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HomeMy WebLinkAbout0071 SCHOOL STREET TOWN OF BARNSTABLE BUILDING>PERMIT APPLICATION Map 035-- TOWN OF BAP RNSTATTE Parcel ® ( Application # v Health Division ? �LA - 5 A!"', k 0 6 Date Issued Conservation Division Application F' Planning Dept. >�a. Permit Fee s s i Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Yr Village. P_hnd /1 3K'�j 1y �7x7�-- Address l S��fjp;�. Telephone "2- t7 e7 0 Permit Request 9J6P1-/V-'A_ b ;1 "Iwo 'D d/9ob 4w �iil� � Square feet: 1 st floor: existing zffigproposed 4JA41�_ 2nd floor: existing �' proposedALM®Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ArOO Construction TypeG v IJ00R Lot Size Grandfathered: ❑Yes - .No If yes, attach supporting documentation. Dwelling Type: Single Family J& Two Family -❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes Ad No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ' UWalkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) 77 Number of Baths: Full: existing 2, new Q Half: existing 0 new 0 Number of Bedrooms: existing 0 new Total Room Count (not including baths): existing S' new 6 First Floor Room Count Heat Type and Fuel: IX Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes bd No Fireplaces: Existing New 0 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:16 existing ❑ new size•00 Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes VLNo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 0s'``1�/�"���6 Address �'��-1 1'� I fs License # 1406 E Home Improvement Contractor# IM 9 7 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOd�� i SIGNATURE �'l' DATE i I ,Y FOR OFFICIAL USE ONLY :{ APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE - I OWNER ' 1 } r DATE OF INSPECTION: .FRAME a dNSULATION►_ ,r,• s FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT. ASSOCIATION PLAN NO. r the Coanmo rnwak i of Uassachusetts Department of l`a dusaial Accidents 600 T3rrayhington&reet Boston,MA02111 wnhv.masmgot1dira Workers' CampensatianlnsnrauceA fidavit:BuilderslCflntractors/Eiectricians/Plumbers Applicant Information Please Print Legibly_ Name Musin�organizafioallndividml)_ -- Address_ 6 City/Statr_IZip: 14A f1w/'A5�E Phone 47---n et, Aire you an employer?Check the appropriate box: Type of o't ct(required): 4. I am a contractor and I In I 1.❑ I am a employer with ❑ 6- ❑New oonstructim employees(full and/or part-time).* have hired the 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 w for mein an capacity. employees and have workers' ork?ng y 1 9_ ❑Building addition (No workers' camp.insurance comp-insurance. required-] 5..❑ We are a corporation and its 10_❑Electrical repairs or additions 1❑ I am a homeowner doing all work officers ha-m exercised their 11.0 Plumbing repairs or additions myself o workers' right of exemption per MGL 12.. Roof insurance -]1 c-152,§1(4),an we have no ❑ repairs 13_❑Other employees-INC'workers' comp-insurance required..] *Any Wlicaut that thus boa 91 mast also M out the section below shnwmg ibeir wa�c¢s'compenssiiau polity inft�rnzat T Homeowners Who sabniit this sffidz=indicating they are doing all vrA sad they bite outside coutiactors inns#submit a new affidarit md'icaming mdi_ tContcactors that chaa this boot must attsched an additional sheet showing the name of the s*-contacUoa and ststE whether ocnot those lisve Employees If the soh-contnictnts hate employees,they nnut provide their warkers'comp.policy number. .,Tam an omptoyer iliac is protid&W it orke-m'compertsahon insrtrarice for nzy enrplbyeers Below is Ste pagey and job site information. Insurance Company Name: Policy 9 or Self-ins.Lac.;.�_ 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 regda-ed under Section 25A of MGL c 152 can lead to the imposition of c i inal penalties of a fine up to S1,500.00 and/or one-yearimpris t,as well as civil penalties in the.form of a STOP WORK ORDER and a fiw of up to$250-00 a day against the violator_ Be advised that a copy of this statement maybe forwarded to the Office of Investigations of f}ie DIA for insurance cm-erage veriffcatton- I do hereby cierhfy under tke pruns andpenalfies ofperfury at the info ormation prinidd ed+above is tom and correct Signature: Date: -!