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0958 OLD STAGE ROAD
qS� Q101 � e �; , � �TM .. r _ � �, y . � . . e ` p H a ,. r ,., �. ,� .. _, e a - .. ,� � . .. M " .-. _ '� .. _ � ,. i �, ., � - a A ,r, _ � ..; �.� l ,h._a., ,, _. BUILDING DEPT. SEP 2 5 2019 TOWN OF BARNSTABLE NOTES: 1.) The structures shown were located on the ground ASSESSORS REF.: by conventional survey methods on 28/AUG/19. Map 172, Parcel 156 2.) The property line information shown hereon was f� compiled from available record information. ZONE: zBbd RC 3.) This plan is not for recording-and is not to be ; J '•,:: a'o¢��c� used for construction layout or deed description ;.: ,. =;�,./ 'sa sB f�v, Area (min.) 87,120 SF purposes. t a° Ir'a��,.' zi•8' as" she Fro toe (min) 150' Widthmin) — ,{�^-�� Setbacks: ,•"t S - �6,, O'`•, CB/DH Front-20' fnd Side 10' 38.4' a Rear 10' try �j Septic s . oP / Deck System Lot 2 0.5 17,700fSF snea hry ' h o`O ' s \y^ / 1.9 25.Y, / 2.9• �' PLAN SHOWING NEW FOUNDATION o go 0 2 y , d to.9' '�, �� � �At 958 Old Stage Road New Concrete � 'BARNSTABLECBd Fn -'' Foundation ; / CENTERVILLE . r sit MA SS. DATE: 121SEP119 SCALE:1"=40' SV �A 0 10 20 30 40 60 BO FEET 'sow I certify that the new t'A r4� �6 foundation shown hereon O PREPARED FOR: "^ conforms to the setback �._------� requirements of the Zoning RIC ARD + FAndr1 ew-Little. �J Bylaws of the town of N0. 34312 Q Barnstable. 9 c O Q t PREPARED BY: C a p e S u ry Y v23 West Bay Rd, Suite G Osterville MA 02655 DWG #: C912g1 cpp3 FIELD BY. WHK/ASK (508) 420-3994 / 420-3995fax Town of Barnstable4 _ Building° o rrn�u aPost This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and'this Card Must be Kept ',Posted Until:Final,lnspection Has Been Made. �� �� eta Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until amFinal Inspection has�been made Permit No. B-19-2036 Applicant Name: E J JAXTIMER BUILDER INC. Approvals _,ae Issued: 07/02/2019 Current Use: Structure mit Type: Building- Detached Accessory Structure- Expiration Date: 01/02/2020 Foundation: �+ �A/ ,;--` Residential Map/Lot 172-156 Zoning District: :RC Sheathing: Location: 958 OLD STAGE ROAD,CENTERVILLE Contractor Na e"-;E J JAXTIMER BUILDER INC. Framing: 1 Owner on Record: LITTLE,ANDREW M Contractor,License: 110609 2 Address: PO BOX 99 Est. Project Cost: $60,000.00 c Chimney: BARNSTABLE, MA 02630 r Permit Fee: $406.00 Description: CONSTRUCT A 24'X24' DETACHED GARAGE WITH UNFINISHED Insulation: Fee Paid:` $406.00 STORAGE LOFT ABOVE f Date: 7/2/2019• Final: Project Review Req: 'AS BUILT'SURVEY REQUIRED BEFORE START OF FRAME. V Plumbing/Gas w .. Rough Plumbing: �. Building Official ' Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after=issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which.th's permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for,public inspection for the entire duration of the Final Gas: work until the completion of the same. °. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this-permit. Minimum of Five Call Inspections Required for All Construction Work: i` Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: VBtere applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "F.ersons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: { JHE Application NLmmber..(9 s6..q..— . . . ................. D( 06 MASIL BUILDING pEpT Permit s...................... .............Other Fee........................ i639� �1 . j � 202019 . Total Fee Paid...................................................................... TOWN OF BARWA R3TggLE Pemk Approval by..... ....................on..7... .. ......�. BUILDING PERMIT Map.......L].......-.............Pam..........1.5:-�........:.... APPLICATION S�,.►r Section 1—Owner's Information and Project Location Project Address 12. - - _ Village plQ �Ii4 Owners Name_Al io r./ (A��- Owners Legal Address J 411? City State 547rg zip Owners Cell# - E-mail —�— Section 2—Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3—Type of Permit New Construction ❑ Move/Relocate [Accessory Structure . ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 -Work Description T sct nnd2h�&219/2018 >I Application Number.................................................... Section 5—Detail _ Cost of Proposed Construction J�jab� Square Footage of Project Age of Structure Dig Safe Number �T W # Of Bedrooms Existing C� Total# Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist Design Section 6—Project Specifics Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ' "❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal ❑ Municipal On Site 11istoric District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: In V I am using a crane ❑ Yes QkNo Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District Proposed Use 14ivyAlk Lot Area Sq.Ft. r"�l -�n Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required. 1 Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last undated 2/9l2018 NOTES: 1.) The structures shown were located on the ground ASSESSORS REF.: by conventional survey methods on 01/APR/19. Map 172, Parcel 156 2.) The property line information shown hereon wascompiled from from available record information. ZONE: A & RC 3.) This plan is not for recording and is not to be7 120 SF Y P used for construction layout or deed description Area (min.) 8 , '�. .... s h a°j^o, /'�<o� purposes. ,�e,�' 21g�., s P Frontage (min) 150' Width (min) — 0 45'�' Setbacks: R a'o CB/DH Front 20' ?o,! <` 'D I'� hed �nd Side 10' / ?R•.:.. y 38.4• UILDIV/ cam f 1 �j � 1�P'\\ hrApprox N ®E`�PT. Septic Deck. System kD'C 2 / (�• JUN 2 0 21. Lot 2 ' 39.1' »,7oofsii o o� TOWN OF BARNSTABL ti� / Shed 25.3e� //'/ /'// ✓owe 2.9' c\e' O \\� / % o PLAN SHOWING NEW GARAGE / �� Proposed s '?B?f'• o ,,. 70 9 0\' \/ � �o At 958 Old Stage Road O/ FB�D ,/ / °-' "� , ?3 9neoo % ;% BAR/VSTABLE Garage / CENTERVILLE MASS. �� DATE:21/MAY/19 SCALE:1"=40' 0 10 20 30 40 60 80 FEET d RICNARD R.Sri PREPARED FOR: r6l VX " V HEVRE NO• 3 Andrew Little PREPARED BY: �` , O CapeSu V 23 West Bay Rd, Suite G Osterville MA 02655 DWG #: C912g1 cpp2 FIELD BY: WHK/ASK (508) 420-3994 / 420-3995fox The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston MA 02111 www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly. Name (Business/Organization/Individual): L NJ kkk brxell r 1 rNerT /DC-111 Address: �s City/State/Zip: ® '/V3 Phone #: 6�0 77,Q Are you an employer?Click the appropri to box: 4. I am a general contractor and I Type of project(required): 1.