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Home My WebLink About0028 FERNDALE ROAD 00, ngmeen ) Map �o0' . Parcel Permit# House# Date Issued - Sri - r Board of Health(3rd floor)(8:15 -9:30/1:00- ) - Fee Conservation Office(4th floor)(8:30- 9:30/1:00 t-2:00) - - �d - - SEPTIC SYS BE 19 INSTALLED I CE _ WITH TOWN OF BARNSTA .vn+: � r �aNMEN A�� 1 r:. 9 +tltr'•:.raB�� 1 �' 1j-U bit OcStreetAddresS Building Permit ApplicationP Village �S i zw e- p r Owner A' dress Telephone �rrJ�� 2�s Permit Request 'C-�� `FOR tn�CZ - Q�1� 'First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ oc)c) Zoning District Flood Plain -1-D ne_ C Water Protection Lot Size Grandfathered ❑Yes . ❑No Dwelling Type: Single Family Ug Two Family ❑ Multi-Family(#units). Age of Existing Structure °b(D Historic House ❑Yes CM No On Old King's Highway ❑Yes 0 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 No.of Bedrooms: Existing New _ _p Total Room Count(not including baths): Existing LA New First Floor Room Count Heat Type and Fuel: [�J Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes N No Fireplaces: Existing New Existing wood/coal stove ❑Yes Jg No Garage: 1A Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ A Commercial ❑Yes &ll o If yes, site plan review# '�.. Current Use Proposed Use Builder Information Name NA 0 Vie: Z)\,3xl-c Telephone Number 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 BUILDING PERMIT DENIE OR THE FOLLOWING REASON(S) R i T � ' FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE - - OWNER DATE OF INSPECTION: FOUNDATION FRAML .•INSULATION FIREPLACE ELECTRICAL: ROUGH " FINAL w _ PLUMBING. ROUGH; ' + FINAL � •fir .. J. , � . . ,. GAS: O "t GH FINAL FINAL BUILDING 4 DATE_ CLOSED OUP ASSOCIATION PLAX %THEt TOWN OF BARNSTABLE BAHHSTADLE. i "b BUILDING INSPECTOR 'FO ypY a' APPLICATION FOR PERMIT TO ........... .... TYPE OF CONSTRUCTION TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for atepermit according to the following information: Location7 ...:.. ..................................................................................................... Proposed Use I ZoningDistrict ........................................................................Fire District .............................................................................. P Name of Owner ... ........... Address ...... . .......... o Name of Builder dress Name of Architect r.... ddress Number of Rooms ............./...................................................Foundation 4 Exterior .._. ,�� :. Y R...............Roofing ........ Floors ........................................Interior ............. .... . .. ... Heating ........ ... ... .. .......................................Plumbing ................ 1........................... Fireplace .......... ... ... .. ... .... .. .... .............................Approximate Cost ......... .. j,f�• 1 .......................... Difinitive Plan Approved by Planning Board _______________________________19________. 0 S 2 O Diagram of Lot and -,d ��' �^ �'•� n�mpncionc 00 �. FRo/V 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding t e abov construction. Name ....... ......................... ......................................... i Wright, Elizabeth 1978 No ......12�:2 Permit for ........�45LPr-!.gf!... .k ......b..ree.z..e..w..a....to..dwe. 11ine ............................... Locati .......Ferndale Road ....... ................ .......................gygnnis ............................................... Owner ............................ .Aright.................... Type of Construction .....................frame.......... ................................................................................ Plot ............................ Lot ................................ September 14 701 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ..................PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... ............................................................................... --A Approved ................................................ 19 ............................................................................... ............................................................................... RESIDENTIAL_ ADDITIONS OR ALTERATIONS If located North of Route 6-any work visible from outside-needs approval from OKH In Hyannis-If work visible from outside-Check to see if it's included in the Hyannis Historic Waterfront District-if so it needs approval from them APPLICATION PACKAGE MUST INCLUDE: Map/parcel number Sign-offs from //Health Conservation(if exterior work) Tax Collector Street address Owner's name&address Permit request- full description of proposed project Square footage-proposed project Estimated project cost Complete Dwelling information for Assessor's Office Builder's information Signature y Plot plan /� 2 sets of reduced (8.5"x 11: or 8.5"x 14")plans with cross section&framing schedule Home Improvement Contractor's Affidavit ✓ Worker's Comp form must include: Insurance company's name&Worker's Comp policy number Energy Compliance Form Copy of Construction Suspervisor's License&Home Improvement Specialist's License OR Homeowner's ,,,-Mcense Exemption Form. v Fee NOTES: CHIMNEYS Need Home Improvement License No plot plan required PIERS&DOCKS Need Construction Super license AND Home Improvement License Owner cannot pull own permit q-forms-PERMITS 1 Rev 2/10/98 i oil X . co 01 1nh�- 1N3 f\ -�\3dC'bd � �,,�+•"►C 1S,oC 3 U � y , .,.... � z. .