� //yz/,V. Phone# ()0 cial use only. Do not(mite in fhis area,to be completed by cio or town official City or Town:. Permit/Liceuse# ISsuina Authority(circle one): 1.Board of Health 2.Building Department 3.CitVFown Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an ernployee 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 be an employer." MGL chapter 152, §25C(6)also states that"every state or IocaI 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 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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,U necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their ceriincatc-(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. De 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. 71}e 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 that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant_ Please be sure to fill in the permit/license number which will be used as a reference number. In addition;an applicant that must submit multiple permitllicense applications in any given year,need only submit one af5da.vit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth of Massachusetts Depaitnent of Industrial Accidents Office of lave, t Otions 600 Washington Street Boston,MA G2111 Tel A 617--727-4900 W 406 or 1-8 MASWE Revised 4-24-07 Fax 4 6I7-727-7749 www.nnassgovfdia � ETti Town of Barnstable , Regulatory Services � ' ,iE$ Richard V.Scali,Director 639. a Building Division 200 Main Street,Hyannis,MA_02601 www.town.barnstable.ma.us Office: 508-862-4038 _ - Fax: 508-790-6230 . Property Owner.Must_ - - —Complete and Sign This-Section - - - -� if Using A Builder. I, go)z oA) I-Y�41.L_ , as Owner of the subject property hereby authorize / c7�j /__� �,j�/p�j� 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 e Signature of Applicant a Print Name Print Name Date Q:FO RMS:O WNERPERMISSIOI,TPOOLS Town of Barnstable Regulatory Services �aF-nte raty� Richard V_ScaIi,Director t � - Building Division t saxivsT�r Tom Perry,Building Commissioner 1 �w� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Pax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: =- JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone irr CURRENT MAII.ING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of sit 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;_dawhich 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, rules and re ations. _ bylaws, _ � 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. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. '� � HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)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,RuIes &RegtiIationI for Licensing Construction Supervisors,Section 2.15) This tack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form certification for use in your community. Q:\WPFILES\FORMS\building permit fb=\EXPRESS.doc Revised 06 13 13 f - y i1 M J x P Poor s f 5 Awo AW j I � — a4 $ A r Z g L r �. L • r h:.AWL Massachusetts - Dc?artrnent of Public Safety Board of Building Regulations and Standards • Ci;:icirrlctiott Sul7s:nts+i.r License: CS-061438 ,, ROBERT T ELLSWORTH. 69 PALMER RD ?"A ' MASHPEE MA Q649 J.•G..+ �1 ,. '} leis Expiration , Commissio er 1'0/15/2015j f - R %ns 1 orAffairr�e Business anon License or registration valid for individul use only �•, Office of Consumer Affairs&'Business Regulation g Y _ <� _FIOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: "'— ire istration: 178522 Office of Consumer Affairs and Business Regulation .��_. 9 Type:,� _ g �? %Kj xpiration: 4/23/2016 Individual' 10 Park Plaza-Suite 5170 Boston,MA 02116 ROBERT T. ELLSWORTH ELLSWORTH 69 PALMER RD MASHPEE,MA 02649' Undersecretary Not valid without signature r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0.3" Parcel Application #r3c) ` Health Division Date Issued hs))I Conservation Division �JI� Application FeqJ1 G Planning Dept. Permit Fee LOV Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 7/ .SGWoo 5-51111 Village O 7c.,-?T Owner GOAZDoA.1 /-✓-ALL Address 7/ SC E 17' Telephone 5-01eF- 412 g • 3 7 70 Permit Request COA1571ole-1 101CX1ZZA011. p4e_A� 12- kly� Square feet: 1 st floor: existing/ 595proposed 2nd floor: existing/09/ proposed Now Total new A/oyA� Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Pr PAO.*-/4 Lot Size . 