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0154 MOORING DRIVE
-ask. I TOWN OF BARNSTABLE Permit No. ----------_------------------ Building Inspector { �u"T'a Cash OCCUPANCY PERMIT Bond ---- ti "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ...................................................... 19..... __ ................................................................._..........................__._....._._ Building Inspector o '-fcss44or's map and lot.number MV SEPTIC SYSTEM S E,o�♦ Sewage Permit number ...... .?...... INSTALLED tid COMP o .................................. d WITH TITLE • House number rE, ......................�..S.LI........................................ ENVIRONMENTAL C � t63q. \00 TOWN REGIJ TI o�aYa. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .................R4 . ....................................................................................... TYPE OF CONSTRUCTION ..... ..�CP.1I /. . ..................................................... 7... ��....... .........19.... . y" TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following info mation: Location .... ..... `�.... �........ ... ... .... .................................. .......................... ... ProposedUse .................................................................................... ..............................I......................... Zoning District .......K...�...................................................Fire District ........16Z,4 't!~.................................................... Nameof Owner .............Address ....... .�.. ...................................... Name of Builder /? ... ............... ........ .....................Address ... ...r......�.�............................................................. Nameof Architect ....Address .......... —"'".............................................................. ............................................ Number of Rooms ...............�............................................Foundation .. ...... . .... ... . .. ..... .. � .......a .Exterior .......................Roofing ....wJ ...... .......... .` .............................. Floors ..... ......................................Interior ......... .... .. . ............ ...............................:............. .... .... ..... .................... Heating jeA.....................Plumbing .....D� ..... 1ci Fireplace ........0i0" .............................................................Approximate Cost ..................Cl.";7z``'. .....a............... . ... �/�7. .. . Definitive Plan Approved by Planning .Board---��----------19-71�. Area ..,.. ... .. ..... Diagram of Lot and Building with Dimensions Fee � e� •� ...... ... ............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ` elf 34P IVA as 301 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . .......... . ................. Theo Const. U ........2 1..Q.7... Permit for .....Qne—atory..dwe-1,1ing 0 ............................................................................... Location .... 154.-M0-cxrin&--Dr............ ..............................C.Qwlt.................................... Owner ............Tb.Q.R..QQAat............................... Type of Construction ............frame................... ........................................................................... Plot ........................... Lot ................................ T1 19 Permit Granted .......... Jul.y....26......... 79 Date of Inspection ..................... ........19 Date Completed ...19 3.3 00 PERMIT REFUSED ....................................... . ............... ....19 ..On.t.......... .............................................. ...................................... .......... I*..a �. Pr3 ...................................................... .................................................. CU ved ............................................ 19 tl-p PIP . .........:...... .............................................................. . .......... ........................................................... 7 • .lra T 70 /25-00 aft did � sCEJl�t • b o • o b � 46 I 3�•e H � M � I x -'.ti �ne w C �, r �•��PpF cr NORMA GRUS5MAN a 4� 1277J y�l y i�' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION k i 1 Map Parcel 10 �� � Application # ?) OEp- Health Division Date Issued Conservation Division JUN 0 9 2017 Application Fee Planning Dept. TO��N OF HAP PAsS TA,8L Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 1514 \` cn(Am 'Cirwe . C.0 -u+ mpJ 0a(03.5 Village UAUA q Owner 1i t IDUb$i Address 59 Mm- nn 1�1e Cal)1_' Telephone (o kl - y l_,� - 04(DLI Permit Request oko OL \aur6 I VV 10 0yt Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 7 00 Construction Type 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 ❑ 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name %Jrfu Telephone Number c911" H 13- NO Li f Address �5y �Aoa( Y1 'br License# Home Improvement Contractor# BCD Email w o6e Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r. f SIGNATURE - DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED ` MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION - FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 17ze Comrnarrivealth of-Vassachusetts Departiraerrt afrndastrial Accider is - - -- Office-of1n»#giatiarrs, 600 Washingtort STtreet y _-_-- Boston,RA y tt ptitrnasxgov/dirt Mrur.kern' Campensatim Insurance Affidavit:P'Wider-dCuntrac=tursMectdcianslPlamhers A.j3pticant InfMM1:1 tan. Pleas&Print Le Naxge +Y ganQationf]" ' ' �� �CJLfYU oU _ Address CityJStatd cv�(� ®�1n3 �n� LP 1 OyCo`-1 Are you an mployer?cheek&eappropr*tebo= ' t TppeofFreject(re mreap: I.