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Fee taco . 07� ax Collector - "Measure - Historic-OKH refs f " F Project Street Address © st Village Owner Address �Z© qUR11r Y' S ` -Telephone /' — L `7-- C7 4& Permit Request Square feet: 1st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cost f Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size e O.I Grandfathered: ❑Yes No If yes,attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure I q Historic House: ❑Yes 6No On Old King's Highway: LJ Yes )(No Basement Type: KFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 900 Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing 3 new Total Room Count(not including baths):existing new First Floor Room Count { Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air: 0 Yes XNo Fireplaces: Existing — New Existing wood/coal stove: XYes ❑No L//Detached garage:❑existing ❑new size Pool:U existing 0 new size Barn:0 existing ❑new size , Attached.garage:O existing ❑new size Shed:'O existing ❑new size Other: Zoning Board of Appeals Authorization Q Appeal# Recorded❑ Commercial ❑Yes No If yes,site plan review# ✓Current Use Proposed.Use BUILDER INFORMATION Name ' � � 1 Telephone Number '��� -r.4 (0 _2D-3 7 3 Address I I Id �/t�t-ef,��. License# C) (s- -6 3 Home Improvement Contractor# a T S Worker's Compensation# A ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ,A-Pr SIGNATURECLA� W DATE _ 3130 l �T FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO: ADDRESS °= i VILLAGE OWNER.l ' DATE OF INSPECTIek ya FOUNDATION, FRAME INSULATION-" . FIREPLACE '`ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL' V4 GAS: ROUGH FINAL' ° (�, = FINAL BUILDING ° r DATE CLOSED OUT ASSOCIATION PLAN NO. ' + 'tn e own oi isarnstaDie WAS&asanier�.x. t r �m Department of Health Safety and Environmental Services Building Division T 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 , Ralph Crossen Fax: 508-790-6230 Building'Commissioner Permit no. 9 Date 3 k 7 AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: J Estimated Cost Address of Work: �D S t, - i?Q(9.3 0 Owner's Name: Date of Application: '3 [ao I hereby certify that: Registration is not required for the following reason(s): r-iWork excluded by law Job Under S 1,000 ❑Building not owner-occupied weer pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR Date U Owner's Name q:forms:Affidav Eno oor) Map ` I Parcel Permit# �� 9,u r House# Q5� t Date Issued `��� ' T� Board of Health(3rd floor)($:15 -9:30/1:00- � S1/JJIr ` Fee IMF 19 APPLIC EONNEC Eta OM THE ENGINEE BIOS TO TOWN OF BAIfN . ft A®QITIOtq OF A Eh N (Telephone oject ddress LAW• R llage a 0 O KE Q .� ANLJ wner ' GRID e&A �j I FORT INGLY ROpR�p►T rmit Request T �• ` g F -Co, bl a Q'Y . `�, li uw � �r6 -First Floor TOY square feet Second Floor -- square feet .Construction Type e �6 . Estimated Project Cost $ (� Zoning District Flood Plain 200'P. Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 14 C6 Historic House ❑Yes ';kNo On Old King's Highway ❑Yes 1�&No Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) �'' Basement Unfinished Area(sq.ft) �D(j Number of Baths: Full: Existing New / Half: Existing New No.of Bedrooms: Existing i New Total Room Count(not including baths): Existing '7`" New First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes 15j(No Fireplaces: Existing ' New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) r ❑Attached(size) �1 X 0/ ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes -�(No If yes, site plan review# Current Use Proposed Use Builder Information Name CU Telephone Number �''!J� �7 Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE S BUILDING PERMIT DENA FOR THE FOLLOWING REASON(S) 7,-/,�,- /�r sc er ► - •j i FOR OFFICIAL USF ONLY PERMIT NO. r '' � • - 1 • DATE ISSUED' - • "' ' MAP/PARCEL NO: ADDRESS - VILLAGE OWNER € D7gd— i DATE OF;INSPECTION: FOUNDATION "'r C7 rM FRAME INSULATION , -r �.