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Home My WebLink About0008 PIRATES WAY 1 I Town of Barnstable f fc SHET 11 'r U TAR ofti Regulatory Serv�Ices Thomas F. Geiler,Director v,. + ':. ' " Q: 5 ( i i f MASS. ' Building Division y ass. $ SAT 1639. A Tom Perry,Building Commissioner ED MP 200 Main Street, Hyannis,MA.0260-1 www.town.barnstable.ma4 `.. Office: 508-862-4038 Fax: 508-790-6230 PERMIT# D FEE: $ SHED REGISTRATION 120 square feet or less Location of shed(address) Vill ge Property owner's nk6e Telephone number Size oVShed Map/Parcel# _ nature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? i Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:042506 ti Town of Barnstable oEt"E TO''ti ABLE Regulatory ServicesIN OF , Q` Thomas F.Geiler,Director E }V 4 9•l ' 35 MA-Qa " Building Division 9$'°lF1639. � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA—,02601<- --------' -' MTV!ofq 3T www.town.barnstable.mal Z a;--- Office: 508-862-4038 Fax: 508-790-6230 PERMIT# UU FEE: $ SHED REGISTRATION 120 square feet or less Location of shed(address) Vill ge V7 Property owner's n e Telephone number Size of Shed Map/Parcel# 6f 6 nature Dat Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? I Conservation Commission(signature is required) (L Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEETHE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:042506 J � E. S,%vtatL !c►uatto�w yr®®,jK�"t�= � �i. WON L� vq 1 S#gYy GiW��t I O � N �f � =L n - 81.00 nlf PeffYVA/ � 1r ref 'Z (�re6y c�rti tfus '�aa�6"ee��Y t �AVt �Batit �, �.h- PC. bt' [I I Q S PAU1., LD is �0 !y IK �.f 0 T. � »�,fteri'orc aCors non o f �a 35 a Coca• E �a4143 it to Coca�Cto �6y { �� +�5 C6t�t1. �erit�i, rY3��ct'�a' r�+'►�t.�� a Q cr ar trtt L1tttQ 0 COnS � wins y fot ma4 for►�"� aionaCcy � � - �i•�.'turenZG{ ° p es or e (i"t dunmsiows, fi wfick may refCe PL6- 9c 0;MV GereoW- or J ae -P COM PAny4ovsu ojot2l 6Ci826•1i66 SXV 6i?-826-'88: tovea,(PASS. 021 if MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit V MAScheck Software Version 2.0 Checked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric .Resistance) DATE: 9-28-1999 DATE OF PLANS: TITLE: ` COMPLIANCE: PASSES Required UA = 135 Your Home = 130 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 600 38.0 0.0 18 WALLS: Wood Frame, 16" O.C. 600 15.0 3.0 40 GLAZING: Windows or Doors 110 0.400 44 FLOORS: Over Unconditioned Space 600 19.0 28 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. Builder/Designer Date V 1 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code *--._MAScheck Software Version 2.0 DATE: 9-28-1999 Bldg. Dept. Use CEILINGS: ✓ e R-38 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-15 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.40 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No °•::j_ Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0.511 clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] - Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC -EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is - --- not -greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only)------------------------- The Commonwealth of Massachusetts == f Department o DeP Industrial Accidents � ��_�-�� ; .= OI!!ce ollatrestlgatioos -- 600 Washington Street - - � Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: A e, � �A Inn -JA-) (�, r location v - Y A city D ,� ,� : S�v lr )Y1 l'r hone# '7�d— �1 V6 � ❑ I am homeowner performing all work myself. �y ❑ sole .��/�//and have no one ! I am an employer providing workers' compensation for my employees working on this job. z'? :.. << <J :. city... r•�;;3;:�""::>i:i�3'i3.s.� ....�...... }�a�' ._ _ ....... .. ...71h11ne.#::,,.;:_..;,..<::'+�": ,:.:::;:>:�:»;::::.:;>..}:.;:<;-:-; oiicv.#::::>:::>;>:;;.:-<,;.,��....... ..�_.................. ... ❑ I am a sole proprietor,general contractor,or homeowner(crrele o>z�and have hired the contractors listed below wklo have the following workers' compensation polices: coinyew ...::....:::.............:..:.. { } > . > :j;:;:�i:�i:�i:'-:�}�:; : :is�:�:t�:;:�i:y:i:'�:�:�:�i:�;:}i:i'::�i:;}:;}::ii:;:;i}:;:y:::,:;:;i:;:;:;i:::::v:��:[::�:?.';{:�:<{i:.;�vi:;i:::':::}:•i}:{•}}�>?';}F;:;'::;:�;:;:;�?�::;:: ':::::::: :: ::.:: :�::}!' �:;ii:�:i:::�:::::j;}:::v:` idtiTes .. ........................:::::::::::::::::::::::::::.::::::::::::::::is}}::v:�:vim... •;•......: ... ....... .v..r..J.•x::•. ........x.{{•}}:.}:::t•}::.•• ................. ................... ............................................: r.... ....... ,...