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Town of Barnstable *Permit#
Fxpires 6 months from Issue date
MAM�. Regulatory Services Fee '.
t639. .`0$ Thomas F.Geiler,Director
Building Division
Tom Perry, Building Commissioner X-PRESS P
ERMZ
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 OCT 1 ' 2004
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIWI8 BARNSTABLE
Not Valid without Red X-Press Imprint
Cap/parcel Numberf 7 0 4
7esi&
dessntial Value of Work 00 P n Minimum fee orsmo0 for work under$6000.00
wner's Name&Address ® l�
ontractor's Name /' 1 ir� �` _ Telephone NumberS2T�-�f
ome Improvement Contractor License#(if applicable)_ p 2 d3
is
)nstruction Supervisor's License#(if applicable)_ '/��L/
]Workman's Compensation Insurance
Check on
am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
,ttrance Company Name 4�AivAo ��. -e^ �� rgAo ed
v
orkman's Comp.Policy# /, to 221 1 u
1py of Insurance Compliance CerhScate must be on file.
rmit Request(check b
e-roof(stripping old shingles) All construction debris will be taken to_ eeaT, �
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Replacement Windows. U-Value
(maximum.44)
*Where required: Lmanee 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.
H me vement uue
nature
nms:Wm
se063004
�,►�E, � Town of Barnstable
°^. Regulatory Services
Thomas F.Geiler,Director
nL+as.
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, n, Spq,) q0 ,as Owner of the subject property
hereby authorize. C \ &n,,kP, to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of Job)
a
Signature of r Date
v v
Dya'a P Z-1 ou S CA Yt CY)
Print Name
QTORM&OWNMERNESSION
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION;
Map Parcel 'T Permit# gyp`
. i
Health Division ��,1� � _ Date Issued /
Conservation Division e �F� d I �'�`�I Fee +i0o
Tax Collector SEPTIC SYSTE R`' .
INSTALLED IN CO
Treasurer (; �� 206/
�,--s, I WITH TITLE s
ENVIRONMENTAL CODE W407, '
TOWN REGULATIONS
Planning Board f
Historic-OKH- Preservation/Hyannis r
Project Street Address e, 1- )R u:r
Village 0 oz in S
Owner D i,ct to ,e, a , Rn 'Sq11 ey1 Address ��( �,l-t-Roc.k,
Telephone SOS nXS-o foa
Permit Request � 1 1 �b ti- c► r cr�(r�
Square feet: 1 st floor: existing l D6 S' proposed i o i,�L 2nd floor: existing S 0 proposed �6 Total new_/0/.P-
Valuation 3�0 Zoning District Flood Plain -� Groundwater Overlay
Construction Type
Lot Size — Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family 0 Two Family ❑ Multi-Family(#units)
Age of Existing Structure 1, �,o `,$ Historic House: ❑Yes �l No On Old King's Highway: 14Yes ❑ No
Basement Type: DO Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) -ems Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing a, new Half: existing new
Number of Bedrooms: existing new
Total Room Count(not including baths): existing 7 new First Floor Room Count
Heat Type and Fuel: W Gas ❑Oil yp �6'Electric ❑Other �,a_,-._.�-,�, , �� a�•
Central Air: ❑Yes XNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes XNo
' I
Detached garage: ❑existing ❑new size Pool:❑existing ❑new size Barn:❑existin
Attached garage:X existing Wnew size / Shed:❑existing ❑new size Oth
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ AUG
Commercial ❑Yes WNo If yes, site plan review# --
Current Use Proposed Use
BUILDER INFORMATION
Name Telephone Number
Address License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE Q� �O . Ca-Pei e-*a J DATE
r
- c FOR OFFICIAL USE:ONLY. { '
PERMIT NO.
DATE ISSUED'-
MAP/PARCEL NO' s 1 a
ADDRESS' .?,� ' ^VILLAGE
OWNERM - �• r�. ;
DATE OF INSPECTION:?- - -
FOUNDATION.
FRAME ZIA� '
INSULATION
FIREPLACE '
ELECTRICAL: ROUGH rP;4 FINAL ' +
ri F f
PLUMBING: ROUGR 4�-_ k FINAL
GAS: ROUGFI h "` FINAL
FINAL BUILDING
-.
it
DATE CLOSED!OUT.
