Loading...
HomeMy WebLinkAbout0131 KETTLEHOLE ROAD 0 brie q-Osr-'Ot)wol' U 21 3 No% OR HASTINGS,UN 2•0 - e BUILDING DEPT. Application number..... B.................185................ �► JUL 2 0 2020 Fee......6..e4-8..................................................... • SAWNWAMs ABLE Building Inspectors Initials..................... .................. TOWN OF BARNST � Date Issued...................... Map/Parcel.............(O q..-....05.7........................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO W S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 131 Kettle Hole Rd West Barnstable NUMBER STREET VILLAGE Owner's Name: Kerri Viveiros Phone Number 508-717-2455 Email Address: Cell Phone Number Project cost$ 12,800 Check one Residential X Commercial OWNER'S AUTHORIZATION As owner of the,above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK Siding Windows(no header change)# C3 Insulation/Weatherization 0 Doors(no header change)# Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will be going to S&J Exco Dennis CONTRACTOR'S INFORMATION Contractor's name BelCape Construction, INC Home Improvement Contractors Registration(if applicable)# 198000 (attach copy) Construction Supervisor's License# 106040 (attach copy) Email of Contractor belcapeinc@gmail.com Phone number 508-685-9720 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR/F THE SUBJECT PROPERTY IS/N A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X j Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one:this event is a:.for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location (s)of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or 3:30 pm-4:30pnL Commercial events may require Fire Department approval. i *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780, CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signatur Date 7 1� 2D All perm p ications are subject to a building official's approval prior to issuance. 5 Curtains, drapes and window and door treatments may need proper reinstallation or replacement by customer due to sizing on any window or door replacements and is not included in jobs contracted with BELCAPE CONSTRUCTION, INC Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to'carry fire,tornado and other necessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on above work to be taken out by BELCAPE CONSTRUCTION, INC.No lien or security interest will be placed- on. the .residence as a consequence of the contract. Owners who secure their own construction-related permits or deal with.unregistered contractors will be excluded from access to the guaranty fund. , t This Contract not valid unless signed by Company Representativ -- Acceptance of-Estimate- ~~ The above prices, specifications and conditions are satisfactory and are hereby accepted..BELCAPE I CONSTRUCTION, INC is authorized to do the work as specified. I - Contract total:. $ If acceptable;-initial here: rv,y Payment will be made as such: tw Start day payment 1/3: '$ 5 3 ` CO Upon completion 1/3 $ y; 1(n a o0 I • ] ) Date: ! l aG� Signatures . -.: .. ?._.-.7►�, ... ., .. -'y �;�..-�. �- ..._ _ -..�.. -�_:,._._- .w +... �-,w* -`'+�+li.rtu�.w.�:. Note No work shall.Gegin piior•to the signing of the contract and"transmittal to the owner of a copy of such�contract. You,the,buyer may cancel this transaction at any time prior to midnight of - the third business.day:aftei the day of this transaction. \ C fl Accepted By: Date:? THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL: 131 Kettle Hole Rd West Barnstable Office of Consumer.Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118, Home Improvement -8,tractor Registration. Types C<wpmtion BELCAPE CONSTRUCTION INC 5 4 Registration: 19=0 - 42 WOODBURYAVEj Expiration: 02/18/2022 .HYANNIS,MA 02601 1 lc--_ Y G-' ',SCA 1 4 20M-05117 Update Address and Retum Card. - - - ! .._roll", Office of Consumer Affairs Q Business Regulation HOME IMPROVEMENT CONTRACTOR a Registration valid for individual use only TYPE C DoraUgn before the expiration date. If found return to: i RRgIstra46a Expiration y ' 4 Office of Consumer Affairs and Business Regulation { 198E)09 fl?j18/2022 r 1000 Washington Street -Suite 710 Boston,MA 02118 BELCAPE CONSTRUCTION INC" ' r t fi Y� DENNIS ORLOV 42 WOODBURXAVE � ,�. r �w�/l'�f•��lG"'r � H�YANNIS,MA o2601 Undersecretaryt � t valid without signature MWCommonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construct g4tIS)11 4Nisgr Specialty CSSL-106040 E�pires: 05/14/2020 / tj ANATOLI SIVITSKI r�*' ,P 27 MILL PON&,RD ., "r r r WEST YARMOU,Tm MA--02673 Commissioner C4 b - y Mass.Gov Home State A Mass. ln� gencies Licensee Details Demographic Information Full Name: ANATOLI SIVITSKI Owner Name: License Address Information City: West Yarmouth State: MA Zipcode: 02673 Count : United States License Information License No: CSSL-106040 License Type: Construction Supervisor Specialty Profession: Building Licenses Date of Last Renewal: . 