HomeMy WebLinkAbout0077 ZENO CROCKER ROAD ':. .: i ,. ., �t LCi� �l.�N•d4 �., � It r r• r .. � t�•, c,-ii 1 �,t C�Y,. �A
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
c� 2 Permit# 4 4-S ap Pa.;el l lul 3
Health Division -% Date Issued 5-2 0
Conservation Division 4��iz � � Fee 7. 7 z
S
Tax Collector L-- G S�OPo, Application Fee
Treasurer
Checked in By
e�
all
f%0H
an Appr®v by PI BoO/Hyannis
° 't0 Approved By
- � Ara
Project Street Address 77 2e pio ckoXe _
Village
Owner Im b6AeSS 1 0 ddress Sa I"L �
Telephone (7 20 3Y 2r Ma
Permit Request % oW b �On I �j 3/ 6acK c� Km 1/ 1E 1 � (�t VJ 'q
LA) X_ 30' &A4
C0N Vf i �'i A vow 04 i(v
t� y
Square feet:/1st floor: existing proposed 8 2nd floor: existing g68 proposed �6 Total new
Valuation Zoning District Flood Plain Groundwater Overlay
Construction Type 7t'�C�� �+��R A4
Lot Size 17 tM Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family Or Two Family ❑ Multi-Family(#units)
Age of Existing Structure S Historic House: ❑Yes JMo On Old King's Highway: ❑Yes C-I'�o
Basement Type: Lull Cl Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) 70 Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half:existing new
Number of Bedrooms: existing new
Total Room Count(not including baths): existing _ new First Floor Room Count
Heat Type and Fuel: Was ❑Oil ❑ Electric ❑Other
Central Air: ❑Yes �lo Fireplaces: Existing ✓ New Existing wood/coal stove: Cl Yes L o
Dtached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing Vnew size 3oX2.2 Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes Ulo If yes, site plan review#
.Current Use _ r._. -� _. - Proposed Use -
BUILDER INFORMATION :4j 4 Q
Name �" "�( Telephone Number l� —3�� —; - �+ 7 4=
Address ? 7 D �K�2 License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE 2 S� `
FOR OFFICIAL USE ONLY 2.
PERMIT NO. J
DATE ISSUED
MAP/PARCEL NO. ...,�
ADDRESS = ,, VILLAGE
OWNER ,-
DATE OF INSPECTION:
FOUNDATION )` 'c`� — l�Gti� G
FRAME '
INSULATION
FIREPLACE
4
ELECTRICAL: ROUGH FINAL
~ flu
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
i
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
�FIKE r Town of Barnstable
Regulatory Services
BAMSPABM ; Thomas F.Geiler,Director
ATE&639. ,.0� Building Division .'
o nun
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
' www.town.barnstable.ma.us
Office: 508-8624038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION: 7 Zeman c2ocrke.2 C e�Ee2�t l�.
number street so$ village
"HOMEOWNER": V1kOA HIV` t' `Ct�OW jf'�U —3aZ� Ice 1047 6(4
name home phone# work phone#
CURRENT MAILING ADDRESS: 7 7 2-e O- LR.ocyyeg RCk
AAA- �2632
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 a
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
requirements.
On
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 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 fomi/certification for use in your community.
Q:forms:homeexempt
I .
n0 CMR Appeidts J
Table J32.lb(continued)
Prescriptive packages for One and Two-Family Residential Buildings Heated with Foul Fuels
MA)dMUM MINIMUM
Glazing Glazing, Ceiling Wall Floor Hasernent Slab Hearing/Cooling
g Wall
Perimeter Equipment EfTicieney'
Area'(%) U-value= R-valud R-value R-value° R-value° R� �
Package ,
5701 to 6500 Heating Degree Days'
6 Nonnal
Q 12°/a 0.40 38 13 19 . 10 Normal
2/° 0.52 30
R 1 19 19 10 6
6 85 AFUE
S 12°/, 0.50 38 13 19 10 NIA Norma!
