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Home My WebLink About1895 SANTUIT-NEWTOWN ROAD /��' U�.� r i i �, P Ga-e(e6�2Ate— c -roe) C-6 -ro -t-D k4 -q cZ � -vo�&2. () N O 7 cc.-e S T/O-✓S A,5 :rD -A i �1,lye�f�J� /// ,.:.. �f'/J�i s)Z�lo3 B��M � � ��3o�b3 P�Fk�^'` �� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 04 Map oj d.,rb Parcel da 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 Stree ddress Village Owner Address Telephone a " �O�J �I Permit Requ v Y. '3b* ki J41 _41V Square feet: 1 st floor: existing roposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay YD Project Valuation UbO Construction Typej,_bill 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 ❑ BUILDING DEPT Commercial ❑Yes 4No If yes, site plan review# MAR 06 2017 Current Use Proposed Use :PGVVN np R-42IN-ZIABI f APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number �U Address License # IWO 11211WM��A Home Improvement Contractor# "✓� �✓ v V Email , `Jt& Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE k FOR OFFICIAL USE ONLY APPLICATION# ' Y DATE-ISSUED MAP/PARCELNO. 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. t ^ ^^ '• ''' Massachusetts Oepartmenl of'Public Safet Board of Building Regulations and Standards License: 08-1009e8 Conatruotion 3upervlsor I HENRY E CAS•910Y. 0 SHED ROW a �$l '�;/' , ► 1 ^;t. , WEST YARMOU;YH Explratlon: .Commissioner 1111V2017 a Office of Consumer Affairs and Business Regulation ` 10 Park Plaza -' Suite 5170 Boston, Ma 9*setts 02116 Home Improveme:. n.o.�.tractor Registration Type: Cor oration Cape Cod Insulation, Inc ` ;a.ai ' la Registration: 163567 ' ' ' • `� w Explratlon: 12/14/2018 18 Reardon Circle So. Yarmouth, MA 02664 Update Address and return card. Mark reason for change. 1 r, 20M•05111 Ow ....___--._l.. Office of,Consumer Affelrs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only i j$' ef Corporatlon before the expiration date, If found return to: ... ..... ExpJr�lon Office of Consumer Affairs and Busine eguiatlon `"'^ � 6 10 Park Plaza•Sulte$170 0 12/1Q018 •1. 11.r Boston,MA 021 Cape Cod InsunT 1'I He Cassidy,\; ,;°.: a'..'.` ,� 18 Reardon Clrc' '" So.Yarmouth,Ml ; : �j/ C� Undersecretary 11fd7h04Agnature ' I i The Commonwealth of Massachusetts w Department of Industrial A cciden ts 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia llrorkers' Compensation Insurance Affidavit: Builders/Contracto rs/Electricia ns/P lumbers. TO BE FILED WITH THE PERMITTIN AUTHORITY. A licant Information Please Print Legibly Name (Business/OrganizatiorAndividual): I A6 V y Address: l0U `FCAVAow City/State/Zip: /v V'VIA 0U TIA-I �1(r,Pc Phone#: Are you an employer?Check the ppropriate box: Type Of project(required): ll am a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑1 am a sole proprietor or partnership and have no employees working for me in S. ❑Remodeling any capacity.[No workers'comp,insurance required.) 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.)t 9. ❑Demolition 4.7 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑ Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions 5.7 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 1 .❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ 6.7 We are a corporation and its.offcers have exercised their right of exemption per MGL c. 14. Other 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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. f, Insurance Company Name: 1� 1V0rM1(M6,z-- �'v l �/ Policy#or Self-ins.L)c. Expiration Date: Job Site Address:_Lft � Yew `u" ww City/State/Zip. Attach a co of the workers' compe nsation p nsatton policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un 1 airs an7/7, It of perjury that the information provided above is true and correct Si nature: Date: Phone#: Official use only. Do not whie in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: CAPECOD•27 DEATON ACORo� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 712912016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, 0, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)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 endorsements , PRODUCER MCAOMITEAOT R34 Rogers e&Gray Insurance Agency,Inc, DNA Exill VC.Nob 877 816.2156 South Dennis,MA 02660 mail ro era ra ,com INSURER 9 AFFORDING COVERAGE NAIC# INSURER A I Peerless Insurance Company INSURED _!NSURERB.68f0tY Insurance Company 39464 Cape Cod Insulation,Inc. INSURER C IEndurance American Specialty Insurance Company 41718 16 Reardon circle INSURER 0 1 Atlantic Charter Insurance Company 44326 South Yarmouth,MA 02664 INSURER E I INSURER P I COVERAGES CERTIFICATE NUMBER: 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 IS SUBJECT TO ALL THE'TERMS, ' EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR TYPE OF INSURANCE POLICY NUMBER MM D M DI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 CLAIMS-MADE Q OCCUR CBP8263063 04101/2016 04/01/2017 SES(Ea occurrence) .$ 100,000 MEO EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 110001000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE. $ 2,000,000 X POLICY 0 JEC LOOP" PRODUCTS•COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY B 0 G T $ 1,000,000 <lenll B ANY AUTO 6232707COM01 04/01/2016 04101/2017 BODILYINJURY(Perperson) $ ALL OWNED �( SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ .X HIREDAUTOS X NON•OWNEO e R.11 S AUTOS X UMBRELLA LIAR X $ OCCUR `,, EACH OCCURRENCE $ 2,0001000 (, RODEEO XCE93LIA8 CLAIMS-MADE EXCIOOO6635001 04/0112016 04/0112017 AGGREGATE $ I X I RETENTION11 100000 WORKERS COMPENSATION Ag regale $ 2,000,000 AND EMPLOYERS'LIABILITY ❑YIN D FFEREEEXCLE ?EDUTIVE WCE00431902 06130I2016 OSI3O/2017OICIMMBRUDD NIA E.L.EACH ACCIDENT $ 1,000,000 (Mandatory In NH) E.L.DISEASE•EA EMPLOYEE $ 11000,000 It yes describe under DES RIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT 1$ 1,000.000 DESCRIPTION OF OPERATIONS/LOCATIONS f VEHICLES (ACORD 101,Additional Remarks schedule,may be attached 11 more apace Is required) Workers Compensation Includes Officers or Proprietors, Additional Insured status Is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder, CLEAResult,Eversource and National Grid are listed as Additional Insureds on this policy on a primary,non-contributory basis. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ®1988.2014 ACORD CORPORATION. All rinhta raaarvarl 14, The Parties acknowledge that this Agreement is under seal. It is intended by the Parties that the.Tenant or any successor Tenant is the intended beneficiary of the Agreement and shall have aright of enforcement. d Property Owner's Signature: Date q Phone: Address: is Tenant Signature 'A�4i,U,L Date Agency Approved Weatherization Company Adam T. Incorporated. / All Cape Energy. 1 Alternative Weatherization Cape Cod Insulation_ / Cape Save / Cazeault I Frontier Energy Solutions / Lohr Home Improvement / Tupper Construction Agency Signature Date 1gg.21 � N80.54'40"E V HSE o %R 1895 LOT I _ — — FND o O c co. CAPE & VINEYARD ELE ' b 210' EASEMENT . w .w N, NOTE- PRE—EXISTING, NON—CONFORMINC RES. ZONE- "RF" This MORTGAGE INSPECTION Plan is For FLOOD ZONE- "C" Bank Use Only TOWN: -COT-ULT______________ REGISTRY OWNER: PEL►i&- PE'WQO-P.Y'_____________ DEED REF: -439.E_2z3---------BUYER: -P� M12Pff dc1C�.ML_H—FACKABD----------- DATE: Z2Q=99------------ PLAN REF: _390_59__--------SCALE:1"= 60' FT. I HEREBY CERTIFY TO APE_CQ11_BAd�K_d�T8S1�T_CQ F YANKEE SURVEY ITS SUCCESSORS ANDIOR ASSICNS_THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS ^, CONSULTANTS SHOWN AND THAT ITS POSITION DOES _ _ CONFORM VIOL �. TO THE ZONING LAW SETBACK REQUIREMENTS OF THE 40B (SUITE 1) TOWN OF BARAftg—L W.E______ --AND THAT ;Rz INDUSTRY ROAD IT DOES_ NOT_ LIE WITHIN THE SPECIAL FLOOD HAZARD p MARSTONS MILLS, MA. 02648 � TEL 428-0055 AREA AS SHOWN ON THE H.U.D. MAP DATED_7=z=9,�__ fL Vm u 't -Pa a 50001-0021-D �` ''-- t•- FAX 420-5553 ___ THIS PLAN NOT MADE FROM AN INSTRUMENT A� R TFI PIaS — SURVEY NOT TO BE USED FOR FENCES ETC. 26233 SDS ()Cj r Applilcation Permits x 4 _ ermit �Isst�P rrri it� 'A,pphc�ti�mjgpi66 835.SE# t�lE1 A - Cample e Rerriai '` Ct1Ve Deny^ Permit s. PermitMa Re oeiPermi 'Issued ,1 '112I �b E ",Status Rewersdl 4 �b J5 ,ISsUe*,... y.sz a4: �,` p°`.*" �uu �' } z a .. Recl�c e s fees ��Iditian�l �� Band 7, , ,r .. B*Sec , Ls3Y iT1Yl7 v� st( a arP F 741 #�a � tt "� e. ,. 011eCt �', � '. fir^s '" =P. �: i Town .of Barnstable Regulatory Service °p1He Teti Richard V.Scali,Director Building Division * saxivsTnsi :1 Tom Perry,Building Commissioner_ MASS. 0 . 200 Main Street, Hyannis,MA 02601 m �ATED MAy# - Office: 508-862-4038 Fax: 508-790-6230 Notice of Zoning Ordinances Violation(s) and Order to Cease, Desist and Abate: Penelope Packard, Tr, C-Dine Landscaping & All Occupants and all persons having notice of this order. As owner/occupant of the premises/structure located at 1895 Santuit-Newtown Rd, Cotuit,-MA 02635 Map 023 Parcel 016-002,you are hereby notified that you are in violation of the Town of Barnstable Zoning Ordinances and are ORDERED this date,September 5, 2014 , . to: 1. CEASE AND.DESIST IMMEDIATELY,all functions connected with this violation on or at the above mentioned premises. SUMMARY ON Qk VI6�_T_AT-10-\I� reet 02601 k, "ri`,`-� U.S.POSTAGE>>PITNEYBOWES ZIP 02601 $ 000.480 F' 02 1YV 0001.383424 SEP: 05. 2014. Penelope Packard, TR 34 First Street Rings Island Salisbury, MA 01952 QQ,,F If,-at—the expiration of the 11 time allowed, action to abate this violation has not commenced;further action as the law requires will be taken:. y o er, Robin C.Anderson Zoning Enforcement Officer Q/FORMS/viozonel Town ®f Barnstable Regulatory Services oFIME t Richard V.Scali,,Director Building Division BAMSPABLE, ' Tom Perry,Building Commissioner y MASS s639• �� 200 Main Street Hyannis,MA 02601 �plfD��A Office: 508-862-4038 Fax: 508-790-6230 Notice of Zoning Ordinances Violation(s) and Order to Cease, Desist and Abate: Penelope Packard, Tr, C-Line Landscaping & All Occupants and all persons having notice of this order. As owner/occupant of the premises/structure located at 1895 Santuit-Newtown Rd, Cotuit,MA 02635 Map 023 Parcel 016-002,you are hereby notified that you are in violation of the Town of Barnstable Zoning Ordinances and are ORDERED this date, September 5,2014 to: I. CEASE AND DESIST IMMEDIATELY,all functions connected with this violation on or at the above " mentioned premises. SUMMARY OF VIOLATION: Violation of Town of Barnstable Zoning Ordinances: . "reet 02601 U.S.POSTAGE>>PITNEY BOWES r� ZIP 02601 $ 000.48° i} 02 1VV 0001383424SEP.. 05, 2014. C-Line Landscape & Occupant 1895 Santuit-Newtown Rd Cotuit, Ma 02632 y er, �( Robin C.Anderson Zoning Enforcement Officer 'Q/FORMS/viozonel Town of Barnstable _ �"'"� """ -,•�.�. Building Division 200 Main Street U.S.POSTAGE>>PiTNEreowES Hyannis, MA 02601^ � � . ' � � ' ZIP 02601, $ ®oo-480 t: 0 2 1 YY 000 1383424 SEP, 15 2014. r lll�u�ulll�l��l�l��l�l��ll�l Penelope Packard, Tr. 34 First St. Rings Island Salisbury, MA 01952 ft' _ • 200 Main Street y Hyannis, MA 02601 U.S.POSTPCE>'PITNEY BOWES I ZIP 02.601 000.480. . 3 r 02 10 4 • 0001.38342 4 SE P. 05. 201 • - 1 1 r •C-Line Landscape & Occupant ant i J ,, 1 • � 5 Santuit-Newtown Rd 189 I Cotuit, Ma 02632 i V • �i.� -%'i h•. ✓4-'E,S;" "i..�: _�`63:W'1�. :��`[_9 bi'3 f"l.� 1 :'. •F i ETUkN T % SEiV1SE Is NO MAIL REC"EPTACL.E . - UNAQLE T 0 F RWA.R 1.+ •�.t L...Y —"" 111F 1:f f'r.F f '1.1)11"1i1111.1 .1,41`61F�.d.FiF:E:FF Sfi F.!:Vd i F:S'I.E 1 F'; - 4 Town of Barnstable Regulatory Services FTME rqy� Richard V.Scali,Director Building Division 1ARNSfASLE. * Tom Perry,Building Commissioner 9 MASS' g 1639ft. �0 A 200 Main Street, Hyannis,MA 02601 QED MA'S Office: 508-862-403 8 Fax: 508-790-623 0 Notice of Zoning Ordinances Violation(s) and Order to Cease, Desist and Abate: Penelope Packard, Tr, C-Line Landscaping & All Occupants and all persons having notice of this order. As owner/occupant of the premises/structure located at 1895 Santuit-Newtown Rd, Cotuit, MA 02635 Map 023 Parcel 016-002,you are hereby notified that you are in violation of the Town of Barnstable Zoning Ordinances and are ORDERED this date,September 5, 2014 to: 1. CEASE AND DESIST IMMEDIATELY,all functions connected with this violation on or at the above mentioned premises. SUMMARY OF VIOLATION: Violation of Town of Barnstable Zoning Ordinances: .' Chapter 240 Section 44 (A) 1 RF Residential Zone -Single