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0063 WILLIMANTIC DRIVE
� 3 7�.��-� � � � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ti A14 ' Parcel Permit# Health Division ZO �+ Sv�rn %� Date Issued Conservation Division Application Fee Vo l Tax Collector 3 Permit Feed Treasurer !�0 _ Planning Dept. Date Definitive Plan Approved by Planning Boards Historic-OKH Preservation/Hyannis Project Street Address ( 3 W I I 1 1 (Y)6 nTi-c f f V-e Village M a C s o r1 5 rr) l lS Owner 3,A n IZ U SS e l l Address S f Telephone sn Permit Request DD (-X /6 256 59. FT —T-b I? kou5-C A Ptc FP�57` R,eM- EXIST'w I G -eC - vo ►N ` - o uW DA-T v*► P-e 0 vo Q o " L -------------------------- Square feet: 1 st floor: existing proposed a�T2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation. Construction Type 0 0 - Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supportingdocumetion' n m 2 co Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) < Age of Existing Structure Historic House: ❑Yes No On Old King's hway: glYes C� o Basement Type: ❑Full [g'Crawl El Walkout ❑Other r`-' ca Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ rn Number of Baths: Full: existing new Half:existing /� new v Number of Bedrooms: existing ✓ new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: 2/Gas ❑Oil ❑ Electric ❑Other 3 Central Air: dYes ©No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No 2 Detached garage:❑existing ❑new size Pool:❑existing Cl 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 BUILDER INFORMATION Name u O-2�G er Telephone Number- Address 7 6 Lo I I �.S 0 Ce-aw i ll w License# CS 00 j E3 Oc S n A S S, o i3 l 7 Home Improvement Contractor# Worker's Compensation# (j C / 3 is 3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO D•e n A l S 'I o wn ()UPIT SIGNATURE DATE ? Q 1 FOR OFFICIAL USE ONLY PERMIT NO. , DATE ISSUED MAP/PARCEL NO. t ` ADDRESS VILLAGE OWNER r DATE OF INSPECTION: i + FOUNDATION OK -13"03 FRAME 0 K, - t IY INSULATION k" FIREPLACE rig ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING - . -DATE CLOSED OUT- ASSOCIATION PLAN NO. I t � r f f V Y C �doov ���� ' The Commonwealth of Massachusetts Department of-Industrial Accidents - Oltice ofloyestigatiaas - - , _ 600;Waslhington Street Boston,Mass. 02111 Workers' Com ensation Insurance davit location hone# city ❑ I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one worl� in ca acitp din workers' compensation for mry employees working on this job4}..}'}}:{t •{ti:Fy ti K:::;:'+,;: ?,: :<<} ;;.<.;y;• ;4c?:8f: >„:p: :: ah -m 1 er rove g ....compat r...,.:r:::::.}::.:.}.!-:}}:,++:,n.::::::...;.....:.<.:.,y:.:,.:::.,..,..,:...........{..:>+::<.:•:;}.Y:{?,:<.}:.:-.:.::�.:{.,..;.t. {f:�.:... ::::. : ...4....n r......... ....:.... .,..+... ............. ........r.r.r .. .....} .:. ... r.......... .. ...............:rr•:::..�:::.:. ,:}:;•:F•z::{...;:•,.:..•fix.;. ...r .......... .... ..Y.. .n.....• ... .. 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Fa$u'e to secure coverage as required under Section 25A of MGL 152 can lead to the tropositan of crunmiLl penalties of a fine up to S1,500.00 and/or One yam,imprisonment as well as ctvfl penalties in the form of a STOP WORK ORDER and a Sae of 3100.00 a day againstme: I understand that a copy of this statement auy be forwarded to the Office of Investigations of the DIA for coverage verification e information pr I do hereby certify under the pains and penalties ofpedury that thovided above is true and corned Date 6 signature I •Print name Phone#��y � 7(0 6 [� A 0 0 official use only do not write in this area to be completed by city or town official city or town: peradt/licenae# � ❑Building Department ClUcensing Board response is required ❑Selectrnen's Office ❑checkif immediate q ❑Health Department contact person: phone#; Other 0tvfsed 9/95 PJA) - T , Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for err employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. artnershi association corporation or