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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
`c
Map �55kP Parcel b Application#
Health Division
Conservation Division_�Y`" Permit#
Tax Collector Date Issued Ig
Treasurer Application Fee J
Planning Dept. Permit Fee
Date Definitive Plan Approved, _bv Planning Board �D� 6119
-10'
Historic-OKH Preservation/Hyannis
Project Street ddress I of 7N I i A-r,,3 lA tV RD.- C
Owner T-o�C-n DNS t _1VL 6o Jr-( Address 120.
Telephone 500 3Q- 7g ix
Permit Request 10 1X C QDi-F%ate 04 of t3oft-1 A -FAc%N&- SW A asp wDc
P oRMGZ of:f of r-3 oMtk f-Acc}y-
Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new dl 0
Zoning District Flood Plain Groundwater Overlay
Project Valuation i3:0 oDa') Construction Type
Lot Size Grandfathered: ❑Yes N rNo If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure B),It Iq5_ Historic House: ❑Yes 5 'No On Old King's Highway: j'Yes ❑No
Basement Type: gFull Wcrawl ❑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: DdGas $Oil ❑Electric ❑Other
Central Air: ❑Yes JK No Fireplaces: Existing �_ New Existing wood/coal s ove: ❑rY s ONo
Q
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existi g ❑n(w size!'--
Attached garage:Xexisting ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ CD
Commercial ❑Yes ❑No If yes,site plan review# - - - d°
Current Use Proposed Use
tee D BUILDER INFORMATION
a Name led kN Number Telephone p .5Dy- .36a- ?B!d-
Address agaS MAh*,-► St- License#
g 6t 3 0 Home Improvement Contractor#
10NX 9AVTJ SPW6,� NA• p Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Tbt,)/,J Of VA�tou�
DUMP
SIGNATURE DATE 7
f _
-` FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED
i i
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER _
z DATE OF INSPECTION:
z FOUNDATION -O
FRAME O rG R' T> �1
INSULATION d I t
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
f � '
r � i III
DATE CLOSED OUT
y
ASSOCIATION PLAN NO.
w
r
fHE
Town of Barnstable
OF 1p�
"o Regulatory Services
L►MSTABLE, Thomas F.Geiler,Director
6 s. A.m� Building Division
rFn wta�
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
----------------
HOMEOWNER LICENSE EXEMPTION
6k/0 7 Please Print
DATE:
JOB LOCATION: —_14jp i AT-4
number street village
a3 I-y8/$
"HOMEOWNER": If2okih 3 G— Ir 5_'8MW
-
name pp home phone# work phone#
CURRENT MAILING ADDRESS: �QQ T7aX loafr
V1TIu"lI TT���� �o263o
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwelEM 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
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements.
Signatu a of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a 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:forms:homeexempt
Table JS=b(condoned)
Prescriptive Packages for Oue and Two-Family Resldeotdal Bulldings Heated with fosril Fuels
i ,
MAXIMUM MINIMUM
Glaring Glaring ceiling wall I Floor Basement Slab Headng(cooag
Area' U-value: R-value? R-value' R-values wall Perimeter Equipmou Efficiency'
package it-value, R values
5701 to 6500 Heating Degree Days'
Q 12% 0.40 38 13 1 19 10 6 Normal
R 12% 0.52 30 19 19 10 6 Normal
S 12% 0.50 38 13 19 10 6 85 AFUE
T 15% 036 38 13 2S N/A N/A Normal
U 15% 0.46 38 19 i9 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 83 AFUE
X 18'% 032 38 13 29 NIA NIA Normal
Y 18% 0.42 38 19 1 25 N/A N/A Normal
Z 18% 0.42 38 13 19 10 6 N AFUE
AA 13% 0.50 30 19 19 10 6 90 AFUE
1. ADDRESS OF PROPERTY: 1� ,
GJr-NMA Q,2%*n
2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: A T-
3. SQUARE FOOTAGE OF ALL GLAZING:
4. %GLAZING AREA(#3 DIVIDED BY#2): yak
5. SELECT PACKAGE(Q--AA-see chart above):
NOTE: OTHER MORE INVOLVED METHODS OF DETERNIlNING ENERGY REQUIREMENTS
ARE AVAILABLE. ASK US FOR THIS INFORMATION.
BUILDING INSPECTOR APPROVAL:
YES: NO:
q-fonns-080303 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 fft of decorative glass may be excluded from a building design with 300 ft of glazing area.
'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with
tion Rating Council RC test pro
cedure, or taken from Table J1.5.3a. U-values are for
e National Fenestration g (NF ) P
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-b insulating sheathing. Wall requirements apply to
wood-fradie 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 electric 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 J1.5.3b. 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
equal to
different insulation levels,the component complies if the area-weighted average R-value is greater than or e q
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
BOISE- Double 1-3/4" x 18" VERSA-LAM® 2.0 3100 SP Roof Beam\R13O1
BC,CALC®9.3 Design Report- US 1 span No cantilevers 0/12 slope Thursday,April 12, 2007 14:00
Build 057
File Name: T Collins_Indian.BCC
Job Name: Description: RIDGE BEAM
Address: 12 Indian Hill Specifier:
City, State,Zip: Cummaquid, MA Designer: Joe Madera
Customer: TROY COLLINS Company: Shepley Wood Products
Code reports: ESR-1040 Misc:
�o
12
21-00-00
BO,3-1/2" B1,3-1/2"
DL 2076 Ibs DL 2076 Ibs
SL 3780 Ibs SL 3780 Ibs
Total Horizontal Product Length=21-00-00
Load Summary Live Dead Snow Wind Roof Live
Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib.
1 Standard Load Unf.Area(psf) Left 00-00-00 21-00-00 15 30 12-00-00
Controls Summary Value %Allowable Duration Load Case Span Location Disclosure
Pos. Moment 29417 ft-Ibs 54.8% 115% 3 1 - Internal Completeness and accuracy of input must
End Shear 4857 Ibs 35.3% 115% 3 1 -Left be verified by anyone who would rely on
Total Load Defl. U375 (0.657") 48.0% 3 1 output as evidence of suitability for
Live Load Defl. U581 (0.424") 41.3% 3 1 particular application.Output here based
Max Defl. 0.657" 65.7% 3 1 on building code-accepted design
Span/Depth 0.65 1 properties and analysis methods.
P P n Installation of BOISE engineered wood
products must be in accordance with
%Allow %Allow current Installation Guide and applicable
Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide
BO Post 3-1/2"x 3-1/2" 5856 Ibs 65.9% 63.7% Spruce-Pine-Fir ask questions,please call
(8
B1 Post 3-1/2"x 3-1/2" 5856 Ibs 65.9% 63.7% Spruce-Pine-Fir 00)232-0788 before installation.
BC CALCO,BC FRAMER®,AJS-,
Cautions ALLJOISTO, BC RIM BOARDTM BCI®,
BOISE GLULAM- SIMPLE FRAMING
Column at Bearing BO analyzed for bearing only, column analysis has not been performed. SYSTEM®,VERSA-LAM®,VERSA-RIM
Column at Bearing B1 analyzed for bearing only, column analysis has not been performed. PLUSO,VERSA-RIM®,
VERSA-STRAND®,VERSA-STUD®are
Notes trademarks of Boise Wood Products,
Design meets Code minimum (U180)Total load deflection criteria. L.L.C.
Design meets Code minimum(U240) Live load deflection criteria.
Design meets arbitrary(1") Maximum load deflection criteria.
Member Slope=0, consider drainage.
Connection Diagram
b d
a
c
a minimum=2" c= 14"
b minimum=3" d= 12"
Member has no side loads.
Connectors are: 16d Common Nails
Page 1 of 1
noises Double 1-3/4" x 18" VERSA-LAM® 2.0 3100 SP Roof Beam\R1301
BC CALCO 9.3 Design Report- US 1 span No cantilevers 0/12 slope Thursday, April 12, 2007 14:00
Build 057
File Name: T Collins_Indian.BCC
Job Name: Description: RIDGE BEAM
Address: 12 Indian Hill Specifier:
City, State,Zip: Cummaquid, MA Designer: Joe Madera
Customer: TROY COLLINS Company: Shepley Wood Products
Code reports: ESR-1040 Misc:
�o
12
hii ds 7,
"01
21-00-00
BO,3-1/2" B1,3-1/2"
DL 2076 Ibs DL 2076 Ibs
SL 3780 Ibs SL 3780 Ibs
Total Horizontal Product Length=21-00-00
Load Summary Live Dead Snow Wind Roof Live
Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib.
1 Standard Load Unf.Area(psf) Left 00-00-00 21-00-00 15 30 12-00-00
Controls Summary Value %Allowable Duration Load Case Span Location Disclosure
Pos. Moment 29417 ft-Ibs 54.8% 115% 3 1 -Internal Completeness and accuracy of input must
End Shear 4857 Ibs 35.3% 115% 3 1 -Left be verified by anyone who would rely on
Total Load Defl. U375 (0.657") 48.0% 3 1 output as evidence of suitability for
Live Load Defl. U581 (0.424") 41.3% 3 1 particular application.Output here based
0.657" 65.7% 3 1 on building code-accepted design
Max Defl.
Span/Depth 0.65 Na 1 properties and analysis methods. s
P P Installation of BOISE engineered wood
products must be in accordance with
%Allow %Allow current Installation Guide and applicable
Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide
BO Post 3-1/2"x 3-1/2" 5856 Ibs 65.9% 63.7% Spruce-Pine-Fir or ask questions,please call
B1 Post 3-1/2"x 3-1/2" 5856 Ibs 65.9% 63.7% Spruce-Pine-Fir (800)232-0788 before installation.
BC CALCO, BC FRAMER@,AJS-,
Cautions ALLJOISTO, BC RIM BOARD TM BCIO,
Column at Bearing BO analyzed for bearing only, column analysis has not been performed. BOISE GLULAMT"' SIMPLE FRAMINGSYSTEM@,VERSA-LAM@,VERSA-RIM
Column at Bearing B1 analyzed for bearing only, column analysis has not been performed. PLUS@,VERSA-RIM@,
VERSA-STRAND@),VERSA-STUD@)are
Notes trademarks of Boise Wood Products,
Design meets Code minimum(U180)Total load deflection criteria. L.L.C.
Design meets Code minimum(U240) Live load deflection criteria.
Design meets arbitrary(1") Maximum load deflection criteria.
Member Slope=0,consider drainage.
Connection Diagram
b d
a
c
.� • IN
a minimum=2" c= 14"
b minimum= 3" d = 12"
Member has no side loads.
Connectors are: 16d Common Nails
Page 1 of 1
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FirounaN of co11�^K H°^'=
'A.
1
• Town of Barnstable *Permit#rJ`��7051 ss
Expires 6 months from issue date .
Regulatory Services Fee 42 �z� a(J
Thomas F.Geiler,Director
Building Division 0
Tom Perry,CBO, Building Commissioner (��
200 Main Street,Hyannis,MA 02601 $
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number 33 6 b 10 C413 1+7
Property Address 11)L7;A,•l i) I /, i -r`nS`1�'
Residential Value of Work oU Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address U Ga 1 i ri
Contractor'sNam elephone Number r�.036-)--79ID
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance - ESS P
Check one:
❑ I am a sole proprietor AUG 2 0 2007
NrI am the Homeowner
❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
)�rRe-roof(stripping old shingles) All construction debris will be taken to Of VAAMO,� n Uo,&D
❑ Re-roof(not stripping. Going over existing layers of roof)
ORe-side
Replacement Windows/doors/sliders. U-Value
(maxim --- N r' �LA, r,
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
F � �
***Note: Property Owner must sign Property Owner Letter of PermissiorO
A copy of the Home Improvement Contractors License is required.
SIGNATURE:
Q:Forms:expmtrg
Revise061306
'J
�OFTHE r Town of Barnstable
Regulatory Services
r BARNSTABLE. Thomas F. Geiler, Director
039. A.�� Building Division
rE0 MA't
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
G
DATE: p/cam 1O7
JOB LOCATION: tt3— �,Nl7i�/M� T��I l C/ AAA, A&jt D
number street village
"HOMEOWNER": f!'L��-1 Co)�r`/�f 6�7�3b2-W1-3�-
name I
�/ home
phone# work phone#
CURRENT MAILING ADDRESS: P o , eo (®t-(r
F,4CIV►S 4Aet'_ ILIA, dab 30
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.
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements.
Signature o omeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a 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:forms:homeexempt
PROP. ADD'N. '
157.56'
ASSESSORS MAP 336 PARCEL 16
42.00' +4p.2o •
LOCUS IS WITHIN FEMA FLOOD ZONE C
4 2,9 9 \ �+40.9 '
+36.24 DATUM: APPROX. NGVD
N n
CESSPOOLS
+43.31 N 2 105.4"
+ + 5 '+4.s, 9
9 6 11' 0.21 +36.69 36.13
ii
+ 6.41
� G-
N
EXISTING 40. 4
+42.19 DWELLING LOTS 1 & 3 �
TF=43.85' Q -42-+40,37 20,804 SFf
.35
18. ,
-43,27
�a
r
? 4 1 39.87
8
cn
(J PAVED
-{-4 .8 � � 2
a1 ,42.37 DRIVEWAY l ,3 35 4
� - -I-
38.59 +-38-7 �1 N o
{-40,58 37.83
r
r
37.60 ! 2m'
r 35. /
ap !
r 6.04
` , 2
5,96 ` 5
I ` A-25.83
r 5 ,--
33,9 -
_ 2g94
33.97 33,17
�32"59
33.9106 ROAo PLOT PLAN
OF
I31, 2 12 INDIAN HILL ROAD
CUMMAQUID
o PREPARED FOR
TROY COLLINS
off 508-362-4541
ARNE ti� JUNE 5 2007
fax 508 362-9880 0 H. '
OJALA
down cape engineering, inc. No. 8
ciVrc ENGINEERS ° �o Scale:1"= 20'
LAND SURVEYORS � G�,.,,, LSD VET
939 Main Street - YARMOUTHPORT, MASS. O�
DATE ARNE H. OJALA, P.L.S. 0 10 20 30 40 50 FEET
04-161