4/10/2020 Issue Date: 5/6/2015 Expiration Date: 5/14/2022 License Status: Active Today's Date: 4/14/2020 Secondary License Type: Doing Business As: Status,Chan a Reason: License Issuance Prerequisite Information Licensee: SIVITSKI, ANATOLI Relationship: Attribute Of License No: CSSLA 06040 No Available Documents Close Window I CERTIFICATE OF LIABILITY INSURANCE DA 3/1"10n0220 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,Ole polioy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions ofsthe policy,certain policies may require an endorsement A statement on this certificate does not oonfer rights to the certificate holder in lieu ofsuch endorseme s. PRODUCER Victoria Sharapova ALD Insurance Agency Inc. PHONE 617-787-7877 Faz 617-787-7876 60A Brighton Avenue j ., ac Now., Allston,MA 02134 E4MAIL Comm®aldinsumnoe.com ADDRES• INSU S AFFORDING COVERAGE NAIC f INSURERA: ATLANTIC CASUALTY INS CO 42846 INSURED Belcape Construction Inc ? INSURER,: AMGUARD INSURANCE COMPANY 42390 42 WOODBURY AVE Hyannis,MA02601 INSURTRC: INSURER D: • INSURER E: INSURER F: COVERAGE$ 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. ILTR NSR TYPE OF INSURANCE ADD SUERPOLICY NUMBER POLICY nn POLICYEXP nnf LIMITS A COMMERCIAL GENERAL LIA6IUTY L261002952 02/06/2020 2/06/2021 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE 0 OCCUR DAMA PREMSE O RENTED ES(Ea ocoarencel $ 100,000 MED EXP aria $ 5.000 PERSONAL S ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑JPERCOT- El LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: $ AUTOMOBILELIABILITY COMBINED SINGLE LIMIT $ (Ea aceJdeM ANY AUTO BODILY INJURY Per( parson) $ OWNED SCHEDULED Parsed AUTOS ONLY AUTOS BODILY INJURY( dent) S HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY S UMBRELLA t e LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED RETENTION$ S B wORNERsCOMPENSATION R2WC181806 02/12/2020 02/12/2021 NA sTTTUTE I IER AND EMPLOYERS'LIABILITY ANY PROPRIETORMARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT S 1,000,000 OFFICERNMEMBER EXCLUDED? N I A • (Mandalmy In HH) EL DISEASE-EA EMPLOYEE S 1,000.000 If yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addtthonal Remarks schedule,may bo attached If more apace Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORQED REPRESENTATIVE ..� 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Depar*eni`of Industrial Accidents Q,ktee of InveWgations kv 600 Walhingtdn Street Boswav MA 02111 www.irnassgov/dia Workers' Compensation Inlsurso a A15d»vit:Bunters/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): IWCap@ 0)nsbucUon Address: 42 Woodbury ave City/State/Zip: Hyannis, MA 02601 Phone#: 508-685-9720 Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 3 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 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 11. 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. (Contractors 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 ispwiding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: llmGuard Policy#or Self-ins.Lic.#:PaWC181806 Expiration Date: 02/12/2021 Job Site Address: 131 Kettle Hole Rd City/State/Zip: W Bamstable,MA02668 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 i lt4nisonment,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 her:,___y certi nd penalties of perjury that the information provided above is true and correct Si afar Date: 7/16/2020 Phone#: �- 85-9720 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#: Town of Barnstable Building eear M : Post This Card So That it is Visible From the Street=Approve us d Plans Must be Retained on Job and this Card Mt be Kept AIM&639. �� _ Posted Until Final Inspection Has Been Made. t Permit M►+• Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-1887 Applicant Name: BELCAPE CONSTRUCTION INC Approvals Date Issued: 08/07/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 02/07/2021 Foundation: Location: 131 KETTLEHOLE ROAD,WEST BARNSTABLE Map/Lot: 109-OS7 Zoning District: RF Sheathing: Owner on Record: BUONOPANE, MARK ALAN &VIVEIROS, Contractor