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HomeMy WebLinkAbout0119 ABBEY GATE µ, __ _.�, / � ,4 . � ,.,,� r,• _�.�..,,,,to - �u ,.:i..'",�. �t;°2. / C;.., �ZA�� '�� r, .�... ;�"� f*�,. �l,R r;' A,c� ,r �"� A Ila TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Q.v M Map Parcel Applicat . � � ._ - � gar/ a � i 13lJfLDIN p .IA�d.. Health Division G DEPT. Conservation Division AUG 2 Application Fee Planning Dept. AUG 24 20kWN 0- 64- S Date Definitive Plan Approved by Planning Board UF NSTABLP Historic - OKH _ Preservation/ Hyannis Project Street Address �G Village Owne Address Telephone �� Permit Request } Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family'(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Cl Name r Telephone Number p Address 2 La ^�Q License# RUvtr-. 0272) Home Improvement Contractor# � 716�dvS Email a I tf(MINN1 /orker's Compensation # CLAY"I ALL CONSTRUCTION DEBRIS RESULTIN FROM THIS PROJECT WILL BE TAKEN TO lA k rf ` N 811Y&fd SIGNATUR DATE r FOR OFFICIAL USE ONLY. APPLICATION # DATE ISSUED MAP/ PARCEL NO. • 1 • ADDRESS VILLAGE OWNER I I DATE OF INSPECTION: k• -FOUNDATION FRAME INSULATION FIREPLACE .ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: - ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. • I R R ✓ E ENCINEERING OWNER AUTHOWAT0N FORM (Owner's Name) owner of the property located at: i II ` lI•� �� l �-� (ProKerty.Address) C�,�� z 6,3 (Property Address) '�'/-, ,hereby authorize (Subcontractor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. This form is only valid with a signed contract. Own ignature �1-316- Date RISE Engineering 5 Dupont Avenue Sough Yarmouth, MA 02664 -\ The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 ` www.mass.gov/dia «'orkers"Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERM T'!'iNG AUTHORITY. hcant Information Please.Print LegihIy AT)DName(Bus iness/organization/Individual)'ALTERNATIVE WEATHERIZATION, INC. Address:2•LARK ST FALL RIVER, MA 02721 Phone#:508-567-4240 City/State/Zip: j Are you an employer?Check the appropriate box: Type of project.(required): 1.❑✓ I am a employer with 6 employees(full and/or part-time).' 7. ,0 New construction 2.a.I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.[D I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑Building addition 4.❑I am a homeowner and,will be hiring contractors to conduct all work on my property. I will 11. Electrical repairs or additions ensure that all-contractors either hive workers'compensation insurance or are sole proprietors with no employees. 12.[Plumbing repairs•or:additions 5.Q I am a general contractor and I have hired the subcontractors listed on the attached sheet. 13.,M Roof repairs These sub-contractors have employees and have workers'comp.insurance.t er IN 6.❑'We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[ Oth . . 152,§1(4),andme have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out.the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all woik and then hire outside contractors must submit a new affidavit indicating such. tContractors that-check this box must:attached as additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for rimy employees. Below is.tk. epolicy.and job site information. Insurance Company Name:STAR INSURANCE COMPANY Policy#or Self-ins.Lic.#: 0849257 00 Expiration Date:02/26/2017.:HEE Job Site Address: City/State/Zip: Attach a copy of the workers'compens 'on policy declaration page(showing the policy number.and,egpkration.date). Failure to secure coverage as required un er MGL c. 152,§25A is a criminal violation.punishable by a fine up to$1,50.0.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S25.0.00 a . day against the violator.A copy of,this statement may be forwarded to the Office of Investigations of the DIA:for insurance coverage verification. u nine a, o erjury that the in provided above is true-arid correct I do hereby certify p Date: Si e: Phone#:508-567 40 [6. ial.use only. Do not write in this area,to be completed by city or town official .or Town: Permit/License# ng Authority(circle one): oard of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.P1nring Inspector ther tact Person: Phone#: I ACORD' ALTEWEA-01 CCOSTA �- CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE H s/s/awls OLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCHES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Mason&Mason Insurance Agency,Inc. PPHDMNE 458 South Ave. No ea:(781)447-5531 i acN.I.