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HomeMy WebLinkAbout0060 VALLEY BROOK ROAD o o 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION,. Map aa.; Parcel :Application # Health:Division L Date Issued Conservation Division -Application Fe " Planning.Dept: - Permit Fee Date Definitive Plan Approved by Planning Board VIA q Historic - OKH Preservation/Hyannis Project Street Address V1i9 LLC-Y 's40C'I< Village_ �i5u_rCR y/LL L� - Owner Jd 4).J Slit 1N GLL S Address b0 V/4 LLc( ICJ seeoK Telephone Permit Request A uk b )Con-j LdJ On Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 00 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. C) Dwelling Type: Single Family r Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes )(No On Old King's Highway 3�J Yes No Basement Type: 9 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.)i Basement Unfinished Area (sq.ft)''! Number of Baths: Full: existing new Half: existing newery�► 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: M Yes ❑ No . Fireplaces: Existing New Existing wood/coal stove: ❑Yes)'No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: *existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use -- _ Proposed Use - APPLICANT INFORMATION �! (BUILDER OR HOMEOWNER) Name C� c,[J(, U L Telephone Number Jam()(B 0 5 Address r-) �"l� c���d�l,t 1 S License # C-6 Home Improvement Contractor# /900 _ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL B TAKEN TO SIGNATURE DATE J FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME CO {z/0 INSULATION Qw OL FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING I jw`i/� �S DATE CLOSED OUT ASSOCIATION PLAN NO. I The Commonwealth of A4fassachusetts Department of Industrial Accidents _ Office of Investigations 600 Washington Street Boston; MA 02111 �• www.mass.gov/die Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information Please Print Le ibl Name(Business/Organization/Individual): 6 d4 066-a(1 1��ll7�C �°�t'1--�.� � City/Statc/Zip: iQ 0 i;�o J Phone.#: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ 1 am a general contractor and I • employees (full and/or part.tirne). * have hired the slab-contractors 6. .New construction 2> I am a soleproprietor or'parttler-' listed on the'attached sheet: T. Remodeling • ship and have no employees .These sub-contractors have S.'❑Demolition working for me in any capacity. employees and have workers'comp. Building addition [No workers'-comp.•insurance comp. insurance. S. [] We are a corporation and its 10.❑Electrical repairs or additions . required.] ' 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4), and we have no 13.❑ Other employees. [No workers' comp.insurance required. "Any applicant•that checks box#1 must also fill out the section below showing their workers'compensation policy information. ' t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors 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-contactors have ernployecs,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration`Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number.and expiration date). Failure io secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator. 'Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains a p nalties of perjury that the information provided above is true and correct. . Date: Si a-ture — Phone# J� u 4-5-46 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): L Board of Health '2;Building Department 3. City/Town Clerk 4.Electrical Inspector .S.Plumbing Inspector 6.Other Cnnfact Pr.r.cnn: Phone#: Information a'nd Irnstr*UCt10HS employers to provide workers' compensation'for their employees. Massachusetts General Laws chapter 152 requires all Pursuant to this statute, an employee is defined as ".:.every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or tiustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house of on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." s`Neither the commonwealth nor any of its political subdivisions shall Additionally,MGL chapter 152, §25C(7) state . enter into any contract for.the performance of public work until acceptable evidence of compliance vzth the insurance requirements of this chapter have been presented to the contracting authority.' Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-con6actor(s)name(s),address(es)and.phone number(s) along with their certificates)of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials .Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications.in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town),".A copy of the affidavit.that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to..thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone-and fax number: The,, Commonwealth of Massachusetts Department of Industrial Accidents Office of luyestigaduns. 600 Washington Street Boston, MA 02111 Tel. # 617-727-490.0 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 11-22-06 ww`v.mass.gov/dia , alt . �YHE% Town of Barnstable Regulatory Services M HAIiNBTAIILE, Thomas F. Geller,Director NAB& 16 � Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis, MA 02601 tiyww.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner` Must Complete and Sign This Section If Using A Builder X, as Owner of the subject property f hereby authorize �_ (� J)jVL55 4(1 L.� to act on my behalf, in all matters relative to work authorized by this building permit application for, 6n W LL.Is'f P�®ice (Address of Job) CgkT�C LL45� /V14 , S ature of Owner to Print Name If Property Owner is applying for permit please complete the . Homeowners License Exemption Form on the reverse side. O:FORMS:O WNERrERMIS SION Town of Barnstable Regulatory Services E, Thomas F. Geiler,Director sntwsreBr . q� 1619. ��� Building Division ATEDy a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": work hone# name home phone# P CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures, A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department ,pinimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Tluee-family dwellings containing 35,000 cubic feet or larger will be required to compl""ith 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 h6meowne.r 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. Q:IWPFILES\FORMS\homeexempt.DOC - # Bb oY;�u . g ..e8u atiY►s`eea e-.da`"tlr s ' {, ervisor License.° Construction Sup t. License: CS 55025 i Birthdate 101411947 T 5303 i# Expiration 1�01412009 _�vIestriclion 00` ,• EUGENE E DUSSAUL:sw 43 BRALEY JENKINSRD Commissioner i CENTERVILLE,MA Q26.- - a in;t u2is;noq;int-pgi;n la M 80 zo-UN`UO;SO$ loci tug aaeid uo;.inggsV aup. SpIrpue;s Pue Suoi;toin2ag 2luipimg 3o p.ieog o;uan;a i puno3 3I -a;tbp uoi;ts.ndxa aq;a-iopq fluo asn inpinip111 ao;pgen aogt:,►.jsdhm io asuaarl _ antis an an ara' h pervisor License Construction Su Licens Bert Tr# 53 e: CS 55025 • hdate; 101411947 03 - ExP�rat�on 101412009 Y fE... 1 4;^ �� Restnct�on 00• 'i A EUGENE E DUSSAULTf C 43 BRALEY JENKINS RD� f ommissioner CENTERVILLE,MA 62632 -- r _ Boai$of g R "Buildin p egulattonc HOME IMPROVEMENT CONTRgCTOR Registrat dn`\1 30088 E P!rati. 1.0 010 pe 1i 2�TX Ind vldual Tr 62521 _EUGENE DUSSA'U T '� EUGENE DUS�A • 43 BRA LEY JENKINS`R 1' CENTERVILLE,MA 02632 Administrator�' l TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel `e Application# H Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fe � Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Cok �1 A-7 Historic-OKH Preservation/Hyannis Project Street Address Village Mbw(— Owner Address ��� Telephone 8 ^ ` l — (Pe u Permit RequestIMOLM) a- efffl6q1_ M hQad0r&?,fl W- Square feet: 1 st floor:existing proposed ' nd floor:existing proposed Total new. Zoning District q Flood Plain 1e Groundwater Overlay Project Valuation' Construction Type v �'(, �✓ Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure �C) 4 — 