ASSOCIATIONiPLAN NO. -
F1HE
•
The Town of Barnstable
tiARNS1'ABI.E. •
9� �0g Regulatory Services
'OTE059. Thomas F. Geiler, Director
Building Division
Peter F. DiMatteo, Building Commissioner
367 Main Street,Hyannis MA 02601
Office: 508=862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
L Please Print
DATE:�f�l�,� 0 1
10B LOCATION: c� fo toS i [' }- OQ 1�7Q V YI C G( 47 '
number streetvillage
"HOMEOWNER": D I.Ct PJ QQ• A-1S131I
name home phone# work phone#
CURRENT MAILING ADDRESS: r5ra)an 'e— 92c, Q V
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 of Homeov&r
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:EXEMM
RESIDENTIAL BUILDING PERMIT FEES
y APPLICATION FEE
New Buildings,Additions $50.00 r-7 -0 71
Alterations/Renovations $25.00
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
LIVING SPACE
square feet x$96/sq.foot= x .0031=
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
square feet x$64/sq.foot= x.0031=
plus from below(if applicable)
ACCESSORY STRUCTURE>120 sq.ft.
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf- 1000 sf 75.00
> 0000 sf- 1500 s 100:00
>1 00 sf-Same as new building permit:
square feet x$96/sq.foot= x .0031=
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck x$30.00=
(number)
Fireplace/Chimney x$25.00=
(number)
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable)
Permit Fee
projcost
7
b�Qy�FTNETO��w TOWN OF BARNSTABLE
i 8ARNSTADLE,
9� 0 p UUI0I G INSPECTO
APPLICATION FOR PERMIT TO .... ....... ../. 17... ....... .... s.
TYPE OF CONSTRUCTION ....:.t....../ . ...... . ..
................ / ....19/.. .
TO THE INSPECTOR OF BUILDINGS:
{
The undersigned hereby applies for a permit accordin -to the following informat,a n
Location ......... lzo..... ! >`>l�Yl�—c...............
ProposedUse /�. . .. . . . ................................................................................................ ..................................
Zoning District ...........................1/....... ...............................Fire District ......e �.17 /��..1//...V1.. . ........................ .........
Name of Owner ........ ... ,
,/.. .. ... . ....................Address .... �. .... �(�.�,5.'.. . �✓�Tl�. �S�
Name of Builder ... ... . . . .. ... .- . .. . .. ................... d3.. ...../ - ..........
I r ,
Nameof Architect .....,...1�.%�.. �L ! ........................Address ....................................................................................
Number of Rooms .............� ~�v............... ............................Foundation ........ ...�J.U`�c�(..I.... . ..............................
Exterior ..............f. ........ ...............Roofing .��... ...� �.! ....................................
...... ... .................
Floors ...... ... �/���y����� . ................................................................Interior .......� .. .r... ... ....... .............................................
/,
Heating ..... .
........Plumbing '. .r...................... J................
.,dam �o���
/� z
Fireplace h�
5... .................................... .................Approximate Cost ....... `..,/..................................................
Difinitive Plan Approved by Planning Board __________________________ ___. / 3 d--9
Diagram of Lot and Building with Dimensions THE PROPOSED METHOD OF PROVIDING FO
UPPLY, SEWAGE DISPOSAL
15,
AND DRAINAGE IS EBY R �iD_ 11,
® F V9
jib TOWN OF BARNSTABLE.
10,0 -► BOARD OF HEALTH
A 1�I SEb INSTALLE MUST OBTAIN'SEWAtt
11 PER &AND INSTALL. S STEM.
cv 10 /
lk 60()
—
I
ID L5
7
c�
I
Y
134
- ------ ?Oak TOA d
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reciarding t e dve
construction. -Y
Names..... .4�, /1 . . ........
��`rrn ' - -
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'
14902 I 1/2 story
No .................
Permit for --.—.--,_....-.......-
�
'
single family dwelling
-.-..---.-.---.-.-..--.--..-.--..-....' '
��L Salt Iow:k %�`*d /
Location *��.-----�..____���.___---- .
�
Barnstable ) '
`-^'------^-_.-..-.-.-.-..--.-----'
J���o� C"��" ~
Owner -.---.---_.����.�______._-_-- '
~
Type of Construction frame Construction ---.---..-----.--.
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-----'----'----'''--'---'''-----'-'
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Plot ............................ Lot ----..�...----.
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- ~�-° aOo�e of | � � - ..............
