HomeMy WebLinkAbout0163 GUILDFORD ROAD Q �14
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Application b v -7
0
Health Division Date Issued
Conservation Division Application Fe
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
ProjRf Street Address 1613 r L): 1 D Fo_1b PD
Village C6/y T E 1ZV%
Owner._c/e_mc.r , (��,��( l6 Address
Telephone�sQ�7 L— coo?
Permit Request—ADA LAuiiD" R M • Re_bcj o i D cr 5,76%k S ADD F;rt_- e/,9c.6 MATE
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
;Project ValuationA%Qo O.on Construction Type -
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documen#ation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway:;0 Yeses❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Others
Z a two
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) .r-;
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑.No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER) J
Name -- cam/ice� CO51 — Telephone Number 6507) 7Z-G —00 0
Address:/� 3 G u l D Fo r b UZ b License #
Ul 111E 1WI9. O 263 2� Home Improvement Contractor#
Email C.0/ema.n C C O S-te_I(offal�e Aoo• Coin Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
i
_ 1 �
SIGNATURE67e�� DATE-- J0642 /Z 2, 0/5�
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
r
OWNER
DATE OF INSPECTION:
FOUNDATION
a.
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
_ • . I7ep�irientnflnr�urt-ial�4ccidents ., . .
' _" � _ . O�rce aflrrvest<gatiQnr
600 WiTshhV=Street
- $ .vsta 1�4 D7�I�
• wwx:rtzasr gav/c�Za - °_
Workers' Compensation Insurance Affidavit:Buaders/Confx-acfor�lIIecixicia /Plumbers
Applicant Information Please Print LeFffily
Name( /Orgm�
�� C� r�.a� .�� 5 li�.l �•.
Address: 3 6-u,''1.y Er2 r--.3 g
f ,CYY/ Zjp: CTNT62,V,'1/e MA. 02,632` Phone#: SDI 7LG-- o0
Are you an employer?Check the appropriate bow T e of project
4. I am a YP P J
1.❑ I am a employer whiz ❑ general c�artor and I
employees(fall andlor part time). have hired fhe sob-co�racton ❑New construction
2-El I am a sole proprietor or partner- listed an the affarhed sheet 7. ❑Remodeling
slap and have no employees' 'These sob--coracfnrs have 8. ❑Demn3ition
for me in employees•and have workers' 'working my
[No workers' comp.insnlance comp.;,,gin ce$ 9. ❑Bmldiag addition
required] S. ❑ We area crnperatim and its 10-0 Elwirical repairs or additions
3 A I am a homeowner doing all work officers have exercised th= 11.❑Plumbing repairs or additions
myself[No workers'comp. Ht of exemption.per MGL 12.[]Roof repairs
m�erequued]t. c.152,§I(4),and we have no
employees.[No workers' 13.El Other
comp,ins„ra„ieregaired_] T
*Aiyappli=mt tatchccks box#1 most also ffi oit flit scctioa below showing$icirwa$czrs'coa�cnsation policy infnffiation
t Hnmcawnes who sabait this affidavit indicatbag they=dniag all WDIk Md fhea him DEft de conhactna mnst s6-t a new afdaert indicating sucb-
#CoI±Met=tl--t check fbis box m mst attached as addiiionaT sheet showing tiie azure nfthe sob c zdnr zndst vrhethcr or not these eaiifics have
employers. Tithe sib-canf tna have mmploy=sx fiiep must provide thcs woik='comp.policy Ti
I am an employer&d is prwidn g,workers'cornpe a6on znsaranceformy emplayem Below is tF,e poFi7 and job sh�-_
Qr�`orrrr�zolc. ,
Insruance Company Name:
Policy#or Self-ins.Lic.# Expiration Date:
Job Site Address:_&,S (S U t Lb JF-n RZb R F.nl7fi2yi 1lei Crty/State(Zip:C rtN�E1Z(/i//e' J J/�O Z G�Z-
Attacli acopy ofthe workers' compensation policy dwlaratioia page(showing the policy number and expiration date).