1.3t A. Grandfathered: ❑Yes Jil-No ' If yes, attach supporting documentation. Dwelling Type: Single Family 9 Two Family ❑ Multi-Family (# units) Age of Existing Structure //2 Y S Historic House: ❑Yes !S No On Old King's Highway: ❑Yes ® No Basement Type: ❑ Full ❑ Crawl M Walkout ❑ Other Basement Finished Area (sq.ft.) 0 Basement Unfinished Area (sq.ft) /`t27 Number of Baths: Full: existing 2- new ii/O, 1,r Half: existing O new 1tiyyC Number of Bedrooms: existing O new Total Room Count (not including baths): existing new a First Floor Room Count Heat Type and Fuel: aGas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes U No Fireplaces: Existing New O Existing wood/coal stove: ❑Yes ❑ No Detached garage:ram existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed:W existing ❑ new size _ Other: 'I Zoning Board of Appeals Authorization ❑ Appeal # Recorded 0 =: a Commercial ❑Yes X No If yes, site plan review# -i Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name RO&AO.47' r Telephone Number Jr® "2 7q. 1O Z6 Address __ A 9 VX,4RA 12 R_PD License # C5 04./Y3 0 Z6g9 Home Improvement Contractor# % 7 6 S2-2o Email /Yl e,,/G 20 16 e-0M"57,.A/ST Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO '®y SIGNATURE ��/2%� DATE �7 ` FOR OFFICIAL USE ONLY S APPLICATION# DATE ISSUED l - - ` MAP/PARCEL NO. p' • 1 ADDRESS VILLAGE OWNER a " DATE OF INSPECTION: FOUNDATION FRAME F INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING f0 1,W DATE:CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affiidavit.,Builders/Contractors/EIectricians/Plumbers Applicant Information Please Print Legibly Name(Business/Oro nization4 div : %ZMAXT 04-7 ! Address: 6 9 - PI Lm CK R.D. City/State/Zip: S11A Q Phone#: ®� 7 - Are you an employer?Check the appropriate box. C Type of project(required): 1.El I am a employer with 4. []I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.g�I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees 'These subcontractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. Buildingaddition [No workers'comp. insurance comp•insu ance.t ❑ 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 11.❑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 13.LK Other U& employees. [No workers' comp.insurance required.] *Any applicant that cbecks box#1 must also fill out the section below showing their workers'compensation policy informalioa. 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 Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50-0.00 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 pe ' that the information provided above is tru and correct Si ature: Date. 7 2-1 1, r Phone#: ..7 -08- 2 Zy- 3,52 Of use only. Do not write in this area,to be completed by city or town of cial City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: -Information and Instructions ' Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 be an employer." MGL chapter 152;§25C(t7 also states that"every state or IocaI 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 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 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 f Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. . The Department's address,telephone and fax number. The Commonwealth of Massachusetts ` Department of Industrial Accidents Office of Xnvestigations 600 Washi4ou Sfteet Boston,MA 02111 Tel,#617-727-4900 ext 406 or 1-877-MASSAFE Fax 9 617-727-7749 Revised 4-24-07 www.mas5.gov/dia r a Massachusetts oc)artment of Public Satety Board of Building Regulations and Standards C+iiistrtiction Suiaer' %()1' License: CS-081438 / f'i l ROBERT T ELL7VOR 69 PALMER RD w , MASBPEE MA 62649, ''; t� Expiration • ` ��� a.J—,.(,.,,.�1�G�• a . 1019512Q15 Conirnissioner r�/c`fr�ai/t��rrnuJec/lf/r o�n,ll�c;,;�iclrr�e/f; ', • \. Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: r 11 jegistration: 17g522 Type:' Office pfConsumer:Affairs and Business Regulation xpiration: 4/23/2016 Individual 10 Park Plaza-Suite 5170 ^ !. Boston,MA 02116 ROBERT T.ELLSWORTH: ROBERT ELLSWORTH 69 PALMER RD MASHPEE,MA 02649 Undersecretary, - Not valid without signature ires1 JLJLO L[LU1G Regulatory Services MA&- p Thomas F.Ger7er,Director Building Divmon Tom P Banding C�'r'9, ommirsioner , • 200 Main St vet;Hy=tms,MA 02601 wwwAmn.barnstable.ma.us Office: 50$-862-403$ Pax: 50$-790-6230 Property Owner Must Complete•and Sign This Section t4 L-i Min .A Bl-iUd L 4 ' • d I, 2 D 0/1/` as O•wnet of the mbjectpropert hereby authorize t �.