[3Yam a employer with�� ❑ g employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.1 5.. We are a corporation and its 10.❑ Electrical repairs or additions required.] ❑ P 3.❑ 1 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 employees: [No workers' 13.❑ Other 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. lContractors 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:----Jt� Policy#or Self-ins.Lic. #: Expiration.Date:' 0/ - Job Site Address: � City/State/Zip: �Q1, �U P, yy{� 7�Z(�3/Z Attach a copy of the workers'compensatio 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 ceraff er the pains and penalties of perjury that the information provided above is true and correct. Si nature: Date: 1 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/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: r .%fic LAC}/TanzorulP.l����C�J��uJ9!lflit:3r�� i cmco of consumer Affairs&Business Regulation Registration valid for individual use only HOME IMPROVEMENT CONTRACTOR 6 TYPE:Comoration before the expiration date, if found return to: Reaisiat7on iratE` Office of Consumer Affairs and Business Regulation m06- 1110212020 1000 Washington t-Suite 710 E J JAXTIMEF e,'1; ISLE Boston,;MA 021 ERNEST J,JAXTJME r,r 48 ROSARY LN of Ya{id wi lgnature. HYANNIS,MA 02801 Undersecretary - z - Commomrrealth of Massachusetts _ I�r Division of Professional Licensure. Board of Building Regulations and Standards. CoW!40 A%idpervisor CS 003251 01114120,20 ERNEST J JAKtiMEtt - 48 ROSARY LANE ' ` HYANNIS MLA 62801 commissioner CJ— ACo CERTIFICATE OF LIABILITY INSURANCE DA01/30/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS.NO RIGHTS UPON THE.CERTIFICATE:HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED.BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or 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 endorsement(s). PRODUCER CONTACT Erica H.O'Connor HART INSURANCE AGENCY, INC. NAME: 243 MAIN STREET PH°NE tA Ex 508-759-7326 x205 A/C No:508 759 7366 PO BOX 700 ADDREAIL SS: eoconnor@hartinsuranceagency.com BUZZARDS BAY,MA 025320700 INSURERS AFFORDING COVERAGE NAIC# INSURER A: ARBELLA PROTECTION INS CO 41360 INSURED EJ Jaxtimer Builder, Inc - INSURER.s: 48 Rosary Lane Hyannis,MA 02601 INSURER C INSURER D: - INSURER E: .. _ INSURERF: - .. -. 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM DD YYYPOLICY F- MM POLICY EXP LTR /DD/YYYY LIMITS LT A COMMERCIAL GENERAL LIABILITY 8500042039.... 01/01/2019 01/01/2020 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE V OCCUR DAMAGE TO RENTED—PREMISES Ea occurrence) $ 300,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY El PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 1020011547 01/01/2019 01/01/2020 COMBINEDSINGLELIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person)' $ OWNED SCHEDULED - BODILY INJURY(Per accident) $ - - AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A UMBRELLA LIAB OCCUR 4600042040 01/01/2019 01/01/2020 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ 10,000 $ A WORKERS COMPENSATION 4220048905 01/01/2019 01/01/2020 SPER TATUTE OTH AND EMPLOYERS'LIABILITY - -- ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? � N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION Fax#:(508)775-3344. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE: EXPIRATION DATE: THEREOF, NOTICE WILL -BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE.POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 6/5/2019 Property Print Print this page Owner Information Map/Block/Lot: 172 / 156/ Property Address 958 OLD STAGE ROAD Village: Centerville Town Sewer At Address: No GIS Zoning Value: RC Owner Name as of 1/1/18: LITTLE, ANDREW M PO BOX 99 BARNSTABLE, MA. 02630 Co-Owner Name Assessed Values Appraised Value Assessed Value Building Value $ 1.08,500 $ 108,500 Extra Features $ 17,300 $ 1.7,300 Outbuildings $ 5,700 $ 5,700 Land Value $ 103,800 $ 1,03,800 Totals $ 235,300 $ 235,300 Past Comparisons 2018 - $ 223,900 2017 - $ 210,700 2016 - $ 211,600 2015 - $ 206,800 2014 - $ 194,200 201.3 - $ 214,100 2012 - $ 215,600 2011 - $ 214,000 2010 - $ 213,800 2009 - $ 267,700 Tax Information C.O.M.M. FD Tax (Commercial) $ 0 C.O.M.M. FD Tax (Residential) $ 418.83 https://townofbarnstable.us/Departments/Assessing/Property_Values/print_19.asp?ap=0&searchparce1=172156&print=true 1/3 6/5/2019 Property Print Community Preservation Act Tax $ 67.06 Town Tax (Commercial) $ 0 Town Tax (Residential) $ 2,235.35 $ 2,721.24 Sales History_ Owner: Sale Date Book/Page: Sale Price: LITTLE, ANDREW M 2013-11-07 27810/221 $219000 SUNBURY, HENRY & PAMELA 2012-11-02 26823/330 $180400 BARRY, BERNARD J 1978-09-15 2784/ 197 $0 Photos Sketches ,1 i;' --_ -14 UK ` 1 8 ...02 777 ,1FA t BA'S g As Built Cards:Click card#to view: Card #1 1 Card #2 Card #3 B2N Barn-any 2nd story area FPC Open Porch Concrete Floor . REF Reference Only BAS First Floor, Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished) FUS Second Story Living Area(Finished) SPE Pool Enclosure BRN Barn GAR Garage TQS Three Quarters Story(Finished) https://townofbarnstable.us/Departments/Assessing/Property_Values/print_19.asp?ap=0&searchparce1=172156&print=true 2/3 6/5/2019 Property Print 'CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story(Unfinished) FEP Enclosed Porch MZ1 Mezzanine, Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story(Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio Construction Details Building Details Land Building value $ 108,500 Bedrooms 2 Bedrooms USE CODE 1010 Replacement Cost $139,090 Bathrooms 1 Full-0 Half Lot Size(Acres) 0.41 Model Residential Total Rooms 6 Appraised Value $ 103,800 Style Cape Cod Heat Fuel Oil Assessed Value $ 103,800 Grade Average Heat Type Hot Water Year Built 1978 AC Type Central Effective depreciation 22 Interior Floors CarpetHardwood Stories 1 1/2 Stories Interior Walls Drywall Living Area sq/ft 883 Exterior Walls Wood Shingle Gross Area sq/ft 2,556 Roof Structure Gable/Hip Roof Cover Asph/F GIs/Crop Outbuildings and Extra Features Code Description Units/SQ ft Appraised Value Assessed Value BMT Basement-Unfinished 768 $ 17,300 $ 17,300 WDCK Wood Decking .252 $2,900 $2,900 w/railings SHED Shed 192 $2,800 $2,800 https://townofbarnstable.us/Departments/Assessing/Property_Values/print_19.asp?ap=0&searchparcel=l 