❑ I aat a em. 1 with 4 b❑I am a general contractor and I P 6. ❑New construction employees(full andfor part—time),* have fired the sub-coatm tors 2.❑ I am a sole propne-tor or partner- listed on the attached sheet. �- Remodeling ship and have:no employees These sub-contractors have 8.,❑Demolition working fame-in any capacity, employees andhave workers' 9. ❑Building addition [No wpdo a comp.fimuxnce comp.msuranml required] r 5. ❑ We are a corporation and its 10❑Electrical repairs or additions officers have exercidhi se ter 1L Flumbi n re- airs or additions 3.�.I am.a homeowner doing aid�Torle ❑ � F , myself[No workers'camp- riE tt of exemption per MGL 12❑Roofrepairs insurance reed}1 c.152,§1(4h andwe have no,employees.[No workers' 13.❑'Other coup.insurance required-I •Aay app1k fi-t checksbox$1 nmA alsa fill aatthe section beLowshhaviing dmir woaers'compevsatiaapoTiey in5MMX zan_ #Homeowners who submit d us.affidaru im&cating theysre+iaie.-allwai aadtfieahiie autsideeaatnumsnmstsabmitanearaffidaYit indicating sack_ fCaaunctocs 3�zt cheetilxiz b=mast attachedd sn.sdditinnal slit sbouiag the—nine of the suVconft=f o-rs•and state whether.ornat moose entides bane mV1aye&;.Ifthemh-cantactaeshaceemployees,they=ntpmtidetheir vmrkers'comp. parmy number I am au empIvyw that isgrauiding nTarkers'con pengisr�iangi itisnrrc7rea f or rrt}T enrpin}Tees $eIoav is iltezgaTicyT curd jola rrt� inf orazatio7L Insurance Com.pany.Narne: Policy 4 or self-ins.lie.4 FxpirationDate: Job Site Address. _City/statetztp: Attach a copy of the workers'compensatioapolncy declaration page(showing the policy number and espa-ation tia fe). Failure to secure coverage as required-under Section 25A of MGL c 15�'1'can lead to-the impositiort of criminal penalties of a fine up to$L500_OD an&Gr one-year imprisomnent,as we`11 as civil penalties is the form of a STOP WORK ORDER add a$ne of up to$250-00 a day against the.violator. Be adiised that a copy of this statement.may,toe forwarded fts the Office of Itrvest gations of the DIA.for insurance-coverage verification '.Itto hereby C•erhfiT 7iatdRY tFfB pca77S pe7gialt s ofper urpT f7ratf7gie inff orma€da prinukd abwe.is trur8 wid correct Sit�ature: Date: - Phone j;�. l Lf f 3 — c7 q(®q t7Bsfal use argily. Da not write is thh area,ter be.cornple a by city artown offiLzat City or Tan'u.: PerzmtUcense 9 Lvining Anflmr€ty(circle one): 1.Board of Health :.Building Department 3.CitylTown Clerk d.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone 9: ormation and lnstriictions yjasmc mcetfs Geheaal Laws chapter 152 requires aR employers to provide worker'compensation for their employees. pursaaatto this ,an esnployge is deemed as."_.evesy person i a.tho service of another under aay coact of bfi-m, Mpress or inplied,oral or wratmaf An employer is defined as"an mdiyidnaI,partnership,association,corporation or oher legal entity,or any two or more . of the foregoing in a Jomt m±m-2 se,and mclndmg the legal sepresentafives of a deceased employer,or the receiver or frasstee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than threw apartments and who resides therein,or the occupant ofthe- dvwelliug house of another who employs pmssous to do ma!2teo n ce,construction or repay work on such dwDDiag house or on the grounds or building appurte mt thereto shall not becanse of such employmeut be deemed to be an employer_" MGL chapter 152,§25C(6)also stdc that"everysfata or Ioral licensing agency shall withhold the issuance or renewal of a 11cense.or permit to operate a business or to construct bufldmgs mt the corn--onwealth for any applicant who has not produced acceptable evidence of comtpU nm with tize insurance coverage required_" Additionally,MCM chapter 152,§25CM states'Neither the Comm onwealtTi nor guy of ifs political subdivisions shall enter intD any contract for the performance ofpublic waiic mmi�I accep able evidence of compliancewith the 1„crTr�r+ce. requaements of fis chapter have beM pl-eserofed to the contracting M�hDo ty_" AppHra7t'f'C , Phase fill act the workers'compensation aidavit completely,by checking&o boxes that apply to your sitaation and,if necessary,supply sub-contractors)name(s), address(es)andph.one num-ber(s) alongwiththeir cerE�cafe(s)of his ce. Limited Liability Companies CLLC)or Limited Liab?ZityPadnerahips(LLP)wnno employees other than the members or partners,are not rt qai and to carry worlers'compensation insmancF-- Yan LLC or LLP does have employees, apolicyisrequired. Beativisedthat this affida:Tkmaybesnbmith--dto the Depa!