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TOWN ( F BARNSTAI )t.E:BUILDING PERMITAPPLICATION
Map Parcel .} {{ Permit#
Health Division .M ( ► ! -2 I I c � �i��� ��' Date Issued
.Conservation Divisi0n o . I �/� ?� / Fee `� �' s +:Z;_
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Tax Collector; - �`J ;.
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Treasurer
Planning Dept:
Date Definitive:Plan Approued by Planning Board
Historic OKH: Preservation/Hyannis t
Project Street Address ' �� :�
Village Al
Owner "�'� °g0 fir' > Address. ; S, 42e—
Telephone 7 9
: Permit Roquest f e os.! &77X,L kfiZTfg�
Squarefeet: lst floor: existing Z proposed "' `°' 2nd floor:existing proposed Total new
e3.3 0
Valuation Zoning District ' Flood Plain Groundwater Overlay
Construction Type +w'e
y..
Lot Size ` Grandfatl erred: ❑Yes O7 No If yes, attach supporting documentation..
Dwelling Type: Single Family f Two Family�Q Multi-Family(#units)
Age of Existing Structure ={ '�listoric House: O Yes A No On Old King's Highway: O Yes .�No
Basement Type: Q9 Full Q Crawl 0 Walkout ❑Other
;,Basement"Finished Area(sq.ft.) 1 Basement Unfinished Area(sq.ft)
Number oFBaths: Full: existing new Half:existing new
Number of Bedrooms: existing. new
Total Room Count(not including baths) existing ' . new d` First Floor Room Count
Heat Type and Fuel: O Gas P'Oil ❑ Electric. O Other
Central Air: q.Yes M No Fireplaces: Existing pl- New Existing wood/coal stove: O Yes O No
Detached garage:O existing 0 new size Pool:0 existing Q new size Barn:.0 existing:..El new size
Attached garage:O existing O new size Shed:.O existing:0 new .size Other:
Zoning Board of Appeals Authorization 0 Appeal# Recorded 0
Commercial 0 Yes. gNo If.yes;site plan review#
;s Cprrent Use e St w' _ Proposed.Use r ram'
✓'� BUILDER INFORMATION
AV Npe
Name& � mg, - , d �a, 17- : 1' f.:Z-_ Telephone Number
Address 2 :,_/2' y 'rd, ,� License#
Home Improvement;Contractor#. A-We")
74�7
Worker's Compensation# (�r� =•' -` '`�
ALL CONSTRUCTION.DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
ff a
SIGNATURE` Z a 6/r DATE /
3
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TOWN OF BARNSTA_BLE BUILDING PERMIT APPLICATION
Map Parcel ' Permit#
Health Division J"�'w (� �' t Date Issued 2� O
Conservation-Division s� �� Fee j�0 L ��
Tax Collector • �+�U �� a /01 1/0 a
SEPTIC S STEM MUST k�Z
Treasurer l ' l d1 f INSTALLED IN CONIPLIA=E
Planning Dept. . WITH TITLE 5
p
=
ENVIRONMENTAL C= AND
Date Definitive Plan Approved by Planning Board TOWN REOULA11 0,1,
Historic-OKH Preservation/Hyannis
Project Street Address / 7 e ��0091
Village �H
Owner mk5f iL:!�_4-a'/LL � Address SW14e°-
Telephone 7 Z 31C
Permit Request D/rl!/ g426, 1 /gq/D ��rl?"�Y f DDIT/spit/
ey
Square feet: 1st floor:3a
existin proposed-31Y 2nd floor: existing proposed Total new
3 c►U �
Valuation Zoning District g G - Flood Plain Groundwater Overlay
Construction Type Wa o,
Lot Size Grandfathered: ❑Yes �6 No If yes, attach supporting documentation.
Dwelling Type: Single Family X Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes J1 No On Old King's Highway: ❑Yes A No
Basement Type: 91 Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing / new Half: existing new D
Number of Bedrooms: existing new
Total Room Count(not including baths): existing (ea new�_ First Floor Room Count .fr
Heat Type and Fuel: ❑Gas X Oil ❑Electric ❑Other
Central Air: ❑Yes W No Fireplaces: Existing ✓ New Existing wood/coal stove: ❑Yes ZrNo
Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing ❑new size Shed:,existing ❑new size Other:
Zoning Board of Appeals Authorization LJ Appeal# Recorded❑
Commercial ❑Yes XNo If yes,site plan review#
Current Use 12,E Proposed Use5�/� /Grp j
BUILDER INFORMATION
Name jyfe0,�,o�/%'dde 1��Y`T �Si�eG��941,57 5Telephone Number a��=�$/✓�
Address #
Home Improvement Contractor# 149102 `f
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �Z
SIGNATURE DATE
,I
1
-., FOR OFFICIAL USE ONLY
PERMIT,NO.