-.-.....0.36. - -38 13 25 N/A
--—--=6 --------Normal--- ------ --------- -
U 15% 0.46 38 19 19 10 NIA 85 AFUE
V 15% 0.44 38 13 25 N/A 6 83 AFUE
W 15% 0.52 30 19 19 10 Nomud
X 18% 0.32 38 13 25 N/A NIA
N/A Normal
y 18% 0.42 38 19 25 N/A 90 AFUE
Z 18% 0.42 38 13 19 10 6
AA 18% 0.50 30 19 19 10
6 90 AFUE
1. ADDRESS OF PROPERTY:
( L PL) lip,
RV
2. SQUARE FOOTAGE OF-ALL EXTERIOR WALLS: 14P __
3. SQUARE FOOTAGE OF ALL GLAZING:
4. %GLAZING AREA(#3 DIVIDED BY#2): L,�- Oleo,
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-f980303a
A
780 CMR Appendix J .
Footnotes to Table J4.2.1b: '
a 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 fl 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 insulatidii-play 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
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.
S 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.
'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs.
" If the building utilizes elettric 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..
For Heating Degree Day requirements of the closest city or town see-Table J51Ia
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
if the area-weighted
different insulation levels,the component complies, gh average R-value is greater than or equal to
the Rvalue requirementp g 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
F
RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE
New Buildings $100.00
Residential Addition $50.00
Alterations/Renovations $ 50.00
Change of Contractor/Builder $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE Q/ Grp 2
0 square feet x$96/sq. foot= OHO 7 l x.0041 35 Sr•O 3
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE / r
square feet x$64/sq.foot= 9560 x.0041= w�14
plus from below(if applicable)
GARAGES(attached&detached)
C square feet x$32/sq. ft.= 21 1-*Zv x.0041= S •��
ACCESSORY STRUCTURE>120 sq.ft.
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00 -
>750 sf- 1000 sf 75.00
>1000 sf- 1500 sf . 100.00
>1500 sf-Same as new building permit:
square feet x$96/sq. foot= �x.0041=
STAND ALONE PERMITS , 2
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 '
I'
s. . G!G4 tZv t '..LrcAA
;
7L 1 h C. 4 1
o
N
I
t
- •. Lsl �v. � � � 1
' •c 5 7!0 � �J f
0n. the basis of myno�led;e, inforu ti n and
belief, I certify to_�
that s Zsult of a survey. made on the ground
�n z find that:
ihe st c .e(s) are located on the site as
� � shown.
r �t The title lines :ana lines of occupation or the
site are as sho-L-m hereon.
/ Ia_i;A�� she site is situated in Flood :one/c/�,.7
way ilex t 00=unity :Panel Noate: o .
No. 19771 / aA Date: 3
z i(
LA
N ;`illi i ;�' a
.. rW1Ck,= �
4
BC CALL®2003 DESIGN REPORT - US Wednesday,September 29,2004 15:50
BOISE' .
Double 1 3/4" x 14"VERSA-LAM®3100 SP File Name: BC CALC Project: F1301
Job Name: Desmond McMann Description: New girt between Garage&Laundry(over)
Address: 77 Zeno Crocker Rd Specifier:
City,State,Zip:Centerville, Designer: Bill Campbell
Customer: Company: Bill Campbell
Code reports: ICBO 5512, NER 629 Misc:
2
3
1
Standard Load-,5 psf 11 psf Tributary 06-00-00
s.. ...,. gin.
BO 131
3990 1.bs LL 3990 Ibs LL
2861 Ibs DL
2861 Ibs DL
Total Horizontal Length-14-00-00
General Data Load Summary
Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur.
