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Home My WebLink About0619 FALMOUTH ROAD/RTE 28 (a/9 FR/mo,Ny� , /�.c, . � �_ -- _ — - — w TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION f Map � Parcel r': ` I TA-t E Application Health Division , Date Issued `r7~ t .:i' n / Conservation Division '�/�" Application F e Planning Dept. - __ �,, Permit Fee 90 s_;��y�°�:fry�,�'i �,• Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address icGlmo" R o u.A Village Owner Roams o/�� P,`c�, Address 60 f:0mcLJ-), Telephone U g 232 776-Z Permit Request Ad ejjo,, -740 Gn Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 16"SO•c-,0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family .❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage:.❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use - - — - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name UACa Z 9 Telephone Number Sye 'I Address +�iq �� Z, License # V`\A U" Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO oco,- L",n,FA. ��1 SIGNATURE DATE b' 1 O' kS FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCELNO. ADDRESS VILLAGE OWNER f z'. DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Ft Deparhncn of rnduririal.'Acdden& Qffice of rnvestigatiU= 600 Washington Street .Boston,HA 02-111 wtvw.M=S gov/dia Workers' Compensation Insurance Affidavit:Builders/ConfracfordMectricians/PImmbers Applicant Information Please Print Legibly Name(Business/Oiganirafion/Indihidual): gose'-�FN Address: V�rk eq City/State/Zip: P^^,}- r--� Phone#: 1-1 5 ' a 9 b Are you an employer?Checkthe appropriate bow S Type of project(required): 1.❑ I am a employer with 4. ❑I am a general cofactor and I 6. Nuw congtra lion - em_pkryess(fuIl and/or part time).* have hired flee solrconfiactars � ' 2.[Q I am a sole proprietor or partner- listed on the attached sheet. 7. Q Remodeling ship and have no employees' These sub-contractors have 8. n Demolition workbag a me in any capacity, employees'and have workers' [NO Workers'Cffmp.inLrrrran Ce Comp,msurance.l 9. ❑Building addition � F, :e±' e5. We are a corporation and its 10.❑Electrical repairs oradditions offirs ae exercse then aura homeowner doing all work ' 1I.0 Plmnbing repairs or additions myself NO wor][ers'comp. right of exemption per MGL 12.0 Roof repairs iDgUlanDD requu7c1]f c.152,§1(4),and we have no employees_[No workers' 13.0 Other comp.insurance required-] *Any-applimnt that checks box#1 must also fill out the sxtion below sbowwiag thcirworicors'compensation policy information. t Homcrwners who submit this affidavit indicating they are doing all wade and then hire outside contractors must submit a new affidavit indicating such. �Contracctrs that check this box Est attached an additional sheet showing the nzmc ofthc sub-contractors zndstzir v&rthcr or not these entities have employers. If the sub-contractors have employers,they mustpmvide their wodcas'cox3:1p•policy number. I am an employer that is pruv0k,-,workers'cornpema6on huurance formy employees Below is tie policy and job site znformaiiorL - - - Insurance Company Name: Policy#or Self-ins.Lic.9- Lxpirationl)ate: Job Site Address: - - City/ /Tap: - 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 Iead to the imposition of criminal penalties of a fiE�e vg to$1,500.00 and/or one-year imprisonment;as well as civil penalties in.the fog of a STOP WORK-ORDER and a fine of np 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 MIA for insurance coverage verification. I do hereby certify under the pains andpenabes ofpegwy th&the information provided above is Prue and correct E` Siimatta e: ir`� Date- 1.r I o' t�b Phone Offzcial use only. Do not write in this area,to be corrzp&fzd by city or town offirsal 'City or Town: Permit(I.icense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.EIectridalInspector S.Plumbing Inspector 6.Other Contact P erson• Phone# Information and Instructions , Massaclmssetts General Laws chapter 152 req=m 0 employers to provide woikess'compensation for then employees. Pursuant to this statute,an employee is defined as"_.every pmason in.the service of another under any contact oflvre, express or implied,oral or writlon." - 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.tin-ee apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do main tin' ce,construction or repair work on such dwelling house or on the grounds or building appurtenant fhereto shall not because of such employment be deemed to be an employer." MGL chapter-152, §25C(6)also states that"every stile or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings is the com"monveakh for any • applicant-who has not produced.acceptable evidence of compliance with the insrn-ance coverage required. AdditionaRy,MGL chapter 152, §25C(7)states"Neither the commonwealthnor