DATE ISSUED, µ -
MAP/PARCEL NO.
ADDRESS• ,, t' VILLAGE
OWNER . a ,
DATE OF INSPECTION}
}
FOUNDATION;
,
FRAME r.
INSULATION
FIREPLACE - - -'
ELECTRICAL: ROUGH FINAL la
R
PLUMBING: ROUGH FINAL
GAS: ROUGH' FINAL
FINAL BUILDING.-
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DATE CLOSED OUT
ASSOCIATION PLAN NO.
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�/ee t°io�.�eo�uueall� o�✓l�aaeaa4i�eeQ2 � �•
BOARD OF BUILDING REGULATIONS
Liesneo: CONSTRUCTION SUPERVISOR
Number. CS 010350
BIdWab: 07J23/1941
"= Expires:07/23/2003 Tr.no: 11905
To: 00
ROBERT A MACLAUGHLIN
25 HARVARD STI
S YARMOUTH, MA 02664 AdministraW
�-\ ✓� VO�!7/1r1.4'1L6O6Q.U�L O�ii�%GQG�LIIGet�6
Board of .f3ui..jdina Peaulations and Standards
One A^hb«rton Place - Room 1301
post.on , Massachur etts 02108
Home Improvement Contractor Registration
Registration: 101.014 Expiration: 6/24/02
Type: Private Corporation
CAPE COD HOME IMPROVEMENT SPEC .
Robert MacLaughlin
25 Iyanough Road
Hyannis MA 02601
I
MAScheck COMPLIANCE REPORT I I
Massachusetts Energy Code I Permit # I
MAScheck Software Version 2. 01 ( I
Checked by/Date I
CITY: Barnstable
STATE: Massachusetts
HDD: 6137
CONSTRUCTION TYPE: 1 or 2 Family, Detached
HEATING SYSTEM TYPE: Other (Non-Electric Resistance)
DATE: 12-13-2001
DATE OF PLANS: 12-12=2001
TITLE: Family Room Addition
PROJECT INFORMATION:
f.
Mike & Jill Kennedy
17 Gregoire Circle
Hyannis, Ma. 02601
COMPANY INFORMATION:
Home Improvement Specialists of Cape Cod
25 Iyanough Rd. '
Hyannis, Ma 02601
r
NOTES: M'
Job is to be -framed by'-homefimprovements. The home owner will be
finishing
the .project (INSULATION) etc. `
COMPLIANCE: PASSES "
Required UA = 112 '
Your Home 106
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
CEILINGS 91 30.0 0.0` ; 3 h
CEILINGS 336 30.0 0.0, 12
WALLS,:, Wood Frame, 16" O.C. 603 13.:0 0.0 50
k
GLAZING: Windows or. Doors 35 0.340 12
DOORS 42 0.320 13
FLOORS: Over Unconditioned Space 336 19.0 0.0 16
FLOORS: Over Outside Air 8 30.0 0.0 0
------------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design described here is
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 H`JAC equipment selected to heat or cool the building
shall be no greater than 1250 of the design load as specified in
Sections 780CMR 1310 and J4.4.
Builder/Designer Date
y
Y
MAScheck INSPECTION CHECKLIST
Massachusetts Energy ,Code
MAScheck Software Version 2.01
Family Room Addition
DATE: 12-13-2001
Bldg. 1
Dept. I
Use I
I CEILINGS:
[ ] ( 1. R-30
I Comments/Location
[ ] I 2. R-30
I Comments/Location
I w
WALLS:
[ J I 1. Wood Frame, 16" O.C. , R-13
I Comments/Location
I
I WINDOWS AND GLASS DOORS:
( ] I 1. U-value: 0.34
I For windows without labeled U-values, describe features:
I # Panes Frame Type Thermal Break? [ Yes [ ] No
I Comments/Location
DOORS `.
