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HomeMy WebLinkAbout0049 HARBOR ROAD �`� ���ho� �eq� i �i, I e � dd Town of Barnstable Final Inspection Affidavit Date: � Building Division 200 Main-Street Hyannis, MA 02601 RE: Insulation Permits Dear _. . This affidavit is to certify that all work completed at: Street: 4 f-fkk. 02 -- ILJ Village: has been ins ected by a certified Building Performance Institute (BPI) Inspector. All work performed meets or exceeds federal and state requirements. Permit applicatio Zbb E>-I%—"� Q Issue date: Sincerely, e Francis Sheehan President Frontier Energy Solutions, Inc. 502 Harwich Road Brewster, MA 02631 Office: 774-237-0410 Email: fssfrontierenergy@gmail.com 301 L)'1/VG D Epr MAY 14 2019 TdVVIV l�r' L,naloy�� r Town of Barnstable Building a '' i i Vrsible<Frorn the Sheetq $'rovedrFlans'IVlust be Retained:on Job"and#his Cartl-Must�be Ke t snniv-srw , • Post,T�^h �CardSo„ That M e " " Posted Until Final lnspection'Has Been Made � � �F 4 z , xuc+' Wh,ere a Certificate of Occ anc as:.Re uired,�such;Building shall,Notwbe Occupieduntil aF+nal Inspection,°has been made Perm Permit No. B-18-660 Applicant Name: Francis Sheehan Approvals Date Issued: 03/29/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 09/29/2018 Foundation: Location: 49 HARBOR ROAD, HYANNIS Map/Lot 306 174 001 Zoning District: RB Sheathing: Owner on Record: MIL NE,J GREGORY y �ConfractorName FRANCIS S SHEEHAN Framing: 1 Contractor�License CSSL-105941 Address: 49 HARBOR RD y 2 HYANNIS, MA 02601 � �� _i Est Project Cost: $10,000.00 Chimney: Description: .925 Sq Ft R-33 Cellulose to attic,85 SQ Ft R 49 Ce I' Ii'a to attic 75 Permit,Fee: $101.00 SQ Ft R-22 Cellulose to slopes,Air sealing, �q Insulation: 395�5 Ft Cellulose to n� walls. 620 Sq Ft R-35 Foam and treated with DG 315 paint i Fee Paid: $ 101.00 Final: Date 3/29/2018 Project Review Req: NEED UPDATED WORKMANS COMP POLICY , Plumbing/Gas E , - L Rough Plumbing:. 3 Building Official. Final Plumbing: This.permit shall be deemed abandoned and invalid unless the work autho�rized�by thls permit is commenced within six months fte Rough Gas: a r issuance. g All work authorized by this permit shall conform to the approved applation and the approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and.changes of use of any building and structures shalLbe in compliance with the local zoning by j w%pr d codes. This permit shall be displayed in a location clearly visible from access street;or ad1and shall be maintained open_for public inspection focthe entire duration of the work until the completion of the same. � S", _ �. Electrical The Certificate of Occupancy will notbe issued until all applicable signatures by;theFBwldmg and�Fire Officials are,pr�ovided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work ? x Rough: 1.foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: " contractingwith unre unregistered contractors do not have access to the guaranty fund" as set forth in MGL c.142A . Fire Department Persons g g y ( ) Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �MATL SEr�T' �0*1HE 'down of Barnstable ' *Permit#�)e) f-3 P ky res 6 monthsfronr issue date Regulatory,Services Fee VLd- e r * BARNSTABLE, v 6 SS.4 `�� Thomas F. Geiler,Director�a X-PRESS PERMIT r Building Division. Tom Perry,,CBO, Building Commissioner MAR ZOO 200 Main Street,Hyannis;MA 02601 TOWN.OF BARNSABLE Www:town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 3 Property Address �aJF ( r µ Residential Value of Work V�0 .Minimum fee of$25.00 for work'under$6000.00 Owner's Name&Address C-7Te 141 ` _ ©2Z,7,P- Contractor's Name � ' —0(,t/j^�� Telephone Number.77 -0 G 10 .. " Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance ? Check one: ❑ I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance s Insurance Company Name Workman's Comp.Policy# , Copy of Insurance Compliance Certificate inust`accompany each permit: Permit Request(check box) Re-roof(stripping old shingles) All"construction'debris will be taken-to f a.t/ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ ' Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows , *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ` ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is P P . required. e SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 090809 t The Commonwealth ofNlassachusetts Department of Industrial Accidents ='�— ;1' Office oflnvestigations 600 Washington Street Boston, MA 02111 wfvw,mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: City/State/Zip: Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with .4. 