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0260 WIANNO AVENUE
a - a .� r..... � � �. ./� '.; �.�HE►,w Complaint Call Report Printed On:2/19'2020 ,W°6 0� 260 WIANNO AVENUE, OSTERVILLE oMa+° Case# C-19-383 Case#: C-19-383 Address: 260 WIANNO AVENUE, Date: 5/16/2019. OSTERVILLE Owner Info: Property Info: PATRICK, PAMELA H MBL: 12 SHATTUCK ST 140-149 NATICK MA 01760 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Zoning Low Priority Phone Complaint Summary: Investigate alleged short term rental use in the RC zone Action History: Action Taken Date Description Fee Inspector Inspector Assigned to Complaint: florencb Filed by: andersor Comments: Comment Date Commenter Comment Date: 2/19/2020 Town of Barnstable I Complaint Call Report Printed On:ti'9'2°2° 0 260 WIANNO AVENUE, OSTERVILLE rFD MP'� Case# C-20-72 I Case#: C-20-72 Address: 260 WIANNO AVENUE, Date: 2/19/2020 OSTERVILLE Owner Info: Property Info: PATRICK, PAMELA H &ANDREW MBL: TRS 12 SHATTUCK STREET 140-149 NATICK MA 01760 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Zoning Medium Priority Phone Complaint Summary: Property is operating as a short term rental Action History: Action Taken Date Description Fee Inspector Inspector Assigned to Complaint: carterj Filed by: andersor Comments: Comment Date Commenter Comment Date:. 2/19/2020 Town of Barnstable IME A Complaint Call Report Printed On:2/19/2020 q m� 260 WIANNO AVENUE, OSTERVILLE Case# C-19-403 Case#: C-19-403 Address: 260 WIANNO AVENUE, Date: 5/1 612 0 1 9 OSTERVILLE i Owner Info: Property Info: PATRICK, PAMELA H MBL: 12 SHATTUCK ST 140-149 NATICK MA 01760 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Zoning Low Priority Phone Complaint Summary: dnvestigate alleged short term rental use in the RC zone Action History: Action Taken Date Description Fee Inspector i Inspector Assigned to Complaint: florencb Filed by: andersor Comments: Comment Date Commenter Comment Date. 2/19/2020 Town of Barnstable �.NE r Complaint C'a l l Report Printed on:ti,9�zozo a 260 WIANNO AVENUE, OSTERVILLE rED MPr� - Case#.. C-19-416 Case#: C-19-416 Address: 260 WIANNO AVENUE, Date: 5/1 612 01 9 OSTERVILLE Owner Info: Property Info: PATRICK, PAMELA H MBL: 12 SHATTUCK ST 140-149 NATICK MA 01760 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Zoning Low Priority Phone Complaint Summary: Investigate alleged short term rental use in the RC zone Action History: Action Taken Date Description Fee Inspector Inspector Assigned to Complaint: florencb Filed by: andersor Comments: Comment Date Commenter Comment Date: 2/19/2020 Town of Barnstable Town of Barnstable *Permit# Expires 6 months from issue date . Regulatory Services Fee L Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 f/1 w.ww.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel NumberJ'� Property Addressl. -------------b� - f f�� C - - -- - - -- Residential Value of Work T 5f Minimum fee of 525.00 for work under$6000.60 Owner's Name&Address Telephone Number ( ) l Contractor's Name Home Improvement Contractor License#(if applicable) l Construction Supervisor's License'#(if applicable) J Workman's Compensation Insurance X_FI[-5 Check one: ❑ I am a sole proprietor DEC 2 9 2014 ❑ I am the Homeowner ZI have Worker's Compensation Insurance TOWN OF BARNSTABLE' Insurance Company Name Workman's Comp.Policy# J 9 9 Q r 1 3 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Moats" Replacement Windows/doors/sliders. U-Valueq maximum.44) � *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Prope wner must sign Property Owner Letter of Permission. o f the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 The Commonwealth of 11Passachusetts Department of Industrial Accidents Office of Investigations' + 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Eleetrieians/Plumbers Applicant Information ��j� Please Print Legibly / Naive(Business/Organization/Individual): ,1 _ i' ► �i/�—T^�.� L--�C� 11 Address: City/State/Zip: Phone.#: (S�g 7 Are you an employer?Check the appropriate box: Type of project(required): 1.1 I am a employer with 30 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑New construction employees(full and/or part-tim.e). 2:❑ I am a'sole proprietor or'partner-' listed on the attached sheet. 7...❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers'comp.-insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs 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 employees. [No workers' 13. Other 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 work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an 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 my employees. Below is the policy and job site information. ? �, n A� _ Insurance Company Name: AL Is(t6 AALC. — Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: O� Ci ty/State/Zip: a �Ll�� � Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of.a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce the pains and penalties of perjury that the information provided above is true and correct 9/ signafore: Date: _ Av Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health '2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: . i i 161.— CERTIFICATE OF LIABILITY INSURANCE °A 2/3M1/2013) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 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 E: Erica H O'Connor HART INSURANCE AGENCY,INC. PHONE 508-759-7326 x205 FAX 508-759 7366 243 MAIN STREET ac No P E-MAIL DORE O BOX 700 A BUZZARDS BAY,MA 025320700 INSURERS)AFFORDING COVERAGE NAIC tl etsuRERA: ARBELLA PROTECTION INS CO 41360 INSURED EJ Jaxtimer Builder,Inc NSURER B: ARBELLA INDEMNITY INSURANCE COMPANY 10017 48 Rosary Lane Hyannis,MA 02601 INSURER C: INSURER D: 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. VTR TYPE OF INSURANCE INAR WVn ADDLISUBRI POLICY NUMBER POLICY EYYYI FF MWD-QPOUC YY LIMITS A. GENERAL LIABILITY 8500042039 01/01/2014 01/01/2015 EACH OCCURRENCE $ 1;000,000 DAMAGE T RENTED COMMERCIAL GENERAL LIABILITY R a occurrence) $ 300,000 CLAIMS-MADE W OCCUR MED EXP(Any oneperson) S .5,000 PERSONAL a ADV INJURY $ '1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 2,000,000 POLICY PRO- LOC $ B AUTOMOBILELIABILITY 1020011547 01/01/2014 01/01/2015 COMBINED SINGLE LIMIT 1,DDD,DDD fEaaccident) ccr t ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIREDAUTOS AUTOS Per actldent $ $ A UMBRELLALIAB OCCUR 4600042040 01/01/2014 01/01/2015 EACH OCCURRENCE $ 2.000,000 EXCESS LIAR HCLAIMS-MADE AGGREGATE $ 2.000,000 DED RETENTION$10,000 $ B WORKERS COMPENSATION 0053890113 01/01/2014 01/01/2015 wC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S 500,000 OFFICER/MEMBER EXCLUDED9 N NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yea,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS)LOCATIONS I VEHICLES lAttach ACORD 101,Additional Remarks Schedule,H more space A required) i I CERTIFICATE HOLDER CANCELLATION Fax#:(508)862-4717 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 230 SOUTH STREET ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS,MA 02601 AUTHORIZED REPRESENTATIVE ©198 -20 0 ACORDCORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD �� j tyy _ Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 110609 - Type: Private Corporation Expiration: 11/3/2016 . Tr# 258860 E J JAXTIMER, BUILDER, INC. ERNEST JAXTIMER 48 ROSARY LN HYANNIS, MA 02601 Update Address and return card.Mark reason for change. sCa,t C 20M-05n1 Address ❑ Renewal ❑ Employment ❑ Lost Card cF12e olbl&'oaacke6e16 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: egistration: 11'0609 Type: Office of Consumer Affairs and Business Regulation Upxpiration: 11%3/2016 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 E J JAXTIMER,BUILDER;-INC: ERNEST JAXTIMER eo. 48 ROSARY LN � HYANNIS,MA 02601 Undersecretary o valid without signature Nlassachusetts -Department of Public Safety a Board of Building Regulations and Standards ConAtracttor Supervisor License: CS-003251 I ; I;lpdgE,S IT.I ,A0I(T40El R, 48 ROSfi RY 7i 4PNTE EITLYANNIc M-A 0260i` Expiration Commissioner ®111f2®1� } �T BARMA++M �� Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, `-'! c�` s \ V �fJ l� ,as Owner of the subject property hereby authorize c, c���IC�� e. to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) 7,111 Z� Signature o Owner bate L U.C.61-5 Tu I-ei1 Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\DDV87AAZ\EXPRESS.doc Revised 072110 r� teas i asas 160 ,` ash r li •� d�'��'�dl®.y r• ..'gym^:° g t' (®iltty�aiur� fi fdt.°�li�i{I(i';" � � 111� i1fIMN11{1�7DI1�' •�� ��{II��j1_�IH�I'IIe,�{�!Ir�I t-cam¢ „ f • A -:grnisi 1,1.i •f �...�.og idol P' r'a tv�ta4. '�•"��"ii •' � �:'�JIIiF•=..cr:S➢YAi ` ':m.,x.crva ssnr -Um I' " fI�"pjllf't s ilEtiy9lfSlt!$: 'i ' I '.vx:aor mmu ;, , :� ¢� Ij9 Ili 1 •Crs unm: j' r a , Fai I I 1 r-rd 'lap i + H I 0. e xf Ar ' 1 I ' 3 n ) , v � 4 ITL "le ELEVAZTIElJS cop'w�' a• rDE.SPER MA21a.: =x.� o.ni1- DATE ngvtmw �t �r;u IT lipIt dF I it �. --- r• I � I 1 k I i f• •It ` .10 4 -4 L 1 '.4 `t'.p c,'n►_ FLOoP- F AM=> ESIO �....�.�. _ ��... . �tt,�-,-•�'A�.t:.aAt�CENI .-.:::' ASSOCIATES. ,`1; !� .-.:1.• w..+ia. ,or61cnt�ti.,aa�:' .. — :.� e--..:i7� �..�.. DATE TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map /q6 Parcel /C/9 ��6 �Ivd Tt , r4 • ~ Permit# INSTALLED IN CO ° "6`0ED. Is ued � Health Divisior C®���/T9q>.� � � 2� C Fj -9 LIANCE Vd/ITFI TITLE 5 _ FeeGS �fJG Conservation Division Ly�9Cf, ENVIRONMENTAL CODE Tax Collector TOWN REGULATIGNE'�AND Treasurerfia Planning Dept. ' . I. I- - V Date Definitive Plan Approved by Planning Board A, Historic-OKH Preservation/Hyannis `r ` Project Street Address A li _ 't ' c�, s Village QS-1-1E�R V t Owner l''oiy m , C6 R.,Q C"cfv'l Address 10 Jmno G&-t Telephone Sa 4 1 / '?!� '- Permit Request . ApD aun ram[©/�Q ��- 1E:AlS--t-)N/— Square feet: 1 st floor:existing proposed�_ 2nd floor: existing _ 0 proposed R 0 Total new Estimated Project Cost ® ao Zoning District Flood Plain Groundwater Overlay Construction Type J. aj)p Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family )0/ Two Family ❑ Multi-Family(#units) Age of Existing Structure- G o Y2S Historic House: ❑Yes &40 On Old King's Highway: ❑Yes @1Vo Basement Type: 'Full b Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 0-o Number of Baths: Full: existing / new riZ Half:existing new (?-2 Number of Bedrooms: existing_ 5� new 73 Total Room Count(not including baths):existing new_� First Floor Room Count Heat Type and Fuel: r Ir Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes & No Fireplaces: Existing _a Newer Existing wood/coal stove: ❑Yes rd No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:Vexisting. ❑new- size Shed:❑existing ❑new size Other: ' Zoning Board of Appeals Authorization ❑ Appeal# Recorded El Commercial ❑Yes & No If yes,site plan review# Current Use S1 N 6 LE: Fn M.i L�4 Proposed Use BUILDER INFORMATION Name Ck C_ro s t W Telephone Number �_b 9 6 d�� Address PD. ,9 Dk l S`I License# O L-3 ��6 acs �r ill /i'19— .414 na'S CS-'' Home Improvement Contractor# Y' a a- Worker's Compensation# tG 8 00 916 0aBoIS ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO LA /u ( J SIGNATURE DATE — /�I y/n j FOR OFFICIAL USE ONLY PERMIT NO. 43 '1 DATE ISSUED r• i MAP/PARCEL NO. - a ADDRESS VILLAGE 1 OWNER DATE OF INSPECTJON: FOUNDATION - FRAME y ,: '`°3 ��` INSULATION-= 3 f1l000 Z - FIREPLACE •� '! A r ELECTRICAL:"! ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL • " FINAL BUILDING - DATE CLOSED OUT ; ASSOCIATIONNPLAN NO.• ,k —�_ . �� +pr o-��•.•,Tf sa;fh..t^.'L��w•.,,:,:�.t-�'swx:KS7fi` � ��f' `aS -' :r:ti..y,Wt NC�1,�..ir�%m..-�=re:,.:..yrr�-.�K..sh.w _ .. �!+•-"'1`$}^'a.r311v3 ►�r?i'vv� j{�;�'"` w"1+ ` k.�`r'',,.j4 i., The Town of Barnstable % BARN STABLE. Department of Health Safety and Environmental Services f679. p,Ep�,• Building Division 367 Main Street,Hyannis,MA 02601 i Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location 2fo 0 W L 4^ c) Permit Number J Owner Builder Ckos r One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: ST �1' Ird V 110 r Please call: 508-88662-4038 for re-inspection. Inspected byS� -.- _ Date S ` Lzi ' Z C72 �o�noxamaea o�. aeaad/ruaeQ3; BMW of 8UfL0*G fftUt Att07�'� Edr~'C ,S1ttf11!1SVtS 00 s ST' CIZOS Y :� +s2 Y C • • °✓X.�o,MaroawealGl yl..�iaaaiwgeki HOME IMPROVEMENT CONTRACTOR ReSistration 103582 Type - DBA Ezpiratiort 07/01/00 PEACOCK 6,CROSBY BUILDERS cameo ' SCo - Mot E. Crosby - .. oX 151/ 1112� MAIN $T UNIT Osterville MA 026. . I . � IIC 1.t..•••..... .. .V ..�waut.u«........ 't?! 'j;ybt �: f•fit Deparl"IcIll of Illdiurrial.4cciflents \ '; i• 6XI !i arlirrl-pun Street .02111 Workcrs' Compcnsatlon Insurance Affidavit Aiailic•ini infnrntntinn• _ PlcIse 1'RINT•ir�+my � r�07 r7��tr r r mmc• Inc•�tinn• tin• nhnnc� [� 1 am a homeowner performing all %vork mvself. 1 am a sole proprietor and have no one tivori:ing in any capacity 1 am an ernplover providing workers' compensation for my emplovees working on this job. e�ntn:tnt nnmr• ke—a l VCR 4 l/I u/JI.JM +� 1�^ s atirirrcc� I I ( Z mn I N 5Tx2e,e- , LLn i r P. t►t,•• ��`�fi i � �U I I-e, Ivy 02-{v5S nhnnr y. incrrrnnre rn. M r+�21✓I L i��1� nnlir,•tiY TC C �C z� � 1 am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed bciow u•nc the following workers' compensation polices: cmmnnn%• n ttnr* :ltirirrcc- cir- nhnnc t+• incrirnnrr rn nniirra ...r r..�.• Truer •�.ti _+ +r��v:����T••r•r.....y�. —�t-r.� .��... ...�. _ rmmnnnv nntnrc .1'titlrrcc• nhnnc�' nturinrr attach additional sheet if neeei�ary• r - ti' ^'• • ��..y..�^.N� _ — �.+. :,rlurr to sccurr cnrcraec as required under Jecuon•ZIA of 111GL 153 can to the tmpmuion of errmtaal penalties of a line up t St.5D0 U0 anul nc%cars' imprt.snnmcnt as •tell:ts cis•il penalties in the form ofa STOP WORK ORDER and a fine ufS100.00 a day against me. 1 understand than ON �rf tlti�%tatcn'cttt mad be funt•arded to the 01rcc of lorestit ations of the DIA for corcrage verific=don do herchr ccrTO'under the parrs and penalitics ofper urr that the information prosided above is true and co �Q natc la l 0 'rintname V Phone# TDB 92-8 - LI)COS 0MCial uxe unl%• du not it-rite in this area to be completed by city or town oMcial yin•or Town: Pe midlicease rl I•'ttluildinc Dcpurrmcat I ❑Ucensiar.hoard 0 check if immediate response is required ❑ Jelectmcn'3 Onicc r ❑tlnith Department conracr pcnnn: phone0• `n,Uthcr C . C . Insulation Inc . 508 778 5735 Dec-1,0-99. 