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 czl( Total Room Count(not including baths):existing new First Floor Room Count f—In Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other i Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stl ve: ❑Y kes O No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existi g ❑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 BUILDER INFORMATION / 2 Name< t' ��� CSC . Telephone Number `"S 67 " `7Qc— 7b6� Address 9�i lbu r License# _ M/ 09Q _00 r r��•1a�a1fS "� 0 i UN 1 -7 Home Improvement Contractor# 7 4(4'U (tf MA ®Z1S�' Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -J I( n lYXl�Yd I h� SIGNATURE - DATE v I - FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE- OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE i j ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL c GAS: ROUGH FINAL 3 FINAL BUILDING s s DATE CLOSED OUT ASSOCIATION PLAN NO. 4 - C The Commonwealth of Massachusetts Department of Industrial Accidents office of Investigations 600 Washington Street t Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:.Builders/Contractors/Electricians/Plumbers, Applicant Information Please Print Le ibl Name(Business/Organization/Individual): L s � Address�� lam►�� / x City/State/Zip:CMCM If . Phone.#: Are you an employer? Check t e appropriate bog: Type of project(required):. 1. I am a employer with�; 4. ❑ I am a general contractor and I. 6 ❑New construction . . Y employees(full and/or part-time)•* have hired the sub-contractors listed on the attached sheet. 7. ❑Remodeling 2.❑ I am a'sole proprietor or partner- These sub-contractors have • ship and have no employees e 8. ❑Demolition employes and have workers' ' working for me in any capacity. 9. ❑Building addition comp. insurance.t [No workers comp.insurance 10. Electrical repairs or additions required.] ' 5. We are a corporation and its ❑ 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have.no employees. [N o 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the 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.thepolicy and job site information. I' Insurance Company Name:__ �C� � Policy#or Self-ins.Lic,#: Get/ 60 l y—1 Expiration Date: Z� ,, Job Site Address: too yalla� �- I lM � City/State/Zip: Den V III . R b202 Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a.,day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c ify under the pain u dpenalties ofperjury that the information provided above is tr(-///ue and correct: Si ature: n(circle Date: VPhone#:Official inthis area, to be completed by.city or town official City or Permit/License# Issuing 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Phone#: Contact Person: int®rmapon anct jinstructi®ns Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not producedz acceptable evidence of compliance with the insurance coverage required." Additionally,MGL ehapter.152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-conti actor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members'or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number:. The Commonwealth of Massachusetts Department of lndustrlal Accidents Office of Investigations 640 Wasbingtoh Street B.oston,.MA Q2111 Tel. ##.617-727=4500 ext 406 or 1-877-MASSAFE Fax##617-727-7749 Revised 11-22-06 www.mass.gov/dia -.Lvrrli. vl JJiIlJ.I0LLIIJiL7 Regulatory Services. y uvSTAMM= ' Thomas F.Geiler,Director 'MASS. Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town..barnstable.ma.us Face: 508-862-403 8 Fax: 508-190-6230 Permit no. Date AFFIDAVIT HOME EYIPROVEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal, demolition,or construction of an addition•to any pre-existing owner-occupied building containing at least one but not more than four dwelling units.or to structures which'are adjacent to \ such residence or building be done by registered contractors,with certain exceptions,along Rdth other requirements. Type of Work: - Estima�ted�C/ost + Address of Work: Owner's Name: -J o • S I eg Date of Application I I hereby certify that: Registration is not required for the following reason(s): Work excluded by law MJob Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: C)VnRS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTYFUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the gent of the owner: 3f Ss- D e Contractor Signature RegistrationNo. OR Date Owner's Signature Q:wpfn es Jar=:homeaffi dzv Rev: 060606 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 ' Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/.sq.foot= x.0041= plus from below�hf applicable) GARAGES(attached&detached) square feet x$32/sq,ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf. 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x S30.00= (number) Deck x$30.00= (number) Fireplace/Chi=ey x$25.00=' (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) projcost Permit Fee Rev:063004 Table JIM(cautioned) Prescriptive Packages for due and Two-Family Realdential Buildlags"Heated with Fong Fuels MAXIMUM MINIMUM Glaring Glazing Ceiling Wall Floor Basemeat Slab Hesting/Cooling Area'(%) U•value' R-value' R-value' R-value` Wall Perimeter Equipmcat EMciency-' Package i I R value° R value` 5701 to 6500 Heating Degree Daysl Q 12% 1 0.40 38 13 1 19 10 6 Normal R I2% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85-ME T 15% 036 38 13 25 N/A NIA Norma! U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 NIA N/A 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 18% 0.32 38 13 25 N/A NIA Normal Y 18% 0.42 38 19 25 NIA N/A Normal Z 1 18% 0.42 1 38 13 1 1 10 6 90 AFUE AA 13% 0.50 30 19 19 1 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETER MINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f9 803 03 a 780 CMR Appendix J Footnotes to Table J8.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding=glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage.Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 ffl=of decorative glass may be excluded from a building design with 300 ft of glazing area. z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling.R-values do not assume a raised or oversized truss construction: If the insulation-achieves.:the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall. For example,an R-19 requirement could be met EITHER by R-19.cavity insulation OR R-13 cavity insulation plus R-5 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding.glass doors of conditioned basements must be included with-the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes ele. ric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC•test procedure or taken from the door.U-value in Table JI.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 °ftHET Town'of Barnstable Regulatory Services ' BARNSTABLE, ' Thomas F. Geiler,Director ,9 MASS, wilding Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-79076230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) . erSignature of n ateca , �o S' Is Print Name Q:FORMS:OVTNERPERMISSIGN License: CONSTRUCTION SUPERVISOR Number:-CS 094500 Birthdatei`07/22/1962 Expires:`07/22/2010 Tr. no: 94500 Restricted:"00 JAMES S PEACOCK PO e 171 OSTEVIVI LLELE, MA 02632' Commissioner l Board of Building Regula (ons and -Standards One Ashburton Place -,Room 1301 Boston, Massachusetts 02108 . Home Improvement-Contractor Registration Reqistration: 151853 Type: Private Corporation ' Expiration: 7/7/2008 SCOTT PEACOCK BUILDING & REMODELI JAMES PEACOCK r -'4 PO BOX 171 OSTERVILLE, MA 02655 - Update Address and return card. Mark reason for ch aw c. (,� Address J Renewal I Employment Lost Cara DPS-CA1 is 50M-05/06-PC8490pp ✓�ie loanvrrroruaP,cz`C� a�'✓1la�aacf2riee� Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: Registratio,ri;,151853 Board of Building Regulations and Standards Expiration 7/7/2008 One Ashburton Place Rm 1301 Boston,Ma.02108 Type Private Corporation ' SCOTT