aa3r of its political subdivisions shall enter into any contract for the perfurmance of public woik until acceptable evidence of compliance with the insurance requrirement s of this chapter have been presented to the contracting anhorhy." Applicants Please fill oust the workers'compensation affidavit completely,by checking the boxes that apply to your sitiaiion and,if necessary,supply sub-contractors)name(s),addresses)and phone m=ber(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 ,as 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 it-tamed to the city or town that the application for the peffiit or license is being requested,not the Department of Industrial Accidents. Should you have aay questions regarding the law or if you are required to obtain a workers' • compensation policy,please caU the Department at the number listed below. Self-insured companies should enter their self-incui-m ce license number onthD appropriate Ime: City or Town Officials Please be stye fhat the affidavit is complete and printed legibly. The Dep artiment 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. Ia addition,an applicant that must submif multiple pemnitIlicense 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 fore permits or licenses. A new affidavit mast be filed out each year.Where a home owner or citizen is obtaining a license or permit no'trelated to any business or commercial venture 'CLc. a dog license or permit to bum leaves ems.)said person is NOT required to complete this affidavit. The Office of Iaves(igaiions would ae to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call_ The Depar ra=f s address,fz:Iephoae and fax number: The commonwt,-alth of Massachusftts - Depart sent of Industrial Aecidmts ' Llffic(,-of kvestigatiam GO Waslaz19!Jxn Stet Boson,MA 02111 ` tL#617-727-49GO and 406 or 1-07 ILIA-SSAFE Revised 4-24-07 Fax#f 17-727-7749. AFi�C Gcdde to Wood Const-action in High �rzd Areas:110 mph I-Flad Zone Massachusetts Checklist f6r Compliance(790 CKR 5301 1.l.l)' - Check Compliance 1.1 SCOPE- WindSpeed{3-see_gust)------------------------------------------------------------------.-_-----_------•-------------------- 110 mph WindExposure Category_________________--_--•--------•-__-.....................................................:............................B Wind Exposure Category..:.............Engineering Required For Entire Project---------------------------------------C 12 APPLICABILr1Y -Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories 5 2 stories RoofP-itch -------_----.....................-...--------------------------(Fig 2) ........................................... -<12-12 MeanRoof Height .............................................. -._.._(Fig 2)....................,_........................ ft <--'33' Building Width,W........,---- _-------- ---__._,._---__-._-___-..__:_.(Fig 3)------------------:.__ ........ _ft 5 80' BuildingLength,L ....................---........._...._.....--•----------(Fig 3)----------•_•------.--•----•--_--•-=--------_•ff s 80' Building Aspect Ratio(LPYV) •-----__...............-..._..-•-•--..__...-•Fig 4)----------------------------------------------- -<3.1 Nominal Height of Tallest Dpening2 .----......._....- (Fig 4)....-............................_...._...... <6'B' 12 FRAMING CONNECTIONS General compliance with framing canneztions......._._...__.(fable 2)-----------........................................... _.__. 2.1 FOUNDATION Foundation Walis meeting requirements of 780 CMR 5404.1 Concrete.................................................................................••----•--..._.........•----................_. ConcreteMasonry..................._......................................._._.. ............................................=................ 22 ANCHORAGE TO FOUNDATION113 518'Anchor Bolts=imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing--general ..................................._---:.(Table4)------_-_-----•............................. in. Bolt Spacing from endrjoint of plate.......-..............__._.(Fig 5)----_-----------------_.----_..._. in.-<6"-12", Bolt Embedment-concrete......................................(Fig 5).._--------------------------------------- __-._in.-.7" BoltEmbedment-masonry......................................(Fig 5)...........=-------------------------_.. in--:15" PlateWasher.....................................-...-..................(Fig 5)-------------------------------------------->3'x 3'x,l�. 3.1 FLOORS Floor-Framing member spans checked ._._-----_----------------- (per 7B0 CMR Chapter 55)--,_,--,___----------------- Maximu Di m Floor Opening mension.................................(Fig 6).....--.---:------------_........................ _ Full Height Wall Studs at Floor Openings less than 2'frnm Exterior Wall(Fig 6)....................................... MMMLim Floor Joist Setbacks Supporfing Loadbearing Walls or Shearwatl_.___-...-_._(Fig 7).............:..........................__.._._._ft s If Maximum Cantilevered Floor Joist Supparfing Lbadbearing Wails or Shearwall............_(Fig 8)____..._.................................... it 5 d •Floor.Bradng at Endwalls.............................-.....................(Fig 9)-----------------------------•----•-•-----•-•-- -•..,_.- Floor Sheathing Type ------------ ----------------------_-------(per 7B0 CMR Chapter 55).................................... Floor Sheathing Thickness-----------------------------------------._-_(per7B0 CMR Chapter 55)............___-___-• in- Floor Sheathing Fastening...........................•-_._____.._._..:_.(fable 2)_._d nails at in edge!_in field 4.1 WALLS Wall Height Loadbearing walls....._..........................._.........---------_.(Fig 10 and Table 5)------------------------:-_ft 510' Nan-Loadbearing walls------------------------------------------(Fig 10 and Table 5)------------------- ft"S20' Wall Stud Spacing ................_._.__.__:_._••----•-•-•------_----_(Fig 10 and Table 5)------------------- in.!9 24'o.c- Wall Story Otfseis .._._..-........................................(Figs 7 i£8)------------------------------------_..... ft S d 42 EXTERIOR-WALLS Wood Studs Laadbearing•walls---------------_-__._.........................-.......(Ta)?fed)_.-..----.._----------.__-.-.2x -_ft_in. Non-Laadbearingwa lls._.-...-.....................................(Table 5)........................_....2X --ft—in.. Gable End Wall Bracing� Full Height Endwall Studs........-....._•---•-- ...............:......................--•-•-•:--•------ ` WSP-At[ic Floor Length-----_---_--::._._._.---_---.._.___---(Fig 11)_______-_._._...____.._._-.___..__.._. ft zWt3 I Gypsum Gaffing Length(if WSP not used)_.._ .............(Fig 11)----------------------------.........._ft 2-0.9W - and 2 x 4 Continuous lateral Brae Q 6 ft o.c... (Fig 11 or 1 x 3 ceiling furring strips @ 16'spacing-min.with 2 x 4 blocking @ 4 fL spacing in end joist or truss bays Double Tap PIate Splice Length ___---.__............. 13.and Table 6)......_........................_.._ft SpHoe Connection(no.of 16d common nails)..-........(Table 6)----------,_,_•• ------_.___••---_--•-----•- AFYC Guide to TYood Cotistrucdort im High Find Areas: 110 fuph Kirid Zorre ' Massacl;il`>setts Checklist for Conip,jarzce (7so Civ1R5301.2.1-1)I Laadbearing Wall Connections Lateral (no-of 16d common nails)_._-----------------_.........(Tables 7)----------------------------------------------_-- Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)_______________--------------(Table 8)------------...........---------_-_----.--•------- Load Bearing Wall Openings(record largest opening but check all openings for conipfiance to Table 9) Header Spares --------------------------------•-••-._..._.(Table 9)----------•---------------------—fit_in.51 i' Sill Plate Spans --_----._ Full Height Studs (no- of'sfads)....... —----------------(Table 9)-_--------------------•-•---- •---- Non-Load Bearing Wag Openings(record largest opening but check all openings for compliance to Table 9) Header'Spans.._......................................:........-.........(Table 9)..............------------------—ff—in-!�1Z Sill Plate Spans.__.._._--------------------••----_-----._._.:.......(Table 9)---------------------.---_-----_ft_in 512' Full Height Studs (no.of studs)_.._--------------------__-•--(fable 9)------------------------------ --_--•---.----•-- Exterior Wall Sheathing to Resist Uplift and Shea[Simuffanbousfy4 Minimum Building Dimension,W Nominal Height of Tallest Opening? .......................-------_._......................... 5 6'B SheathingType------------------------------------------(note.4)------------------------------------------------_--- Edge Nail Spacing_:_.....................................(fable 10 or note.4 if --------- _. tin Field Nail Spacing (Table 1D)------------------------------------:----. in. Shear Connection (no.of 16d common nails)(Table 10)-------________•_-.-__.••____._-._.-_-_-_-__-.--.----_._ Percent Full-Height Sheathing---------------:...(Table 10)---.---_-_-------------------------------------—% 5%Additional Sheathing for WMI with Opening>-&'a'(Design Concepts)--__--•-_-._.-___.. Maximum Building Dimension,L Nominal Height of Tallest Opening?...............................................................I.:------ <6'8. SheathingType-------_--_-•-------------_......_...(note 4)-------------------------------------------------- Edge Nail Spacing----.-----_--._-----------------------(Table 11 or note 4 if Ies ----------------------- in. Feld Nail Spacing.................................