-tmentof Indust:iat Accidents for confnmafion of ins-m-mee coverage. Also be sure to sign and date the affidavit- The affidavit should be-ret7mmed to the city or town that the application for the permit or license is being regaested,not the Depaztmeat of Ldastda1 Accidents. Shouldyou have airy questions regarding the law or ifyou are regua-ed to obtain a workers' compensation policy;please call the Department at the number UstDd below: Self-fimuzd companies should enter their self-film `ice license amber on the appropriate line. City or Town Offr aIs t _ Please be same that the affidavit is complete andprii¢ed legibly. The Depar[menthas provided a space of the bottom of the affidavit for you to fill out in the event the Office of Investigations has to cordact you:regarding the applicant- Please be sure to fill is the peionitllicense nrrinber which wM be nsexi as a reference number. In addition,m applicant that must submit multiple ptunitllicense applications in a:ay givea year,need.only submit one affidavit indicating current policy i afb ation(if necessary)and under"lob Site Address"the applicant should write"all locations ja (may of town)-' A copy of the-affidavit that has been officially stamped or maaked by the city or town may be provided to the applicant as proofthat a valid affidavit is on file for fat= 'Permits or Iiceuses A new a$.davitmust be filled Dirt each year.Where:a home owner or citizen is obtaining a license or pemmit not related to any business or commercial veFtiu�e Le. a do license or ermit to bum leaves etc.)said person is NOT regahed to complete this affidavit (- g P . The Of of Investigations would like to thank you in advance for your cooperation and should you have any z•�ons, please do not hesitate to give us a call The Dep tr nuts address,telephone and fax m�er. T Caa.=c WmI*of Masmchu&E±�-, Deparfraent of lndutdal Ac,4eidantq 6(4'Wn St Benz MA( 111 T�1.'617' -4 �z t 4O6 car 1-a77 MA S.4FE Rat f l7 727=7M Revised4-24-07 ,tea �Qgfdin AWC Guide to Wood 61*1'structioiz in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for. Compliance(780 CMR 5301.2.1.1)1 Check 1.1 SCOPE Compliance WindSpeed (3-sec.gust).............................................................. ................................................110 mph Wind Exposure Category.....: I . 1 11 � . .. . 1, .. . — *...........................v............................ .............................................................B 1.2-APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories :5 2 stories Roof Pitch .........*........ ............. ............................................................(Fig 2) .............................. :5 12:12. MeanRoof Height ...............................................................(Fig 2)................................................. ft 533' BuildingWidth,W................................................................(Fig 3)................................................ ft 580" BuildingLength,L ..............................................................(Fig 3)................................................. ft 5 80' Building Aspect Ratio(LW) ............I...................................(Fig 4).................................................. :5 3:1 Nominal Height of Tallest Opening2 ...................................(Fig.4)................I.........: :5 6-8- 1.3 FRAMING CONNECTIONS General compliance with framing connections................. ...(Table 2)...................*............................................... 2.1- FOUNDATION, Founda'fion Walls meeting requirements of 780 CMR 5404.1 Concrete................................................................... .............. ConcreteMasonry......................... ......................................... ........................... .................................... 2.2 ANCHORAGE TO FOUNDATION'.3 5/8"Anchor Bolts imbedded or 518"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general............. .................... ........(Table 4)................ ...........:................... in. Bolt Spacing from endfloint of plate ............................(Fig 5).................................. in.5 6"—12" Bolt Embedment—concrete....................11,.............. .....(Fig 5).............................................. in.a 7" Bolt Embedment—masonry................................ *.......(Fig 5).................*..;....................... 2:.. .. in. 15" Plate Washer.......................................... . ....................(Fig 5). :...........................................2:3"x 3"x Y4" 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55).................................... Maximum Floor Opening Dimension ..................................!(Fig 6)........................ — ft:5 12'.............I................ Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)....................................... Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall..................(Fig-7).....!.......................................... ft :5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls..or Shearwall................(Fig 8)........................................... ............ -ft s d Floor Bracing at Endwalls...................................................(Fig 9).................................................................... Floor Sheathing.Type ........................................................(per 780 CMR Chapter 55)...................................... Floor Sheathing Thickness ..................................................(per 780 CMR Chapter 55)....................... in. Floor Sheathing Fastening................................. ...............(Table 2)...—d nails at in edge L in field 4.1 WALLS - Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)........................... ft :5 10' Non-Loadbearing walls...........T.......1 :5 ..............................(Fig 10 and Table 5)........................... ft 20 Wall Stud Spading ........................................................