�, •T. ! - r { FIREPLACE 0 j_ X "7 ELECTRICAL: ROUGH - ` .. FINAL; - rl PLUMBING: ROUGH '_= CJ 77 ' .FINAL -' - GAS: .' ROUGH,,P-w d `~ -,, 7 - T x FINATLc + SM FINAL BUILDING s . `- - - 1 �xs < ! DATE CLOSED OUT ASSOCIATION PLAN;N`O • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION P1 se print. DATE JOB LOCATION / Number Street address Section of town "HOMEOWNER" Name Home phond Work phone - PRESENT 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFfINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, 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 OfficiE on a form acceptable to the Building Official, that he/she shall be responsib! for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes responsibility for compliance with the Ste Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Depart3ment. minimum inspection procedures and requirements and that he/she will comply i said rocedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required' to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state th t: "Any Home Owner performin wor - for which a .building permit is required hall be exempt from the prov's 'ons of this section (Section 109. 1. - L'censing of Construction Sup isors) ; provided that if Home Owner engag a rson (s) for hire to do s - h work, that such Home Owne sha act as supe isor. " Many me Owners who a th ' exemption are u aware hat they are assuming the res onsibilities o sup visor (see Ap endix Q, 'Rules. and Regulations for . lice sing Constructio Supe isors, Sec ion 2. 15) . This lack of awarene often re lts in serious pr lems, Rartic arly when Home Owner hires unlicense persons. In this se oubsBo d cannot proce. d against the inlicensed erson as it would wi lic sed Supervisor. he Home "Owner acti. as supervis is ultimately tespon To ensure tha the Home Owner is fu y a re 6f,his/fier res onsibilities, ma: communities req ire, as part of th permi lication, that the Home Owner certify that he/ understands t e responsibiTities,'of a su ervisor. On the last page of this issue is a fo currently used by-several owns. You may care to amend and adopt such. a form/certification for use•_ ' your community. MCUR ApppAft, Table JUJb(eouftned) P meripdve Paekaga for One and Tiro-Family Resideadd Buildings gelled with Food Fads MAXIMUM MIN MUM Glazing Glazing Ceiling Wall Floor Basmem Slab Heating/Cooling Am'(%) U-value= R value' R-value' R value) Wa>! Perimew Edpmem Effi«ence Package R-value R value' 5701 to 6500 Heating Degree Days' Q 12% 0.40 38 1 13 19 !0 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 !0 6 85 AFUE T 15% 036 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 19% 032 38 13 25 N/A N/A Normal Y 18% 0.42 38 19 25 N/A WA Normal Z 12% 0.42 38 13 19 10 6 90 AFUE AA IVle 0.50 30 19 19 10 6 90AFUE 1. ADDRESS OF PROPERTY: !� ll 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 7 d 4. %GLAZING AREA(#3 DIVIDED BY#2): . 