Failmr-to secure coverage as required tinder Section 25A ofMGL c.152 can Iead to fhe imposition of criminal penalties of a
fii�e tzp to$1,500.00 and/or one-year iui ri omnent;,as well as civil penalties in the form of a STOP WORK-ORDEK and a.Eae
of np to$250.00 a day against the violator. Be advised that a copy of ties siatemes t may be forwarded to file Office of
1nvesdgati6ns of 1he DIA for insazance coverage ve ification_
I do hereby cerfrfp under the p and ofpezju that the infarrnation provided above is ftzce and correct
Phone
OfjYdg.r use only. Do not write in this area;to be eorrrpleted by dz v or town o177daZ
City or Town: PermitUcense#
Isming Authority(circle one): 4
1_Board afHeaIth 2.ButldmgDegarfinent 3. City/To Wn Clerk 4.El 5_Plumbing Inspector
6.Other
Contact Person- Phone
Information and Instruction'
Massachizsefts General Laws chapfEr 152 reqrires aII employers to provide worms'compensation for their employees.
Pnrsaaat to this statute,an employes is defined as"every person in the service of another under any contract of hire,
express or implied,oral or wrJfhn."
An empfoyer is defined as'au.individual,partnership,association,corporation or of=Iegal entity,or any two or more
of the foregoing engaged in a joird enterprise,and including tha legal represeutz&es of.a deceased employer,or the
receiver or trust=of au.individual,partaelship,association or other legal enity,employmg employees. However the
owner of a dweIlmg house having not more than tha'ee apartments and who resides thcrein,or the occupant of the
dymIlisg house of another who employs persons to do maintenance,cons ruction or rapas work on such dweIliug house
or an 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 Iocal licensing agency shall withhold the issuznce or
renewal of a license or permit to operate a business or to construct buRdirzgs in the mmmonWmlth for any
appliraut-who has not produced.acceptable evidence of compliance with the himirance coverage required."
Additionally,MGL chaptna 152, §25C(7)staf=`Neither the commonwealfhnor arty of its political subdivisions shaIl
enter into axzy conirarf for the.performance of public woik untfl acceptable evidence of compliance with the insurance
ce
requirements of this chapter have been presented to the contracting a utboriiy."
Applicants
Please fill ovt the worlmrs' compensation affidavit completely,by checking the boxes that apply tD your situation and,if
necessary,supply sub-cont ac�s)name(s),address(es)and phone numiber(s)along with their certificates)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees oilier than the
members or partners,are notrDgair d to cagy workers' compensationiu�ce.,If EaLLC cr LLP does have_
employees, a policy is rDquii-ed. B e advised tlat ibis affidavit may be submi_tt-d to lhe Department of Industrial
.Accidents for confmnatioa of fi suranae coverage. Also be sure to sign and date the affidavit The affidavit should
be retained to the city or town that the application for the permit or license is being requesters not the Deparhneut of
Industrial Accidents. Should you have any questions regarding the law or if you are regrared tb obtain a workers'
compensation policy,please callfhe Departure t at the number listed below. Self-rosined companies should enter their
self-fi sifhmc�c license number on the appropriate line.
City or Town Officials
Please be sine that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fIl out in the event the Office of Investigations has to contact you regarding the applicant
Please be sure to fill is the peruiMicense number whichwillbe used as a reference n-a ber. In addition,an applicant
that must submit multiple pemutllicense applications m ray given Year,need only submit one affidavit indicating murcat
policy information(if necessary)and under aJob Si L-Address"the applicant should write"all locations in (city or
town)."A copy of fhe affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof ifiat a valid affidavit is m fle for fie peunifs or licenses. A new affidavit must be E1ed out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial vent re
(Le. a dog Iicense or pemrit to bum leaves ems.)said person is NOT repute ed to complete this affidavit
The Office of Investigations would.hke to thank you k advance for your cooperation and should you have any questions,
please do not hesitate to give us a call
The DeP artmenf s address,telephone and fax nmzbea:
'lhc::Commonwealth of Mw3sachu=tts -
Dt--parfmcnt of Industrial&A Udmt�
Lkf�Icp,of Iay=4�idanq
(500 washhagt=S-I=t,
Bodau=MA OBI II
`ram#617=727-49GO ext 406 or 1-M MA-SSAFE
Fax#617-727;7749•
Revised 4-24-07
ATYC Guide to Wood Construction in High end Areas:11 a friph f-Vf,7d Zone
Massachusetts Checklist for Campaiance (790'CTvTR 53012.1.1)i
• � - .. .' -
Cumpuan=
1-1 SCOPE-
Wind Speed{3-see 11D mph
Wind Exposure Gaiegorl'--_•----___._
Wind Exposure Category..:.............Engineering Required For Entire Project.......................................C
12 APPLICABILITY
-Number of Stories(a roof which exceeds B in 12 slope shall be considered a story) stories s 2 stories
Roof Pitch 2) ---------:------------.-r__-____:
Mean Roof Height (Fig Z)----_ _.____._.---.._.�::._._:.__.__ft <'33'
Building Width,W_...... _ (Fig
Building Length,L -•-..-_.__----------------------------_(Fig 3)
Balding Aspect Ratio(!NJ) -•----------- ..............(Fig 4}.___.__-.--•------------__.___. <3:1
Nominal Height of Tallest DpeningZ _: ---__.__._.:�__(Fig 4)---- --..__---__.___.___:-�.:____-.