S Standard Load Unf.Area Left 00-00-00 14-00-00 Live 5 psf 06-00-00 100%
Member Type: Floor Beam Dead 10 psf 06-00-00 90%
Number of Spans: 1 1 Shed Roof Unf.Area Left 00-00-00 14-00-00 Live 35 psf 06-00-00 11.5%
Left Cantilever: No Dead 15 psf 06-00-00 90%
Right Can No 2 Ext Wall Unf. Lin. Left 00-00-00 14-00-00 Live 0 plf n/a 90%
Dead 80 plf n/a 90%
Slope: 0/12 3 Roof Main Unf.Area Left 00-00-00 14-00-00 Live 30 psf 11-00-00 115%
Tributary: 06-00-00 Dead 15 psf 11-00-00 90%
Controls Summary
Control Type Value %Al!owable Duration Load.Case Span Location
Live Load: 5 sf p o 0
Moment 23980 ft-Ibs 71.8/0 115/0 3 1 -Internal
Dead Load: 10 psf Neg.Moment 0 ft-Ibs n/a 100%
Partition Load: 0 psf End Shear 5710 Ibs 52.46% 115% 3 1 -Left
Duration: 100 Total Load Defl. U318(0.529") 75.5% 3 1
Live Load Defl. U546(0.308") 66.0% 3 1
Disclosure Max Defl. 0.529" 52.9% 3 1
The completeness and accuracy of
the input must be verified by anyone Notes
who would rely on the output as Design meets Code minimum(U240)Total load deflection criteria.
evidence of suitability for Design meets Code minimum(U360)Live load deflection criteria.
particular application. The output Design meets arbitrary(1")Maximum load deflection criteria.
above is based upon building Minimum bearing length for BO is 2-1/4"..
code-accepted design properties Minimum bearing length for Bi is 2-1/4".
and analysis methods. Installation. Entered/Displayed Horizontal Span1ength(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing
of BOISE engineered wood
products must be in accordance Connection Diagram
with the current Installation Guide Consult project design professional of record or BOISE technical representative for connection design
and the applicable building codes. Member has no side loads.
To obtain an Installation Guide or if
you have any questions,please call Connectors are: 16d Sinker Nails
(800)232-0788 before beginning
product installation. a=2" d
BC CALCO, BC FRAMER®, BCIO, b-3 �— —
BC RIM BOARD- BC OSB RIM. c= 12" a 40
BOARDTm, BOISE GLULAMT"', d.=12 • T O
VERSA-LAM®,VERSA-RIM®, C
VERSA-RIM PLUS®,
VERSA-STRANDTm, • •
VERSA-STUD®,ALLJOIST®and
AJSTm are trademarks of
Boise Cascade Corporation. • •
a
Page 1 of 1
Boise Cascade Triple 1-3/4" x I8"VERSAIAW i.0.3100 SP• Roof Beam1RB01
BC CALC®3.0 Design Report-US 1 span No cantilevers! 0/12 slope Thursday,,December 02,2010
Build 440 a ,.
File Name: D McMahon McMahon
Job Name: Description: RB01 -
Address:. 77 Zeno Crocker Road ' Specifier: Joe Madera
City, State,Zip: Centerville, MA Designer:.,,
Customer: Desmond McMahon Company: Shepley Wood Products...
Code reports: ESR-1040 Misc:,
12
9- wmw
/ K c
i✓l/i/" .......- F ,,- ,,,,z ,� ; `
•18-00-00. „ ti
BO,3-1/2"
131,3 1/2"
DL 3,209 Ibs D L 3,209 Ibs
SL 5,940 Ibs SL 5,940 Ibs
Total Horizontal Product Length=18-00-00 -,
Live ' ,Dead Snow Wind Roof Live Trib.(in.)
Load Summary
Tag Description "Load.Type Ref. Start End 100"/° 90%° _115% 133% 125%
1 Standard Load, Unf.Area(psf) L. 00-00-00 18-00-00 15 30 . 22-00-00
Controls Summary Value, %'Allowable ,.'Duration - Case Span Disclosure "
Pos. Moment 39,103 ft=Ibs 48.6%` 115% 3' . 1 - Internal Completeness and accuracy of input must
End Shear 7,328 Ibs 35.5% 115% .` , 3 1 -Left be verified by anyone who would rely on
Total Load Defl. L/496(0 424")' " 36.3% "3 , 1 output as evidence of suitability for
Live Load Defl. L/764(0.276")"". 31.4% 3 1 particular application.Output here based +
° on building code-accepted design
Max Defl.. 0.424" 42.4/0 3 1
properties and analysis methods. '
Span/Depth~. 11.7 • 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) _w Value Support Member Material building codes.To obtain Installation Guide
BO Post 3-1/2"x 5-1/4". _9,149 Ibs n/a 66.4% Unspecified or ask_guestions;please call
B1 Post 3-1/2"x 5-1/4" 9,149 Ibs n/a 66.4% Unspecified:. (800)232 0788 before installation.
BC CALC®, BC FRAMER@,AjSTM,
Cautions ALLJOIST@,BC RIM BOARDTM BCI@,
'BOISE GLULAMM SIMPLE FRAMING
For roof members with slope(1/4)/12 or less final design must ensure that ponding instability,, SYSTEM,VERSA-LAM@,VERSA-RIM
will not occur. PLUS@,VERSA-RIM@,For roof members with slope(1/2)/12 or`less final design must account_for Rain=on-Snow VERSA-STRAND@,VERSA-STUD@ are
surcharge load: trademarks of Boise Cascade,L.L.C.
Notes
Design meets Code.minimum(L/1'80)-Total load deflection'criferia.
Design meets Code minimum(L/240)Live load deflection criteria.
Design meets arbitrary(1") Maximum load deflection criteria.fi ,'
_. v
Connection Diagram' 'f ,
b d .. -
a • ° • o •
c. ,
77
a minimum-2 c- 13
b minimum=3" d= 12 t
e minimum=°3"
Nailing schedule applies to both.sides'of the member.`'
Member has no side loads. x
Connectors are: 16d Sinker NailsT - s
Page 1 of 1} ".
4 ,
s
4
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATA Nam--
Fo
Map 7 Parcel
Health Division S —� q 1 t [ Date Issue
Conservation Division
A cation Fee
Tax Collector g117�4 , ' Permit e
Treasurer 94J Ld
SEPTIC S T M MUST BF
Planning Dept. INSTALLED I 0(i!!r?;JiiNl(I a
TH L .
Date Definitive Plan Approved by Planning Board EWR COCf- AND
Historic-OKH Preservation/Hyannis T R ULATJON
Project Street Address
Village YV
:a
-Owner�P_S0�OV �QS�p WQX0,t4 Address AVAe
Poor% l
Telephone ®g ' Q_v �l a 1 / iVt
e NL_V
Permit Request �� VJ 0_ � f�G �0. ° "Kelf—
Square
feet: 1 st floor: existin 4 � proposed 2nd floor: existin proposed 446 g p p p p Total new
Zoning District Flood ain VV G(roun ater Overlay
Project Valuation Const ction T e C`\ \' �h;v�C►
J yp
Lot Size t. dfathered: ❑ ❑No If yes, attach supporting documentation.
Dwelling Type: S' gle Family l Two Family M ' amily(#units)
Age of Existing tructure � AA,' 1 Hist ric House: ❑Yes U(No On Old King's Highway: ❑Yes U40
Basement Typ . F0 II ❑Cr wl ❑Walkout Other
Basement Finished Ar (sq.ft.) .. —?o Basement Unfinished Areas .ft
Number of Baths: Ful. exis ng new Half:existing new
Number of Bedrooms: exis new
Total Room Count(not including aths): existing new First Floor Room Count
Heat Type and Fuel: C(Gas ❑0 ❑ lectric ❑ ther
Central Air: ❑Yes &(No :Fire lac : Existing New p g Existing wood/coal stove: ❑Yes UNo
Detached garage:❑existing M64ew size 3 Pool:&existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing Mrnew size 30X2Q Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes YNo if yes, site plan review#
Current Use Proposed Use
BUILDER INFORMATION
/'Name �°" O VJ J Telephone Number 420 —3 i; l
Address �-e VV CRock� R License#
Q Home Improvement Contractor " -
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
'SIGNATURE � A CW'�" `�i Ovt�DATE
x
FOR OFFICIAL USE ONLY
PERMIT NO.
