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0043 SOUTH FIELD LANE
a G) 0 1 7, CO � � Q/� /�' -� � �DYLt� �� a i 1 1 .� i` ,� i 9 r .I r P-28-2012 08:09 From:MAP INSULATION To:15087906230 Pa9e:1,'3 i MAP INSULATION CO INC. P.O. BOX 1309 tOWN OF SAGAMORE BEACH,MA 02562 TEL 509 888 3599 '? S P L; "" 3: 23 FAX 508 888 9609 FAX TRANSMISSION ®IVISMY DATE 712.E f I 2— TO: A-o2 s'7u' FROM MAP INSULATION CO INC. NUMBER OF PAGES INCLUDING COVER: • �,S7r�2e1�( �1�, I SEP-28-2012 08:09 From:MAP INSULATION To:15087906230 Paee:2,3 I TM i Qip��Va. ELAS T®cOA'T 1500 Ignition Barrier for ° ? �' Attics and Crawlspaces PRODUCT DESCRIPTION AND RECOMMENDED USES" ELASTOCOAT 1500 coating is an ignition barrier coating for interior spray polyurethane foam (SPF) insulation. ELASTOCOAT 1500 is a water-based latex system that cures within 24 hours. This coating provides a long-term protective shield whose only.purpose is to prevent the direct impingement of a flame source on the spray polyurethane foam surface. ELASTOCOAT 1500 has been designed specifically as a protective coating over BASF Polyurethane Foam Enterprises' 178 Series closed-cell nominal 2.0 Ib/cu.ft. density spray polyurethane foams. This product has been successfully tested (SwRI 99-02) as an ignition j barrier protective coating over spray foam insulation in non-living-space environments, such as crawl spaces and uninhabited attic areas of residential and commercial structures. APPLICATION INSTRUCTIONS ELASTOCOAT 1500 is recommended to be applied by medium nap rollers, soft brushes or conventional airless spray equipment, Apply ELASTOCOAT 1500 to newly installed spray polyurethane foam insulation. Surface must be free of loose particles or other foreign matter that may inhibit proper adhesion and affect performance of the coating. ELASTOCOAT 1500 should be power mixed prior to using for best results. Apply ELASTOCOAT 1500 in one coat at the rate of not less than 0.75 gallon per 100 square feet. Minimum dry mil thickness shall be a minimum of 7.5 mils. PRODUCT APPLICATION SHOULD BE SUSPENDED IMMEDIATELY AND OUR TECHNICAL SALES PERSONNEL CONTACT IF THE RESULTS BEING OBTAINED ARE LESS THAN DESIRABLE. Airless spray equipment capable of 3000 PSI fluid pressure. Use 3/8" diameter hose to 100' and add'/"diameter hose from pump to extend further. Use 0.31 spray tips. TYPICAL PHYSICAL PROPERTIES Color. White or as specified Viscosity: 13,500+/-1500 cps(Brookfield#5 @ 20 rpm) Solids by weight: 71% +/-2% Solids by volume: 62% +/-2% Weight per gallon: 10.2+/-.2 Ibs per gallon Flash point: None Clean up' With water Cure time: 24 hours _ Shelf life. 6 months @ storage between 600 80°F Drums: 55 gallons Gross weight 625 Ibs '•=F . Pads: 5 gallons . ' Gross weight- 55 Ibs _ n _ s I SEP-28-2012 08:09 From:MAP INSULATION To:15087906230 Paee:3,3 �y LIMITATIONS AND PRECAUTIONS ELASTOCOAT 1500 is a water-based acrylic coating,which will freeze and become unusable at 'temperatures below 32°F. PROTECT FROM FREEZING. DURING SHIPMENT AND STORAGE. Do not store material at temperatures below 450F,'Do not apply ELASTOCOAT 1500 when ambient air and substrate temperatures fall below 50°F, High humidity may lengthen cure times. 