Name: A ATOLI SIVITSKI Framing: 1 Address: 131 KETTLEHOLE ROAD Contractor License: CSSLL-106040 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $12,800.00 Chimney: Description: Roof Permit Fee: $65.28 ! Project Review Req: Fee Paid:{ $65.28 Insulation: Date: 8/7/2020 Final: Plumbing/Gas • Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and st uctures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for-public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: . "Perso cont ing with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �t Town of Barnstable do Regulatory Services Thomas F.Geiler,Director * BaxxsTABM • 9 � Building Division �p�ED 39. 61 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 os� PERART# b 0 t 7 FEE: $ SHED REGISTRATION 120 square feet or less Location of shed(address) Village Property owner's name Telephone number 10 g- ca 10q Size of Shed Map/Parcel# i Ji ture Date Hyannis Main Street Waterfront Historic District? No Old King's Highway Historic District Commission jurisdiction? 4r'S ems , �' Conservation Commission(signature required) Sk / ���� -PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE sheq�� bopL Y COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. ROM PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. �Q L THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 S=PTIC SYSLum v `� _ :A LION FROMSdeWo/k •.:.9 RECORDS 0:I Y te/ a%c 0 \ LOT 47 ��_' _ FROM EX-,. lQq 16 \ 114 335."��� � / 4 - 500 CAUON CHAV..?ERS J 72.7' W/Y STONE-ALL AROUND Z 0 0 oc"n� o 'UWT OF UNSUITABLE�IL REMOVAL � y _j_ � LU ° _ - m \ \ ' ° RAA cn \LOT 46 m In \ ®1 aa N I I11 EATION Brom saws\ 11 I /� 'St+s'9 [108 2. 2000 aam rm BY AY PR9POSED WElt t _ 3 4 6.4•6' wole� o ,60 To e� la54t r. ZX871i79 we// Z50' FROM EXG. WELL LOT 45 �.`:: •� � "j DRIVEWAY APRON SITE AND SURVEY DATA FOR =ROSION CONTROL �• �vL C O N TR O L /SO' 9-0- EPvz sewl/c Sys/em per T.0.6.r s �~• •.r,:• �" f� ., 3/4' CRC93t<<D S7aIlE 3" IN DEPTH OR LOT AREA: 48.298ssf 1.11tAs'. D �� C.�ViJ - '>• •� -. CONCRETE BINDER SHALL BE PLACED - �L � � \ ASSESSORS MAP 1091 PARCEL Si = C. +' a `+J ' DRIVEWAY A NAHERE VT JOINS EX15T1NC FLAN REF: PLAN800K 3(�`! .#SAGE 99 LOT 46 O Nor35G:+3 I! WRON SeRd9LC BE a PUCE AT THE TIuE _+�- :N INSPECON AND SHALL BE 3 o THE PERMANENT UBVEWAY � � C/ SERFAGE IS CATS OF SURVEY:M.SSsL;Fi 8, 2000 IV'L•+>;^ � c 1 504.5„ WEGETAaOI'1 AND RIS FROM 1IWS P%O.,ECT SHALL BE :.�.�_��;: r' PROJECT'STE-DLOW CONSTRUCTION. — " .. .CES INCLUMG PA*"ENT- LANK AND 0 i5 vt .. ✓rr..�....S SHALL R F PRI11TTt1'Rv opmro Appl cdaUost.:ta: 4}14, Ilk g:s Bighwa Regjo"I+ :D strict:Committee. .. °�..� in the Town ofi-Barnstable for a CERTIFICATION-OF EXEMPTIO Application is"hereby made, in triplicate,for the issuance of a certificate of-exemption under!ection 6 and`7'of`Chapter 47% .Acts and Resolves of Massachusetts,. 1973, as amended for proposed'woek as described below and on plans,drawings, or photo- graphs accompanying..this application. . TYPE-0-R:.PR 1.NT lEC:tBLY DATE.- AD.,DR.ESS:OF%P.RO:PO:SEDWO;RK �3.\. lK.F7-rt CNvlie ot� ASSESSO;RS:MAP..ND,. L �.. `.OWiV1`fl A'-'`Q-� <'r ASSESSORS.-LOT-NO. HOME 4D RESS tat I;�zTtr Hc;L� i� _TE' _lq0. `�'8 �1'56 AGENT OR CONTRACTOR ADDRESS, TE_. .NO:.. Ttris-aplil'nation--is-forexemption,ofiproposed'eMrbrconstruction on the-groundthar- �( (:1.) It will not be visible from any_way or.public,place_. .('2.).It is within a•category.declared!entitled,to;exem.pt►on�by.Old King s,.H,i.ghvv&_R-egio ml H:isto -District Commission . (Check-applic able.boxY PROPO°SED`WOHK: Describe and furnish plan of-proposed work;showing location on lot,andjf an addition'is-involved,.show, ing location of existing.building, 'e�,MSTQ J e-Ti.oN: p '-� le) l i j -/�erL _'`T N Akr- -3E l/5i13�C �yK �a:+A-7 'SIGNED Spacebelow-l:ine for.Committee use... owner+Contractor Agent Receivecl.:by-H:D:C: The Certificate \:���kzmffi� .Date NV Tine By Date V Ito 6K Amme Tes t aworle<tnaretlrf _ \ / c/) r^ s_Pnc s317s1EEM v \ / " D -j � o� 99 —— EXC. CONTOUR o n _C_AnON FROTr� gnrNco�r SideK'o/k a 99.t EXc SPOT ELEVATION LiI T.0.8 RECORDS o H m ® ro / C • Y,fe/ a 1c [99)� PROP. CONTOUR a- m LOT 47 , _ I sy�� (99.5) PROP. SPOT ELEVATION 1 FROM EX:. 'h'E"LL 1— i � ^ 00 %D o w / n \ \116 _ '1� / I IIr a 0 TEST PIT LOCATION J PT CA X 0 g 33�. —" 114 / N 'r \ I I Q TEST PIT/PERC TEST m W— WATER SERVICEcm v MAILBOX U Q i' 4 — 500 C ON CHAMSE:RS — 72.7' WELL M Z CV 6N/3' STONE-ALL AROUND � � � , ® J y Do CAN Q =E H Do \ \ 9 o I Li M ELECTRIC ON < co y NyN I o p cz I I f I TEL 0 17 i I I _— — — — MLT OF UNSUtdTA6lE`y21L REMOVAL ti � � a � I i 0. 