} .nn : n...... .xrkC............v.r• tv..r%^:^:?•%•}y+.J:4::•}:-}:wn.........:...•.v.v:.{::.Kfv�J:•x.Y\�::;>Yv-i:S{'{i::.:_;. .....................+r.,..:.............:v:::.,v.............................v....... v..;r.:.t:•.v:.`.-.;rt r,• .::.�.r.. ::.v.... .:r..v....•v...v.,..••{{.:w:}:•.v......... ::::... :..K.vvO}.w.{ :w::::::r::::v:.vn...••.w:::::::::::n..........v........................ r:nv:::n.. f.. r.-.;• ., ................. ............ ..................r,H.S.r..........r......#. ....> ..................xa:^:}:.:.;}}+,.v.-v-n}::::m.•r..•:'+}•:n vw ...........%.:iv:::::<+.: tiff:{•:•::•:;i•}:i-.v:A::vv:{.}•.:::....:...::::::.::........:::•..:::.::........::..................:.....................vnv:.}�.}•; J::w..vt::'+:•::.iv::::: '��vnvv:::::.v:•v:::::::::::::::w::::r::.p}i}}:vi:{•}:•}}}:4}}:J.::.....:n\. ..,.:::::w.v:::::. .....:.:..n......n. •:::::::::::: :. ::•{::::i' :i,:•.:iii}:?i}:•}i}}:{+.;^:•}};}}:::•}:4}}}}:vv:>.•:i:i:Yi:C'}:iiii';iii:i'•i:;:;:?i%i:�:�: .::::::.:...:••:x::;•;:v:.:•}:}}:::•.v:{4n::iY{:t}i:i:is4S:;;}iiiiiiiiiii'ri:iiii:•iiii:{•3}'rii is i�::i:ii::i:}`v::::::v:::::.n.••::.. ..,vti:•:•Y:"{:}::.4:.:n.. ...................... .................. .................... .. .... ...... .:•:•... •.v:::v r..x.v::.,...+Z{r,.r:C• :.<•}ii•}}}} ti{•}}'t;4}}}i�::•}:{{•}'{•}:{}i�:?;i {{:a:}:?�-::i::2}:i:::::ii:iS::::�: ..vr.:^::^J. , .. :...;.• YJ .,...r.,........ ........... ......,...............v.......... }'{:w::::::::::::::::::.v::•i}}.v::.v.•:{.r.:�.;:...:.........:....:........ rr::w::::::::.+.:^... vtr}. ,r:..{v. 4.{:.. :. +, y`::' :.r........................ .......................::::...:...:............... .... v:. :•. v.v:::n;' ...v.:.: •'wk:•J.'�:v:.%4}}:+?i • ......................,,:::•:...............:...,...::::r.........,..::.x•.::.:.::.,•:::::.:•.rr..............-.o#c3:..t.:::.�•.....:FS`a.. ..t.�.9...: ,:•:::.:...::. anvcame::::................. .......... ............ . :>ea::::::..:...... ....... .... :................. :::.:::::.:::::.:::::.::.:::.::::.::::::::::::::::.::.::.::::.::.:::::t.:.t ........... .............................................................................................................................. ,vv: x:::.x::::w:nv:::::.v:.v:::::::::::::.::::nv::::y:}v.}•:{::::::.v::::::::::::m :•.v::::.v:::::.v:::':::.::w::aSi}}:•i}h}}}::•i}:•y}:{bi:•is4}}'•}}i:•i:...•}}i}%iv::4:i i:4}}}:itt:•}:•}}Y.:•}.........v::....... ........ ..........v-:{+{SiL}}'::::.y..... .............................:::............... :.v:v::.v::::::::::::vvnv.v.x•:::.x,vv.v:::::n•:•:v, .........:.:::.v:x::::........... ...... .:v::::.... .. ........ ...............................nw....n •.-....................................................................... .................n..• .............::... .. ................................................ .. nn....;...;w:::•::r w:::::•: ........... ,::}:••.vnvv.:v•.v}::::?{�}}}:?::+.:::{�}}}}i:}::::ti'vv.{{......................: �i. Fafiure to secure coverage as regnimt under Section 25A of Mt=I.152 ens Ind to tius impoaitioa of crindnal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand OW a copy of this st dement may be forwarded to the Office of Investigation of the DIA for coverage verification. I doh cer rder penalties of perjury that the information provided about it trw. corn Signature C� Date Print Phone# official use only do not write in this area to be completed by city or town official dty or town: permit/Iicenae o ❑Building Department ❑Licensing Board ❑checidf immediate response is required ❑Selectmeres Office (:]Health Department contact person.• phone#; _- ❑Other (Devised 9/93 PJN Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any camtract 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. Howeverthe owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every,state or local licensing agency shall withhold the issuance or renewai of a license or permit,to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neitherthe I ommonwealth nor any of its political subdivisions shall ender into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may y be submitted to the Department of Industrial Accidents for camfinniation of insurance coverage. Also be sure to sign and date the affidavit. Mic affidavit should be resumed to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the`law"or if you are required to obtain-'a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the p.e.nmt/licease numbei which will be used as a refer®ce niiunber. The affidavits may be retu ziR is the Department by mail or FAX unless other arraagement.S have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. V/10 Arm The Department's address,telephone and fax number The Commonwealth Of Massachusetts Department of Industrial Accidents Oltice of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 OF'ME STAB The Town of Barnstable BARN '� Department of Health Safety and Environmental Services ArEDMe�°i Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: v.J l A ,,, 1��vzo o Estimated Cost moo. Address of Work: !