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HomeMy WebLinkAbout0016 LOOKOUT LANE�, 4' ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TOYfli'll : Map Parcel t o Application # Health Division Date Issued Conservation Division1� Application Fee Planning Dept. Permit Fee /0 P7 0 D I V S T 10 'a Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village ktygN,4Jl5- Owner 6A-q 6tt4tf�A-' Address CM?-yt Sfi&_:A(T We I Al.T)Id /AAA Telephone 5-6 Q49 - Permi ms_ t Requester Re y 5�4+✓� �le6P. Q1°L�}�� u)4,0 V20 &Z-A lC.s A/e— Ik41,ddt d 9 -J AJ" -Z/ -A& f GCt �i'�' 20 6uit9 Are-w xwL'OrcK AM ®awSPOt R AA -rA /' R-64vL , ,. ✓Si? 6+-7iF- IS-A2 (2t37-6 4-, %46 vC�r �-fwtdilg ��r<T�RS -+ ��-rC cTer Square feet: 1 st floor: existing I Z 37 proposed ;Z 37 2nd floor: existing proposed i a$I Total new Zoning District Flood Plain Groundwater Overlay Project Valuation. ao"Jr o oO Construction Type Lot Size • 3` - / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family C Two Family ❑ Multi-Family(# units) Age of Existing Structure za? n.S Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: H Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) 0 Basement Unfinished Area(sq.ft) I a 3-7 Number of Baths: Full: existing 14P new 3 Half: existing / new Number of Bedrooms: existing I new Total Room Count (not including baths): existing 6 new First Floor Room Count Heat Type and Fuel: ❑ Gas WbI ❑ Electric ❑ Other Central Air: ❑Yes &No Fireplaces: Existing New �_ Existing wood/coal stove: ❑Yes If No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: dexisting ❑ new size �Shed: E6xisting ❑ new size QfAOther: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes WNo If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ,� Name � � � �/��/I%� Telephone Number � Address S� ��9Rh '2f�T /��S/�� License # 1146 1%iV T6 p l AA Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 1A, `��`"�" DATE Z4//c2— y FOR OFFICIAL USE ONLY ' ` APPLICATION# DATE ISSUED f MAP/PARCEL NO:= a ADDRESS VILLAGE l OWNER a f 3 I DATE OF INSPECTION: FOUNDATION FRAME INSULATION ., , FIREPLACE r ELECTRICAL: ROUGH FINAL it PLUMBING: ROUGH FINAL ' 4 GAS: ROUGH FINAL a FINAL BUILDING t DATE CLOSED OUT C ASSOCIATION PLAN NO. S TREr, Tum. of Barnstable Regulatory Services ` C9 xlcs 2'homasF. Geiler, Director, B LIT di ng D171si o n Thomas Perry, CB O, � i B d' P ng Commissioner 2D0 Maio Etr6ct, Hyannis,MA 02601' ' fr�.fowit.barns-i`a6le.ma.tis , -Offccc 508=862-4038 Pax: 508-790-623C PLAN RRVLEW . Map/Parcel:- Project Address- �� Lc `7—/� Builder The falIowing itezias were noted on reviewing: Reviewed by: Date: � �� ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations .600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly 'Name(Business/Organization/Individual): 4554AY .AAA Address: SY e-VD>ltZ Sr tT -� NSta�U City/State/Zip: e/7Y8 Phone#: Are you an employer?Check the appropriatVI x: Type of project(required) 1.❑ 1 am a employer with 4. am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction r 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. STRemodeling ship and have no employees These sub-contractors have g, Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp. insurance.l 9. Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their 1 LEI Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL insurance required.] t -c. 152, § 12.0 Roof repairs 1(4), and we have no i employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide 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 secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up.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 DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si ature: // 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): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other ContAct Person: Phone#: i y' NOTICE u NOTICE TO > - T. a ElPL ES . �4 EMPLOYEES O,�M Svc .The Commonwealth of ssacsetts � DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-7274900 — http://www.mass.gov/dia As required b_y Massachusetts General Law, Chapter 152,Sections 21,22&30, this will give you notice that I(we) have provided for payment to our inured employees under the above mentioned chapter by insuring with: ACE GROUP NAME OF INSURANCE COMPANY P.O. BOX 1450 MIDDLEBORO, MA 02344-1450 ADDRESS OF INSURANCE COMPANY (GS62UB-4512PO3-1-12) 03-19-12 TO 03-19-13 POLICY NUMBER EFFECTIVE DATES SCHLEGEL & SCHLEGEL INS 34 MAIN STREET v s YARMOUTH MA 02673 NAME OF INSURANCE AGENT ADDRESS PHONE# TULEIKAj VIKTAR DBA TULEIKA 125 BERKSHIRE TRAIL BUILDING CO . W BARNSTABLE MA 02666 EMPLOYER ADDRESS m s e EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE e MEDICAL TREATMENT 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 a 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 r tKWE r Town of Barnstable Regulatory Services • r BMMSMBLE, : Thomas F.Geiler,Director 9 MASS.. 1639• A Building Division ArFD MA't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstabIe.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: -7 LA /Z JOB LOCATION: G Ld, r<G,--T I-4NE` RV+q/AP S number street c village..HOMEOWNER": �"Q.'�L� 4�� name home phone# work phone# CURRENT MAILING ADDRESS: C,6-bRrR <y'12��7 a/7 oe8 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 su ep rvisor. 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. e S 7,,14'H&omeowneT 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. i Q:forms:homeexempt �FIHE r Town of Barnstable Regulatory Services r r BABNSrABLE, Thomas F.Geiler,Director 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 as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit. (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and.accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 6/2012 l 70 41 � - � s: , _c/�'� �P O ......... o A s I ! I � i i � � i Lioll Ezo u �i 'i ♦��` ' � e � t rf' . �y .� .. �� y � �f ��• !` � t tom" f ter:- ±i r. � ,��' _ � �� / ,,r;r ��� * � t, + , •• � ��x�, i _ � �, � .. « �� - � ' .. - �a � ' � , r� Y y t I � _ � t � �r% I '� S i i- No 0 J 0 U _ Q IL r O 40 0 4 Of N � Q Q --25'-- 0 0 1 � LOTS G8 G7A 12370.4 S.F. m � 1 vl I I I 1 1 I 1 14.73' BUILDING LOCATION PLAN FOR 1 G LOOKOUT LANE HYANNIS, MA PREPARED FOR GARY GRAHAM NW. R5 SCALE: DATE: DRAWN BY: MBA 1 " = 30' OG-05-201 2 TMW NO 35791 JOB NUMBER: REV1510N: 5HEET NUMBER: 1 2-024 CPP- I q ° WELLER * A550CIATE5 I G45 FALMOUTH RD., SUITE 4C -- P.O. BOX 4 1 7 CENTERVILLE, MA 02G32 2 WINDY WAY, #232 NANTUCKET, MA 02554 TELEPHONE * FAX: (508) 775-0735 EMAIL: tri5weller@comca5t.net REGISTERED LAND 5URVEYOR5 * ENVIROMENTAL CONSULTANTS w Traverse PC JOB 41ts • c TAYLOR DESIGN ASSOC., INC. SHEET NO. OF P.O. Box 1313 f Forestdale, MA 02644 CALCULATED BY 6r"r DATE ♦ _ Tel./Fax: (�508) 790-4686 CHECKED BY L-O A V • SCALE a ...... ... . � P [^ ��tas�� ...: .. ....... ......._ ....... ...... �....... i�......�R ay.f��. ...... �..... .�� .... ...... B .... ...... .. .. ...... ............ .... .......... .............. ............... ......... .. .......... ........,,....... ................. ............ _ .........._ ... ........... ............_. ........ . ._ . ... .... ... `t3�-�� . 5 00!0 c."o . 3 4.p 0-5 f.. _ ..... . .._ ....... _ _ . .... . ... . .om p��` ..... .. . . .... ... ... f dr�..7 �-o�,,�ram.-r► .... . -_�. 4�5 . T3 .c-� _ s ..................ate ... . .... .. i ... ._.... ... ........... ........ _ � A+ `we"� .. . _ o .4_®9�.d9�' S. ae.{' . _ .. . .... ....5`Teo.. -�'e�, -e.,._. GP _... ...._. .. .............. .... _. ......... ........... c�:c► C'.: ��' ..... _.. c-- - SPA t . . 10. __. =. _L'�r . ...... .... . LA __ .........:..... .........:.. ........ .. . .... ` 3 ....... ........... ....... _.. . . : .4 to .. .. rr l. ...__..... ...... _. JOB TAYLOR DESIGN ASSOC., INC. SHEET NO. OF ` P.O. Box 1313 Forestdale, MA 02644 CALCULATED BY �� DATE<0- Tel./Fax: (506) 790-4686 CHECKED BY DATE SCALE ..,....-.... . - ......... __..._-...._........ ._..__........._...__........... . _._..... ... t ..... . ........ _. _.._ ........ _... ...... ......... ......... _... _ ...... 1 A-Clo W. ......kw.t_Q.C-s.��.-.... `� �.., ._. . �� .. ... . ........: _ . .._ . �.A•41is ... ..... z . _ . .. z . �t z G 1 t 4-1 .. '_ . t.7 gyp,., __ m ...... :. .......: .. .......... _ s Lr E . 'kla 1.. 3..57 ? ....... ..... t � .. _. JOB TAYLOR DESIGN ASSOC., INC. SHEET NO. OFF P.O. Box 1313 .yv Forestdale, MA 02644 CALCULATED BY DATE- Tel./Fax: (508) 790-4686 CHECKED BY DATE L.r.00 .SCALE ._.. .......... .__.......... ............. .......... ..... _..... ...__. .. . . . t!. t[ _ ...... .......... � .a.t , . ..... ... ..... ............ ..... ........ _. . Lt .T _ c. a t .. .............. .... . ` .... ....... (e ...... : l ... �.� ..L✓�.. ...... ...... . .... .. t ..... . . ... 2- �.. � ?�. l l ._ . . ., Z. �. t • 2 .►�te.r..t 43�. r. 3.8 .._ _ .... 17 . .._ 2 1`4 ct d �a z . 4ftf _ .�34,e, { _... gal- ............ .. t _ . ... . .. _�,, :... _ L Cho+a�. .. ...... . TAYLOR DESIGN ASSOC., INC. SHEET NO._ 4 of P.O. Box 1313 .tee Forestdale, MA O2644 CALCULATED BY Q' t DATE sg TA"d wL Tel./Fax: (508) 790-4686 Q CHECKED BY DATE IfAlt1.� • SCALE ....... ...........__. _._. _..... ._ ._...... .....- ......... ... ... _.... _..-_ .... _....... .... ® .e..► P4 t ......... ............. _ot (30+ .. ...... .. ..18.tpc�i� ... .... ... .. ..... . . .. ... . ........ ._ . t.. 61.: .................. 3. ...... ,. .: ._ ... ..... Q ........ ...... . .. ...... .. �`.� Z lL :: � '4. . . ...... ���,Z .. c . . . . ... .. . ................. -. .t �f k !.- . ... . c�? f P ... ..... .... . ...... . .. n : d4e 7J`._. _ . q X.. 4 tw t- •_Z ��87 Z�3 ... _ ,. ...... n. , ,g�.\ .. ............ 4 . P<.. ..� ._. :5.. .'.. .. . l . ................... I JOB TAYLOR DESIGN ASSOC., INC. SHEET NO. -7 OF -57 P.O. Box 1313 Forestdale, MA 02644 CALCULATED BY C-'r ` DATE Tel./Fax: (508) 790-4686 CHECKED BY DATE &I-PPO S Ft A. • SCALE ............ .... _ .... _. .. 4® ........................ 2 I._��4.k�t +--.y4-: ... ..0 487 .. ... ..... .. -. ...:__tom.:.�.�,+C7.. ..: .... . . .... . 2............... 46... Via. .(`—lczG4la ram- -'.A- -�.,�. ........... °Yr-'t ... .. t �o _ ....... .. ... ... 1 ..: ✓�Cam►t —. �...4 • - 3/.a ►`A..... . ... ..... . ." _3 7: P OF ......._. ...... ....... ..................................... P ... ..�� ....:. .. .... ..... -.. .... �3� ... . ...... ... ..... ... .._ (73 drS. '. _ 7�. .�. '�'7 '_ .... . 6 . O u L . ................_. apt. lc., .-�..c.-=... C ...:. . .. ...... 7 -ps . .. tr 1 _..... , �. 14. _1`i&. 1.�PZ st .... 0 5"f -.. . ....... . .... .. —e-- —_ _ �.II`IIIIIII�III�I'IIIIIIIIIIIIIIILIIIt I; fl'�I,[®l ®l it o w ® o li� a�•''s' Fa ® ®I .� �1 i MM i�Il�I'DID E WIN LEI LEI X I nil i NO]MIN Ililllililllllllll o . �0�I�I��� =�Illiliillllpilltll ;, "� 'IIIIIIII�IIIIIIII_ - '`"=�� IIIIIIIIIIIIIIIIIIIIIIIIIIIIIlIIIIIIIIIIIIII'IIIIIIIIIIIIIIII�II�IIIIIIIII ••:. �II�IIIIIJIII�IIIII��i� � e � • Ir A s La .� LIVING ROOFI d -a 5 �• m B � W �.. O 'A. © O Y .nmQ OPEN��LOFT SE. ro rn�E� �o �TIEt7 Oa © O O O O § N ,e_a J w CL J. Lij - 4\ _ eYO Ir.TO kElY41N .. ... .. .. w Q o PROPOSED SECOND FLOOR.PLAN Q w '4D - , . O •. O. WI N D O Wila 6u DOOR SGIEDUEIscE I w 1 � : -- 0 en,x wu.er o<•v.a I 1 2 .. .5HEE7'2 OF q' . .. : .. _ ' .. � IwmNlre ae m. I ure x FuIE� 1..a .. - ArmExseN Fla4wae FRDKH Wrn. 1 4 SQUARE FOOTAGE - . BASEHINf FINISHED SPACE: D S.F. .:PROPOSE.D:'FIRST .FLOOR.::PLAN �TQa TQ�eQxT e aa�n IST FLOOR FINISHED SPACE IIT2 S.F. - -..I-D- .... 2ND FIDOR FINISHED SPACEIIO4 S.F. SCALE:I/4 - - 9RD TOTAL SQUARE�AGE: 2,Y S.F. _ , •-.- , - SRD STORT IS—OF 2ND STORY F ,. ... � REVISED 0/0/I2 PERMIT SET DATWN BYO6/IWI2 JOB: DRA - - z : oI-"eR«N - I e'. 1 ur[ r'.:'. :.;.,. •: ... '_' ._.c �. - ,. � �. - - � .. wrnOwmaERC) >7 1 -�'. BON"NS�ROOI•I C � �� ROOF D (u>W Y rrrr IIII I : Iwm1R� r77 77 Q: .. .: v I o , Z - r - - J 0. C] z J u PROPOSED THIRD 'FLOOR (PLAN PROPOSED ROOF- PLAN w 0. � O .. .. - Q - 0 114 °o .. .. W514EET3 SQUARE FOOTAGE - 6ASFt1EM FINISHED SPACE D S,F IST FLDOR FINISHED SPACE I1,I .. - AND FL�R FINISHED SPACE,1,104 9.F. .. .' - - •. .. -STORY FINTOTAL SQUARE FTAGE. 2,rn S.F. ..RY - ... .. - - - � � � - T--' PERMIT 5ET Z .W ^ Q , - - ,. I I - - - 11 REMAI&N/A, ul IF- .n I ITEe r , j n rl� r. �:GNF1aP r — — — aN IH 0 e amm aoD ^ 'A A .' -.> .. "T- T ... w 7 I Q U �. ZQ. w aRa ZLLI ;N Lu SECOND FLOOR FRAMING PLAN _ p FIRST FLOOR. FRAMING-"PLAN .. ^:. - SCALE,I/4' 1'-M � - � SCALE.I/4•..�I!-d - -� . _ .. .� W FRAMING O.. .Q Q 'REMAIN N/A. GARAGE .(Y N TYPICAL HEADER NOTE, _ "ALL.WINDOWS.ARD EXTERIOR DOOR5 WILLVE W O°CXL3FOTXN2°PLAIN f" AL POST I-CrATI9214 .... '(2)2X HEADER AS PER ENGINEER ..10 H L e AW CUT EXI9TIN 9LA O U .. - r�IfT OLIT EXISTING-G9LA0 POUR NEW FOOTING Uf O d zl O WAILI _ _ : ISTING.�WALLS�NEEDED - /^I NEW FOUNDATION PERIMETER BEAM TO BE I` _ - 1 V4°X q 1/4° V :BEAN'TO B AID PERPEN121CULAR TO METING FLOOR ., :. . .. .. - .. ONLY PER PLAN ABOVE .SHEET 4OF q SQUARE FOOTAGE BA.-ENT FINISHED SPACE O F.. - - 1ST FLOOR FINISHED SPACE 1,172 SF. 2ND FLOOR FINISHED SPACE,I,IW S.F. - - 3RD STORY FINISHED SPACE, SO4 S.F - � 1 . TOTAL EOUARE FOOTAGE, 2,T02 - ' 3RD STORY 19 4.OF 2ND STORY - - - REVISED 5/8/12 _ _ - - R � ��� � ..:. .- '- JOB: -. GRAHAM .. EVISED-PER.ENGINEER O]/02/12' DRAWN BY.TFR ...'PERMIT.SET� .DATE, 06/18/12 -.:. W LU LLB 2ec� o u mj- htL Kx mc iE a a V m . a• Y -- e � o. Im I : F CN to J W'N � ROOF FRAi IING PLAN'. w:� q . SCALE (/4' I•-0` _ _ _ - , _ THIRD FLOOR FRAMING PLAN W LLI Z iY. Lu.._. _ .. TYPICAL HEADER NOTE: - - .TYPICAL HEADER NOTE: (2)2XIOVHEADFR AS pER1 ENGINEERDOORS W -C2)XIO�HFW.ADER AS PER ENGINEER W ANDLL HAVE ALL ILL HAVE -,O Z Q 5 OF 9 SQUARE FOOTAGE - l� BASUAR FINISHED SPACE, PLOOR FINISHED SPACE:I IM 9.F _ - - - D RWR PINISHED SPACE,I,Iw 2N 3RD STORY FINISHED SPACE, 506S.F. - - - - TOTAL SQUARE FCO E� 2,T S.F.- - SRD STORY IS 462 OF]ND STORY REVISED 0/8/12 ":�' - nr .i .. GRAHAI"112 REVISED PER:ENGINEER NEER'=�'07/02/12. - ORAWN BY.TFR' , ' PERMIT SET nnr ^�.••a•,n FF 1 :. - : , mz - ... } .".. ..wen T. •. .-.- .. I L LLI . .. - .... I _ - IJINSULATED-"', . �x._i° � '`� "•�"°`,,""'': UNFINISHED 10 ', .STORAGE. n} EAV.Ew•sys - nj -E` • � -� - ''✓A4T�n wT ALL _ ' _ - _ o m •�.�,.��,win NOTE � - � �.,,- ZLLI _ 7 � W Z � U' H SECTION A" " SECTION "B: 1?4' 6. 0: li • _'.RESED PER_"ENGINEER O]/02/VI 12... GRA14AI.112 . - 'DRAWN.-BY,.TFR '.- :- FERFIIT SE7"' �DATE:�� :e/.? '" ' 4. — �; Q u - � ofeMKB. r , .• , ., TRnmER I a I • f . 0 .r. RAFTER TO::PLATE.CONNECTION . O Bc.Le.ura I ' W NARROW WALL BRACING AT GARAGE DOOR sHFik WA COYIPL ANCE: H�..6ERTI CAL THIL..R R NAIu - - .V . - - Bd NAIL9 9'EOGFJI3'-FIELD - - . ' ': '(4jlbtl NAIL9 PER FT BpTTLM PLATE WALL UN ... - ... • .. :, VERTICAL 9HEA'I'HINRG W17H' - .. .. - 16d1 NAll9 PEREn%•FIELD � _ ;? 4 eaifQl PLATE .. r µo PS 0 JOINT DESCRIPTION I .,wum emlw' L,nrAnxB - - Q *L . rumW L° NAR° BLe New L rLAr% ' Q N W a w WALL FRAMINPa - �° O 2Y C. Mna AT TUo�De H Tiy AT.rAMc°RB(NARxv) - >, udxc'eoeEs veR I I ll :..FLOOR FRAMIN4 - veiV�AL eu a HTh S'�'�`.� e?. Q Z 4 6 u." q¢c 0.oek fT teb) I.Bd - o Vw In ey w .. <N u• r el.o Z .Q W TF :Balm -. oBILL fLAT[(T NAILm) : . '-: Iso .. D-� f°o, .• � ��R+f ROOF SHEATHING - - - Hodv rwz*nRALMX .. .. oaUBL% �Blu _ Boa"I, -w:ro.B on TBaeeep BfA(mM.To x'o C a• o euGO4FVa/e i° m. ' � Rnn°RB oR rk4BB%B efAmo q,R.B• �, m ..' .' Im i J a e` wLL RR41CA% .' .;l .;l a ale vWw., RAxe ed •o � �... amvo%ws..' rRusB srwcrvRu ... . T✓x exwaALL%AY1 ek - Halo . - - �Il --•lam'`- ' .CEILING SHEATHING - - - Bz tmLbee T eveeno'r _ � � SHEET.'7 OF 9 .FLOOR SHEATHIN4 - Xuoo FUIe HEIGHT SFJEATHING SINGLE FLOOR - /1 PULL HEIGHT.SHEATHING.—MULTI FLOOR . we a•eneeA•nun :O xrB °c.Lo x.r.B. .. zwre%ruin I'. .. .. �. I.e i•ewv.•nm - '. _ DRAWN BTU TFR e - _ W EXISTING-.FRONT..ELEVATION. _ - _ _ SCALES V4,•.+I�_y - .. I .. EXISTING'LEFT ELEVATION I - .- ... .T_... 1/4 .. SCALE �I'_O• - .. Q .. - .. W a y w = z a a .. .. W Q W lz EXISTING.RIGHT-ELEVATION . .•. - - - .,...EXISTING'REAR ELEVATION- - ,._ ------ -------------_�j I a�irpevc,R..�e cw�aE LL - .:51-1EET B OF 9 .: -DRAWN B7-TFR' DATE_ 06/18/11, z � Q FAMILY ROOM W LL � BEDRQ2M WORK SHOP /( UNFINISHED BA5EMENT V� LAUNDRY ❑ aL 1 . 1 � v W Z N Q N GARAGE FOUNDATION PLAN GARAGE FIRST FLOOR PLAN Q LU 0SCALE.I/4' I'-O' - SpALE.V4'-V-p'. J � .. 'w W . - 5HEET 9 OF 9 bv LEX 2 I - " - JOB. GRAHAMI2 DRAWN BY.TFR PERMIT SET 'DATE. Ob/FR V LLI Lu Q W LL " BEDROOM - " n, Q z LLI 0 w Q N Z � = a SECOND FLOOR PLAN Q wz Q ly _ s _ H � ADDITION SHEET 1 EX� JOB, GRAPAM12 - DRAWN.BY,TFR PERMIT SET DATE, 06/IB/I2 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION O� 3 Map Parcel 100 pplication # Health Division Date Issued I a� 1 Conservation Division u Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/ Hyannis Project Street Address 16 �-©©rp .y' ul e' Village RV q h 118L Owner ISRR h a!✓i , ���� 4- SasoV1 Address -�� a K 5 k ek4 r,U/o KI�J40,✓ Telephone Permit Request s lDn 16 sneeahed Po&cl, 4/- lowcrz Jeyey -- i. Square feet: 1 st floor: existing proposed 2n floor: existingoposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 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 l q� Historic House: ❑Yes Colo On Old King's Highway: ❑Yes �No Basement Type: XFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new -6— Half: existing new Ie; � Number of Bedrooms: existing I new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: �e-Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes IPNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garag2u, existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garag existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: I .> o CD Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ " -- w Commercial ❑Yes ❑ No If yes, site plan review# , Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number SOS 1!!� � Address 12S '&e&ks'AJke 7, / License # 6 Home Improvement Contractor# I7370 O,'9W6, Worker's Compensation # la O1163 —566D06f 3 ALL CONSTRUCTION DEBRI RESU NG FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE / DATE ��L- j FOR OFFICIAL USE ONLY APPLICATION# i DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER z DATE OF INSPECTION: i FOUNDATION t FRAME INSULATION F FIREPLACE I - ELECTRICAL: ROUGH FINAL t ,r PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL FINAL BUILDING t' DATE CLOSED OUT 1 ' ASSOCIATION PLAN NO. '. J .eparfinenf of lndustrW Acc- 6-iii Office of Investigations 600_Washington,Street ' Boston,MA 02111 ` www.massgov/din Workers' Compensation Insurahce Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information , q Please Print Legibly Name(Busmesdogmization/Indivuival): 1, Address: 1 � d l�6he Iri City/State/Zip: 'r y� � g k-°i'/�/� ✓� Phone.#: "S T7_ Are you an employer? Check the appropriate bog: Type of proj ect'(required):. 1.5PI am a employer with �/ 4 '[] I am a general contractor and I employees (full and/or part-time).* have hired the stab-contractors 6. 0 New contraction.. 2.❑ I am a'sole proprietor or partner- listed on the-aitached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g ❑Demolition working for me many capacity. employees and have workers' co insurance.#. 9. []Building addition .�[No workers' comp.inSrn-ance comp, .•. required.] 5• ❑ We area corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing4-work officers have exercised their - ' I I-[]Plimmmbi ag repairs or additions myself [No workers' comp. right of exemption per MGL . 12.0 Roof repairs insurance.required.]t C. 152, §1(4),and we have no employees.[No workers' 13.❑ other comp.insurance required] *Any applicant that checks boa#1 must also fill out the section below.sihowing their workers'compensation policy information. t Homeowners who subnut this afdavit indicating they—doing all work and then hire outside contractors must submit anew affidavit indicating such.. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must providb their workers'comp.policy number. 'lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information.. Insurance Company Name: (9//2.0 f/ Policy#or Self-im.Lic.#: 65.6 Z 08 -66 6-069-g`OE�:piration Dater Job Site Address: L'F1 L ootcoc"j- . City/State/Zip: 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 lead to the imposition of canal penalties of a fine up to$1,500.00 and/or one- ear imprisonment; as-wcll as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day ainst a violator. Be advised that a copy of this statement may be forwarded to the,Office of Investi lion of the for' ance coverage verification I do hereby certify ains•and penalties of perjury that the information provided ovg is true and correct Si afore: :. •. . • Date: � e.r .ZO/� . . 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): L Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: . AWC Gidde to Ff,'ood Consti-uctiori ir1.Higlr Wind Areas:11D niph Wirrd Zorse Alassacllusetts Checklist-for Co4,liance (780 CN1I`RS301:2.1.1)' Chcck Compliance 1.1 SCOPE WindSpeed(3-sec.'gust)............................................. ....._ ........... ... 110.mph '... ..... ....... . .. .. WindExposure Category.......................................:.......................................:............................................ B Wind Exposure Category........:..-:....Engineering Required For Entire Project..... .................... ...........0 - 1.2 APPLICABILITY Number of Stories (a roof which exceeds 8 In 12 slope shall be considered a story) stories 5 2 stories RoofPitch:..........................................................................(Fig 2) ........................................ 0 912:12 ��A MeanRoof Height ........ ............................................: .........(Fig 2)................:.:... . ft <•33 7 Building Width,W ....... (Fig 3)...................:.................. �ft 5.80' v Building Len th L < 7- - 9. � ..............................................................(Fig 3)....:::................................_.........�.ft•_80' Building Aspect Ratio(UW) ........................:.......................(Fig 4)._.. .......................... 3:1 ` Nominal Height of Tallest OpeningZ .............................::.•(Fig 4)................................................ 6,$ 5 6'B" V 1.3 FRAMING CONNECTIONS General compliance with framing Connections....................(Table 2).........:..... 2.1 FOUNDATION 1 Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete....•...........:..................................:.:.......:..........................................................•..._. Concrete Masonry..................................................... ............................................................................... 2.2 ANCHORAGE TO FOUNDATION"3 5/8"Anchor Boits,imbedded or 5/B"Proprietary Mechanicdl Anchors as an alternative in concrete only BoltSpacing-general ................ .......:.(Table4)...:......................................_..... in. �_ Bolt Spacing from endrjoint of plate....... .....::............(Fig 5).................................... in. W-12" Bolt Embedment—concrete.......:..................:..............(Fig 5).......................................:......:.._;�_in.t 7" Bolt Embedment-mason .......(Fig 5 t............................... in._>15". Plate Washer..:............... .... .. ...(Fig >3"x 3•x,/t ( 9 5 ..... ) ... . 3.1 FLOORS Floor-framing member spans checked .........:...........(per 780 CMR Chapter 55 Maximum Floor Opening Dimension.....................................(Fig 6).................................................... fts 12' . Full Height.Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)..:...:........:.........:...:......... Mb rnum Floor Joist Setbacks Supporting Loadbearing Wails or Shearwall................(Fig 7)..................................:...:..:..........._ft 5 d 0-7 Maximum Cantilevered Floor Joists Supporting Loadbearing Walls*or Shearwall................(Fig 8)................................................................................... ft d FloorBracing at Endwalls....................................................(Fig 9)........_............................... ...... .. ....... .<.. (/ Floor Sheathing Type .............:..:....... (per 760 CMR Ctiapter 55) ��!'4...��� �-................... Floor Sheathing Thickness ................. :.....(per 780 CMR Chapter 55� _.. ....1­4...... in. Floor Sheathing Fastening ................. .........................:..:(Table 2)..IL-d nails at in edge I (o in field 4.1 WALLS, Wall Height Loadbearing waifs..:.._....:_ (Fig 10 and Table 5) .Y ft _<10 Non-Loadbearing walls.... .....(Fig 10 and Table 5 .........$ ft's 20' ( g )......... _ Wall Stud Spacing :.......................(Fig 10 and Table 5) t6 in.<_24`o.c. Wall Story:Offsets. . .........................................................(Figs 7 8:8 ................................' eft 5 d 4.2 EXT1rR10R WALLS.' Wood Studs Loadbearing walls.........................................................(Table 5-).... 2x 6 - ZG ft 0 in: 1/ .-...... , ..... Table 5 Non-Loadbearing walls.. ( . ).... .......................2x -jc9 ft r,9 in. Gable End Wall Bracing ......• F 10 v Full Height Endwall Studs............:.:...:. (Fig ).................... . WSP-Attic Floor Length................::...........................:.:(Fig 11).........,................................... ft zW/3 c Gypsum Ceiling Length (if WSP not used)....:............::(Fig 11)............,............................... ft z 0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft.D.C. :.(Fig_11)..................................:............................ —, or 1-x 3 ceiling furring strips @ 16 spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays Double Top Plate Splice Length Fi 13 and Table 6 ........ �ft Splice Connection (no. of 16d common nails) .............(Table 6)................... AF11C Cuide fo flYood Collstl'JICt10/J hi HrSrlr 11'inr{Areas: 1'10 fJcp/r 1j'ind Zone Massa diusefts,Qheddist for Compliance (780 Ci14R5301.2.1.1)1 Loadbearing Wall Connections Lateral (no.of 16d common nails)............... .............(Tables 7) 2- Non-Loadbearing Wall Connections Lateral no.of 16d common nails :. ( ) (Table ......... .. .......... 