1 I I \ a - -- - - -� _7'LOT 46 I s ZONING REQUIREMENTS: ZONE RF a+ FRONT SETBACK......30 FT Ln i L1J o ;t i o ~ Z 0_ o EAT,ax ST Dar SOrAa\ !' ' {� S,+s'n �Z [108 , \ J } (A w z, 2osa0 LOCATED BY v //� 4J 106 PR9POSEJ Li - a v'VAY� 2000 \ O / /��y / 7 w e ` e� �, 2 / ^' �' 3 4 6.46' Tiee%e o '7 )w �xisling we// an ' 3 50' FROM c XG. WELL u.J n LOT 45 DRIVEWAY APRON o SITE AND SURVEY DATA FIR -EROSION CON ROL z CONTROL 150"Fiwrn C,-q Sep/ic Syslein y'�'y"' =� _ � 4 r� per T.09"reccrds b "r.� .� a. an of 3/4" &,1SHED STD%E 3- IN DEPTH OR LOT AREA: 48.298a�sY 1.11±AC. CL Li CONCRETE BINDER SHALL BE PLACED ASSESSORS MAP 109 PARCEL 57 z ORIVIEBAY WHERE IT JOINS EXISTING 0 J cm J N %PROM SHALL BE tt PLACE AT THE 11ME PLAN REF: PLAN600K W3 PACE 99 LOT 461 o r 2 �' � > �,�' La :N fNS'tECTION AND SHALL BE �, �� IV!: C:1' d a self o in W THE'PER*ANENT 138VEWAY SURFACE IS CATE OF SURVE,-ii3RCH 8, 2000 +� c c 1 i' 0 0 SO9L5. VECETAD'Av AND G c :.�` �s-.•t � �/ f `q w ir �S EGitOM THIS PTO.ECT SHALL BE Nt3'f - 4�... ` %/. '� c < _ ROJECT 9TE-DLMXC CONSTRUCTION. �NCCLUDINC PAWMENT LAWN AND S BE PRO$CTEO'BY PROPER 30 0 15 30 e0 120 .YETT1FhG ! %n OR:OTHER CONSTRUCTION AS MAY BE 06/04/2004 17.36 FAX 15084301115 a,` tot Leo, 'PINE-HARBO�R'WOOD'PR 259 oueen Anne Rd. r HARWICH,MA 02645 t `Z - 4�a1-- "� (509)430-2800 PHONE FAX(508)4304115 %00 PRO E.Mail:hanvichMpineharborcem AQWO Mai 5 I p•1-N 6 SL 'ate yy -rv� Pj ,ram-,S t • 4d rw•«sr ip�tt•.aa:iFGL QlST*•6t [JLirWj:••Mn• •»4V.•av'L:4r r,1r;!L wb•v•.a,iF r..:'.. .. _-.+....va•. • yE- - r T:e' TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 109 057 GEOBASE ID 5349 ADDRESS 131 KETTLEHOLE ROAD PHONE W BARNSTABLE ZIP, - LOT 46 BLOCK -LOT SIZE DBA DEVELOPMENT DISTRICT WB 'PERMIT 57050 .. DESCRIPTION CERTIFICATE OF OCCUPANCY--BLDG.PMT_#46623 PERMIT TYPE BC00 TITLE CERTIFICATE OF..000UPANCY CONTRACTORS: Department of Health Safety ARCHTTECTS: � � P � Y and Environmental Services TOTAL FEES:' k BOND $.00 t. IME ; CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P:.nS�F'�` I + BARNSTABLE, s' 1639. ED Mp►l A BUILDING DIVISIQN BY DATE ISSUED 11/08/2001 EXPIRATION DATE __, THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M A�C(, I DATA z Department of Health, Safety and Environmental,Services AV BARNSTABUE, MASS. 163 ED M� 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 FROMTHE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS 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- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SG IT IS VISIBLE FROM STREET . BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVA S vog-3,00 71�/O/ 006 Zvo 7(c �4-n 2 CO 2 2 01 _ 3 1 HEATING rPECTION APPROVALS ENGINEERING DEPARTMENT C I 2 BOARD OF HEALTH II`fil 01 r° DIX 404801 . OTHER:V Z - SITE PLAN REVIEW APPROVAL zb Q WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTE(-e., -NOTED ABOVE. - - --- - TION. - 7(z- 0 w BUILDING PERMIT EST/MATED PROJECT COST WORKSHEET Value ✓ _. LIVING SPACE (high end construction) 2:2 3 2 square feet X$41 sq. foot=. 3 Z5,6 Ro (above average construction) square feet !6j/s . foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X$25/sq. foot PORCH square feet X $20/sq. foot= �a .CIC) DECK 2 o 6 square feet X$15%sq. foot= OTHER square feet X$??/sq. foot=' Total Estimated Project Cost -- 3 a. coo For Office Use Only /nc/usionary Affordarb/e Housin� ► Fee Residential Commercial" Property Owner's Name Project Location Project Valuek3Ll3i �b•.oy Permit Number "Existing Sq. Ft. "Proposed New Sq. Ft. Fee $---3 `_�3 ----------- CLIFFORD W. PERRY, BUILDER 18 JUNES LANE P. O. BOX 309 53-7029/2113 E. SANDWICH, MA 02537-0309 DATE (P BRANCH 1 PAY T R THE Q /�2 /.7O' C!gDER OF W'_ J_�].�-J- DOI'L-�a D`iiis on mc.. N,'i FOR ..-. i: 211370299i: 52 00 3399LO2115 3LOO J Application to 2 n n n • 0 6 Old Kings Higl~aray Regional Hswrk District Commime in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby madq, iri triplicate. for the issuance of a Qjff,iwb of App►opri�steness WWw Section 6 of Chapter 470. Acts and Resolves of setts„ 1 for propos4'ViDik as described, below..a nd on, pIaM, drawings or photographs accompanying this appfi edw for: 4+ ` s CHECK CATEGORIS'THAT LY: 1. Exterior Building Construction: Oi New Building ❑ Addition ❑ Alteration Indicate type of biu (g,House 0 Garage ❑ Commarda ��.O*W 2 Exterior Painting: to 3 Signs err 8illtnoa►ds: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Snnncture: Q Fence ❑j Wall°, ❑ Flagpolq' ,r ,.,0 Other I"read other side for explanation sim n quirenieitl. TYPE OR PRINT LEGIBLY We DATEf"�1T1� I-1 r ADDRESS OF PROPOSED WORKI�frl �l� � SESSOR9 MAP NO. ©� OWNER vl( B� ASSES90RS LOT NO. HOME ADDRESS Po ( �v"1 ��UN�� LI'1• 'i�.