05:37A I I I I 'AScheck COMPLIANCE REPORT I permit # I Massachusetts Energy Code I MAScheck Scitware Version 2.01 Checked by/Date I I CITY: Barnstable STATE: Massachusetts HDD: 613.1 CONSTRUCTION TYPE: L or 2 Family, Detached HEATING SYSTEM TYPE: Other (No-n--Electric Resistance) DATE: 12-10-1999 DATE OF PLANS: 4-6-99 TITLE: Second Floor Addition VROJECT INFORMATION: -. Caracens Wianno Ave ;sterville Ma. 02655 COMPANY INFORMATION: ,•,acock s Crosby Builders Box 151 Osterville Ma. 02655 NOTES, MaCheck by Cape Cod Insulation INC. 4 402 COMPLIANCE: PASSES Required UA - 250 Your .Home = 226 Area or Cavity Cont. Glazing/Door . Perimeter R-Value R-Value U-Val•�e! UA --- CE=LINGS 1900 30.0 0.0 94 ,1ALLS: wood Frame, 16" O.C. !142 13.0 C.0 GLAZING: Windows or Doors 2C6 U.330 09 HVAC EQUIPMENT: Furnace, 90.0 F�FUE ------------------- COMPLIANCE STATEMENT The proposed building design described here is consistent with the building plans, specifications, and other calculations posed building :gas been ,; Code..ubmitted with the permit application. The pro designed to meet the requ--cements of the Massachusetrs Energy Tlate, load for this building, and .he cooling load if appropriate, ::as been determined using the applicable stand onheat oard e5ign ccol Cthelticns building,na fo-in the Code. The HVAC equipment selected shall be no greater than 125% of the design '--oad as specified in Sections 780CMR 1310 ar.d J4.4. Date_ ••--- Builder/Designer — 05: 37A C.G. Insu "laz n,io ins- Dec-10-99 F, .I ,check INSPECTION CHECKLIST ':,•_ssachusetts Energy Code XAScheck Software Version 2.01 Second Floor Addition 12-10-1999 3.1dg. I Dept. l '.'s e I I CEILINGS: I 1. R-30 Comments/Location I WALLS: 1, Wood Frame, 16" O.C., R-13 _ Comments/Location - - 1 WINDOWS AND GLASS DOORS: - r I 1. U-value: 0.33 For windows without labeled U-values, descr.-be features:Yes Nc # Panes Frame Type` .. Thermal Break? ) I 1 — Comments/Location -" I HVAC EQUIPMENT: I 1. Furnace, 90.0 AFUE o= higher - Make and Model Number AIR LEAKAGE: r i Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requ-rements: 1, Type .0 rated, manufactured with no penetrations between the I inside of -he recessed fixture and ceiling cavity and sealed of. I gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, w-th no more than 2.0 cfm (0.944 L/s) air movemer.: from the the fixture condit .0ned space to the ceiling cavity. The lighting i ensure I shall have been tested at '73 PA or 1.57 lbs/ft2 pressure I difference and shall�be labeled. I VAPOR RETARDER: Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I MATERIALS iDENTIFICA"_'ION: I Materials and equipment must be identified so that led heating compliance car 11 ls tal I be determined. N_anufacturem nuawaterrheatingsequipmentMust be and coaling equipment and Service Insulation. R-values, glazing U-values, ar.d heat.ina i provided. I I equipment efficiency must be clearly marked on the building plans or specifications. l DUCT INSULATION: r I Ducts shall be insulated per Table J9.4• '•1 Dec-10-99 05 : 38A C.C. Insulation Inc . ' 508 ' 778 5735 P .03' s . I DUCT CONSTRUCTION: [ ) I All accessible joints, seams, and connections of supply and return ductwork located outside condi7�ioned space, including stud bays or I joist cavities/spaces used to transport air, shall, be sealed I using mastic and fibrous backing tape installed according to Lhe I 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 air and water systems. I I TEMPERATURE. CONTROLS: I Thermostats are required for each separate Y.VAC system. A manual I or automatic means to oartially 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 heating/cooling system. is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. [ ] I SWIMMING POOLS: All heated sw_mming pools must have an on/off heater switch and I require a cover unless over 20%'of the heating energy is from I non-depletable sources. Pool pumps require a time clock. [ ] I HVAC PIPING INSULATION: I I HVAC piping conveying fluids above 120 F or ch4.11ed fluids ' I below 55 F must be insulated to the following levels (in.) : I PIPE SIZES. (in.) I HEATING.,.SYSTEMS: TEMP (F) 2" RUNCUTS 0-1" 1.25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 ! Steam condensate any 1.0 :.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.G I refrigerant below 40 1.0 1.0 1.5 1.3 I \ [ 1 I CIRCULATING HOT WATER SYSTEMS: [ Insulate circulating het water pipes to the following levels (in.l : I P=PE SIZES ',in.) NON-CIRCULATI\G CIRCULATING MAINS 6 RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 I 1.0 1.5 2.0 I 140-160 0.5 I 0.5 1.0 :.5 I 100-130 0.5 1 0.5 0.5 1.0 I _ ---=NOTES TO FIELD (BLilding Department Use Only)------------ .� 1 ne 1 own of barnszaoie BABNerAstTr KAM �0�' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 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: A t:�b akk> EyAXKM &Q5 A,6 Estimated Cost Da 1D Address of Work: a I.J 14 A/A./b A i/157— 0 Owner's Name: �i0/Y� C-6'04 C'1Z 01 1 Date of Application: I.->, l 14 I q cl I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the a ent of the own zV -,&, / MAM 103TRa Z? f-71 4- Date Contractor N Registration No. OR Date Owner's Name q:fbmts:Af day i ( Inspeccto k T pUo t: PATJZXK t><o�t 6f-0rvpetty: Qsl`.Cr1�f Le . LcT 12 � � � �a t ✓ o�lestovy t I � Rvet1 ug I - f, Cep #500�0 pd �GZYit cf ZSOi70f 00/60 food) zone= " ��"�sf'� �{, � ,off PAUI' 9� f�T� 'rtt U ti,�mom' Q�Q tl'l� Ot'I. L'Sr1�pClre��r u OROvER H� 'YV YtLt tiV ftx. Pc, 1t .�OY' A c SOY , d 't 5d5t � y f ydv+�¢1 stfown, hereon.does a��9 n a� =ca ��. f�ooc� �'o�s t�wittL ari of 'ect�ve rdw t dog qv *te local eon 6y-tRws t}tt El cOrtst-t1,tUlori With, t''¢specrto horWhfid ditttan5(0riif Scale: t" _ �p� Se'tbach as tt�� or is mt?1.pr�vn VtOI.QhbM MFOt'GeMUtte Date; !Z• Z� , dCtLQn, older Aikw. GauraLlxm)s :Ch.aPtW.40X-&ctL0YU '7. File No. 1065695 . es , vhown on this lot Ian are approximate only. An actual surveyis necessary for a prcciw l P1.G45E E: The structures u P h dctermimi r of the huilding location and encroachments. if Any exist• either wnv across property Ilncs. Thie pinrt roost not 6c used for ording purposes or for use in preparing deed descriptinns and mst u s. Ventictuinn of huildingocatf not he used for variance or huilding plan , properly lint., Information than lints dimrn,irms.• wh tt fenrrs i purpw;es. :is plat rnust not he. used to lucatc property line prop. or lot col iration can only he accrimptle.ted by an accurate instrument survey %vhleh may rcfleel diF{erc k rhown resin. Please note that this is "NOT A BOUNDARY SURVEY" and is "FOR MORTGAGE PURPOSES ONLY" I: CC SURVEYING COMPANY , INC . 'I r Hanover Street Hanover, Mass. 02339 -' Phone: 617-826-7186 Fax; 617••826-023 SPILLFP S 118a ZOOz ouI •saonpoad Rdoo dIIHM 069TLV9909 VXVd ZP:ZT HI 66/30/9T v� "r _ r Noe= 110 Lima K11M .+aaaoAtu teae�atci`�t" �llHr° Yt■�i°s �R i< ■t�pw ®t �Te 7 __..._._.� �1 ■r■ ■■■ ; � �na� pia„�i i MaA �1 9�tt WIN! t�® C� ■■. i■ Alm 1 A®8 1111411, il.16t94 i g 0. F'C I g7 , r � I ! . I L P37 � • {r �. y 7 pit re Cp O Ci tj/ �E / / an `Irm ELeVATIOIJS AM �. 1DB ` ILDt'l S .��"_ - DESIGN :=,:.— •Qf IIY S• DA,,� �6�p WK- - •S DESO JAMCI= o a_a .. �. ... �..�..�-....-._......_.........a.._.._._-r.SL:afi.Z::':�.uSr-:::J' .. _ �iSir7-:.�..°•,�I^'�`:1:+`•::�. '/�1.--.-1.� ta• E � I i 0 jwn — €AK M� � I I ��b `•I Aw�,f i-..t•� ara � A I . P' -- _ i I — -- it ai co I I I -•. �.,....ate:a.�...d,�.... ; •p�,,,,. _ FLCOrL R-AN Z>' �-- - ORTHSD)E "' JT DESIGN I ASSOCIATES. ,,.', • ` .,•.�.. •upaa�b G.4L,M!Er[V,LGC,Ni+T p:`�•.�.: �; DATE ftVgMS JtA, I ..................... _ • �a I S D. i G I._. a 1 • lJ' l