0 I am a general contractor and I employees (full and/or part-time). * have hired the sub-contractors 6. ❑New construction listed on the attached sheet. 7, ❑ Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have g, 0 Demolition working for me in any capacity. employees and have workers' 9. 0 Building addition [No workers' comp. insurance comp.insurance.$ required.) 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.0 Other comp,insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:_ Policy# or Self-ins.Lic.#: 1 Expiration Date: ` Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required-under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK.ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and pe aIt' s of perjury that the info rmation'provided above is trite eaand •correct. Signature: Date: emc4 -Phone#: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone#: Inforn7ation and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, 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, constriction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)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 produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither 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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s) name(s), address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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 pen-nit 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. Self insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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 permit/license number which will be used as a.reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your 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 Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia f DIME r Town of Barnstable Regulatory Services ' an Le.KASM& Thomas F. Geiler,Director '9Q M6p3g9 A,�$, ' RFD 1,1A'I Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If.Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building.permit application for. s (Address of Job) Signature of Owner Date Print Name , If ProveM Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. O:FORMS:OWNERPERMISSION i> Town of Barnstable F'(HE Tp� Regulatory Services snartsresr.s. Thomas F. Geiler,Director MASS. Building Division prED Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: Gl / q l��r/bar �oczo'� / .. JOB LOCATION: Q�N S number street I village "HOMEOWNER": -1y-g36 -O (0D — sr4� �/. <' " `�- name �Q�� hoome phone# work phone# CURRENT MAILING ADDRESS: r�o 0 lies-f A0. - city/town I state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsibl=for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and 4requiremc4ints. er Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.LI -Licensing of construction Supervisors);provided that if the homeowner engages-a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that hdshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fomm/certifrcation for use in your community. Q:\WPFILES\FORM S\homeex empLDOC TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION bL� �c1, 6 D Map J Parcel Application# �� Health Division Conservation Division ' Permit# Tax Collector Date Issued O. t Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 7 < lTa t06 oa F-e-Ac-p— /i,,S%,-'-//Q- �? Village Wva,14 Pt S Owner Address Rio, CTox Gt�sf acck�°s'io Telephone 7 7 — s0 0/ ! f f- Permit Request a �. �S 7?