'ELASTOCOAT 1500 was tested SOLELY for barrier to ignition for compliance in attics and crawlspaces in accordance with the Foam Plastic section of the International Codes, as well as many previous code versions. It should not be utilized in any other habitable areas or commercial structures where secondary fire protection is not separating the spray foam from the interior of the building. As with all foam plastics, BASF Polyurethane Foam Enterprises' spray foam insulations should be covered with a 15-minute thermal barrier as directed by code. Specific code sections allow for alternative methods and materials, and/or lesser requirements, such as attics, crawlspaces and rim/band joist areas This product is neither tested nor represented as suitable for medical or pharmaceutical uses. In addition to reading and understanding the MSDS, all contractors and applicators must use appropriate respiratory, skin and eye Personal Protective Equipment (PPE) when handling and processing polyurethane chemical systems. Personnel should review the following document published by Spray Polyurethane Foam Alliance (SPFA),. AX-171 Course 101-R Chapter 1: Health, Safety and Environmental Aspects of Spray Polyurethane Foam and Coverings And the following document available from the Alliance for the Polyurethanes Industry (API): Model Respiratory Protection Program for Compliance with the Occupational Safety and Health Administration's Respiratory Protection Program Standard 29 C.F.R. §1910.134 LIMITED WARRANTY INFORMATION- PLEASE READ CAREFULLY: The information herein is to assist customers in determining whether our products are suitable for their applications. Our products are only intended for sale to industrial and commercial customers. Customer assumes full responsibility for quality control,testing and determination of suitability of products for its intended application or use. We warrant that our products will meet our written liquid component specifications. We make no other warranty of any kind, either express or implied,by fact or law, including any warranty of merchantability or fitness for a particular purpose Our total liability and customers'exclusive remedy for all proven claims is replacement of nonconforming product and in no event shall we be liable for any other damages. Important!The information,data and products presented herein are based upon information reasonably available to BASF Corporation at the time of publication,and are presented in good faith,but are not to be Construed as guarantees or warranties,express or implied,regarding performance,results to be obtained from comprehensiveness merchantability,or that said Information.data or products can be used without infringing patents of third parties You should thoroughly test any application,and independently determine satisfactory performance before commercialization. SEE US IN ELASTOCOAT'is a trademark of BASF Corporation. - DIRECTORY CATALOG CO SWEFfB.COM FUSE TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # c;)614D 6' a� Health Division Date IssuedZ-- ^,� 'Conservation Division Application Fee Planning Dept. Permit Fee �. Date Definitive Plan Approved by Planning Board Historic = OKH Preservation/ Hyannis Project Street:Address �� J©UTHV:%`U> CAn<—, Village Owner MR, %R ggio&Ds. ~Address �a�i:'�mAj Cam. i j N Telephone -AZ `3 0003 Nvk cz" Permit Request PIALL 1T..ORM%t-2_ —'Remn P_X�S %tvel FY1Q mac. -Say, Square feet: 1st floor: existi4 oZ proposed 3 (>Z 2nd floor: existing t,I(o