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PERMIT REFUSED
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GENERAL
�•� TYPICAL LUMBER NOTES 1)SLATER PAPER OR_TWECK_TO BE USED ON ROOF AND SIDEYALL
GRADING MODULUS {.. 2.)PROVIDE BASEMENT UTILITY WINDOWS O ZX OF FLOOR SPACE AS PER STATE BUILDING CODE
GRADE RULES, OF
DESIGNATION AGENCY ELASTICITY 4.)PROVIDE GUTTERS MID E ALL WIN S
-- — (SEE NOTES •E" 4.)PROVIDE CIMSNG ABOVE ALL WINDOWS AND DOORS
z�;r. <..:, ,.:<..,, n:.: •,,;.,•.., .. - 1.2.3.4) IL)PROVIDE CROSS UNDER L PARTITIONS
MARTIAN OF All JOISTS
1 _ ----------- 7.)A�SPACE 0 BE L£Htm AS PER ATE BULDNC CODE
----- 1 ;; 1 O
r----- ---- I - - fl)ALL CONCRETE TO BE 3.000 PSI O 26 DAYS MN.
yR I I I - RATED 1 9•)REASONABLE GYRE HAS BEEN TAKEN IN THE PREPARATION OF THESE DRNWNCS.HOWEVER
r P.C.FOUNDATION wll WDN 11 11 _1 LUMBER. ODO V
A BIT ASAIALT H,ISN OM I1 IIZ ! -, 2 X 4 �•-O. THE OESIONER DOES HE ONTRARRTEE AGAINST NUMAH ERROR AND FOR THAT REASON R
- IS 1►pERATNE THAT THE CONTRACTOR/OWNER 41BA11 CHECK ALL DIMENSIONS AND DETAILS
1 A r KIP PA.FOOITNG 4•-0- 1111� 14'0'
MN.IRaw GRADE(TYP.oARnN:D - MO MUST VERIFY ALL CONDITIONS AND 09ICNS1015 At TIE BULDINa ALL DISCREPANCIES
t 1 11 , SITAR BE BROUGHT TO THE DESIGNER BEFORE PROCQDNG. ,-a
11ff NN.d Uu,s.anew AURi.Ib;M4eNN•R•I•V B,••e..2:::WM. tO.jOE pLSONER ASSUMES NO RESPOMSIBLRY FOR THE CONSTRUCTION.THE W
1 ` I1 11 swaAw.�IAA»NT••e1b•9m•x M•eMN RM.e Ll.,a.,.2 WM. ^
• d W1a 1•.4•tl L,•,Rw•+wcU••9"•w:MM ROW L~r T 4 e OWNER AND/OR CONTRACTOR SNN.L COMPLY WITH ILL RULES AND REGULATIONS N �>J
R+"R.Aw m.2.9 A Ne. $ TIER STATE BUILDING CODE
t' I I 1 1 I L. daces�.,,9e•e v.•a a R�wee.e..+..Rwe L..,e..r..a,Ree. L
I I I i i DASTaN WOWS(..,...e.Y.".1•a+•7• ) I r----------- H E A n E R S C H E E>LJ L.E
1 !< I yg{I I I I(J ,, •� I I S
i ( I 11 I I . IKL.t!AI+PE/A. 2 x S ,IOD•O0a b 1 - aPFORTMG ROOF ONLY SUPPORTING 1 STORY ABOVE aPPom MAX,
ER] X 2 STORY ABOVE
x Y-0'x tr P.C. 11 I I AND q j ( W - 4-
W-MR e r D.C. I WOFP ,
r-t �nn I2RECTIa(TYrtaU 1 I snm 9010DD
-
+ { I( nx s 1 3'
L-'-J = I = j j ° FASTENER SCHEDULE FOR STRUCTURAL MEMBERS
1 Ci-v sAeW/ INTONED tl I1• R 1 JOIST TO SILL OR GIRDER. TOE NAIL '2 8D
E,nTn`•�1 OdW NON-oRo+ac\ (I I I 1 LE PLATETO J IST R BLOCKING I D 16 16 O.C.
, OlDN(T"RM�'�F SAM l a I 1
1 / II 11 L----------°
.{„ I II TIN STUD TO TOP PLATE - 1
j I I 1 11 I DOUBLE STUDS FACE NAIL 10D • 24 O.C. MIN.
j1 II L Ij + q BUILT-UP HEADER TWD PIECES W 1 2' SPACER 16D ® 16 O.C. O EDGE
l II I CEIUNG JOISTS TO PLATE TOE PLATE 3- BD
tl ---- EIUNG JOISTS O PARALLEL RAFTERS 3- lou
It: -- 2-16D
j I II 11(0 Q BUILT-UP CORNER STUDS. IOD O 24 O.C.
I - It 11T- t g S 4-160
1: I Y-•x 3•-a•x 1r Pt t l 11 -
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I r-T , rAeN DRnc,lw•(TrPIUL) j t -1/4' SURFLOOR TO
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