( ] i I. U-value: 0.32
I Comments/.Location
FLOORS:
1. Over-Unconditiofied Space; R-19
I° Comments/,Location
[ ] 1 2. Over Outside Air, R-30
I Comments/Location y
I
I AIR LEAKAGE:
3 a
[ ] ( 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 ta ` '
I shall meet one of the following requirements:
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. .
+ 1 2. Type IC rated, in accordance with Standard ASTM E 283, with no
I more than 2.0 cfm (0.944 L/s) air movement from the the
I conditioned space to. the ceiling cavity. The- lighting fixture
! 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.
I MATERIALS IDENTIFICATION:
[ ] I Materials and equipment must be identified so that compliance can
! be determined. Manufacturer manuals for all installed heating
I and cooling equipment and service water heating equipment must be
i provided. Insulation R-values and glazing U-values must be clearly
I marked on the" building plans -or specifications.
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 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 be :
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:
( ] ,: I 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 in-'put to each zone or floor shall' be provided.
I HVAC EQUIPMENT SIZING:
[ ] I Rated output capacity-of the heating/cooling system is.
I not greater than 12.5% of the design load as specified
I in Sections 78OCMR11310 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
I non-depletable sources. Pool pumps require a time clock.
[ ] I HVAC PIPING INSULATION:
I HVAC piping conveying fluids above 120 F or chilled fluids
I below 55 F must be insulated to the following levels (in. ) :
I
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
l Low temperature 120-200 0.5 1.0 1.0 1.5
I Steam condensate any 1.0 1.0 1.5 2.0
I COOLING SYSTEMS:
I Chilled water or 40-55 0.5 0.5 0.75 1.0
refrigerant below 40 1.0 1.0 1.5 1.5
1
[ ) 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
I HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+"
1 170-180• 0.5 I. 1.0 1.5 2.0
i 140-160 0.5 I 0.5 1.0 1.5
I
100-130 0.5 I 0.5 0.5 1.0
----NOTES TO FIELD (Building Department Use Only)-------------------=----
--_ '� The Commonwealth of Massachusetts
.....
--: Department of Industrial Accidents
600 Washington Street
Boston,Mass. 02111
Workers' Compensation Insurance Affidavit
////%%%%O/%///////,
name: �P f mT/�•L /Cti/Y�(/ �i�l/
location: l7
city phone ii ,7AV _Z 3 4>Z
❑ I am a homeowner performing all work myself.
❑ I am a sole ror)rietor and have no one working in any ca amty
I am an employer providing tivorkers' compensation for my employees working on this job.
O
address: .!O►.D : .;;::.. ..::;^. ,,:;:<<: •.,
city: n%J9- phone
insurance co. G G lJ /Y�G olicv# /,r
❑ 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:
comaanv name:
address:
city phone#-
Insurance co. oitty#• ... . . <.>::. . ::.::....
--------------
comnanv name:
address
city: ... phone#:
Insurance co. oiiiv
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a One up to 51.500.00 and/or
one vears'imprisonment as well as civil penalties in the form of a STOP♦VORK ORDER and a One of 5100.00 a day against me. I understand that a
copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verincation.
I do hereby certify under the p and penalties of perjury that the information provided above is truo and coned
signature Date /Z—47—IV/
Print name /yz�G �'f�llG /��/ Phone# U5��-8l��
official use only do not write in this area to be completed by city or town oOlcialva
city or town: Permit/license li ❑Building Department
❑Licensing Board
❑check if immediatt response is required ❑selectmen's OMce
C311ealth Department
contact person: phone#; Other
(,wawa gigs PIA)
Information and Instructions
,ter 'J.
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 cc=--
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 cf
the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receive: c:
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 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 coverage required. Additionally,neid=..the .
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 applicanL Please
be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to
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.
/011
The Department's address,telephone and fax number. _
The Commonwealth Of Massachusetts.
Department of Industrial Accidents
Office of Imresdualloas
600 Washington Street
Boston;Ma. 02111
fax#: (617) 727-7749
phone #: (617) 727-4900 ext. 406, 409 or 375
k • -'b°= The Town- of Barnstable
&4 Msrast.E. ,
MASI 1m�' Department of Health Safety and Environmental.Services
59 A Building Division
367 Main Street,Hyannis MA 02601
4
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements.
Type of Work: 'DB l T!rd.t/ Estimated Cost
Address of Work: 1 z ;/Z P G Glzll=- G = �6L''L�
Owner's Name:_A&A 1& 't-
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
[]Work excluded by law
[]Job Under$1,000
[]Building not owner-occupied
[]Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner.