72156&print=true 3/3 Application Number........................... ................. Section 9-.Construction Supervisor - Name Telephone Number 77 9 - 4 q Address State Zip 0&260 License Number License Type Li CSL Expiration Date ! /W1.2 �0 Contractors Email e , ' ,��G�.rL Cell# C nw) / 7V/-51 t)� I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and do P*++a++on re * 80 01 and the Town of Barnstable.Attach a copy of your license. Signature Date Section-10--Home Improvement Contractor . r Name �J Jk 1L2)ht�' Telephone Number • AIM -7 79 ~_ F Address �426/)-AMY i "'S State 1VA*Tip 62Z'(& Registration Number Expiration Date / IZ �4� , I understand my responsibilities under the rules and regulations for Home Improvement Conizactors in accordance with 780 CMR the Massachusetts Atate Building Code. I understand the construction inspection procedures,specific inspections and documentation re 780 CMR and the Town of Barnstable.Attach a copy of your H.LC... Signature Date l Section 11—Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number l I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts Building Code. I understand the construction inspection procedures,specific inspections and documentation 780 CMR and the Town of Barnstable. Ij Signature Date l� APPLICANT SIGNATURE Signature Date � V Print Name Telephone Number 77� E-mail permit to: /K9 T..a. .1i/f1/1A7 0 Section 12—Department Sign-Offs Health Department © Zoning Board(if required) ❑, j Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire deparftmt for approval Section 13—Owner's Authorization 13 Aq Q f&'W A Q , as Owner of the-subject property hereby authorize .S 1 4 1h y"v to act on my behalf in all matters relative to work authorized by this building permit application for: 01 C,2 6-4 2 (Address of job) Is a Signature of Owner date Print Name t " R J�i 1 4� ,i Last uadato&2/9/2018 Town bf Barnstable °f`"E Regulatory Services �- o, Richard V. Scali,Director �' r F BARNSTABLE, ' f MA89. Building Division 1639. �0 �r prfo .�s 'Tom Perry,Building Commissioner U4 0 200 Main-Street, Hyannis,MA 02601 www.to wn.b a rn s to b l e.m a.u s Office: 508-862-4038 Fax: 508-790-6230, PERMIT# d 02 FEE: $35.00 3 r ev SHED REGISTRATION RESIDENTIAL ONLY �pT 200 square feet or less 7: APR 08?0 7 OWN OF qS B c>X& SSA e., V 1 l� RNSTgE Location of shed(address) Village Property owner's name Telephone number l Z XC 1 to Size of Shed Map/Parcel# u t Signature Date" Hyannis Main Street Waterfront Historic District? r ` ` Old King's Highway Historic District Commission,jurisdiction? You must file with Old King's Highway Conservation Commission(signature is required) Sign-off hours for Conservation 8:00-9:30&3:30-4:30• PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. -THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN + _ s shedreg REV:0 REV:040914 ``: j � • A � r u ( � S � � 1 � (�� - � Pt� �- �IAc� ,_, f �.► f I •. U T „ r " L- T Z `" ZBSLl fs,F. EXCL:. JG N/A`/ 1 H �N /o 4 8 6 s cyq '� +T AQ o o G -7- N ro � LOT/ J �s OF a x: N 2p] 61 F o SUR`� f CERTIFIED PLOT" PLAN 5 1-OT 2- DLD 57^ CSC Rom. * 1 _• ,W. CONS'fRf CTlON ONLYa c-en/7E , 5 ` Tp'P COI` fUJVO.AT10N IS 2;7 FEET L IN PQtNT ,OF "ADJACENT : -. � SCALE: / `'=40" � DATE : - 7 �l? Df E-`C GINEFRJNG CO. IIiI L�c,gEL I CERTIFY THAT TNf F'�yey>--lo'A- CLIENT air - -EWJS'r ED{ REGISTERED 78yr�.6 SHOWN ON THIS PLAN IS .LOCATED g ' `n 4fiY1L 1 LAND JOB N0. ON THE GROUND A$` IIDICATED�"'AHO SURVE"YOR DR: BY= A- a M r CONFORMS TO THE ONING LAWS r OF BARNST L ,: MAS rF 41AI�1 ST 712 MAIN ST., Cb :I Y= ,.R•? 8. � ,1�MIhJ ASS: HYANNrs; �AASs., S'MfETs�0f �, �� F. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel. 5� Application # c�&3 6 �03 3 - Health Division Date Issued l" Conservation Division Application Fee Planning Dept. _ Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis ` </ ,'Project Street Address U -Village (2e-al d/� �Owner ,l vt M.. .1 6F n fj)-Q Address x Q ;Telephone Q " J .- Permit Request lG' o S uare feet: 1 st floor: existing ro osed 2nd floor: existing ro osed Total new q 9-proposed g-proposed Zoning District Flood Plain Groundwater Overlay c Project Valuation �.� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review#, 1 Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR-HOMEOWNER) Name-- LL rj Telephone,Numbers G I/J ! '_ Address u �l �L�L. ° � �` rv�/`l 7TL/icense # V o Home Improvement Contractor# tmall Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO P ,S GNATURE DATE i FOR OFFICIAL USE ONLY 4 APPLICATION# DATE,ISSUED - - MAP/PARCEL NO. ADDRESS VILLAGE 7 ' OWNER DATE OF INSPECTION: XFO.UNDAT.I.ONJU,"R; - FRAME INSULATION.3.A.1-N-s..'_ 2 FIREPLACE t ELECTRICAL: ROUGH FINAL 'rY PLUMBING: ROUGH FINAL F GAS: ROUGH FINAL , FINAL BUILDING o L T DATE CLOSED OUT =s ASSOCIATION;PLAN NO. _ The Commonwealth of Massachasdts Department of Industrial Accidents Offxe of Invesfigations kvi 600 Washington Street Boston,MA 02111 www.mass.gov/dia _ 'Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers . Applicant Information Please Print Le gib Name(Business/organization/individual): Address:- 0 City/State/Zip: r�%�/� ' J }� Phone#: Are you an employer?Check the appropriate box: T project 4. I am a neral contractor and I �e of ]p (r��� 1.El I am a employer with 6. 0 New construction employees(full and/or part-time).* have hired the sub-contractors 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_%E]Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance.$ l� required-] 5. We are a corporation and its 10.ElElectrical repairs or additions 1e3. 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 employees. [No workers' 13.