-:_.(Table 11)---------------:-------_--------------,------- in. Shear Connection(no. of 16d common nails)(fable 11)...........:------------_-___--------------------- Percent Full-Height Sheathing-------------------(Table 11)----------------------------------------=------- _% 5%Additional Sheathing for Wall with'Opening>6'8"(Design Concepts)_----_•-•__-__-•_:.- Wall Cladding Ratedfor Wind Speed?- ----------------------------------------------------------------------_-•----------•------------------- 5.1 ROOFS Roof framing member.spans checked?----------_.._.------(For Rafters use AWC Span Tool,see BBRS Website) Roaf Overhan.g ---------------------------------------------------(Figure 19) •---.:__._..._ft 5 smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls : Proprietary Connectors Uplift.........-........................ -----.(Table 12)..........-...............................- U-- plf Lateral----------------------------------------(Table 12)---------------•-----------•---•-------_-L= plf Shear---------------•---•-_-----------...........(Table 12)----------------------------------------� -plf- Ridge Strap Connections, if collar ties not used per page 21_.- (Table 13).___---.•.............•__---•-.T= plf Gable Rake Outlooker.................. .............--_---.(Figure 20) ------------- ft-<smaller of 2'or 112 ' Truss or Rafter Connections at Non-Loadbearing Walls 'Proprietary Connectors Uplift---............................ - ._.(Table 14) ---- -- - - -U= fb. Lateral(no.of 16d common nails)...(Table 14).......................................L= . lb. Roof Sheathing Type---------------------- 780 CMR Chapters 58 and 59) ............ Roof'Sheathing Thickness...._.........—--------___:-_-.-_-..........-_--------------------------—in.?7116'WSP Roof Sheathing Fastening--------------.-_.------_.__......__.(Table 2)--------------------------------------------_--_-_-___ Notes: -1. _ This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the nequirements of 780 CMR53D12.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Stee[Straps per Figure 5 b. 20 Gage Straps per Figure 11 C. Upfdt Straps per Figure 14 d_ All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 1Ba and Figure 18b 2. 'Exception:Opening heights ofup to 8 ft.shag be permitted when 5%is added to the percent full-height sheathing _ requirements shown in Tables 10 and 11. 3. The bottom sift plate:in exterior walls shag be a minimum 2 in.nominal thickness pressure treated#2-grade. r ' `� ' �� fI1�'�Grcide f� ff`ooct Corrsfrrrcfiarr zrr Ixi�Ir 1.1�indAreas_ I10 r�zplr J�xrd�oFte • MassacIlusetts Checlflist for Compliance(7tR0 CN1R S3.0I3.1:1) 4. a_ From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7116"and be installed as follows: 1. Panels shall be installed•tvh strength axis parallel to studs. I All horizontal joints shall occur over and be nailed to framing. ►ri. On single story construction,panels shall be attached to bottom plates and top member of the double tip plate. iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel_Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at flat floor framing. v. Horizontal nail spacing at double top plates, band joists,and girders shall be a double row of Bd staggered At 3 inches on center per figures betow=Vertical and Horizontal Nailing for Panel Attachment 5_ Glazing protection: a)'new house orhor¢ontal addifion—required if project is.1 mile or closerto shore(generally,south of Rte.28 or n_orth of Rte.6) b)vertical addition—not required unless there is extensive renovation to the first tiaor c)replacementwiridows—needs energy conservation compliance only(chap 93) 6_Wood Frame Construction Manual(WFCM)far 11D MPH, Exposure B maybe obtained from the American Wood Council (AWC)website• Wrr EN THS ED&EFES7S DN - - WI MIS LISEEd UW_'$ —� --/�-- • tl 11 u - - u IJ , Il 11 1 • I It I•� 1 n u t a F c10 c • n It t � 11 ri , •< rr ii a _ 1 � o L i j- trf - I bi `7 LI I 1 1 d Q t [¢� ! f Ck I I I Q a l l r LL 1 f I tea{{r'�y CQ ••t 1 E=D&PXaJPJAGDjkrE I l L F tll ii 11 1 ! - 1 E • t ! to { R 1 - .� u 1 Q 11 t l 1 a I 1 e� IF Itii t t -- •NAILSPAC) a I XktL PAA1TBW PANEL PAi�ID GOUHLEl�A1LB�C,Es?AciYGCETAL See DeWl fin Next Page Vertical and Horizflntal Hailing Detail + Vert c:ai and Horizontal Nailing far Pane)Attachment far Panel Attachment Town of Barnstable Regulatory Services vMas-44 $ Richard V.Scali,Director i63q. 1 Building Division Tom Perry,Building Commissioner 200 Main Street;Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, o NA 4 a__p as Owner of the subject property hereby autho to act on my behalf, in all matters relative work authorized ythis building permit application for- dress of Job) Pool fences and are responsibility of the applicant. Pools are not to be fiIle or utilized b ore.fence