�C e-� eat \ Fence �atrr�lSYe- ore UaA V P &e S vr-e tre-q 6s �S--S e e Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new I1 Zoning District Flood Plain WO Groundwater Overlay NO Cr Project Valuation 46-0 0 r Construction Type �2�f� SIX _ Vr kyZ_t W07,1 Lot Size Ej Sq, IC Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family COY Two Family ❑ Multi-Family(#units) Age of Existing Structure 0 V Historic House: ❑Yes o On Old King's Highway: ❑Yes ❑No Basement Type: U Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) NA e 14dhQ— Basement Unfinished Area(sq.ft) Number of Baths: Full:existing re Anew Half:existing new Number of Bedrooms: existing kt� / new G°Y�_ j !,� �.�,6 9�0r_r C) Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other F'e-KGp_. NA r Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove;' ❑Yes. ❑No 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 ❑l Appeal# Recorded❑ v Commercial ❑Yes ❑No If yes, site plan review# Current Use 74, Proposed Use A . BUILDER INFORMATION Name /��J � f�S Gla Telephone Number -- m F 3(a Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE n- I - 5 4 f. FOR OFFICIAL USE ONLY W � I jPERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER i DATE OF INSPECTION: s FOUNDATION 4 f 's 7 ` FRAME t j INSULATION 4 's FIREPLACE { ELECTRICAL: ROUGH FINAL " PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 3_ DATE CLOSED OUT f` ASSOCIATION PLAN NO. i r. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations + a 600 Washington Street Boston,MA 02111 04 1 ''IM fJ www.mass.gov/dia . Workers"Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organization/Individual): . `1 c l Address: �b Z -la -/�°Gzd[ rlp T, t t a ( 9 c ►ems City/State/Zip: II a cow Phone.#: 17 7 S��'0 / 0 Are you an employer? Check the appropriate box: ;Type of project(required):. 1.❑ I am a employer with 4. ❑ I am a general contractor and I , 6. ❑New construction . employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workin for me in an capacity. employees and have workers' g Y P tY 9. ❑Building addition [No workers' comp.insurance comp. insurance.$, _required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.Ltd 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.XOthercS' 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. 1contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy-of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains-and penal ' s of erjury that the information provided above is true and correct. Si ature - Date: �' Q Phone# ! 7 Cf—Y 2(0 iQ / 6 6 Official use only. Do not write in this.area, to be completed by.city or town officiaL City or Town: PermitfLicense# 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#: Information and ]Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,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, §25C(6)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 produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter..152, §25C(7)states"Neither 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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members*or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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 permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information-(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your 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 lndustrial Accidents Office of Investigations 600 Washington Street Boston,.MA 02111 Tel. ##617-727-0.00 ext 406 or 1-877-M:ASSAFE Revised 11-22-06 Fax#617-727-7749 w.mass.govfdia Town of Barnstable yP�pF THE)p��o� + Regulatory Services „ snxxs7na Thomas F.Geiler,Director E13�p,�� ' Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 'Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: l / ��" SOY— #V1? �� t number street village C "HOMEOWNER": i // /! , name home phone# work phone# CURRENT MAILING ADDRESS: L s /T�C�tlilrSooy �o�— city/to,Am �— state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance-with the State Building Code and other applicable codes,,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Si ure of Home, Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner.shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly . when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt Al_ L 9 7/ A lv C�-�,t�1 SS4 i `o , 401 w tie e6t /.... 32 01 1 � . $ o C la 2 M- _ _ t L 1 � Jwet. t , N - I � : - -tn T y ip : r __ Ryan tZ,i, Ma, 02601 !.n- !?eu, 7 97 , I - - �000 ' the Lot. ahown on tfu� J,a id, no-t _ P _ . l- a� , owpt on. a tan rthera ot 2e- w the food ha done. �O c cra ... _.. 386 Sl aka .lay ill he. buqduu�- - - e I OIZ, I y T. g , m I +1 l Al LAND S r i i ol)e C won OF THE t Town of Barnstable *Permit O t / olyti N 0 Expires 6 months from issue dare MkRNSrABLB, : a Regulatory Services Fee .� �Al s Thomas F.Geiler,Director lln �zbs�. �� j164 ForotA Building Division Peter F.DiMatteo, BuildingCommissioner '"� m �tS R;A,41�7 367 Main Street, Hyannis,MA 02601w Office: 508-862-403 8 N O V 7 2001 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY, BARNSTABLE / [, Not Valid without Red X-Press Imprint l Map/parcel Number 0(//D � t'� —� Pa parcel- Property Address �/Aarber Residential Value of Work 0 Ff�at1 vn r-2 Owner's Name&Address "YL YS Contractor's Name l/(/yy(tZ^O G✓ 'it Telephone Number,5 O g--7 75=0 03/ Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 1 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing-layers of roof) Re-side ,Q� Replacement Windows. U-Value (maximum.44) ��9� / 74V-4 4AUL / 00Ueer_G1_4?tdd ❑ Other(specify) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Q:Forms:expmtrg:rev-070601 �g ANDERSEN NFRC cM CORPORATION =Northam Casement Window "os"'"8a"° Vinyl-Clad Wood Frame H fng�ro National Fenestration High-Performance'"Low-EZ Gas-Filled Glazing =Southern Rating Council mostv°0°t0 This product Is ENERGY STAW qualified for the regions • Energy savings will depend on your specific climate,house and lifestyle Indicated below •.� All regions- • For more Information,call 1-888-888-7020 or visit NFRC's web site at Northern,central, www.nfrc.org and Southern Solar Neat Gain visible Light • • Factor 34 Coemcient ,% Transmittance 53 Casement Window tested to NWWDA I.S.2-87 Standard • --�----- ---------�----- 33 34 55 Unit Type Unit Width inches Unit Height(inches) Design Pressure r Single Sash s 30 All DP 50 Single Sash s 36 All DP 45 ' ` Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining Double sash s 4a s as DP 50 Whole product energy performance.NFRC ratings are determined for a fixed set of environmental Double Sash s 56 All DP 45 conditions and specific product sizes. Triple sash All All DP 50 Meets or exceeds Model Energy Code&C.E.C.Air Infiltration Requirements. f. i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel T 7 "!/0 I Permit# 7 J7 Health Division f — vw-�?60Date Issued 2/7A5 �b Conservation Division ' IS/0-3 Application Fee Tax Collector ° k - � i31 e Treasurer ® � — Iy L 31 Q Planning Dept. Date Definitive Plan Approved by Planning Board c --� o Historic-OKH Preservation/Hyannis E :70 C) Project Street Address AP4 07 - A0G1.d ' Village Pvamnls y GJ Owner &re_,Q6,(L1 Mke, Address 9L ®�Bo d a���s yr;s fjtl,¢ CD 7 Telephone 7�� S-77 -O L1 f i�7 -g,�lo ®0 D Permit Request o` CAR ,d d, K x a Gt/i A �e_, rya ms ,ghoye Gtmd I ba -ham a6oVe, USl4y lOwA -5 c&Ver; cSvNce.l( ctdddrGrp -L-0 ;tj)MroQ)11 ai4al re_kioVa-TI' t fo CCK-i5 k-ci 6�4njye Square feet: 1 st floor: existing �� proposed JO 2nd floor: existing �;3 33 proposed Total new/F% RC'1A0 V-^ -7— Zoning District Floocl Plain O Groundwater Overlay NO c - �`Fl 0� Sao ® Project Valuation Constr6ction Type W 06d Lot Size 3 A. 90/ '4vg f 1tGrandfathered: $Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family )d Two Family ❑ Multi-Family(#units) Age of Existing Structure 1-13 yr.5r Historic House: ❑Yes )fNo On Old King's Highway: ❑Yes A No Basement Type: '$Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) /A/O/r✓rBasement Unfinished Area(sq.ft) Number of Baths: Full: existing new / Half:existing / new Number of Bedrooms: existing_ new A NQ�, Total Room Count(not including baths):existing Nin e- new First Floor Room Count /O //R013M_bt_D-h45 etvfr`c Heat Type and Fuel: ❑Gas XOil >tElectric ❑Other