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HomeMy WebLinkAbout0040 CARL AVENUE 6-V67, iC 1 6i 4 e { I • i 1 !I I i 1 1. I I I X-PRESS PERMIT Application number Z_ 53 �. FEB 2 1 2020 Fee ....5 3 55........................................................... MASS�'P TOWN ®� gA �VSTAg�E Building Inspectors Initials... ............................. �' JJ Date Issued..��l,L6........................................... Map/Parcel... ....................................................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION SCA Address of Project: NUMBER STREET VE LAGE Owner's Name--Jlojr j (2-02C— Phone Number -�Dt fx;q 4 Email Address: "Do N c-O�C-':kS Q c," Cell Phone Number Project cost$ 10 4,5oo Check one Residential 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 ED Siding Windows(no header change)# LI 0 Insulation/Weatherization ED 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 tonLp.� CONTRACTOR'S INFORMATION Contractor's name AL- S Home Improvement Contractors Registration(if applicable)# 12 V S 7 (attach copy) Construction Supervisor's License# V (attach copy) Email of Contractor VE-ul Q 0-3�W, Phone numbe'60 S- ucl `[ 6 t(o ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN 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 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-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side t HOMEOWNER'S LICENSE EXEMPTION 9. 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 2 s z0.2O20 All permit applications are subject to a building official's approval prior to issuance. f KELLY ROOFING PH. 508 509 4640 8 Rhine Road MA C.S.L. #099167 Yarmouthport MA H.I.C.R. # 128957 MA 02675 INSURED Jan. 8 2020 Proposal submitted To Mr. Don Cox of 40 Carl Avenue Hyannis MA We propose to supply all materials and labor required to remove and replace the existing Asphalt roof at the address above. Protect all walls, Windows, shrubs, plants etc. during roof strip. All debris to be removed to town transfer" -" White Aluminum Drip Edge to be installed on all eaves. Ice and Water damage protection membrane to be installed over first six feet of all eaves and around any Protrusions. ` Remainder of Roof Deck to be Covered with Synthetic Underlayment Install Certainteed Landmark limited lifetime warranty Architect style Shingles, Using all Certainteed Starters and Cap Shingles to maximize available warranties, (Color to be Specified, Existing Weatheredwood) All shingles to be storm nailed (6) Repair all flashings as necessary, Including Chimney Install Certainteed Filtered ridge Vent on All Ridges with hand Nailed Caps Replace all Plumbing Vent Pipe Boots With new. Complete Clean up off all areas including all gutters and all nails after project complete. Obtaining Of Town Permit At a total cost of$5,800 To Replace Existing Skylights With Venting MO8 Models (4) Including New Exterior Flashing Kits and Any Interior Wood Trim Work required Add $4,700 Payment Schedule; Balance upon Completion Proposal Submitted by:Oliver Kelly j; Proposal accepted by: /f Date. i / l /2020 Best Contact Phone Number: This proposal is valid for 45 days from date above, please µ , The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www massgov/dia Workers'Compensation Insurance AffidavitrBuilders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTMG'AUTHORITY. Applicant Information Please Print Le 'bl Name (Business/Org izadon/lndividual): Address: L)�� City/State/Zip: t Phone#: L- O Are you an employer?Check the appropriate box: (' Type of_project(required): l. I am a employer with ` emptoyees(fait and/or part time).$ 7. ❑New construction 2:❑I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No worker'comp.insurance required.] 9. Demolition 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]t ❑ 10 Building addition 4.