=. o OIIEEM ]Iklw.ISIcw 1 At 7 V 1 E I .Ee t- 1 1 I 1 I I i 1 r' F, ;.t MAScheck COMPLIANCE REPORT ,. Massachusetts Energy Code Permit # MAScheck Software Version 2 .0 Checked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 6-17-1998 DATE OF PLANS: TITLE: COMPLIANCE: PASSES Required UA = 118 Your Home = 95 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 512 30.0 0.0 18 WALLS: Wood Frame, 16" O.C. 768 15.0 3.0 51 GLAZING: Windows or Doors 66 0.400 26 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. Builder/Designer Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.0 DATE: 6-17-1998 Bldg. Dept. Use CEILINGS: [ ] 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-15 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.40 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load*, as-specified r in sections 780CMR 1310 and J4.4. MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, .HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only)------------------------- °f TV r� The Town of Barnstable 9� . �0�' Department of Health Safety and Environmental Services ArEo � Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissic.n. For office use only . Permit no. Date 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 anv 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: ��d��n Est. Cost hJ• c)(ZD0'`> z) Address of Work: �,� e< c�C�G�� \A�-1 f ' 2-2 �A ' Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied _Owner 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 ,`"�"�' The Commonwealth of Massachusetts n Department of Industrial Accidents office 8/1=80917moffs - -_ � 600 Washington Street Boston,Mass. 02I11 Workers' Co ensation Insurance Affidavit name: location cij� ohone# F I am a homeowner performing all work myself. ❑ I am a sole provnetor and have no one working in any capacity /��O%%%%%%%%%%%%%%/%%%/%%%%%%/%%%/%%%%%%l%%%/%%//%%%%%%%/O//%/%%%/G/%%%/�%%%�/%%/O%%%%/�/%%%//%%/%//, ❑ I am an employer providing workers' compensation for my employees working on this job. com anv name:. address: city phone#: _ insurance co. Roficv# / / / 1111711111111111111111111111// ❑ I am a sole proprietor,general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name: address: Mir: hone#: : 16- cam anv name:. - address: city phone#. in surance cm olicv.# Fallure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to$1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is trap and correct Signature c, , � Date Print name Phone# � �. official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (mvued 9195 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", 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 section 25 also states that every state or local licensing agency shall withhold the issuance or renewai 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,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insnran_ce 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. City or Towns 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 peimit/license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: ' + The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Invesduadons 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION -------------- Please print. . DATE JOB. LOCATIONe Number Street address Section of town "HOMEOWNER" C.C_sZ Name Home phone Work phone 1 I• ' PRESENT MAILING ADDRESS t)Q City town State Zip code The current exemption for "homeowners" was extended to include owner-occuniE dw-allincs 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. DEPINITION OF HOMEOWNER: Person(sj 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 Offic on a form acceptable to the Building Official, that he/she shall be resnonsi for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes responsibility for compliance with the S Building Code and other. applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirement_ and that he/she will comply with said procedures 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. 01 Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which,^a ;buildinc permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that i Home Owner engages a person (s) for hire to do such work, that such Home Oa shall act as supervisor. " - Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulation for- licensing Construction' Supervisors, Section 2. 15) . This lack of aware often results in serious problems, particularly when the Home Owner hires unlicensed persons. in this case our Board cannot proceed against the inlicensed person as it %would with licensed, Supervisor. The Home Owner ac, as supervisor is ultimately responsible. ,. To ensure that the Home Owner. isfully -aware of his/tier responsibilities, r ,7:-=unities require, as part of the permit application, that the Home Owne= rtify that he/she understands the responsibilities of a supervisor.; On t .ast page- of this issue is a form currently used by several towns. You mate care to amend and adopt such a form/certification for use in your community: