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0193 MEGAN ROAD
193 /lleffan 'Ra! '` e } r Avg u s. ! E -.h t t t t _� ri{r',+'.d }T—_ ��a i r, r t ,� = r• += 7 r,Ft k f •ry 1^�' rtt'� `yr\f!t'j'��jj x y 4 } 'P 4 r � • :�1 j to 1t y t r rp . 1 t L 1' ' own id ri. r.� r f t 401-1 t t f i y j 4 y t a '.•}y Fr it r( ' � � � 7 // /� '°�, r t / r ',t • y t p + IT 7 Q �_`� r d �, j 1 11 t ¢ a s Off wj� r zs 1) ATCVISA _ `! � }��ly_�.._._ r..1. �_ _ r �' j �• J -f rn D P T C P 't' t Y ,:T'H N-F C hi:E U i L G t rJ• co �/ ; `„� v L A N U 5 U (c v �...G P .S !_ O C .^^'i u`"- t} N • 1 i D..: C s faa>c'rn v a+•*c .,r.:.vxt r j.y F n } - O A J 'S VY N. i E•' t "� C•J 41'a� N.Oc o'"N n L f.'VJ 5 O.F I F9Q T't C) VJ i J U \ - yg �'• _. J'U f i V,Tv Y ( lI 5 lj' f_ 1 y ( j l • t �' d \ + n. ° Assessor s- o Ice (1°floor):: /� f �F TN E t0 Assessor's map and lot number .................... ........................ _ Board of Health (3rd floor): Sewage Permit number :`��/- -�.r .. -:........:. ^? k� °�'4' ��tctcdA on t BAH34T4DLL, Engineering Department (3rd, floor): lj� ,, o,,�ob Y• ......... . =e� House number ... ....... ...... .:....... ........ .......... Mn a.Definitive Plan Approved;by Planning-Board ------------------____----------19________ . APPLICATIONS PROCESSED�8:30=9:30 A.M. and 1:00•2:00:P.M. only s ., TOWN � Of .BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .............................................................................................................................. TYPE OF CONSTRUCTION ....................:.................................................. ....... r .............................. .................19.- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to the following information: Location .................... .� ..:...:..../........... ........t/.1••• .:.......... 1� 7......................................................... Proposed Use ..................... G..........L�/lf .,........C" '!• e��r ..........:........................,................................ /!/.p9isrC awrvGL J� . . fora — S#xict.. ...:.1�:...... 2......................Fire District ........................................................ ` .......I.. ?............:.........................................Address ...../ .J�...�1......... 1 .....................:....... r f -2!�� �e6OT/l.?�.Address ............ .. ... .. C% f�G .....��?.... ® Name of Builder .. .. . .. .. Nome of Architect ..:..........................................................'....Address Number of Rooms . .................. ......................'.....................Foundation ...:.(- ......P�/� Exterior ............. .......,...........................Roofing .... �� G�! .. .............................................. sp Floors ................................ J�.. 'kV .._..............................................Interior ............ A • _ - Heoting. ..................................................................................Plumbing .........................................:. Fireplace ........................::.............................................Approximate,Cost.....fl.. r/.c._. .: ......:........................... Area .......................................... Diagram of Lot and Building with Dimensions Fee ................................ OCCUPANCY PERMITS REQUIRED. FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable.regarding the above construction. Name ... ✓. ................................................ ^*~ Construction Supervisor's License .��i? ALLEN, A. it . r 32294 Permit for ..ADD GARAGE ' lo' ............... . .................................. ' t Single Family Dwelling . F r Location ....1:93...Me.gan...Road ........ ` Owner .....A......Al.len..........................: '. - y Frame *...........Type of,Construction :....... .....................'....:...... T x h. t Plot ............................ Lot ................................ Se tember 23 _ Permit Granted P........................}9 88 r. Date ofLInspection ....................................19 S +Date tom leted ............P.........................19 P N � r :y tv + ;' S y + �.,. c,.r. .. _ �.:;:. a �ti�'.e7'Si' . ii'.i. 3Xy�^'....:y, .�.w' .�-�. ..ram .s^ v y ,. •- - - e:^ Assessor's office (i4 filoor): ��✓ j f' ofTHETO Assessor's map,and' lot number .................... ................. Board of Health (3rd floor): `,� ff /vCl1. . .7 Fat` vn • Sewage Permit number ,.....?�,/..�..-�..'j....,,..�..............�... x �Qrac� `yam t 9AHd9TODLt, S Engineering Department (3rd floor): -, , r) o rasa House number ............... �. .. �L%� °,,�a AI 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 BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPE OF CONSTRUCTION ........................... ... ........................... :..............................................19........ -TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: { Location ....................•l.. ..........1 .'. q .........., .............. /��'�/`�/?,/ ................................................... y .. .�............. Proposed Use ....................:ov.&........... ��. .......... dew ............................................................................ // ,w C ZoGtir�c�=D•Gsacictr •`�`' �*' 4 f�1' / J ...:......:..... ire District'. _ kr .......................... is,.. ................... ...... a ................. Name—of-6rroner .�.�,��l/� .��/` ................................. ..................../.................................................Address .......:...................................... � Name of Builder ..�/� �1T � n7'II�I ..Address ..., 3........ ...... . .... ...... � � Nameof Architect ..................................................................Address .................................................................................... '. Number of Rooms �-_;........... 16l�G� Foundation ............ . ............................................................... Exleifor f/� /4'l C? St�/l�/..................../..!.. ...... / "'P.:...�...................................Roofing .... Floors ................ .................................................Interior ................................. Heating ............................................................`...................Plumbing Fireplace ..................................................................................Approximate Cost ...... ........................ ..................... APO !7 Area ....................... . Diagram of Lot and Buildingwith Dimensions Fee f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS n 4 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. _ [� Nam ...21 ../'i . Construction Supervisor's License ..�.......��. .:�.�...... ALLE9, A. A=291-239 294 32 )D GARAGE No ................. Permit for ...) ............................ Single Family Dwelling .. .... .....Location MeganRoad. ......................... .................H annis............................................ A. . Allen Owner ............i..................................................... Type of Constr u&ion ....F.r.am.e..............I........... .. .... .. ............................................................................... Plot ............................ Lot ................................ Permit Granted ...,September....23 , 19 88 .. .... .. ....... .... Date of Inspection ....................................19 Date Completed ........................................1.9 T', T ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map , Parcel 3 Application # Health Division Date Issued Conservation Division Application Fee v� Planning Dept. Permit Fee �� " Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address q&VVAA& MA Village Owner Address �� �/1�? yt a1"S�/� Telephone�9 Permit Request U V\f/t C IV be::nt Q - oCkco Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 00 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: ZGas ❑ Oil ❑ Electric ❑ Other :g ' Central Air: ❑Yes 2fNo Fireplaces: Existing New Existing wooA/coal stove: ❑ s ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: existing ne o size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: uy > Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ m Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Named Telephone Number Address �� -- aAm AQ License # Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE S � 2D J i= ' FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED , MAP%PARCEL NO. ' ADDRESS VILLAGE �s i" OWNER DATE OF INSPECTION: :2 FOUNDATION . ,t FRAME I,F; INSULATION 1�4 FIREPLACE 'b �r ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO: y the c;ommonweaan gmassacnuseLm Depwfent of Industrial Accidents Oiice of Investigations 9 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit:Builders!Contractors!Electricians/Plmnbers Applicant Information Please Print Legibly Name(easiness✓organiTation/IndividvaI): Iva Address: City/State✓Zip: Phone#: Are you an employer?theck the appropriate box Type of project(required): L❑ I am a employer with 4. I am a general contractor and I employees(fall and/or part time). have hired the sob-contractors 6• ❑New construction 2.❑ I am a sole proprietor or partner- listed on the afiached sheet. 7. 0 Remodeling ship and have no employees T=e ors have 8. 0 Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers'comp.insurance cow.insur�ce$ required..] 5. We are a corporation and its 10.0 Electrical repass or additions officers have exercised their I am a homeowner doing all work � 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t a 152,§1(4),and we have no employees.[No workers' 13.0 Other comp.insurance required.] *Any.applimnt ffiat checks box#1 must also fill out the section below showing theirworkers'compensation policy information. t HDramwnras who submit this affidavit indicating they are doing all work and then hue outside contactors must submit a new affidavit indicating such. $Contract ms that check this box must aftachcd an additional sheet showing the name of the sub-contradDrs andstaim whether or not these entities have employers. If the sub-contactors 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 andjob site information. Insi=ce Company Name: Policy#or Self-ins.Lic.# Expiration Date: Job Site Address: City/Statelzp: - 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 enalfies of perjury that the information provided above is true and co/rrecc4 ` S Date: t F� Phone#: Official use only. Do not write in this areag 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 Clerk4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions , Massachusetts General Laws chapter 152 requires all employers to provide worms'compensation for their employees. Pursuant to fnis 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 mole 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 employmeri 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 prodaced.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 contact for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contacting authority." Applicants Please fill out the wormers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(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 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 ins=r-e 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-insiiran ce 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 refea•eace number. In addition,an applicant that must submit multiple peimif/hu use applications in any given year,need only submit one affidavit iadicatmg 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 burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Departmenfs address,telephone and fax number. The Commonwealth of Massachusetts Department of Industrial AoUdmts Office of Rvestigationa 600 Washiu�n St=t. Boston,MA 02111 Tel.#f 17 727-494Q ext 406 or 1-VTMASMFB Revised 42407 Fax 4 617-727-7749. WWW.mass_9GWdia | � ' � ' ���/�' Gidue1m Wood'Consfructfoii ioHi\-A Wind Areas:1701aoh ��idZo � � ' . ^� o � � . ��ass��chl�oeftc Checklist f6r C�^ ce (-7OOCh1fR5301.2.{.A/ ' ' [hx=k _ Compliancc 1.1 SCOPE- Wind ' 110 Speed gust) WindExposure --____'--___--__-_-----......................................................... ---_ Wind .................Engineering Required For Entire Project.......................................C -_-_ � �'2 ' -Numberof � n��v��o�e���edoD|n12dopesha�bmomn�dom�dssb��4sboheu �2o�hss ' ����2 ' . F�»�P�h '__-__'_�__-.�---'-------------- -----,----------.----- '---- MeanRoof Height .............................................................. 2 ........................................ Building Width,VV ------_-_...................................._- ...................:.........'........ ft :507 BuildingLemg.th, L ...............................................--,.......... .................................................. _1.5NT 3c1 . Building -'_-_'--_--_'-'-_ 4)'------'---_--_-'___'--`___ � � ' � � ��8^ Nominal Height of Tallest -__'_-__---�_.(�g4)-'___-__--_'_--_.__�---_ ---_ ^ ' � Y'3 FRA88I� ' � � General compliance vifth framing mDnnodDos....................(Table 2).............................................................. __-- , � 2.1 FOUNDATION Foundation Walls meeting requirements cf7DOCMR54D41 � _.--------_----------'.-'-----------------------'.------ --- . Concrete Masonry................................................................... .............................................:................. 2- �2 ��CROR��ETOFOD�D� ON'�3. 50^������nb�d��5�^��e��M�������as�a����inx����� . Bolt Spacing-general ..........................................(Tab/e4).................:............................. |n. Bolt S ' from ondrjointcf plate............................. ......................................__-_-in.!�B^-12~` k��7^ � Bolt Embedment-concms�-_'---.---'-----'_--_(1Q .--'.................................'-_-'` Bolt -masom�-----_--,----'----_ --':---/------.----_-- hz�15^ ' Washer..: ��� �3^r�c�� Pk�ba '__-_---__,---__-_________.__. ____________________ � 3.1 FLOORS ' Fk»orfraningmember spans checked (per 7QOCMRQhapter55) Maxim�mFquor Dimension...................................(Fig -'---`-'---'�-.-----------. -. ft�1u' Full Hei |5h�dsatFborOp�n�ga�ssthan2'fn�mE�bahorVVaU{�gO)---_-_-_------.-_' k4bAmumFIoorJdstSetbacks � � Suppoh<ngLmadbeahngYVairsorSheanmaK...............(Fig 7)................................................... `__ft !�d Maximum Cantilevered Floor Joists � Supporting Lbadbeahng Walls 'orSheanma||................ ft d '_--- Floor.Bracing at Endvalls.................................................... --- | � Floor -------'-'-----------'-- --'-----' ---- | RoorShaeth�gThkdmass ---_---'_-'--_---_�-'- -'_----`�_-x� Floor Sheathing FasheTfing...................................................[[able2j-___�dn��at____�edge/___in5�d . . � . � ' . . /.1 WALLS ' Wall Height ............................................. and Table ---'-----__- � 101, - vwuUs-__'-�'--_-'-'--_ -__'_ and Table ........................... _ft's-20' Wall Spacing ......................................... '----_' and Tab�5)--__'---' h��24^u� | ' � Wall Story --_ 8FigaT&DA............................................___ftsd � �n �, 4'2 EXTERIOR-WALLS � Wood Studs � !»adbaadng^�db__--__-_-_-_'-___._ffa�lm!�)........................... -2x___-___ftin. *(Table5) 2x�__ ft bn. Gable--_WallBracing' ' �1 --� ��VV8 ' Length1Y)__-_-___-_---___ ft�D�VV . 'and2x4[JontinuouoLabaradBrabe 111---_-----.'-_---....'_--'_---.._- or I x 3 ce-Iffing funing strips @1S'spacing min.with 2 x4blocking @4fL spacing in end joist or truss bays_ ' Double Top 9lafe Length .................:...............-_........ ... ....FiQ13.and Table G)....................................____ft Splice[�Dmna±]Dn(noof1Gd common nails)... ..........(Table O)..........................................