� { rf to act on rby b In all matters relative to.work authorized by this building peulZit (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools r are not to be filled or utilized before fence is installed and all final' inspections are performed and accepted.. Sgn3;ti a G'wues' Signature of Applicant' C� aal .3. t ILL Print Name Print Name Date _ QTORMS:owNERPE1tMEWNPODrs 6aD17, o 'f op BARNSTABLE 2014 MIT la, 00 P VG' C 4,r4 X 044/pf ez )a4 xmro all Is I aa -lP son If X )--�i �c.-Vd 2 '/0 r _ . o � G oop IWAJ .\lc� r � f� J O7 .�G�07- 41-00;!F t OO . ,e W. i 3: �r Table 1. Common preservative treatments and retention levels (pcf) for sawn lumber in ground contact.a Species ACQ-B ACQ-C ACQ-D CA-13 CuN-W Southern Pine 0.40 0.40 0.40 0'.21 0.11 Douglas Fir-Larch 0.40 0.40 NR 0.21 0.11 Hem-Fir 0.40 0.40 0.40 0.21 0.11 Ponderosa Pine 0.40 0.40 0.40 0.21 0.11 Red Pine 0.40 OAQ Q,40 0.21 0.11 Spruce-Pine-Fir NR 0.40 NR NR NR Redwood NR NR NR 'NR NR a Preservatives and retentions listed in Table 1 are based on the American Wood Protection Association(AWPA) Book of Standards. NR=Treatments Not Recommended. DECKING REQUIREMENTS Decking not meeting these requirements may be All decking material shall be composed of dimension substituted when the product has been approved by the lumber(2" nominal thickness)or span rated decking in authority having jurisdiction. accordance with the American Lumber Standard Committee Policy for EvG luati(?n of Recommended JOIST SIZE Spans for Span Rated Decking Products (November 5, The span of a joist is measured from the centerline of 2004). Attach decking to each joist with 2-8d threaded bearing at one end of the joist to the centerline of bearing nails or 248 screws. Space decking boards at the other end of the joist and does not inc ude the approximately `/g" apart. See Figure 11 for decking length of the overhangs.Use Table 2 to determine joist connection requirements at the rim joist. Decking may span based on lumber size and joist spacing. See Figure be placed from an angle perpendicular to the joists to an 1 and Figure 2 for joist,span types. angle of 45 degrees to the joists. Each segment of decking must bear on a minimum of 4 joists (or 4 supports). r Table 2. Maximum joist Spans (Li_ Joist Spacing (o,c,) Without Overhangs' With Overhangs up to L,/42 Species Size 121' - l6" 24" 12" 1611 24" 2x8 .13' -8" 12'-5" 10'- 2 10'- 9" 10'-9 10'-2" Southern Pine ; 2x1_0 IT -5" 15' 10" 13'- 1" 15'-6" 15- 6" 13'- 1" - 2x12 18' -0" 18'-0" 15'- 5" 18'-0" 18' - 0" 15'-5" 2x8 12' 6" 11'- 1" 9' 1" 9'-5" 9'-5" 9'- 1' Douglas Fir- Larch, Hem-Fir, 2x10 15'- 8" 13'- 7" 11'- 1" 13'-7" 13'-7" 11'- 1" SPF3 2x12 18' -0" 15'-9" 12'- 10" 18'-0" 15'- 9" 12' -10" Redwood, 2x8 11'- 8" 10' -7" 8'- 8" 8' -6" . 8'-6" 8' -6" Western Cedarsd 2x10 14' - 11" 13' - 0" 10'- 7" 12'-.3" 12'- 3" 10'-7" Ponderosa Pine , Red Pine 4 2x12 17'-5" 15'- 1" 12'-4" ' 16'-5" 15'- 1 12'-4 1.Assumes 40 psf live load, 10 psf dead load,1_/360 deflection,No.2 grade,and wet service conditions. $ee Figure 1B. 2.Assumes 40 psf live load, 10 psf dead load,L/180 cantilever deflection with 220 lb point load, No.2 grade,and wet service conditions.See Figure I and Figure 2. 3.Incising assumed for refractory species including Douglas fir-larch,hem-fir,and spruce-pine-fir. 4.Design values based on northern species with no incising assumed. American Forest&Paper Association i -; F-I IFTE oil PI MITTIM1717410 MY lipi Figure — g e 1A. Joist Span Deck Attached at House and Bearing Over Beam op ' al overhang existing wall -=311�3;_=7C==] rim joist Foist hanger beam (flus tight bearing) jol ledger oard post U/4 maximum Joist Span (L# see Table 2. overhang Figure 1B. Joist Span =:JoistsAttached,.at,House�and:to:Side of Beam -7 joist existing wall ----► beam* joist hanger joist hanger *Note: beam depth must be equal to or greater than joist ledger board depth if joist hangers are used post 1 Joist Span (Li): see Table 2 R Figure 2. Joist Span —Free Standing Deck option overhang tional overhang rim joist r joist be %h ' — bea ,-(flus ht joi (flush, ht bearing) post bearing) post U/4 maximum