�JLlNGPV�41Gr1 TEL NO. 'S�B' �� FULL NAMES AND ADDRESSES OF ABUTTING OWNERS: Indude'hanie of adbWt property owners Wig" public street or way. (Attach additional sheet if necessary). P { r� AGENT OR G • TEL -NO. ADDRESS DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see Oki lather side),including materials to he used,if specifications do not aotx,nnpany Plano. In the case of signs,give locations of existing signs and proposed locations of new signs. (Attach additigmi sheet.if necessary). ZAP� 2 p ,{`(���I(`'�i�C1 � (�' � �(! or Con:eittw use. u u! V L5 R vedl�H.D.QeARNSTABLI: "S HQ_ • N Date The 'ficate is hereby ILLl� pate Tirne �w�C By Approved 0 IMPOR T. If Certificate is approved,approval Is subject to the 10 day appeal period Y ' Town of Barnstable - - ' Old King's Highway Historic District Committee . SPEC SHEET FOUNDATION SIDING TYPE Gt COLOR ' CHIMNEY- TYPE_ �1r1� COLOR —14A I f - P ROOF MATERIAL' /'X rf ���'yrl• 441*0LOR ,PITH r/ /, ;�•: t. i ,WnW.ONS �Gi�ll ` Vr COLOR V`F TRIM COLOR_ DOORS COLORS'! SHUTTERS '4/� COLORS GUTTERS ' ' k6AMLAM COLORS DECKS W/` MATERIALS - t 1' IGVt I GARAGE DOORS COLORS + SKYLIGHTS C SIZE COLORS 0 D n9flUg { ` D SIGNS". COLORS 1ii r i C 114 A I� FENCE COLOR +� HOTRS)t .Fill out completely, including measurements and materials/colors to be used. Four copies of this form are,required for submittal of an application, aloag.with Four copies of the plot plan, landscape f ,plan and elevation plane, wheat applicable. SPECSRT Revised 11/96; 1 , LEGEND \ EXISTING SEPTIC SYSTEM n- N Ln • \ / / — 99 — — EXG. CONTOUR LOCATION FROM B/X..?� CO/�2 5i9&We7/I! N x 99.4 EXG SPOT ELEVATION W N � T.O.B RECORDS w [99]� PROP. CONTOUR 00 �c & e%c / w 00 p3 •b 1 / " 00 Lao [99.5] PROP. SPOT ELEVATION N 150'f FROM EXG. WELL ' / \ '9" Z = a °) LOT 47 / Cy TP— c` 118 �, ® TEST PIT LOCATION _I Q. PT N x \ 335.48' - e TEST PIT/PERC TEST tZ W— WATER SERVICE "a MAILBOX U Qp t _ CN 4 \ \ J�i � r4� t 95.8' I ® WELL �_ N a10 °0 CATV a0 e ELECTRIC O / \ 4 - 500 GALLON CHAMBERS +' '� i �- 4 �� i I I Ln OL T 31 0 � / -Wy 3' STONE AL r4 '` _ , .k / I L) TEL 108 I _ \ \ f• p ts'r F s •' / I ( BiY.. Conc CuIb 10 LIMIT OF UNSU��.8LE SOIL REMOV O , - - - - - - \ N Boa \ OT 46 \\ \ :Q '� +�-} '_ ' E71 / I 1 ZONING REQUIREMENTS: w ZONE RF z o J , a ti FRONT SETBACK......30 FT 5 SIDE SETBACK.........15 FT =77 O REAR SETBACK.......15 FT a , Lj 9900 Ar � uiQNP05t7= �I,J l� L� 01 sbo otJd O U O y < 3 o / a 346.46 ,pgp Tiee/ire w Edge of wole� o j/ PA • � 98,0 C] Ex/s/ir7g we// N '' ^^ 0' FROM EXG. WELL O • Ln LOT 45 � � DRIVEWAY APRON Z =•' o` ���� � OR EROSION CONTROL EROSION CONTROL 150'Fiom Exg. Sep//c System SITE AND SURVEY DATA C,�iI,E/� a J < >_ a. per 709 records - 7 L4 w O < a o 1. AN APRON OF 3/4- CRUSHED STONE 3' IN DEPTH OR ---- —•- LOT AREA: 48,298fsf 1.11:EAC. 2' OF BITUMINOUS CONCRETE BINDER SHALL BE PLACED ASSESSORS MAP 109 PARCEL 57 �` sr = W 4-< O AT THE PROPOSED DRIVEWAY WHERE IT JOINS EXISTING c w W m J PAVEMENT. THE APRON SHALL BE IN PLACE AT THE TIME PLAN REF: PLANBOOK 301 PAGE 99 LOT 46 � � V) U r < OF THE FOUNDATION INSPECTION AND SHALL BE DATE OF SURVEY:MARCH 8, 2000 D1Elif � h (L F— Ln o w MAINTAINED UNTIL THE PERMANENT DRIVEWAY SURFACE IS LOCUS �p d Q V"z CONSTRUCTED. ALL SOILS, VEGETATION AND 5 ��� W m z CONSTRUCION DEBRIS FROM THIS PROJECT SHALL BE — �ie CONFINED TO THE PROJECT SITE DURING CONSTRUCTION. �a� ti � Z PERMANENT SURFACES INCLUDING PAVEMENT, LAWN AND �u o �s �o no 120 ii-1EHOLE RO/10 3 LANDSCAPED AREAS SHALL BE PROTECTED BY PROPER s GRADING, MULCHING OR OTHER CONSTRUCTION AS MAY BE REQUIRED UNTIL STABILIZATION OF THE SITE IS —ACHIEVED. ( IN FEET ) �/ 1 inch = 30 ft. C�'0�""' uw �� r lm 00-014 SHEET 1 OF 2 v , LEGEND \ EXISTING SEPTIC SYSTEM � Ln rn � \ 99 - - EXG. CONTOUR � n LOCATION FROM cog."-- SideWC/k N ! A, 99.4 EXG SPOT ELEVATION Li N ;m T.O.B RECORDS a [991, PROP. CONTOUR m �_ - - --=-==-= -- --- - -- _- -_--- -- / 9. PROP. SPOT ELEVATION_. . .� e/ oo.�oo y [9 5] ROP ON vWi _ ---- QJ _ 150't FROM EXG. WELL / \ I 9>> 'p Z. o.: LOT 47 I� ® TEST PIT LOCATION 116 118 — / / \ I m PT w, 8, ' \ I I ® TEST PIT/PERC TEST J w • "� 1 � _ I W— WATER SERVICE // \ / ,. U is • 14 �1�4 '8 MAILBOX V p ® WELL CEO:, 4 � � / � � � \ � c CAN > SNy .> goo. Q :¢: 112 — -c e / ` \ — — — / / I I e❑ ELECTRIC �,.t,.t;CD o:. 4 - 500 GALLON CHAMBERS wFew�7 0 4 � / ! -A� STONE ALl AROUND o o / I I I I L) TEL s'. 108 DES ST I s;: 0 / / I I B//. Conc Curb _ I 10 _ _ — — — — — — J ' LIMIT OF UNSUITABLE SOIL REMOVA-C l`so Q o Co u-i \ \ \ a \CN OT 46 \ \ o ZONING REQUIREMENTS: ZONE RF o 0 FRONT A FT— I R N SETBACK 30 0 SETS .. .. SIDE SETBACK.........15 FT W - \ 1706 0 REAR SETBACK.......15 FT is i o W o .900 Uj u iiN a o Q Z W N61 t [106 PR9POSED o a :u I I [1p4 �- l �l l�/.Zjf 8 = En v a 010 0 N M Lij Twee/ine -'. E o 346.46' I 9g"0 Q Edge o/ Wo/ems o V, Exisfing Well 0 150' FROM EXG. WELL " �' �° / .� to� ;ur LOT 45 DRIVEWAY APRON Z =1xs`; o, SITE AND SURVEY DATA FOR EROSION CONTROL LLJ � ' c¢: EROSION CONTROL Aso•From Exg. Sep//c Sys(em y w --� Q W per T.O.B records titi L a a LOT AREA: 48,298fsf 1.11±AC. 1. AN APRON OF 3/4- CRUSHED STONE 3- IN DEPTH OR .w.a i 2" OF BITUMINOUS CONCRETE BINDER SHALL BE PLACED ASSESSORS MAP'109 PARCEL 57 �� W m -may PLAN REF: PLANBOOK 301 PAGE 99 LOT 46 3 �„ O J .Q AT THE PROPOSED DRIVEWAY WHERE IT JOINS EXISTING N ¢ U N PAVEMENT. THE APRON SHALL BE IN PLACE AT THE TIME a d W OF- THE FOUNDATION INSPECTION AND SHALL BE DATE OF SURVEY:MARCH 8 Q " O Z O , 2000 w -'MAINTAINED UNTIL THE PERMANENT DRIVEWAY SURFACE IS LOCU z S p a ICONSTRUCION DEBRIS'CONSTRUCTED. ALLS�ROM THGISTAPROJECT DSHALL BE S �� a w 4 4~ m•. .•.:� CONFINED TO THE PROJECT SITE DURING CONSTRUCTION. ���4 ?•; •Z PERMANENT SURFACES INCLUDING PAVEMENT, LAWN AND JO 0 15 KET71 ENOLE !TOAD JO 00 t20 � :i},i c;�'-:;•,x .LANDSCAPED AREAS SHALL BE PROTECTED BY PROPER 'GRADING, MULCHING OR OTHER CONSTRUCTION AS MAY DE REQUIRED UNTIL STABILIZATION OF THE SITE IS ACHIEVED. ( IN FEET 1 inch = 30 ft. 00-014 SHEET 1 '.OF'2 1 u •A� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ! 109 Parcel 7 Permit# y��y Health Division - � 1 Pk NO�f�� c< w, � 1 cv t/f"�"I Date I d 7 OD off'wCH4, � � ssu Conservation Division L��1600< -1 Fee Tax Collector - . LO ''^.IYC, //( - ' EPd'fC SYSTEM MUST 13 S (t,t�C� ' [[STALLED IN COME CE Treasurer O WITH TITLe 5 Planning Dept. Nb Ott Et'Y`V1R0N�,1ENTAL CODE AND Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address L N K EmAa LIQ LASE Village 5 Owner Ql .l WOR iJ Ly 221/ Address BOX 3 9 F Se4-r\1 D w 1 C-d 6) 37 Telephone IRS_' L49 LIt.{ Permit Request R i w Q S-eo S, r CD[.nN I A-(. 41-VICAfIED Square feet: 1st floor: existing_ proposed I�1(e 2nd floor: existing proposed �1(. Total newt 3,13) (7 - Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type 1nIP0D FR C- Lot Size R 5.V_- Grandfathered: ❑Yes O No If yes, attach supporting documentation. .Dwelling Type: Single Family V Two Family ❑ Multi-Family(#units) Age of Existing Structure hj]t�►Aj Historic House: ❑Yes ❑No On Old King's Highway: 8Yes ❑No .4sement Type: Cahill ❑Crawl 0 Walkout 0 Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ILA I Number of Baths: Full:existing r new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count y' Heat Type and Fuel: ❑Gas 8-Oil ❑Electric 0 Other O F A LJ Central Air: ❑Yes ❑No Fireplaces: Existing New a- Existing wood/coal stove: ❑Yes YNo Detached garage:❑existing ❑new size Pool:0 existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing knew size a y X2q Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Cho If yes,site plan review# Current Use Proposed Use St���-G IyYlll.'-1 I-�yyl� BUILDER INFORMATION Name L 1 FF-DaP W R 2wy Telephone Number 98-- NG Ll�f Address 91D License# 6112-7 4:. E S A'N Q W IC� Oa S 37 Home Improvement Contractor# 36 Worker's Compensation# EIS j_ C4SU qL7 j IN C ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ICES(')t C (BCD UERA4 l SIGNATURE DATE FOR OFFICIAL USE ONLY 5 k PERMIT NO. _ DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE [y OWNER , �• DATE OF INSPECTION'.: _ i FOUNDATION 7 , . K FRAME r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH; FINAL FINAL BUILDING 20 !; 2 M 0 DATE CLOSED OUT ASSOCIATION PLAN Nbr 4w I r X 113.0 125.00' X 100.9 PLAN 800x PACT 99 (V LOT 45 LOT 46 LOT 47 w w � w rn ul C NEW WOOD FRAME HOUSE 00 27.7' 48.3' 24.2' ? o OK 53.9' 16.3' N // 41 N \ 32.0' 00 �� / 38.2' �Z v L,a X 98.1 160.00' X 99.7 KETTLEHOLE ROAD 40 0 20 40 TBM PK NAIL 80 160 ELEV= 100.0 ASSUMED DATUM ( IN .FEET ) FLOOD ZONE: 1 inch = 40 ft. THE SUBJECT LOT IS SITUATED IN FLOOD ZONE C SEE COMMUNITY PANEL 250001 0011D TOP OF FOUNDATION ELEVATION: 111.15 REVISED JULY 2, 1992 HOUSE LOCATION DATE: JULY 18, 