(Fig 10 and Table 5)................... in.5 24"o.c. Wall Story Offsets ................................. ......................(Figs 7&8)................................. ......... ft 5d 4.2 EXTERIOR WALLS3 Wood Studs Loadbearing walls........... ...........'(Table 5)...............................2x ft in. Non-Loadbearing walls...............................................*.(Table 5)..............................2x ft in. Gable End Wall Bracing Full Height Endwall Studs.......................... ...................(Fig 0)................................................................... WSPAttic Floor Length...............................................(Fig 11).............................................. ft 2013 Gypsum Ceiling Length(if WSP not used)....................(Fig 11)............. ..... ft 2:0.9w and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c... (Fig 11).............I................ ................................. or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking 0—4 ft.spacing in end joist or truss bays_ Double Top Plate Splice Length ............................................ (Fig 13 and Table 6)...................................... ft Splice Connection(no.of 16d common nails)..............(Table 6)........................................................ .— AWC Guide to Wood Construction in High WindAreas:110 mph Wind Zone Massachusetts Checklist for Compharice 780( Clem 5301.2.1.1)1 Loadbearing Wall Connections III Lateral(no.of 16d common nails :.)............................. (Tables 7). .................................................. Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)...............................(Table 8)......................................................... Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) ..... able 9 .................................. ft in.:511' Header Spans ............................................... ... (T ) — — Sill Plate Spans R )................... p .................................. ................ able 9 ......... ft m.5 Full Height Studs no.of studs ....................(Table 9)........................................................ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans......... ........................................................(Table 9). ............................... —ft—m.512' Sill Plate Spans...........................................................(Table 9): .............................. —ft— 'in.512" FullHeight Studs(no.of studs). ..........:.:....................(Table 9)........................................................ Exterior Wall Sheathing to Resist.Uplift and Shear Simultaneously4 Minimum Building Dimension,W Nominal Height of Tallest Opening 2 ' " :.................-5 6 8 SheathingType.............................................(note 4)...................................................... Edge Nail Spacing. ...............................:.......(Table 10 or note 4 if less)..................... in. Field Nail Spacing.........................................(Table 10). ............................................. in. Shear Connection(no.of 16d common nails)(Table 10)........................................................— Percent Full-Height Sheathing.......................(Table 10).....................................................—% 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Maximum Building Dimension,L Nominal Height of Tallest Opening2. ................................... -5 6'8" SheathingType....... .................................(note 4)................................ ............... Edge Nail Spacing............:............................(Table 11 or note 4 if less)....................... in. Field Nail Spacing ........................................(Table 11). ............................................. in. Shear Connection(no.of 16d common nails)(Table 11)...................................................... _ Percent Full-Height Sheathing.......................(Table 11).....................................................—% 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Wall Cladding Ratedfor Wind Speed?............................ .............. ......... .........................................:...................... 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19)..............ft 5 smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)............................................U= plf Lateral.............................................(Table 12).............................................L= pif Shear..............................................(fable 12)..............................................S= plf Ridge Strap Connections,if collar ties not used per page 21... (Table 13)...............................T= pif Gable Rake Outlooker.........................................(Figure 20)............._ft 5 smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift............................. . ......(Table 14). ..... ...............................U= lb. Lateral(no.of 16d common nails)...(fable 14).......................................L= lb. Roof Sheathing Type...... ...........................................(per 780 CMR Chapters 58 and 59)............ Roof Sheathing Thickness........................................... .............. ............................. —in.'a 7/16"WSP Roof Sheathing Fastening ..........................................