other legal entity, or any two or more of An employer is defined as an individual,p p, 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 a 4 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 maybe . supp ym8 P Y submitted to the Department of Industrial Accidents for confirmation of;nct,rance 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. Ci"orwns Please be sure that the affidavit is complete and Printed legibly. The Department has provided a space at the bottom of the ce of Investigations has to contact you regarding the applicant. Please affidavit for you to fill out in the event the Offi be sure to fill in the Permitllicense number which will be used as a reference number. The affidavits may be retacaR'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. 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 eat. 406, 409 or 375 °CIHE,° Town of Barnstable Regulatory Services r • SST LE 'MAErThomas F.Geiler,Director asass. v 1639. a Building Division ��IED n+A't g Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 Permit no. Date �� O 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: ►ri o Estimated Cost C)0 Address of Work: 3 �� �I f►7011 Owner's Name: - "�n 2 USSR U Date of Application: 6 3 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 FlBuilding not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c,142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner:� Vo 3 K-,T BZt , ,L c)AS/1 K- Date Contrador Pame Registration No. OR Date Owner's Name RESIDENTIAL BUILDING PERMIT FEES • APPLICATION FEE New Buildings,Additions $50.00 d Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 996 square feet x$96/sq.foot= �5`7� x.0031= �6 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EMSTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) 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) pit Fee projcost • r M CMR Appendix J Table JS.Llb(coodnued) Prescriptive Packages for doe and Two-Family Residential Buildings Heated with Fossil Fuel MAXIMUM MINIMUM I Glaring GIazing Ceiling . Wall Floor I Basement Slab Heating/Cooling Area'(9/0) U-value= R-valuer R-value4 R-value° Wall Pesimew Equipment Effrcicncy' Package R-values R-value' 5701 to 6500 Heating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12%• 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 23 N/A N/A Normal U Is% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X '19% 032 38 13 25 N/A. N/A Normal Y 18% 0.42 38 19. 25 N/A N/A Normal Z 18% 0.42 38 13 19 10 1 6 90 AFUE AA 18% 0.50 30 19 19. 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 6. 3 Will ��i^�a�-Ti C rs7bNS i^1 i �'1��5 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: l 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 I.DIVIDED BY#2): t 7 5. SELECT PACKAGE(Q'—AA-see chart above): 1/✓ i NOTE: OTHER MORE INVOLVED METHODS'OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a i 780 CMR Appendix J a Footnotes to Table J5.2.1b: ; a 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 l%.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 ft of glazing area. 2 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. ' 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 d-scribed 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 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 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). 1 43 + _r... 1' F.•t Al � r wit' tW,�ie�Lanv�nanu�ral� a�✓G�avaacuiaek'a �D' . ' 7 BOARD OF BUILDING REGULATIONS License CONSTRUCTION SUPERVISOR';' a' ry ✓ lNumber CS 06719:3 T:d k Expires. 11/20/2003'i Tr.no:,,,.,17014 '+ ftestncted00V KURT BOETTCHER+ �gt 'r � 7.SCOTT OCEAN VIEW W DENNIS;. MA 02670"rb`` F :Administrator a.11'i!��+My�Tl�t......: "1^yllY �,(i..v�. ly:. .P'1♦.S .i.:).1 l ..r.._ _. ,.:... 1 r � t � �� I� -�I. I i `I t � � � _ �� - i I (� ; � �(v _ R i f ''' I 1 i 1 �h�u �ResS .�n-ew�P-eNr� ��i � � � � �� /a � �� � SY�.� 200� , n LU`� The Commonwealth of Massachusetts ``� —' Department of Industrial Accidents ;d =_ ! ...... � ONCE 011nye5tigJ&017S 600 Washington Street Boston,Mass. 02111 /Workers' M,',V s�j �ensation Insurance davit Rican : /. ' � name: — location: city6' hone# ❑ I am a homeowner performing all work myself. ❑ I am a sole prcmrietor and have no oneagm in any capacity I am an employer providing workers comps ation for v employe working o this job. com any name: - b ..... address: . . : ... ....�.:...:: Jdb city f hone#• �J �� insurance Co. � oiicv# //// ////m/// /////m/m/////////////////%%//////////////////%//////%//////%/////////////%//// /////////////O%////// ////% /%/////////////////////////////////%///////////%////// ///////�//%/r`/i.. ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the follo«ing workers' compensation polices: companv name• address: ::>.....::•.::•: ::.:. city phone#� msurnnce co. oiicv# aiioiri.diaii�aiaiii//i//iioioaii��o�iaioiaaiioii�i//a��ioiiiaaiaiaiai/iii//iiaioiiaiai comnanv name: address: city- phone #� ..>.:;.. ..... ..:.. Insurance co. ........:. / % Failure to secure coverage as required under section 25A of MGL 152 can lead to the imposition of ertminai penalties of a tlne up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Me of SI00.00 a day against me. I understated that a Copy of this statement may be ed to the OM of Investigations of the DIA for Coverage verMcation. I do hereby certify e p en of perjury that the information provided above is true and co ect. Si a Date - name Phone# " / ------------- official use only do not write in this area to be completed by city or town oM-iai city or town: pennit/Hcense# Mudding Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Ottlee ❑Health Department contact person: phone q• ❑Other�� (tevuea*95 PIA) Information and Instructions . y 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 cotttr:z- 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 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 renewa: of a Icense 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 iperfbm* =c'a of public work until acceptable evidence of compliance with the irmcn znce requirements of this chapter have.been.presented to the contracting autllo My- �I R.` - `�. ., ` Y , ' 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. �i�� 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 permitlEcense number which will be used as a reference number. The affidavits may be rettaned 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. Z The Department's address,telephone and fax number. The Commonwealth Of Massachusetts � Department of Industrial Accidents Dance of InVestluatlOns 600 Washington Street Boston; Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 The Town of Barnstable l • s�sNerna�. • 'AM ' Department of Health Safety and Environmental Services s " Building Division 367 Main Street,Hyannis MA 02601 j: Office: 508-862-4038 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: Estimated Cost ' Address of Work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded bylaw Job Under$1,000 Building not owner-occupied 0Owner 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 h by apply for a permit as the agent of the owner: . ate Contractor Name Registration No. OR Date Owner's Name a q:forms:Affidav • The Town of Barnstable' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crosson Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Place Print DATE JOB LOCH N: •• ',�ja mrmber struxt village /J 0- �e phone�/ O rue# CURRENT MAILING ADDRESS 047 C !t Mt)/Wl7" The current exemption for" "was extended to include of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,MQvided that the owner acts as supervisor. DEFINMON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,tin 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 periodshall not be considered a homeowner. Such _ "homeowner"shall submit to the Building Official on a form acxeptable to the Bur7dmg Official,that he/she shall be - - responsible for all such work performed under the bn'i inQ Vjm&jSection 109.1:1 The undersigned"homeowner"assumes responsibuity for oomph-ccwith the State Building Code and other applicable codes,bylaws,rules and regulations. � ' � The undersigned"h eowner"certifies that he/she understands thej Town of Barnstable Building Department u2HomwO=pecti and requirements and that he/she will comply with said procedures and of Approval of Building Official Note: Three-fin7y dwellings containing 35,000 cubic feet or larger will be required tar comply with the State Building Code Section 127.0 Construction Control , HOMEOWNER'S EIETION The Code stapes that "Any homeowner performing work for which a building permit is required shall be exempt form the provisions of this section(Section 109.1.1-Liomiing of construction Supervisonk provided tint if the homeowner eagsges a persons)for hire to do such work.that such Homeowner shall act as supervisar" - Many homeowners who use this exemption are unaware that they are assuming the re4; nibilities of a supervisor(see Appendix Q. Rules&Regulations for Licensing Constitution Supervisors,Section 2.15) This lade of awareness oft r:sntis in serious problem particularly when die homeowner hires umilocused persons. In this case,our Board carrot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ddma►dy nspomibl& To em m that the homeowner is Stlly aware of hb&a responsibilities,many communities require,as part of the permit application, that the homeowner certify that hdshe 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 amcad and adopt such a form/oerdScadon for use is your amity. �1 a In M i r-r £lt x'A-n oIJ l AlF V4'c-lam .... —6 -A �...... ...... i-� __bZ,n a r c �/d7.1f'1/'!-'--- ':.'Al ��:•':..1.:_�•__. ._.L!_f!!il'_...�_I: yn 11(',J.... . =/x �le.f. r.:,,.:..i /[__'i`- Darn N....�.,., :,•:.., �v >r ---------- ---- , _- -- -_ '--- ° ! - 1 ' FILUD ' �POV7f ' . ' -- P. ~_'-/~- AACMCAL TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map '� Parcel Permit# Health Division �^ _ r1�/'� Date Issued Conservation Division Rk - Fee D Tax Collector Treasurer SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULf47,`;X a Project Street Address f a Village ICI Owner Address Telephone Permit Request d Square feet: 1st floor:existing proposed J&,flq n floor:existing proposed Total new Estimated Project Cost 0271006 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grand-fathered: ❑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 Kin 's Highway: ❑Yes 340 r 9 Basement Type: ull ❑Crawl ❑Walkout ❑Other `i Basement Finished Area(sq.ft.) Z7 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 C;�11 new. First Floor Room Count Heat Type and Fuel; Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes Zo Fireplaces: Existing New Existing wood/coal stove: ❑Yes o Detached garage:❑existing ❑new size 44001:❑existing ❑new size Barn:❑existing ❑new size/U Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes If yes, site plan review# Current Use Proposed Use Q BUILDER INFORMATION Name <<�1 rX e n y L O/V T/14c C1911, Telephone Number d /cam Address&0 /;/+,M ►2� License# %-l-'r,aL,tlt eb i! �l`r D� 75 Home Improvement Contractor# T6 6 :2 7 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE v FOR OFFICIAL USE ONLY l PERMIT NO. ' DATE ISSUED MAP/PARCEL NO. ns ADDRESS '' VILLAGE - OWNER ~.•' � •} ... .. � ' - DATE OF INSPECTION FOUNDATION FRAME INSULATION FIREPLACE • ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH.r FINAL FINAL BUILDING r� � DATE CLOSED OUT ASSOCIATION PLAN NO. HOME IMPROVEMENT„CONTRACTOR '�Registration I06737 "TYPe - DBA p : Expiration .07/27/00 e >•RICHARD BRENNER:CONTRACTOR j r� .Richard P. Brenner f (���� .B�Brayfarm•Road::, ;� ADMI"ISTRAMR .°larmouthporE-MA 02675 DEPARTMENT Of PUBLIC SAFETY G A t 4 n j CONSTRUCThON SUPERVISOR LICENSE Number.; Expires: ;:' Resteted_=Tor RICHAROrP= BRENNER 69 BRAY FARM RD U�+.M+► ��YARMOUTHPORi, MA 92615 • I I MAScheck COMPLIANCE REPORT Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 3 I i • I I I Checked by/Date I I TITLE: 63 Willimantic Drive,Marstons Mills CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) 'DATE: 7-2-1999 DATE OF -PLANS: -July 1,1999 PROJECT INFORMATION: John Russel COMPANY INFORMATION: Ocean Edge Building Corp. P.O. Box 320 E. Sandwich, MA. 02537 NOTES: Addtion 508-833-2826 508-7289800 COMPLIANCE: Passes Maximum UA = 1-01 Your Home = 99 Area or Cavity Cont. Glazing/Door Perimeter R-Value .R-Value U-Value UA -----------------------7-------------------------------------------------------- CEILINGS 420 30.0 0.0 15 WALLS: Wood Frame, 16" O.C. 488 11.0 0.0 43 GLAZING: Windows or Doors 49 0.300 15 DOORS 21 0.290 6 FLOORS: Over Unconditioned Space 420 19.0 0.0 20 COMPLIANCE STATEMENT: The proposed building -design -described here is consistent with the building plans, specifications, and other calculations submitted .wi.th .the permit .applica.ti.on.. The .p.roposed .building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for thi-s 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 78OCMR 13Und .4 Builder./Designer Date I I . TITLE: 63 Willimantic Drive,Marstons Mills MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 DATE: 7-2-1999 Bldg- 1 Dept. I Use I I I CEI,LINGS: L ] I 1. R-30 I Comments/Location I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-11 I Comments/Location I I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.3 I For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location _ I I DOORS: I l I 1. U-value: 0.29 I Comments/Location I FLOORS-: [ ] I 1. Over Unconditioned Space, R-19 I Comments/Location I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the. building I envelope that -are sources --of -air leakage mustbe sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one -of the followi-ng requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and .ceiling .cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. , I .2. Type IC -rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned -space to the ceiling -cavity. The lighting fixture I shall have been tested at 75. PA or 1.57 lbs/ft2 pressure I difference and shall -be labeled. I I VAPOR RETARDER: L ] I Required on the warm-in-winter side of all non-vented framed ceilings, walls., and floors. I MATERIALS IDENTIFICATION: L l I Ma.terials ..and -equipment -must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values and glazing U-values must be clearly I marked on the building plans or specifications. DUCT INSULATION: [ ] 1 Ducts shall be insulated per Table -J4.4-.7.1. I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return 1 ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed 1 using mastic and fibrous backing tape installed according to the 1 manufacturer's installation instructions. Mesh tape may be I omitted where -gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing 1 air and water systems. I TEMPERATURE CONTROLS: [ ] ( Thermostats are required for each separate HVAC system. A manual 1 or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heati-ng/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. I I SWIMMING POOLS: [ ] I All heated swimming pools must have an on/off heater switch and 1 require -a cover unl-ess over 20% of the heating energy is from 1 non-depletable sources. Pool pumps require a time clock. I HVAC PIPING INSULATION: [ ] I HVAC -piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in. ) : I I PIPE SIZES (in. ) HEATING -SYSTEMS: TEMP (F) 2 RUNOUTS 0-l" 1.25-2" 2-.5-4" Low pressure/temp. 20.1-250 1.0 1.5 1.5 2.0 Low temperature 120-2-00 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 1 refrigerant -below -40 1.0 1.0 1.5 1.5 I CIRCULATING HOT WATER SYSTEMS: [ ] I -Insulate .ci.r.culating hot water -pipes to .the following .level.s .(-in..): I I PIPE SIZES (in. ) I -NON-CIRCULATING 1 -CIRCULATINGMMAI-NS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 1 1.0 1.5 2.0 I 140-160 0.5 1 0.5 1.0 1.5 1 100-130 0-.