2001 PLAN REFERENCE: PLAN BOOK 301 PC 99 LOT 46 ECERTIFIED PLOT PLAN OFFSETS TO PROPERTY LINES FROM ' WOOD TRIM. LO�i(f� 131 KETTLEHO E ROAD ,LOT AREA: 48,298fsF. WEST BARNSTABLE, MASSACHUSETTS ASSESSORS MAP NUMBER 109 LOT 57 SCALE: 1" = 40' DATE: 7-18-01 4 DAVID C. THULIN, PE, PLS I HEREBY CERTIFY THAT THE NEW WOOD J� 211 MILL ROAD _ J FRAME HOUSE IS LOCATED IN RELATION EAST SANDWICH, MASSACHUSETTS 02537 TO LOT LINES AS SHOWN, AND AS SUCH IS IN CONFORM CE WITH THE DIMENSIONAL REQUIREM T F HE- R: PERRY DR PREP, FOAWN BY: PST I CHKD BY: OCT ZONIN JOB No: 00-014 REV. L WN OF BARNSTABLE SHEET 1 OF 1 r _ l i1 '. OEPARTME— i�F kkjt SAFETy -, •. '� . VISN LRENSE j - - �xDires: Birthd�te. ti 06/10/115a} SANDYICR, TIII�Q�S� •• tit < I It ut r • S' .t. l :. ,,, ,• '`1 t r tit.�j '/' 1 { t t is ;, t_ f ,r••s• r , ,r i .. � ,,• t ,t ',f,,.i ,�- �r f, 1, ,,• i Ace Insulation 12 Wenham Shores Drive Carver, Ma. 02330 508-866-1047 Kenny r JOB NAME / LOCATION PAGE 1 Clifford Perry 131 Kettlehole Road June Lane Barnstable Sandwich, Ma. DATE 8/31/01 WORD'. AREA Flat Ceiings 9 1/2" R30 Kraft Faced Fiberglas Eave Vents Proper Vents installed Exterior Walls 3 1/2"R13 Kraft Faced Fiberglas Knee Wall 3 1/2" R13 Kraft Faced Fiberglas Blockers/Runners 3 1/2" R13 Kraft Faced Fiberglas Basement Ceiling 6 1/4"R19 Kraft Faced Fiberglas (on hold until later) Slopes to Kneewalls 91/2" R30 Kraft Faced Fiberglas Slopes to Kneewalls Proper Vents Installed Stairwell/Risers 3 1/2"R13 Kraft Faced Fiberglas Garage House Wall 31/2"R13 Kraft Faced Fiberglas Garage Ceiling 6 1/4" R19 Kraft Faced Fiberglas -Tom �s �tia t I JJ 4�r C 1, FT r'cirr YZr,a CQ-; 7 t�ov �q%Je aeN,.,l c► ves/ �`►�,�r Plc�r� Co mC- CC-it - 3So3 d^ We propose hereby to furnish material & labor - complete in accordance with the above specs, for the sum of: Payment to be made as follows : DOWN PAYMENT $ , BALANCE DUE UPON COMPLETION NOTE: This proposal may be withdrawn by us if , not accepted within 30 days. e ACCEPTANCE OF PROPOSAL The above prices, specs, and conditions are satisfactory and are hereby accepted. n You are authorized to do the work as specified. Payment will be paid as outlined above. DATE SIGNATURE DATE SIGNATURE i _ 600 Washington Street Boston,Mass 02111 Workers' Con ensation Insurance Affidavit name* C'L F�Dn W location- X city S,9-M ID W ICA 0 off,33-7 phone# Wg �cl q ❑ I am a homeowner performing all work mysel>~ ( I am a sole etor and have no one worku in aav capacity �achy ❑ I am an employer providing workers' compensation for my employees working on this job.: :::..:::::.:::::::::::::.:::;?;::. >?:>:.; cum I1 env :.::•::...........::.:..:....::::::.........:..:............ :.:::•:.:::::::.::::::::.::::.::.:::::::::::.:::.:.::::::::::•:::. ::. ... :::::::::::._ :........... . X. insurance co.... «:: ? ?......?:?::: ;......:::.::::.:;?:.:::: ::: olicv I am sole proprietor eral contractor,or homeowner(circle one)and have hired the contractors listed below who have ' the following workers' compensation polices: a coiioaevtisiiieX. ..:>: igi ....�:.:�..........�:::::::::.�:.�:::n:�.�::::Oi??;:•?}:i?????:?i:???:+:?:?v:S}?}W:}}:•}i:•}"i'•Yi??^:}:v::..::�y:;:;�yr:::{.�::;:::•??:{n;;:::i,ti:i•??:::.�::.}•?{::::::i:.:{;.�.:�::{?•}:?.y::.}r•}}':.�:::::.?"3:}?:;::.}:ii:�'.?v. .......n..............w:.:.......... ......... .. ........... .....�:::v.:• .::. ... ::i•�.;. ..`;i.`;:. �i:>�ii:•�iiiy:<:t:;:..::.:.::::>':::•:�:Jn::i?>::{:i:i:::/rill:':?•i::iii:::ily.-. -'.'•:i i'i:i'{:j;: ::_:::. ::?:::$:L:{j;::?'.r. .?-:••' :.:: ::jj::}::y:::::i::i} :.';?,; _ •inanrance•cM::':��:::. :.:. �.. i'yi{: • ;ii.. !rli:'l iii<i?::�:i.Y:;:;:v i�:;ii?>�iii;:;:;}:;?:;:i;:;:;r;:•-:}�Y :•?ji::YL�i:vr:'vi:; company name-•.._::��•. '•�•.f.�::.�:f"�y�::�.Ji!� �..��1 address. `''``' :`` : ::fro N. c�• .::::.�::.�:.:::•.�::::.�:•:.:�:.::?:4};i:;:;:i�ii:i:;}'r??•}:?;}:?}:•}:4:•}?????:i?i?:ii'::n}i}:•}}:iJ:�:'?4}-J}:::::.�n}v.;r;:::}::�::;.;:::.:}}:y insurance:co:::����.:.? •����. ::..::.�1r..:,. ..:..::.::::....:::..:.... . ...... oiicv# �.��.... .t' Failure to secure coverage as required under Section 25A of MGL 152 an lead to the imposition of criminal penalties of a tine up to SI,Soo o0 and/or one years'imprisonment as wen as dva penalties in the form of a STOP WORK ORDER and a floe of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verinatiom I do hereby certify under the pauas and penalties of perjury that the information provided above is true and coned Signature Date Print name �� �D/L� G )Y do Phone# official use only do not write in this area to be completed by city or town official city or town:. i pervaMceme# ❑Btdtding Department ❑Licensing Board ❑check if immedlete response is required ❑selectmen's Office ❑Health Department contact person• phone#; — 00ther 4Tvved 9195 PJA) I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2 . 