Joist Span (Li): see Table 2 U/4 maximum overhang overhang American Wood Council 4 PRESCRIPTIVE RESIDENTIAL WOOD- 1 1 1GUIDE * `'BEAM SIZE &ASSEMBLY REQUIREMENTS , Joists shall not frame in from opposite sides of the same Deck beam spans shall be in accordance with"fable 3 , beam. See JOIST-TO-BEAM CONNECTION details, and can extend past the post centerline up to LB/4 as Figure 6. shown in Figure 3. Joists may bear on the beam and' Where multiple 2x members are used,the deck's beam is extend past the beam centerline up to LJ/4 as shown in assembled by attaching the members identified in Table Figures I and 2, or the joists may attach to the side of 3 in accordance with Figure 4. [Table R602.3'(l)] the beam with joist hangers as shown in Figure 1 B. Table'3.'Deck Beam'Spans(LB)'16r idists F:ramiing:from'One`Side'Only`-7 Joist Spans (Li) Less Than or Equal to:. Species Size 6' 8' 10, t1i2l 14' 16' 18' 2-2x6 7' - 1" 6'=2" 5' -6" 51 -011 4'-8" 4'-4'.' ti 4 - 1" 2-2x8 9' -2" -7'- 11" 7' - 1" 6'-6" 6' -0" 5' -7 5'_-3" 2-2x10 1V- 10" 10' -3" 9'-2" 8' -5" T -9 7'.-3" 6'- 10" Southern 2-2xl2 13'- 11" 12'-0" 10'-9" 9'- 10" 9' 1" 8'-6" 8' -0" Pine 3-2x6 8' -7" 7'-8" 6'- 11" 6' -3" 5'- 10" 5' -51'' 5' -2" 3-2x8 11'_-4" 9'- 11" 8'- 11" 8' -1" 7' -6" T -0" 6'-7" 3-2x10 14' -5" 12' - 10" 11'-6" 10' -6" 9' -9" 9'- 1" 8' _7" �' '3-2x12 17' -5" 15' - 1" 13' -6 12--�4'R-; 11' -5" 10' -8" 10' - 1" 3x6or2-2x6 5'_=5" -4' -8" 4' -2" 3'- 10"` 3' -6 T- 1" 2'-9" 3x8or2-2x8 6' - 10" 5' - 11" 5' -4" 4' - 10" 4' -6" 4' - 1" 3'-8" Douglas � Fir- 3x10 or 2-2x10 8' -4" 71-31f 61 -6,1 5 - 1111 51 -611 51 - 1" 4' -8„ Larch 2, 3x12 or 2-2x12 9'-8" 8' -5" 7' -6" 6'- 10" 6' -4" 5'- 11" 5'-7" Hem-FV, 4x6 6'-5" 5'-6" 4'- 11" 4'-6 4' -2" 3'- 11" 3' -8" SPF2, 4x8 8'-5" 7' - 3" 6'-6 5'- 11" 5'-6" 5'-2" _ 4'- 10" Redwood, �_ �� � _ ,� � ,� � �r _ � � � � Western 4x10 9 11 8 7 7 -8 7 -0 - 6 -6 6 - 1 ' 5 -4 Cedars, 012 11' -5" 9'- 11" 8'- 10" 8'- 1" 7'-6" 7'-0" 6'-7" Ponderosa 3-2x6 7'-4" 6'-8" 6'-0 5176" 5' - 1" 4'-9" 4'-6" ' Pine 3, Red 3-2x8 9' -8" 8'-6" 7' -7" 6'- 11" 6' -5" 6' -0" Pine 5' -8" _ 3-2x10 12' -0" 10' 5" 9' -4" 6' -6" 7'- 10" T-4" 6' -11" 3-2x12 13' 11" 12'- 1" 10'-9" 9'- 10" 9' - 1" 8'-6" 8'- 1" 1. Assumes 40 psf live load, 10 psf dead load,L/360 simple span beam deflection limit,L/180 cantilever deflection limit,No.2 grade,and wet service conditions. 2. Incising assumed for refractory species including Douglas fir-larch, hem-fir,and spruce-pine-fir. 3. Design values based on northern species with no incising assumed. 4. Beam depth must be equal to or greater than joist depth if joist hangers are used(see Figure 6,Option 3). Figure 3: Beam Span Types' joists above optional overhang (may FA occur at each end) IVI IVI IV 1V1 IAI [At IA: IAI t t L---- beam beam splices at interior post, typical post locations ' �-- 1-9/4 max. beam span (Ls): see Table 3 beam span (Le): see Table 3 Ls/4 max.. overhang overhang JOIST-TO-BEAM CONNECTION clips used as shown in Option 2 must have a minimum capacity of 100 lbs in both uplift and lateral load Each joist shall be attached to the beam as shown in directions. Joists may also attach to the side of the beam Figure 6. Joists may bear on and overhang past the beam with joist hangers per Option 3. Joists shall not frame in a maximum of Li/4. Use Option 1 or Option 2 to attach from opposite sides of the same beam. See JOIST the joist to the beam. Option 1 shall only be used if the HANGERS for more information.Hangers, clips, and deck is attached to the house with a ledger(see mechanical fasteners shall be galvanized or stainless LEDGER ATTACHMENT REQUIREMENT'S)or as steel(see MINIMUM REQUIREMENTS). shown in Figure 23. Mechanical fasteners or hurricane Figure 6: Joist-to-Beam Detail 3-8d threaded OPTION * OPTION.2** OPTION'3** chanica toe nails m and "Dist fast er or top of beam 1 (2 on one side, joist must be at same' 1 o e other)\ hurrica clip han er 9 elevation *Option 1 shall only be used if deck is attached beam to house Xt **see manufacturer's recommendations for additional requirements JOIST HANGERS,� Figure 7: Typical Joist Hangers Joist hangers, as shown in Figure 7, shall each have a joist hanger with inside flanges minimum download capacity in accordance with Table 3A. The joist hanger shall be selected from an approved manufacturer's product data based on the dimensions of ° ° ° the joist or header it is carrying. Joist hangers shall be ° ° ° ° galvanized or stainless steel (see MINIMUM ° REQUIREMENTS). ° ° ° Use joist hangers with inside flanges when clearances to o ° the edge of the beam or ledger board dictate. Do not use ° clip angles or brackets to support joists. ° ° ° Table 3A: Joist Hanger Download Capacity Joist Size Minimum Capacity,.Ibs 2x8 600 2x10. 