(Table 2). ...................................................... — Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e: Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. f AWC Guide to Wood Construction in High Wind Areas:110 rnph Wind Zone Massachusetts Checklist for Compliance(780 CNIR 5301.2.1.1)t 4. . a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height. Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: L Panels•shall be installed with strengthaxis parallel to studs.._ ii. All horizontal joints shall occur over and be nailed to framing. . iii. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment -MEN THIS EDGE FMM ON FftAh ING USE8d NAILS AT6b,n 11 11 tl 11 11 1 11 Ir 11 1 Y 14 • - it 11 - 11 1 - it ' 11 11 11 11 11 •11 1 11 11 1 I I 1 6 1 ' It Il N ' ii F ii II a 1 11 od it ii � 1 - 11lu a 11 �II II Il r 1 IL Z u 11 /i d u t1 OO 11 a Ir 11! 1 W 11 II 11 1 r � II II 11 [}DUSLE EDGE NAILSPAONG See Detail on Next Page Vertical.and Horizontal Nailing for Panel Attachment AWC Guide to Wood Construction in Sigh Wind Areas:110 mph Wind Zoaae Massachusetts Checklist for Compliance(7so Cmn 5301.2*.1.1)` i 54a t: 1 I FRAM ING MEMBERS � EDGE EAFiiFAEDIAT£ �� � I � ys• I f i i UK STAGGERED 3"MIN ML PAT7EAN � PANEL PAM EDGE DOUBLE NAIL EDGE SPAmr.DETAL Detail Ver foal and Horizontal Nailing for Panel Attachment AWC Guide to Wood Construction in High Wind Areas: 110 rnph Wind Zone Massachusetts Checklist for Compliance(7ao CMR 5301.2.1.1)1 FAQ*: WFCM Checklist Question: I understand if a new home is built in a town in a 110 mph wind zone then the American Forest and Paper Association (AF&PA) Wood Frame Construction Manual can be used to prescriptively design it. I also understand that in some cases the home can be framed per the WFCM1oo mph Guide, if it meets certain requirements including but not limited to aspect ratio, roof height, number of stories,and exposure category (B). I have heard that Massachusetts has a "modified" checklist that can be used instead of the checklist at the end of the Guide. Is this true and what can you tell me about this "modified" checklist? Answer: You are correct on the items that you have noted. MA has modified the checklist in several important ways. The MA version allows a roof with a pitch up to and including 8 in 12 to not be."counted" as a story. Further it does not require steel hold downs and straps in many locations if full height sheathing is used as defined in the MA checklist. Further, if the building will have furring strips installed in the ceiling abutting the gable wall then 2 x 4s installed on top of the ceiling joists are not required. There are other changes as well that were not noted here. The MA version of the checklist was formulated'in recognition of the highly regarded framing methods used in MA for many years and wood framing that has been used in North Carolina over the past 10 to 15 years which has performed well in severe hurricane weather in that state. *Answers to FAQs are.opinions of the BBRS Staff and do not reflect official positions or code interpretations of the BBRS. T �ZHE„ � Town of Barnstable Regulatory Services BAMSTABLE' Richard V.Scah,Director t6 •� 39• � '0�'ED Nli•'�01 Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601. www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 f Property.Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) **Pool fences and alarms are the responsibility of the'applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNMERMISSIONPOOLS d i Town of Barnstable Regulatory Services drrT Richard V.Scali, Director Building Division MMSrAsr.E, Paul Roma,Building Commissioner MAM 163 .200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number eet village "HOTv1EOWN>;x^: ,;n Clap- LA 13- DIAG H name J home phone# work phone# CURRENT MAILING ADDRESS: C��i11 M8 1-01J city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a.one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. . The undersigned"homeowner"certifies.that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. n Signature of Hom caner 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 to amend and adopt such a form/certification for use in your community. t +: . p a } I 1 1 l i. l iI�J3 N 2 I. 1t ��` ! F i i jj qs t �% . 1 { ## p, ! Town of Barnstable: e , Regulatory Services ( -7/1 r)I`i Richard V.Scali;Interim Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.ba'rn stable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT#,j4 7 D'7-`t�7 .. FEE; $ SHED:REGISTRATION RESIDENTIAL ONLY 200 s uare feet or less Location of shed(address) Village D cc f r J v e f p (7 . LI, Property owner name - t Telephone number © P O to q0s� Size of Shed - Map/Parcel , lsljy _ Signature Date tat 0. Hyannis Main Street Waterfront.Historic District? 