Family Zone - 2. COMMENCE immediately,action to abate this violation. SUMMARY OF ACTION TO ABATE: Operation of a Landscape/Construction business including employee parking, storage of equipment and materials on site and all activities typically associated with a commercial use. Remedy: Relocate all commercial activities cited above to an appropriately zone location. And, if aggrieved by this notice and order,to show,cause as to why you should not be required to do so,by filing an appeal with the Town Clerk of Barnstable,a Notice of Appeal(specifying the ground thereof) within thirty(30)days of the receipt of this order(in accordance with Chapter 40A Section 15 of the Massachusetts General Laws). If,at the expiration of the time allowed,action to abate this violation has not commenced,further.action as the law requires will be taken: y o er; Robin C.Anderson Zoning Enforcement Officer. Q/FORMS/viozonel Town of Barnstable emit: -. Regulatory Services ate: oFtt+e Richard V. Scali, Interim Director Fee: Building Division MUMSTnBl.E.A Tom Perry, Building CommissionerMAM s1l s A.� 200 Main Street, Hyannis,MA 02601 l ED MA'1 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: Ljcv- Phone: ��t�'- y�s� f (✓s Install at: �$°► S"" �X1k„y /Ve-0- iw0 PJ Village: U;_-04 `� Map/Parcel. 0 :)L-3 61 U 00— Date: Stove A. New/CSe B. Type: Radian` Circulating C. Manufacturer: L c5 p i Lab. No. D. Model No.: Fct43cl vy\ Chimney A. Ne xisting f existing,please note date of last cleaning �a+ / :.; ; CD B. Flue Size Y/f /'/ --4 f levv w C. Are other appliances attached to Flue? o ``' D. Pre-fab Type and Manufacturer E. Masonry: Line nlined L,sfeJ Li-k e-v- Hearth A. Materials: Pjv►e�l< B. Sub Floor Construction: t Installer Name: Ck % w.ileY l 'n t",r�el Address: AC). bq A00, Phone: Location of Installation: f9 S i a1 Rv� H.I.0 Registration# &l lay Construction Supervisor# a(p OR check_Homeowner Installing, no license re uired rLICENSED-INSTALI;ERS-SIGN. U — } I APPEICAN STST SIGNA URE: s _ _ APPROVED BY: Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove Rev 11/4/13 The Commonwealth of Massachusetts Department of Industrial Accidents ' Office of Investigations _ 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aaalicant Information Please Print Leeibly Name(Business/Organization/Individual): (C-11rc Address: Z C, City/State/Zip: el ��tt� c r,7+0 d-S 3 Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.® I am a employer with— 4. ❑ I am a general contractor and I employees(full and/or part-time). s have hired the sub-contractors 6. El 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 g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp.insurance comp.insurance.t required.]. 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their I I. Plumbingr right of exemption r MGL � ��or additions myself. [No workers comp. p 12. Roof airs insurance required.]t c. 152,§1(4),and we have no ❑ employees. [No workers' 13.fg Other a o I comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.• t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:_ Policy#or Self-ins.Lic.#:-l✓C 10 °2 1t4-a,1% 0 00'0 l a. o i'1 Expiration Date: v Job Site Address: I S� t4n(�v.l A1tm-Ay-)9 t\ d City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the pains and penalties of perjury that the information provided above is true and correct Si tore: Date: Z/ / Phone#: pw 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 M SEP, 24, 2013 2.55PM ASSOCIATED INSURANCE NO. 1398* P. 1 CERTIFICATE OF LIABILITY INSURANCE DATE('�`mD AWY) �r oslzazof s THIS CERTIFICATE 18 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 pollcy(les)must be endorsed, ff SUBROGATION IS WAIVED subJect to certificate holder In Ilea of such endorsoment(ement(s), the terms and conditions of the policy, policies may require an endorsemeltt. A statement On this certificate does not confer rights to the. PRODUCER 04220.001 - /1CT Insurance Brokerage 400 A Fran ,,E (600)469.6604 No_ (781 J84B•8100 400 A Franklin Street Braintree,MMA 02184 � RE a NG CO A r.M.Mutual Insuranoe IN8URED Company 33758 Scott Smith Chimney Care of Cape Cod IN P 0 Box 202 Marston M14 MA 02948 INJIURE8 I-; I , COV15RAGES CERTIFICATE NUMBER: 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 YO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES.DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, I TYPE OFINSVOMCE p . I POLICY NUMBER N LIMITS - GENERAL LIABILITY - - _ COMMERCIAL GENERAL LIABL ITV EACH OCCURRENCE. d t MS MADE OCCUR WED ExP Wry ena person) s PERSONAL 8 ADV WJURY $ - GENERAL AGGREGATE $ EML AGGREGATE LIMIT APPLI%6 PER PRODUCTS-COMPlOP AGO $ OLICY O" OC . AUTOMOegE LIABILITY I L LIM S ANY AUTO ALA.QMED SCHEDULED - EODLY INJURY For person) $ AUTOS AUTOS BODILY INJURY(Pot mcciderl) $ HIREDAUTOS AXOSYM� - Pr $ $ UMBRELLA UAD OCCUR EACH OCCURRENCE g EXCESS LIAR CLANS MADE AGGREGATE _ DED RETENTION$ ' I $ I IOX A AWJ LUDE CUTIVE (Mal RMIEMBFR N/A AWC400-7024208.2013A ' 4/27/2013 r412712014 Ek EACH ACCIDENT S 500,DOO.00 I1�I1�xIfl5�fl5..mmee��uIIlpp"BB�unnddccrr - E L.DlsEasE•EA EMPLOYEE $ 500,000.0) Det3CRIPTIDNOFOPF.RA710NSDeWw E.L.DI6EPSE-POLICYLIMIT. $ 500,000.00 DESCRIPTION OF OPERATHM I LOCATIOIN3/VEHICLES(AWch ACORD 101,Add ilanid RM aft Schaduls,it Mire MPlG is hqulmd) ' "Proof of Coverage" Scott B Smith Is covered by the workers compensation policy, CERTIFICATE HOLDER CANCELLATION Scott SmitN Chimney Care of Cape Cod P.O.BOX 202 SHOULD ANY OF THE ABOVE Dl6CRiBED POLICES BE CANCELLED BEFORE Marston Mills,MA 02649 THE EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PR6VISIONS_ AVrHOR¢ED R@PRESENTAtive ACORD COAT1oN.All rights ACORD 25(201 OM5) The ACORD name and 1090 are registered mar®of ACORD reserved. 