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0059 GREAT MARSH ROAD
r - r - ,r OxtbrdNO. 152 1/3 ORA I ACTIV.,E Application to 2 0 . 9096 0 0 Old Ki s How y�� District CoMmltme ci In the Town of Bamstable for a CERTIFICATE OF APPROPRIATENESS p. Application is hereby made, iri triplicate. for the issuance of a Certificate of Appropriateness under Sft-tion 6 0#Chapter 470 Acts and Resolves of Massachusetts. 1973. for proposed work as described below and on plans. drawings-or�photographr accompanying this application for: (n o cn j CHECK CATEGORIES THAT APPLY: CD 1. Exterior Building Cons-M.,tion• LL New Building ❑ Addition ❑ Alteration di 1 ncew type of building: l House ❑ Game ❑ Cor rcial• ❑ Other 2 Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and rewirements). TYPE OR PRINT LEGIBLY � / r , DATE q ADDRESS OF PROPOSED WORK / (��� -T `""��� i�" ��y l G RS MAP NO. OWNER /Lil jZl��YG� -9" i C PiTQ' ASSESSORS LOT NO. HOME ADDRESS_,� ` � ' �O X Z l g I��i(/N!r /�l/� TEL NO. 'Ojl 3 �7 0? OJ FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include nerve of adjacent property owners across any public street or vrsy. (Attach additional sheet if necessary). o' /1- !/xC 7�2 n l i z� ��in1 e,-v,Ile o2e, JC'�1�161�av� �jnr r c'yv ' 4�-.'Q- r t u.T J,-/l.s C Ou/.f SaG /�x a,,d--. /°Q o x �/G /�_ s �,rr ers�j GENT OR CONTRACTOR 5e0t MO-r'A S TEL NO. ,SO k-31"'L26 D,; ADDRESS Z! ��-�.t/i✓ f J' /� D (o li J DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No.S.other side),including materials to be used. if specifications do not accompany plans In the case of signs.give locations of existing signs and proposed locations of new signs. (Attach additional sheet.if necessary). Si sp.c.bslor.lbn.for wrim"use. Received by H.D.C. The sate is hereby Date ?,' D-r) CA 11 Or DAMS IN H�Hy—� FAB gppr PORTANT: If Certificate is approved,approval is subject to the 10 day appeal pe�iod wovided in the Act Town of Barnstable Old King's Highway Historic District Committee . SPEC SHEET CAI SIDING TYPE C�=�` tl /cam COLOR —A CSC TYPH COLOR , AL ROOF 14ATSR � c K Gf" ,� . COLOR PITCH f / I /1 Gdi COLOR ifI]ftDONS I cL ZrS' Z o TRIM COLOR W 4[ �'U DOORS 4 gCOLORS t L COLORS (es�l.a )C + 3HpTTBR3 GUTTERS �l i,-ice!� u rrt COLORS DECKS MATERIALs � ( �/�✓h� Nt r�h o�,q,� C�c.G�C,� . GAR AGE DOORS I y�Fil � e COLORS< SgyLIGHT3 SIZB COLORS SIGNS - .4 �+{ • �1} ' COLOR FENCE including measdraments end arterials/colors to be u ygg; Pill out cotQrletely, I I es of this rish Pony c p pl laadacape fora are required for submittal of an application, along op plan and elevation plans. rhea applicable. - ._. •� ,,,. ` !9> SPECSHT i, s Revised 11/98 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Mar Parcel !/ Permit# Health Division -Y-�C ��t ��� �� Date Issued Conservation,Division -71zvloo C-- Fee / �`� Tax Collector.� f��` • Treasurer 1 ��/l ,s�f �jINSTALLED IN C0MPLIA►NG Ll Planning Dept, L-k-ak . , t GJ rN a.,.d �,�,�Qi,;� WITH TITLE 5 SIN,Date Definitive aned by Planning Board ENVIRONMENTAL CODE AND 7/y� d TOWN REGULATIONS Historic-OKH i Preservation/Hyannis (f; O v't$ Project Street Address y17,S Village /7 S'I—g/f/e $�13 LE: Owner 5 ,4111 09_VJ-7_ Address /2?