00 Old King's Highway Historic District Commission jurisdiction? r U If over 120 square feet,you must file with Old Ving's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 rn . PLEASE NOTE:1 IF YOU ARE WITHIN THE JURISDICTION OF ANY,OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS...a THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:110413 `- Map Page 1 of 3 Town of Barnstable Geographic Information System Parcel Custom Map Abutters P ds971)h . ■ M ] rrp W Viewer 02, 024072 024087 10 N e N 431 024088 1414 N 426 024112 N 180 024089 N 43 8 024111 N 168 024090 N 450 m� 024110 N 154L 024118 N 179 024091 Op N 58 024109 024119 N 142 N'167 024108 024120 N72 N153 87 F 024121 N 145 02` N: Set Scale##t o ; : * Dh cftSkriAry MAP DISCLAIMEF Copyright 2005-2010 Town of Barnstable, MA All rights reser Edugvw3echP D##y41518455##'Surc I http://maps.townofbamstable.us/arcims/appgeoapp/map.aspx?pro... 6/23/2014 Map Page 2 of 3 r, , A; a .r k http://maps.townofbamstable.us/arcims/appgeoapp/map.aspx?pro... 6/23/20 f 4 Town of Barnstable �*PermitMD-<f)j aam_ Expires 6 months�(rom issuedate Regulatory Services Fee (l� w •nartsreBLe rues. Thomas F.Geiler,Director 59 � 4 Building Division Tom Perry,CSO; 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 Property Address l S ny-) Residential Value of Work�-1 �-Vo . GV Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address , Is' A Contractor's Name ,� � �'� Telephone Number Home Improvement Contractor License#(if applicable) i- � ®PRE f �) Construction Supervisor's License#(if applicable) AUG Z012 �Vorkman's Compensation Insurance Che one: OF gARNSTABLE 0 I am a sole proprietor TOW ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy#�) 1 . 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 D ` am ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows *Where required: Issuance of-this permit does not exempt compliance�with other town.department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is r ed. �. . SIGNATURE: C:\Users\decoliik\AppData\LocalMicrosoft\Windows\Temporary Internet Files\Content.Ouilook\DDV87AAZ\EXPRESS.doc Revised 072110 f The Commonwealth of Massachusetts UV Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,ALL 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: l�J\J Q Cl 3 City/State/Zip: �� '� t� �t 5 G P one #:b--) ��1- 0 Cl/� Are youan employer?Check the app priate box: Type of project(required): 1.U l 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 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp. insurance.* required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. +Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer.that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company V Name: A—\,CI�J Policy#or Self-ins.Lic.#: U �� 5 I / D Expiration Date: Q Job Site Address; r \J e l ``�Cn City/State/Zip: QC \_\ / 1 t �, Attach a copy of the workers'compensation JAicy 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 fortn 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 cer ' er the pains and pe hies of perjury that the information provided above is true and correct. Si atur --._------ ----.-_-----.--------._____ Date: 0Q Phone#: S() 5) _—) v Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person:___. Phone#: ,aco CERTIFICATE OF LIABILITY °/16/ °°12 ILITY INSURANCE 7/16/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS _CERTIFICATE DOES .NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s). PRODUCER CONTACT CriBtina NAME: T. Edmund Garrity & Co. , Inc. PHONE ((17)354-4640 FAXAIC,No (617)354-5828 545 Concord Ave. �^ ,; - ADDRESS:cristina@garrity—insurance.com ' __. .__.._._(NSUR_. S AFFORDINI'a.COVERAGE..__. NAIC# Cambridge MA 02138 INSURER A.Scottsdal.e Insurance INSURED INSURER B:CITATION 40274 Mark Lemon, DBA: ML and Son Construction INSURER C:The_Hartford______ 490 Pitchers Way INSURERD: PO BOX 423 INSURERE: West Hyannisport MA 02672 ' INSURERf COVERAGES CERTIFICATE NUMBER:Kaster COI 2012 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR - . O LTR TYPE OF INSURANCE POLICY NUMBER MPIWDLI POLICYNYYYJ EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED A CLAIMS-MADE -1 PS1399527 /7/2012 /7/2013 PREMISESEaoccurrence $ 5 5,000 MED EXP(Any one person) $ 5,000 PERSONAL 8ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY - PRO $ AUTOMOBILE LIABILITY E accident)SINGLE LIMIT 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BBSiLi 6/14/2012 6/14/2013 BODILY (Per $ AUTOS AUTOS ( ) X HIRED AUTOS X NON`-OWNED PROPERTY DAMAGE AUTOS ; r Per accident $ UMBRELLA LIAR OCCUR v EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ c, DED_ —_._RETENTION ------..-.. C WORKERS COMPENSATION C WC STATU- OTH- AND EMPLOYERS'LIABILITYER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN t E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBEREXCLUDED? Fi] NIA. , (Mandatory In NH) 0515N280 A /18/2012 /18/2013 . E.L.DISEASE-EA EMPLOYE $ 100 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION (508)862-4784 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE W Garrity/CRISTI G "J ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. . INS025 rminns�ni -The Arn6n name 2nri Innn era reniefereA mnrtre of ARr1Rr1 °FINE A Town of Barnstable Regulatory Services BAMSTA X"S. Thomas F.Geller,Director Aj�►�+" 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 4 Property Owner Must f Complete and Sign This Section If Using A Builder t as Owner of the subject property hereby authorize to act on my behalf,` in all matters relative to work authorized by this building permit application for. a { (Address of Job) � 5 Signature o Owner ate _ r: Print Nair e C' " J Up1551U1�D�,w/� V' is ryoz�aido � '%• uole,�aX� 1 0,1&0 9Zpi�y1.. `oZ00%:-1 JSJ S uow",o pte 9 0 >>1"" S�� ab 6U1P,a n�onsseW " - u�Sups- doe, s sP�eP`iels nd to ��Zaa� License or registration valid for in(It re ul use only Regulation expiration date. If found return to'. �- siness Reg before the exp' Office opp$°'ner Affairs&B CTOR Office of Consumer Affairs and Business Reg Type' 10 Park Plaza-Suite 5170 HOME IMPROVEMENT CONTRA MA 02116 Registration:.