DAV ISSUED -
t MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER,
DATE OF INSPECTION:
FOUNDATION
FRAME ;AA- 1J2410 ,
INSOLATION
't FIREPLACE
yX
ELECTRICAL: ROUGH FINAL ,
PLUMBING: ROUGH FINAL
M co
GAS: ROUGH FINAL
FINAL BUILDING 0 t— ,, m
-f } rr, r � . a
DATVLOSED OUT i
ASSOCIATION PLAN NO.r`
a
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
, 4 p/
Map ' 1170,(3� Parcel Permit# a!o
Health Division p Date Issued
Conservation Division { �� !�� Application Fee _4 -Oo
Tax Collector Permit Fee
Treasurer q )(a/G Z-
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address 7 ZQV41D cROL `Q�
Village �X�c e 'v�\Q
Owner � ��"`u�yn1 Address ! 2job &ko6,(-A
Telephone 4
Permit Request `� I �� �l �w0 W- v 0VY I �1
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family CV Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing -� new Half:existing new
Number of Bedrooms: existing new
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes - ❑No If yes,site plan review#
Current Use Proposed Use _
BUILDER INFORMATION
Name 6dJVeK Telephone Number
Address License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE C� DATE
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
J-
FINAL BUILDING
DATE CLOSED OUT
o
ASSOCIATIONTLAN'NO.'
1
The Town of.Barnstable
Regulatory Services
Thomas F. Geiler, Director
Building Division
Tom Perry, Building Commissioner
200 Main Street,Hyannis MA 02601
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: —7 ^r n n
JOB LOCATION: / 7 Z t V® ►C�C ���\ eA ce,\
���nu�mbe`rr �Q (n street p /� village
"HOMEOWNER,: :-�.5A 0 VlV1 R Ockow 4-lo � l 0— 1
name home phone# //�� work phone#
CURRENT MAILING ADDRESS: -7 2.,ev o C(?Occ ,,(elt
A- v,63�
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
Persons)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
'' p ' educes and reqTints. r�1
6 �C
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply
with the State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the
provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a
person(s)for hire to do such work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see
Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in
serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the
unlicensed person as it would with a licensed•Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit
application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a
form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:FORMS:EXEMPTN
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4237 Page.151
_ SLS Realt Trust,,,;,,,,,• . Deed in Book••
d BARNSTA•BLE•. ,,, Belonging to ........................ . le of•Deeds.....
n In ........ .. 'r' _ -- In Barnsta......
... Registry ..
Land Court Certificate No. ................ in Book ...........
Page ............
,i Date of Plan :.Max..$�. 1984 .•.
able by„ Baxter' a Nye lnc. , ,,,, ••• •
of Land in Barest ..... .. :. .......... Sheet ,1 of 5 ........
rcorded Plan ... •• Plan 3H ,No, 9U . Filed Plan No. . •• •• ••••••
Barnstable Reg ry•of Deeds„in„ „ Book.... ••
in . .. ist ;
PLAN THE BOSTON FIVE CENT SAVINGS BANK FSB
IORTGAGE INSPECTION Lot 622 Zeno Crocker Road
can No.
Centerville Louis V . Sorgi, Jr., Esquire
D
4
30
Pool
rtoR�
M w� aAR.
�23 , o / i
I r�
R OA �
GROCKE F
May
i 1 i
29 1985 I
JN 43V7
r � I•i ,,
Scale 1"
Assessor's office (1st floor): �]� '� / ?C �o6THETa�
Assessor's map-and lot number, ........ ..............:.:.l.J.... ......
g5
Board of Health (3rd floor): fly°! SEPTIC SYSTEM MLIS� 8E
aga• & ., ,
Sewage Permit number .........
...........:.. ............................... INSTALLED IN COMPLIAi��
H9SB9TODLE, •
Engineering Department (3rd floor): WITH TITLE 5 _ �6s9
T e0�
i �
House number ...................................:.... ..77....... ...... . . � 4'R �i1E�TAL C®®� ��`��� moo
ON
ow e I EmVi YFY h
APPLICATIONS PROCESSED 8:30='9:30 -A.M. andi 1:00-2:00 :P.M. only =:'
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ......IU.cat.l ............)!^5lJ`oy!..... ..�c�....... fY4 .... . el....................