❑1 am a homeowner and will be hiring contractors to conduct all work on my property. 1 will ensure that all contractors either have workers'compensation insurance or are sole 1.1.E]Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached shecL 13.[ Of repairs These sub contractors have employees and have workers'comp.insurance.- &M We area corporation and.its officers have exercised their right of exemption per MGL c. 14.0 Other . 152,§1(4),and we have no employees.[No workers'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 submirthis 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 subcontractors and state,whether or r not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that is pr idbig workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: �i - Policy#or Self-ins.L ic:#: bC-2/ 1V,'j b 960 tj( ) tiJ V L9 Expiration Date: 0' Job Site Address:_`!() OAa— L 1 City/State/Zip:lj- lS � 02bp t Attach a copy of the workers'compensation policy declaration page_(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation-punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do her el ' «ind r the a d penalties ofperjury thatllte-information provided above is true and correc Si nat Date: 2 ?A 2'J Phone#: r 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 M x Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Individual OLIVER KELLY Registration: 128957 8 RHINE RD Expiration: 06/13/2021 YARMOUTHPORT,MA 02675 SCA 1 0 20M-05i17 Update Address and Return Card. office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:.Individual before the expiration date. if found return to: Registration- Expiration Office of Consumer Affairs and Business Regulation 128957= 96/13/2021 1000 Washington Street -Suite 710 OLIVER KELLY=_ _"- '' Boston,MA 02118 �J OLIVER M.KELLY:: ';_=.>'- �� J �i �r 8 RHINE RD. YARMOUTHPORT,MA-`02675 Undersecretary Not valid without signature Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction Super fispr Specialty CSSL-099167 Expires:09/28/2021 OLIVER M KELLY 8 RHINE ROAD fink YARMOUTH PORT MA 02676 Commissioner DATE(MM/DD/YYYY) A P CERTIFICATE OF LIABILITY INSURANCE 09/03/2019 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 CONTACT NAME: Linda Sullivan DOWLING &O'NEIL INSURANCE AGENCY PHONE 508 775-1620 AI No: E-MAIL ADDRESS: lsultivan@doins.com 973IYANN000H RD INSURERS AFFORDING COVERAGE NAIC# HYANNIS MA 02601 INSURER A: ACE AMERICAN INSURANCE CO 22667 INSURED INSURER B: KELLY ROOFING INC INSURERC: INSURER D: 8 RHINE RD INSURER E: YARMOUTHPORT MA 02675 INSURERF: COVERAGES CERTIFICATE NUMBER: 443771 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD MM/DD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑JECTPRO- ❑ LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS WA BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB HOCCUR EACHOCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION V PER OTH- AND EMPLOYERS'LIABILITY Y/N /� STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 A (Mandatory inBE EXCLUDED? WA WA WA 6S62UB8H08580919 05/10/2019 05/10/2020 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached it more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date-that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN David Citino ACCORDANCE WITH THE POLICY PROVISIONS. 111 Nantucket Avenue AUTHORIZED REPRESENTATIVE South Yarmouth MA 02664 "� C Daniel M.Cr ro4y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD - : ,: ice., ��;�y.Y.-;-•�-:- �.• ' ¢, i �.'� � � '- ; ; • 7jj7 V { ' �� I 4 ! r y ,ta' s 7,. mot. .x �, r, • • � .. - - . tv OD d svt/. OA./ rAelE :�' .V,L'� ;�f�DW.V I�IGQ@i7N�' .A�%t7► 79F1�"T �"T �c�` ° •...'": , - �' Lim - G"QA✓tA! !i1• •710 e Y-.0 ii1+V C31 !