700 2x12 800 POST REQUIREMENTS notching the 6x6 as shown in Figure 8 or by providing All deck post sizes shall be 6x6 (nominal) or larger, and an approved post cap to connect the beam and post as the maximum height shall be 14'-0" measured to the shown in Figure 10. All 3-ply beams shall be connected underside of the beam. Posts shall be centered on to the post by a post cap.All thru-bolts shall have footings. Cut ends of posts shall be field treated with an washers under the bolt head and nut. Attachment of the approved preservative(such as copper naphtliemte) beam to the side of the post without notching is [R402.1.2]. The beam shall be attached to the post by prohibited(see Figure 9). American Forest&Paper Association ;,a; r • • r r • • r 'Figure 14. General Attachment of Ledger Board to 13and Joist or Rim Board ¢f remove siding at ledger exterior sheathing prior to installation existing stud wall threshold carefully flashed and caulked to prevent water intrusion existing 2x band joist continuous flashin or 1"minimum 9 EWP rim board extending past joist hanger 2"min. deck joist 1-5/8"min. 5"max. 2"-min. 1/2"diameter lag 2x.floor joist, screws or wood 1-joist, through-bolts with or MPCWT washers joist hanger existing - foundation wall 2x ledger board; must be greater than or equal to the depth of the deck joist and no greater than the depth of the band joist' Figure 15. Attachment of Ledger Board to Found ton Wall(Concrete or Solid Masonry) embed anchors per manufacturer re mendations to res corrosion and decay, —this area uld be caulked dUU ist exis" concrete or solid sonry wall n . 1/2"diameter approved expansion, oxy, or adhesive and rs with washers • joist hanger 2x ledger board;must be gre er than or equal to the size of the jo' : Figure 16. Attachment of Ledger Board to Foundation Wall (Hollow Masonry) embed anchors per manufacturer to resist rosion and recommendations ' decay,this a should be caulked exis 4 hollow deck joist masonry li /2"diameter approved block cells filled e y or adhesive with grout or .anch with washers concrete at anchor locations joist hanger (new construction) 18" 2x ledger board;must be greater block wall than or equal to the size of the joist minimum American Forest&Paper Association i r r r r r r r Y FREE-STANDING DECKS EXISTING HOUSE FOOTING IF LOCATED Decks which are free-standing do not utilize the exterior. CLOSER THAN 5'-0" TO AN EXISTING HOUSE t wall of the existing house to support vertical loads(see WALL(see Figure 2 and Figure 12).For houses with Figure 21); instead, an additional beam with posts is basements,a cylindrical footing(caisson) is provided at or within L/4 of the existing house. THE reconunended to minimize required excavation at the ASSOCIATED DECK POST FOOTINGS SHALL BE basement wall. Beam size is determined by Table 3. PLACED AT THE SAME ELEVATION AS THE Figure 21. Free-Standing Deck rim* t rim \� joist \ \•,,�''y /�,/- � I -joist overhan i existing-house foundation wall beam,J ~� posts 1 deck footings must be at. i —joists same elevation as install diagona sting house footing Per Figure 22 DECK STABILITY Decks greater than 2 feet above.grade shall be provided with diagonal bracing. Figure 22. Diagonal Bracing Requirements provide blocking when joists do not align with posts 0 cV. iv beam 21 beam 2' - joist at post ca 2x4, typical (1) 3/8"diameter locations E thru-bolt with o washers,.typical �t TJ ;BRACING PARALLEL TO BEAM "BRACING-PERPENDICULAR TO•BEAM American Wood Council . GUARD POST ATTACI3M�NTS jciisis shall be attached to the i itn joist in accordance �� Deck guard posts shall be a minimum 4x4 (nominal) with Figure 26. Only hold down anchor models meeting with an adjusted bending design value not less than these minimum requirements shall be used.Hold down 1,100 psi. anchors shall have a minimum allowable