �J .3L name / nhome phone# f work phone# CURRENT MAILING ADDRESS: 7(�//y f 1/!/+ Yam- z�, oa6 - 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 su ep rvisor. 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. hehs urrd Bnstatrl ——- - minimum inspection procedures and reqi Werrients and that he/she will comply with said procedures and require nt . Signatu 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 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 fom>/certification for use in your community. Q:forms:homeexempt � �.. Single 11-7/8" AJSTm 20 MSR Joist\J01 BC CALC®9.5 Design Report- US 1 span I No cantilevers 1 0/12 slope Friday, October 12, 2007 09:28 Build 91 6" OCS Non-Repetitive Glued&nailed construction File Name: BC CALC Project Job Na e: JOHN MORIN Description: J01 Add re kreorts: 97 WEQUAQUET Specifier: City, Se, Zip: CENTERVILLE, Designer: DAVID GREENLAW Custo : Company: BOTELLO LUMBER CO., INC Code ESR-1144 Misc: u";;_,, �.�i-.'�o1i✓s �,``';1Ys+�:� ,F x, ,.,, .�„ ,,.::�« ,',�..:.:, .,+ ozsn� ..,�, 'a�±' }, l.Nn�.a, ,,; ,. .�.,r 19-01-00 BO, 1-3/4" B 1, 1-3/4" LL 509 Ibs LL 509 Ibs DL 127 Ibs DL 127 Ibs Total of Horizontal Design Spans=19-01-00 Load Summary Live Dead Snow Wind Roof Live Tap Description Load Type Ref. Start End 100% 90% 115% 133% 125% OCS 1 Standard Load Unf.Area (psf) Left 00-00-00 19-01-00 40 10 16" Load Disclosure Controls Summary value %Allowable Duration Case Span Location Completeness and accuracy of input must Pos. Moment 3035 ft-Ibs 69.0% 100% 1 1 - Internal be verified by anyone who would rely on End Reaction 631 Ibs 53.8% 100% 1 1 - Left output as evidence of suitability for Total Load Defl. U471 (0.486") 51.0% 1 1 particular application.Output here based Live Load Defl. U588 (0.389") 81.6% 1 1 on building code-accepted design Max Defl. 0.486" 77.8% 1 1 properties and analysis methods. Installation of BOISE engineered wood Span/Depth 19.3 n/a 0 1 products must be in accordance with current Installation Guide and applicable Notes building codes.To obtain Installation Guide Design meets Code.minimum (U240) Total load deflection criteria. or ask questions,please call(888)234-0056 before installation. Design meets User specified (U480) Live load deflection criteria. Design meets arbitrary(0.625") Maximum load deflection criteria. BC CALC®,BC FRAMER®,AJSTM Entered/Displayed Horizontal Span Length(s) =Clear Span+ 1/2 min. end bearing + ALLJOISTO,BC RIM BOARDTM,BCIO, 1/2 intermediate bearing BOISE GLULAMT"' SIMPLE FRAMING Composite El value based on 23/32"thick sheathing glued and nailed to joist. SYSTEM®,VERSA-LAM®,VERSA RIM PLUS®,VERSA-RIM®, VERSA-STRAND®,VERSA-STUD®are trademarks of Boise Wood Products, L.L.C. . 9 I Ian tj07 E�N VFJ J ) tqA@ Page 1 of 1 yM� F aaw T IMPORTANT c-6 ANY CONSTRUCTION THAT INCREASES ,LIVING SPACE BEYOND 1200 SQ. FT. PER LEVEL MAY REQUIRE THE r (r} INSTALLATION OF ADDfTIONAL SMOKE DETECTORS. NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE INSTALLATION OF SMOKE DETECTORS—THE ELECTRICAL PERMIT DOES NOT SATISFY THIS REQUIREMENT. Lz.t J�gOLcJ �•,..�v w "t^ 610 � �If c� O� Cod L _ IC+r `r6 -L, LPsD.,Ds.: r f I - Lo � V� LIU I S) P u,4-,&7 AJ . l 1 _ 7 Cam",) v� CPO' re ell .....................__-� I OR LI i I Xg L _ I CPO ( -oz ,- � s .............................. ....... I .:� �, e �. //•: • ......__ �( �•ry 1•�_ •��,.-.... ��L�.- s t.cam.. - _,_.__.._._..:;�, �' .. . �����• ��/1.h_t._ .. ... .._.. .;fir �:;; ..-�.._J �- '� ,r .\.\�� _ .r%� Jr :•---�Z ), (�/cf.'c(l�'� l�'i iz:.;dC.��. ir• i k1r.-q.wq $ FloorSans Si ' le.Spans.Maximan ' Allowable Stress Design-100% Load Du tion Glued and Nailed ,SubHoor� Minlmum Code Criteria Minimum Cgde riteria ALLJOISTTM' Live/Dead U3601Ive Load ' U480 Live Load Joist Depth Load(pst 12" 16" 19.2" 24" 12" 16" 19.2" 24" Notes: 40/10 19'-5" 17'41 15-6" 13'-10" 17'-7" 16-l" 164' 13'-10" 1. Spans are for simply 40115. 18'•9" 16'-2" 14'-9" 13'-2" 17'-7" 16'-1" 14'-9" 13'-2" supported spans, 11 40120 17-11 15-6 14-2 12-7 17 7 15-6 14-2 12'-7 2. Minimum end bearing _ " 1 "^ � „ _ 40/3D 16-7 d� 13-1 11-8 16.7 14'4" �13'-1" 11'-8" length is 1W% except 40110 22'-5 15 4" 17'-8" 15'-9" 20'�11" _19'.2" 17'-8" 15'-9" for bold spans which _ /15 21'-4" 18'-5" 16'-10" _15'-0" 20'-11" 18'-5" 16'-10" 95'-0" are bearing 11 �e 40120 W-5" 17'-8"�_1_6'-1" 1N-5" 20'-5" 17'-8" 16'-1" length.th. 40/30 18'-11" 16'-4" 14'-11" 13'-4" J18'-11" 16'-4" 14'-11" u13'-4"- 3. Maximum spans are 40/10 20'-10" 19'-1" 16-0" 16'-4" 16'-10" 171,3" 16'-3" 15'-2" measured in between 40/15 20'-10" 19'-1" 17'-5" 15'-7" 18' 10" 17' 3" 16'•3" - 15'-2" the supports (clear 9'/z" �- _.., , , „ „ ,r span)and are based 40/20„ 20 10 18 3 16-8 14 11 18 10 17-3 16-3 14 11 0 �9'-6" 16'-11" 1 ,-5" ,- " " " 15'- " 3'-9" 1 on Uniformly loaded .. 5 Joists. 110 24'4' 22'-8" 2D'-10" 18'-7" 22'-5 20'-6' 19'-4" 18'-0" 21'4" 19'-10" 17'-9" 22'-5" 20'-6" 19'-4" 17'-9" 4. Total load deflection is n „ „ ` " u , i(" _ —..w.— — limited to L/240, - 40120 24-1 20-10 19-0'_ 17-0 22-5 19-0 17-D _ ' " 19-.3" 17'-7" 101.811 '. " 22'-3„ 17'-7" 5. Allowable spans take 40/10 28'-1" 25'-1" 22'-10" 20'-5" 25'-5" 23'-Z" 21'-11" �20'-5" Into consideration the ,� ��-" •— "• 40/15 27'-7" 23--10" 21'-9" 19'-6" 26.5" 23'-2 21'-9 composite effect from 1411 the glued and nailed 40120 26'-5"_ 22'-10" 20'-10" 18'.7" 25,-5" Z2'-10" 20'•10" 18'-7" subfloor for deflection r_ 40/30 24'-5" 21'-2" 19'�3" 17'.1" 24'-5" 21'-;" 19'-3" purposes only. - 40/10 31'-1" 27'-0" 24'-7"_ 22'-0" 28'-1" 25'-8" 24'-3"••�221.0" 6. The adhesives used 16„ 40 115 25`-9" 23'-6" 20-10" 28'-1"•� 25'-8" 23'-6" 20'-10"_ .... -..