is installed and all final inspections are rfonned and acc ted. Signature of r Signature f Applicant Prin4Ne Print Name Da 'p Q:FORMS:O WNERPERMISSIONPOOLS Town of Barnstabl'e Regulatory Services ��oFT roiyk Richard V_ScaIi,Director Building Division < anrrxsrABM Tom Perry,Building Commissioner Mass. 1639. �� 200 Main Street; Hyannis,MA 02601 �0 { www town.barnstable_ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION . Please Print DATE: 13t i O _ Z 0" _ r JOB LOCATION: Cold P�'`ww� �7 taL ��vv�3 number n s[rect viIIage -HOMBOWN=:r�l r,,- JL0 Sb y `I T.6 ba name / p home phone# work phone# CURRENT MAILING ADDRESS: �r�gLr..o o C9fJ city/town state rip 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.L1) ' The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations_ The undersigaed"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 Homeowner Approval of Buil ding 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 persou(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 2.16) 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 mend and adopt such a form/certifcation for use in your community. Q:IWPFILFS\FORMS\buildmg permit forms=RESS.doc Revised 061313 -fir . • F-1{. �•1 po.7 /" 78 � D +A N v� 'o y �N43 ,a ?. �IIpli �1; 14) Lb T 2 6 ` � - e V LoT-/ 1GG43 s IV 0 POT E GoT �U 3 7 7 7 /17 r�� e�✓�,ti�- liluJS �L71 r�1 _ _ CERTIFIED PLO _ 1-1LAN o ,�(11 Of �"I•i�`• r a'n., (JT6 2 c. /. c.// 7.:; GA [7 ROB BRUCE ELDRE �,� IN SAJINSIADLZ- Nn Sua�� SCALEo / " 30 ' DATE c- 13 C�•.ly�„ ,qL G(Ir I N C • BAR -- - CLIENT Nunn I CERTIFY THAT THE ►[d;01JTERED REGISTERED SHOWN ON THIS PLAN IS LOCH-TIED CIVIL LAND Job NC1.�4.� ON THE GROUND AS INDICATIEID AW0 V.ENGINEER • SURVEYOR DR.by CONFORMS TO THE ZUNIFI LAWS OF ARRSTA-DLE ,.MASs. Zee rn •� 11 YA N R I S, MASS. BHEET_L OF 7 , 2 MAIN STRE-ET ., .... OAT REG. LAND s(jHVLry'0R k WSW Pff 2vi LL Li ol j I o x _ x - k e3e ♦ �t lr Town of Barnstable *Permit o z)g �{. Expires 6 months rom issue date Regulatory Services Fee swtuvsrnstE Thomas F.Geiler,Director MASS. e P, 9�A 1 .�� Building Division T A ®� ' Tom Perry.,CBO, Building Commissioner,. . 200 Main Street,Hyannis,MA 02601 MAY 15 2008 www.town.bamstable.ma.us Offi : 508-862-4038 Fax: 508-790-6230 OWN OF E3AXMEAffgRM1T APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address t 17 �1�� 4-� /� C� <�/ - ®'Residential Value of Work Minimum fee of$25.00 for work under$6000.00. Owner's Name&Address ct!'!j C C I ra f I e Q.J, ykcS S Contractor's Name ��.C>' C rn n Telephone Number Home Improvement Contractor License# if applicable) orkman's Compensation Insurance Cl,.ck one: ❑ I am a sole proprietor ❑ I am the Homeowner [�ave Worker's Compensation Insurance Insurance Company Name //4 /3 j /9 1-40 ==L Workman's Comp.Policy Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Properly Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. i , SIGNATURE: QAWPFILES\FORMS\building permit forms\EXPRESS.doc Revise020108 oF�HEro,,, Town of Barnstable. Regulatory Services >ass to Thomas F.Geiler,Director lFn�.rs Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder a =0 , as Owner of the subject property hereby authorize I-rap-n o. e on Ili rl)C 1 i,0 to act on my behalf, in all matters relative to work authorized by this building permit application for: Q �CD M r�c 1� �6a c� QJ'ft/L!q'u SS OLL CO O 1 (Address of Job) S a of Owner ate Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable �pp1HE t ti Regulatory Services ' Thomas F. Geiler,Director BARtasrABLE, . MASS. �� Building Division f+ rED � 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": name home phone# work phone# 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 minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner S 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 I o9.I,I-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. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors(Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): ( /2�R/"/t! Address: Z, / y /f//� � i✓ City/State/Zip: Phone ``/Ir A, X Are you an employer? Check the appropriate b x: Type of project(required): 1.El am a employer with 4. VI am a general contractor and I employees(full and/or part-time). * have hired the stab-contractors 6. ❑New construction 2.El I am a'ole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g, 0 Demolition working for me in any capacity. employees and have workers' 9 0 Building addition [No workers' comp.-imurance comp'insurance't rye-] 5. [] We are a corporation and its 10.❑Electrical rep s or additions air 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 120 Roof repairs j insurance required,]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] Any applicant that checks box#1 must also fill out the section below sbowing their workers'cornpaisation policy infannation.. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. Tcantractors that check this box must attached an additional sheet showing the name of the sub-contractors and state wbether or not those entities have employees. 1f the subcontractors have employees,they must providt 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 to soctae coverage as required under Section 25A of MGL c. 152 can lead to the imposition of rrimiiial penalties of a fine tip to S 1,5 . and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250 0 T y-against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investi ati , for insurance coverage verification. X El I do hereby A.W under the pains•and penalties of perjury that the information provided above is true and correct. Si attire. Date: Phone# Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 11 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: - - Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: 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 produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall work until acceptable evidence of compliance with the insurance enter into any contract for the performance of public w p mP 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-contractors)name(s),address(es).and phone numbers) 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 on;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 born 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 C6mmonweaM of Massachusetts Department of Industrial Accid=ts Office of Investigations 600 Washinatm Street Boston, MA 02111 Tel. #617-727-4900 ext 4-06 or 1-977-MASSAFE Fax# 617-727-7744 Revised 11-22-06 www.mass.gov/dia t r c. ;Jfze 7�OOYVJ9L0%2C�lBCLGLlL ��✓l�GadS2GLltQP'K6 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 133862 Expiration: 8/20/2009 Tr# 132800 Type: DBA GRANGE CONSTRUCTION NIALL HOPKINS 118 LAKEFIELD RD. S.YARMOUTH,MA 02664 Administrator i Board ofBu din i Construction gulatiou and q ! 1 SUPervisor License ' ( License; CS / B�►�hdafe x 84916 Exprrat�p.: 4/2/1970 Restricti n~40/2/2009 ' 0 Tr# 12392 NIALL J HOPKINS,_ — 1 BOX 231 SO. YgRMOUTH,MA 02664 Commissioner NOTICE Z F NOTICE TO = > TO EMPLOYEES �T EMPLOYEES O,�M Svl The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 — http://www.mass.gov/dia As required by Massachusetts General Law, Chapter 152, Sections 21,22&30, this will give you notice that I(we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: HARTFORD UNDERWRITERS INSURANCE COMPANY NAME OF INSURANCE COMPANY ONE TOWER SQUARE HARTFORD, CT 06183 ADDRESS OF INSURANCE COMPANY (6S60UB-5685C66-0-07) 09-08-07 TO 09-08-08 POLICY NUMBER EFFECTIVE DATES MARSHALL K LOVELETTE INS 396 MAIN STREET `— PO BOX 836 WEST YARMOUTH MA 02673 DAME OF INSURANCE AGENT ADDRESS PHONE# GRANGE CONSTRUCTION INC 21 FRUEN AVENUE UNIT G 0 SOUTH YARMOUTH MA 02664 EMPLOYER ADDRESS a_ EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE �-- MEDICAL TREATMENT o_ The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable.hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS 006784 :W20P,G02 TO BE POSTEDBY EMPLOYER 3 � a. _ ors map l,and lot number.' �/' 1 n v.................... i THE ' rage Permit' number ............... ..y�� ..!t................:.... 0 0� BAR33TADLE, i e number ............. `� 'A L a� SEPTIC SYSTEM' 9:� 'Asa ...+ ......... ....... t� "- {{ ( gg��!�,,`` gpp••��WN 40.E 9, L if7WV61i'6ko �YAY"E'\ TOWN ', OF BARNSTABL 'r �� . , jz 1TAL ZODC AND raa► �i .r "11KATIONS :. BUILDING INSPECTOR { O ......� ................/PERMIT / . .TYPE OF CONSTRUCTION ...... ........ .......................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a,permit according'to the following information: Location .... .l........./...... �%1 4....... U'..................�?.. C�rr..n..�....,�............ :.......................... Proposed Use +... "''...... . !v �.`� .. ...............K.3.,2.. , .......................... Zoning• District .... .. ............../.....o../................................... FirgDistrict ........ ......... . .... . .. . .. ................................. Name of Owner 9 !V�G.,� ..�� /L�.�l.ct. Addr�e/ss`.. .... (...... .....i 1 �. ...f ... J / CG J,17 e / 4 Name of Builder � !��/c14. .: ..... ... Address .Z.Aio................. l Name of Architect �C,.....: J.Af7f.L�....•...........Address ,�l�P...?. �/ /G .... G ..... ,%'........ ��sl/ Number of Rooms ......../7.1......................................................Foundation .0.0k.44'a........ ................ �fl/.�l!. ... ��........ ... /.�0.!?1 .. ..?��R9oiof g i'�� (7�/�/✓ Exteriorll. .. .... ......GT! ......,..r�-�4.J............ Floors N.. .... /........................... � ..2//.N. ....Interior ... .............y J�l'�. . w�................. Heating ....117?;e zG-r.... ................ ............... .....Plumbing ..... .....1>A �1:...............................................~ Fireplace ...dl'Yr '..............................................................Approximate. Cost .....s .- !`��...................... ........ . ...... Definitive Plan Approved by Planning Board _-------------------------------19________. Area .......F. 6..............r............... / Diagram of Lot and Building with Dimensions Fee f ``....1_�............. .......... ... .......... SUBJECT TO APPROVAL OF BOARD OF HEALTH r ®�j OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to,all the Rules and Regulations of the Town of Barnst regarding the above construction. Name Construction Supervisor's License �� .....0.9.C1..:......... HOLDING CO., INC. l2 Story _ 111111{ ....... ........ Permit for .................................... 1 - Sjigle Family Dwelling r . Kwr Location .. t..li.....619 ....r'?.......... ` ......................vann1S........ k a ' Owner ... arnstable Holding Co. ,-Inc. , r Type of Construction ..F'Y' .......... ... { .. Plot .: .....:................. Lot .........`.................. ;, n 84 ' - •�; "r ,Permit Granted ..'........................................,9 ,. Date of'Inspection- .................... .........19 `- Y Date Completed i .... .....19� = r o Z/� r Ass essor's map and lot number .......................................... THE 301: jr q Sewage 'Permit number ......................................,............. 13ARNSTAXLE. .......... House number ........................................ ......... .......... t639- NSTABLE ' BA ft. TOWN 0F ' BUILDING INI'OECTOR APPLICATION FOR PERMIT TO �z ............................................................. ......... TYPE OF CONSTRUCTION ........ ........ .............................. ............................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... ..... .............. ........... ........................................................................................................ Proposed Use ....................I........................ Ilv ........................................................ ............................ .........I.................................... ZoningDistrict .........................................................................Fire District .............................................................................. Name of Owner ................................................. .. .... .......Address .......... ................... ..............)..... ............. ................................ ................. Name of Builder .... Address ��...... ...... .. Name of Architect ...... ... ...........Address ........... ............ ......... ........ ............ ..... ,�................ Number of Rooms ........:�/.....................................................Foundation .... ..........(... ... )/ .......... 0 Exterior .........e r `'.�fEi�.�i✓ Roofing ......! ' ............................................................ ........ .......... Floors . .I.. .. ...........J.,...eX . Z1nterior ....... ..... ................... ...........,...2................................... ..... Heating .......... ............................................... .......................Plumbing .....`...... ............................................................. ...........................................................Approximate C Fireplace ost ...... .................................................... Definitive Plan Approved by Planning Board --------------------------------19-------- - Area ........................................ Diagram of Lot and Building with Dimensions Fee ......................... I SUBJECT TO APPROVAL OF BOARD OF HEALTH 4- L OCCUPANCY PERMITS REQUIRED FOR NEW.DWELLINIGS I hereby agree to/conform to all the.Rules and'Regulatioins of,the;Towh of Barnstable regarding the above construction. Name .................................................................................. • Construction Supervisor's License ...................................... BARNSTABLE HOLDING CO., INC. A=271-133 t No 2652'y Permit for 11 Story Single Fami.4y Dwelling ........ � Location ........ ..... 1 .......... .....................:....HYanrus.......................... Barnstable Holdin Co Owner ................ Type of Construction ..Frame....._..;.;,,,,,,,,,,,,,,,,,, ................................................................................ ' Plot ............................ Lot .................................. r Permit Granted ........une.....1..................19 84 Date of,lnspection ....................................19 Date Completed .................