-.............._�_ N | ATVC Guide to Wood Carrstruction iu Higtr W nd Areas: II a uzph Ward Zone ' Massachusetts Checklist for Compliance (7s0 CNzR 5301.2.1.1)` 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) HeaderSpans .......................................................(Table 9).......:.........................._ft in.-<11' Sill Plate Spans ........................................................(Table 9).................................. ft in.911' Full Height Studs (no. ofstuds)....................................(Table 9)....................._................................ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header'Spans.........................................:........_.........(Table 9).................................. ft' in.512' Sill Plate Spans.............................................................(Table 9).................................. ft_in.:5 12` Full Height Studs (no. of studs)....................................(Table 9).................................-. .... Exterior Wall Sheathing to Resist Uplift and Shear SimultaneousV Minimum Building Dimension,W Nominal Height of Tallest 0pening2 ...................._........................................._..._......__.... 5 6`8" SheathingType..............................................(note 4)..................................................... Edge Nail Spacing..:......................................(Table 10 or note 4 if less)............._.......... in. Feld Nail Spacing..........................................(Table 10)................................................. in. Shear Connection (no. of 16d common nails)(Table 10).......................................................— Percent Full-Height Sheathing...................:...(Table 10)................................... ° 5%Additional Sheathing for Will with Opening>6'8"(Design Concepts).................... Maximum Building Dimension,L Nominal Height of Tallest OpeningZ......................................................................... Sheathing Type.............................................(note 4)....................................................Edge Nail Spacing able 11 or note 4 if less ........................ fn. Field Nail Spacing.......................................:..(fable 11).........................................,....... in. Shear Connection(no, of 16d common nails)(Table 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 TDOI,see BBRS Website) Roof Overhang ...................................................(Figure 19) ............. ft s smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12).............................................U= pff Lateral.............................................(Table 12)..............................................L= pff Shear...........................:...................(Table 12)............................................S= Plf Ridge Strap Connections, if collar ties not used per page 21... (Table 13)...............................T= pif Figure 20 _- � Gable Rake Outlooker.................:....................... (. ) :.._...._.... ft 5 smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls _ Proprietary Connectors Uplift.............................._.....__..._-_..._..(Table 14)........................................._.U= lb. Lateral(no.of 16d common nails)...(Table 14)............. - . Roof Sheathing Type---------------------------------------------------(per 780 CMR Chapters 58 and 59)...........: Roof'Sheathing Thickness....................................:..... ............................................. in.>:7/16'WSP RoofSheathing Fastening............................................(Table 2)......................................................... Notes: -1. . This checkrist shall be met in its entirety,excluding the specific exception noted in 2, to comply with the requirements of 780 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 i 10 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 1 as and Figure 18b 2. Exception:Opening heights ofup 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. ' ' 4TVC Gitirle fo lYood Corratrtictiorr zrr High )bind Areas: 110 tttph Il,'rrrdZone Massachusetts Checldist for Compliance(7so CrAR S101.1:1)' 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: i. Panels shall be installed with strength axis parallel to studs. I All horizontal joints shall occur over and be nailed to framing. F,L On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction,upper panels shall be attached to the top member of the upper dDuble 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 first floor framing. v. Horizontal nail spacing at double top plates, band joists,and girders shall be a double row of ad staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment 5. Glazing protection: a) new house or horizontal addition—required if project is i mile or closer to shore(generally,south of Rte.28 or north of Rte.6) b)vertical addition—not required unless there is extensive renovation to the first fioDr c)replacement windows—needs energy conservation compliance only(chap 93) 6.Wood Frame Construction Manual(WFCM)for 110 MPH, Exposure B may be obtained from the American Wood Council (AWC)website. Y+ti ENTHIS REMDN FF MKIGt1SEEd NP3LS • 11 u . 1� 11 • 1. 