-,.....,..- should be approved for 40/20_ 28'-5" R.7" 22'-5" 19'.11" 28'-1" 24'-7" 22'-5" 19'-11" Field-Gluing Plywood 40/30 26'4" 22'-9" �20'.7" 18'.5" 26'-4" 22'-9" 20'-7" 18'-S" to Lumber Framing for 40/10 22-11" 21'-0" 19'-10" 18'-6" 20'4' 18'-11" 17'-10" 16'-8" Floor Systems. Apply -16.--- 40/15 2Z'-11" 21'-0" 19'-10" 18'-fi" 20'•9" 18'-11" 17'-10" 16'-8" per manufacturer's 9y/z" r .,,.,_.�. � ,� written instructlons- 40/20 22.11' 21=0 19-10` 17-9 20-9 18-11 17-10 16 4 40/30 21'-9" "19' 10" 18'-4" 16'-3" 20'-0" 18'-11" 17'-10" 16'-3" 7. This table was .,.,_..,...._.....,._� .,. .,_...._.. _.... 40/10 �27'-3" 24'-11" 23'-6" 21'-11" 24'-8" 22'-6" 21'-3" 19'-9" designed to apply ��' . .._..w..,- _._... ._......,,.,— to a broad range of 40/15 27'-3" 24'-11" 23'-6" 21'-0" 24'-8" 22'-6" 21'-3" 19%9" applications. It may be 40120 27-3 24 11 22-8 20-1 24-8 22-6 21-3 19-911 ..- �........� possible to exceed the 40 130 26-10" 22'-11" 20'-9" 18'-6" 24'-8" 22'-6" 20'-9" limitations of this table -° — "'- _�........-, — 40/10 30' 11" Z8'-2" 26'-8" 24.'-2" 27'.11" 26'6" 24'4' 22'-5" by analyzing a specific • - - - - 40/15 30'•11" � 28'-2 26.10" Z3'-0"� M27' 11" 25'-6" 24'-1" 22'.5" application with the 14" -- — _ 4D 12D- 30'-11" ZT-3" 24'-8" " 2T-11" 25'-6" 24'-1" 22'-0" BC CALCP software. __ 22;0 4D/30 29'-2"u 25'-0" 22'.1D"' 1 27'-11" 25'4' 22'.10". 19'_6" 40M0 34'-2" 31'-3" 29'-6" 26'-1" 30!-11" 28'-3" 26'-7" 24'-9" 16" 4-0/15 34'-Z 30'�8" �27'�10"_..24�.10" 30'-11" ,..28'-3" 26'-7" 24,941 40I20 33'-11" 29'-Z' 26'-T" 22'�9" 30'-11" 28'-3"• 26'-7" 22'-9" 40130 31'-5" 7`-0" 24'•5" 19'-6" �SD'-11""-- '-0" 24'"5" 19'.6., Mardh 2005 M/i O 'd 6LZVL0905 'ON XVA o l l a l oq WV M LO Ini LOH-U-NdV r J�o v� �NK Al 44RA62 �p/Z�Gt2C C� `L-CX�27,iu�j- l V� fi �. yVv.v9�Yr/oaf CSC/yt�,v Cf Map Page 1 of 1 Town of Barnstable Geographic Information System New search Home Help Parcel Viewer Custom Map Abutters map Size � ■■ Zoom Out� j � In ............. Full (9 JPG i Map: 250 Parcel: 063 Property r� ' 2501346 i, 250155700 ( Location: 97 WEQUAQUET LANE Info �• 250015001 i 138 595 ;. #624 t Owner: MORIN,JOHN S&MARCIA C ;.' 250O64 .. .. 614 ��� Location Information 250154 Map&Parcel 250063 i 134 f Location 97 WEQUAQUET LANE 250014 n u `T s Acreage 0.44 acres e #"600 1 , .... ..................__ ... .. ...... ....... _ Current Owner .......... . .... ..._. .. .... _................... Mailing Address MORIN ]OHN S&MARCIA C �l WEQUAQUET LANE 250016 2SOOb3 250153 �sx ! CENTERVILLE,MA 02632 Saole 9r y , l0E l __.._ _ _ __ .Appraised Value(FY 2006) ____._ J ._.. ___. . _._ ..._. j " E e xtra Features $3,800 O z� ut Buildings $0 Land .$155,900 t Buildings $168,400 i dy f "'I Total Appraised $328,100 2v0013 � .............. .... Assessed Value FY 2006 9 } ... ..... . Extra Features $3,800 0 84 Feetf` Out Buildings $0 SOW�75 250151T00$ Land $155,900 .,.,. cu •w„ #17 I Buildings $168,400 Set Scale 1" = 84 Aerial Photos Total Assessed $328,100 Copyright 2005 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS 's?c rn5.a iq;•'n .,.t.�'(:✓rgOU::Cq:^:I http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertyID=250063&mapparback= . 3/7/2007 �OF'fHE Town of Barnstable A Regulatory.Services BARNSfABM i MAss. $ Thomas F.Geiler,Director r 1639. A Building Division pFDMP Tom Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Building Permit Procedure for Residential Addition Or Remodel Or Dock Determine map and parcel number and enter it on application. ❑ - istoric Distric fission,200 Main Street a ire rior to construction/demolition f an erties locatedIiator>c istrict: • -Old Kings Highway Historic District t_rict(north of the Mid Cape Highway) • Hynisan Main Street-Water-frontHistoric District(See map for boundaries) • Historic Preservation(if applicable). ❑ If ZBA r (Special Permit or V d for Project)- DCo of ZkA decision. ocumenta ' rov' that decision was recorded at the Registry of Deeds w/in one year of A d ision date ❑ App vals oo the followingde artments are re uired an fined at 200 Main St.: e epartment (8:00 9:30 AM&3:30—4:30 PM as of March 2nd, 2005) x onservation a artment 8:00-9:30 A1VI&3:30—4:30 PM) Tax Collector {can be obtained from Building Department} ❑Treasurer {can be obtained from Building Department} "[v] Permit must contain complete owner information, full description of project, correct square footage of project,valuation of project(must agree with Total Cost from Project Worksheet), uilding detail for Assessor's Office, complete builders information,including signature and date of application: 5 sets of reduced house plans measuring 11"x 17",scaled 1/4"= 1' & fully dimensionalized are required. Plans must include a foundation, cross section, framing schedule,insulation detail & Pefloor plan sh g location of smoke detectors (located with a Red `S'.) :7DA SINGENGINEERED LUMBER AND/OR STRUCTURAL STEEL,ENGINEERING TA MUST BE PROVIDED****** Plot plan or mortgage survey required for any addition. ✓-Home Improvement Contractor's Affidavit ❑_ -"-'Workers Compensation Insurance Affidavit form must be submitted for any workers hired. In the event the homeowner takes out the permit, subcontractors hired must supply this. Copy of Insurance A::�eergy,Co liance Certificate must be on file. mpliance Form Homeowner Supervisors License&Home Improvement Contractor's License OR Homeowner License Exemption_Form.