2. Load Bearing Wall Openings (record largest opening but check all openings for compliance4o Table 9) Header Spans ................... ...I... .(Table 9)...................................._ft lJ in.5 11' _ Sin Plate Spans ...(Table'9)................. ft 0 in.5 11' Full Height Studs (no.of'studs)....... ............(Table 9)....................................................... Jig- ... Non-Load Bearing Wall Openings(record largest opening bUt check all openings for compliance to Table 9) Header Spans....................n............................._...........(Table 9)..:............................... ft !�in._<12'' L/ Sill Plate Spans......................:.................................... able 9 ............ ft in.s 12' Full Height Studs(no.of studs)....................................(Table 9).................................................. Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W Nominal Height of Tallest Opening2 ....... ................................. ...............................b'o s 6`a-. V Sheathing Type..............................................(note 4)................................ . 2, L Edge Nail.Spacing.•................... ..................(Table 10 or note 4 if less)........................ ro -in. ' Feld Nail Spacing Shear Connection(no. of 16d common nails)(fable 10)...................................:..:I............... —� Percent Full-Height Sheathing........:..........:...(fable 10)..................: ....N% �............................. _ 5%Additional Sheathing for Wall with Opening>6V(Design Concepts)............:. .. . Maximum Building Dimension, L . Nominal Height of Tallest Opening2...........................:.......................I.....................VS 6'8" SheathingType..............................................(note 4),.................................................... � Z L ................ Edge Nail Spacing...................... ...(Table 11 or note 4 If less)........................ 6 in. _V . Field Nail Spacing...........................................(Table 11).,..........:...,..............................:.. C9 in. Shear Connection(no. of 16d common nails)(Table.11).................................................. Percent Full-Height Sheathing.......................(Table 11)............................................:.......100 % 5%Additional Sheathing for Wall with•Opening>6'8'(Design Concepts).................:.. Wall Cladding / Rated for Wind Speed? ......... ........ ...wl.......5. vLQ�? J �.......... if 5.1 ROOFS Roof framing member spans checked?.......:................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang .......... ......(Figure 19j 0.1 ft<smaller of 2',Dr U3 V ............ ....................... ............. Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift...........:............. .. ..(Table 12) .............. ..U=- pif ........ . .... ..... Lateral...................... ........:.....(Table 12) ...._.................._.._.................L--- _plf Shear...............................................(fable 12)............................................S__-.,Qr- Of. Ridge Strap Connections, if collar ties not used per page 21... (Table 13)...............................T= plf Gable Rake Outlooker..............................:............(Figure 20) .............. ft 5 smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................U= lb. Lateral(no.of 16d common nails)...(Table 14)................................... _ . lb. Roof Sheathing Type................:..................................(per 780 CMR Chapters 58 and 59). V.�4V^ Roof Sheathing Thickness....................... 'in.,> Roof Sheathing,Fastening.::.........:...............................(fable 2)..................:............... .......... Notes: 1. . This checklist shall be met in its entirety, excluding the specific exception noted In 2, to comply with the requirements of 78D CMR.5301.2.1.1 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. Steel Straps per Figure 5 b. 20 Gage Straps per Fgure 11 c. Uplift Straps per Flgure.14 d. All Straps per.Figure 17 e. . Comer Stud Hold Downs per Figure 1Ba and Figure 18b 2. Exception:Opening heights of up to 8 fL shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls-shall be a minimum 2 in.nominal thickness pressure treated#2-grade. f . NOTICE H NOTICE TO a TO EMPLOYEES EMPLOYEES � V 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: ACE GROUP NAME OF INSURANCE COMPANY P.O. BOX 1450 MIDDLEBORO, MA 02344-1450 ADDRESS OF.INSURANCE COMPANY (GS62UB-5B50069-8-12) 07-14-12. TO 07-14-13 POLICY NUMBER EFFECTIVE DATES SCHLEGEL INSURANCE 34 MAIN STREET - YARMOUTH MA 02673 NAME OF INSURANCE AGENT ADDRESS. PHONE# n _ o- TULEIKA, VIKTAR DBA 125 BERKSHIRE TRAIL o� TYULEIKA BUILDING CO WEST BARNSTABLE MA 02668 EMPLOYER ADDRESS N- - EMPLOYER'S WORKERS COMPENSATION OFFICER (IF ANY) DATE - MEDICAL TREATMENT 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 Town of Barnstable >t Regulatory Services Thomas F.Geiler,Director 16 • �� Building Division Tom Perry,Building Commissioner. 