[1 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/Statelzip: 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 c sunder the airs p ies of perjury,,that the information provided above is frue and correct 'Si ature: r Date:-7 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/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,as/bh ion,corpo .on or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and include legal rep sentatives of a deceased employer,-or the receiver or trustee f an individual,partnership,associati other le entity,employing employees. However the owner of a dwellin house having not more than three apnts and ho resides therein,or the occupant of the . dwelling house of an then who employs persons to do mance, nstruction or repair work on such dwelling house or on the grounds orb ding appurtenant thereto shall noause f such employment be deemed to be an employer." MGL chapter 152, §25 t7,also states that"every state oa 'ceasing agency shall withhold the issuance or renewal of a license or rmit to operate a business or struct buildings in the commonwealth for any applicant who has not p duced acceptable evidence opliance with the insurance.coverage required." Additionally,MGLchapter 52,`k25C(i)states"Neither mmonwealth nor any of its political subdivisions shall enter into any contract for the erfo ance ofpublic worl acceptable evidence of compliance with the insurance requirements of this chapter ha e be presented to the cting authority." Applicants Please fill out the workers'comperes on davit co pletely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)nam s), adt7i s s)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies 'ted Liability Partnerships(LLP)with no employees other than the members or partners,are not required to ork ' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance cove e. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the applicatio the permit or license is being requested,not the Department of Industrial Accidents. Should you have any que egardiag the law or if you are required to obtain a workers' compensation policy,please call the Deparfinen at they umber listed below. Self-insured companies should enter their self-insurance license number on the appropri line. City or Town Officials Please be sure that the affidavit is complete d printed leg\-bae Department has provided a space at the bottom of the affidavit for you to fill out in the even the Office of lions has to contact you regarding the applicant Please be sure to fill in the permit/license n ber which wias a reference number. In addition, an applicant that must submit multiple pennit/Iicense ap=lications in anye need only submit one affidavit indicating current policy information(if necessary)and imde "Job Site Addrapph t should write"all locations in (city or town)."A copy of the affidavit that has b officially stamarke y the city or town may be provided to the applicant as proof that a valid affidavit is a file for future r licens . A new affidavit must be filled out each year.Where a home owner or citizen is o taming a license t not relat to any business or commercial venture (i.e.a dog license or permit to bum leav etc.)said person is NOT required to mplete this affidavit. The Office of Investigations would like o thank you in advance for your coop erati and should you have any questions, please do not hesitate to give us a call- The Department's address,telephone d fax number: e Commonwealth of MassachusiM t garment Qf Industrial Accidents Office of kvestiptions 600 Washington Street Bostw,MA 02111 Tel.#617-727-4900 W 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 . www.zoassgovfdia VE Town of Barnstable ` Regulatory Services BKINS P&W ' Thomas F.Gefler,Director M4as Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.townbarnstable.ma.us Office: 50 8-8 62-403 8 Fax: 508-790-623 0 HOMEOWNER LICENSE EXElYl MON Qs� Please Print ' DATE. — 1 1.129 ����y :JOB LOCATION: lam/l :J [J�'`✓ Bombes ��` /village `HOMEOWNER": Le a name bone phone , work hone 9 CCIRRENf MAII ING ADDRESS: - -old �� city/town 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 - DEb7NTIYON 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 dersi d` omeo er"certifies that he/she understands the Town of Bams table Building Department minimum inspection p dures r em is and that he/s a will comply with said procedures and requirements. 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 CoatroL H0ME0W21"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 169.1.1-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 rann of proceed against the unlicensed personas 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. C:kUsers\decolYc kppDaffi1I,ocaAMausoftlWmdowskTemporarylutemetFRcs\ContcatoutlooklQR .6ZMN\E;URESS.doc Revised 053012 r, � T Town of Barnstable Regulatoryt Services .. RlAT7C'1`.Ri� . - ASs, g, Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 - Property Owner Must Complete and Sign This Section. If Using A Builder I, ,as Owner of the subje property hereby authorize to act on my behalf, in all matters relative to work authorized by this ding p (Address of job) fences and alarms are responsibility o e applicant. Pools are not to be filled or utilized fore fence is installed d all final inspections are performed d accepted. Signature of Ownet Signature of Applicant Print Name Print Name Date �+l Q:FORMS:OWNMUU MIMSIDIe00LS 62012 "Reg[didory Services WE Thomas F.Geiler,Director B.01#IIlg Division pMASLTom Perry,Building Comm ssioner k 200 Main Street, Hyannis,ha 02601 www.town.barnstable.ma.ns Office: 508-862-4038 Fax: 508-790-6230 Approved:- Permit#: 2f HOME OCCUPATION REGISTRATION Date: Name: E YYI Ooc Phone#:C LA IF�C) CCCS Address:as0 OTC\ S�� - Ce_r1keYVilk2 I'Y)I�ViIlage: C_e-� �2�V1 lle Name of Business: 1'1Q_ C—acrk'2 r e rat C-e-S �dB'' t7 Type of Business:_ h-)v'z Q Sl�e lIV'I'ENT: It is the intent of this section to allow the residents of the.Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided dig the activity - shall not be discernible from outside the dwelling: there shall be no increase in noise or odor,no visual alteration to time W premises which would suggest anything other than a residential use;no increase in traffic above normal residend 1 volumes . and no increase in air or groundwater pollution. ' After registration with the Building Inspector, a customary home occupation shall be permitted as of right subject to..the following conditions: • The activity is carried.on by the permanent resident of a.single family residential dwelling unit,located vvitimia that dwelling unit y • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customZuy in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, - odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or f[ammable or explosive materials,in excess of normal household.quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard: There is no exterior storage or display of materials or equipment. • There are no commercial vehicles,related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed.one ton capacity,and one,trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shill be displayed indicating the Customary Home Occupa ion •_ If the Customary Home Occupation is listed or advertised as a business,the street-address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I, the undersigned,have read and.agree with the above restrictions for my home occupation I am registering. Applicant nt Date: Honieoc.doc Rev.01/3/08 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. „ 4 x DATE: 4—k— Fill in please: Wit v j APPLICANT'S YOUR NAME/S: F m S xz BUSINESS YOUR HOME ADDRESS: S} a TELEPHONE #. Home Telephone Number C?