1 K- „ Town Of Batnstable RegiWatory services - Ttown F.caer,Direr BMIdin j . . .off Tom]Perry,She Commbduser 2U0 Alain Scree;gj►ame�,A+�p,�1 , www.bosrsbar�Labiamatis Office; 503-862-4038 FMC 508-79"230 Prppaty Ow=Must Complete and Sign This Section M1 Builder . Oanet of dte sabot IP eby autho a to*a on my beh4 an RU mature t&tiva to vo&autboeied by tWa bnii ng pest ...Il l S j4m4 i f 'ui•MAbwN (Addan of)ob) Pool feaces' Md ala=e are the respons ty of the applicant" pools are not to be Med or utized before fence is imalled and$ll Ewd , moo= an pe ejaned wood accq t & 4nl&VA=e of Sp"of AM Priest Now P�Nye Date Office of Consumer Affairs&Business Regulation-Mass.Gov 9/24/13 2:06 P► The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Consumer Affairs and Business Regulation Home Consumer Home Improvement Contracting Home Improvement Contractor Registration Lookup You can search/filter the registration list by any of the criteria below. Search by Registration Number 161642 Search Search by Registrant Name Search by City Zip Code Search Registrants Click on the registration number to view complaint history.You can also view arbitration and Guaranty Fund history. The list is current as of Monday, September 23, 2013. Search Results REGISTRANT NAME RESPONSIBLE REGISTRATION ADDRESS EXPIRATION STATUS INDIVIDUAL NUMBER DATE CHIMNEY CARE SMITH, SCOTT 161642 P.O. BOX 202 11/12/2014 Current MARSTONS MILLS, MA 02632 a 2012 Commonwealth of Massachusetts. Mass.Gov®is a registered service mark of the Commonwealth of Massachusetts. Massachusetts -Department of Public Safety Board of Building Regulations and Standards Cion�truction Suprn kor Specialt% License:CSSL-105026 SCOTT B SbUTH, 7 CAPTAIN ERO a Centerville bIA 02632 If low,.d►.6f�fc• � „��. Expiration Commissioner 0e/1212015 http://services.oca.state.ma.us/hic/licenseellst.aspx Page l of TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0;Parcel '!�7/6 Do;, Permit# ►; � TC �'� it SAR'�ST�16LE Health Division 1` . 1 /`` o y J-97 Date Issued `�" ✓(v-y 2 Conservation Division �J� ` /� dQ? r=� j 0 ' : S6 Application Fee 00 Tax Collector eY, /—:0e)L4 Permit Fee ' l�/. it Treasurer ' (7 i Y1 S 10 SEPTIC SYSTW MUST EE Planning Dept. INSTAUID IN COMPUANCE Date Definitive Plan Approved by Planning Board W=TITLE 5 ENIAROMMENTAL CODE AN[ Historic-OKH Preservation/Hyannis TCDU RECUU.41C,Nj; Project Street Address Village CD 7 y i -r Owner ��'.I��o�� ' /T�� K�('-1� Address el' 5F'ceW-P 57. , C�lw65 254A.-,'P, Telephone � 7� ��r '� 5A4 (5 3yteY_ a �/9✓�aZ` Permit Request �v��r Square feet: 1 st floor: existing NEW proposed 11ggo 2nd floor: existing proposed G Total new Zoning District & Flood Plain Groundwater Overlay -flif ` Project Valuation Construction Type Lf/tea 'y Lot Size lam. / 7 olcR e-y Grandfathered: ❑Yes )fNo If yes, attach supporting documentation. Dwelling Type: Single Family ;( Two Family ❑ Multi-Family(#units) Age of Existing Structure /7 ,K95 Historic House: ❑Yes XNo On Old King's Highway: ❑Yes 4No Basement Type: O Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) / J!J 5�e F y— Basement Unfinished Area(sq.ft) '7S4.s ge F r Number of Baths: Full: existing / new C.> Half: existing O new G> Number of Bedrooms: existing_ new a Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas J40il ❑ Electric ❑Other Central Air: ❑Yes 2kNo Fireplaces: Existing I New Existing wood/coal stove: ❑Yes %(No Detached garage:A existing ❑new sizlO/04 Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:A existing ❑new size J1;( Shed:❑existing Cl new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ko If yes,site plan review# Current Use �^iu �Z� ayna�LY Proposed Use C-5 4Im f— B;UUIILDER INFORMATION Name- e�P GU /7 ��'��,�PPTelephone Number �P75 1-6 5 Address6F r--nv n License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Pb°1-,LU 2 rgg - cu SIGNATURE DATE /,�,�7Z®� FOR OFFICIAL USE ONLY f PERMIT NO. - ' DATE ISSUED MAP/PARCEL NO. ADDRESS ' ,VILLAGE OWNER DATE OF INSPECTION: . ,FOUNDATION FRAME , r 'INSULATION 2/s/ ., FIREPLACE - ELECTRICAL: ROUGH FINAL }' PLUMBING: ROUGH 3 FINAL,- GAS: ROUGH'S . ' : FINAL FINAL.BUILDING 'X/' 2'(%Ts77` x 4. DATE CLOSED OUT - 12 ? ASSOCIATION-PLAN NO. w/ ' V ti _ �pIME roh, Town of Barnstable Regulatory Services '* sAxtvsTasLE, ` Thomas F.Geiler,Director 1639. t a` Building Division lFv row' Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION i MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,'conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building;be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: � ti� �`1^ D Estimated Cost a sw®0--Z Address of Work: -AIR" ne&2 J� �� B /'�i!7— Owner's Name: &�Tt4 P Date of Application: I hereby certify that: Registration is not required for the following reason(s): MWork excluded by law ❑Job Under$1,000 ❑Building not owner-occupied Z;&kmer pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Date 0 er's Name Q:forms:homeaffiday. .TAbS.3�-1h�c°srlss� $�esd irit r,":a Fns� ' pi•�cript{re Pxr�.,c�•Ct far Qisa aad T�r+•�•+��7' • lys.+.actrlivG �w WAU r fles o a F1sd�' dlcang �-3"ziag A-�1 R,y,dua Rrvshs� I;r'y.�oe? Fs ° S70S to 65Q0 H Dry 33xri 6 ? g .4.0 iG 1 N C 3= t1 19 30 �' AFVE M2 ]0 — iS`i. 0.3a ; 3s ig is B s�AfvE ' T tg 31 . t3 u Ti/A fA �AFVE y tsi. 0.4.4 t4 1 3fl N 19 }fir 15'!, cul 30 t3 u WA TEA xat�t 3a 311A • X ,tEY. 4.32 • 19 a ��' lOAFVE 0.42 ]= 13 tg S0 Ate M l E•/. OJO 30 ' DDRES 5 OF PROPERTY: 1 OF ALL�ElabR WALLS: �—�p-- 2, SQUARE FOOTAGE OL 3. SQUARE FOOTAGE OF ALL GLA 40 . N #3 DIDED BY##2): 4 °/a GLAZING AREA.( , ELECT PACKAGE (Q- AA see chart abOVe):' ' MINING Esi'F.R•GY'REQU�M�rB OTHER•MORE INVOLVED METHODS OF D NOTE: ARE AVAILABLE.•ASK VS FORTHI5 INFORMA'nOZ�. gCTILDING INSPECTOR APPROVAL; NO; YES; _ q�fo�•�84303a , a Footnotes to Table'J5.2.Ib:' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylight.W d bascrricnt windows if located !n wa1Is that enclose conditioned space, but exciudtng opaque doors) to the gro area. exprc!5;d as a percentage. Up-to I% of flit total glazixtg arra tray be excluded from the t1-value requirement. For example;3 frt gf'decorative glass may be excluded froth'building design with.300 ft=•of glazing'area- : After 7anuar}' I, 1999, glazin, U-values'must be tested and docu=cuted by the maaufacnuer in accordance with the Naijonal' Fenestration Rating Council (NFRC) test Prncedvre, or takea:frotn Table 11.5.3a. U-Yalucs are For whole units:'canter-of-lass U-values cannot be used. a The ceiling R-Yalues do not assume a raised or oversized trt� R 3Q sulatina mction. If the.ay be substitutede four R 8 Insulation thickness, over the exterior waUs withoutP • ,insulation and R-38 insulation may be substitutcd•f°r A=49 Insulation.