(781)447-7230 Whitman,MA 02382 ADDRESS:info@masonandmasoninsurance.com INSURE S AFFORDING COVERAGE1 NAIC S INSURERA:Evanston Insurance Co. (ppppg INSURED --- INsuRERB:Saf Insurance Company 139454 Alternative Weatherization,Inc. INSURER c:Star Insurance Company i00006 2 Lark Street INSURER D: — Fail River,MA 02721 — INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, INSR EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i LTR TYPE OF INSURANCE IN I POLICY NUMBER . A ; X 'COMMERCIAL GENERAL LIABILITY 1 av MMI LIMITS CLAIMS MADE C OCCUR ; (3C41683 OSt07/2016 1!i06/07/2017 1 EACH OCCURRENCE Et S 1,000,00 I 1 PREMISES Ea ocwrrence f S 100,00 i MED EXP(Any one person) S 5,00 II_PERSONAL&AOV INJURY s 1,000,000 i �GEW L AGGREGATE LIMIT APPLIES PER: I i PRO- --i I GENERAL AGGREGATE $ 2,000,000 POLICY JECT ! _I LOC i i j PRODUCTS-COMPiOPAGG t S 2,000,000 OTHER. 1 t 1 18 MOBILE LIABILITY AUTO I I 'COMBINED SINGLE perI B Eaa son) i$ S 1,000,00 ALL ANY AUTO 6237702 04/0812016 04/08/2017 1 BODILY INJURY(Per EDy SCHEDULED AUTOS IAUTOS 1 ( i BODILY INJURY(Per atadertt) $ j ^ I HIREDAUTOS �AUTO ED i i Peraxiaan7) GE $ t I X UMBRELLA tJA6 x OC UR EACH OCCURRENCE 1 S 1,000,000 A �j EXCESS UA6 CLAIMS-MADE i i TBD 10610712016 1'0610712017 AGGREGATE s i t I 1 DED RETENTIONS j S 11000100 I WORKERS COMPENSATION /� AND EMPLOYERS'LIABILITY li HAM'PROPRIETORrPARTNERJEXECUTiVE YT�� C 0849267 00 i 0"4/2016 04IW2017 E.L.EACH STATUTE 'ER S $00,oQQ t OFFICERIMEMBER EXCLUDED? [, N I A ACCIDENT (Mandatory In NH) 1 E.L.DISEASE-EA EMPLOYEES 500,000 tf Yes,describe under DESCRIPTION OF OPERATIONS oeiov I 1 i ;E.L.DISEASE-POLICY LIMIT g 500,000 I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additnal Remance ScMdWe,may be attached If morn space Is required) Nat')Grid Corp.Services LLC,d/b/a National Grid,d/b/a MA Electric,d/b/a Boston Gas and Action Inc as additional insured with respect to the GL anc contracted with Certificate Holder.Kathy Tobin @ABCD,Tremont St,Boston;Nstar Gas&Electric lames Care @ New England Gas,45 North Main St,Fall RiverMA 02720-AI Mickee,GLCAC,305 Esses St,Lawrence,MA;Columbia Gas of MA are included insured with respects to GL.Only for the following projcect,Weatherizatton Installation for Low Income Housing are Additional insured with respects to Auto Liability per terms and conditions of form SCA 005 (02 16).Form Available Upon Request CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE National Grid THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 40 Washington St ACCORDANCE WITH THE POLICY PROVISIONS. Westborough,MA 01581 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD L _ Office of Consumer Affairs and Business Regulation 10 Park Plaza --Suite 5 170 Boston, Massachusetts 02116 Home Improvement Con.tractor Registration Registration: 175683 Type: Corporation Expiration: 5/29/2017 Tr# 265489 ALTERNATIVE WEATHERIZATION. INC. TIMOTHY CABRAL 2 LARK ST _--- -T ---..-- -- - FALL RIVER, MA 02721 Update Address and return card.Mark reason for change. - . Address Renewal ( Employment Lost Card =-` Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ,, OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ^ � ;Registration: 175683 Type: Office of Consumer Affairs and Business Regulation Expiration: 5/2:9/20?7 Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 ALTERNATIVE WEATHERIZATION;INC. TIMOTHY CABRAL A I � 2 LARK ST r 1 FALL RIVER,VIA 02721 Undersecretary j 1.0 valid wit uKsignatuAC J i .s f N4assacltiuselts.-Department of,Public Safety Board off Building:Regulations and Standards License CS-105454"% 3'IltiI0 m C'"RA ' 5$.DICKERINS S � Fall River MA 0021 Expira oil Cotnm6ssioner. 051OW017 i �vJ�LAT/d l V — M/\J D EQ� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION PAZ& I i Map Parcel T`Df;P� CtF B Permit# = 3 Li P,�, Health Division I 1 -3 A k►+c in ' �. L4&'Y Date Issued y —19' O3 Conservation Division S. V 213 g Application Fee d» Tax Collector A_' /!� ��/y��✓ y Y 4 Permit Fee U4 c �� Treasurer DfVfSfp SEPTIC SYSTEM MUST BE Planning Dept. INSTALUD IN COMPLIANCE Date Definitive Plan Approved by Planning Board VM TITLE 5 EMONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address �3 ►� ��-��i� Village C f4'v J r" Owner l�e �� V`�t AQ; �s��.+�rJ { `{fj`A dress 2 I q A 1313 Telephone Permit Request f X r Square feet: 1st floor: existing proposed 2nd floor:existing proposed Total new_(�� Zoning District Flood Plain Groundwater Overlay Project Valuation 000,vv Construction Type Gy e oj'>-ARit PIA Lot Size 2.0�e Grandfathered: (S1es ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure I Historic House: ❑Yes to On Old King's Highway: ❑Yes ANo Basement Type: ❑Full ❑Crawl YWalkout ❑Other Basement Finished Area(sq.ft.) � Basement Unfinished Area(sq.ft) �.2.C6_1 _ Number of Baths: Full: existing Z new Half:existing new Number of Bedrooms: existing new _A_" Total Room Count(not including baths):existing new—v First Floor Room Count Heat Type and Fuel: teas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 4No Fireplaces: Existing T New Existing wood/coal stove: ❑Yes Vo Detached garage:❑ isting Cl new size Pool:❑existing El new size Barn:❑existing El new size Attached garage: existing ❑new size O Shed:❑existing ❑new size Other: Zoning Board of AppeaZN thorization ❑ Appeal# Recorded❑ Commercial ❑Yeso If yes,site plan review# Current Use �-LS `-ti5 Proposed Use .!;7f4 CO-J—v i'W 0 og Lj or BUILDER INFORMATION Name C-f/ S G L Cyr Telephone Number( 6 Address 0d= I Sri License# 00 Home Improvement Contractor# — , /� y, y✓I. ,v i Worker's Compensation# VWC 0T /Ali'� [ 426'1:� 0.10 ALL CONSTRUCTION DEBRIS RESULTINcG- FROM THIS PRO,�ECT WILL BETAKEN TO SIGNATURE l DATE FOR OFFICIAL USE ONLY ,a ftRMIT NO. DATE ISSUED MAPS/PARCEL NO. a ADDRESS VILLAGE OWNER DATE OFjNSPECTION: i FOUNDATION b (C �' I FRAME INSULATION V FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL,. GAS: ROUGH- FINAL FINAL BUILDING Ee- DATE CLOSED OUT ASSOCIATION PLAN NO. ; " The Commonwealth of Massachusetts Department of Industrial Accidents Office 0119yestIMMOns. 600'Washington Street, ? Boston,Mass.' 02111 Workers' Co inpensation.Insurance Affidavit name: /J location city hone# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. _ F.•.—^c.- Jj 'r 'G . l 4 r'Y4 Y Y F����� 4 L d trr., ! i�nM'ir•, qua-n -`- a t 1 rf t_^�c vG„z ay, :c'"'a sP r »-� ya .�' � ' he .1 •�. ° kl t rn °4`S�h•� x`a.a'„�rt ��� l+z, } "� N'^f�z ��''''�77�y,.y.yM "} t^.+?" r' r�r '� ��r -•i:t n c,..��II I v ,��+,� F £ Ry+ 1, yS -�ir"'At'.r�f" Tl �)SYth ��t �J >, t F .,4 ' F, X�7 6{.ts'y�'j 'ya t` yt-h.r:rt�� '^`>t('L' °s af'r:�`S- ''�ii• �somi 8.ule w u X tl ,r xa �a !r ale r,,,Y .,•" v �G1•.i„v +.c>x. ieS F as,,�.�r, ,4�, ,�tr 41 h}^,� ..r7'�KP•y,��rx�.arst4,rr^' �xt•FT�,�,r'� xe -tl1 '�'� -?' ei,c. `^'��1 :�`• �' t +�"c7'r* w� -tom 'U•r £ 4w t'ntz,> i yr " t�' +' A•�.' r z a ,�,"F." 4 r rfo s& x v �,» '`• .( �z.'r s ' ro1 TN.. ,let S.. 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HIM MW Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal 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$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains andpenalties of perjury that the information provided above is true and correct. Signature 5 Date Print name W 1 N hone# official use only do not write in this area to be completed by city or town official city or town: permit/license# rlBuilding Department Licensing Board []check if immediate response is required []Selectmen's Office ❑Health Department �^ - contact person: phone#; f—(Other (revised 9/95 PIA) i r 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 ery 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 of more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you*have any questions regarding the"law" or if you are required to obtain a workers' compensation policy, please call the Department at-the number listed below. 