proposed-LI-6—Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes c4-Alo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes LKNo On Old King's Highway: ❑Yes WNo Basement Type: 'A Full ❑ Crawl Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 2 new Half: existing I new I Number of Bedrooms: L4 existing J5new Total Room Count (not including baths): existing 9 new i Z First Floor Room Count S Heat Type and Fuel: ❑ Gas 1 Oil ❑ Electric ❑ Other COV West 1b, CFAs Central Air: .J Yes ❑ No Fireplaces: Existing 2 New 1' Existing oo coal stove: �9 Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_. Attached garage:16 existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: n Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ o Commercial ❑Yes ❑ No If yes, site plan review # 7urrent Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 04.C9AVn5 t0,e, COk6-r• Telephone Number b4 l l Address ?* ('�()X License # CRSW _. VY1/ 5n mvq oul 15 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO t ATURE DATE FOR OFFICIAL USE ONLY APPLICATION# - DATE ISSUED = MAP/PARCEL N0. ! ADDRESS = VILLAGE OWNER i r x, DATE OF INSPECTION: FOUNDATION FRAME 7 9 7�L't Il INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING ® 9e-X7h2 Jk DATE CLOSED OUT -' ASSOCIATION PLAN NO..,. y r Town of Barnstable .regulatory Services b BARNSTABLE S Thomas F. Geiler, Dirertor $p,Ei639� Building Division Thomas Perry, CBO,Building Commissioner .200 Main Street, Hyannis,MA 02601 www.town..barnstab]e.ma.us Office: 508-862-4038 Fax: 508-790-6230 -PLAN REMW Owner: Map/Parcel: /6 S �5 Project Address �3 SO, T►+� u� Builder: 3��1lo LN . The following items were noted on reviewing: © INS ELOOrR LUR.REJTLY W\) ElN.1rS{-�� - T� FO LLo two G .A L E-S A) 1009 .ZECC. REaA=em6,;rs MASK SE MF-r a') SrAo k£ t)� c�,���x R��E r2�Q�'zy2 �_�C � OAT AL-Sb� . G, - 4?-V-E FOOT 1--ANDXAG RFAV-7eEr—D P"Tr RNSE 0 �T �r2wA� ('D ooC TO IS E 2EMONJ Ems) 41) Reviewed by: Date: " . • �, The Commonwealth of Massachusetts • Department of Industrial Accidents Office of Investigations. 600 Washington Street-- Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Buflders/Contractors/Electricians/Plnmbers Applicant Information Please Print LeZffi Name aksiess/organizationdadivi&4: Address: x �S City/State/Zip:.(Y\Qe1Si6At<1 !V\1.L Phone.#: ��236� cal' Are 1 1 employer?Check the appropriate box- Type of project(required): 1 am a employer with 4• ❑ I am a general contractor and I P ] ( . q y . . employees(fall and/or part-time 6. [:]New constructionl.*. have hired the sub-contactors • 2.❑ I am a'sole proprietor or partner- listed an the-attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me irr any capacity. employees and have workers' [No workers' comp.Wince comp.msurance.t 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their rep am❑ I am a homeowner doing all work 11.❑Plumbing r am or additions myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4), and we have no Other employees. [No workers' r, POMP.insurance regired.] 'Any applicant that checks box#1 must also fin out the section below showing their workers'compensation policy information. r t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-coutractnrs avid state whether or not those entities have employees. If the sub-contrautun wie employees,they mustprovidt their workers'camp,policynamber. I am-an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insm•a=Company Name: Policy#or Self-ins.Lic.