�l 4`4�/ Telephone �So2 Permit Request dec'-s h co/2 J rh'c-c fiD.Z Square feet: 1st floor: existing proposed P7 2nd floor: existing proposed /3 `� Total new 3 3- Valuation Zoning District —Flood Plain Groundwater Overlay Construction Type lobo-00 Lot Size A//2 �1 (�,� Grandfathered: ❑Yes e1g01 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: L_tle's ❑ No Basement Type: La'Full ❑Crawl av alkout ❑Other _ Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft,) Number of Baths: Full: existing new 3 Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new / First Floor Room Count Heat Type and Fuel 6-Gas ❑Oil ❑ Electric ❑Other Central Air: 2'1'es ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing �w size -Pool: ❑existing ❑new size Barn: ❑existing ❑new size Attached garage: ❑existing Lrn-e—w 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 59 .�t4Q4 caJ I,j4 Telephone Number _ t`S-6 C ti Address &;,e, /e)- /`� S D License# -3 G Home Improvement Contractor# /r 5 3� Worker's Compensation # ��0'r 8 3aZ,� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUU DATE 77 /!` _657 0 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS •. VILLAGE OWNER t DATE OF INSPECTIOl% C Q FOUNDATION FRAME INSULATION bw I FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH j FINAL GAS: ROUGH FINAL FINAL BUILDING : -a r . DATE CLOSED OUT t.�• ASSOCIATION PLAN NO. - EST/MA TED PROJECT COST WORKSHEET Value LIVING SPACE (high end construction) 3 3 aQ square feet X$115/sq. foot= : 00 (above average construction) square feet X$96/sq. foot= (average construction) square feet.X$57/sq. foot= GARAGE (UNFINISHED) SG vn�l square feet X.$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= 3 OTHERsquare feet X$??/sq. foot= Total Estimated Project Costyv For Office Use Only /nc/usionarY Affordab/e Housing Fee esidential Commercial" Property Owner's Name ',—p2 ,-V, ro. Project Location Project Value t402-, S I S Permit Number 71(03 8�3�o0 24243 SEMINARA CONSTRUCTION CORP 508-385-2605 25-80/440 . P.O. BOX 1219 EI SOUTH DENNIS,MA 02660 - --- DATE ` PAY . ' - $' O TO THE O DER OF wJbs o - _ DOLLARS MatfiU Lynch BANKOMEe „, _ NP 40 FOR//?� LL•�i5e1 diSL Iz�3,G' r, u'0 24 24 31I' 1:0440008041: 04 L 14 3311 i Application to 2000 . 201 CLE: K Old King,s Highway Regional Historic Digjc-,f om nine in the Town of Barnstable for a 20 OCT 23 Fd 4: 3 iI CERTI FICATE OF APPROPRIATENESS Application is hereby made, id triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIESTHAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition ❑ Alteratio LL Indicate type of building: ❑ House ❑ Garage ❑ Commercial Other MD0ed //� e_ /'o 2 Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK �:51 Grp-t ItL r17A Rd ASSESSORS MAP NO. 42F9 OWNER SeJ2z112&4—a ASSESSORS LOT NO. HOME ADDRESS �� ' �c) a! �� % iU.t�i'S 44't TEL. NO_� I p�� FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). AGENT OR CONTRACTOR �1 ���e �d�/�� — TEL. NO. , Z�G� ADDRESS 1:76 -06 X 12117 !'1��.� /K4 dZl'G d OETAI LED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No. 8,other side),including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). 