12 FRAMING CONNECTIONS
General compliance with framing canneCfions........_._-:_:-_-(Table 2)_._....
• i
2.1 FOUNDATION
Foundation Walls meeting requirements of 780 CMR 5404.1
Concrr .-•............. . ........•-.--• •---•-...__._..:...•--•-•..._....• -•-•--•--•--•••....._.....•- ---••------•-••---•
ConcrEte Masonry........---------_--•--------------------- ---_--
22 ANCHORAGE To FOUNDATIDN'
Sla'Anchor Boltsdmbedded or 518'Proprietary Mechanical Anchors as an alternative in concrete onfy,
Bolt Spacing-general...................................---:.(Table 4)----_.._.._. / - in.
Bolt 5paci6g from endroint of plate-- --_-__------
.__.------
------
- in.5 6'-12
Bolt Embedment- (Fig -_--__-._--f_________-__._in.>_r
Bolt Embedment-masonry.........
_._--:-•_.-------•_-_.(Fig --
Plate Washer_.::---.___..___.__.-_._..-____._-__._....(Fig 5)_-_--
3.1 FLOORS
Floor Craning member spans checked ___-._,..__.------•:-(per B0 CMR C ter 55)_:__•_�----.----•-_---__-_-
Maximum Floor Opening Dimension_._._..--_-_--------._._..(Fig 6)..... ._--_ ._�__._____---:.._._._._
Full Height Wall Studs at FiDor Openings less than 2'from Exterior Wall( ig 6)...... ...............................
Maximwn Floor Joist Setbacks.
Suppoiffng Laadbearing Waifs or Shearwatt____..___(Fig 7).____.�.+......... --- --ft 5 d
Maximum Cantilevered F1Dor Joists
Supporting Lbadbearing Walls or Sheanvall_._-_-._---(Fig 8)_---_____.._ .............. ft s d
•FloorSracing at Endwatls------------------------------ -- - (F9 9) --------- ---- ---
Floor Sheathing Type .___.__._.---..---- �-•----- __..._(per 7BD CMR Ghapter
FloorSheatfung Thickness;---_---------- in_
Floor Sheatihing Fasiari ng_......................._...._.___.____:_.(fable 2)__d nails at in edge/_in field
4.1 WALLS
Wall Height
Laadbearing vralls._.___ ____------._..._.____--.(Fig 10 and Table
Non4-oadbearing walls..____.____..___-:-----__.(Fig 10 and Table 5)___•---.__.._____$'s20`
Wall Stud Spacing ....__•------_-_-- _ .__..---_..(Fig 10 and Table 5)--------------- in._<247 a.r-
Wall Story Offsets a;, - __.,_::-.� _ -_.___.(Figs 7 i 8)- ----- `- ---• ft c d t
42 LXTERI Old t4WALLS'
Wood Studs
LaadbeaAng-vraiis...._-.................................-_._..(fable ft in.
Nora-Loadbearing walls._._.__._.__.___.__._-___.._.._.:(TableS}--_---_---------------_-•_2x_-_ft in..
Gable End Wall Bracing'
Full HeightEndwall ------- ------_-.--------.:--�---
WSP-Atfic Floor Length 11} _--------------.---_ --...__.. ft ZtW13
'Gypsum Ceiling Length Cif WSP not used)_.;__.........(Fig 11) ..__....._._.—ft 2::0.9W
and 2 x4 Continuous Lateral Braise Q 6 ft.o.c.-Fig 11�..............................