-must-be submitted if homeowner is acting as general contractor or builder for the project. Property owner must sign Property Owner Letter of Permission. ❑. A NON-REFUNDABLE Application Fee must be paid upon receipt of application number. checks should be made out to the Town of Barnstable IMNEYS: Need Home Improvement License,no plot plan required PIERS AND DOCKS:Need Construction Super License AND Home Improvement License. OWNER CANNOT PULL OWN PERMIT. ❑ ojects requiring the use of a crane must complete the forms issued by the Aeronautics Commission Q:fbansfbldgpermit/R_addalt r 101106 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �77v/.9% Ma Parcel p�6 04 A 3 pp � a 1 lication# Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee 50 J Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis J Project Street Address 1 Village La2 732k /L Owner O)Y'iQ 0e AJ 0 ress t /i9C Telephone -6-02- 79!'` 676 9� Permit Request Square feet: 1st floor:existing proposed 2nd floor:existing proposed ® Total new 1:9 Zoning District L 04� Flood Plain Nb Groundwater Overlay NLM Project Valuation's ® Construction Type Lot Sizes4A46F:� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing St:�u110 re ' A S , Historic House: ❑Yes o On Old King's Highway: ❑Yes Basement Type: Crawl ❑Walkout Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 313X 57. Fri Number of Baths: Full:existing new Half:existing ` new '4" Dumber of Bedrooms: existing_ new —®`f Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: XGas ❑Oil ❑Electric ❑Other Central Air: )(Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes )(No i Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑newt size_:, Attached garage: existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ , Y, Commercial ❑Yes )(No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION - Name 0 Telephone Number` Address 1 ( � 1> /` License# > ` Home Improvement Contractor# N Worker's Compensation# 44 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS ROJECT WILL BETAKEN TO SIGNATURE DATEPA ItJ T ' FOR OFFICIAL USE ONLY ' 3 PERMIT NO. ' ' DATE ISSUED ' r M MAP/PARCEL NO. 7 ADDRESS VILLAGE - OWNER 10 r DATE OF INSPECTION: -FOUNDATION ' FRAME ' r. 'INSULATION f FIREPLACE �• r I ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r s- t r s JOWN QF BARNSTABLE BUILDING PERMIT APPLICATION o , 3 �Map4 .' Parcel Application# Health Division i Conservation Division - Permit# e t Tax Collector Date Issued It Treasurer Application Fee 00 J Planning Dept. = Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis psi t Project Street Address 1'7 E �Ql). �h_�E=Y Village t..C%7 _-_R_V 1 L 1257114, C,) Owner A WW S� -.�9/✓I� � (W L% ?A,,d.dress tAm !4:-s 4160V4_, Telephone �� — � J0�6 --- 0 Z.& 48,�s Permit Request 15_X1S/ /4), it'J r Square"feet: 1st floor:existing proposed .�� 2nd floor:existing A= proposed " Total new 49C/ Nl A (� ' r � Zoning District �%��+� Flood Plain © Groundwater Overlay � �17,1Projjeect Valuation /O O©O Construction Type Lot Size • ��/ 146A4�5 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. � `Dwelling Type: Single Family �© Two Family ❑ Multi-Family(#units) Age of Existing Structures Historic House: ❑Yes ��No On Old King's Highway: ❑Yes UIN0 Basement Type: 01 uF II ❑Crawl ❑Walkout ❑]Other Basement Finished Area(sq.ft.)p1r4Y1� SQ. Jli'F Basement Unfinished Area(sq.ft) y�o�- Sq ram► Number of•BAths: Full:existing new Half:existing new , Number umer of Bedrooms: existing 3 new •.L�'' Total Room Count(not including baths):existing new First Floor Room Count -Heat Type°and uel: AGas ❑Oil ❑Electric ❑Other 4 4 Central Air: F,Yes�0 -'No Fireplaces: Existing Y New Existing wood/coal stove: ❑Yes )VINO or Detached garage 0 existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new; size Attached garage: existing 0 new'-size Shed:❑existing-❑new size Other: ry Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes r0 No If yes,site plan review# Na Current Use Proposed Use J A BUILDER INFORMATION t Name J421 ,J S' �Il a�°1�U � Telephone NumberC7�' �` - Address 97 l�U0!(2040 0 6�7' 14000 i License# v a Y ✓14, 0 a& � �Home Improvement Contractor# M �Worker's Compensation# r ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO t' SIGNATURE I �.. <(/ �✓ 1 X v- DATE / '� r FOR OFFICIAL USE ONLY ' PERMIT NO. 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 _ Office of Investigations 600 Washington Street Boston,MA 02111 • www.mass.gov/dia Workers Compensation$insurance Affidavit: builders/Contractors/Electricians/Plumbers A licant Information. Please Print Le 'bl Name(Business/OrganizatioMndividual): rtgtJ Address: q9W4Z VV s / City/State/Zip: 1�Te v/we__ Phone.#: Are you an employer?Check the appropriate box: -Type of project(required):. 1.El am a employer with 4• I am a general contractor and I 6. ❑New construction.. employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship andhapr no employees These sub-contractors have , g, Demolition workingfor me in an capacity. employees and have workers' y P tY• � , ! 