16 Signed ij [i Owner-Contractor-Agent Space below line for Committee use. ,�NMI,I i,;F 1;1���1 Receive,d'by H?D.C? l ( t Th Date x ' er 'ficate is hereby Date t.UV J I _ ' S9 2 8 t I z u-) ? Time By �. , Approved ❑ IMPORTANT: It Certificate is approved,approval is subject o the 10 day appeal period provided in the Act. f Application to 2000 2 0 1 Old Kings Highway Regional Historic Distric,,t mrr rtt e in the Town of Barnstable for a 7B OC 12 3 Fli 4 3 3 CERTIFICATE OF APPROPRIATENESS Application is hereby made, id triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973. for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES'THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition ❑ Alterattiio� [ Indicate type of building: ❑ House ❑ Garage ❑ Commercial- 2 Other 2 Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK �`�-'F 4re-O-L''" '(�r'9h ,\ d ASSESSORS MAP NO. &'F9 OWNER �nA�l ( n�t_Q X= l O ASSESSORS LOT NO. HOME ADDRESS RU - SU Y 1 2-6 -Ai `f ;/y,� TEL NO D ldd FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). AGENT OR CONTRACTOR 4047-&1 n"/Zlayh— TEL NO. ADDRESS �Q �o X 1Z1, A1,4 dZ�G.d DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No. 8, other side),including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). 16 cci;►t�. s qur'� Owner-Contractor-Agent Space below line for Committee use. l �...�.-s Received by H.QiC ll ` r P ate r i' JCerte is hereby � DateI L JOA el �/WA� r Time �� OF BARN3TA?1 E BY Approved ❑ IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. r Y ' + Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COL R PITCH WINDOWS COLOR SIZE TRIM COLOR DOORS COLORS SHATTERS COLORS GUTTERS COLORS DECKS MATERIALS GARAGE DOORS COLORS SKYLIGHT SIZE COLORS SIGNS COLORS FENCE COLOR NOTES: Fill out completel/, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along • ith Four copies of the plot plan, landscape . plan and ele,ation plans, when applicable. 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IIII ■r�■� u■ rrura•�.d �"vl '1i1��yl�,a it � ����ff��S■i ��1� ¢atria` c II��I 1�ri i h Ike�Sitav�lt�l I4f 11I�. .I'9 9414 4 III!_ -_ ==;+�rl,II�,d�_.� s�:=' -{i,l(I ir'II'^:r,��l I�wl :rl•r' ��� ...........__ sill li•nv�E�_._:�._=_.:d_:s--sfr"` -_-_ _.�Ili.i,i•h.�l,,, ii:V? � ��� :��� {Ts �ri's- ....-,A=.a _ __ ...._;ai:_..._._ .;-�:�:���.-,�a.- _.:k_:...��_�r:ip.a ,It;!arl�:f•Ar'il;:ii?i?: I�' it �� d'a jlllJjlPl�_Pj .JIr.Widsl.¢�Lgy�:.!",L..Wti , I.I raorw.mwwM'n I MX SPACE MBA ovmr / FULL HEIGHT FOUNDOON I= t GARAGE Ll LIZ - - - - - LO?= C-REST ri-125H 4 CALIBER CORNER APPLICATION-(SUNROOM)36- CALIBER FLUSHAPPLICATION 16 CARAGE DOOR FRAME 4 9 xmcx -(LIVING ROOM)47 -- FIREPLAGE F MPOFFWN aya�R RAam CAL�FR INSTALLATION- DETAILS TOP VIEW 3/6'=T t4FRa(E� 6 m O II`I w WOING •I .�... R 9'6114,I k a'n I �c 4112 ! ] 71 •.a+�-a�--ems---�al.—•,o ..vaow- I I n— GARAGE DOOR HEADER DETAIL—3/8"=1' 11 I RI'X.N.'MAI{OHANY COVERED PRESSURE TREATED LEG: A SUNROOM/FAMILY ROOM f. O r•vaOT[D[ .� C— mwzaaaaE —� o—' � a 6 a WING i y�ou ' y I I - • . Dd- s amawm I J ,M WWINX q XIN - o KITCHEN > I I £ NF o .0 BATH - O MASTER � n 1 a O O 0 BATH ! ENTRY HALL p 2 GAR GARAGE: R WBJDOAV SLNEUILE � m � � � I i � - II . amnmrc / II MASTER BEDROOM FOYER - � I I NING ROOMi0n II PORCHO _ LOT 8 GREAT MARSH 5 -- WNDOWSCHEDUE o — — IX I 0 0 o — o 0 0 0 O u 0 - — 0 0 0 0 LL I I I I I I I I � BATH WALK IN BATH ® OPEN BELOW m �? eEORoon B i oor...n /uwy, UPPER HALL LORA.REA � BEOROOn p 2,�A 0 SBNI' & co I A C' OPEN BELOW TI EAVES LAT 8 6RFAT MARSH 6 r".Ho1%E nmioaac PL vslo -h - BE10,Rff11 o�4n.armaw r ,a..eoevan amcnm.x p��' onacn.r N"7-- - ' m4uan��n rrovr..mx n°mm"°c0 erxo<o a.mmrwa o.ox.xr.rr �r. .aao. iocwv ���nw�ian a�rwacj ma.nr ruawn,.>nr navenua Jw Lij mo'ryxnA GRO55 SECTION AO GROSS SECTION O CROSS SECTION © CROSS SECTION t 81.4'xI1QNlI CATILBRir6fri I I �'�' Baavlrta[raa, I I f �m •unlr.w sm 3 owl Bamv BEDR]Onll n maa I I.�. Nw L4RF14Nl WRARA BEWM 11 e« IUSRN — I I 1 MLCON'f 1 •. etix _ _ �m •s 11 •5 ^� Ea'yg 4 _ \ S 2cIk26A2\G�1 II p j 1 II owlBamu •�- E,s Ig Bmn — 11 R%R r 1 n RRN u a>=mom=® LOT 8 GRE4T MARSH � � �.� P1II1_�..,M, EPIII ✓ / d„m..w PNO _ �¢ � �...�.m'�"`- � m 1NIEDl11MCGIW ALEDID«aa)i ue E. BM[ MfORfFm �XP21(0WN �PLWI4RR Aaa��—amr_ s� wdWfG_ Sv q_�•.tatW.lW!.— 1PANNUG— rw• p .4MNUx .°dim 9/kHtl(ri5� rs— FRAMING SYML LEGEND I'RMEOARD — AL MIST HOLE GUTTING WRAM I — I V4'LVL I- MP _ 1�1 0 1 2 Vl'IJOIST I !'I ➢PIPRIU[60f0Ed1.M IpGN6PNlu90ENN11.iLf Mi -- TO[E➢RiWIPNCW 601E — I.YG61M1.' 71 ALL JOIST HOLE CUTTING CHART FOR - - -- -RESIDENTIAL APPLICATIONS (4OA5) MINIMUM DISTANCE FROM INSIDE FACE OF ANY SUPPORT TO CENTS RUNE Or HOE(ROUND HOLES) JOIST 9 0' 1 7H HOLE 3 6 9 la 3 6 g 6 1'0' —I'0' I'0' I 0 -- Www— 10 1'0' ro' — — I'0' I'0, — _ la 1'D' l'0' Vol 1'0' -- — ta ro ro' ro' — — — 16 Vol 3'0' — 1'0' Vol — I I I — s' 18 1'0' 4'0' 1'0' 1'0' m 70' S0' 1'D' 70' --- aa 3'0' 60' I'0' 3'0' — — 24 .— — _— 1'0' 4'0' ffi — — — — 2'0' S'0' — - - _— — — — — — — LOT 8 GREAT MARSH 8 I mm_° aSmm wum�w.icml n ItlHlB.9�_ fGR!!I1 �Wk9Qa.1N `I PGFlG6P �°Q'A amV�P1g51 La. fAPlt� _MMFRp�.YA]l5 89 NMw mO•• 6 9LNN9N3 s ^Jlk9fNP15 FRAMING SYMB01.LEGEND L AL X ST HOLE CVfTING OX—RAM r I:In6oAaD - q, m I Nd'LVL IBGNOFU011°0![N6➢+N]Hf131 uiw�.c�mxoP.oeaaea ]V1'I.J015T I I I ALL JOIST HOLE GUTTING CHART FOR 1 RESIDENTIAL APPLICATIONS (4OA5) 11 till I _ I MINIMUPl DI5Tn1KE FROM INSIDE FACE OFANY SUPPORT TO CENTERLINE OF HOLE(ROUND HOLES) _ JOIST 91IY 11 117/8' ) HOLE 3 6 9 17 ' ' 9 17 — I _-- 8 1'0' I'0' TO' 1'0' �I 10 1'D' I'D' 1'0' 1'D' —� , 1'0. i'0' — I'O' I'0' 16 I'D' YO' -- 1'D• I'D, I g' 16 1'17 4'0' 1'0' 1'D' — — Till 37 :'0' 5'0' -- I'D' 70' — — — 74 1.0. 4'0' 25 — 70' 50• II II '^"' �,�,.�-i,.�.�F;f=e� ;;?.•td:,fiatr.��4�Tina��! ��"��'7*''Y��##�'.: ��+%5ti*'4. i> ,�'�E �J*7':'t":"�:. �t� +' ��t',.3i,.,...3:r;;.-:�ii.�'...,..-,vr1s•..��'`aw�:d+•�.r,,;.Lta.e-+.-- SME . .� The Town of Barnstable Bnxxs"rMLK � MAS& Department of Health Safety and Environmental Services A'Fc " Building Division 367 Main Street,Hyannis MA 02601 , Office: 508-862-4038 - Ralph Crossen Fax: 508-790-6230 Building Commissioner PLAN REVIEW Owner: <� /t�i�-t- Ma /Parcel: Co q - P Project Address: �/ 9 *Builder: �e The following items were noted on reviewing: cu I nQo Vt i Please call 508 862-4038 for re-inspection. nspected by: Date:- 6- J 'G q:bui Iding:forms:review w' OPEN SPACE TOWN N 35058'58"E SANDWICH LINE 405.24' BAMSTABI �Do LOT 8 c v, A=47,456 SF _ z . R 3Sj.s4 � �namoN w o o S60 oo0p. �ri. 7101VpJ` 59 �-, 9 0 1 GAT R=Boo a S11RO SH OF Al, 2 ALLAN y� C. W 1 u KINGSBURY y 3 U ,#a6to1® u CERTIFIED PLOT PLAN I certify that the foundation shown hereon inBARNSTABLE MASS is actually located on the ground as dimensioned and does not fall within a For: Seminara Construction Corp. flood hazard zone as shown on the current Scale: V =60' September 21,2000 This information is not to be used as a survey Flood Insurance Rate Maps for the T of for placement of structures,fences,etc,All dimensions Barnstable. are approximate. This certification is not valid for any / Advanced Technical Solutions party but Seminara Construction Corporation.. �/ D'v P. O. Box 99 East Sandwich, Mass The Commonwealth of Massachusetts i 77 • Department of Industrial Accidents Office oflniresligaUi�os 600 Washington Street . Boston Mass. 02111 Workers Com ensation Insurance Affidavit name: A location city by'/�f'I� A,5�ke.7- .2nt- phone# 5 O 22G�� ❑ I am a homeowner performing all work myself. ❑ I am a sole ro rietor and have no one working in any capacity ❑ I am an'employer providing workers' compensation for my employees working on this job. i coin anv name:. :. :.:.::•::•:,:::..:::..:.:.:.... `ad dre :. _. city :...........::.:::....she#:.:.<:>: €:«::>; on '. ' alley insurance co. / ❑ I am a sole proprietor, eneral contracto or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: camanv name` 4/� Rom'' i D address G;s ty' insurance:co. cam an v slam address: . :.:...:..:.. `cv 0 `irunr Failure to secure coverage a,required under Section 25A oC MGL 152 can lead to the imposition o[criminal penalties of a&te np to 51,500.00 and/or one years'Lnprisonment a,well as dvil penalties in the form of a STOP WORK ORDER and a flue of S100.00 a day against me. I under'tand that a copy of this statement may be forwarded to the OfIIce oC Investigations of theflIA for rnverage veriScatlon I do hereby certify r th pa#is d penalties of perjury that the information provided above is true and correct torn Date Si oCflcial use only do not write in this area to be completed by dty or town otIIdsl . ent city or town: permit/licerue# ❑Building Departm ❑Licensing Board ❑check if immediate response is required ❑Se Office • ❑Health lth D De a epartment contact person: phone#; L❑Other_ (revised 9195 PIA) I ' Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to Provide workers' compensation for their "law",an employee is defined as every person in the service of another under any contract employees. As quoted from the of hire, express or implied,oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. 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, constriction 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 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 coveragerequired. Additionally,u neither c work until the commonwealth nor any of its political subdivisions shall enter a�chapter��been presented to�contracting acceptable evidence of compliance with the insurance requireme nts of authority. 11111IM! on! Applicants compensation affidavit completely,by checking the box that applies to your situation and. , Please fill in the workers' comp � 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 anc re date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is have an questions regarding the"law"or if you�f� not the Department of Industrial Accidents. Should you y qua being requested, eP L- . ensation policy,Please call the Department at the member listed below.z ON are required to obtain a workers' comp - 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 ons has to contact you regarding the applicant. Please affidavit for you to fill ll out in the event the Office of Investigate cense number which will be used as a reference number. The affidavits may be retu6R t^ be sure to fill in the i Out/li have been made. the Department by mail or FAX unless other arrangements y 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 Oflice of Inveogsuons K. 600 Washington Street Boston;Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 MAScheck COMPLIANCE REPORT Massachusetts Energy Code I Permit # MAScheck Software Version 2 . 01 Release 3 I Checked by/Dat I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 7-19-2000 DATE OF PLANS : 4/20/00 PROJECT INFORMATION: LOT # 8 GREAT MARSH ROAD BARNSTABLE, MA. COMPANY INFORMATION: SEMINARA CONSTRUCTION CORP. 385-2605 NOTES : PREPARED BY CAD DESIGNS 385-7685 COMPLIANCE: Passes Maximum UA = 730 Your Home = 686 Area or Cavity Cont. Glazing/Doc Perimeter R-Value R-Value U-Value ------------------------------------------------------------------------- CEILINGS 2459 30 . 0 0 . 0 WALLS : Wood Frame, 16" O.C. 3300 13 . 0 0 . 0 GLAZING: Windows or Doors 27 0 . 320 GLAZING: Windows or Doors 50 0 . 300 GLAZING: Windows or Doors 370 0. 330 GLAZING: Windows or Doors 150 0 . 350 GLAZING: Skylights 8 0 . 350 DOORS 59 0 . 350 FLOORS : Over Unconditioned Space 1908 19. 0 0 . 0 FLOORS : Over Unconditioned Space 473 30 . 0 0 . 0 HVAC EQUIPMENT: Furnace, 84 . 0 AFUE I Comments/Location [ ] I 2 . Over Unconditioned Space, R-30 Comments/Location 4 I HVAC EQUIPMENT: [ ] I 1 . Furnace, 84 . 0 AFUE or higher I Make and Model Number I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the buildinc_ envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements : 1 . Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed I gasketed to prevent air leakage into the unconditioned space , 2 . Type IC rated, in accordance with Standard ASTM E 283, with r I more than 2 . 0 cfm (0 . 944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixtui I shall have been tested at 75 PA or 1 . 57 lbs/ft2 pressure I difference and shall be labeled. I VAPOR RETARDER: [ ) I Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors . i MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance car be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must bE provided. Insulation R-values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plan; or specifications . I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4 . 4 . 7 . 1 . I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and retui ductwork located outside conditioned space, including stud bays c joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer' s installation instructions . Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems . I MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 01 Release 3 DATE: 7-19-2000 Bldg. l Dept . l Use I CEILINGS : [ l I 1 . R-30 Comments/Location I WALLS : [ ] I 1 . Wood Frame, 16" O.C. , R-13 I Comments/Location I WINDOWS AND GLASS DOORS: [ ] I 1 . U-value: 0 . 32 I For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] I Comments/Location [ ] I 2 . U-value: 0 . 3 I For windows without labeled U-values, describe features : i # Panes Frame Type Thermal Break? [ ] Yes [ ] I Comments/Location [ ] I 3 . U-value: 0 . 33 For windows without labeled U-values, describe features : I # Panes Frame Type Thermal Break? [ ] Yes [ ] I Comments/Location [ ] I 4 . U-value: 0. 35 I For windows without labeled U-values, describe features : I # Panes Frame Type Thermal Break? [ ] Yes [ ] Comments/Location I SKYLIGHTS : [ ] I 1 . U-value: 0 .35 I For skylights without labeled U-values, describe features: # Panes ' Frame Type Thermal Break? [ ] Yes [ ] Comments/Location I I DOORS : [ ] I 1 . U-value: 0 . 