----------_-.-._--
or 1 x 3 ceiling furring strips Q 1 V spacing•min.wrlfh 2 x 4 blocking @ 4 ft_spacing in end joist or truss bays
Dorsble Tap PIa1L- :
Splice Length -----._._:__ __-._._.__.___-(Fig 13 and Table 6)...... —ft
Splice CanneCfDn(no.of I6d cornmon naJls)-_,___..(Table 6)._-----__._._.__----_..- _--•--:----•
ATVC Guide to TVood COrastrucdon in Aigh end.4reas: 110 fnph end Zofte '
Massachusetts Checklist for Conipii ince(rso CL1R530I.Z.l.I)r
Loadbearing Wall ConnediOns
Lateral (no.of 16d common nails).----------- (Tables 7)--------.__..-----------•---------_..
Nan-Lx3adbearing Wall Connections
Lateral(no.of 16d common (Table B)--------_
Load Bearing Wan Openings(record largest opening but check all openings for corriprrance to Table 9)
Header Spans ---------------- ----------------(Table 9)__ :._.__-___-_—._ft_in._<11,
Sill Plate Spans ft_in. 11'
--
FLA Height Studs (no-of'sfirds)-..---_-..-_-_._.__...(Table 9)----------__..._----...__-----------____--
Non-Load Bearing Wan Openings(record largest opening but check all openings for compliance to Table 9)
Header Spans.-----___-----------------_---- __..._.----(fable 9)----------_-_= -..-.._ft_in-_<1Z
Silt Plate Spans.--- -----.----(Table 9)_._ _____-_______.__.._ft_in _<12`
Fun Height Studs (no.of studs)---_-------___---(Table 9)-----_ -.-.-_----.--------------
E>terior Wall Sheathing to Resist Uplift and Shear.Simuftaneousfy4
Minimum BuBdng Dimension, W
Nominal Height of Tallest Opening7 .....................______..-•-_.__------_---------------_.._._
Sheathing Type-.-----.-,_- - --- ---_(note 4)----------------------------- -
Edge Nail Spacing-_------ ___.-__-_.(fable 10 or note.4 if less)___..__.___.__._ in.
Feld Nail 5 acin - - in-
P 9---•----_.__..._-----�..___._..(Table 10)----------------------
Shear Connection (no_of 16d common nails)(Table 10) --
Percent Fulf-Hei ht Sheathin able 1 D _-__---_----------_--------- -----------.._%
5%Additional Sheathing for Wall with Opening>•6'8."(Design Concepts)
Mxdmurn Building Dimension,L
Nominal Height of Tallest OpeningZ............................................................
Sheathing Type---___ -- -___ _ _..(note 4)------------ ---------- --- -
Ed e Nail Sparing - able 11 or note 4 if in
-
Edge Nail-Spacing------- (fable 11)--------___.,__.__---__-.-_:_....__ in.
Shear Connection(no. of 16d common nails)(Table 11)__-.-.-_-__,_
Percent Fuff-Height Sheathing-_- ---___--_(fable 11)_____-_.._____-_.------- ---_%
5%Additional Sheathing for Wall wrkh'Opening>6'8`(Design Concepts)_.--__-._-------.
Wall Cladding
Rated for Wind Speed?---- - -- - --- -------------------------------- ----- ---- __.-._
5.1 ROOFS
Roof framing member-spans checked?.---_--.-.._--_.(For Rafters use AWC Span To_ol,see BBRS Website)
Roof Overhang ______________________•---------------------------(Figure 19) ____:-------_ft5 smaller of 2'or V3
Truss or Rafter Connections at Loadbearing Walls -
Proprietary Connectors
Uprdt---------- -....... - --- (Table 12).........=--------------- - - -- Ptr
Lateraal-------------------------------------(Table 12)--------- - --_ -- - L= pff
Shear---------------____-------(Table 12)---------------------------- ----•S= Pif_
Ridge Strap Connections,if collar ties not used per page 21_-. (Table 13)----------------------------T= pff
Gable Rake OutJooker----------------- ------- -___---(Figure 2D) .-----•___-_ft_<smaller of 2'or L2 '
Truss or Rafter Connections at Non-lnadbearing Walls
Proprietary Connectors
Uplift-- _ - --__.(Table 14) ---_-- --- ----- -U= th-
L-ateral(no-of 16d common nails)_..(Table 14)---------------------------------------L= lb.
Roof Sheathing Type___-___---:•--------..-___�_.(per T80 CMR Chapters 58 and 59)............ _
Roof`Sheathing Thickness._.__....__.,___._-:__--_-=•------------------•------ —in-?7I16`W5P
Roof Sheathin Fastening ahle 2 ------------------, ----------.--
Notes:
-1. This chadcffst shall be met in its entirety excluding the specific exception noted in 2,to comply with the requirements of
7130 CMR53D121.1 Item 1. If the checklist is met in its entirety then the Mowing metal straps and hold downs an,not
required per the WFCM 110 mph Guide: -
a. Ste.,e Straps per Figure 5
b. 2b Gage Straps per RgLira 11
c_ Uplift Straps per Figure 14
d_ All Straps per Figure 17
e. Comer Stud Hold Downs per Figure 1Ba and Figure 1Bb -
2. ' Exception:Opening heights ofup to 8 fL shall be pefmitted when 5%is added to the percent full-height sheathing
requiren5ents shown in Tables 10 and 11.
u treated#2 -de.
- walls shall be a minunum 2 in.nominal thidmess pressure -gr-a_
3_ The bof#om sill plate in extefior P
AWC Gccide to Xbod Corrrfrur�iorr irr Nigh 14,zndArmu:' 110 rrtph f-FixrdZone
Massachusetts Checklist for Compliance(7t,q0 ChiR53.a13.I:1)
4.
a. From Tables 10 and 11,and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height
Sheathing and Nail Spacing requirements
b. Wood Structural Panels shall be minimum thickness of 7116'and be installed as follows-
t- Panels shall be installed with strength axis parallel to studs.
n. All horizontal joints shall occur over and be nailed to framing.
tit. On single story cartstruction,panels shall be attached to bottom plates and top member of the double
top plate.
iv. On two story construction,upper panels shall be attached to the top member of the upper double top
plate and to band joist at botbm of panel-Upper attachment of lower panel shall be made to band joist
and lower attachment made to lowest plate at first floor framing.
v.. Horizontal nail spacing at double top plates, band joists,and girders shall•be a double row of Bd
staggered at 3 inches on center par figures below:Vertical and HOrbMntal Nailing for Panel Attachment
5_ Glazing protection:a)-new house or horizontal addition—required if prnject'is i mile or closer to shore(generally,south of
Rte.2B or north of Rte.6)
b)vertical add-lion—not required unless there is extensive renovation fo the first boor
c)mplacementw• doves—needs energy conservation compffaric=only(chap 93)
B.Wood Frame ConstruClion Manual(WFCM)for 110 MPH, Exposure B may be obtained from the American Wood Council
(AWb)website.
l VdENTHSEDMERES-MDH y
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See aatst7 on Next Page -
Vertical and Hor¢Drilal NaTng Detail.
for FarA Attachment t Vet�:al and Hoti mritel Nailing
for.Panal Aitaohmant
r
Town of Barnstable
f
o�
Regulatory Services
f
• =naxsresr.E, F
M6CC Richard V.Scali,Director
Eo;9..ck�� Building Division 3i
Tom Perry,Building Commissioner
200 Main Stree4 Hyannis,MA 02601
-www.town.b arnstable.ma.us
Office: 508-862-40.3 8 Fax: 508-790-6230'
Pr I!'operty Owner Must
Complete and Sign This Section
If Using A Builder
as Own of the subject property'
hereby authorize to act on my behalf,
in all matters relative to work authorized by this b permit application for.
(Address of jLinasilb'
Pool fences and alarms arethereslity o_f_ e applicant. Pools J`
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
Signature of Owner Signature of Applicant
Print Name Print Name
Date
Q:FORMS:OWNERPERMISSIONPOOI S
Town of Barnstable
Regulatory Services "
-ME rccy� Richard V.ScaIi,Director
Bailding.Division y
f
RdR, a8r1~ Tom Perry,Building Commissioner
M6 CC
a639 ��� 200 Main Street, Hyannis,MA 02601
CEO { wwwtown.barnstable.mn us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
DATE: V/Jil w 2-0 I
-Jol3roCATioN:/G 3 6u•/D 6 #zz�
number sued ] vfflage
HOMEOWNER":�E9 ? C�n �C�S�P,L (6 l S6� )l —7Z,4-0097
name home ph c# wort:phone#
CURRENT MAMING ADDRESS: l 6D 36 (-) r 1 D F6 r b P—,D i
c6AIrz zv.%l e llA. 0 z 632
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow
homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-
family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered a homeowner. Such"homeowner'shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building Kermit (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
proce ores and requirem �Mbe will comply with said procedures and requirements.