l Central Air: Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 5(No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:Oexisting Alnew size x hed:Oexisting ❑new size $X/a2 Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name 00le -v/jj'ner /ViAe- Telephone Number 08�77S�0632 Address �t✓ a, ou License# AM,_4t?1'S Home Improvement Contractor# Worker's Compensation# f ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 7 /1 e, 180✓wS 4a 6I�- Q V d ��� S-�.i� � `mot Tt�/Y� LcJ4 r� e_iJf i4S D evl Cc S d� SIGNATURE DATE /tla" AOO� e FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ISSUED - 0 r MAP/PARCEL NO. el ADDRESS - ;" VILLAGE- IF j OWNER DATE OF INSPECTION: 4' -� ` 7 fO tl C� FOU'N�DATION A FRAME L'�,'I ' M fJ 'C INSULATION ,[�f Ns U D / �71 FIREPLACE `' r FINAL 1 ELECTRICAL: ROUGH ' ? l i i1 uj PLUMBING: ROUGH FINAL , GAS: ROUGH FINAL FINAL BUILDING' DATE CLOSED OUT ASSOCIATION PLAN NO. f t °FtHE To,,, Town of Barnstable ti Regulatory Services A � BAMSTABLE, * + Thomas-F.Geller,Director 9 1MASS. `fig `6°rEp�,,pya 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 t 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. ( •, f Type.of Work: Ad e f¢iax_ a kd Aoeyl OVet�4d _ Estimated Cost'�':3J5— 0�d Address of Work: �`� lqf`iay— lco a l T>f�/ddf2lS /154: 00?60/ Owner's Name 4e- Date of Application: 3 —7 _L,)3 i I hereby certify that: Registration is not required for the following reason(s): OWork 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. 0 Date 0 er's Name Qlarms:homeaffidav The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: J JOB LOCATION: oeq_d 14If/ number street village / q / "HOMEOWNER':. /cSC9S�7��ODj/ name home phone# work phone# CURRENT MAII,ING ADDRESS:_ ®f //IJJPS 7 CTirR�dd`S�4 /�ii OoPlo71-1 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. r S• re of Homeo r Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed-Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. " The Commonwealth of Massachusetts - Department of Industrial Accidents Office onflyestlgatloos _ 600 Washington Street Boston,Mass. 02111 •.,��,� ��i�i�iiiii i%/ iiiCompensation Insurance�%�%%% name: f l�.A p q location a.✓• All leaa.d 6O &o l hone# .�D g'7� I am a homeowner performing all work myself. ' ❑ I am a sole r rietor and have no one worldn in ca acity %�%�////%%%%%%%%/%/%%%%//%%%/%%//O%%%%%%%///%%%%/%/%/%/%/%%/%////%%/%%%%%%//G/%//////%%%%%%%/G/%%%//G%/%�%/��%%�///%/G//%%%%% er rovidin workers' compensation for mry employees working on :ram an anam ...:... >:>#> F ' :(:}i:":%: ....?. .....:ti;.......................;;• . ...Li;%j; :};{v :::;}:}:<'.4%?%:i{:ii%:! :4%L%}<•ii%i%i:':"::::{ti{{•Y.•}r :.:....:.............. .....::::..:..... ..::::.}}:�>::}:}:•}:•>.:•}:•:<;.�.;;•}:•}>:-:�}:}x;;::;:::•}}>::{•;:•>:•:;;::::}:%>:•::•:�}••: Bii... .. EEN •'h n risuran %/ ❑ I am a sole proprietor, general contractor, or homeowner(circle one and have hired the contractors listed below who have - orkers' co ensation olices; e follows mP . ..k�.....................:.:.::.:.::.....................::...................:......:.................:....::..:...:.:.:.}.}:;.<>:;;•}:.{;..}}:i;::%:<::-}:::%':}::%::�ti� %:!i:i:;{:y:%%$%:��:�:�%%::j%%%%%%Qi:%>:•%%%%%ii:�%%'i%%%%i:�}•i'i?::}%%;:{!{;:;y;:i{:%%%::.;.,}':.}•n•;:v::v:tiv:¢;:;. r ....... ...... ...... .............................:..v::........:.........:.....:..........:....:•,w::.0:::w::n:?;::::.v.4:tiv.:Y:t•:•:•:}:•i.{,3:v:':••;};}:.}:4i:;:k>i}Yr:::x.. .....::..:....... .... ..... .... ...... ................................................:.............::::mow.;, v::{:;..::. ..... ........ .......... ............. ........... :. {n:::x:::::..:v'ri':':'::::^::••::::•...::..::'......}.:.^^.F.Y. i:j::!�%j%%::%%;:;:!%j+ii:%%y:�%T%%:�ii%:�:::jji:::;:ti;}:y:}<:%{•Fi:<%+.{;ii};:•;}}}:•}:^:{;:4'ri:�:i:v:•i:y:;{:::� %.%:;{:;i::>:!;i.%;i:4:%:?:;i}::,v%;};•};;'F.{yS: j� ....... ..... :•x:::.v:xvx:i........ ......�,:}';:}}y:%{:;;:}:{%::}:::..•%}:•iti}'•ti:i4:<v}L iY�%ii�`iii:��: ........ ... ....................:.....:....+.•}:vi}y;;:•i}}.}::::.�:::{•%`•..?}%i}%%{$;:{%}`,}::i�$$:v:::::r.