9. ❑Building addition i [No workers' comp,insurance comp.insurance.$ LI� equired.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3) am a homeowner doing allwork officers have exercised their 11.El Plumbing repairs or additionsmyself. [No workers' comp. right of exemption per MGL 12,Ej 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. tContractors 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. I 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). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties 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 verification I do hereby ceErtr the pains.an penalties f perjury that the information provided above is rue and correct. Signature: Date: 3 �� Phone#: 7 ✓� ricial only. Do not write in is area, to be completed by city or town official n: Permit/License# Issuing Authority(circle one): ,Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 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 reaeivimor_tatslte�e-of an individuaL partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartrnents 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 building appurtenant thereto shall not because of such employment be deemed to be an employer." n the grounds or g or o gr PP M(3L chapter 152, §25C(6)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,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall contract for the.performance of public work until-acce table evidence of compliance with the insurance enter into any p p P P . requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-cont<actor(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 appropriateline. 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 .thatmust submit multiple permitllicense applications in.any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in_(city or 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 fo 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. Depaximcmt of Industdal Moid=ts Office of Investigations 600 Washington Street Boston,MA 02111 T'cl. # 617-727-490.0 ext 406 or 1-877-MASSAFB Fax#617-727-7749 Revised 11-22-06 wwwmass.gov/dia I FINE r Town of Barnstable Regulatory Services sanigsTnai E Thomas F.Geiler,Director 9 MAN. g �i0tEp 399. & Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. f Date AFFIDAVIT 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: .- /J:25/on) Estimated Cost /D Onb Address of Work: , Owner's Name: -�1 tom ) Date of Application: I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law OJob Under$1,000 Building not owner-occupied l` er 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 a ply for a permit as the agent of the owner: Dat Contractor Name Registration No. 7LO�� Date Owner's Name Q:forms:homeaffidav I RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE ,.' New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot=_ x.0041= plus from below(if applicable) / ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foG,/= x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x 32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 so.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.0041= STAND ALONE PERMITS. Open Porch x$30.00= (number) Deck x$30.00= (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 Rev:063004 7M CMR Appendi:l Table J3.2.Ib(condoned) Prescriptive Packages for due and Two-Family Residential Buildings Heated with Fossil Fuels MAXIMUM MINIMUM Glaang Giving Ceiling Wall Floor Basement Slab Heating/Cooling U-value= R-value' R-value' R-value' Wall Perimeter Equipment Efficiency Package R value' R value' 5701 to 6500 Heating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 9 10 6 Normal S 121's 0.50 . 38 13 9 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 _15% 0.44 38 _ 13 25 N/A N/A 83 W 1S% 0 52 30 19 10 _ 6 8S AFEj X 18% 0.32 38 13 25 N/A N/A Normal Y 18% 0.42 38 19 25 N/A N/A Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 1 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: L 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 7 6 3. SQUARE FOOTAGE OF ALL GLAZING: �T ' 4. %GLAZING AREA(#3 DIVIDED BY#2): 3 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-i980303a 780 CMR Appendix J Footnotes to Table J6.2.1b: { 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 ft of decorative glass may be excluded from a building design with 300 W of glazing area. 2 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 R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between 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 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 6scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. s 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 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. 9 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 m p p 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 I. �F114 ram, Town of Barnstable. r � Regulatory Services " MASS. Thomas F.Geiler,Director Maas. �Ai639. 1�� rE1639.