1 5. SELECT PACKAGE(Q--AA-see chart above): " NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-formsd980303a 780 CMR Appendix J Footnotes to Tabi J5.2.1b: ' Glazing area is th ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if to ted in walls that enclose conditioned space, but exclu ing opaque doors)to the gross wall area,expressed as a perce ge. Up to 1%of the total glazing area may be ex luded from the U-value requirement. For example,3 ft of decorate a glass maybe excluded from a building desi with 300 ft of glazing area. 2 After January 1, 1999, glazin U-values must be tested and documented y the manufacturer in accordance with the National Fenestration Rating ouncil (NFRC) test procedure, or tak from Table J1.5.3a. U-values are for whole units:center-of-glass U-valu cannot be used. ' The ceiling R-values do not assum a raised or oversized truss cons ction. If the insulation achieves the full insulation thickness over the exterior ails without compression, R- 0 insulation may be substituted for R-38 insulation and R-38 insulation may be su tituted for R-49 insulation. eiling R-values represent the sum of cavity insulation plus insulating sheathing (if use . For ventilated ceilings, sulating sheathing must be placed between the conditioned space and the ventilated port n of the roof. Wall R-values represent the sum of the wall avity insulation pl insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior all. For ex pie, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insul 'on plus R-6 ulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall c structions but do not apply to metal-frame construction. 'The floor requirements apply to floors over uncondit ned sp ces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling equ' ements. The entire opaque portion of any individual basement wa ith an average depth less than 50%below grade must meet the same R-value requirement as above-grade wa Windows and sliding glass doors of conditioned basements must be included with the other glazing. B em t doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add additio al R-2 for heated slabs. ' If the building utilizes electric resistance heating us compliance pproach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than o e piece of coo 'ng equipment, the equipment with the lowest efficiency must meet or exceed the efficiency requir d by the selected ackage. 'For Heating Degree Day requirements of the clos st city or town see ble J5.2.1 a NOTES: a)Glazing areas and U-values are maximum a eptable levels. Insulation -values are minimum acceptable levels. R-value requirements are for insulation only d do not include structural co ponents. b)Opaque doors in the building envelope in st have a U-value no greater th 0.35. Door U-values must be tested and documented by the manufacturer in ac ordance with the NFRC test proce a or taken from the door U-value in Table J1.5.3b. If a door contains glass d an aggregate U-value rating for tha door is not available, include the glass area of the door with your windo s and use the opaque door U-value to de rmine compliance of the door. One door may be excluded from this r uirement(i.e.,may have a U-value greater th 0.35). c)If a ceiling,wall, floor,basement all,slab-edge,or crawl space wall component inrudes two or more areas with different insulation levels, the com onent complies if the area-weighted average R-val is greater than or equal to the R-value requirement for that omponent. Glazing or door components comply if th area-weighted average U- value of all windows or doors i less than or equal to the U-value requirement(0.35 for do rs). 43 FRAMING SECTION ALL DIMENSION LUMBER SHALL BE Kb SPF N0.2 OR BETTER. x COLLAR.TIE i j 2 x RAFTER @ " O.G. i SHINGLE 2 x CEILING MIST @ '" O.C. W/IS LB. FELT i I I I I Ix PINE FACIA R-30 KRAFT FACED FG BAYS R- UNFACED FG BATTS —f SOFFIT VENT W/G-MIL POLY VAPOR BARRIER — PINE SOFFIT (l sT E 2W. FLOOR) r I 1 I I � I• I I I Y. 2x FLOOR JOIST @ "O.C. I (isr 2m FLUOR) 13 I I I I � SILL SILL SEAL 'D 'L 0 ANCHOR BOLT - @ 6'-0' O.G. ,. CONCRETE " o FOUNDATION WALL I Air -- A /I /1I1111A M n n CIELII`!ls Tarim Olp fft , .SIC% Z • i } r � I CWALL sTVA s cC J v u Ll`/7 �v'(JI�G'cJG'G'tltl �« I FLD62 rY �v dwo nfb A-T7 � w�Zj- i . (' � • g�G15rt�AlT' �Laa� S1�.14f3 ?�tc� ®f Barnstable \\ r S/71/NGLCS OL46R `ELT �F�PE2 .-\ Rao PL y ' � i J 0 1S7- 0.C �x�� LNG CMG , so IS T ��EFL s"viST /ffliv�TF�s HE:,9PE2S (-7" Yo ) ,[X�STI/V G r.rJlaLL To 6E REmovED- �,�FgTNiTi P�vwOOD - — FLO 0 PT SILL e� PROPERTY ADDRESS STATE ARCEL IDENTIFICATION NU - ,•,_.,, I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I,CLASS I PCS I NBHD KEY NO- OO1D GEORGE STREET 04 RB 10,0.': 048A; 07 9 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T,, _UNIT 'ADJ'D.UNIT aiihns Lam By/Dale S�=e Dimens— - P - ACRES/UNITS- VALUE Description. 8I GG A M. -GLE.NN'J Mqp- CD. FF-Da Ih/Acres LOC./YR.SPEC.CLASS ADJ. COND. E �'PRICE PRICE #LAND I ' 51 i200 rAPPRAISEDVALUE RDS IN ACCOUNT — L 10 18LD_G.SIT1 X .2 =10 K=105 .224 749.99.9 ::176399.9. .29 51200 #BLDG.(S)-CARD-1 1.°. 52.4001 r of 01 A #OTH.E.R•FEATURE I. � 400 '104000 N BATHSri.O, U X:... C= 100 35.60..0 3500.0 . 1.00 -3500.a #PL ..7 GEORGE -ST .BARNSTABLE T 109100 D SHED S 6 X': 8 ' 197 C= 78 :11-17 9:1 48 4004 #DL'LOT:44-45-46 E A - #RR 0597.0156 0613 0156 D #SR'GOODVIEW' WAY ' D i A 104.000 A U PARCEL SUMMARY T S AND 51200 A T LDGS 52400 -IMPS 40C M TOTAL! 104000 F N iCNST E - DEED REFERENCE Type DATE Re-d d R I 0 R`YEAR :V AL U E A T Book Page 1r 1 MO Yr.ID Sal-Pace AND 51200 T S i 7110/031: I03/90 A 1 BLDGS 52800 U 4777/116: I,10/85 A 1 TOTAL 104000 R 1625/307; ,00/00 E BUILDING PERMIT I E W-.....-..... S Number Dale Type Amqunt _ LAND LAND-ADJ : INC ME SE. SP=BLDS - FEATURES BLD-ADJS UNITS 51200, 40 3500. Const. Total Year Buill Nerm. Obsv. Class Units Vnils Base Rate Atlj.Rate A I .Aga Dap,. Centl. CND Loc M R G Rapt Cost New Atll Rapt Value Slgries Height Rooms Rma Batha IFia. Partywall Fac. 01C-. 000 100.100 53.95 - 53.95 50,75119:80 95 75 69807, 52400s1:0 4 2 ' 1.0 4.0 Description Rate Square Feet Repl.Cost MKT.INDEX: - 1 00 IMP.BY/DATE: / - SCALE: 1/00.73 ELEMENTS CODEJ CONSTRUCTION DETAIL S BASr100. 53.95 1103 59507 GROSS?AREA- '1103 SINGLE,FAMILY: DWELLING CNST GP_00 T FFG 30 . 16.19: 420 6800 . *------20-----* . N' *--10--# . STYLE- - - 03 ANCH 0-0 -- ------ 5 ! ESIGN ADJM- DD _ _______ 0.0 R ! XTER.WALLS 01 OOD FRAME 0.0 U - - ------ -------- -- ---------------------- *----------32----r-----* ' EAT/AC-TYPE 02 AS 0.0 C 21 - NTER-FINISH 00 -------- _-_-- 0-6 T 21 , � - NTERLATOUT 01 0.0 U ! i4 ! INTER._AUALTY 02 AME AS EXTER. 0.0 Ft ! -- - -- - - A -W! " FF.G BASE 34 :FLOOR STRUCT 00 0.0 L ! "` E_LOOR COVER 00- 0-0 ETotal Areas Aux= 420 Base= 1103 * ------20--- *---11--* ! OOF TTPE 00 - - ---- ------------ BUILDING DIMENSIONS j ! ' L E C T R I C A L 00 0-0 T BAS.W31N15 W11 .FFG W20 N21=E20 FOUNDATION A S21-:.. BAS:N14. E32 N05 : E10 .S34 : 15- I - - --- -REI-GW9ORH06Dr77AC BAR N3TA8LE ! ! LAND TOTAL MARKET *----------31----_ -----X PARCEL', 51200 104000 AREA 1b611 VARIANCE .+0 +526 ___- STANDARD '25 dq i' q3117- +70m -LLj'ICGbrc:1 C10or �'o dick �N5-}-ill I,o i�tid�w� I { I c►osc-- o� ya� rs" ,5 i u I n Gl � is 1voeIf4lDn ma64 redn A v - I �r�.til5om -uvlcahc e� i C'IosC4- - Clcx� a- V -�L{. :.lv:_