tension-load of 1,800 pounds for a 36" maximum rail height and be Guard posts for guards which run parallel to the deck, installed in accordance with the manufacturer's joists shall be attached to the outside joist per Figure 25. instructions. Guard posts for guards that run perpendicular to.the deck Tigure.25. Guard Post.to Outside-Joist'Example see FIGURE 24 for guard *guard posts can be installed as component attachment shown in Figure 26(between joists) guard posts may be requirements if blocking is installed as shown below located on either side , within 12"of each side of the post of the outside-joist at first interior bay, provide 2x blocking at guard posts guard post with hold-down anchors; attach blocking with 10d threaded nails top and bottom, each side (2)1/2"dia. thru- bolts and washers � outside-joist 2" min. - t� 2-1/2" min. and 5" max. 2"min. - outside joist SECTION guard post* PLAN VIEW / Figure 26. Guard Post to Rim Joist Example- see FIGURE 24 for guard hold-down anchor component attachment requirements joists guard post guard post align guard post at joist locations ' rim joist hold-down anchor rim joist rim joist joist minimum (2)1/2" = 2"min. hold-down anchor diameter thru- 2-1/2" min. and 5".max. bolts and washers 2"min. at joist location between joists SECTION PLAN VIEWS American Wood Council zo.I roaf 6`7 VIKE Town of Barnstable *Permit# Expires 6 m m issue date Regulatory Services Fee ' RARNSMBLE, - - asAss. Thomas F. Geiler,Director �TED MA't a Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.b arnstab le.ma.us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Yalu!wit/rout Red X-Press Imprint Map/parcel Number 3_��O. Property Address 1 SGi1t3ol 5t . (0'1 �K l t e TM N1131esidential Value of Work minimum fee of$35.00 for work under$6000.00 Owner's Name& Address �! Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) °tTS PERMIT ❑Workman's Compensation Insurance Check one: AP ❑ .I am a sole proprietor TOWN OF BARNSTABLE ['I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) �Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #'of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#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 required.. SIGNATURE: Q;IWPFILES\FORMSIbuilding permit fOrmslEXP S.doc NThe Commonwealth of Massachusetts I Department of Industrial Accidents I I MC I,,, rf Office of Investigations 600 Washington Street Boston, MA 02111 f- www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: -71 SlA'A'60 51 City/State/Zip: +� '� d 2�0 , Phone #: Are you an employer?Check the appropriate box: Type'of project(required): 1. ❑ I am a employer with A. ❑ I am a general contractor and I 6; ❑ New construction have(fill] and/or part;time).* have hired the sub-contractors 2.ElI am a sole proprietor or partner- listed on the attached sheet. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working forme in any capacity workers' comp.insurance. g; ❑ Building addition., [No workers"comp. insurance 5. ❑ We are a corporation and its officers have exercised theirIO.❑ Electrical repairs or additions 3. equired.] am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c,,152, §1(4), and we have no 12❑ Roof repairs insurance required.] t employees. [No workers' ]3.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing theirworkers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contactors 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 their workers'comp.policy information. , I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site i information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip.- Attach a copy of the workers'compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties'in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the in providedrr rrabove is true and correct' Signature 1����y Date: Phone#.* 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/T.own Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other v—,,.,. Phone#: a W 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 be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §2-5C(7)states"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 out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),addresses)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 isTequired. 