^�}= 5 C o` Owner's Name: SM A/ Date of Application: 02 Z!2 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I here y app y for a permit the agent of the owner: `7 <7^ tM s Q c., 1 .a 1r . P 9 7 ! 07 Date Contractor Name Registration No. OR Date Owner's Name q:fbnns:Affidav 7800=App mWk j ' TabbJS Zlb(eoadeaed) prwaVd►e Paekaga for One and TwwFamtll►Rntdmdai Bddlap Acted with Fad Fuels (MAXIMUM MIIVIMUM Cohng Wall Hoor 8atement Slab lfarinWCooling Ann''((%) UU l� lt4mfue R value' Rrvalud Wail EMa=CY' p R'vl R'vaiue' 5701 to 6500 Heafte Degree Dare' Q 12Ya 0.40 31 13 19 10 6 Noram! R 12% am 30 19 19 10 6 Normal S 12•A 650 31 13 19 10 6 13 AFUE T 15% 0,36 31 13 23 WA WA Normal U 15% 0.46 31 19 19 10 6 Normal v IS'l." 0.44 3"s 2-2s WA WA uAFUE W 130A 0.52 30 19 19 10 6 SS AFUE X 13% 032 31 13 25 WA WA Normal Y IVA 0.42 31 19 25 WA WA Nmmai t IVA 0.42 31 13 19 t0 6 90AFUE AA 111A 0.50 30 19 19 1 t0 6 W AFUE 1. ADDRESS OF PROPERTY: � �, �4-z S 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: "�' 0 3. SQUARE FOOTAGE OF ALL GLAZING: G 6) 4. %GLAZING AREA(#3 DIVIDED BY#2): .3 S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: 9'forms-1910303a 780 CMR Appendix J Footnotes to Table J5.2.1b: Glazing area is the ratio of the area of the glazing assemblies (i -.,luding sliding-glass doors,. skylights, and basement windows if located in walls that enclose conditioned space, L.x excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. 'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole traits: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness-over the exterior walls without compression, R 30 insulation may be substituted for R 38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R 19 requirement could be met EITHER by R 19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements:are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.I a . 4= NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more area with different insulation levels, the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 ESTIMATED PROJECT COST WORKSHEET Value LIVING SPACE '3 OO square feet X$100/sq. foot= Dom GARAGE (UNFINISHED) square feet X$50/sq. foot= PORCH square feet X$25/sq. foot= DECK 11 G square feet X$15/9q. foot= OAR square feet X$??/sq. foot Total Estimated Project Cost g990915b Fuser ° Depar tl � ; _: a-::-;j.th ►�afefy and Enviro_nmental ��.,;- Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print ' DATE: t [7� n JOB LOCATION: Li number street�y (� village "HOMEOWNER":ki tTL�rn� name ho a phone# work phone# CURRENT MAILING ADDRESS: citj/t6wn 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,provide 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 re q 1s t Signature of Homa ter 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 to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN .E 11�v all CC101,01 l%icanr� ,�t�otiva L. be J S. Sw aLL I W4ti0ty .f". 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DADMON ADMINISTRATOR 51 POND ST W, DENNIS MA 42670 TOWN OF BARNSTABLE BUILDING-PERMIT,APPLICATION t Map Parcel Co 'W Permit# Health Division -Z_n 7 a7 Date Issued Conservation Division '� Fee Tax Collector ��a�� SEPTIC SYSTEM MUST BE , nn r INSTALLEOINCOMPLIANCE Treasurer Planning Dept. VIRONMEfti EODE AND Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address 1'" LT- .23 Village o.LZ -es 7- Owner Sn'1 Address �� ►- f 2 S Co ti Telephone Permit Request f :e-)AJ ria w, : 1 �� GZGo YVX } Square feet: 1st floor: existing proposed ` ,00 2nd floor: existing proposed Total new �3Qa Estimated Project Cost -Zoning District Flood Plain Groundwater Overlay Construction TyP e 1 o� &6,6dd Tack n A Lot Size Ja, l/Q S F Grandfathered: ❑Yes KNo If yes, attach supporting documentation. Dwelling Type: Single Family%Ad Two Family ❑ Multi-Family(#units) Age of Existing Structure D S Historic House: ❑Yes XNo On Old King's Highway: ❑Yes VNo Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Gaa