TYPE OF`CONSTRUCTION ......... .r'J:.Gi..�!lhp'J. .. � rl.......cu!t: .....4./1AY.../.....461.4.................
.............. .4/....q.7.............19.?6.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...............7.7........ t1St..........C'Po4'! . ......kit......................... .................................
P
Proposed Use ..........c�1NJ.h1Mr q.......p .4............f G. 2r.. ...... JT..��.............. t cis{'(....k.��Gt .............................
...............................
Zoning District J .........................................Fire District ..............................................................................
l.�me.S....... JO-`"` ...Address ?..7 �.,h. ......Gro c��GP� oL i
Name of Owner ......... �� .... �. ................ ... e
O
Name of Builder ..qo3».Z...1. OV w. .. 2G..........Address ......... ......: .vv.y.!I.... .'........`.'! :
Nameof Architect ..........Al./A.............................................Address ....................................................................................
Numberof Rooms ..................................................................Foundation ..............................................................................
Exlerior ....................................................................................Roofing ....................................................................................
Floors ......................................................................................Interior ..................................................................
Heating ....................................................:...........Plumbing ..................................................................................
Fireplace .........................................Approximate Cost .........4 0 C<�o
Definitive Plan'Approved by Planning Board ________________________________19________ . Area ... !;� ...........
DDiagram of Lot and Building with Dimensions 1T6+ ��
iag 9 Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF,HEALTH
GPM Vrdlo,�ev ct,p��� r Cj k0v1:�5
J Y
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree 'to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .... ............ ...... .... . .... ../...............
............
Construction Supervisor's License(0.130-70.d(0.130-70.0............
CHURCH, JAMES A=170-139 �/•
No 29.40.6:. Permit forAC.CPtiS. KY...U..........
dwelling (swimming pool)
Location ...7..7...Zeno...Gxackaz..Road.................
.......Cente ry i.1 l e:...............................................
Owner ...........••••.•,James Church
Type of Construction frame
y"
..........
K
Plot "Lot ..................................
' Permit Granted Ma 27•••••••1986 <
.
Date of Inspection
Date Completed .. ........... ...........7......19 �� . '• r
dAssessor's.map and lot number .......... ....:..Q.:'.....r'..�.......
F tNE T
r—z 8 SEPTIC SYSTEM MUST PE,
�. Sewage Permit number .......................................... eINSTALLED IN COMPLIANCE � ,►
w Z
TITLE 5
I'�'� BJflB9TADLE, i
House number ...... ENVIRONMENTAL CODA ►�,i� '�co rb 9................
TOWN OF BARNSTABLE
BUILDING �SPECT0R._--...�
APPLICATION FOR PERMIT TO ....... ...V.... ....................l.... .......... .......................................................:.........
TYPE OF CONSTRUCTION ...... ..............................
..... �
............ -//W...........19. ��
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby a plies for a permit according to the following informWat1n:�jLocation ......... G�. ........l ..L -. .........�r.��� ..... .. ..... ......L ��l..v/
ProposedUse ........ ..yl................................................:................ ....... ............................................
ZoningDistrict ................. ..............................................Fire District ................v�...........................................
Name of Owner�5lS`7.... �..7..../................................Address ..1 �. .../1.. /.:!. .....�...........
Name of Build4h—,.,•:�&.- ..................................Address ....................................
.. ..................:.............................
Name of Architect . . rd .i.pe........ Address
Number of Rooms ...............i1--.5. .. ........................................Foundation ..... ........ ...QV..rL'�.��,1�1��£�:.�
Exterior ... ... J'1Y/�. G
T ate................................................Roofing ... ,1 .... .!/................................................
Floors , �.........G'( ............................................Interior ,` �..
Heating ...4...eG..........Plumbing ....�t (�..�. 1...�1� !°..%.�..............
l
Fireplace ...........Approximate Cost 6. `... . .............................................
Definitive Plan Approved by Planning Board ________________________________19________. Area ....��.�:7:�.......... . . .....�..
Diagram of Lot and Building with Dimensions Fee
SUBJ CT TO APPROVAL OF BOARD OF HEALTH �er
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name 0-:. ........