200 Main Street,Hyannis;MA_02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder ; as Owner of the subject property hereby authorize [/ /C 7/4 9 y TU 47�,k.4t to act on my behalf, in all matters relative to work authorized.by this building permit L,fnlc--: tl&nl1(15 ,(Address of Job) **Pool fences and alarms are the responsibility.of the applicant. Pools are not to be filled or utilized before fence is installed and final inspections are performed and accepted. /ox ��.'3gna - f Owner S of Applicant Print Name Print Name Date . QFORMS:OWNERPERMISSIONPOOLS 6/2012 z _ r cgs q ,� � � g� i `Yx &VAa' ,a g, C r ° ,gfi^� ` t � *' N"" •ids �` *' a 'A.� �� M '� ? ..� -'9y� a` a .;, a .y1c E + ARE Val 4.Y4 r?o �,�4 k ?. t.: fop. sy ^ �,.� e F r try 1, N� d� Mw 11, 41 .wL' of C£ -i± d" ✓ � t� $}' .b .�' �,. # St y J- val V ^y( e. f 4 try ° ,"s $k AM MW iU Qof M e x. fi aROW AI WSM, AM CD { r � , A c � x. ,�✓r9'_` 'M t`� °� R�" ,erg � �'. /VV%"�II !h/r� 1�� F� 1 1 _ ! f -- - � - __— -- -- —ji -- ---I --- - --- -- — - -- i I ! I f F I.. Tl ' I --r- -- 1 I { ,-�---- —�— ! —i- ----G---�--�—�---is —i-=—�---�--J---}--j—f I - l o; ; 2-1 I Ste- t I`oC-fie i E , I _I L I i I (- Alo -� ; + I I._ koo IZ ipL IT •I 3 I , i ,. f I � I ` i i , 1 ! , o L 21. I i --' : T �t --! - 1---' - ! � I i ; i ---- ---; - - -� - --- - n��� - --;-- - - - - - - --- ti- ;-F -- { ! I ( 77 y�tlow I l PJ e15 , -T- e6 C. -,� 1 ! , s - illillll IIIIIII SE _SE.................. 0 . .................. _= IIIIIIIIIIIIIIIIIi Illllllllllllllllt _=................. FRONT" ELEVATION �IIIlillllllllllllllllllllll�llllllllllllllillllilll��lllllllllllllllllll.III �== I l lead H.- ,'-o s•d Fl p (o Q p - ® J -. ._ 19 © w III DINING LL O® U F � LJ ie O TT w a Z N J W Z d o 0 � Z W F °m PROPOSED SECOND FLOOR PLAN w t r------ -— l ; xa e.v,'.F-W a Z W - W O 0. - 'WINDOW t DOOR SCHEDULE 10 - f wa O CL . l O'd � ulou°a r.ewlo Rc O D. ' 4mmMa TI xaM!YMG N • N SHEET 2 OF 9 . eavlw octal PROPOSED FIRST- FLOOR PLAN . m 9CAL&I/,' I'-P .. wdvG kW nv+pn. GRAHAI91] DRAWN BTU TFR PRICINf.AFT ...+ ... • z e�,.u. u•a �a r-a xa •a •a w•a a ra xa a U /1 ww�"icv I ' I Fs _.dam O LL F BONUS Trrrrrrn 9 nw,vn u h . 1 1 I I I I I - I b1*��w x'erv� n we wncuo uux rwi I _____________J I M ZZ I e O 4 0 Q N w Z Q w N 0. o z PROPOSED THIRD FLOOR PLAN PROPOSED PROPOSED ROOF w < u1 LLj LU Q a Lu IL � ? O O �- J N . 9HEtT 3 OF 6 - _IGB� GRANAHI4 ' � DRAWN B7•TFR z bc: (� w J 1 - - r,- _ _-- W Q i O 2xio FRAMING (Y� v r - w II 1--1--. r- --------------- It -e-----sves-a Tl All ,• L_J L_J O je o a� a LM N§ O Q N w rn I I W Q _ _ _J J F` Z N 0. N Q SECOND FLOOR FRAMING PLAN FIRST FLOOR FRAMING PLAN a z 9CJ.LE•I/4•.I'-O• 9CAL6 W'-V-W Q Z w. ' EXISTING W REMAIN N/A - - GARAGE I- - N J w O p L-J /INSTALL NE e Y nN S N D D O a/ Q- J N . SWEET 4 OF 8 _ S1 PRICE BEST AS P 51BLE JOB. GRANAMI2 ' - DRAWN BTU TFR PRICING SET I DATE, 04/BO/12 z LLA LLJ Q LL 111 I l o � i I I I I 1 I Q 0 N o a fn w z a Z N J w 0. Q Z W ROOF FRAMING PLAN w >- Q THIRD FLOOR FRAMING PLAN � SCALE,114• a z � � Q Q w N � � O Ug ly SHEET 5 OF B STAMPED ENGINEER PLA PRI B ST POSSIB - �-)4 . JOB, 4RANAM12 ' - DRAWN B7,TFR PRICING 5ET DATE, 04/30/12 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 32J� Parcel /G'b Application #19q r.n1- { ` ' Z Health Division Date Issued�j=z Conservation Division Application Fee it Planning Dept. [ Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/ Hyannis �Proiect-Street Addresses �100IC©y-� /�'/7e ✓7��?h17 /S' a gJ ram'. _g Villa eYt/?IS P024 ,Owner I Address Telephone " " Permit Request 'Doe noo,7 i,e- 6?/Z04�1037 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 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 ❑ r Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ,Narne Tule �7 Tele phone Number f�:s0� �F9� v���':S Andress,12TK 4e-EgS- A.14e J(�-/ -License-#-- ,�rso /e 0266-8 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS SU ING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE -/n/ 1001e. .z x FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE y - OWNER 'y DATE OF INSPECTION: t FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL t. GAS: ROUGH FINAL FINAL BUILDING q DATE CLOSED OUT t ASSOCIATION PLAN NO. ` y .I �TME Town of Barnstable Regulatory Services • BAMSTABM Thomas F. Geiler,Director 3 . 09 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 NOTICE TO THE BUILDING DIVISION OF CHANGE OF CONSTRUCTION SUPERVISOR I 6i A owner of property located at P �o k a L4 PV#A;N l S , hereby certify that is no longer Can r listed on the application for the project under construction as Qa/ aI9gz authorized by building permit# , issued on A-L*z'- �-d 201 . I understand that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. P P RTY OWNER DATE q/forms/newcontrowner reference R-5 780 CMR revA 1211 Regulatory Services r * * BARNSTABLE, y MAM, . Thomas F. Geiler, Director �ArF0.59. , 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 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY 1, CT 12 J0 4-- r1k , Construction Supervisor License # /� , hereby certify that I have assumed responsibility for the project under construction, as authorized by building permit# 2072O46937, issued to (property address) �D(�CG4C"-/ on /O 03 , 2012. The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form (if applicable) copy of my Home Improvement Contractor registration (if applicable) Commonwealth of Massachusetts Workers' Compen tion Insurance Affidavit. Road Bond (if applicable) /D p 20/2 NS HOLDER DAT _ q/farms/newcontrb rev:1 10410 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 5•• �� www.mass.gov/dim Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly - - - - NaMe(Business/Orgauizadowbdividual): . (/�` O/ j Address: 2 A city/state/zip: iZ o Phone.