_71— :
Signatom of Homeowner-'
Approval of Building OfScial
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 persou(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 2.1S) 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 formlcertification for use in
your community_
Q:IWPF=\FORMSIbuildmg permit f=s=RESS.doc
Revised 061313 '
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.Town of Barnstable
,`. THE Regulatory Services TOWN OF BARNSTAALE
Richard V.Scali,Director
" MIMSTABLE' ` Building Division 2014 JU 1 Pil 2` r151
i 9. 1�MASS.� Tom Per Building Commissioner AlEG MA'1 A Perry, g
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us : ,
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Office: 508-862-4038 Fax: 508-790-6230
PERMIT# 07 d 1 �Q 3 . - FEE: $35.00
SHED REGISTRATION
RESIDENTIAL ONLY
200-square feet or less-- -- ----
Location of shed(address) Village
�oIeman castle—((o 7z1-o -00o2
Property owner's name Telephone number
Size of Shed Map/Parcel#
(o ZOI
Signature Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
If over 120 square feet,you must file with Old King's Highway
Conservation Commission(signature is required)
Sign off hours for Conservation 8:00-9:30&3:30-4:30
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A
PLOT PLAN
Q-forms-shedreg
REV:040914
Map Page 1 of 1
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AE(100 yr Flood)
AO(100 yr Flood)
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V X500(500 yr flood)
O �+ RC �, ,•,_ O r % ❑ FEMA Preliminary May 2013 Zones(su
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Set Scale 1"=qq^� ' I Aerial Photos I MAP DISCLAIMER
Copyright 2005-2010 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS
BarlstableMA v1.2,5122(productionj
http://66.203.95..236/arcims/appgeoapp/map.aspx?propertyID=148014 6/16/2014
model: Chatham
THE T TOWN OF BARNSTABLE
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9� "6q BUILDING NSPECTOR
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t Build One-Family Dwelling
APPLICATIONFOR PERMIT TO ..............:..............................................................................................................
TYPE OF CONSTRUCTION Wood Tram@
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...............Lot ..Guildford..Rd-..�...Centerville.......................................... ........................j...
ProposedUse ... @Sident$31..............................................................................................................................:..............
Zoning District RD-1 Centerville-Osterville
..................................................................Fire District ..............................................................................
Normest Homes Inc.. Ashie Dr Centerville
Name of Owner ......................................................................Address ...............y...:....*...............................................:.........
Name of Builder .. Ormest...Homes InC. .,.Address .same
....................... ..............................................
Nameof Architect non@ Address.............................................. ....................................................................................
6 .............................Foundation ...Poured Concrete
Number of Rooms ..................................... ...............................................,.................
Sidin .. halt
Exterior ..................�.............:.................................................Roofing ............p......................................................................
0
Floors Carpet ..........Interior ......Drywall
.......... ................................................................ ............................................:..........................
g Warm-Air ...........................Plumbing ....1baths
Heatin ....................................................... ................................`............................
y 20 000.
e S :. .:.
Fireplace ..................................................................................Approximate Cost ....................?................:7:. ,.�......................
Definitive Plan Approved by Planning Board -----------_______------------19________.
Diagram of Lot and Building with Dimensions
SUBJECT TO APPROVAL OF BOARD OF HEALTH .
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I hereby agree-to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name . . .. ...
�-
0orneat Home Inc.
one otor� ^
� No ---.--- Permit for ---..-._''�.�__-. |
--....--. ------.-_-.---..-.-----'
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��- Guildford� I�,"a
Location '
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Normest Homes Inc
Owner --.--,----.------.~----.-
-
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Type of Construction --------------
----'-^-----^---^~-----------' '
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� plot ............................ Lot ................................
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Permit Granted --.. .°.=.-]9 72 `
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� Date of Inspection lg .
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PERMIT REFUSED
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