1 �C3 I II II n t i i t u I tE II n•` 1 ' r , n r r? u1 I i li. I1 m is it t - Z I I to I I ii : a 0 1 FRAMING.MESS 1 1t p V IF1 I EDGELTE 11 u . it I I k tl .r ; z 3tst i i i s i X SJ8' i r ¢ 11 II P 1 1 lI C I 1 ` j '� j Mrs41. 1 t LLI r -•i--- _�_i it -tI NA}ILSP.4ckJG �I Nall PATTERN PANS.. RAW—FATE pQUHi.E wl1_$XrE SPAC7YG DFTAL See DaWl on Next Page Vertical and HDr Wrltal Nailing Detail Vediml and Horizontal Nailing far Panel Attachment for Panel Attachment Town of Barnstable Regulatory Services I'E Richard V.Scali,Director ''rEo wu•'�' Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.tts 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 to act on my behalf, in all matters relative to work authorized by this building permit application for. (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'oflOyker Signature p ant o b Print Na Print Nam Date QTORM&OWNERPERMISSIONPOOI S Town of Barnstable ; r Regulatory Services ��oF roty,� Richard V.Scali,Director Building Division tST� Tom Perry,Building Commissioner v$ MAIM iv ��� 200 Main Street, Hyannis,MA 02601 �Eo Mrla www.town.barnstable.ma us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: `'t'l lD l 70B IACATION: �. � ir�lyyv�v-� number pstrcet village "HOMEOWNER":OWNV 4® bI name �home phone# work phone# CURRENT MARLING ADDRESS:_—J�O `(w cityhown state 4zip 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 pernmnit. 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 and that he/she will comply with said procedures and requirements. r Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILFS\FORMS\building permit forms\EXPRESS.doc Revised 061313 ' — — 2x10°RT.16"O.0 G 2-2x10'P.T. 10"W x48"D Concrete foundation 2-2x10"P.T. O c Joist Hanger 16"O.C t 6 I Framing Plan 28'0' t 38"High o New Beck 0 2"x2"Baluster 4"O.C 16'0" 7 . Existing ' Garage Existing House o Railing Plan 10'w x 48"D concrete foundation New Deck Plam �. 193 Megan Road Hyannis,Ma. Foundation Plan v 1. " — if�>0Sir ' "�W i 3 � i $",j:�."�,I;,���:iz,�_.,.�_',"�I�,0-I.t��.�I.,�a�'�,C�',.�.�.I'...*.,..:..-.....�.,.�,�';����..;-I.-;�.���.,'-�,.�.1-_:� A , T ` rt °k ' ` ,v r 1 Y -1 1 y .. ` . - r, I ,.:_. . ... rI 1JI i .`{ ` i\ 1 �`} E _, , t 1 i 1 • .: J t - �. �-.^ I ". f \' r a ! , t , �1'N r=Oe,,-.f4 i=7 T/G n-, , 10I t� ! f ,r._ fib( ,� �__ 1,.. A t o f t L s: s .' ® t. i ,1 <r g, ,�. : ; _, .;,3G OG . ' 1 .. , a,. .tea...1�7.•-......-. .+..,„.ems. -- --.M.,....,..— ,. - ., y f�� y �! is .'1 C t.. `LJ 1...a i '"� f 5, I\ 1 -- u ATC , i•vG.s`oT �s O.,` ..c 4. . - _ 1 j: - - , . i �` D fi. T C . -�—j` .. •#. - _, ' ,_ Y .THAT f HE r UI L1) 4io . _i to LAND 5 -,. L Y' ( U- 0 N ,F Ci`;1J !', 0 : q S ` S!N O_VIl P!f 'y E: ' c 6 N A'i� G :. �� :, ..�. ro .:�..-,�, i __JG�r'S C O .,N F .. r " - 0 R:M r O r f•; L• 4 ' xa " _ , I. I i t i1 c a L A W S` O.F 'I' H E T O V'v ?J O`;= � I' ir. y , \' Ii ` .4� a:. .^? U f'i v ( i fdfl �t I' f t Jt" I u CY , NSi1f_ s F :J IF.I 1 . t rJ y t'` C �' ' r t i . . . �rlEST .Yn �, � ur,l ,� . W. .. .: !. } TOWN OF BARNST�B I, E BUILDING PERMIT APPLICATION Its 01, 101 1 mn I A B L E Map Parcel L7 S—0/C)0 Application id Health Division Date Issued 3-!57- 15- Conservation Division Application F 4 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation Hyannis Project St-- reW<ddress VT3 2 H R a;s A illage E)wneF I A C -=T�:� M 0 -Address 7 Telephone 61 -7— Rd,I a ,PeEmit,Request -t7z> 6a841T&-A-f-- awk Lhe Square feet: 1 st floor: existing = proposed 2nd floor: existing—proposed Total new Zoning District Flood Plain Groundwater Overlay 06—i'o"b—t7a—ruation lMoo construction Type Lot Size Grandfathered: Ll Yes LJ No If yes, attach supporting documentation. Dwelling Type: Single Family Ll Two Family Ll Multi-Family (# units) Age of Existing Structure Historic House: LJ Yes L11 No On Old King's Highway: L)Yes L3 No Basement Type: Ll Full Ll Crawl Ll Walkout Ll 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: LJ Gas LJ Oil L3 Electric LJ Other Central Air: L1 Yes Ll No Fireplaces: Existing New Existing wood/coal stove: Ll Yes LJ No Detached garage: L1 existing Unew size—Pool: L) existing Llnew size Barn: LJexisting Unew size Attached garage: L3 existing Unew size —Shed: Ll existing U new size Other: Zoning Board of Appeals Authorization LJ Appeal # Recorded LJ Commercial 0 Yes Ll No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 7— Telephone Number pA-Oqress License # eny �ee Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIIGNATURg� --�—DAT FOR OFFICIAL USE ONLY APPLICATION# `DATE ISSUED ' MAP/PARCEL NO. ;1 '4 ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE F ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT a i ASSOCIATION PLAN NO. The Com wnwea&h of Massachusetts Depar m mt oflndusfi-hd Accidents Office of Lnvesfigations U.V 600 Washington Street Boston,MA 021II www.mass go-P1&a Workers' Compensation Insurance Affidavit-BuRders/Contractors/Electricians/Plmnbers Applicant Information Please Print LegibjK' tIVgme=(Busincss/owmizafimTndiv;ri 4: �+� 4 y Addresses 7 a.P,�Ca Ar— City/sfate/Zip: & Phone#: (-7 ?-a I Are you an employer? Check the appropriate box: " Type of project(requu-ed): 1.