�t ..................19 n TOWN OF BARNSTABLE � _•�; Permit No. 26522 --------------- • 1 2"13T.0 Building Inspector cash °,,. OCCUPANCY PERMIT Bond ------__ Issued to Banistxablle ii;'i1.ding Co., InCAddress F Lot 1, 619 Route 28 Ityanriis Wiring Inspector r✓ i Inspection date ,,♦�,/ `� r Plumbing Inspector' ;'� Inspection date 4 Gas Inspector E l i1 Inspection date rEngirieering Department._ -i J,-,��! �- f / Inspection date/ i Board of Health ♦ ' - Inspection date -. -„2 7 if 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. ry % ....... ........................................................................._....... Building Inspector PC) / �✓ + 8 4 s1570 i?6 .0a N 147 l 3Z' N � a 3 4,3 c 0 L 7 2- n � 1GGg3 s fv 1�� \ 3� ¢5 ,� L, c . z r 3z-77 j Nam-I SOT YR p4AO7F.ra6-D pen- LY7-77�ti M r�3S GL-�.%�•��-- 1i1w5 . CERTIFIED PLOT BEAN ��H 06 6P� �,\ / gv r o/r X7?3i?CK S ROSEW J�. !7 XA A/ A/11—..r BRUCE Nq sv�� SCALE, r� 30 DATE -S- rlV E' /NO C BARMS"rA Sc-E own ' ------� CLIENT Nu�G 1 CERTIFY THAT THEU�!`��i�1__;_r %l� 019TERIED REOISTERgD f140ZS SHOWN ON THIS PLAN IS LOCATED CIVIL LAND JCD �Q• -�---- ON THE GROUND AS INDICATED A440 ENGINEER SURVEYOR f�3,DY� A A 4 CONFORMS TO THE ZONIMI LN1Rl;1 L......-._-- c.r , OF A! M�. . �oa�� AS5. 41-e- 712 MAIN STREET CKNYI � 3•� _ H YA N R I S. MASS. BHRET:.L.OF,�. DA t _fir ..._ = - REG. LAND 511"VEYOR `,. TOWN OF BARNSTABLE, MASSACHUSETTS BUIL®INGT PERM11 DATE 19 PERMIT NO. °'I^A -� 8� APPLICANT ADDRESS i,• (N0.1 (S iREE71 fCONTR'S L:CENSF 1 OILY NIIMIIFR fI -------- _D W E I.I_I N L,UNl 15 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) --_--- ---'----�"_ AT (LOCATION) ZONING (NO.) (STREET) .—_—_--_------ --- DISTRICT--- BETWEEN I (CROSS STREET) (CROSS STREET) 3 �s SUBD IV IS ION LOT_ LOT I — BLOCK —SIZE BUILDING IS TO BE FT, WIDE BY _— F i. LONG By--FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCT TO TYPE USE GROUP _ BASEMENT WALLS OR FOUNDATION TYPE) .REMARKS: - AREA OR . . PER VOLUME ESTInsATEO r_O;r — ;. ., �. .. F (C U B C/5 U UAR E FEET)---_—_—_—._—._. ._—.__._._... E E —...- OWNER .. .. _ . . . -. ----------------- ADDRESS BUILDING DEPT, - -- BY CONVEYSTHIS PERMIT RIGHT TO'PERMANENTLY. ENCRO ENCROACHMENTS ON PUBLIC PROPERTY,NOT LSPECIOFIICAILDLY PERMITTEDY UNDERPARTTTIHE BUILDING,CODE, MUSTR E 4 ► gPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAIN FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIC .OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR i. FOUNDA TONS OR FOOTINGS. ELECTRICAL, PLUMBING AND MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL OUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL IN IRE INSPECT TO LATH)BEFORE FINAL INSPECTION HAS BEEN MADE. ' 3. FINAL INSPECTION BEFORE OCCUPANCY, POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS - _ CTRICAL INSPECTION APPROVALS dl � � � , 3 � 5 192- z --- -_-- --- - - t7Sz HEATING INSPECTION PPROV LS 1 ENGINEERING DEPARTMENT BOARD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL f WORK SHALL NOT PROCEED UNTIL THE INSPEC- !PERMIT 'N!LL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE NSPECTIONS INDICATED ON THIS CARD Clan! ARRANGED D FOR BY TELEPHONE OR VjRll'' PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. AZ Assessor's office(1st Floor): , Assessor's map and,Cumber THE Conservation �A a�1 Y��-°i�. �v° ♦w Board of Health(3rd floor): ��, Sewage Permit number — ssaiSTant,a � rua Engineering Department(3rd floor): �o 039. \�d° House number W/ �0 esr a Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE, BUI DING INSPECTOR APPLICATION FOR PERMIT TO /X/j 7G' Z Cep TYPE OF CONSTRUCTION TO THE INSPECTOR OF BUILDINGS: The undersigned hereby plie r a permit according to the following information: Location //1 �C tip Proposed Use rV ��. _ '!' . Zoning District ' Fire District i Name of Owner Ii s � Address Name of Builder Address Name of Architect 'L'+ Address Number of Rooms 2 Foundation y Exterior Roofing �� //��%- Floors Interiof /1 GGi DlzeZ22, Heating'L��` g Plumbing Fireplace Approximate Cost Area �� /�!'��?'G�,¢i✓ram Diagram of Lot and Building with Dimensions Fee 7v OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnsta a garding the above const/ction. Nam f ,t-✓G �d'— Constr ction Supervisor's License DACEY, WILLIAM E. r�e f{ 34906 FINISH BASEMENT No ' Permit For Single Family Dwelling Location 619 Falmouth Road Hyannis Owner William E. Dacey Type of Construction Frame r Plot' Lot t Permit Granted March 24, 19 92 D to of Inspection 19 Date Completed l , 19 r Y . LO Al,tl� 7 co J11)4 10 O - L I • ihft��P 1:5X�e I O c L.L Frlo o r -t CON —7 Cz:2-"1 42 ' x evo a � , ( N UL I I i i I l LIO ,b X�lo �1 i r 1.-11•��FT N9ct� i Z— 13/y x ►I � _ t _ - � � ,W `✓�i.�T G�ILI�,�Gt ,�I i —_ _ IATE o - ---- SCALEpr. �✓ MAWS . CNECK N co RE1. !'N m � I��i i �a�; � �'� ��C�G- �� a��"a0►--�� JD a ,�_�' U Z SHEET # x a < 0