¢so• 7%S Af%/-CWa' E3 F#,E'h!5 i9 8C. Cot/2Z . Y•` wy� w,1d , r TOWN OF BARNSTABLE Permit No. 36 a i Building Inspector - -- — Cash xx OCCUPANCY*' PERMIT Bond "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or'enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to liamlyn Realty Trust Address Lot 09B 40 Carl 'Xvenue Hyannis Wiring Inspector $ � Inspection date Plumbing Inspectorf _,�ue) x K ,,/ f Inspection date LGas Inspector Inspection date ter, <v Engineering Department J+ Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. i ...................../ .............._... 19J ............................................ uilding Inspector ~ 1 Assessor's map and lot numbe// ?� Sewdge Permit number .......................... SEPTIC SYSTEM 4 INSTALLED IN COIN DLE ' . d , : Ho number ........................................................... WITH TITLE E 9op "639• m ,- 0 ENVIRONMENTAL. C� TOWN OF B AR N S T AITLEPULATIO < BUILDING INSPECTOR a- APPLICATION FOR PERMIT TOC ....'.. . . ..... .......... TYPE OF CONSTRUCTION ........,. .......... .. ....... ...................................................................... .................................................19........ R ti• TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for agpermit according to the following information: Location .... y L . . . X.0.7. .�....... Proposed Use ....... . ZoningDistrict ................ .............. .............................Fire District ............ ...................... Address � � Name of Owner ... ...... ..... ... ... ... ............................. ........................................... Nameof Builder .... Z' '1�....�j��...... ......Address .................................................................................... Nameof Architect ... ...... ......... .. ... .......... ............ ...Address ............................................................... ................ Number of Rooms .........� .L...................................................Foundation ..._.. < . .. .... ................ Exterior ....... p2oofing .......... ..... A4- -.....A—,................................... . Floors ......1. ...e................................................Interior ....... Heating .........Plumbing. ................................................ Fireplace ........../....................................................................Approximate Cost .................................. Definitive Plan Approved by Planning Board ----------------------_---------19-------- . Area .....�U ...s..�. ...�....... `'— Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH Wd A JD I hereby agree to conform to all the Rules and Regulations of the—Town of Bar stable regarding the abo� construction. S _ Name ... .4 .... ... !:.. ..1 .. ....t.. .................... t HA,1LY14! REALTY TRUST 4 ` No 2.3.6.0.1�permit for ...fir?.. .S`i or�'...�..... c } ......Single...Famijy...DW 1.1j.11.g......... ... - r - Location .Lot... 9.. ......4.0....Carj..A.Variue. ......... . ..1Yaf11� ....................... :..:....... Owner .... ..Txuat.......... Type of Construction ...F.r:arse Frame......................... ............................................................................... Plot ..^..?...................:. Lot ............................. Permit Granted ' October 30 31 J ........................ .r....19 Date of Inspection��7 "�/�....................19 s. Date Completed . ..19................. a PERMIT REFUSED ............. ....... ........................................ 19 • = ri ?; ...............< MIA 4 x g m Approved ................................................ 19 4 ............................................................................... ............................. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map "D Parcel Permit# j� 7 Health Division ='"J I 10a Date Issued Conservation Divisio r S� O Application Fee �0- 00 Tax Collector. Permit Fee 0 Treasurer APPLICANT MUST OBTAIN ASEWER CONNECTION PERMIT FROM THE Planning Dept.: ENGINEERING DAMON PRIOR TO CONSTRUCTION Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 0 a-C I PY Village " Owner I<fAA o�n C�ir1(1 i Address 1 00 Telephone Permit Request ��. �'CXS( CA1n _ Vco-�Orin�- -\�J,0� KOV Yap, a e-rp4-�,% G . Square feet: 1st floor: existing -IL? proposed 2nd floor: existing _ proposed GI Total new tpl� Zoning District Flood Plain Groundwater Overlay Project Valuation -�1 Construction TypeO Lot Size a�- ! Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Si Two Family ❑ Multi-Family(#units) Age of Existing Structure 2-0 Historic House: ❑Yes XNo On Old King's Highway: ❑Yes ,YNo Basement Type: X"Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing �~ new r Half:existing new Number of Bedrooms: existing `2- new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: , Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes XNo Fireplaces: Existing New Existing wood/coal stove: ❑Yet ❑No -K Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑nei size® Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: / 'C o` w 1' Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ° -' Commercial ❑Yes ❑No If yes, site plan review# ko a' e � Current Use Proposed Use i T BUILDER INFORMATION Name r'C.) lAtelephone Number Address ��'-� U License# O: In s o c ` + MCA- d ZS-�,­3 Home Improvement Contractor# ��()01750 Worker's Compensation# 0 ,2 q`3-1 3.-0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO g6ou(-CQ--- SIGNATURE DATE O 2, FOR OFFICIAL USE ONLY t PERMIT NO. DATE ISSUED MAP/PARCEL NO: ADDRESS `? T VILLAGE OWNER L r DATE OF INSPECTION:r FOUNDATION - _F FRAME C 1 - C?_L r' INSULATION Y-2 q. Q Z 9 1 N S U FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT-- ASSOCIATIOMPLAN NO. ` i MAP 6 16 1 # 1 MAP,306 MA 306 6 # 20 __ # 33 MAP 0 MAP 3 \ 10 # 43 : ...-. 06 5 MA 306 f:\dgn\conservation.dgn 05/09/02 01:24:59 PM 4 r RESIDENTIAL BUILDING PERMff FEES ' APPLICATION FEE New Buildings,Additions $50.00 � Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot x.0031= �� o plus from below(if applicable) ALTERATIONSIRENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ) . ACCESSORY STRUCTURE>120 sq.ft� >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf .100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (num Fireplace/Chimney x$25.00= (number) Inground Swimming Pool .$60.00 Above Ground Swimming Pool $25.00 oc ation/Movin $150.00 Rel g � / (plus above if applicable) g Permit Fee projcost I i 730 CMR Appm t 1 Table JS.Zlb(continued) 4 Prescriptive Packages for One and Two-Family Residential Buildings Heated with Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab Heatiug/Cooling Area'(1o) U-value= R-value R-value' R-value' Wall Perimeter Equipment Efficiency' Pie R value° R-value' 5701 to 6500 Hating Degree Days' Q 12% 1 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12-/- 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal . V 15-/e 0.44 38 13 25 N/A WA 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 19% 0.32 38 13 25 N/A N/A Normal Y 18% 0.42 38 19 25 N/A N/A Normal Z 19% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: �A C I pw y, JvV r 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: -zoo 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a I i 780 CMR Appendix J Footnotes to Table J5.2.Ib: I Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. Z After January 1, 1990, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frarhe or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 6 The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement dscribed in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " If the building utilizes eleetria resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with equal to area-weighted average R value is eater than or q different insulation levels,the component complies if thegh g greater the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 The Commonwealth of Massachusetts .............. Department of Industrial Accidents oxce ofiasestigations . 