��-��g�be placed between Insulation plus insulating sheathing (if,used). For.veatilated ttiliags,. the conditioned space anti'te ventilated portion of the roof. use Do not include Wall R-values represent the Burn pf the wall cavity.iasulatlon Plus insuiatmg e�nment cou d be reset EITHER exterior siding, structural,sheathing, and lhterior'& wall.For exataple, R-19 requ ex R.1g cavit}% insulatian'OR R-13 cavity insulation plus &6 insulating' sheathinlg- gall rpquircmercts apply to wood_f*'c or mass (concrete,masonry, lag)wall onstrun. �ens,ts such uaconditi acd do not apply iO -frcr�awLspaca esubasements, Q The floor'rcquirctnents apply to floors over uncap spat or garages). Floors over-outside air must meet the ceiling rzquirzmeats• ' The entire opaque portion of any individual basement wall with as average depth less than 50%below grade must oors of condition rncrt the same R-value requirement•as ed abov eHasem alls. Windows =d m�the a rdU-value requu•cment b�.,ements must be Included with the ath r glazing. d-scribed in Note b. , The R-value requirements are for unheated slabs,Add an additional R?for heated slabs. If the building u 149s elettric resistance heating use compliaaee appreach 3;4, or S. If you plan to install more than one piece-Of heating equipment or-more-than one pieta of cooling equipment, the equipment with the lowest' efficiency must m eet or exceed the efficiency required by the selected package. 'For'Heating'Degree Day requircmdrits of the closest city ortown seat Table 352.1a. , COTES: a) Glazing areas and U-values are maximum aceeptable.IeveIs.Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do nqt include structural"mPonents• b) Opaque debts in the building envelope must have a U-value nor than 035. Dear U-vaIucs must be tested • and docuirtented�by the mantzfacturtr in.accordance with the NFRC tes3 Fro°�=or taken from the door U-Value he U-value rati d the oor.' in Table 11.5.3b. If a dnar contains glass and an aggregate ng for cc of the d ghat door is not available, include door your windows and use the opaque door U-value to determine complian g lass area of the w 1m,may have a V-valui greater than One door may be excluded from this��i �g��or uawi spat waU component includes two or more areas with c) if a ceiling,wall, floor,basement , different insulation levels, the,component compiles if area-weighted average R value is greater than or equal to -value re' uirement for that campanent Glazing or door companents comply if the oata-weighted,average U- the R q uirement(6,35 for ) value of all windows or doors is less than or equal to the 1J-value rrq _ 43 _ he. 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However the owner.of a dwelling house having not more thanthree apartments and who zesides therein;-or the occupant of the dwelling house of dw g another who employs persons to do maintenance, construction or repair work on such dwelling house or onthe grounds or not because of such employmentbe deemed to be an employer: c building appurtenant thereto'shall •„: '..• MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance 6r renewal th for any of a license or permit to operate a business ante with the insurto construct ance coverage in the r quired�AdditionallyPneitherthe� h� not produced acceptable evidence'of co�.r • commonwealtb•'nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. . ......... � %/%�/ Applicants ;.. Please fill in the vvbrkers' compensation,affidavit completely,by checking the box that applies to your situation and 1 • company names, address and phone numbers along with a certificate of insurance as all affidavits maybe sabm�ed to the Department of'Industrial Accidents for con:rarmation of insurance coverage. Also be sure to sign and r^} the affidavit. The affidavit should'be returned to the city or townthat the application regarding permitor�lah'censl .yQu datee D &anent of Industrial Accidents. Should you,have any questions8 d being requested,not th' e e call;tlie D ep a#Eia afJhe ni mber•iitedbelo _ y obtaii%a cpmpensatioapolioy,pl as '' 'are 1e,,qu]red ^ iv6rke's,W � r � r 0 ERIE. City or Towns ottom olfl& Please be sure that the affidavit is complete and printed Iebatians has to coritaat youregardding the appli anted a space at the b Please, affidavit for you to fill out in the event the Office of Investigations "{i]1 ttie.permit%liaens 'wnbei'wkiichwil].beused as a reference numli'er.�The:'affidavits mayie're'bndMt�•,,: be sure to in e n ements have been made: the DepartrnentbymailorFAXunle'ssotherarrang; 5 .ram,,.• • 4 ,. . ations would like to thank you in advance for you cooperation and should you have any�uestions, . The Office of invesdg ,.s. .. .r please do not hesitate to give us a call. _ 's address,telephone and fax number: TheDePe The'CommonwealthrofMassachusetts ' •Department of Industrial Accidents :,.. - Otflce of ln�testigatlatts _ ' 600 Washington Street Boston,Ma. 02111 , fez#: (617) 727-7749 f r RESIDENTIAL BUILDING PERMIT FEES - APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE ` D square feet x$64/sq.foot= / . 1 Z x.0031= plus from below(if applicable) 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.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swinuning Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee SAMPLE Applicant may decide to seek legal advice to prepare a properly worded deed restriction. DEED RESTRICTION WHEREAS,/'` ?/-/ / of /�5-tMA name? (address) is the owner ofl o A/P RFcated at__�' v�7 (address) MA (hereinafter referred to as �®u g:Lc i v 6 ) and being shown on a plan entitled "Subdivision of Land in &NI%AMA, Property of et al, duly recorded in Barnstable County Registry of Deeds in Plan Book , Page ; WHEREAS, as tthe.owner of said lot has agreed with the Town of (owner's name) Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining a variance from the 310 CMR 15.214 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage and to obtaining a building permit for this lot; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting the variance from 310 CMR 15.214, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this lot is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds.by recording this document, NOW THEREFORE Fd%oesKhereby � p 9 lace the following restriction on (owner's name) his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: deedr 1. -PYV-1 /.v 4 may have constructed upon the lot a house containing no (address) more than bedrooms. rees that this shall be permanent deed restriction affecting S nW located on�e-r v r��v EV y A, and being shown on the plan recorded in Plan Book' Paged _ For title of 9,qe—k ta,p►) seethe following deed: Book 1 , Page . (owner's name) Executed as a sealed instrument this ,/� f day of. (date) - i �0lf1/J1!