-1`4 510 oco5 NAME OF CORPORATION: Cs� 3Civ C-Exrv;2� S:�ryC�.S. . NAME:OF NEW BUSINESS TYPE OF•BUSINESS eS IS THIS A HOME OCCUPATION?._ YES. NO ADDRESS OF BUSINESS 537 CX 42�i411e 3 (Assessing)MAP/PARCEL NUMBER I — i 5 (As sing) 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 20t�in St. _ (corner of Yarmouth Rd. & Main Street] to make sure you have the appropriate permits and licenses required to legally operate your usiness in this town. 1. BUILDING COMMISSIONE�if�e' CE MU T COMPLY WITH HOME OCCUPATION G� This individual has beend of a y permit requirements that pertain�p,� tft f ftME(TIONS. FAILURE TO uthorize Sign a** HCOMPLY MAY RESULT IN FINES. COMMENTS: 2. BOARD OF HEALTH This individual ha bebee�ltlfo p of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(/edn E SING AUTHORITY) This individual h/ i f m e lice i it a is t at pertain to this type of business. (Authorized Sign r COMMENTS: ( ./ YL Town of Barnstable Permit OFTFIE Expires 6 0 ue °� Regulatory Services Fee RAMNSTABIA ; KASS. Thomas F.Geiler,Director 039. Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barmtable.ma.us Office: 508-862-403 8 Fax:.508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY `` Not Valid without Red X-Press Lnprint Map/parcel Number f � Property-A s ddres =O *CJ r�ll o Residential Value of Worl- - ' Minimum fee of$35.00 for work under$6000.00 Owner'dame,&Addr-ess—_ /2e Contractor's Name Telephone Number 1 _ Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) lip. ❑Worlonan°s-Compensation Insurance ,-----Check one: APR 112013 ❑ I am a sole proprietor I am-the-Homeowner ❑ I have Worker's Compensation Insurance T®wN OF SARIVSTq�L� Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) �-Re-side #of doors maximum.35 #of windows ❑ Replacement Windows/doors/sliders.U-Value ( ) ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. . Separate Electrical&Fire Permits required. *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: The COMMrncts�eirruh v,f mwsachuseft Dq=W nt of lndush ial Accidents t✓ Office of Inve3figations 600 Washington Street Boston,AM#2111 . Workers' Compensafmn Emirance Affi&vit Buadersl tracturs/Electrici-ans(Ph mb+ers Applicant Information ease Print lAwbly aI)- Phone 4. 1 ---Aa—yo--ou an employer?Cherk the apprapr3ste box Type of project(required): 1.❑ I air a employes with 4- ❑ I am a gam al c;ou ractor and 1 6- ❑New faction employees{full an&arpart-ime}.s Marehired the sub-conhwtors 2.El am a sole pro�ietxrr or pasttser- listed on the attached sheet y- ❑Remodeling ship and have no employees These sub-contractors have S. ❑Demolition. w +n4 for me in any capacity. employees and have wodePss' 9 ❑Building addition o,t{rpsim'comp-insurance We w iaaacorp r� required,]—.—'�.x �. ❑ �74Te are a corptxafion and its 10.❑Electrical repairs or additions R� I officers have exercised their 11_0 Plumbing repairs or additions �3- I am a hometowaer doiag all wcx]e w� p right of exemption per MGL 1'�❑Roof repairs e.152,§1(4),and we have no i wwance required,] 13.❑other employees-(No workers' camp.imnonm required.) •Any app&=l that checim box#1 mast also faaw the sectionbelow sbuw g theirwaaltes'c=vmsztiaa Policy-farmstiao_ I Honaemners who submit this af5dasrit Mfi=Mg they—doing sit vrca$surd then hue outside contr=ors mast submit$new a�davet indicating sa ch 1Caatiaciurs that check dais boat must attacbeH ada;ii..,.I dRet shiowmg the mime of the sad stave whether or not Those entities hwa empinyees.if the snb-coetmams trine employees,they—MY—de their wwktZe rmap-Police nt3mbu- I run Qrr empt ,gr that ispmvidrirg workers comperzridim imsurmce far uzy etrtplq+mm Bdow is thepolicy and job site irtforruatrart. . Insurance Company Name: Policy-of Se f-ins-Lic. Eipirati•ort.}Sate: Job Site Address: City/StaW4- Attach a copy of the workers'compensation poTcy declaration page(showing the policy>mimber and mpirtation date). Failure to secure coverage as n gtured sunder Section 25A of M-GL c. 152 can lead to the imposition of criminal penalties of a fine up to S 1,500-00 and/or ore-yeas imrprisonmenk as well as civil penalties in the form of a STOP WORK oRDEK and a fine of up to$250-00 a clay against the violator. Be advised dut a copy of this statement may be. warded to the Office of hwestsgations of the DIA for insurance coverage an- ' _ _ _....... _ .... I da hereby cerfa&under th.epains and r s a perimy Unit the infori nation proW&d nbav fss bus and correct -- '�. h �i --•-. ` C :4-A-- -OB- 1khrl aw only. Do not write in this Qrea,Sri be compIded by city or A"M officutt . City or Town:. PermitUcense# Issuing Authority(circle one): . 1..Board.of Health 2.Budding Deparfinent 3.{Vyll'ovsn Clete d. eetrical Inspector 5.P.hmbing Inspector 6.Out". TM ---Af- I Town of Barnstable 0 Regulatory Services anxxstear.E. ' Thomas F.Geiler,Director Mass. 163 `�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.m.a.us Office:. 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print JOB_LOCATION:�� /,LIj, number V stree village "HOMEOV✓IJER": — name j L.home,phon. X04 ,-:^ ' work phone# CURRENT MAILING ADDRESS Y city/town-T- 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 uriderstands the Town of Barnstable Building Department minimum inspection pro/e-dyes and requirements that e/she will comply with said procedures and requirements. ,gdI—Signature_of.Homeownery'"-— Approval of Building Official Note: Three-family dwellings containing 15,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors),provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. . uaxsrasM MASS. Town of Barnstable Regulatory Services Thomas F.Geiler,Director. Building Division Thomas Perry,CBO Building Commissioner 200 Main-Street, Hyannis,MA 02601 www.town.barnstable.m:i.