01 Release 2 I I Checked by/Date I CITY: _ STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 4-3-2000 DATE OF PLANS: Jan 1999 TITLE: Custom Colonial w/Brzwy and Attach garage PROJECT INFORMATION: tN , a4ZWI COMPANY INFORMATION: Cliff W. Perry - Builder 18 Junes Lane PO Box 309 East Sandwich, MA 02537-0309 508-888-4944 NOTES: Allen B. Osgood Residential Designer COMPLIANCE: PASSES Required UA = 513 Your Home = 442 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------ CEILINGS 1288 30 . 0 0. 0 45 WALLS : Wood Frame, 16" O.C. 2608 13. 0 0. 0 214 GLAZING: Windows or Doors 355 0.280 99 DOORS 72 0.230 17 FLOORS: Over Unconditioned Space 1416 19. 0 0 . 0 67 HVAC EQUIPMENT: Furnace, 83. 0 AFUE --------------7--------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is i consistent with the building plans, specifications, and other calculations 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 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 780CMR 1310 and J4 . 4 . �� /Designer Date • ✓ Y' Massachusetts Energy Code MAScheck Software Version 2 . 01 Release 2 Custom Colonial w/Brzwy and Attach garage DATE: 4-3-2000 Bldg. l Dept . 1 Use I I CEILINGS: [ ] I 1 . R-30 I 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: 0.28 For windows without labeled U-values, describe features : I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I DOORS: [ ] I 1 . U-value: 0. 23 Comments/Location - I FLOORS: [ ] I 1 . Over Unconditioned Space, R-19 Comments/Location I I HVAC EQUIPMENT: [ ] I 1 . Furnace, 83. 0 AFUE or higher ' Make and Model Number I AIR LEAKAGE: [ ] 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 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 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. ' VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. �y I I MATERIALS IDENTIFICATION: [ ] I Materials 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, glazing U-values,. and heating I equipment efficiency must be clearly marked on the building plans or specifications . I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4 . 4 .7 . 1 . I I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned .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 the I manufacturer' s installation instructions . Mesh tape may 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 I air and water systems. I TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual I 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 heating/cooling system is I not greater than 125% 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 I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I I HVAC PIPING INSULATION: [ ] I HVAC piping conveying fluids above 120 F or chilled fluids 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 . 5-4" I 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 I Steam condensate any 1 . 0 1 . 0 1 . 5 2 . 0 COOLING SYSTEMS: I Chilled water or 40-55 0 . 5 0. 5 0 . 75 1 . 0 I refrigerant below 40 1 . 0 1 . 0 1 . 5 1 . 5 I I CIRCULATING HOT WATER SYSTEMS: [ ] I Insulate circulating hot water pipes to the following levels (in. ) : I PIPE SIZES (in. ) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" 0-1 .25" 1 . 5-2 . 0" 2 . 0+" 170-180 0. 5 I 1 . 0 1 . 5 2 . 0 140-160 0. 5 0. 5 1 . 0 1 . 5 I 100-130 0 . 5 I 0 . 5 0. 5 1 . 0 I ----NOTES TO FIELD (Building Department Use Only) ------------=-----=------ NOTLN The Purchaser of these plans is respoi Bible for complience with all State Fund local Codes and ordinances Neither Alen B.Osgood or participat ng Designers may be held responsible for site conditions or the use of these drawings during construction. Purchaser of the drawings is responsible to verify all elements of these plans for design,accuracy and size,prior to actwil constriction --_ - - ! — I - 1 611 i 41T--� LAE 1 --- - ---- -- - --- --- I - 1 . ! - - L - , _ -T- ILI MCA ►,�1►4 -01P1 I _ LA l I 1 I - ( �l -- ------- - i - I � Allen 8. Osg®e+l, CPU Neside tiai Resigner I ' �) I r0 Botl 735 134 Rt 6-A Stand ch, MA 02563 ----t� 508-833-3830 or -833-1 +-- — — — ,I Pj PROVED B`r — -� Vo I T i D � � / T � � x --- — — — h J[#Nt& LUNE EFI31 S11041MICH, MR n2537 Stt6-tog$ta-4 q