#k pp Expiration Date: Job Site AddressL City/Siate/Zip:osk� Attach a copy of the workers' compensation policy declaration page-(showing the policy number and expiration date). Failure•to.secme coverage as required under Section 25A of MGL c, 152 can lead to the imposition of criminal penalties ofa fine uip to$1,500.00 and/or am-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a 0ay against tine violator. Be advised that a copy of this statement may be forwarded to the Office of Investi lions Qfthl DIA for insurance coverage verification. e n thepains•andpenalties of perjury that the information provided above is true and correctCher e: . Date: z;l D AA LA — Offzcial use only. Do not write in this area, to be completed by city or town official City or Town: PermitUcense# -Issaing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: • . . Phone#: Apr 23 2012 8: 51RM HP LRSERJET FAX p. 1 0412312012 08:IS PAUL PETERS AGENCY,MASHPEE P.001t001 RIX p2totTbne = 0112012 11:20 o74886501 0 / 2ol20 72 11:07 FAXd17 P.001UN ®001/001�'�� 3�OV2012 TNOL CP ER 11*IC/►TI 0/SIPC AO A YATTOR OF INi01lMAfl�t ONLY ARO GONtLAA N4�IOMTa tl IM II C�WIIWIWMTOAFNAMA'T�YowMIMI A11MVAIMM,EXTMOOALT"Tit!COVI WmCpOyTN!rOUCtlSR TNn ClmIFICAAO' (N/llll/INGED0�NOT COwi11TVTRA RONyilACT C17WFfN THE Illignta MaYRWn.AYT110R®ArPw4ffMrAWM oK rR0000G�,AMD TM/�frYlW�kpUpOR Mi TAN ��1+ Iofi1 u aaa"MM 01MO "p�11C� b0 >ly GNis r Aa11gIK A Abd111M1 OP VI b A000 IIO10011fK�Mtn$OMI�01{f 11011b Ill I1W ar".ft j aw y A rTWyClJa CON ACT Pant I-teem ARwry,Inc. (508)4774021• 6go Ir im outh Eva0 we ft..' MathQee.1NA 02649 vanll.Irrr IbgW1ONaAFF01101N0 COVLIIAO! MAID artlaw A Atl Milo Chaser lAluTsltce VLMC 292n ricconcol" ccorrsnC401.law, 1Nt1lrTCT1A Jeffmc: 419)Uvwr Road lusuAea o- Mentoons Mills,MA 02649 IWwacTl r, wruaell r: COV�Ap�% CERTIFICATE MUIIIBER: REVISION NUMBEti: IMI�TO/ OCiltfri'TWTTMO►011C1p0/NNIIRANCLL4TfC6LLOMikAVLeL INIIJA T-7welW11WpWAML0A60VCFOrtTHr DER: INOOCA VIA.N04�aTM/TA N01MQ ANY RrONglrJleaT,RRM OA OONaTTIO1V oIAMY GONTRAOT OI!OTMtA o0W MANT TNT/I Ta!!7/LG T Tp WMON 1Na1 e�Oblia/M1NaAMO.00M011TOMOINI 0M TAIN.TriMg11MN0lARm1o40yTlIL/OLICIIaOescFa "11AOitlflauaROlTDAtaTHLTLIML, POLIOaii, Rf aHOTTIT MAP ww aLIN REDIIGED or PAID CLAM ILn�I1 n.eD►v+1V►IArro1 ilii am w000 ►wvrwrPLA veuevATxeaeva Pow"" +lpwAbew mTlowsmovTb Ina lljoug r*1 0 uAgV /tMtM<L1AvLI?v " 0404scrAlw4L ►+wt" �� OOIYARov� 1 `yHrV MOM OTOM TO 1.7tWM1 RI OLhr w rrwo 1 ROOw��ADV RWAY 1 �MA►aTATaTATO�ArM/prT3! RfMLA00h�int 1 row p T,N1 ► p�� Am AV7CCW0NKN LIAM-M ANV A"V ��fN01/11Y1f ' 1eA1�q ALI,AWrPAMM ❑ Ioaw� fiw%W%AM A1N" voo.a IwuAr � N{AtV AV W (d AtdM �.p,�YiNIl010 Al/TN PIIOTfIgY ml►g90 R aM �r OcCUI MWIOoawRtNix O Qp�■w oAr 00= ❑❑ AOaANaAry L OtlOKTIr R O wee CQMIWOATT♦JII M ItA A ar{_p�JlS L IAfAJTY rim WCV00617207 02/ A012 0= 2017 X Aw r�.wi �m,Wsw"VOLV " N M a Policy coveMP AWI:MA "WASSMINT a 1,000 000 rw�.....�..r�YyeaAtoweiaAa»er. ' rad .�I�vr 1 I;:QQt1.00 1 MWar.TlA °a rP►QYtO 1 1!I10.00 oflR eft C�� � OWWrooNWOOMATOWL01 AT0RfNworsNlyoAKSfCIN.YQ.1wAIa..wulwr�Rw.wu+NMw..