600 Washington Street Boston,Mass. 02111 --� Workers' Com ensation Insurance Affidavit name: location: LA O l=Qkf 1 - city _ hone# ❑ I am a fiorheowner performing all work myself. ❑ I am a sole r rietor and have no one workin in an5 a achy �I am an employer providing workers' compensation for my employees working on this job. core an ::name:.::: is.:.. .. a� � :•::::•ii:t::::;''•::::::::•::::::i'i::•:•:::.':...:.::.i:•i.::::•: :..::•i:•i.:• .. ::f:•i'::•::::ii::::::iii:vi:::4i::Sii:'i}ii::ii: v:::::::i':::v::.':::i'::':.::::is✓.::. ...vF.:.:.i.:i:'::':::::^:::""'. :•'::'::::':::ii'f.'::i?::ii::::::::::::i:':::i::':':'.i:::i ::::::::::::.::.::::... :.:::i:::i: :::::i::fi:::iii:::L!;:L2i;:jiiji:i::i!{:;i;:;iii>::;:j:::: ::.: ....:..:::... ::• :•.•.:i.•.................. ::: •:::::::•: : .:........................................:::.:..::::.:::.:•::::::::::::.:::::::::::::::.::.:.. .:.:.. ........:.:.:::::::::: .:.::.:::::::::.:::.:...:�:::: ......:: ..... :. ::: .::.�:. r atldress . .:. may'. tct. +�,:. :-N ' A..1'�..::�. __...... �, � . hone#. . .. X. _. . X. Insut'anctt:o:. : 1"$�� .�:. _.............. oh ..#..... ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers'compensation polices: X. .. ...:::.:.:.'.:'..:;..:.......:.:.:..... rim one: h.;. i 11raR : ......:..:.. c name:';::::':>::>:<::::>;:>:::<::::::<;«?::. :;.::.;:.:::.: ;:>'«:::: :;.:.. .. .... X. .::::.. :...... aildresss .......... :..... ..... hone ::.:.. ::. #risar Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify the pains a d penalties`of�perjury that the information provided above is true and correct Signature ✓ v Date 10 - Print name �� 0 rl O Phone# l� ®�'l U) official use only do not write in this area to be completed by city or town official city or town: permit/license# OBuilding Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 9195 PIA) Information and Instructions , Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract 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., construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not acceptable table evidence of compliance with the insurance coverage required. Additionally,neither the P P commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required,to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pa number which will be used as a reference number. The affidavits may be returned 16 . the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents. g11lce of Investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 FROM OLDE CRPE BUIDERS INC PHONE NO. : 50B 420 7327 May. 10 2002 02:33PM P2 _ F-I LL No.503 ()6/09 '02 PM 12:21 I D:ASSOC I ATED ELEVATOR F(�X!508 7602809 PAGE 1 85/99/2002 a9S25 413-447-2002 "SHNG ADMIN �r lS r' LOT J?� ASS wr zor ti AW LOF 101 r f1 LIX-1 i ip A sss s' ` LOT 1410 \ � y dat ASS WT xga� zornow nr� a �v�w. trly� AIR EoArAD 8'-,8" ra MORTGAGE INBPWMON milk PA FLOW zolm A ' TAT 1 WIWINo YANKI E SURV'E BMWw p oN ,rxa OWUND AS CONSULTANTS BHOWN s INA� gay o� �t ..... . COMM one �ox�Na art x =Qmmm or � sob IMU& x49% AND THAT E 1't' 770 .- BE !�9 m f Slf" AL s'[Oo H Tel, d�-�� Awl► AtF ON ' .m• 'i'� FAX 420-6552 ff tuo f l RETGAJCwLpc�TIQNs I g NAMMOP BU 0_ I I GON'STRUCTION SU ice PERVISOR Lnse g C . ONO* Number _ 73 Biyt�ifafe7<IO Tr.no: 76.850. x fhf Restricte-01T E I RIO , 2 BIACICN1q CM W _. AISL at Y N°I�AISHPEE, MAA 026!t9 4 1 . . ' HONE INpRCgfNEHj COHiRRCrOR. Registratio 1309 Expiraiio�: 30 = - i Oi/1?