21 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 permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. ME The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406 �optMe, y Town of Barnstable Regulatory Services saRreszwsLE� ' Thomas F.Geiler,Director - MAM 9`�pr16;p.�a`0� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 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. /� A Type.of Work: )�c5 ,r4-L.,k_) (rC0 Estimated Cost 660,6b Address of Work: Owner's Name: d k J O C_ Date of Application: 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 UVLPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: I l �3 r l e-s (/�tactor ate� Name Registration No. OR Date Owner's Name RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSBEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft. ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming-Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Ito CMR Appendix 1 Table dS.Z2b(continued) prescriptive Packages for One and Two-Family Residential Boildiap Heatcd with Foasi!Fuel MAX)MUM MINIMUM Wall Floor Basemeat slab •Heating/Cooling (Raring Glazing Ceiling a ent Efficiency' pai Area'('/o) U-value= R-values R-value4 t��o -valucl walln �° package t3— R-valuc' R-value' 3701 to 6500 Heating Degree Days° Q I2% 0.40 38 13 19 10 6 Normal 6 Nocsnal R 12% 0.5 30 19 19 10 85 AFUE S 12•/0 0.50 38 13 19 10 6 N/A Normal T 15% 0.36 38 13 25 NIA Normal U 15% 0.46 38 19 19 10 6 85 AFUE V 115% 0.44 38 13 25 N/A N/A 85 AFUE w 15% 0.52 30 19 19__ 10 6 Normal � x 18% 032 '38 _ 13 25- N/A NIA Norma! y 18% 0.42 38 19 25 N/A N/A Z 19% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: �[> i i wcfkSS O 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: ��I S 3. SQUARE FOOTAGE OF ALL GLAZING: /1 S 1-- 0 4. %GLAZING AREA(#3 DIVIDED BY 02): 5. 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: q-forms-080303a 780 CMR Appendix J i Footnotes to Table ALM Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but 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 fl of decorative glass may be excluded from a building design with 300 fi?of glazing area. z 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 units: center-of-glass U-values cannot be used. 3 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-fame 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 mcec 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 J5.2.1a 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 11.5.3b. 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 areas 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 °F1HE Town of Barnstable Regulatory Services B&MtMNSrABLE9 '� Thomas F.Geiler,Director E&6 g; e Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must.Complete and Sign This Section If Using A Builder I, ®k n oat^ , as Owner of the subject property hereby authorize Ck t C (a-5 �-Ll n/CT�UN to*act on my behalf, in all matters relative to work authorized by this building permit application for(address of job) S' nature of er a . Ll Print Name ate_ . . .. _ _ ..... ..... .. 'mac C D ... PROPu� /�•'S�� let 4-0000-0, cq .0010 lel /• :.. Al r p _�AMU' ql woe lea 0101. .44 4107) 22 26 REF: . ... - � .—�q�PN,S, ''RED OF OEtE'�8'�`�• �• !! . '.;�-, ..,-. .K,•.�., �y rt ,fir 'K .j �t i.' t� w JFpJ�-_ T .yam v+i'• J• �. ter. 'i:.�;.:i .� y. a:��! •. i+r.. •ti•`yet..• r.,•.t::' -' i ,' _ .r.: X. - / '-tip' _ f .. - j • • - '. L0 ?" 9 - lb tjDAM � 14 or F.� f C'HARI=S Q DD .. •'.'p-�E t� 9 '2aea5 o ti r 0 , "I certify thgt the foundation shown Qn . thia" p1an is as it actually exiats . on the grownd and that it conforms to Barnstable Zoning Regulations and the "King+a G"n' t". ,Covenant." Apr. 19, 1983 — — R.L.S., Plot Plan of Land Located 14:Barns able, asa. Prepared for: McShane Constr. SQale =: .I"#30l.. Date: April 19, 1983 pile: t58 BA Cape do Islands S p urveying Teaticket,' Kass- . .. •: - ..��, • .. - S � YNCI-4 ? Df� C `t 11 I ^3,71- C7 A i Z COiu t i I^iA5S, r v M� 1 -- ��0 SAS _ Or,uc40 ............. VW4 Yu I� R�SE2t — -�— -- y 2,sf 2s ri2d^1 Ll I or! ,CoNL2ti�i I'l 1 /931-Y A7t vO 4S 5 �vrl 0 �SJA i 10 o.L" sK,05 Lj Vj/ W, L tn crlr A-r,0fd e 6� ►q �y1�D�FZ 3�X �, \,,,uvvfl �� ����.