>� SHOOM ANY OF TH OVEOE9ONI MID POUCILSLD CANCLLLID iiiORE R��oldl pr 1 M IRATION GATE-ME* O r,THis INYlNO GOMTANT WLL ENDGVO&'M MWtj� 2 ow)d'l(1e ld is WVC MMUN NOTICE r0 TI!CEMED. "MOM MOAMO TO THE LEFT. 0darcyWe. kM U2545 eurFAwREt000eoaH�u eLI0NT10N uTr ANY IUND UPON TW6 111Pyi{ AUTWoI�sIlMaaecwAnrr ut+wa0s1 Dim L10vAWRpOpRa'04AM-All I�IFM fLPMt! Pepe 1 of 1 CRUIPWA76 KdlaZa COPY r ' S:►tct� of Public tictts- Dcp:u-tn'cnt � .►nd St:►ndar�s �. Nlassachu uildin�L Rc"`ulati0n.License g(�a of B Supervisor C; Construction CS 48102 License: JOHN J HUTCHINS ;�� S MALLS,NIA 02648 419 RIVER RD `. MARSTON 911612012 Expiration: 3834 ('uu�mi,.iunrr ayQ / u� License or registration valid for individul use only Office of Consumer (fairs&Bu mess Regu ahon before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation HOME IMPROVEMENT CONTRACTOR Type 10 Park Plaza-Suite 5170 Registration: ;;1.71767 Corporation Boston,MA 02116 Expiration: 4/_4:7=1a4 OCR NSIDE CONSTRCT:IQN_&DEVELOPMENT JOHN HUTCHINS'';,\ _ r i- N -^i ?-f g ���� ;— jNAotvwithout nature 419 RIVER RD (A rr�=' ;. id withou g Undersecretary MARSTONSMILLS,MA,02G48��''' ' �* Town of Barnstable Regulatory Services Mea Thomas F.Geiler,Director i639. ► " Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A.Builder as Owner of the subject property hereby authori�O�AN AU\y-h\v\S oce^h�,n��ouS,;to act on my behalf, in all matters relative to work authorized by this building permit (Address of job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of Owner Signs e of Applicant r� //1 6 0/�rfl Print Name Print- Print Name ILILZ Date Q:FORMS:OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services szaNsM Thomas F.Geiler,Director �.039. Building Division �� �ArEO MIN� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: I ` city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements.and that he/she will comply with said procedures and requirements. Signature of Homeowner I Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15).This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt i 8 � •5� 7 _ ~V R i R 43 Southfield Ln, Ost. 5/15/2012 43 Southfield Ln, Ost. 5/15/2012 r JUL-30-2012 07:16 From:MAP INSULATION� To:15084207841 Pa9e:2/2 JOB SITE; P-' S"4t%r'Es:` L*j �S I'jyiA MAP INSTALLED BUILDING PRODUCTS PO BOX 1309 SAGAMORE BEACH,MA 02562 INSULATION CERTIFICATION,PER IECC 303.1.1 BATT INSULATION Exterior walls: Type: r07441A- Manufacturer: B&ST R-Value: Zp Exterior walls(other); Type; erowk Manufacturer, EASE R-Value: �� •g Interior Walls/Stairwell: Type: Manufacturer: 6 R-Value: Basement Ceiling. Type: Manufacturer: R-Value: I Flat Ceilings: Type: Manufacturer: R-Value: Sloped Ceilings: Type; � — Manufacturer: R-value: BLOWN INSULATION FIBERGLASS OR CELLULOSE Exterior walls: Type: 01 Manufacturer; Installed thickness:_ Settled Thickness: Settled R-Value: Installed density; Coverage Area: Number of Bags: Flat Ceilings: (f Type: tv Manufacturer:60u 11-c IN Installed thickness: Settled Thickness,—Settled R-Value: 39iInstalled density. Coverage Area; Number of Bags: S, Igued Ceilings: Type: Manufacturer; Installed thickness: Settled Thickness: Settled R-value: Installed density: Coverage Area; Number of Bags: By.. Date:Q; 7I For MAP Installed Building Products JUL-30-2012 07:16 From:MAP INSULATION) To:15084207841 Paee:1/2 M.A.P. INSTALLEDBUILDING PRODUCTS P.O. BOX 1309 SAGAMORE BEACH, MA. 02562 (508) 888-3599 (508) 888-9609 Fax Date job completed: -7 Jam. 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