35 I Comments/Location I FLOORS : [ ] I 1 . Over Unconditioned Space, R-19 ------------------------------------------------------------------------- ' COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculation submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions fount in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125$ of the esign load as specified in Sections 780CMR 1310 and . 4 Builder/Designer Date r 1200 TEMPERATURE CONTROLS : [ ] { Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I { HVAC EQUIPMENT SIZING: [ ] { Rated output capacity of the heating/cooling system is I not greater than 1250 of the design load as specified { in Sections 780CMR 1310 and J4 . 4 . I SWIMMING. POOLS : [ ] I All heated swimming pools must have an on/off heater switch and { require a cover unless over 200 of the heating energy is from { non-depletable sources . Pool pumps require a time clock. I { HVAC PIPING INSULATION: [ ] { HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in. ) : I PIPE SIZES (in. ) HEATING SYSTEMS : TEMP (F) 2" RUNOUTS 0-1" 1 .25-2" 2 . ` Low pressure/temp. 201-250 1 . 0 1 . 5 1 . 5 2 . i Low temperature 120-200 0 . 5 1 . 0 1 . 0 1 . { Steam condensate any 1 . 0 1 . 0 1 . 5 2 . { COOLING SYSTEMS : { Chilled water or 40-55 0 . 5 0 . 5 0 .75 1 . { refrigerant below 40 1 . 0 1 . 0 1 . 5 1 . i CIRCULATING HOT WATER SYSTEMS : [ ] { Insulate circulating hot water pipes to the following levels (in. I I PIPE SIZES (in. ) I NON-CIRCULATING I CIRCULATING MAINS & RUN( { HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1 .25" 1 .5-2 . 0" 2 . { 170-180 0 . 5 { 1 . 0 1 . 5 2 . 140-160 0 . 5 { 0 . 5 1 . 0 1 . { 100-130 0 . 5 { 0 . 5 0 . 5 1 . I ----NOTES TO FIELD (Building Department Use Only) ------------------------ r BOARD OF BUILDING REGULATIONS 'License: CONSTRUCTION SUPERVISOR i NumbeWll�s 015836 1, 81 =rttfd t8��09/0 946 y + LO. �kl Tr.no: 4652 ► !.J : 00 L'OUIS J SEMI 93 COLES POND S DENNIS, MA 02660 Administrator TOWN OF BARNSTABLE Y CERTIFICATE OF OCCUPANCY PARCEL ID 089 004 001 GEOBASE ID 35297 ADDRESS 59 GREAT MARSH ROAD PHONE W BARNSTABLE ZIP - �LOT 8 BLOCK LOT - SIZE DBA DEVELOPMENT ' � DISTRICT WB PERMIT 60483 DESCRIPTION PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Departmentfof Health, Safety ARCHITECTS: and Environmental Services TOTAL' FEES: BOND $.00 Ok CONSTRUCTION COSTS $ 00 756. CERTIFICATE OF OCCUPANCY 1 PRIVATE PF #, ?E + IARNSTABLE, • MASS. 039. A�O� �Fp MI`►I BUILDING D, VISION BY DATE ISSUED 04/18/2002 EXPIRATION DATE 'S THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M A�((,D I DATA l_ s t� ilk-- r I I I I Department of Health, Safety and Environmental Services tME I I ** BAftMSrABLE, �+ss. ED MA'S BUILDING DIVISION BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VIS113LE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS /► Jk I, ir6 1� \y Irl 2 v b yl� [A t q l 1%0 T ' 2 Z ` e��, 2K'/�/--v u, 1/2 L l I 3 l ✓ 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER:h/lj%g,�i,2Ns✓',Ojl,� /lR� C.krPT, SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WCFiK IS N07 STARTED WITWN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DAV'E ,rHE PERMIT IS ISSUED AS -,_ "40NE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. i i it t ' I • a -.