•.v i...::::v:vnv::::•.}}�.}::•:}:•.:•ii.:F:vr:,:,. ..... ....................... .............................n................ ....-..,............,........::::::::::::.......:v::nw:::^:::::.vr.,......:....::::w:;:x•:::.•:.•:a.•4.n• ..$•:•;};;k;•1r`Lf.•.^..-..,.}Y.^.�,... .::.:::::.......:.:�::.�.�.,:•.........:.�::..�.�:::::...:.......r........-....... ...+...... ...,........... ................. .r.................. ................,.....r..,......::::•::::......................r...... ...•::•::::::.,.,fif•:::.:.}::::x:a::•:•::.a::::::.,.......c•::. ........,.:r. :•::•Y?i}+:C:{K,y:{{{j{{•}::;:� �Sfttra3rcG iCO::<::<}:•;,•::;:x::•:.:..:....:.:::::.:....... .. ......:.:...::::,.:::-::::::.::::,,..::.r:.:.::.:::,.::.:,.<.:;«.::.}•:.. ................... :::..............:..... .::::. .. ........... .......n... .......... ........... ................ ......::•::::.v::::..:.v::::{:•::.v::::.:;•.:..,..•:...•, :.n::.vv.::.w.nv:,:{:::{•}::w:;::}:::}}...:4:v'.:5::.::.. ' - n,:..•:::;s:{.y:{{.�.:isi}'x.,:^i:{i};.}}}};.}•.}}'f.Y4:4}:fi:y}}};ti4}}:•:isti•y;i:{{^i::w:::::.v::::n:{%i::%::}}}:}}:fifi}}}};G}':v:{r....v:::::::::::•{n::{y:{.;{6}::{•}:•:{v::r:•::.:,•:.::•::::•.....::..............:......::::............. HILrHffit"....... ....................:...:::::::::::::::::{:::>:{:::......;.:;.....:;..;.::.{•}}:•}::•::,.}:}}•:•:�:�;:<.}}.}:•}}:fir•}:;:fi.}•:::.>• ,:•.:•:•:::.. {{{fi<}';.;::•{:^;:v:{{{•}::':;%:};:%'i}:{:isw.wnYfi'::.v:.:......:.:v::::::.v::::w::...:::::::::::::::::::::::y::.::}'::- ....:.•:,•::^:•::t{L.::+itiLti ti.;r'.. v••. ....r.. -...... ........ ... }ii f ................ 'Rio .... ..................................... :.. .... -..... ..r ............... ...:............. :-a........:..::.v•:....•;.v:.:v.,:•:x.v::..:fi:•}•:•}:{{{??::6v:i.:{.},:{\{•:ifi:�Mv4.:tiYv{!,{ry ni• .•'�.:::?:??:Jii%'r;F:y{tii;:':L��ii;::C;:r}^�:}:•}:;i':;:y:Pj:;i+•:•r%:`�ii.'•:r%%:S>.:•i•:::{r.•:::Yr:.'.h::n:�i}+{�:4::; �y�^•gyp •��:��Qi{{�%i:`:Q:j%% isT?'::y:�:;:•,:�:;:•$:;:.'•j::yt{:}:��:;}:��::i%:i{::i�:i�;;%';::�::!;:�:�>;:{:::y:'�.:�:?:}:?:+:i:%:��i:ti:Sijti: �F ;i�:;�;;,;: :•r{iJarance gee to secure coverage as regoired under Section 25A of MGL 152 can lead to the imposition of o f31 0.penalties g a fine e. u S1,500.00 and/or one years,imprisonment as weR as dvil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day again+t 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 under the pains and penalties ojpeJ7ury that the information provided above is true and tarred e Date �' Signature Print name �� �It,.e- Phone# 7-7 -0?6 0 official use only do not write in this area to be completed by city or town official city or town: permit/license Of ❑Building Department ❑Licensing Board ❑ K ❑Selectmen's Office check if immediate response is required ❑Health Department contact person: phone#; ❑Other (mvi�ed 9195 PJA) 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 produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the shall enter into an contract for the performance of public work until commonwealth nor any of its political subdivisions Y � acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants 3 Please fill in the workers compensation affidavit completely,by checking the box that applies to your situation and r` supplying company names, address and phone numbers along with a certificate of.insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation of fi nwce coverage. Also be sure to sign and zi. Ci_ date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license>s 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. PEI 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 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. The Depa rtment address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of InYestlgatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 I RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WOPMHEET NEW LIVING SPACE —square feet x$96/sq.foot x.0031= (', (� z plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE S d-K square feet x$64/sq.foot= 33 7q&'2_ x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq. ft.