-5 1 -0-.5 0.5 1.0 • I ----NOTES TO FIELD (Building Department Use Only)------------------------- - Board of Building Regulations and Standards License or registration valid for individul use only HOME IMIiR,OVEMENT CONTRACTOR before the expiration_date. 'If found return to: Registra`i \_ g059 i Board of Building Regulations and Standards -"= f One Ashburton Place Rm 1301 44. E p�r�t�Sn 2/ 01005 Boston,Ma.02108 . KB CONSTRUCTI t KURT BOETTCH � 7 SCOTT•'S-OCEAN Vl�w��p' W:DENNIS,MA 02670 Administrator __ No alid without signature_ s V °Ft► rq,,� Town of Barnstable Regulatory. Services vB^RN $ Thomas F.Geiler,Director �A .i639 �0 lE0 39 A 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 u SS L L ,as Owner of the subject property hereby authorize 1Cu A rJ k3 o a rrr—,uER to act on my behalf, in all matters relative to work authorized by this building permit application for(address of job) be- ?ig'naVof Owner Date u sS F- t L Print Name BARNSTABLE I CERTIFY THAT THIS SURVEY AND PLAN WERE MADE cops IN ACCORDANCE WITH THE PROCEDURAL AND TECHNICAL Al ' STANDARDS FOR THE PRACTICE OF LAND SURVEYING IN LOT 89. THE COMMONWEALTH OF MASSACHUSETTS®.d 1 ' PA UL A. MERITHEW, P.L S. WA TE d ti LANE N84°5610"Jy135. 00, yy v,k'ge,I V • • t�� 3�j. �� PoNOJ PoND c SHEDS p ,� a•,,:. LOCUS a 6 0. ;;;•F, 0, `�01• ASSESSORS MAP: 103161 p • '"' DEED REF. 3216173 PLAN REP 157197 ZONING: »RFC.HSE co. FLOOD ZONE. »C #63 ' ~ LOT 99 PLOT PLAN ///,24 3';;;; ; OF LAND PROPOSED p LOCA TED A T.- ADDITION I o '� 63 WILLIMANTIC DRIVE MARSTONS MILLS, MASS. d, ,21. 0' 33. 8 - � o PREPARED FOR. AS/LOT 61 !' ��- ' JOHN RUSSELL LOT 100 ; JUNE 10, 1999 AREA = 20,162fSQ.FT. �o YANKEE SURVEY CONSULTANTS J UNIT 1, 40 INDUSTRY ROAD P. 0.BOX 265 �. MARSTONS MILLS, MA. 02645 ' TEL• 428—0055 FAX 420—5553 CB N84 56'30-W 0� GRAPHIC SCALE 115. 46 - 1- ,..20 NEW HA VEN A VENUE ( IN FEET ) 51983 DCB 1 inch = 20 ft. 5 1)(10 0 V1. - t pulsv'l Eft ODE DATES:. Article 21 - Mass. State i3Liildi:9 Code All windoFis to have insult it,tng s,lass. I All exterior doaz's to be matte stripes (interlocking i { type) or to have'storm doers. Y. 3) All exttior, �s.4&walls to h, . fiberglass blanket Q � � i •� � ,1ILi111at.1xJa1 (� ���r� Y'' .-------- \�%;�) 4) All cell:ng & cap areas W hsv.s fiberglass blanket insulation (9"/R=30) . O V0 Sloped Areasq • 162r/R1-F5. 5) All floors between oelI r is first f1mr to have j fiberglass blanket insul.at:On q" /R=3$. . (y1 _,6).. pllslabs; on grade to have ri�gidinsulation C�-Ctie� S� (1hw/R-4) : 24 horizontall3 24' vertically at ,o _ perinneter aL*ez vie R. �, �;• V2 �"� TR.AMINr e — �tS�l OLA;e ► r� �� 1. ALT. STRUCTURAL FRAMING MF-MBERS 3BALL BE A1, #2, OR STANDARD S GRADE LUMBER WITH E�1, 1,100,000 F E I. vial. t. �3 2. .. FRAMING MEMBERS SHALL BE 4otb,q,g't",ud '� DOUBLED UP AROUND ALL OPENINGS BOTH- VERTICALLY AND HORIZONTALLY. FoR Sohn ausself d 3. DOUBLE UP ALL FLOOR JOISTS on �X 6 3 cJ,pt hnn�.c Or RUNNING DIRECTLY UNDER AND /6 rnarsle>fig m t45 PARALLEL TO NON—BEARING IL i PARTITION WALLS. 1 z 5,� �a '• � 30 4. ALL FRAMING SHALL BE I,rs„il rtlad COMPLETED ACMDf", •... — 0 -. - •e . i a .sue. �� 1-2� i { I CERTIFY THAT THIS SURVEY AND PLAN WERE MADE BARNSTABLE APE IN ACCORDANCE WITH THE PROCEDURAL AND 'TECHNICAL `o STANDARDS FOR THE PRACTICE OF LAND SURVEYING IN u� LOT 89 THE COMMONWEALTH OF MASSACHUSET S. Z I PA UL A. MERITHEW, P.L S. ATE N84 56'10"ftr LANE e:e•s ' . o� ! IMA pg p • wi ADNBD MUM& POND g= SHEDS r� r� ► $= .: O LOCUS 6..0 1.6; O• .30.1, ASSESSORS MAP.- 103161 DEED REF.' 3216173 Ae PLAN REF.- 157197 ZONING: »RF" FLOOD ZONE.- "C," LOT 99 ��:, ✓ ;; PLOT PLAN OF LAND P RO%' LOCA TED A T.- 841' 1 ADDIT.I.ON /� W o �, 63 WILLIMANTIC DRIVE ,21. 0' 33. 8'_ � � `_ �; MARSTONS_ MILLS, MASS. PREPARED FO AS LOT 61 O R.• I ��- ' JOHN RUSSELL LOT 100 \ JUNE 10, 1999 AREA YANKEE SURVEY CONSULTANTS UNIT 1, 40 INDUSTRY ROAD i P.0.BOX 265 MARSTONS MILLS, MA. 02645 N84 56''3O CB TEL• 428—0055 FAX 420—5553 „W �� p 115. 46' pp GRAPHIC SCALE NEB HAR zo o ,o za 40 so VENUE ( IN FEET ) 51983 DCB 1 .inch = 20 M r i t �- �w l __ I- �- � � �(