PEACOCKjBUILDI,NG&•R,EMODELING INC ,TAMES PEACOCK � �\t�✓� \/" 1046 MAIN STREET SUITE.7.: OSTERVILLE, MA 02656 Deputy Administrator Not valid without signature s , r 08;11-"2006 12:39 FAT 50642183068 GEkhiA I IN5LTI_kNC'E FoOU1 ,y.. '7j({"' 11 .52gt CORD, q� n tr; QATE(MMIUCl/W) L' r; A P6„� � ✓ 8./11/2006 a I t I .f.. PRODUCER THIS CERTIFICATE? IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO FLIGHTS UPON THE CERTIFICATE GERMAN1 INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 90B WIMP!STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSTERVILLE,MA 02055 LCOMPANIES AFFORDING COVERAGE... ._. _. COMPANY ESSEX INSURANCE 00. A INSURED COMPANY SCOTT PEACOCK BUILDING&►EMODELING B AIG AMERICAN HOME_ASSURANCE VO. PO BOX 171 i COMPANY --'-- ---'— v'----•-------•-------- '-- OSTERVILLF,NIA 02655 C COMPANY J gJJ TN.$Iv TO C ERTI=y THAT THE POLI;IES OF INaUPANC.E LISTED BELOW HAVE BEEN:$SUcD TO TK INSURED NAMED ABOVE FOR THE POOC Y PERfOO Ih01GATe17 NOT'141.I N._CA"IUING ANY RGQUIRE!•AtNT TERM lR CDNCITtON OF ANY CON 1 RACT OR OTHER DOCUMENT WITH RESPECT TO V ICH THIS 0ZRT'IFICATZ!'Y W BE ISSUEC OR MAY PERTAIN,TnE WSURAN�E AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. fxOWSIONS AND GONDIT;ONS GF SUC`I PGl,IQE5.LCIAITS$HQVVN MAY HP,VF,BEEN 4E0QCED BY PAID C',.AINIS: cc I POLICY EFFWTIVE 1 POLICY EXPIRATICIN 4TR TYPE OF INSURANCE ; POLICY NUMBER j rGATE(MM/0On'Y) i DATE(&WJDWYY; I _ LIMITS CyFNE:RAL lJAF31'L1TY ! e� I GENERAL AGGREGATE 5 2.000,000 '3 U9a>9 07105(06 I 07/06/07 --- __.._............. . .. A t:gMMCkCfAL GL:I{EfiAL LIh.31UTY I ' PRODUCTS-COMP/OF AGG $I 1,000.000 I CLAIM>MADE OC'UP I I PCRggNAL! AO'✓INJURY' t$ _ 9 OUO OOO !OWNER'S S CONTRACTOR'S PRCT I ! EACH OCCURP!ENCE —I S_ 1,OOO.000 FIRE CAfdP.Cii' IAr1y Mle flf6j $ 50,000 MED EXP (Any Imo rJa.cn) 16 i 000 AUTOMOBILE L)AEILTTY i COMBINED SINGLE LIMIT I$ ANY AUTO _I ALL OWNED AUTOS I I j i BODILY INJURY I$ _ I SCHEDULED AUTOS ! j {Pa DBrBOf1) HIRED AI,ITGS BODILY INJURY NOWOWNIQ)AUTOS j I (PnraddeR2) PROPERTY DAMAGE I$ GARAGE LIABILITY I T AUTO ONLY•EA ACCIDENT --'----— -.._..._... ...L__.. ._.... ANY AUT-�) LITHER THAN AU I O ONLY. .... EA(;H AGgIOENT 3 AGGREGATE EXCESS L44HILITY --- �' 1 EACH OCCURRENCE, $ i ,_.............. _........._r-----.—_— UMBRELLA FORM i AGGREGATE £ OTHER THAN UMRRE�LA FORM • �I) I ___ r.... ., I$ E� jlYCrRKER'SCO"dPEN$ATItINANq �20-50C1v4 j �5/?`�06 OFi1c2107 'r l a�v- -T L_1.A?_� EMPLOYERS'LIABILITY --....... .._._.. ! I EL EACH ACCIDENT $ 100,000 PAATNF ?ramR' ! I INCL I i EL'aISGASE-POLICY LIMIT !.6.. 500 000 jFARTNFREsEXc`DUTNQ t---I � ( ( .___—.___._..— --'-- Or-iCEFW ARE: i I E�CI.j I EL OiSEASE-EA EMPLOYEE I$ -- 100,000 OTHER I DESCRIPTION OF OPERA'TIOA1.SiLOCATIONS/VEHICL.E.SISPECIAL ITEMS ,I..Ifc-1,', �RI,iS�f 711 7mI SHOULD ANY OF TM& ABOVE DESCRIBED POUCICS 06 CANCEL! DGFORS THE TOWN OF BARNSTABLE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WR17`EN NOTICE TO THk CERTIFICATE HOLDER NAMED TO T`IE LF:T, P FV,#:508-428-7626 BUY FAILIJRG TO MAIL SUCH NOTICE 8HA6L IMP08E NO OBLIGATION OR LIABILITY Or ANY ICINq UPCINL THE COIAPAN ITS AGENTS:OR REPRESENTATIVES: AUTHOpg^9�W.0 RREPPRyE�SEENTATIV J►/* ) i .4 4 YS �pF .i Assessor' // . .s map and tot number � . . ...........:/•:. /Li>A.� ������_ , O THE- Sew Permit number ...... : ...........c.......:1 -SEP IC yam.+ �g� y 1�STEM 13AHBA98TADLE, i House number ............... ! ..... ...... INlSTgLLE IN COM { N .39 • Q Y4. •vf�'Ti.: L . Mp TOWN .,OF 13AR DE AND., r 1ONS . jt4, `BUILDING,-. IHiSPECTOI` r Construct Dwelli,n - APPLICATION FOR PERMIT TO ;,..................................................... ........:.................... ...................................... TYPE OF CONSTRUCTION,,. ......... �t U.Qd..f 7e........................... ;�Tuly.........