Basement Unfinished Area(sq.ft) S 110 Number of Baths: Full: existing Q new '- Half:existing j new — Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing new First Floor Room Count Z Heat Type and Fuel: XGas ❑Oil ❑Electric ❑Other Central Air: ❑Yes VNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:gexisting ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:Vexisting ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes O No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name `J �. Z C A v� Telephone Number ;2 9O Address .S/ �► �� License# 0 71 )6 -eA.)ti= S Y�/1 /� Home Improvement Contractor# / -7 `7 Worker's Compensation`# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO mar✓_t/4 SIGNATUR DATE ea 7 /f C7 :~ FOR OFFICIAL USE ONLY ^ A PYFRMIT NO. DATE ISSUED MAP/PARCEL NO. art t ` ADDRESS VILLAGE - t` OWNER . DATE OF INSPECTION: FOUNDATION FRAME .P" INSULATION FIREPLACE . - s ELECTRICAL: ROUGH ^ FINAL PLUMBING: ROUGH FINAL n GAS: ROC + FINAL _ s FINAL BUILDING to, DATE CLOSED OUT M 1 ;m ' ASSOCIATION PLAN ! =: m n r— ., t F Assessor's map and lot number,;? �_ � �G ...... ....... .......... SEPTIC SYSTEM MUST BE INSTALLED IN CO' I'I_IANCE Sewage Permit number;let azLgi�v� >r"mA=Tr-I AR;TI�,'._E II STAVE .. . ........... '`�� SAH'ITARY CODE AND TOWN y��rT1iE'Tp�♦ TO 11 OF t > 9 �1UtE i BA"STABLE. i { "6 nuIL® IG sSPCTOR �o MaY a' , APPLICATION FOR PERMIT TO ......A ,.Cz ......E.i.,�...,A"-..'k'7.r�.... ,..6:- ... ..... . .. .................. tom.u TYPE OF CONSTRUCTION .......... � G L� ;� .... )k� 7 (._. ........................... ............................... ........ ./ 1./...............19 E J': TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......� •1")a ...:........i...::C.r... :`!'.7ej�1/—'/. �.:✓� ........ Proposed Use ..... .v ...•L.!1� !�!lr.�r.... <��r : ' ...... .................................................................................................. �, ... ZoningDistrict ........:+ N1.C.0 .%..........Fire District .............................................................................. .... Name of Owner ... L u�.9.�t A 1�.[-�... :cYXI<CtQr.< . ......Address .....},�... �:5 - ....._............ Name of Builder ,c1�!1. ..: .........�: .L...............Address ...t, ), , l.L?L*?I1'1. )..F Nameof Architect ..................................................................Address ..................................................................................... Number of Rooms ................/...............................................Foundation ...��, � . -C........ 5: l �fl .%1 . ...Roofing � �4 ��...:--�... Exterior ...:..:...C�::�l.A......:. ...... ' Q Floors0 ... :.....................................Interior .........�. ..... �5.��-C'. �.......................... HeatingC' .......... ......................Plumbing ............. 1..�.....:............................................. Fireplace ...................................................Approximate Cost ........!..�v. �.�?... ................. Definitive Plan Approved by Planning Board -------------------—-----------19________. Area .... .............. Diagram of Lot and Building with Dimensions Fee p ......... SUBJECT TO APPROVAL OF BOARD OF HEALTH ��Q LVvt. 1 t 4U CL.4 0 �i 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . 1�:�4::GC.... ...`�✓.l k�. -�. . ....... Small, Howard L. No ....168U1 Permit for ...,, add to s' gle --family dwelling ................................... ............................................ Location 8 Pirates Way ................................................................ ..H3rani?is-�s.-�................... Owner .........Howard L. Small I ................................................ Type of Construction frame .......................................... ................................................................:............... r f Plot ............................ Lot ................................ y Permit Granted .... January 16 74........ ............... .19 Date of Inspection �-7 ........wol- Date Completed L PERMIT REFUSED I ................................................................ 19 I ............................................................................... ............................................................................... d l ...................................................... ................... , ...................................................... Approved .................................................. 19 R - - �4