[] I am a employer with �4=0 I am a general contractor and I employees(fall�d/orput part-time)-* have hired the sub-contractors 6 ❑New construction 2.Q I am a sole proprietor or partner- fisted an the attached sheet_ 7. ❑Remodeling ship and have no employees These sub-contractors have 8. []Demolition woridag for me in any capacity, employees and have workers' [No workers'comp.mcrrrar,ce comp_imrra 9. nce.t El Budding addition 5. [] We are a corporation and its 10_❑Electrical repairs or additions 3 V_I am�_a homeowner doing all work officers have exercised their 11.0 Plumb t of exemption per MGL trepans or additions myself [No workers'comp. p p 12_0 Roof repair iasu=ce required.I t c. 152, §1(4),and we have no employees.[No workers' 13.[] OfEer comp.inmrance required *Any applicant that checks box#1 must also frU out the section below showing their workers'compcwstion policy inhZIn2 ion_ t Homcownczs who submit this affidavit indicating fhcy arc doing aU work and then hire outside contractors must submit a new affidavit in&cat rag such_ LContract Drs_tbat ebock this box must attached an additional sheet showing the narnc of the sub-eontratinrs and state whether or not those critics have employees. If the sub-mntactors have employers,they roast provide their workers'comp.policy amber. I am an employer that is providing workers'compensation insurance for my employees. Below is the poUg and job site information. Insurance Company Name: Policy#or Self-ins.Lic_4- 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 mader Section 2SA of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50D.00 and/or one-year imprisonment;as well as civil penalizes in the foss 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_p en ofperjWY that the inform adon provided above is trace and correct Si - Date:. eR . 1, Phone# Official use only. Do not write in this area to be completer by city or town ogirin] City or Town: Permitimicense-9 f Issuing Authority(circle one): 1.Boardl.of Health 2.BuildingDepartmcat 3.City/Town Clerk 4.Electrical Inspector 5.Pluxabing Inspector 6.Other Contact Person: Phone# -Information and Instructions ` Massachusetts Geheral Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 dweIlung 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 Incense 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 cuter into any contract for the performance ofpublic work until acceptable evidence of compliance with the in su anc0._ requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking(,-boxes that apply to your situation and,if necessary,supply sub-contractors)nam.e(s), addresses)and phone number(s) along with their certificate-Cs)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 maybe submitted to the Department of Industrial Accidents for confirmation ofin�rance coverage. Also be sure to sign and date-the affidavit. The affidavit should be retained 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 Iaw 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-in swan ce license number on the appropriate lore. City or Town Officials f . 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 permitllicense number which will be used as a reference number. In addition, an applicant that must submit multiple permitllicense 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 n (city or town)_"A copy of the affidavit that:has been officially stamped or marked by the city or towa 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 venue (i-e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would hke 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 CommcmwWth of Massachusetts Department of ladus aa1 Aoc1,.ents Qf.�lee 4�XJ[1'SF�fzgati.UAS . ��Q��Sh1J�QIl Strut Dostou,MA 02111 Td,9 617` 27-4900 eat 406 or I--M-MASSA E Fay 9 617-727-7749 Revised 4-24-07 - www m=_gov/dia Town of Barnstable Regulatory Services ��oF rfce Toil y Richard V.ScaIi,Director Building Division ! 4 BARxsz'Asr.K ` Tom Berry,Building Commissioner mass. %63¢ �$� 200 Main Street, Hyannis,MA 02601 ATEp Mp.(A www town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION '�nny Please Print DAB: JOB-L-OCAITON: number street village EHOMEOWNER=':°--� 6 (-7 ? ?,2 name //�� home phonc# work phone# CURRENT,JV II G ADDRESS- z u 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"homeo that he/she understands the Town of Barnstable Building Department minimum inspection procedures uiremeats and that h e will comply with said procedures and requirements. Signature o meowner 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. ROMEOwNER'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-IS) 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 formfcertification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS-doc Revised 061313 Town of Barnstable Regulatory Services AIRNy MASS.IE� Richard V.Scali,Director $P i6;q. �m T 639- � Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of subject property hereby authorize to act on my behalf, in all matters relative to work authorized bythis b t application for: (Address of ob) "Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONP00LS aAl d b ®. o � 00 F / .. '6©r Ile c9-► -� � O �V ° 'fix Lp ✓. ex i4,�� 4 - i Town of Barnstable GP-Pe'rmit# Expires 6 months from Usue date Regulatory Services Fee • BARNSMB1 , • MASS' Thomas F. Geiler,Director pin 39. Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 7 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number a`✓ , Property Address 13 J4' - �/! %l• �(pj 9?16esidential Value of Work$ 7 Minimum fee of$35.00 for work under$6000.00 r Owner's Name&Address o1q, 1�4 i r7 (S i�P, ' S 114iEc/) " Icy.