�a 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 st Complete and Sign T Section If Using A B ' der I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work auth d by this building permit application for: / ddress \-Date Signature of Owner Print Name QTORMS:O WNERPERMISSION 3 -``-�_ 1 j i r �' i ' I ,: ��� � . . , � � j 1 r { �, � )! ; -� 1 II� w `�. loreFROM Labrie Construction FAX N0. 508-539-1029 Apr. 09 2007 06:19PM P1 BOSSY Single 11-7/8" AJSTM 20 MSR JoistNio7 BC CALC®9.3 Design Report-US 1 span I No cantilevers 10112 slope Friday,April 06, 2007 10:00 Build 057 16" Repetitive Glued&nailed construction p )� File Name: LaBrie,Morin Res. 040607;13CC Job Name'. Description, J01 Address: V Specifier; City, State, Zip: , Designer: DAVID GREENLAW Customer: Company: BOTELLO LUMBER Code reports; ESR-1144 Misc: —4•. W ar,_v .¢.. n. 'ur �Lp .t .r -s •4_•v._� w v' v �r v o' w .r-._..1. _2.....Yv .,t� ... _ .,.,.n::-:J„.u.._..., 1 ::::�x •a_�rt.l„r.:.^.-..r s:r.-:....[:':i::':::::.:�^-'�.,..rr..;,... �:L.L:i:.:i,try:...:::•... •_t::::i'�..::..i�.,.:x_1,,{Ilci.�S_+_:!--?[a..__...,.,z.�.r„a.•L_—�R_h—�._,_,.!A T,r,_..5.�_..._1,. �dI}_,_F!_n..i.r.r_:.:___s:-r'y,�aA.i:Yl'd.Pi1:.�3,'v._a..'_r,4d,f,n.,�5i(r.er�•�o`...:ti=•rc;-..',-.t..._d,.[..n,...��{II j}.7,..,,,..:r.,..,�.:,�,.,{,t",.�.,.((l!,}�z,_,.�_,s u:i,,zr,rns'�^d.h-!h airiir la,.-.,.,,;�..�._;u:r,.�..fr�,'[YK,.•l,�,,'.,.�e_.s,�^e.-1.,r..i_,�deln.n{._i[-:_::.:__.�_,�-._.?:..:l.:.�.s,.•..--.;,.rr..,..-..,:,-w..r...t.`..1d.,,!�Lr�.:,::r 5_-�[[—.({..'i-,N—�,ryu....;s.'r.7.,°'f.a'r_,.t.i..,...I[,•,y��i _.. r:' -�-II.:�.zd.,�•.:['.ti.3r:::•:::d^:�.:h_•)rC,•r h-:1:4-f,,I_.{l:b:i''i:�",{,:_d4`77:'ii,1r.'?.r.__v.1';.:{�,rriS,K-.;.�r.�'�r7A�-�s,:•_r.r?r= I s?r�-l rry,d�:f.!f_lk�t.�.�•r�:fi�i:;'rY'+.;�i.,•J, i4Mrfr— ..- _-- - 18-00-00 So 61 LL 480 lbs LL 480 lbs DL 180 lbs DL 180 lbs Total Horizontal Product Length=18-00-00 Load Summary - Live Dead Snow Wind Roof Live Tan Description Load Type Ref- Start End 100% 90% 115% 133% 125% OCS 1 Standard Load Unf.Area(pso Left 00-00-00 18-00-00 40 15 16" Controls Summary value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 2970 ft-lbs 67.5% 100% 1 1 -Internal Completeness and accuracy of input must End Reaction 660 lbs 57.7% 100% 1 1 -Right be verified by anyone who would rely on Total Load Defl. U504(0.428") 47.6% 1 1 output as evidence of suitability for Live Load Defl_ U693(0.311'� 51.9% 1 1 particular application.Output here based Max Defl. 0.428" 85.7% 1 1 on building code-accepted design properties and analysis methods.- Span/Depth 18-2 n/a 1 Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide 130 Hanger Load n/a 660 lbs Unspecified n/a Hanger or ask questions,please call B1 Hanger Load n/a 660 lbs Unspecified n/a Hanger (800)232-0788 before installation. BC CALCO,Notes A LOJ STO BBC RIM BOARD C FRAMERO, S BCI®, Design meets Code minimum (L/240)Total load deflection criteria- SOISF GLULAM''" SIMPLE FRAMING , Design meets Code minimum(U360) Live load deflectionSYSTEM®,VERSA-LAMOO,VERSA-RIM Criteria. PLUS®,VERSA-RIMQO, Design meets arbitrary(0.5") Maximum load deflection criteria. VERSA-STRANDO,VERSA-STUD®are Composite El value based on 23/32"thick sheathing glued and nailed to joist- trademarks of Boise Wood Products, L.L.C. Page 1 of 1 FFt7M : Labrie Construction FAX NO. : 508-539-1029 Apr. 09 2007 06:16PM P1 1 Double 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Floor BeamTB01 BC CALCO 9.3 Design Report- US 2 spans I No cantilevers { 0112 slope Friday, April 06, 2007 09:59 Build 057 File Name: LaBrie,Morin Res. 040607.BCC Job Name: Description: FB01 Address: Specifier. City, State,Zip: , Designer: DAVID GREENLAW Customer Company: BOTELLO LUMBER Code reports: ESR-1040 Misc: s ;n Y •e v wr v,. v w .P P w s _x! p 2 p r p p v w `r w ..w p ,. w' w.. v p w w p r 1 w a m v w a v w s - - v p e - v -•mr t••< p �...__. _., .. .....................^:r='.....,.,...�r,.� .x.l...�......�r::,.... .. y:::::. �....... ):�:"':;...r.,,..C.. ::•.a,._- {. t....d:, 'rp�_... ._��..,. � -. :.:" .. ,,�°YA:7'e!-.:- ... � .........M,..+._... r.... rr.r t. n.., ._... ...... ..................... .. .. .._., r....i:�r.. ,..i.:•':::::�:�kr':�•;iE '�.. i :'�_ r. ,.r...l,r............ .'Y...-._. ...'S.....r. _. 4........ ...,.. ... I...__ ..,r..,,....,:.�.., I .........u.. .._-.I.L_., t. ...,,.. .,::,..,.�.:.,:,!..,,,.,;. .. ^h.s:•.':::)<_. �,.,t#):".:::..{Cr. 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L_.!. � ..�. 19!••:Y.�^--1.... ice'- - n, { .....).,-c:.�... ::4:s41 -: .... ,,...T. •-•., ::_. �•v! T. ,eP1�' ... r...-1i• T_ ¢.�...., .,, )... sue'•.:^I.::, ..:d1 r..:h:...87::.•�E•L.l°-: ,�:....}1�r,,-..�Ipl.. (C.:......��.,,r.__r�-;�r....:� `Y.�� 3L:� -,,.wr�eS'�"a.Y..ru9;i:-.__::.iL".-C:i' "��01� -�. ,.,12- G,Ir_,. ..Tl,.,., -,.q.._ .e.... Y��N.. I I.k..- 7t ,.,Ta.l.... F.' +.[r••.• ...aa� '�-+:aiZt..{� IC-i:n...,�b,.��.a.t-�'uL-u �;I.�a.-.,. ,a,..,t� .,.1'di_ +f t{_!�,}. {T:.:J2'3'b}l�iw;�. ._�J.-(-[I ..YLn.d4rld ':_If.�.,A{�•�..J,v111:S�9�.1�i•.�ud1:'���...ii:u�.