/1002 YPe: Individual j JESSE 0. CRPRIO. ApMINISE '..4PRI0 TRATOR 1 O ACKW TCH Up NNSHPEE 2 HA 01649 . TME r Town. of Barnstable Regulatory Services �B TaBI'E�A � Thomas F.Geiler,Director -Up 1639. �0 lF ., & Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 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 buildingcontaining at least on g e 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: l Estimated Cost��� Address of Work: LAQ Owner's Name: 2ch_4 S�M Date of Application: O (i 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 a ply for a permit as the agent of the owner• 0 Z r i O �:��q �� Date Contractor Na e Registration No. OR Date Owner's Name Q:fomislomeaffidav Assessors map and+lot number ..................../.................. G� ro�Qy�f 7H E Sewage Permit number .... ,......l..��..../�........................... BARNSTAIfLE, i House number......../........................ 9O Mae& ......................... pow 1639. 9� 'SOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO !Js �4�d ............................ ....... TYKE OF CONSTRUCTION ........�.....................................�...�:`:�:�................... .•................................................. f ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....� ...........� �.tj ......... ........................... ....� .......... ;........................ ... ProposedUse ....... �aA.. .. ........ !r, . . ?... ........................................................................... ... .. .u. �. .mil .. ZoningDistrict ..............:............... ..........................,.....Fire District .................... . ................. .,L /........................... Name of Owner . 4..� ►A /IA Address ... �� .... �'....... Name of Builder .....1..1 - - 1. �? J,/ri��!,. .1/•11::.yL-......Address .. ...... ! ....... . .............................ti Nameof Architect ......... .. ....................................Address ............................................................... ................ Number of Rooms ........"....... ....... .................................Foundation .. .� 1. .. .. .�. ?.- ............... Exterior ....... �.1.!!.a.` :.... .�.. a //-1-'I ��yn...Roofing '..... . .I. _ ....... �. ...........^. Floors ...... 0 �. ......:.................................... .........Interior ..... ,. . ........................�Z-:. Heating ...........P. ............................... ...:.Plumbing .....::.....................:........................ ........ Fireplace ........ /........................ ........................................Approximate Cost ...... ;}. ..... ........ ..... Definitive Plan Approved by Planning Board----------------------------------19________. Area ............... .*.:. .... ....... Diagram of Lot and Buildingwith Dimensions (3 v Fee ................. .................... SUBJECT TO APPROVAL OF BOARD OF HEALTH r1 X L p,« I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the-above-' construction. : Name . /a,'.1<� .. al.G!�r.. `, ................. 7' �. �' ------- REALTY-- ----- '- 3 ' No rc,mxov � ^ ' i --.. . . Loc #Pu� *o c Lncohon -- .. . . . --- ��.33...'..... ..66. - _ ._____Hy�uuni.a______ ___. Yy ' HamIl'r� Realty ����t ' - -_ -------,-------- . . . . . . ... . . .. Type of Construction -..����P�#A- ------. ' � --------------------------'' . � . . Plot ---------' Lot ................................ October 30 8-1 Permit -----------'�-.lV / Date ofInspection ------------lV � � Date Completed ......................................lq � � - � � . - PERMIT REFUSED ` A .................................... .......................................... . ^-------~- ---------- -----..� � ..... ............ ............................ . . .- ............ .............................. � . Approved ---------------- lg -----------------'----^^'---' ' ^ ...............