/1iG1/ Z�� O mj9 /��f/U� TCS kll--d �9C,��VD�i/� e �r�o T/7'� r=o/2e6,-9id-C e'/Z,,T /1- �T a�'cout�rr�r BDEFDS REGISIc oY AT-f S r A TRUE COP 9 deedr BA NSTABLE REGISTRY OF DEEDS i 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:/ JOB LOCATION:/ ��'� c ,��!/ 711// 7—' kOi iV /C_n �DTU1 T n umber street \ village / "HOMEOWNER": it Z/�,L, fj'i�I� (q7F J 4 name //�� home phone# work phone# CURRENT MAILING ADDRESS: 2 �'Fcew" 15 1, R%iQ.�2 S - city/town r state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more-than one home in a two-year period shall not be considered a homeowner. Such"homeowner"'shall submit to the Building Official on a form acceptable to the Building Official,that he!she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and require s. Si a of Homeown r 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 wcrk,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 fonn/certification for use in your community. OTORMS:EXEMPTN CL PLA N REF 009129 L0T 15 FZ00D ZOArE sFRONT 30' .. LOT 2 SIDE -15' BEAR 15" AREA OF a, f •:Jj rz / AwP .V �- a CAR PLO LOT I r.l?3" 16--1 f1895 SAID r � � r, 11 PPLICAM T.- t / x U.Vl T 7, w MAFP5TC GRAPHIC S C AIDE t off(5'18)428-- C CL ' Oam60 dD 16Q SCALE.- I N=-40 CL } q� aI F 1 inch = 40 .� A.J e w•-rpw J Town of Barnstable �' Reg ulator -Ser� �oF:lHe ro�� P o� Thomas F. Geiler,Dir"r `- 3 BARNSTABLE, ]Building Division � y MASS. Tom Perry,BuildingCornniissionei r63q. �m ArEontAta 200 Main Street, Hyannis, MAr02604 ` ° www.town.barnstable.mhst: av Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: HOME OCCUPATION REGISTRATION Dale: Name: Address: Villa Name of BusinessAk AdU-------------------------------------------- 'Cype of liusiiaess: � Mali/Lot:. � � ', INTENT: It 's the intent oE`this section to I Vv the residents of the`Towin of Barnstable to operate a house occupation iiitlan single Family dwellings,subject to the provisions of Section 4-I A of the Zoning ordinance, provided that the activity shall not be discernible fi•oni outside the dwelling: there shall be no iiurease iu noise or odor no visual alteration to the premises which would suggest uaythiug other th<ui a residential use; no if ili traffic above normal resideiitial volumes; " increase in air orbrourulwater pollution. After registration milli the Building hispector, a customary home occupation shall be permitted as of right subject to the, following conditioias: , • The activity is carried on by.(he pernaarient resident of'a single Cartaily residential dwelling unit, located witlritI J that dwelling unit. • .Such use occupies no more than 400 squa e tcet of space. • There are no external�dteratious to the dwelling which are not customary in residential bUildings,'iirid there is no outside evidence of such use. • No traffic will be benernted sir excess of uornial residential,volumes. • The use does not.involve the production of offciisive noise, vibration,smoke,t.lust or other pW•ticular matter, odors, electrical disturbance, lieat,'glare,humidity or other objectionable effects. • These is no storage or use of toxic.or hM"Lar'dnar5 m<tterii.ds, or flamnnable or explosive materials,in excess of no=d Ilousela0l(I quantities. , • Any need for parking generatecl by such use shall be filet on the sanne lot c•ontair illg the Customary Home Occ•upatiou,wid-not within the required fr,Out Yard. • 'There is no exterior storage oi•display of materials or equipment. • There are no commercial vehicles related to the Customary-Home Occupatio i, other than one van or Me pick-up truck not to exceed one tors capacity, and one trifler not to exceed 20 feet iu leligtln and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sigii shall be displayed indicating the Customary Home Occupation: • If the. Custoni:uy Home Occupation is listed or adver(ised as a business,(lie street address shrill nci( be inc•hrded. • No person shall be employed in the Customary Horace Occ•ulnation IdIO istwt a pennraucn( resident of(Ire do ling 'r•t. I, the undersi d ,r Id ngr•ee mrin the above restriclions for my lioine occupation I ruin rt ' Appliian(: bate: ji YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: _ / Fill in please: APPLICANT'S YOUR NAME/S: Smd tom. , BMESS, YOUR HOME ADDRESS: � f LEPHONE # Home Telephone Number OR NAME OF"CORPORATION z NAME OF'NEW BUSINESS TYPE OF BUSINESS U S ADDRIE S OOF BUSIN SSAT YES NO MAP/PARCEL N 1 IMBERr ssessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of an p rmit requirements that pertain to this type of business. _ MHST COMPLY WITH HOME OCCUPATION A orized Signatur ** RULES AND REGULATIONS. FAILURE TO COMMENTS: m J Z I G-GIVIPLY MAY RESULT it! FINES. 2. BOARD OF HEALTH This individual has b en MVVtftf the permit requirements that pertain to this type of business.. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has a Of me the licensing requirements that pertain to this type of business. Au rized Signature** COMMENTS: /fi-) &&'g —-- -, '0? a�� j<�,�- &" UPDATE PERMIT RECORDS: ADD CHANGE DELETE PRINT FEES HELP END CHANGE RECORDS IN PERMIT TABLE PENTAMATION----------------------------------------------------------- 05/21/04 PERMIT NO. 65952 PARCEL ID 023 016 002 1895 SANTUIT-NEWTOWN ROAD PERMIT TYPE BREMOD RESIDENTIAL ALT/CONV DESCRIPTION CINVERT GARAGE TO FAM RM. STATUS C COMPLETED APPLICATION DATE 12/16/2002 DATE ISSUED 12/16/2002 EXPIRATION DATE DATE COMPLETED MASTER PERMIT VARIANCE VALUATION 19712.00 BOND 0.00 CONSTRUCTION TYPE 434 GROUP TYPE 1 CONTRACTORS OWNER PROPERTY OWNER ARCHITECTS/ ENGINEERS/OTHERS ENTER Y IF ALL ARE CORRECT OR N TO REENTER DATE OF APPLICATION oFTHE)p The Town of Barnstable BARNSTABLE. Department of Health Safety and Environmental Services Ti MASS. P O P Y a-p f6}9• �0 rfo Mpi Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection rrw Location L 9 S \ Permit Number (off I5.2 Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: y ' ?