- --------- _ _- __---___—_-- ---_,-__ ------ 1�r"_. t< o q R - i IlC RE M oV t.. �fl M A T E�l fit S 5 ' A:ROII N 1) �- �'I rI.GZ EL I !7•° r 16.o SY5TZ7m Tot-L- G. � � E � � Lc N N S >z AccEss /r,,, 6' ar-Gur�1 .�3'M/kx cove E E-L - j /-\f C e 5 5 Imo + S Ll Nt H rtiiZs�4 — r I $Et71CTANK ;.a. )� a B'o ��� •°Jn r � w �Gpu��•a OwO O� Db ST-DW DR CoMPACi C.a }" 2 i WASHED ST�� LOG U 5 1,vI_6T T�t D-c�rl; - I o" f-I O BaL0\,✓ L fV O T L So. /. 015P05AL SYSTEM ro Be C8)VSTP\UCTED STRI CT P�CCDRDNNCE o� COIvIIvI. or MASS . EHVIRDN. CODE - TITLEy . E. 5ORVEV DATA Mom SUgDIVI.SIC�N PLY. lJor LANE) IN aARN5TAhLE rps. n E M I NI RP, C ON STRV C T/(0)V CORD, s Y L 3W t W E L>_ZR oF. 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CT= 7 ECTlVE DE-PTNI 2 .O Lx6nNG cti!�► Uj� #26101 2CG �z6Dxd.74 = 133 - - -- - PR�vC-"/AyW�- 3T' BARN STf�;�l_C ,MFr -- J3x32x0,1�h = 30Ei c ' ' HDV/�IvCFD TF CM . SOLUl101J T O T AL C C1 V = -44- 1 GALS . ' � TC sT E p C 0 N SV L� C NG';`•: E S/:N 1, Mf', DATE-. 9 -21 - � DW G.� 411 C3 0 - L. I � ' •Tod o>= W ALA RE M oV t. - rEL I I 8,017 o MATE ZN - S 5 AROVND _. 7 A 4 - Exl ST1►JG GR. EL SYSTEM r o t,L-113° - ?� 2" b SLOPE 7d Gee ACCESS w /iw 6� ol-GRZsi 6'M,N./3'MAx Cove�� 1 I ( 14.5 l / /-ACCESS F'hPTS p'tn,w—i•- �, 1 5 00 G/�'L ! F1oR LE EL — c 'Pf�STDUE f 110 JD CGwG_ II I13.>� M1.I 1 =� a '' L K 5E'T c Tart ,'. � Asa,�yf1z e 113,3 r, S � t13S •'� s m E L- 1 b�eae;Doi 1 l l3 �o�y 11 ,O _o : 03e •moo • • o z•'Cft5"W>SroNE 9R CaMPAC3iva 3/4K;01 DouBL� WmAr-z STo*lE LOG U S - 1nJLET TM Dc?r1� - I 0 F3L- LO\n/ durtiT�EE " - 14'" EL lo7. a N TES: 1. DISPOSAL SYSTIff- M ro as Cl))VSTRUCTED iN STRICT ACC DRDANCE oi: COMM. or MfhSS . El IVIRON. CODE- TITLE-Z . PKOFI LT- o} DISPOSAL SXSTE Y\ z. SURVEY DATA FIM SUIDV15(CN -PLkl\)oi LAND , BARNSTABLE Fo?- SEMINMlk CONSTRUCT/(0N CORP, a L3\,J t WECLER oyz. (,,for ro ScAtE) 'Y AK)\,AovTrs D AJTD�) 4 -29- 6 S t -KT-CC P\DL.D l BARN ST1Ah LL RE G.or- DECDS. 3 REMOVL AU- IrMPF- RVICU5 'MATERIAL 5' P\RWU \ID 5V5TEM• 4, ASS= 5SC�R' S MN :3 -; Pc 5-S 1dNIN G ` R C '� S. F3EN Ct-1 MARK-- BASS aFWELL CAS11JG oo L6T I -ELV, I b4_O 6. U SE. - 3- 5'xa'xC' P.C. CCJNC- LEACH CHAM$tiRS wIT14 9''or 3/4'"To I '/z" WASHED STONE w rn-i cM Tat-' T ?UT'' Ts SAS 'RAFFLE ,SEZ"rlC, TAN Y. PE-izTITLEy I , 1 .N \ n0 ' � \ ELV_ tv M> ,- ,"L,' �I \, �1'�l>`LL �i H Erg T I i� 'c N T i�?P RGV I�L D/-\T E- / �CP E- n L -T '� '• o -_�. o, t - ----- — I 4 7, 4 6� � �� a�t� o �rq tv tp SAND to` 'EARL _ J \ /' S 8/' �-=7� —. _\ _ �— L 0A N i 17.0 NTERY, JR. y \ LOA►-ny S )1� fST DES) CD 1J3,2�— CoP.RS� —113-2 1 12.7 — j Gz�vEL — ► I z.Z I 5 'ML FBI✓t ." vWE1.�11J;� W/4 f3C RLactS SCI�IL a ) "= 4O' I LK +�A1C - � 6 ARB1�GL Dl Stu SAL SAGS SYSTFIV\ DES' 6N DAIL�l FLDW = 1 ) a x 9- = 44o G. P.rJ, Iyof Afj SF- PTI CTNNY, CVaL. REQ' O� I �•0 20 0 �+-� 8o--Bo ,#��� ALLM Ge ME�_��� =EMiNAF:A CONS. CORP. G.P-p. x .c'S - 8 8 G GALS a. N,, C LE�E�ID 3AND i 1 . C E�,C 19 C . �.. ye>< �f ! ; ? 1 _ E (\CI 1-\ f 5 . 3 - B'x 5'x �_ LOT 8 / � 5 3 'G iR`rl\T A A--'C 14 I?D i i U SE 2 P. `O N r-_ L . L7L) - T 4 � C�=C� ECT(VE DCaTM = 2 .0 10 -- C-Xsn►a� U.)R ovR I 4 2CGl-+E63xG74 = i33 — pRigC-4 y E3i }BAPMSTA31_L,Mi� L i ) 3x3Zx0,14 = SOB _ � „ FIt�M ?DNL la7.o �� r/ol�Zp _ I ADVAI`.CFD Tr Cl-I . SOLO— IOfJ S 0 � �4- 1 GALS . 0 0 L . .NJ MA TOT iaL CAS=,-�CiTti' _ ' � f J Coh1SUL� C1�G'� _ 5r , 13�QKNoE : JJ°LUR DATES