- ........................................................... --- ' -- 5'-II I/2" '-31/2" '-91/2" 2446-2 ff R.0,441-W 16 V5308 62010�w8�� 9� gi i IS WALL 26/66 R.0.2 6-1/8" 8''7 1211 01n POCKefve.2446R.O.2'6-1/8" x 4,9-1/4" 2'-01/2" -01/2" /66 2,,�„ Aran 2 15'-81/2" x 2 RV PLAC�WNT OF . THI5.5TAIMWAY 15 XACT PLAaWNT IN fl 19 nIPPCTLY ABOVE EXISTING 5UN PECK MWAY ONTINUO5 OZZ VENT 5 V5-5 8 2x8 PA�TEP5 @ 16" O.C. 2x12 01ZE 60AW 51ZE ANP PLACEMENT �" �� I I � 1N EIEIn o a'i Iy/16 30-y 1/2" CPX PLYWOOP%fATHIN FWN316sAJz xa9 I, 4 " 15 W. FELT PAPER W/ ASPHALT 5HINGLE5 TO MATCH EXISTING R.o,3'i" x.55 � OI,LAP.TIES @ 4' O.C. • EN.MALING l___ 11_2�� 5''011 I 2446-LI i tru5"AfTA ISP1 U`,�1 W/2nd FLOOR 2446 CON11NU05 VENT I6R,0.2'6-i/8"x4'9-v4" T'MIM"TO MATCH EXI%NG 3'-61/2 3'=51/2" -h91N5, 1602-5/8 5T UP5.@ 16" O.C. 1/2" SHEATHING W/TYVEK C OM W1.lAl.) . -131N5. • 2'-51/2" 3'-61/2" *W.CWX 5HIN6LE5 51nE5 ANP MEAM CLAP1304V EMONT General Notes ---- 26' - -- 2x10 PLOOP J015T5 �! ! G n i i �15SM19 ALONG W/�XI51%4 ITS [ �.J�a PI A Y 1 @ 16'�_O,C._ ALL CUf�Nt Fe17�t,'fV., 5TA1�AN17 LOCAL COC 0. IN CE5 AN 2-W(AIATlON5, ETC 5H&I, P, _ Pn AN 2' C VEI; CON5119EW A5 PM OP.THE 5PECIPICATION5 THI5 DUILPING, ANn APE TO 6E APfM I2 TO Eli' EXISTING EXTERIOR WAI.I 1 X45 M PM1,I,ING XI5T1NG f3 A121NG WALL THEY AM IN VMANCE WITH THI5 PLAN,THE LICE CONTPACTOP AN19/OR HOMEOWNEP WILL XI511NG EXTEMIOP WALL A55UK&L ME51"ON51PILITY FOR COMPLIANCE WITH ALL CLWNT FWn MN., 5TAT AN7 LOCAL CObE5. NEITI•�P CAPE CAP, f3PIAN T WAPI OM PAINCIF 01E51GNEP5 A55UME5 ANY W5PON51PIUTY OVER PHASE OF CONSTRUCTION OR COMPLESP PUU Tip PUMCHA5EP OF V15 PLAN SHALL De MESPON` TO VEPIEY ALL ELEMENT5 OE ff% PLAN5 FOR 19E51X ACCUMACY ANP 51ZE PMIOP TO ACTUAL CON5TRLIC11ON, or 00, �451IN6 fO P�MAIN brawn Pq: Priah f, Ferrari 001, CAPS CA12 C Computer Aided nOwN braRin & besi n) ,• Too 135 NT Prawn For, oo PAY & PONNA 5MITH 1 6- 40 CApI AVM , NYANNIS V/z P 40 t Sheet FI \5f F.LOR PLAN W/ CHAN6�5 1 1---0 V53o —— 5UN?PCK HU XACT 519,-M, LHIJ LMI ; PLACrMf IN PELt7 ... . •. rf••I!••t 1rw�'.h.. �..5�••. •I.1, •w.J••ti:.•tis.w:•'}..•i:}�•.1. ti1 `'�.tr•' ..w.:f1.•sr:r• !..•.•:•�`. J•t�' Y �•�:: '•�).y•;" �f'� ft. i:•}��, s'• , .� •• ,I•. •:t'•' •'•ti••r1,• •� .,•t: ��; 7 ./�i..�• • '`sj t•i �.�...f••',,�•.•.I'.s� •� '•j', ,*.: •� .• T• �,� •, .r, 'r I •r' • R,{ .. ,• • � •w ••.. ,:)'tf.'1,•Y•:;;••'t 1�. 1 s..wt ':�• irV'�'.�..f J'I' •�• k;S.:N �'.;;y fi,i L' .'t.:. S• s. !�. � ••4 ` r, �t!'�L:�•.:�t•I�..\. f.:r.:. ��• t • 1 • ••,I • •r:••• qq : ,••R•%�• ••. t Nf/.•,r: • t. ).�'" • !'y,�.}j.•••d,ft? .r. f;• , ,••.�ti�'yi •• .}::s��'!.•.::b•• .:h •if S .,i 1•.. . '�'��..�i: r•x f:t•K.. „+.,.. �•�.��J;•�1 it• ,�.�f Tt ••.•I,'.Q.V i•t•. .•f•:•.� ,l.:• 1 ,. . •t�t'�-•(1� ,'�: 's: • h'1 �«:,L..!M.•�.,i•✓"f,VU: ..�•!. y`�•.t 4�.�• 'tr' •�;4 ••. .t '7r. ,•�.i t•:•''Ats...1�•.� - t' General Notes ��Ff �VAION F.PoNT r,, VATI0N ALL CUMNf MMPAL, 5fAt AW LOCAL COM5, n0R5, -fC. 5-IALL M --- -- CON51MM19 A5 PAI;f OF:11f 5PECIFICA11ON5 OF THI5 l3UILVING,ANn AM.1i 0 9 AMW17 fO MN IF t TIDY M IN VAPIANCP WITH TH15 PLAN, ff LICPN%12. CONTI?ACf01;ANn/-Ok HOWOWNR WILL A55UK ALL 115PON51011,ITY POP COMPLIANCE WITH ALL CUMNf F.E19 L, 5fAT M12 LOCAL COM5. WIIKR CAPS CAR C3C;IAN f MAIZI 0R PWICIPA11N6 M516NR5 A55UW5 ANY M5PON51131LIfY OWR ANY PHA5t OF CON5TRUCT10N OR COMPLMn 131,11WIN6 -- - Ve PLIPCHASPP OP 1NI5 PLAN 51-1AL1, M WTON51M fO WkIPYALL UMPN5 OF ff5'� PLAN5 FOR K51GN,ACCUZACY AN7 5U Pfza fO AC1I.IAL CONSTPl.1C110N, brawn 13�, Prian f- Ferrari . CAM CAP IEEEC Computer Aided V53 p • . . � � j � �raf�in & �besi n� � II I a -.— ® �� brawn For, 5UNMCK XACf 51a ANn • PLAaM�Nf IN FEW PAY & nONNA SMITH .. 40 cA�� Avg .-� P Sh" ftj AMITY Tp�Ap �VATION P\,16Hf �L�VMON V/,.4 10 / 2� 1' 00