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Mus Complete and Sign This ection If Using A Build r , as Own r of the sub* ect"property hereby authorize to act on my behalf, in all matters relative to work authorized by this building ermit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for ermi leas m lete the Homeowners License Exemption Form on.the P �Y P P „� P P reverse side. n-MMCU CQ%CnD?,AQ%1..a A:.... COO A-- z �t r Town of Barnstable *Permit# !� �0L '4 Expires 6 month' rom essue date Regulatory Services Fees snntv�s[ Thomas F.Geiler,Director fln� t�L (_©?9T Building Division l a tEA��p Tom Perry,CBO, Building Commissioner APR 2 5 2008 200 Main Street,Hyannis,MA 02601 TOWN p www.town.barnstable.ma.us. Office: 508-862-403F SARI- STABLE Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number ( � I Property Address ` lJ (�I l t 1\ G ' l edl, `e `tl oD 0 Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name ?Ae(Z- ti.J . S✓V1 `t Telephone Number s' 3 3,w Home Improvement Contractor License#(if applicable) �rkrnanls Compensation Insurance 7 k one: am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's:Compensation Inssurance^ r Insurance Company Name L( �/Cf� I"1 it y r111 Workman's Comp.Policy 0 02- L Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 2/Re-roof(stripping old shingles) All construction debris will be taken to j 6(,t))AJ bf 0&90J S . }T� ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side (,L ❑ Replacement Windows/doors/sliders.U-Value (maximum..A *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 is required. SIGNATURE: (jkl V I U Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revise020108 zstrat►gn val►d fog indwtdul+usc Ally 1v►.cnse or eg and return to ar s If So d and Standards ��raUon date Stund R� utenons bel°re the eal Regulations and' CTOR ',. t. d of la g: Board oS Building 1301 BOar CONTRA Place Rrt HOME IMPROVEMENT ;1ne Ashburton., Reg►stration 150950 i1 Boston,Mr.021 Ws } Expo tion 51812008 t, Ty r pe IMRROVrEMENT § - __ ..-_- -- nature PETER J.SMITH HOME p - - - F N t va'd �'►thout sig PETER SMITH �\ 'i . _�_�_---- , eputy Administrator _y ':- - 1 3925 MAIN.ST` p . - GUMMAQUID,MA 02637 - ,per The Commonwealth of Massachusetts , DePartment of Industrial Ac cidents is .€ Office of Investigations 600 Washington Street Boston, MA 02111 ' www.mass.govldia ' Workers' Compensation Insurance Affidavit: Builders/Contractors/Electr'icians/Plumbers A licant Information Please Print Le 'bl Name(Business/Organization/Individual): Address• O 613, x 04,DoP G37 �6 � 3r�2 city/state/zip: v /► eq v o�,0 Phone.#: C , Are you an employer?Check the appropriate box: °4 Type of project(required): I.❑ I a employer with_ 4. ❑ I am a general contractor and I mP Yer - 6. ❑New construction loyees(full and/or part-time).* have hired the sub-contractors 2. I am a"sole proprietor or partner- listed on the attached sheet. 7. El 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' pomp.-insurance cow. insurance.$ $ ` required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their ME]❑Plumbing repairs or additions myselL[No workers' comp.' right of exemption per MGL 12.E Roof repairs insurance required.]t c. 152, §1(4),and we have no employees.'[No workers' 13.❑Other COUP.insurance required.] . *Any applicant that checks box#1 must also M out the section below showing their wm i=s'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractor:must submit a new affidavit indicating such. ;--Mtractors 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 pravidb 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. L ¢ Insurance Company Name: t{J'°�r Policy#or Self-ins.Lie.M �J S — Z b —©� Expiration Date: �� 8 Job Site Address: s .4 � City/State/Zip: ( Qn/(SP� rc y1,11c .4 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. 1.52 can lead to the imposition of criminal penalties of a fine tip 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 coveragre verification. I do hereby under the pains-and penalties of perjury that the information provided ove true and correct. Si ature: Date• 2-S 6 3 Phone#- 56 2 — 3 ! Official use only.:Do not write in this area,to be completed by city or town offtciaL 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#: r Information and Instructions Massachuse General Laws chapter 152 requires all employers to provide workers'compensation for their employees: Pursuant to this lute,an employee is defined as"...every person in the service of another under any contract of hire, express or implie ral or written." An employer is defin as"an individual,partnership,association,corporation o other legal entity,or any two or more of the foregoing engag in a joint enterprise,and including the legal represen ves of a deceased employer,or the receiver or trustee of an dividual,partnership, association or other legal enti ,employing employees. However the owner of a dwelling hous having not more than three apartments and who r ides therein,or the occupant of the dwelling house of another ho employs persons to do maintenance,cons tion or repair work on such dwelling house or on the grounds or buildin appurtenant thereto shall not because of sue employment be deemed to be an employer." MGL chapter 152, §25C(6) states.that"every state or local licens' g agency shall withhold the issuance.or renewal of a license or permit o operate a business or to construct uildings in the commonwealth for any applicant who has not produce -acceptable evidence of complian with the insurance coverage required." Additionally,MGL chapter 152, § C(7)states`Neither the commo ealth nor any of its political subdivisions shall enter into any contract for the perfo a of public work until a table evidence of compliance with the insurance requirements of this chapter have bee resented to the contracting uthority." Applicants Please fill out the workers'compensation davit completely, checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),a dresses)and p no number(s) along with their certificate(s)of insurance. Limited Liability Companies*(LLC) Liunited Lia 'ty Partnerships(LLP)with no employees other than the members or partners,are not required to carry wo ers-co unp ation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that affidavit y be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. o be s e to sign and date the affidavit. The affidavit should be returned to