Date Contractor Name Registration No.
OR
Date Owner's Name
g1orms:Aif day
7 � j
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9Y-0"
y-a 19'-1071Y'
BATH KITCHEN
+'-11'x R'-b' 19'-9'x 4•-6'
BEDROOM
11'-10'x 12'-10' /.. - -
AF U
• ., ,-�, LIYING -
1H•-10•x 18•-5- -
BEDROOM ua
l t'-5'x 10'-1"
Existing First Floor Plan
Mike & Jill Kennedy Date: 1211212001 Pg. Home Improvement Specialists of Gape God Inc.
17 Gregoire Gircle Scale: 114" - 1' 25 lyanough Rd. Ph. 5013-1-15-2615
Hyannis, Ma. 02601 Designer: Paul Savage - Hyannis, Ma. 02601 Fax.506-1-15-266T
s
_ 12-21W1f1' 5'-81(2' 11'-11 1M 1b'4 1J4"
718" b'-U' 4'_i y!E"
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----------------
o j 151tl I �
((j Dw
ao _ I� _s_____
BATH FAMILY
BEDROOM q'-tt x 4_b' 00 KITCHEN
11'-10•x 12'-10' 13'-9•x R'-6' ,
-- -- --DINING
- 13'-10•x 13'-5'
` I 3 ENTRY o ~ -
W-e•x s-s• ,
Q,
M
' BEDROOM �I zap y
.. I1'-5•x 10'-1' Lj
pn.�'
Proposed Family Room Addition
Mike & Jill Kennedy Date: 1211212001 Pg. Home Improvement Specialists of Gape God Inc.
17 Gregoire Gircle Scale: 114" = 1' 25 lyanough Rd. Ph. SOB-175-2615
Hyannis; Ma. 02601 Designer: Paul Savage 2 Hyannis, Ma. Q26Q1 Fax. 508-775-2887,
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Foundation Plan
Mike & Jill Kennedy Date: 12/12/2001 pg. Home Improvement Specialists of Gape God Inc.
11 Gregoire Gircle 5cale: 114" = 1. 25 lyanough Rd. Ph. 50b-115-2615
Hyannis, Ma. 02601 Designer: Paul Savage / 4. Hyannis, Ma. 02601 Pax.50b--1i5-2bb-I
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Mike & Jill Kennedy r Date: 12/12/2001 Pg. Horne Improvement 5pecialists of Gape God Inc.
' 1-1 GregoireGircle Scale: 1/4" - 1' 25 lyanough Rd. Ph. 505-115-2815
Hyannis, Ma- 02601 - Designer: Past Savage �• Hyannis, Ma. 02601 Fax. 5o8-115-2881
,�.---Ridge Beam 1 314 x11 314 LYL
' 25 year roof shin
• - - 151b_felt pope_ 2x1O 5td&Btr_Roof Rafters @ 16'0.6.
112 adx roof sheathkg-�� ` R-30 ceiling Insulation
20 O.F.5td&Btr,ceiling Joists®W OX
primed pine trim boa Over Mud Room
white aluminum 6uttar �' -
` .,. 1I2'5heetrock -
Mite cedar side wall shin
` 112'5heetrock
- Moisture Barrier 151b.felt --- —2x4 D_F_5td 8 Btr_Fire Block
112"CVX Plywood Shear 5ub-51 '
R-131Mal1 l nsulation
2[4kd 5td&Btr_5tuds®1b' 112'Plywood Underlayment �.
' - - 2x4 kd 5td&Btr.P 515 Plyuwad 5ubflooring y
2xb D_F.5td&Btr_Floor Joists 012'0.6
Foundation Ve
2xb P.T_Mudsill&Foam 50'�•-�' `''�
112'x 12 J-Anch ' `R-19 Floor Insulation ,
Grad
45' Grade
Foundation:
8x4b poured concrete walls
. _ 8x 16 footing
2'rodent coat over floor ..
Framing Detail
Mike 8 Jill Kennedy. Date: 1 211 212 0 0 1 Pg Home Improvement Specialists of Gape God Inc.
17 Gregoire Circle Scale: N/A 25 lyanough Rd. Ph. 508475-2B15
Hyannis, Ma. 02601 �-- b. Hyannis, Ma. 02601 Fax. 508-"I'i5-2BB"1
Designer: Paul Savage