�3... t9 82 TO THE INSPECTOR OF-;BUILDINGS: The undersigned hereby applies for a permit according to the following information' ; Location hot 25 Valleybrook Road, Cert,eryle ••••; ; •,; • Proposed Use .....Single•... .aml Ly........................................... ... Zoning District ...R.e.idexat.iAl.........................................Fire District .........Q.q#?.:�roat....:........................................... Name of"Owner .-JaMeS- K. ' Smith BarnstAble ..............................................Address .................................................................................... Name of Builder. .....James :.K....8m.ith.;. ,•,;. ,.-,,:,",Address ...............Barns.table. ............ ............ Name of Architect .........a. I ............ ..Address ..................... ............................... ................... Number of Rooms' ................ .... ..... Foundatib'n ,,, I. -dr'.ed concrete ' ._.. Exterior .....c- apbraa d .&...w.e...shingles........ ..Roofing: i wall t o••wall dr al ` Floors Interior . ..�} ........ ............... Heating ......�hAJ2y„oil'. ..........................................Plumbing .............2- ba;ths �................... .......:................A Approximate, .... .. �� sQO� . ,. ; Fireplace ........02�,o.......... ......... .................... pP ..A.....................:.:... ......:. • . i � Definitive,Plan.Approved..by..Planning..Board-___._�_-_� ------------ _____--. . ;�',rea.... ... �a��..f: ...:. .... 7� Diagram of Lot, and-Building with Dimelsiops.:.., Fee �— i .................... ........................ SUBJECT TO APPROVAL "OF BOARD- OF HEALTH A 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....q.Aj. �!..... ......4*.�1. ............... TH,. JAMES K (. No 24206:.. permit for ....................................1 Storyt " Single Family Dwellin ...... . Location Lot #25 60 Valle oad ....._........................................Centerville.... ....................................................... �. ♦ ��� .t� , - t Owner James. K Smith �. i ................. ..................... ................. Frame Type of Construction, .......................................... JPlot .....'.............. ........ Lot July 13, 82 .. . Permit Granted .......:........ :........19 Date of Inspection .......................................19 Date Complete 3/`2 ' y. toG. l T a A SILJ�.L'9✓ �L1MIL..�( - 3;,T3Ev-QpQNC:,, 'V z w Tact I_�q F1.-ow .i tic) . S.. 33o24 KEPT-1c -rA*-'k = 33o,. lSc % - 4-95 6.Po. use- t Ooo Gam. \�n•oo .bi5POSA,L PIT - IUSE IDOC> GAL, STGW � sue. �. ► .o so �.P�. IS,�3�' F '`'�'� + � ZL TOTaL 'L7ESIGtJ c 4'Lrj G.P.D. roTo t_ mat��( F�.Ow s 3W&PD. o I PSreCD L&Tt0Q •QATE : � Iu 2MIW OIZ LESS. 4-4 a o WtCt1APID ALA. f j jo No.24048 (g�T�R INV TE-sT 12�' �L a 3 Tor 1'wv =-4I F 4- 37 o. In r�>H • 3, • �"Poe ., lye �•TNIL- loco - ,¢00�PB � I W. Z� -sox Sepnc INV.00 ( TANK GoAAbeg 1000 34, t I►N .,, LsAcA 'A PIT G WA464ED: A' STONI_ 3a • �iA1J� II CEQTtFtED PL.o"i" PL.111..1 - EL- L OCAT I O IJ Z!. IZ Wo Sc.o.LE- GCAL P-' �1 R1=1+=IZE►.1GE i 'G G iZ T t{-- �( T�A T T 1-1 E i�'`t�tJ�l7a'Z'I�!J 5 4.tD%ci tJ •• LA1 t�F.I:I_nIJ Gc �PL`(S W ITIA TO : 51DELIWE-- A.WD e>e—roACIG WrEQUIREAA&WTy O THC �� t ww G- 'Sf�-tom aT�w LJ BQXTC.tiZ �`;. u-(C IQG. RCGtS'rCCRtD t-AIJG 5U2VcYc��S Tt-Il5 C7t_AI-J I� I-JOT L�':ASE'C7 Vw-� A�.J 05TE2`/►lt:G c� /�C.�S�i. ' I�.ISr;:�rtnt_I.l i /�uc_.it_Y TIaI UFI=5 Y"�, SI Gw1A APPL_I C_AhIT" , t r:r t;t.•_ U I�L►? I c, L.O'.r l_t was TOWN OF BARNSTABLE P 24206 • e Permit No. i Building Inspector • rra Cash OCCUPANCY PERMIT Bond --------_-j_•�_ Issued to James K. Smith Address Lot 251 60 Valleybrook Roar,, Centerville Wiring Inspector Inspection date- �$ Plumbing Inspector � " '� '�► Inspection date Gas Inspector �/ f i � Inspection date `Engineering Departments s-, Inspection date Board of Health ✓ .. 2�7 Inspection date THIS PERMIT WILL�NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING /CODE. ,s:,J!.�r� .................................. ..�/ Building Inspector Assessor's.map and lot number ..,.... .. %r...,_..................