��136160 Individual Boston,_ ' Expiration: -61;19�2014 MA K LEMONR� •N �' l MARK LEMON �� � g of valid without signature HERS 490 PITC Undersecretary HYANNIS,MA 02601 ?, � • v TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma 5 i 4"6 115 Parcel O iH 110 Application # Health Division *' Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic OKH — Preservation / Hyannis Project Street Address 159 M°orir-,_4 I)r-%ve IJ Villages Owner Y1 Address 0A-k S-r PATfck cat (wo Telephone Sbe -G53 —G 5'W Permit Request 'D 1. A,6Ld) C kgq . C� --' C> Square feet: 1 st floor: existing proposed 2nd floor: existing proposed` Tot = ew'� Zoning District Flood Plain Groundwater Overlay Project Valuation` q,Do c7 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If es, attach su r y pporting doc.}.,mer7tation. :n Dwelling Type: Single Family l/ Two Family ❑ Multi-Family (# units) Age of Existing Structure 31 Historic House: ❑Yes YNo On Old King's Highway: ❑Yes M(No Basement Type: ❑ Full ❑ Crawl W Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) l f Number of Baths: Full: existing new Half: existing 1 new Number of Bedrooms: 2. existing 1` new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: Z as ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes 9 IN'o Fireplaces: Existing_ 1 New Existing wood/coal stove: ❑Yes C/No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: L"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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name _ c��2�1 �` �`'�- Telephone Number 508 "653--057� Address :-`l 6 Cj411r_ ST License # iM01 ©rz(00 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE `rJ DATE M V' 4 FOR OFFICIAL USE ONLY APPLICATION# - DATE ISSUED MAP PARCEL NO. - ADDRESS VILLAGE OWNER DATE OF INSPECTION: i FOUNDATION ' FRAME o'L c7yc� r r L- Y INSULATION. / l�so�z R'�� I FIREPLACE ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL `GAS: ROUGH , _FINAL 4 FINAL BUILDING DATE CLOSED OUT �! ASSOCIATION PLAN The Commonwealth of Massachusetts Department of IndustrW Accideizts Office of Investigations �. 600 Washington Street: r J B:ostort, azrrl www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors' lectricians/Plumbei-s Applicant Information ' n y� Please Print Legibly Name (Bus incss/Organization/Individual): 'x-c 4'�-` J v CL Address: )-46 cAk -` S-T City/State/Zip: P A7769 1k�'} ® (Z(,0 `Phone #: '�r s�-(Q Sd Are you an employer? Check the.appropriate box: .`_ Fumbing oject(required): [2. Iam a employer with 4. ❑ I am a general contractor and I construction employees(full and/or part-time).* have hired the sub-contractors .❑ I am a sole proprietor or partner- listed on the attached sheet t odeling ship and have no employees These sub-contractors have olition working forme in any capacity. workers' comp. insurance. ding additionworkers' comp:insurance 5. ❑ We are a corporation and itsrequired.] officers have exercised their trical repairs or additions3, I ama homeowner doing.aIl wprk right of exemption perMGL bing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t. employees.x[No workers' i comp. insurance required.} 13.❑',Other' ;Any applicant that checks box#I must also fill out the section below showing their workers'compcnsation policy information. S t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors.must submit anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. lain an employer that isproviding 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. IS2 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 certify under the pains and penalties of perjury that the information provided above is true and correct Signature: Date Phone#: S't� -LSD -6S1� t�- clt3-0` (. Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# . Issuing use (circle one): 1. Board of Health`. 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5, Plumbing Inspector 6. Other Contact Pers on: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as "...every person in.the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual, partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner.of a dwelling house having not more than three apartments and who 'resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean 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 applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter info any contract for the performance of public work until acceptable.evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill 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 employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured-companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure thafthe affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/licease applications in arty 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 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 proofthat 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 (Le. 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 Mnsachumtts Department of Industrial Accidents Office of InvestigAtions 600 Washington Street Boston,1 A 02111 .Tel. # 617-727-49-00 ext 406 Qr 1-8,77,MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.mass..gov/dia Town of Barnstable z�tom,,o . Regulatory Services s.IxsrABr- = Thomas F. GeUr,Director Building'Division Tom Perry, Building Commissioner 200 Main-Street;_Ayannis,MA 02601 R1ww.to wn.b arrastabl e-ma.us Office: 508-962-403 8 Fax: 508-790-6230 HOME07 NER LICENSE EXEMPTTON — 04 Please Print DATE: JOB LOCATION: 154 Mc'`Xt.1Yk* bgAA h r number street . ���b 14 village "HOMEOWNER": �`+ � 5De-(oSa-(aS Y &(?