= :�K x.0031= �7. 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= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) A Permit Fee '� ` 3 33 31 J -0 4ff projcost N I R:9,7.1 A=15:54 14a&bo% ►Go.84 /<oad slown 40 ► wide Y-0 t 32,801 S -9 0 _ m .,'at 2 rn 4 o'z q' 2 3wet. 24' 50.08 Q O 32'a IA 96.oS J7S.(�S o C /S 2c6 z 7�.70 �► �' � AhC Cape (�7nyinee�iv7c� Scate l"-30 ► 44 /datbot C�oad Rev. 9-26-88 date 5-7-87 � kganni i, Na. 02601 # l�e�. 10-7-97 9-90_2000 Ceh ter Jied Plot ptan She -Cat ,Jwwn on this. plan •i i not i5 Cot I ad. ahown on a tan Ice- w ithin the jtood ha and done: cooed in ,►3a,th�bte teg U. � 386 pq�. 88. `_7he bwi,Cdt &F shown on this. plan i,- 9 Located on -the c ow-ld as ahown he't eet� the aet-back ae on, and ns gwAe OF men tom: o� the Jown o� t3a tn4tab.Ce. � NE ` Pd60.32490 Q 0 49-Raitbo t �ocd C►STER`� �� Pg041Aild:, lea. 02601 `)i m t?ed tAe above cap ti,on f Permit Number MECcheck Compliance Report Checked By/Date Massachusetts Energy Code MECcheck Software Version 3.3 Release Ic Data filename: C:\My Documents\GAJ Milne Fes.R.0203.014.cck TITLE: Milne.Garage Addition CITY:Barnstable STATE:Massachusetts. HDD: 6137 DATE: 03/04/03 DATE OF PLANS: 2/28/03 PROJECT INFORMATION: Milne Residence 49 Harbor Rd. Hyannis,MA 02601 R.0203.014 COMPANY INFORMATION: GEORGE JESSOP ARCHITECT P O Box 1277 Centerville, MA 02632 - NOTES: Insulated,unheated garage under bedrooms on 2nd floor Great Room new floor over slab on grade . COMPLIANCE:Passes Maximum UA= 1057 Your Home 945 10.6%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 384 38.0 0.0 12 Ceiling2: Cathedral Ceiling no attic 762 42.0 0.0 19 g( ) Skylight: SKS 2846: Wood Frame,Double Pane with Low-E 9 0.440 4 Wall 1: Wood Frame, 16" o.c. . 508 13.0 0.0 42 Wall 2: Wood Frame, 16" o.c.. 465 13.0. 0.0 38 Wall 3: Wood Frame, 16" o.c. 195 13.0 . 0.0 16 Wall 4: Wood Frame, 16"o.c. 525 13.0 0.0 18 Window: A251: Wood Frame,Double Pane with Low-E 10 0.330 3 Window: C135: Wood Frame;Double Pane with Low-E 7 0.320 2 Window: C25: Wood Frame,Double Pane with Low-E 40 0.320 13 . Window: CW24: Wood Frame,Double Pane with Low-E 131 0.320 42 Window: C24: Wood Frame,Double Pane with Low-E 16 0.320 5 Window: C15: Wood Frame,Double Pane with Low-E 10 0.320 3 Door: 3068 Panel: Solid 60 0.260 16 Door:FWG 5068: Solid 33 0.310 10. Floor 1: Unheated Slab-On-Grade,6.0'insul. 1104 24.0 702 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 Massachusetts Energy Code requirements in MECcheck Version 3.3 Release lc and to comply with the mandatory requirements listed in the MECcheck Inspection Checklist. 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. Builder/Designer Date a F f MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.3 Release Ic DATE: 03/04/03 TITLE: Milne Garage Addition Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss,R-3.8.0 cavity insulation Comments: [ ] 2. Ceiling 2: Cathedral Ceiling(no attic),R-42.0 cavity insulation Comments:expanded polystyrene total fill Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: [ J 2. Wall 2: Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: [ ] 3. W4113: Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: [ ] 4. Wall 4: Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: Windows: [ ] 1. Window: A251: Wood Frame,Double Pane with Low-E,U-factor: 0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ J No Comments: Andersen Awning 400 [ ] 2. Window: C135: Wood Frame,Double Pane with Low-E,U-factor: 0.320 For windows without labeled_U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: Andersen Casement [ ] 3. Window: C25: Wood Frame,Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ] No Comments: Andersen Casement [ ] 4. Window: CW24: Wood Frame,Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: Andersen Casement [ ] 5. Window: C24: Wood Frame,Double Pane with Low-E,U-factor:.0.3 20 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: Andersen Casement [ J 6. Window: C15: Wood Frame,Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [, ] Yes [ J No Comments: Andersen Casement Skylights: [ ] I 1. Skylight: SKS 2846: Wood Frame,Double Pane with Low-E,U-factor: 0.440. For skylights without labeled U-factors, describe features: #Panes Frame Type Thermal Break?.