�. �a f 0►J�1LiE ���� l,lO h fie �anvnzanurea� a�✓�aaoac/zuae� Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR License or registration valid for individul use only >'*', before the expiration date. If found return to: Registraton;; 100135 Board of Building Regulations and Standards Expiration::=61.9/2004 One Ashburton Place Rm 1301 Type'-Indiu`idual Boston,Ma.02108 CHARLES O.WELLIN.GTON-t' !:;I Wellington; Charles •.-��.,�-;_.=,�, PO Box 1021/188 ABBEYGATE � 1 Cotuit,MA 02635 `�-'f Administrator Not valid without signature i .,��- �/e i�animanuiealC� o�✓�aaaac/ucaeA"a t {f, s(kY BOARD OF BUILDING REGULATIONS , ,License �C,ONSTRUCTION SUPERVISOR Number CS. 001384 ' Birthdate 0312011.948 FIgExpires 03/20/2004 Tr.no: 19524 Res�ctetl CHARLES O WELEINGT ;�/ 188 ABBEY GATE)P�O;BX;1.02If COTUIT, MA 02635 -} Administrator r r TOWN OF BAR,NSTABLE Permit No. __24975--- 1 � Building Inspector Cash Oslo. `Oslo. 00CUPANCY PERMIT Bond Issued to Norman & Karen Weil Address lot #9A _ 119 Abbey Gate, Cotuit Wiring Inspector Inspection date Plumbing Inspector' l Inspection date V � Gas Inspector l�C Inspection date -- Engineering Department--,J- G �--t e+LCLGe �--.Inspection date Board of Health ���<- 3 —// Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .................................. .., .... .....�....BnldngfInspector ..._....... . Low 9 • �. . • ' EX J ST 0 • 1*4 F 4r1.ttl�• p ` OF Ar v SAN"Cf(i 7-' "I certify that the foundation shown on this plan is as it actually exists on the ground and that it conforms t'o Barnstable Zoning Regulations and the "Kings Grant" covenant." Apr. 1% 1983 Plot Plan of Land Located in:Barnstab,10 Mays. Prepared for McShane Constr. Scale 1"=30' Date: April 19, •1983 File: 15$ BA Cap® & Islands Surveying - _ t •;Y , Teatickstt Ha is 1 Assessor's map and lot number `;`21..... ......`��7- - 7-........ ... Sewage Permit number ................ 1-2 STAS House number. ............................ ............................ NAG& 039- INSTALLED 101 MOX A, L3EC,TOWN OF BARN1 " -AR TOY Jo] BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ ..... .....Q&x. .... .. ......................... ................... .... .. TYPE OF CONSTRUCTION ........... ...... ......................................................................................... ................................192,0 TO THE INSPECTOR OF BUILDINGS: lull The undersigned hereby applies for a permit according to the following information: . . ............................................. Location ........4 6Y .IfIq.... .. ......./5.7w ..... ....... ..... .............. /S�.. . ...................... zIt.-Proposed 4— Use ........... . .. .... .........S)......................................................... .............. ........................................ 77L Zoning District .............. ... .... ........Fire District ..........C. A 76 ............................................... Nameof Owner .... Ad d res s .................................................................................... .PAc,<-h �jQ......Clo Nameof Builder ............41........ . ......... . ....... ... .................... .................1)....... Nameof Architect ...................................................................Address ..................................................................................... Number of Rooms ..............&.............................................Foundation .......P45�� /tq .. ............. ......................... Exterior ......... ...........................Roofing .................... ......... S ............... 0�a Floor .....4; ........W . .... ..................................Interior.................................Interior ......... ....... ............................. Heating ......... �"..... .....................Plumbing ...................w..... ....... ...................... Fireplace ..........8A k.............................................Approximate Cost ................3.0..PeO.................. Definitive Plan Approved by Planning Board ------------------------------19 Area .......................... Diagram of Lot and Building with Dimensions Fee .........15�.................