Construction Supervisor's License .C/..!.. .<........
S L S TRUST
2765 .... Permit for ..1t2..Story
'No. ..... ...........................
Single Family Dwelling
................................................................................
Location ..Lot...622, 77...Zeno...Crocker Road
...... ...... . .... ........ ...............
Centerville
...............................................................................
Owner ....S..L..S.....Trust
..................................... ... .. ...........
.Type of Construction .................Frame.........................
................................................................................
Plot ............................ Lot ................................
7, 85
Permit Granted ...March................2.....................19
Dale of Inspection .... .......................19
ry
Date Compl ted ..............19 12
i
TOWN OF BARNSTABLE Permit No. __27653 -_ -_
Building Inspector Cash
- -�-
aea
OCCUPA
i NCY PERMIT Bond
Issued to S L S Trust Address
Lot 622, _ 77 Zeno Crocker Road, Centerville F
Wiring Inspector - Inspection date
g p ,
Plumbing Inspector �.� � , / Inspection date
Gas Inspector �/��- y„ f Inspection date
f..
xEngineering Department,, f �1 Inspection date
Board of Health y Inspection date
THIS PERMIT WILL INOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
......��_.............................. _ . ........................Building Inspector..... ._.._ ...._. ._
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On the basis of My kro;aleuge, inforuti rl and
zielief, I certify to
that s result .of a survey. made on the groundon find that:
'he st cture(s) are located on the site us
shown.
G '_--c% L' t7 rL t The title lines and lines of occupation o-F the
site are as s oini hereon,
WILLIAM ^, she site is situated in 2lood ::oneA/o w-f�
uv,�RVMCK ; �; �..o unity ravel i1o. zso_ 0�/ �Zo� Date: o ,
No. 19774
,STt mate: 3 z
} ihlrwick LS .
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244:Z bg`3? 7Z111N. TRIPLF_ 2A�2
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SMOKE DETECTORS REVIEWED -2'}4 Co I 244.Co +
L94G 3v.4 m 164.b � f !
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a.
R B BUILDING DEPT. DATE -- - - .
u
_i sren 7c)
i �A yRADr< ( I I lB/ I i POST 4-0 p C
. � EI I
FIRE DEPARTMENT DATE
eE you v
BOTH SIGNATURES,ARE REQUIRED FOR PERMITTING
--7
4Al
`�''
/ . MAD 5 H l f- r,L.E S D/IJC�
12� �. IMPORTANT UPGRADE REQUIRED
1 STATE BUUNG CODE RECKJ RES THE UPGRADING 'OF
ri«f ix 2 "i
�.o l t. SMOIT DETECTORS FOR THE ENTIRE DWELLING WHEN
BAtcr.A+Y Of E-OR MORE SLEEPNG AREAS ARE ADDED OR-CREATED.
NOTE:_A SEPNVUE PERMIT IS REQUIRED FOR' THE
- ELECTRICAL:
I ISTAIIATION OF SMOKE DETECTORS THE
' PERMIT DOES NOT SATISFY REQUIREMENT
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NOTE: BECAUSE SUPERVISION IS MYl PROVIDED, THE DES CND
ASSUMES NO RESPONSIBILITY FOR THE CONSTRUCTION. IT IS
ExI-,S.Tl.11fr C1j4Ri4�E {�1t. N N.Lw• F�QGM J
7}E RESPONSIBILIIY OF T7 COIv7RA(IOR A.*ID OWNER TO ylC>O.b E/_POR..,
A D-D'TI ON
cowLY WITH ALL RULES AND REGULATIONS IN THI: CONSTTtl1C710N
OF THIS BUILDING:
N
ALL FORMATION FOR THIS PLAN WAS SUPPLUMD BY THE OWNU. �$ PLY CD1L
IN 1
SuSF�poR/l312iDCyINCI r MIL ��1(a J PLEASE REVIEl: 1HIS PLAN 1NCNtOlK;jf1_Y WITH YEltjR COA"iRA(:TYNl. �S ► .��� I
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