`L113—L-W(6Y name home phone# work phone# CURRENT MAILING ADDRESS: 7,46 O 4-(C 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. DEFR'ITION OFH0MR0VrN'ERj ' P r-rson(s)who owns a parcel of land an which he/she resides or intends to reside, on which there is, or is intended to be, aone or two-family dwelling, atiachcd 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,Hiles and regulations. The undersigned"homeowner"certifies thathe/sho understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. SignatftM of HOMtD er Approval of Building Official Note: Three-family dwellings containin 35,OD0 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWWER'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.(Scction 1D9.1.1-Licensing of construction Supenzsors);provided that if the homeowner engages a peison(s)for hirz to do such Work, that such Homeowner shall act as supervisor" 14-any homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q. Rules&Rcgblationz for Licensing Construction Supervisors,Section 2.15) This lack of awareness born results.in serious problems,particularly when the homeowner hires unlicensed persons. In.this case,our Board cannot proceed against the unlicensed person as it Wrould with p licensed ery Supisor. The homeowner acting as Super6sor is ultimately responsible. To=inure that the homeowner is fully zw=of his/hcrresponsrbilidrs,many communities require,as part of the permit application, that the homeowner certify that heshe understands the responsibilities of a Supervisor. On the last page of this issue is a form cuntntly used by several towns. You may care I amend and adopt such a fann/certificaEon for use in your community. r Q:forrns:homecxcmpt ~' oTrti Town of Barnstable f Regulatory Services t sAxxsrAsr� . MAC- Thomas.F. Geller,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property owner Must t t Complete and"§rgn 'Ths Secion Tf;lJsin A B�.ilder, a. I as Owner of the svbJect,property hereby authorize to act on my behalf, is all matters relative to work authorized by this buiIdiag permit application for. (Address of Job) Signature of Owner Date Print Name If Pro e Owner is a 1 ' - for p �— p erinit Lease complete P Y�g P p the Homeowners License Exemption Form on the reverse side. Q:FO RMS:O VJNERP ERMISSION i1z -F Fl c-F 27"DOUBLE HUNG 27"DOUBLE HUNG WINDOW WINDOW ELEC. DOMESTIC WATER SERVICE N'N s, PNL. C O C ' I o cV U H.W.H. MECHANICAL P - � III � � • 3'-0•SLIDING LOUVERED \ a DOORS 27 DOUBLE HUNG WINDOW .. m 2 BOILER NEW 6-0°COUNTER p FAMILY ROOM } - `12'-9'd2'-8'. N - - ! REMOVE IXISTING DOUBLE DOORS $ j BEDROOM i - - 11'-0':13'-0' t to 6'-0°SLIDING GLASS 04 2"z4"STUD PARTITION W/3}"R-13 BATT.INSUL COMPLYING WITH 5 0 LAUNDRY 1 DOORS Q 2009 IECC:CHAPT.4 TABLE 402.1.1 F T R p - � : v 27'DOUBLE HUNG WINDOW NEW EMERGENCY ESCAPE WINDOW C J m 36'A.F.F.,COMPLYING WITH 2O09 IRC R310 14 O MIN OPENING 20'x24° - m LOWER LEVEL PLAN E o SCALE:}° 1'-0• o u Z �C } ENERGY RATERS L LC BUILDING PERFORMANCE TESTING Duct Leakage Report 20 Cap'n Crosby Road Test Mode Barnstable Pressurization 07/12/2021 Test Pressure Bolivar Idrovo 25.0 Pascals Testing Equipment 2009 IECC Energy Code Minneapolis Total CFM@25 or Total Duct Leakage Percentage 103.00 0.04 Total Square Footage 2874.00 Maximum Allowable Leakage 114.96 t HVAC Duct Test 180 State Rd Suite 21.1, Sagamore Beach, MA 02562.508-833-3100•energycodehelp.com•info@energycodehelp.com powered bygocanvos www.gocanvas.com 972FAEFE-5173-4FC7-8E64-5FFA6A126774 HOME ENERGY RATERS L LC B U I L D I N G PERFORMANCE TESTING' 083 get � ka Unconditioned 1944 B 70a;� 0.04 BasementmF _ y Unconditioned 930 C 33 0.04 Basement 180 State Rd Suite 2U, Sagamore Beach, MA 02562.508-833-3100•energycodehelp.com •info@energycodehelp.com powered byc5ocanvas www.gocanvas.com 972FAEFE-5173-4FC7-8E64-5FFA6A126774 HOME ENERGY RATERS L LC BUILDING PERFORMANCE TESTING All testing results recorded in this report have been verified by: Chris Mazzola RTIN# - 8873503 ICC - 8344213 New Static TextAll testing was conducted in compliance with RESNET standards and protocols, the 780 CMR 51 Massachusetts Base Code, Stretch Code requirements and ASHRAE 62.2. 180 State Rd Suite 2U, Sagamore Beach, MA 02562.508-833-3100•energycodehelp.com•info@energycodehelp.com powered byc9ocanvas www.gocanvas.com 972FAEFE-5173-4FC7-8E64-5FFA6A126774 ... .. i.::. :...: .:..::: .. .. - 27"DOUBLE.HUNG 27"DOUBLE HUNG: r WINDOW g A ELEC. .DOMESTIC WATER SERVICE PNL - .. p cv MECHANICAL T \ \ UP _. ... IN LOUVERED :. .+. 3'-0"SLIDING S .27"DOUBLER N \ o 0 DOOR 2 & 0 BOILER l 1-W COUNTER a op; Q, s J - - - _. � 5 FAMILY: ROOM.O "x22'8 S • .o {�- BEDROOM v)'^ M i 6'-0"SLIDING GLASS N - a 2'x4"STUD PARTITION W/32'R-13 S ..- I. _ _. }% . BATT.INSUL.'COMPLYING WITH 5:-0 LAUNDRY "�A�� n 2009 IECG CHAPT.4 TABLE 402.1.1 F..T.R: D Q T ....... ..::: 'v^.^.^aK�t1M:r n^.i'.'vvi':`.i'rV':Vfr✓"'N.h`r.YJ.`r`.:y A�.vM�i r!.M"rr.':^".�:vN.^lr�'eM 'vrn.^f .: - .. - 1 q. 10 DOUBLE HUNG. t1 WINDOW I EMERGENCY ESCAPE WINDOW :,W 36"A.F,F.,,COMP_LYING WITH 2O09 IRC R3I b p MIN OPENING 20"x24 _:: w Lu - p _ .a _ G :E LOWER LEVEL PLAN SCALE: 4" _ .1 0 Z :. _ z �t