` ...-� pi,,ti , s2 ✓'j�,3/ yoF TINE Toy �� Q Sewage Permit number ............:.......`..,.:,..:. d� °+► . . ......................... BA"STADLE, i House number .......:................................................................... 9 MU& '�JFD YpY p,. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........C©ns,truct Dwe.11in .................................................................. ......................................... TYPE OF CONSTRUCTION ifnr f'ren .................................................................................................. .......... ...........TOLY.......... ..............19..... 2 w TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ................Lot; 1r Vallwbroo�z...RoadA...Centerv3;�_l:�................................ ProposedUse ......Cane ^.....^",'ri.r..................................................................................................................................... Zoning District ....�P,nj,.d.e? j.aL.......................................Fire District .........C�"'?:a.-f)t�k................................................ Name of Owner ..Jame K• Smit. Barnstbble ....................................................Address .................................................................................... Name of Builder' ......T????"'?... ?"" t ?..........................Address ............... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...............................................Foundation Do.urE�3 ConCxetP. ................... ............................................................................... Exterior ..... ...Roofing .......... yy t.:!'.................................................. Floors wall .to wall............................................Interior ...............dS"Vwal.l.................................................. .................................... Heating ......ih b rail ...................Plumbing ..............��-..baths.................................................. 1,.......................................... Fireplace .............one..................................................................Approximate Cost ........ !� 5^000.......................................... ... Definitive Plan Approved by Planning Board ---------------_---------------19________. Area ........'�� ..L�.�...:�.. .1.:...... .......... Diagram of Lot and Building with Dimensions Fee ,T~ SUBJECT TO APPROVAL OF BOARD OF HEALTH /—ISO;j w� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS _..� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. y Name ....�} :! ..... ?i......:� tilt............................. SMITH, JAMES K. 8-4 No ... Permit for A S:�9XY.... ........... A 8 'Y... . 14. ........ t amA 1.Y...Dw.e. ...n. .............. ....... .1 14i Location ...491;...#.25......6.0....1 .31, Ybtr.oak. Rd. ..................Center YI.11Q ................... ' I Owner ....James K. '5......... .mitb Type of Construction Jlr.aM, ........................... ............................ ....................I............................... Plot ................... ....... Lot ,................................. Permit Granted I.J.U.1y.... ..r.................19 8 2- Date of Inspectio I. ............... ....................19 Date Completed ................ ...................19 IrAm �� � —oop 9 -8' .. 3! 3• CEII.'Cj -ro 66- 14. 0 AT r PWc)vE F-YOT4 4=D pg Dool� Al b CLOo EXIST' _�To�AC4 N�vJ- AWbMC)J" Afl 5-� AK6A AvJui�iC� v�lubav� ,., { ,ALL. v&Vt) KITG1IEo: 1►:1-!5L)LA`rC,b ExL'sT K-15 h u g�r� A65 [= , iM01AL- - I'-(o" l(uD5 r —' F�A�� ulnU,h .9 3 ' POLL- bcWd 1 - - - zx�8�1di�Ttz I,Ao"bK RBI .. . - • 1 � A�� ExlS i DKYWAL L. `- (, � .. ,. r ` �I-A ,E Iu ACTE BgTTP r z To BE KE oVEd o ok �'tATE rT . D emu, t��hIDE �IwI_ (K)�LAI: r . 1 1� \/ 2X6 Jots I(.o c 2 •, 1LJ60LATe r1 Jo " -Jol56 (o- Br HU►.14 r-30 F 86p_4 FKoNI KI J0151 LAI - FLan�Z ����I� . JoN � J4� ILIL�LES - ,,o,