*-gym;s Contractor's Name_ L Telephone Number 347 Home Improvement Contractor License#(if applicable) I.1 of To w Email: 1h/�� Construction Supervisor's License#(if applicable) O-Lgo 1 g ❑Workman's Compensation Insurance X-PRESS PERMIT Check one: KI-fain a sole proprietor SEP 2 3 20�3 ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name MWN OE BARNSTABLE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) �/ [fie-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to 4 kgm OuTty t hmp fir" ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders:U-Value (maximum.35)#of windows ' #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town depaitment regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is requir/ . /f� H SIGNATURE: Q:IWPFILESTORMS\building permit formsOKPRESS.doc Revised 061313 The Commonwah*of Massachusetts Department of lmdusoial Acciden& Offwe of Investigations 600 Washington Street Vk , Boston,.54 02111 n*wmmamgovldia Workers' Compensation Insurance Affidavit:Beers/C.antrachws/E�tr rs icians/Plumbe Applicant Information Please Print Legibly 16(t-:-7 A Address:- ��.C� • Ge)K, Lf f l L City/Sta&Zip: L=1 1:'M- 0vrr-1- ✓+a a.53(v Phone Are you an employer?Check the appropriate bo - Type of project(required): 1.❑ I am a employer with 4. UQ 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-combactors 6- ❑New construction 2.❑ I am a sole proprietor orparbxT listed on the attached sheet. 7. ❑RernmWing ship and have no employees These sob-contractors have 8- ❑Demolition wonting for me in any capacity. employees and have weskers' [No workers' comp.immnance comp.msarance_1 9. ❑Building addition reTind-] 5- ❑ We.are a corporation and its 14.❑Electrical repairs or additions 3-❑ I am a homeowner doing all walk officers have exercised their 11-0 Plumbing repairs or additions myself[No workers'comp_ right of exemption per MGL 12-❑Roof repairs insurance rewired_]; c-152, §1(41 and we have no employees-[No workers' 13.0 Other workers' comp.insurance required-] 'pmy alrpffc that chedis Laos C most also fal out the sectk m below sbovingthea washes'campensation policy iof=udon. Homeaam erg who submit this sfficbm indicating they are doing all waak and duen hoe oatsi&conusctoss mast submit a new affidavit indicating sudL lContrumn thgt deeds this boas must attached sn addiri cal sheet shawiuog the Doane of the sob-ccauxtors and state whedw prim chose entities bm employees. If the sub{ontsactuts km employees;they menu piavide their evokers'ramp.policy number. I am an employwr that is providing workers'conWePrsation inmrancs for my MOW is the policy aced job site informatiom Insurance Company Name: t`- ' Policy#or Self-ins.Iic-#:_ \Ve-V oo°7 yU`9 0(2 Expiration Date: 7 - 01 t Y Job Site Address:#-0 3 M CitylStateiz^ip: /t M A, ©.2(O O 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 on&-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250-00 a day against the violator- Be advised that a copy of this statement may be ft nmded to the Office of Investigations of the DIA far insurance coverage verification. I do hereby thepains andpsvra � pgrjury that the iRfgrmationprvs4 dad above fss bw and sorest Bate: C9 J l Phone#: 9— 64e-G -- `3� Oj ff F al use only.. Do not wrrfs in this area,to be completed by city or.tewn affi al City or Town: PermitiLiceuse# Issuing Authority(circle one): I.Board of Health 2.Building Departraent 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact.Person: Phone#: - r a oFTHE' Town of Barnstable Regulatory Services + RAAN-CPIRT.F. A ass—� Thomas F. Geiler,Director 1639. 16 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder Ll r , as Owner of the subject property hereby authorize b I to act on my behalf, in all matters relative to work authorized by this building permit f "jK4�-5 (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. 14 Signature of er Signature of Applicant S � Print Name Print Name l� dO D dL Q:FOR YM:OWNERPERMM0NP00L•S 62012 f r , Town of Barnstable Regulatory Services t 331,10ISMAJ= MARS Thomas F.Geiler,Director } ram tea``$ 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 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: mmiber 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 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 m your community. C:\Users\decollk\AppData\Local\Microsoft\Windows\Temporary Internet Files\ContentOutlooMQRE6ZUBN\EXPRESS.doc Revised 053012 'WORKERS" ABIRAC� QtC _— Ab Atlantic Charter Insurance Company VDAC NCCI Co. No.:25211 Policy Number. WCV00730207 1. INSURED: Prior Policy Number. WCV00730206 Tyndall Roofing., LLC Producer. 80 Brigantine Avenue Fredericks insurance Agency, Federal ID Number-204616445 Inc. Ostervilie, MA 02655 PO Box 427 Risk ID Number. Osterville, MA 02655 Business Type: Limited Liability SIC:9999 NONCLASSIFIABLE ESTABLISHMENTS Oter Named Insured: Other Work Places: 2. POLICY PERIOD: The Policy Period Is From: 7/11/2013 To 7/11/2014 12:01 A.M. Standard Time at The Insured Mailing Address 3. COVERAGES: Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability insurance: Part Two of the policy applies to work in each state listed in item 3A. The limits of our liability under Part Two are: Bodily injury by Accident $ 100,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 100,000 each employee C. Other States Insured: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 0613 This policy includes Mese endorsements and schedules: See WC=105 4. COVERAGES: i ne premium for this policy will be determined by our Manual or Rules, Classifications, Rates & Rating Plans. All information required below is subject to venficavon and change by audit Code Premium Basis Total Rate Per Estimated Estimated Annual $100 of Annual Classifications No. Remuneration Remuneration Premium See WC 00 00 01 Minimum Premium: Deposit Premium: $500 $500 Interim Adjustment Annually Estimated Premium (Minimum Premium) $500 Servicing Office: 25 New Chardon Streit }/✓ZY(� Boston, MA 02114-4721 Date Issue Date 06i Countersigned 24i2013 9 By: arm 100mti' 30pvrigh 1987 National Council on Compensation Insurance Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-046189 -I:.,..I.` DAVIDH WEBB 24 MEADOW VIEW D E FALMOUTH MA 025 �%•G..-� ,� "`�� Expiration Commissioner 10/29/2014 - ---- —= -.-..._._.. . �\ CJ1ze o�nti�oaacueal�o�UliGaiJ�c�C�cc�e�liJ .,>, ... Office of Consumer Affairs&Business Regulation License or registration valid for individul use only man WOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: '119766 Type: Office of Consumer Affairs and Business Regulation , Expiration �8/28/2015 DBA 10 Park Plaza-Suite 5170 Boston A 02116 WEBB CRAFT DESIGN_ '•. ,„,_- DAVID WEBB 'a 25 MEADOW VIEW DR EAST FALMOUTH, MA 025s°36' a - Undersecretary Not valid without signature a , ; Assess map and lot number ...................................... NCE Sewage Permit number ........ . y0f THE T�� T®WN 0 F B A R NS-T-c ` PRt j.Y J • DA"STODLE, i 0 NAM 'BUILDING INSPECTOR , i0?lr0 NFY Or• APPLICATIONFOR PERMIT TO ............................................................................................................................. ........�.. � i�• TYPE OF CONSTRUCTION ........................... .........................................................:..:.................... C% .......................19.7 e TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following iinformation: Location ... .......................................... � '?J....... �� .........� c: ................ ................................... Proposed Use ............. AV .P Zoning District ../� . -L.A............................... ...........Fire District ...f......., /, ....................................... Name of Owner !?�� � � .. C� ...:' ...........Address ... / ............................................... ..... ...... Name of Builder �� � �t ............................................ .................Address ..................�� .... ............................................................... Ae Nameof Architect ..........................r......................................Address ...............................................r....................! Numberof Rooms ........�......................................................'roundation .....l. f..................................................... Exterior ... .................. ....:... ' . .; ........................Roofing ..� � +a ................................................. -.C,4��, Floors /.e � 6-71-e............................Interior ....411 t� ............................. Heating ,�F..f�L1. "" ..........Plumbing / l/ ................�. ............................................................................ Fireplace ........... ..................................................................Approximate Cost ...... ..vj.... V...................... ii5'/ s Definitive Plan Approved by Planning Board 10 --- -------19 _ - Area ................. ...................... Diagram of Lot and Building with Dimensions Fee ......S4 _ SUBJECT TO APPROVAL OF BOARD OF HEALTH cr I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ............................. .. ........ Davey, William E. Jr. 16997 one story P No Permit for ' ;single family dwelling , ... ..................................................................... Location ............began.... ......Road........................................ r Dyanni 5 ............................................................................... Ff r .4' r William E. Dacey, J8. '� r Owner - . 17 Type of Construction ................frame............... 1 + .......... ............................................................. 1� o -.-,"Plot�rPlot ............................ Lot ................................ 0' � .+'ram •�,r••- � Permit Granted ........4P.. .1, 1:..............A.19 74 .Date of Inspection ....................... '.... ^ 19........... ..... f f ';-*Date Completed /� ' A r PERMIT REFUSED' 1 19 ` ............................................... .... ............ ....................................................................... ? r Z. .................................................. .`.. ............. .................................................................................. IZ Approved ......................... 19 ....e ....................................................................... - ........................................................... / °- j y s a o la4 �s@ 0 t , f � W � n i