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 that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc,)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts. , Department of Industrial Accidents Office of Investigations' 600 Washington Street Boston, MA 02111 Tel. # 617-727--4900 ext 406 or 1-877-MASSAFE . Fax # 617-727-7749 Revised 5-26-05 www_mass.gov/dia ,l j� Town of Barnstable Regulatory Services Thomas F. Geiler,Director ems. g 16Sp. Building Division Tom Perry,Building Commissioner 200 Matti-Street,_Hyannis,MA 02601 w"Jo wn-b arnstab l e.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOIS�OWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: 1 I 5 C\(Lt to 1 COT" v1 I� number street village I ,1 t Q, .'HOMEOWNER": 1��" � \ \ Sb L4 7,77D Sb8^L4-7�--5�V name me(� 2 ho phone# work phone# CURRENT MAILING ADDRESS: O 6O�C 13 3.0 C i fi (Y 021o3 eityhown state np 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. DEFRUMN OF HOMEOWINIFR Person(s)who owns a parcel of land on which he/she resides or intends to reside, an which.thcre 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 constr4cts more than one home in a two-year period shall not be considered a bomeowncr. Such "homeowner"shall submit to the Budding 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 Budding 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 . reamrements. Signature of Hom as Approval of Buslding,Ofrtcial 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. EfMfEOWNER'S Exy-m bN . The Code states that: "Any hgrnrowncr perfomvng work for which a building permit is required shaD be exempt from the provisions of this section.(Section 1 D9.1.1 -Liccnsing of canatruction Superyisors);provided tha t if the homeowner engages a pc son(s)for birc to do such work,that such Homeowner shall act as supervisor.,. Ivfany homeowners who use this exemption art unaware that they arc assuming the responstbi'lities of a supervisor(sec Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awanmess often results in serious problems,particularly when the homcownar hirrs unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Superrisor is ultimately responsible. To ensure that the homeowner is My aware of his/her rtsponatbilitics,many communities require,as part of the permit application, that the homcowmer certify that he/she understands the rrspansibilities of a Supervisor. On ahe last page of this issue is a.form currently used by several towns. You may care t amend and adopt such a formlecrtification for use in your community. THE - Town of Barn-stable a Regulatory Services • stixxsrAar� v � g Thomas F. Geiler,Director i63� �8 �Fo J�6 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 509-862-403 8 Fax: 508-790-623 0 - Property Owner Must Complete 'and Sign This/Section If Using A Builder T as e of the subject Own r ro J P PertY hereby authorize. to act on my behalf, in all matters relative to work authorized by this building permit application for- (Address of Job) signature of Owner. Date `a i P Print Name If Property Owner is applying for permit please complete. the Homeowners License Exemption Form on:the reverse side. y oft PERCENTAGE OF LOT COVERAGE } LOT AREA 59335f S.F. - � ,}t F EXISTING STRUCTURES 4.0% EXISTING PAVEMENT 2.3% TOTAL COVERAGE 6.3% p r ti x LEGEND l ` CONCRETE: BOUND (FND) ■ . g x � �caci,�t Hi��,iain$ 'r, K w 1 SAP Vs � � . } u N LOCUS MAP z` PLAN REF: 163-15 (F2) 82-123` \ m DEED REF: 2705-105 r: L —� ASSESSOR'S MAP: 035 016 p ZONING: RF a SETBACKS: 30'-15'-15' rn N A.FLOOD ZONE: X• a " PANEL NUMBER: �25001C 0752 J DATED: 7/16/14 �01 PARCEL A OVERLAY,Y t :sAOD•WATER ESTUARY PROTECTION - DISTRICTS AP i i \ 59335t. S.F,.1.36 ACRES h� PLOT: PLAN OF LAND . G — LOCATED AT: • ARAc 71 SCHOOL STREET C 0 TU I T MA �$ PROPOSED DECK k 18'X,2• RREPARED FOR: AA �N s, GORDON HILL — — - - vo STEM .PARCEL- C s � ° ���, JULY ,25, 2014 _=-#�71___ ��. v EN N J. pOYLE � REV: ' s • ��o REV: COVERED sue'' ,Qo°3� �oZ,31 'REV: O mobs, PORCH YANKEE LAND SURVEY . CO, INC. 1 ,119 ROUTE 149 S� s PARCEL B GRAPHIC SCALE M AR STON S M I LLS, MA `�Ol 0 20 40 so - — .• '0. •.r '. TEL: (508)428 0055 FAX: (508)420 5553 •: NOTE, yankeesurvey0comcast.net www.yankeesurvey.net CZ, SEPTIC SHOWN PER TOWN 'RECORD. 1 inch = 40 ft. SHEET 1 OF 1 JOB#: 55052 JM , a;