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH vD 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 LiOnse WEIL, i-sNORMAN & KAREN 24975 13,2 Story No ................. Permit for .................................... Single Family Dwelling ............................................................................... Lot 9A, 119 Abbey Gate Rd. Location ................................................................ Cotuit ............................................................................... Norman & Karen Weil Owner .................................................................. Frame Type of Construction .......................................... ................................................................................ Plot ............................. Lot ................................ Permit Granted .........Agri l. ....2 1 f.......19 83 ..... .... Date of Inspection ....................................19 I �ed ...................19 Date am e kssessor's map and lot 'number Owp..21......4.7-fg,? THE T I... ...... ... .. .... ........ Sewage Permit number ..............................:............ ' .B 33AR3TA E. House number ............................ /..�..... ....................... MAM 1639- • 0 w%N TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... .................................. TYPE* OF CONSTRUCTION ............ ...........�74... ................................................................... .2_ ..... .........................................19... TO THE INSPECTOR OF BUILDINGS:_ The undersigned hereby applies for a permit according to the following information: Location ........ ...... ........./ ...... ................. ....................................... .............................. ProposedUse ..... ................................................................ ............../....G."......................................... 7 Zoning District .............. ..............................:...........Fire District ........... .. ....!...................................................... Name of Owner ....fi.f�. ..." .Address ..................................................................................... Name of-Builder . ......... ..... ...............'Address ........ .1:2 .......... . .. . Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ............. .........................................::..Foundation ........ Exterior .......... .................J_V...........................Roofing .......... ......... ........61,4.... .............................Floors ............... ............................Interior ......... 1,04:7 7 . ....... Heating ......... . ... ............. .....................................Plumbing ....................... .................................... Fireplace .......... Z.C.. .............................................Approximate Cost ................ /.......................................... Definitive Plan Approved by Planning Board ----------------------------- Area ........................................... Diagram of Lot and Building with Dimensions Fee ...........I.................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH* OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to confor.m to all the Rules and Regulations of the Town of 'Barnstable regarding the above construction. Name ..................... Construction Supervisor's License A=21-23 WEIL, NORTMAN- & "KAREN 24975 No ................. Permit for .............. Single -Family Dwelling ...........................................................� ............. Location ...Lot ..Lot...9A........1.1.9...Abbey,..Gaffe R c!..... .. ..... . ............:.....Cot.........., U.i t.................................................. Owner .....Norman .& Karen Weil ............ Type of Construction ....F:r ame ............................................... ........... .................... Plot ...... .................... Lot ................................. Permit Granted ......April 21,....0.............................19 83 Date of Inspection ....................................19 Date Completed ......................................19 V*A