\PPc\,ec e��tnG (� \ RC -4nrn r J � 'i-`�' ((te�r, 1 _� I y, f ��C C, t C 1 P tA \ �F'1/� M�G`t 1U K i VC C� `�\L t�P,n o`-flr .U�t S iM u J J j A ' !Q F'Pc1 7 tl g3 I! Please call: 508-862-4038Qfor re-inspection. Inspected by Date z!�`1 �3� T2 8' y6 5- — 0//0 5` fry<�tl /:519ck,�,f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r Parcel 00 Permit# �p ® .-� • ,,-Health Division � Date Issued " ,/4onservation Division dC__ Fee /Tax Collect o �l� � � 52PTIC SYSTEM MUST�E ,OTreasurer . - INSTALLED IN COMPLIANC Pfaff P t WITH TITL ENVIRONMENTAL E 5 C®DE AI - D e an ppro Board TOWN REOULIR V!,17 Hi Project Street Address ./Village �wner /lr'�� Address J��o�v , . �,►u C 5 �atN-P �'elephone f Permit Request x } Squar e feet: 1 st floor: existing p= roposed YAL znd floor:existing proposed Total new' (y� Estimated Project Cos�� _Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ANo If yes,attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure M5 Historic House: ❑Yes )(No On Old King's Highway: ❑Yes J No Basement Type: AFull ❑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 e:2 Total Room Count(not including baths):existing new First Floor Room Count - Heat Type and Fuel: ❑Gas Boil ❑Electric ❑Other Central Air: ❑Yes WNo Fireplaces: Existing New_� Existing wood/coal stove: ❑Yes No Detached garage:❑existing new si ool:❑existing ❑new size Barn:0 existing El new size Attached garage: �existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Ye� XNo If yes,site plan review# Current Use a-5r/Al KL£—�lrl iL � � `Proposed Use - _ - l BUILDER INFORMATION Name- /�oY"r Telephone Number ` Address License# Home Improvement Contractor# Worker's Compensation# AL CONSTRUCTION DEBRIS RESULTIDIG FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE � DATE �✓ � � d � art n Cl 4Vf YY3 M u':� 0 � Z 2W 2 24'OEMM OW" W 1»- w lr 0 V i �10 KERN&POW PACKARD SITE PLAN -28ECAND ST. RINGS ISLAND SALISBURY.MA 01952-2523 N z:z pass 235f S.S. 1 1 f 12 12D - O.C. - 5'-6'O.C. .� 5._8.O.G. -w 6' O.C. 5 6 0 C 24'-0' 2('-0, z ;%y//M-SIDMG TO MATCH HOUSE / / 9 LT .TEE-DOOR.J 3'•0' t 6'-6' 3X 6/6 TO MATCH HOUSE LEFT SIDE FRONT R,G1JTSIDE P 2 X 10 RIDGE POLE 5/4 X 6 COLLAR TIES 32' O.C. 1/2'COX SHEAh11NG 6' X 12' X .5' WALL X 26'-0' LG STEEL BEAM 2 X 8 RAFTERS. I O.C. 8'-0' 3/4' CDX DECKING 2 X 8 JOISTS, 16' O.C. DOUBLE 2 x 4 N8O9ER pL/9 T� 2 X 4 WALL STUDS 8'-0' STUD LENGTH "I X 4 1/2'cox SHEATHING 2 X 6 PLATE FRAMING DETAIL 4" FROST WALL, 8" ABOVE GRADE 0'-4" T \� 26'-0" 1'y- " LI Fes-2'-0" 8'-44" 24'-0" FOUNDATION PLAN r To �= Date Time W i YOU WERE OU (I M E,ki. F31hor,e 0--- Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message Operator AMPAD M-M-200 SETS EFFICIENCY• 23.421-400 SETS CARBON1.4 f-.-�_.___�:__ r �,� f 1�� e l l� :-� TOWN OF BARNSTABLE BUILDING DEPARTMENT COMPLAINT/INQUIRY REPORT r Date L Rec'd By Assessor's No. Last Name First Name ORIGINATOR Street aioZ 6 Village State Zip Tele hone: Home �/Z� _ 1/73 Work Description: _L,-tOMPLAINT Lzw INQUIRY Requestor's Signature COMPLAINT, Street Address ��✓ / �; _ A � P„�.T �` LOCATION N , A= OFFICE USE ONLY INSPECTOR'S Date- ,5-lqhr,, Ins ector ACTION/ COMMENTS S o -e L C� 1p, (4 FOLLOW-UP ACTION V ADDITIONAL INFO. ATTACHED COPY DISTRIBUTION: WHITE - DEPARTMENT FILE YELLOW - INSPECTOR . PINK - INSPECTOR (RETURN TO OFFICE MGR.) 9 7 l PH0t11E,CAL a I A.M. FOR DATE -TIME P.M. M PHONED OF 77 RETURNED ' PHONE YOUR CALL AREA CODE NUMBER EXTENSIO ALL MESS E WILL CALL` e2.e>� •— AGAIN GAME To SEE.YOU Vt/ANT5 T0' SEE YOU dniversOf'*- 48003 NOTES - IMPORTANT MESSAGE For 1� A.M. Day J Time P.M. M Of Phone FAX Area Code Number Extension MOBILE Area Code Number Extension Telephoned Returned your call RUSH Came to see you Please call Special attention Wants to see you Will call again CallerT hold Mes e r d Signed u �- r niversal 48023 , (J� LITHO IN U.S.A. { .r -- - -- - -- - - 4 ,Y __,_,._ .. ____-- _ _��_��___ __�_ t _._ __�Y _ �_. .-.r I 1 . ' TOWN OF BARNSTABLE BUILDING PERMIT-APPLICATION K, Z ap Parcel Q Permit# ,,,-Health Division Date Issued 6"g'1! ,/G`onsenration Division �Z2_ ` = Fee, 00 /Tax Collector � SEPTIC SYSTEM MUST BE ✓Treasurer . - INSTALLED IN COMPLIAN WITH'TITLE 5 C PJaMIIIg DP,pt �` ENVIRONMENTAL D e an ro Board ``' L CODE AND PP TOWN RECULATI �,5 Hi Project Street Address I T ' E9 `d 1 �illage caner/(S FZ � �. —�2YJ Address J� eo�v� /,KJ 5 .,r4N ,, ;relephone ��'7�� {�J �/�� t �l��1�R �� 0,01- D'!�l�yZ Permit Request X Square feet: 1 st floor: existing proposed�nd floor:existing proposed Total new �yZ ✓ Estimated Project Cos ,iTD Zoning District Flood Plain Groundwater Overlay Construction Type `,V _ Lot Size 1, /Z ,.ems Grandfathered: ❑Yes No If yes,attach supporting documentation. Dwelling Type: Single Family , Two Family ❑ Multi-Family(#units) Age of Existing Structure 5 Historic House: ❑Yes XNo On Old King's Highway: ❑Yes XNo Basement Type: XFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) �J ,G 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: Cl Gas Boil ❑Electric ❑Other. .Central Air: ❑Yes WNo Fireplaces: Existing Newer Existing wood/coal stove: ❑Yes 9No F Detached garage:❑existing Xnew si z4. ool:❑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 ❑Ye#- XNo If yes, site plan review# Current Use -!UA/ � Proposed Use - iL J/9At BUILDER INFORMATION Name �� . Telephone.Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTI G FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Za - >' FOR OFFICIAL USE ONLY } PERMIT NO. + 1 _ DATE ISSUED R' MAP/PARCEL NO. S ' ADDRESS VILLAGE OWNER DATE OF INSPECTIONvi t x ;E FOUNDATION1 _ FRAME -'�• INSULATION f FIREPLACE ELECTRICAL: ROUGH < FINNAL PLUMBING: ROUGH . • Y FINAL GAS: `ROUGH: "-Mi F c FINAL FINAL BUILDING �I DATE CLOSED OUT ASSOCIATION PLAN NO. The Town of Barnstable RAJIMA IL 9SKAS& Department of Health Safety and Environmental Services �► ' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building'Commissioner Permit no. Date AFFIDAVIT 'HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition, or construction of an addition to any preexisting owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: " `' Estimated Cost Address of Work: ,,-CSwner's Name:_ T Z F4:�I!f f}—/2 P �te of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law blob Under S 1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IWROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR Date Owner's Name q:formu:Affidav --- - --- The Commonwealth of Massachusetts Department of Industrial Accidents Office of/nyestigatians - � - s: 600 Washington Street :;. Boston,Mass. 02111 Workers' CoT ,pensation Insurance Affidavit ,--"name: --,-<ocation: c/ 4tt, I am a homeowner performing all work myself. ❑ 1 am a sole proprietor and have no one workin in any ca acity %%%/ e //%%�D%/%%%%////%%%%%��%///%%%%/%%%%/%%%%%%%%%%�%�%%%%%��/////////;;;�;; ❑ I am an employer providing workers' compensation for my employees working on this job. compnnv name address: city: phone#: insurance co. polim# e ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the follo«ing workers' compensation polices: company name: address: dtv: phone#: insurnnce co. ... olicv comnanv name: address: city^ phone#: insurance co. olicv# " < », ... Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one vests'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify�un:V-rheairs and pen tes iperju that the information provided above is tr and correct Signatur Date CZ-/f _ Print name Phone# �1 Ccontac,t use only do not write in this area to be completed by city or town otIIciai own: permit/llcense# ❑Building Department ❑Licensing Board k if immediate response is required ❑Selectmen's Office ❑Health Department person: phone#; ❑Other (rmsca 9i95 P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any coax--,:.:, 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 recmve: c: 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 be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who..has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you. ed to obtain a workers'are requucompensation policy, please call the Department at the number listed below. City or Towns e be sure that the affidavit is complete and Pleas p 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 regardingthe li Please g Y applicant be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Invesugadons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 Tabl..lsz>�« ?=m7ptt.a Pukaps for One and TwaqamdY lietdmdai Batldlap Seated with Form Fuck MAXIMUM MINIMUM akiing Glazing Cdmg Wall I Flow 8aacom Slab Smog/Caoling Arm'('h) U value= R�valrrem &Val=$. &value! Wall Aetaacm wd=e PX*W &"Joe &valuer 5"1 to 6600 Head"10e6esa UAW Q IZY. 0.40 3E 1 13 19 10 6 Normal it 12% OM 30 19 19 -10' 6— Normal S 12•A 0.50 33 13 19 10 6 iS AFUE T 13% 0.36 3f 13 2S WA WA Normal U 13% 0.46 38 19 19 10 6 Normal V ISMS 0.44 38 13 2S WA WA 15 AFUE W 13% 0.32 30 19 19 10 6 13 AFUE X 12% 0.32 3E 13 23 WA WA Normal Y 130A &42 38 19 2S WA WA Normal t 13% 0.42 32 13 19 10 6 90 AFUE AA Ir/. 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: ( LTV 7 0 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: A 3. SQUARE FOOTAGE OF ALL GLAZING; 4. %GLAZING AREA(#3 DIVIDED BY#2): ®a 1 S. SELECT PACKAGE(Q—AA-see chart above): 7 NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS AR�EE AVAILABLE. ASK US FO THIS IWORMATION.. l � BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-t980303a ,�� Footnotes to Table J5.7-1b: Glaring area is the ratio of the area of the glazing assemblies (including sliding-glass doors, slcylig ts, 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 f of glazing aria. '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 takes from Table JI.5.3a. U-i alues 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 3 8 insulation and R 38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing,and interior drywall.For example,an R 19-requirement could be met EITHER by R 19 cavity insulation OR R 13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction: 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the c effing requimmems. `The entire opaque portion of any individual basement wail 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 glaring. Basement doors must meet the door U-value requirement described in Note b. The R-value requirements•am for unheated slabs.Add an additional R 2 for heated slabs. 'If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J52-la ROTES: a)Glaring areas and U-values am 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 thaw 035. 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 J1.53b. 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 035). c)If a ceiling,wail,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). 43 °Fr+E' o Department of Health Safety and Environmental Services b Building Division EBLAIRI�''mI ` 367 Main Street,Hyannis MA 02601 r�ASS 059. `e$ Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print � DATE. JOB LOCATION: ,� `� _ ��/1/TU Co `xU ( D T/// f number street village OME0WNER": ame 'home phone# work phone# CURRENT MAILING ADDRESS: S rO It"1� /I NTH Od 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 buildkMXg mit. (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 req/uiremen Signatu of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. QTORMS:EXEMPT ® � BREAST CANCER Keith Packard `` .� .------- 2 2nd Sf. P Salisbury MA'0.1952 2525 20 Nov g _ 4 :, USA First-Class i y sarr�Ca 1?lt lilt lri;l f ijttij1},'l1 lilt 1l1::t1114t,ifII11IIIdIllIdiIli � ,. � ,. � '� / / -� � �� ,� �- �� '� � �` ., -,` ./ _ ``�.. ` � ,`� t � �t iti� �Ritc � �i��i� � � its:�Ei�� i c � t� i � u 0 �; i f Ll O�e'�t _ 7 /14�7� 1 1 I f a I A� ` Keith Packard 2 2nd St. Salisbury,MA 01952-2525 4 � 1 4 1 ru f 1 `� 't�",��r ,,;t "' �,; �?l:Ae".�'�' (ail � r { � �•� �,..� . �:� r.= ��`91u ...fir �' � �}' 4, _ - '^--�'~ � ., � ,, �. � � _ S'�� ►J t...,.., �' �'`� ,. 9 `Z ,.. .. a Yl ,. -•a-� r ' :L _ FONT -ELEVATION YO I Li.Y - •;r �t f "fs rf r ! 1 �:�,�,� --•,�r" �"�� k��•�, w .�,, --•�+,' . r�!t-.� �._F�-�� i F' �::ti '�+{ i Al G.t 1.,.�' � . a f.,H 11.:.,h:. .. 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