#: J� Are you an employer? Check.the appropriate box: Type of project(required):. 1.F I am a e to er with 3. 4. ❑ I am a general contractor and I mP .Y _ 6. ❑New constriction . employees (full and/or part-time).*. . have hired the.sub-contractors 2:❑ I am a'sole proprietor or partner- listed on the attached sheet 7. El Remodeling ship and have no employees These sub-contractors have -8. ❑Demolition working for mein any capacity. employees and have workers' P t3'• #. 9. ❑Building addition [No workers' comp,insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑-Electrical repairs or additions _. 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers'comp. right 6f exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 131-1 Other comp.insurance required] . *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they,are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box.must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have emrploy=. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: /Tv 66 Policy#or Self-ins.Lic.M 6S b l/' J ` Expiration Date: J 1/rrTi , J�,�.•�V `�A ty P ,�/ �/ Job Site Address: (���C/ yT/li Ci /State/Zi : �/( ��?�l� y 9 EV Attach a copy of t rkers'compensation policy declaration page*(showing the policy numb r and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day a • t th olator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the D for ce coverage verification I do hereby certify r ns•and penalties of perjury that the information provided abo a is true and correct Signature: Date: `d �� ke�2 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): J.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions 4. . 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 the le representatives of a deceased e j lo. er,or the _ of the foregoing engaged m a Joint enterprise,and including gal ep �. Y, receiver or trustee-of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more titan 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 enter into any contract for.the perfomnance of public work until acceptable tvidence of compliance with the insurance 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-conti-actor(s)name(s),address(es)and phone number(s)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 one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"allIocations in ` `(citybr 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 burn 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 Conamouwe aU of Massaoh=Us Dcpar meat o£Industc al Acoddmts o Ge of Invest gatiQus 60.0 Washington St=t Boston, MA 02111 Tel.# 617-7-27-4900 ext 406 of 1-977 MASSAFE Fax##617-727-*9 Revised I1-22-06 WWW-M&, MgQV/tea NOTICE N NOTICE TO a TO EMPLOYEES �W EMPLOYEES OqM Sv� 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: ACE GROUP NAME OF INSURANCE COMPANY P.O. BOX 1450 MIDDLEBORO, MA 02344-1450 ADDRESS OF INSURANCE COMPANY (6S62UB-5B50069-8-12) 07-14-12 TO 07-14-13 POLICY NUMBER EFFECTIVE DATES SCHLEGEL INSURANCE 34 MAIN STREET YARMOUTH MA 02673 NAME OF INSURANCE AGENT ADDRESS PHONE# TULEIKA, VIKTAR DBA 125 BERKSHIRE TRAIL TYULEIKA BUILDING CO WEST BARNSTABLE MA 02668 EMPLOYER ADDRESS EMPLOYER'S WORKERS COMPENSATION OFFICER (IF ANY) DATE I MEDICAL TREATMENT 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 125 W20MG02 TO BE POSTED BY EMPLOYER - THE rO�ti Town of Barnstable Regulatory Services BAWMABUF* MAS& + Thomas F.Geiler,Director �Eo +� 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 as Owner of the subject property hereby authorize V f Ic TA 9 y• T U/-P 1�!{l to act on my behalf, in all matters relative to work authorized by this building permit: (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and final inspections are performed and accepted. a f Owner Si of Applicant v, -fK14 Print Name Print Name a7/12- Date Q:FORM&OWNERPERMISSIONPOOLS 62012 � s r Town. of Barnstable Regulatory Services 3AMSPABM « Thomas F.Geiler,Director y MASS. �p 1639• ,0� Building Division rFD MA'1 A ' Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 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) l 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 mim;mum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature 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 i HOME IMPROVEMENT CONTRACTOR Registration: 161544 Type: Expiration: 10/27/2012 DBA B. NSTRUCTION VIKTAR TULEI f-MR. 125 BERKSHIRE F , W.BARSTABLE,MA`02668= Undersecretary n rM>� n Nlassachusetts- Department of Public Safety / /2 CJ 12 Board of Building- Red-ulations and Standards . 01119 Construction Supervisor License License: CS 91854 VIKTAR V TULEIKA `'. 125 BERKSHIRE TRL. W BARNSTABLE, MA 02668 Expiration: 2/20/2013 C'onnn issinnc•r T r#: 13464 mm pit Pik i INV 1 207 vH yp EX.stf lie i r1 c .