{:�:"r:Y�:{._: �'Fr`e:::':: � �aoo-oo 10-00-00 BO Bi 62 LL 4500 Ibs LL 1575 lbs DL 1154 lbs LL 1 lbs DL 3846 lbs DL 1154 lbs 5L 506 lbs SL 1687 lbs St-506 lbs Total of Horizontal Design Spans=20-OMO Load Summary Live Dead Snow Wind Roof Live Tag Description Load a Ref- Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf.Area(psf) Left 00-00-00 20-00-00 40 15 09-00-00 2 Ext Wall Unf. Lin. (plf) Left 00-00-00 20-00-00 0 80 n/a 3 Roof Unf- Lin_ (plf) Left 00-00-00 20-00-00 81 135 n/a Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 6519 ft-lbs 26.6% 115% 15 2-Internal Completeness and accuracy of input must Neg. Moment -10034 ft-lbs 41.0% 115% 2 2-Left be verified by anyone who would rely on -Left output as evidence of suitability for End Shear 2382 Ibs 26.2% 115% 13 1 -Le G particular application.Output here based ont. Shear 4105 Ibs 45.2% 115% 2 2-Left on building code-accepted design Total Load Defl. U1196 (0.1") 20.1% 15 2 properties and analysis methods. Live Load Defl. U1694(0,071") 21.3% 15 2 Installation of BOISE engineered wood Total Neg. Defl, -0.01" 2.0% 16 1 products must be in accordance with Max Defl, 0.1" 10.0% 15 2 current Installation Guide and applicable Span/Depth 10.1 n/a building codes.To obtain Installation Guide p p 1 or ask questions,please call (800)232-0788 before installation. Notes Design meets Code minimum (U240) Total load deflection criteria. AL CALC®,BC FRAMERS, TM,B Design meets Code minimum (L/360) Live load deflection criteria. 301SE GLULSTO, M RIM SIMPLE F BOARDTM,FRAMING BOISE GLLILAMT" SIMPLE FRAMING Design meets arbitrary(1") MBbmum load deflection criteria. SYSTEM®,VERSA-LAMS,VERSA-RIM Minimum bearing length for BO is 1-1/2". PLUS®,VERSA-RIM©, Minimum bearing length for B1 is 3-7/8". VERSA-STRAND,VERSA-STUDS are Minimum bearing length for B2 is 1-1/2". trademarks of Boise Wood Products, Entered/Displayed Horizontal Span Length(s) =Clear Span+ 1/2 min.end bearing+ L.L.C. 1/2 intermediate bearing Connection Diagram b r V .d- a • L. • a minimum=2" c=7-7/8" b minimum=3" d= 12" Connectors are:16d Box Nails Page 1 of 1 pFTHE tp� Town of Barnstable �O Y Y Regulatory Services • Y Y BARNSTABLE. MASS. �, Thomas F.Geiler,Director Fo;p. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 May 10, 2007 John Morin Jr. 97 Wequaquet Ln. Centerville, Ma. 02632 RE: 97 Wequaquet Ln. Map : 250 Parcel : 063 Dear Property Owner: This letter is in response to an application submitted to do work at the above referenced address. Unfortunately, the application can not be approved at this time because you have not provided all the necessary documents. Specifically, a plot plan showing the location of the proposed work in relation to the property lines. This office has attempted to contact you several times with no response and to this date the documents have not been received. If you decide, at a later date, that you wish to go forward with the project you must apply again and provide the necessary documents. If this office can be of any further assistance please do not hesitate to call. I may be reached at(508) 862-4034. Sincerely, *eey . Lauzon Local Inspector Q:zoning5 L t Town of Barnstable Regulatory Services s"' ASS � � M ' Thomas F. Geiler,Director .y ASS. g. Ev + Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 PLAN REVIEW Owner:T kr MCAT',4% �r Map/Parcel: ESZ� 0(o3 Project Address 9 7 tj e9 c4a6 A�� 'Ln Builder: O w,,e.r�'- The following items were noted on reviewing: 2 NC'2d ��n�ete- �Ia�r nl�ns �v ���.�.tl��g �asev►.ewT 3 Reviewed by: L S4 Js�f 3/30 0-7 Date: 3)30f a Q:Forms:Plnrvw Q �C-'�/�` Assessor's map and lot nurTiber ......... 'TTO HE k st�p-f,lc syslem mus I Sewage Permit number ..... :. . INSTALLED IN com ARNSTABLE, House number ........................ VAT"MU 6 , NAG& ......................................... EWRONMW*4 TOWN OF , BARNSli BUILDING, INSPECTOR ja M.........aw APPLICATION FOR PERMIT TO .................... ........... ............................emir TYPE OF'CONSTRUCTION ................ ..........t....&DA&kcr .............................................. . ........... ........:J.. -TO- THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... ' .. ........... .......At................4©.7..-..... .�..(;............ Proposed Use . ..........I...........Tz ......... e........�19 46-15............................... Zoning District .............1........... :.........Fire District ............... ......................................... Ti�1. /,vq Name of Owner . ......................... .... ....?P!.... .:....................Address . ..... Name of Builder .................... ........................Address .................. .... ............................................. ...... .... .... .Name of Architect .................. ........................Address ................. ............................................. Number of Rooms .......................... ...................................Foundation ...... .. . .... .4.-Q!I/�. Exterior .......C4j15J .. ............Roofing ......401.7 ........................................ Floors ......i ...... . .... .......... ......................Interior 000 Heating .............. V0.........................................Plumbing ..........................V ....e......................................... Fireplace .............. 0 Approximate Cost ............. .9 .. .6 ............ .............................. 0/-5-f Definitive Plan Approved by Planning Board -------------------------------19--------- Area ....&/4�.. ............................. Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 6 i 6 IR 6 rSETPt(- X 131 A % 4'. t 40%, ,49-< oer z0ov q3 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .............................. . Morin, uu/n S. Jr. ' � . . . 22116 ' add No -----.. Permit for -----���������.. and garage to dwelling --------------------------. . Location ......... .......................... . . � --. -----------------.-----.. Owner ____Jolnz..S�. ..Jr~_____ Tvoe.of Construction -----.�]���.----.. - --�----------------------.. . Plot --------- Lot ................................. - ~ . , ^ ! . ' _, ~ Permit Granted --.. 'l��'r—'��9 �� ^_ ` Dote of Inspection lV ' , ` Do*» �omp|eta6 .---.lg PERMIT REFUSED `- . - . . . . . ' ' - � A _ ----. ' ^ —.. ' i.0A .................................................. . . � ................................................... ApproMd . I '-------------.. lg ~ , ~ -. ' . ^ --------------------------. � . ---------------------^'^'—'—^' � C1 �' Assessor's map and lot number ......... . ....... .. ✓ '� Sewage Permit number BARNSTABLE, i House number ?!....................... raas y 1 639. 9� QED AIPY a\ ,a TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO AN-mm& sMag5C��,,�, TYPE OF CONSTRUCTION ............... s(,.1C..kr ... .... JCS ,l ........................................../.. Y ........... ....... .f. ...J4 :. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according ta the following information: Location ....`�. .... i l// /.1 �/�1 t�t�11%:......./// .........�... ........ .... 1 �z ��?A.u. .....�.......... ..� . �� ...�� .9/-f- ` Proposed Use ._ . . ` #. .. .. �....... ......................... 44 Zoning District ......... .............................Fire District ✓ ►4a ............................................ Name of Owner rs �U...S' 41 ),v q Q� �•t! Uf?�U l ... �1?...........!. c'tiT....:J'�'I. ......................................Address ...,..J.......:. r............ V Name of Builder h }.........��i9 r .........................Address ..................��. ..19/7�... ............................................. Name of Architect ..................J��/ .......................::Address .................`-'.! .............................................. ......... Number of Rooms .............Foundation ...... Exterior r:!1 �.t�"�;a&,: ;,�.......1. �...........:Roofing ........ ` ? G- ................... t ..... Floors .e��r. �T ......... .... � aJ�f .:Interior ......L x ��' ./.sue'......:.. ...t. . � �.r.M1N'"•'bP•'¢7P°�a4asa�r'y.,,K'�K .s M �.,. Heating .......................... . .:% .k: '......... .......Plumbing / ................. Approximate Cost .............Fireplace ................ ................................: ✓ 7�' Definitive Plan Approved by Planning Board -------------------_-----------19________. Area --L Diagram of Lot and Building with Dimensions Fee Fr.- ' SUBJECT TO APPROVAL OF BOARD OF HEALTH // , S�SY EX 1157 ........... °w�. +winuam.a�+.7�ti:.3a-�k;r«'s+r��.aA�.;t _ ,-,7 I El- ;f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. J Name ... v " " Morin, John S. Jr. A=250-63 i 22116 add breezeway No ................. Permit for .................................... and garage to dwelling ............................................................................... 97 Wequaquet Lane Location ................................................................ Centerville ............................................................................... hn . Min, J . Owner .........Jo...........S.............or............r..................... Type of Construction frame ..... Plot ........................... Lo .............................. Permit Granted ....... .ril .1S$0 Date of Inspection ............................ .......19 ,y Date Completed ........................... ..........19 PERMIT REFUSED .......................�.. .................................... 19 . .... 0:7. ................................................ .:. ...:7 S-!�. ............................................... � y ................................................. ........!�?�:...1./! 8)............. ....................... 1 Approved .............. ... . ............... ...... .. 19 ............... ................. h _ -PRESS PEA I , a ®��'Il� ��`Barnstable *Permit# MAYV y 70 Kgires 6 months fron�'ssue date IV�H! al Regulatory Services Fe TOWN OF BARNSTABLSomas F.Geiler,Director Building,Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA M01 www.tovin.barnstable.ma.us F Office: 508-862-4038 Fax: 508-790-6.230 EXPRESS PERMIT APPLICATION RE'SIDENTIAI., ONLY Not Valid without Red X-Press Imprint Map/parcel Number��l/ v`� Property Address 7 We o U Lo,n [Residential Value of Work ' Minimum fee of$25.00`for work under'$6000.00 ' Owner's Name&Address �0k 0 ' Contractor's Name FA l.,dy Telephone Number`5cD�1" ���-,P�2 9 Home Improvement Contractor License#(if applicable) 2 S 3 Construction Supervisor's License#(if applicable): C cJ �. ro �p Oworkman's Compensation Insurance Cheel one: ❑ I am a sole proprietor ❑ I am the Homeowner 0,I have Worker's Compensation Insurance Insurance Company Name f CIl Workman's Comp.Policy# U- " '0 3 rn �5 b '(� Copy of Insurance Compliance Certificate must be on file: " Permit Request(check box) [-Re-roof(stripping old shingles) All construct ion'debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑. Re-side Replacement Windows/doors/sliders: U-Value (maximum.44) *Where required: Issuance of this permit does.not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: ' Property Owner must sip]Property Owner Letter of Permission, , ' A copy of the Home Improvement.Contractors License is required. SIGNATURE. t Q.Forms:expmirg `— } Revise061306 I �( { , � � "�, a�EarmsendSt na cds ,• P k� • Gb;strtictio u,�ei�visar�ttc33�in�s 'I'3 r� ' i tr I N OR 7t'14f1IlfUCi31YV LAt .:::,. --ice.- I , JTFH;.IItIA`Q2-3:3& R � I ��w �✓ � a Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Regist410-: 112536 Board of Building Regulations and Standards mpmaagn'1/23/2011 Tr# 281021 One Ashburton Place Rm 1301 Boston,Ma.02108 Types D.'# FRASER CONSTRUCTION CO. DEAN FRASER ) 104 TWINN VIEW I�WE 11 E FALMOUTH,MA 02536 ��~ Administrator Not re d ar o u11 1ngOegula4s an an ar s jY One Ashburton Place e Room 1301 Boston. Massachusetts 02108 Home Improvement-Contractor Registration Registration: 112536 Type: DBA Expiration: 3/23/2011 Tr# 281021 FRASER CONSTRUCTION CO. DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 Update Address and return card.Marls reason for change. Address Renewal Employment Lost Card Al to 40M-08/08-DBSLIFORMCF�108212008 !E x I Fraser Construction LL CONSTRUCTION 9 Roofing & Siding Specialists P.O. Box 1845, Cotuit MA. 02635 508-428-Z29Z Email: fraser constructiongverizon net www.fraserroofing.com FAX 1-508-428-0123 RUBBER RE-ROOFING PROPOSAL DATE: January 29, 2010 NAME: John& Marcia Morin PHONE: 508-326-1633 C MAIL ADDRESS: Same JOB ADDRESS: 97 Wequaquet Lane Centerville, MA 02632 FRASER CONSTRUCTION hereby proposes to perform the following services in a neat and professional like manner and in accordance with the manufacturer's specifications and local building code. SUPPLY & INSTALL - .060 EPDM Rubber Roofing OVER Y2" FIBER.BOARD SUPPLY & INSTALL - New Custom Made .032 White Metal @ Ed SUPPLY & INSTALL - Re-cap Roof Clean & Remove - Debris from roofing work daily P: CE- $3,000 Initial LT Payable immediately upon completion NO MONEY DOWN- NO Payment at t).e start or part Way thru Payments accepted are: CASH- CHECK- MASTERCARD - VISA-AMERICAN EXPRESS *Any payments not made within 30 days of completion will be'charged 1 %2%for every 30 days the payment is late. F . Any deviation or alteration from above specification s�lb be executed upon written orders and will become an extra charge over and ab�y',e the estimate. All agreements contingent upon strikes, accidents or de1 ays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may wi-1010raw this proposal. FRASER CONSTRUCTION: Carries Workman': Compensation and Public Liability Insurance on the above work. a ; J ry DATE OF ACCEPTANCE: 1 Con actor%Ho ner Fraser Construction A :yam n tg �.T 26 P 12 3 i L o�=icla, 9� oo, . . Al V - i_, h } 2 . 3' p J s.7' 0, U } o , =w h R s,? 0 ' 41 �j nJ ry 2 pPF 2 p p ;f t f/E.pE8Y CEl2T/FY -?'/�/AT .7'' X/S?'%1VG ,QW�5LL/aV6 O/�/ 4 L 0 T. /S S1-10R1/V! ©1V 4/A/ A,5 /T /S" L t51C.47T 5-,D 0�1 Ti�6 690U/ ..1D .BAS-6.6 0%! AIV AC7-61,4 ' 11V-5 —i\ l9I-I 91V7— -5'LJ/�Y�y. S dN4 r ° PL 87 �LAIiV Off` L,9 x 4 d I ` �`VA of �,. o yam/ M o R 5 AOHN .� P s A' DOYLE.ilt ` y r N o.33589 / Af REO q 7 Gtl 'CJ 9 `1f/ 7 L.r9e'� j �Na SU '. . IV G . G S x f � F� 7777 m F�QGI►-lDU7' 025"3 ti „ 0 N 1 FL a) tA . 00 M M t � �, M • _ Sason M. Beoumont o 164.74 �-' o i o N5Qo26'OO-E (O. H O. O , Orainogc C.B. N '375.98. ., `� EOSementlq : O e S58 03°p0 M 183.0p HINNEYIS ,o i w • o.8z c:e• 1V .90 �ai.3r(PuN !80 50:�00 Wide) L ,o 3 96.76 M• �. 03 00 E LANE .mian • - io a0 ` C.B. t . 9. 16 Vito By 2.4 0.81 6 Thomos p Smith c o IMP —1 et 0l i a C'J. 11 co Z —.M��� Dorothy E. Mahoney c. ova , t cfl o Potricio A.. Cough �, s o "oI o•. . �� . op O O��ae �bJ . • .40 �Q� Beatrice B. Pinos BAMSTABLE \9, Q� 550 L ocus comprises REGISTRY OF DEEDS /o is l - '6 M c o P MAY ^ 81 �� �.c. Copy °��ar¢of plan LAND RE6/STRA in OFFICE --- ------•NO V 15, 1968 RECORDED Scale of this plan l00 feet to an inCh R.L.Woodbury, Engineer fr Court 114 Y. 48 v 47 117 07 Form LCFrD-2. 2M-10.66-M654 aw CONFIRMATION 35892 A ..,G, PLAN OF LAND IN BARNSTABLE Nelson Bearse - Richard Law, Surveyors :July 24 , 1968 ti Donald P McKeag m i C.B. N48020'30"F- 206.69 214.56 ' F Karl' T. Dussik 30 0 Q 0 0 4 C Q' et at M to M a O • o N o 0 ev 188.76 M N49 1030E C B N4805740 E ,ice 0 c.s. 60.77' =249.53= o N �, try •3.Sf -� SCOrame/l% M (b ( •',�• 3 Albert A. ti 3 ' e t at a t4 hj o N p O. ,�v tr 00 o O _ d • �• CV 204.82 C.B. N149026'10E O y N ti •:' 0 4i O) ^ �' to a 0 O frj c� � 0 M o.d• rn �. � to N n M n Susan M. Beoumont 164.74 0 j o Z N50026'00„E O' n o O a <D y Q Z �l tt� 0 to ' N 0, Drainage 99. 1hcy V. 37s.s8 c ose0entl nr h �o 4 c � 5 1 03`00 y o .00PH NN : fib82 C.S. c.s. N Jo (Public_ 396.7s 181.31 _.,.50.00 Wide) N _ 8003•oo" LANE � o " 161.04E C.S. 9p,' d;ntp ^8 .. ^, - 119- 7 2.40.81 2s Thomos p 3 Sm%th o 0 et of _ N 1a „m o t 00 z : �M.� N µ Dorothy E. Mahoney N5 t1 �n �1.P, I � C� �O�d• •s _ . r cP 66 cfl o I 18,0p 4o a . N Patr/cio . A.. Clough s � ; c, °'m- � 0 40 S .9c 1\tSO•• Beatrice B. Pino ooa �_-.,�: ,.S Lpve Pend;19 BARNSTABLE � 606 Locus comprises REGISTRY OF DEEDS. ` Q 3 �� ,` Q► lots / - 6 inc% MAY 2 81 �� L c Copy of at t of plan G�,M[ LAND RE6/5TRA T/ON OFFICE RECORDED coy ------�NOV. /5, /968 ea Scale of this plan /00 feet to an inch R.L.Woodbury,Engineer for Court Y4 A 48 'r• SfTL of v W. ( 7 r