the city or town that the application for pe t or license is being requested,not the Department of Industrial Accidents. Should you have any questions re the law or if you are required to obtain a workers' compensation policy,please call the Department at the er 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 1 gibly. a Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office f Livesti tions has to contact you regarding the applicant. Please be sure to fill in the permit/license number whic will be us as a reference number. In addition, an applicant that must submit multiple permit/license applications' y given y ,need only subunit one affidavit indicating current policy information(if necessary)and under"Job Site ess" the a 'cant should write"all locations in (city or town)."A copy of the aff davit that has been officially tamped or mar _ • by the city or town may be provided to the applicant as proof that a.valid affidavit is on file for a permits or li es. Anew affidavit.must be filled out each year.Where a home owner or citizen is obtaining a li ense or permit not lated to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said ersout is NOT requir to complete this affidavit. The Office of Investigations would like to thank yo in advance for your coo ration and should you have any questions, please do not hesitate to give us a call The Department's address,telephone-and fax n16 %shington r. The COnwealth of Massachusetts 1�e<part of Industrial Accidents e of Investigations Street ston, MA 02111 Tel. #617-727-4900 ext 4-06 or 1-977-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia °F'THE r� Town of Barnstable Regulatory Services BARN&ssB 'g, Thomas F. Geiler, Director 1639. n Building Division {Tom,Perry, Building Commissioner 1 200 Main Street' Hy annis'MA•02601 www.town.barnstable.ma.us i N. , Office: 508-862-4038 d Fax:, 508-790-6230 Property OwnerMust Complete and Sign This Section ' If Using A'Builder I �� `3�2� e 4 ,as Omer of the subject property hereby authorize � to act on my behalf,, in all matters relative to'work authorized by this building permit application for: (Address o Job) r„ Signature_of Own 1 Da/ate Print Name a If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. F. Town of Barnstable of SHE rp� Regulatory Services = Thomas F. Geiler,Director + BARNSfABLE, * �. S' MASS' 16g9. Building Division PTED �p Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 vt mv.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTI N Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was a tended to inc de owner-occupied dwellings of six,units or less and to allow homeowners to engage an individual for 're who do not possess a license,provided that the owner acts as supervisor. DEFINPTI OF MEOWNER Person(s)who owns a parcel of land on which he/she r ides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached s c res accessory to such use and/or farm structures. A person who constructs more than one home in a two-year od shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a fo acceptable to the Building Official,that he/she shall be responsible for all such work erformed under the building a t. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for omplr ce with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she under tands the T of Barnstable Building Department minimum inspection procedures and requirements and th he/she will c ply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 c bic feet or larger will b 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 all be exempt from the provisions of this section(Section 109.1..1-Licensing of construction Supervisors);provided that if the homeowner enga s 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 21supervisor(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 persons 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. ' 4 S �MNC TOWN OF BARNSTABLE 20151 Permit No. ---- -- -------------- Building Inspector $80.00 8 N,n»TAK Cash OCCUPANCY 1 PERMIT Bond ----___--------________ ``No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first,having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Douglas W. Label Address Box 164, Marstons Mille lot #2 958 Old Stage Road, Centerville Wiring Inspector Inspection date a�` Plumbing Inspector CL Y Inspection date ` Gas Inspector `I Inspection date r Engineering Department, , Inspection date i _ L THIS PERMIT KILL NOT BE VALID,•AND THE BUILDING SHALL NOT BE OCCUPIED i UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. Y....................... 19...... ..............................✓................g........... ..........................._........... ._ Buildin Inspector .. fi S• 4 o-7- 3 �563 � H F r z "111 i. 1 N •- 4j /o 4s, of pQ qp o• � i`t tl Q N Z,o r/ ; r CEiTiFTIE3 PLt}T « PA f • 4 i. t is S _ + M NEB • CONSTRUCTION. ,ON�.Ys i TOP ,OF FOU1tlOATIONt fiS 2, FEET ; "- IN ABOVE L01/. POINT OF—ADJACENT,. % AgBS d ` t 4' ROAD.'. }. x _ GATE=- /. 7 LDREDGE RING1NEER1MG C IN I CERTIFY THAT THE --A li-a_1� CLlEh�T LENGINEER ISTE_ REGISTE E SHOWN Oil. THIS `PLAN• IS .LOCATED F JOB. ml 7 6,, ON THE" GROUND AS NDICATED A14D YAND CONFORMS TO• THE ZONING LAMS SURVEYOR OR.By. 'OF BARN5T DL , MISS. 33 NO. MAIN ST 712'•M IN-ST: - CH- By. SO. YARMOUTH MASS. HYANN'IS MASS, SNEET`�.OF / DATE REG. LAND SURVlv013 f ssessa*s,map and lot 'number III—: /J U"'7 r. . NCE Sewa ehPermir number .(°Z�: ...'.......... ........... INSTTALLE ii'! ?I`t�6 Ll�i -� Wi`H ARTICLE II STATENQ TOW j C!L. 'D)j �♦ TOWN OF BARNTAIA,Ni "A ` NSPECTOR 9�p s_39. .��. BU11DM I_ LICATIOW A / .l�r f'.tP "{FO ....R^:`PERMIT�T,O ..�✓.i.l.�....... �r�. . .� .. ............................................ TYPE OF CONSTRUCTION 4 .P....................................................... 9scn ......... �-�.....................19........, TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to��__the__following information: Location ....zw......... .....arx..J.G . . .......a `........... ..ut.. ............................ ProposedUse . . ?y1�....'. /'��'..'�+�... .. .� ...I �.. ............................................ ................................. ... r ' Zoning .District ....... �cy....................................... ............Fire District Name of Owner ..... �J ...`... .(... ............Address .... �>z...f go/ �✓rS ,� ;!(', ,(/J, Name of Builder ........ L Address �l »� ........... ......................... .................................................................... Nameof Architect ..................................................................Address ..................................................y.. ............................... ! / Number of Rooms ..... .....................................................Foundation ... r .4'/Z'� /�.. .. ...Roofing ....... � Exterior ...`.�............... ./e ............................................ Floors .......................................Interior ........ .............. Heating ��.� �' Irv.�. ...................Plumbin g .. ............. ... �.. g ....� ?C..... .. ..... . ./................................ Fireplace ............... ............................................................Approximate Cost Xex....6K O 4� Definitive Plan Approved by Planning Board -----------_-------------------19_______. Area ...:.. �� Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ' �- i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin the above construction. Name .. .. .... ...... ... ................. Lemel° Douglas W. . . - . 0015I 1 1/2 story --- Permit for ..................................... - t. '-r --- � ,� | . mioglm dtqell1um -----------'---------^---'-- L*tohon —.9.5.8..0.1.d..St.a ge'R.o.ad------.. ^ Centerville ' ' .----.---~.,-----.---.-------. DouglasLebel C�Owner ---��� � —.l��-----------.. ` Type of Construction ---�ram.�.------.. ' ` —.---~.—.—_----------..-----.. ' . . ' ' #2 ^ Plot ............................ Lot ................................ . . - ' '- ~ May � �8 Permit Granted— ...... —' 7` �-� . uote o* / pec� � z ' . ' wu,e Completed u«^.........- ' - ' � v ' ' � PERMIT REFUSED � ..`.—.—...---.—.—.—.-.—.--..—.. lg . � ^ ' ' ' . ' ---------------- lg � ,. ' ' ^ � ' / --------.------.-----,—.---.. \ � -------'^-----------~^'—^^^^^^' ' | � _� | • _ r Ipl ems%Rai +�►, � r 'Ji t 91 was t gym OIL, sr, ® + t ♦ !El � •I ilt#ice i It� III IIII -- -- 11 111 41 0 ,_�� • . -- M re t uii I��I I�I� IIII IIII IIII IIII IIII �, _ _ --- ze �� IMMOWWIVO WMI ® __ IIII IIII IIII IIII IIII IIII IIIII� �' ' _ • � t PINE f3ARBOR WOOD PRODUCTS Front Elevation �e�� �l�\ /a�lO� PINEHARBOR.COM 1 I V V 800-368-SHED SCALE: 1/4" = 1'-0" L/ SCALE: V = 1'-0" zH Queen Anne Road Harwich, MA 02645 p: (508) 430-2800 f: (508) 430-1115 barns@pineharbor.com ENGINEER'S STAMP 10/12 Pitch RONArchitectural Shingles PVC Trim White Cedar Shingles PROJECT: YT 24' x 24' 2-Car Garage b) CLIENT: ADDRESS: White Cedar ShinglesHH F1[3� PHONE: IUMMIED Um EEI Em om im EO no E-MAIL ED no M En mmil no a o o a a a ADDRESS OF PROPOSED WORK: 9, 0" 9, 0„ 24'_0" 24, 0„ I REVISION DATE: 2/1/19 DRAWN BY: GB Scale: 1/4" Unless otherwise noted Page A.2 LSCALOE ��olan 4A3 Pi D PRODUCTS : 1i4' = I'-ij' PINEHARBOR.COM 1.800-368-SHE D -y 10 x 20 Grade Beam 259 Queen Anne Road Harwich, MA 02645 STHD8 @ ail posts :ail'-��" p: (508) 430-2800 f: (508)430-1115 barns@pineharbor.com ENGINEER'S STAMP w O I CN PROJECT: Concrete Floor 24' x 24' 2-Car Garage 1 4'"=V' Fibel nnesh 0 A2 N A3 A6 CLIENT: ADDRESS: PHONE: E-MAIL: ADDRESS OF PROPOSED WORK: .'"~ 2,. - REVISION DATE: 51 11/23/16 av,''' Briar >t, DRAWN BY: "° :q :: 3. a,.,, •; GB Scale: 1/4" - 1'-0" A2 W1HcL Unless otherwise noted 6. I A Page. A.4 PINE ITA"OR WOOD PRODUCTS PINEHARBOR.COM TimberpaneITM Frame 1 Queen 6 Anne R &SCALE: 259 Queen Anne Road 1/4" = 1'-0' Harwich) 30 02645 p: (soa)a3o-zsao f: (508) 430-1115 barnsopineharbor.com FNCINFER'S STAMP 2"x12" Ridge Beam 2'x8' Collar Ties 2'x8' Rafters 24' OC 4'x6" Upper Gable Frame 5/8" Plywood Roof Sheathing 2'x6" Loft Joist Hangers 5/8" Plywood Loft Sheathing PROJECT: 2"x8' Loft Joists 24" OC 24' x 24' 2-Car Garage 6'x6' Plate Beams 6"x6' Bearing Posts CLIENT: l'x12' Premium Pine Wall Sheathing 4"x'4 Diagonal Wind Brace ADDRESS: 4"x6" Door and Window Frames 4"x4" Horizontal Wall Purlins 2"X4" Wall Plates PHONE: 2'x8" Mud Sills 5/8 x JO Anchor Bolts 48" Spacing SIniipson E-MAIL: STHD 8 Hold Down Straps ADDRESS OF PROPOSED WORK: 4 REVISION DATE: 11/23/l DRAWN BY: GB ��::. :; = Unless �,che'r•vrise hCxt;2r;1 �'`'� Page A.5 PINE FOR WOOD PRODUCTS OM ear De ation _ �leaton PINEH -368-S EDgy�SCA G I V (D__Ej_ht V 1-800-368-SHED LE: 1/4" = 1'-0" SCALE: 1'-0. 2H Queen Anne Road Harwich, MA 02645 p: (508) 430-2800 f: (508) 430-1115 barns®pineharbor.com ENGINEER'S STAMP 10/12 Pitch Architectural Shingles PVC Trim White Cedar Shingles FFF PROJECT: 24' x 24' 2-Car Garage 0) CLIENT: IV ADDRESS: White Cedar ® � ® Shingles PHONE: ® ® ® ® E-MAIL: ® ® ® ® a o a o a a a a a ADDRESS OF PROPOSED WORK. RES ' �`--b'-0" 24, �„ 24'-0„ � REVISION DATE: 2/1/19 DRAWN BY: G13 Scale: 1/4" = 1'-0" Unless otherwise noted Page A.3 PINE HARBOR WOOD PRODUCTS T�mberpanelTM Frame PINEHARBOR.COM 1-800-368-SHED 259 Queen Anne Road 7 SCALE: 1/4" = 1•-�• Harwich, MA 02645 p:(508)430-2800 f: (508)430-1115 barnsepineharbor.com ENGINEER'S STAMP 2'xl2" Ridge Beam 2"x8" Collar Ties 2"x8" Rafters 24' OC - 4"x6" Upper Gable Frame 5/8" Plywood Roof Sheathing 2"x6' Loft Joist Hangers PROJECT: 5/8' Plywood Loft Sheathing 24' x 24' 2-Car Garage 2"x8" Loft Joists 24" OC CLIENT: 6"x6" Plate Beams —� 6'x6' Bearing Posts l"x12" Premium Pine Wall Sheathing ADDRESS: 4"x6' Door and Window Frames 4"x4" Horizontal NNall Purlins 2"x4" Wall Plates PHONE: 2"x8" Mud Sills —+ 5/8 x 10 Anchor Bolts 48" Spacing Simpson E_MAIL:- STHD 8 Hold Down Straps ADDRESS OF PROPOSED WORK: REVISION DATE: Sl�• .;r. 11/23/16 DRAWN BY: GB •J t�Cv�G tl li�l•'� "�'"� �� V Scale: 1/4" GU! QNI Unless otherwise noted 1'k4' Page A.6 •J •� ®L/�Vs�Vw/vG4D' V�.w _ q3l e v;N� K r TOWN OF PARNSTAP'L.E 2o'n SEP I I P'°I - t DIvIS 1 I � o F 7- 71" .� �;ft;13r3�" oR'. ti' i 4 rj - — — 4-? SMOKE DETECTORS REVIEWED /71 l , % � !v° -� �`• ` A D' G DEPT. DATE v FIRE DEPARTMENT DATE ` '.. ! BOTH SIGNATURES ARE REQUIRED FOR PERMITTING —J, _ _ a'a_ 1 R i t.r j i• i II i I 1 ii 1 I i k i k �, j i e C Y 4 3 4 j e x� i � �....—._->_.,.___ � •J � ' t t s A '- d 'J 7Ral 1 �I I !.,p u i i I s 8 t �' ... - _., .. yam•/ .. _ _ (� �� ' g5 � # j 01 Nb ok 4 14 r Cie r (/ / A i .- Sol { f 1 'fir � 3 � .��� a`�`�'a � � � � r `�*�- ��'/ t __,� ' � ., `� 3J'�B�F✓ "�?yi j . f 4 ._ __. i ! _ v ' ! 1 i 5 �✓ -� 1 s his —j7 Nil . f�r ��y�,.t'4(J.r I � I �&'qi.,. �� '� 1�^P�' '�.f ,d7 -^� ,� �'�"f.• t 3 +yE-'_-__ --.-_ —__ 3 — ��lk ..T ��} � i l l �