[ ]Yes.[ ]No Comments: Andersen Sky Wi8ndow . I Doors: [ ] I 1. Door: 3068 Panel: Solid,U-factor: 0.260 Comments: [ ] I 2. Door: FWG 5068: Solid,U-factor: 0.310 Comments: Andersen Frenchwood sliding I Floors: [ ] ( 1. Floor 1:Unheated Slab-On-Grade,6.0'insulation depth,R-24.0 continuous insulation Comments: 4"thick polyisocyanurate to footings Slab insulation to extend down from the top of the slab to at least 6.0 ft. OR down to at least the bottom of the slab then horizontally for a total distance of 6.0 ft. Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283,with no more than 2.0 chn(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.571bs/112 pressure difference and shall be labeled. Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed 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 and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: [ ] I Ducts shall be insulated per Table J4.4.7.1. Duct Construction: . [ ] All accessible joints, seams,and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ J I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] I Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ) HVAC piping conveying fluids above 120°F or chilled fluids below 55 OF must be insulated to the levels in Table 2. i Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"'.to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HIVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 . 1.5 2.0 . Low Temperature ' 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) t Any ' 1.0 1.0 1.5 2.0 Cooling Systems I Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) i 4� Town of Barnstable p 39.��•� Department of Public Works DEC 0 9 2002 Engineering Division TOW G"" 1,.r.. i�NBLE 367 Main Street,Hyannis MA 02601 D.P.W.EN1G1NEER1Ng Office: 508-862-4088 Thomas J.Mullen,Director Fax: 508-8624711 Robert A.Burgmann,P.E. Town Engineer L/ ROAD OPENING PERMIT Permit No.: �/ 7y t� Permit Fee: Date: f 0/ /O / O yea rr� /Vf " L_ Payment Rec'd: Map/Parcel: —� ` Check No.: To: Town Manager Town of Barnstable Pursuant to the provisions of the Charter of the Town of Barnstable and the applicable provisions of the Massachusetts General Laws,the undersigned respectfully requests that your written consent be given to dig up and or a under the ground in the following public ways for the following purpose: C� Location: AOa Purpose:_ cJ-C GJ�C The undersigned agrees to conform to all applicable laws and ordina es,and to abide by all stipulations attached to the approved Permit In addition,the undersigned agrees by the acceptance of this Permit to be responsible for all acts in connection with this Permit and has appropriate insurance coverage for coverage for any injuries to persons or property and indemnifies the Town of Barnstable for any of its acts in connection with this Permit and to be responsible for trench maintenance during the period of construction as well as trench repairs caused by settlement for a period of one year from the date of project completion. . NOTICE: The Engineering Department must be notified at least 24 hours in advance of scheduled trench compaction,and/or repaving. Cutting of pavement is prohibited at all times unless prior approval is given either by this permit application or by contacting the Engineering Division.Newly paved roads have a five(5)year moratorium for cutting of pavement and permits will not be ranted unless the need for cutting is proven to be a necessity for emergency repairs. P (P erty owner Ag re) (Telephone number) • RECEIVE® Dent. Of Pubic W 01*8 (Licensed contractor name)(Type or Print) (Telephone number) (Licensed contractors address)(where permit is to be mailed) Town Of Barnstable APPROVALS Mighrway Division Reviewed by Highway Division: Date: /O /"t- 0 Special Conditions: 1,0/0 <�� /`l`i.� 4 cti�� '14 -c., 1,the undersigned Director of DPW,Town of Barnstable,hereby give written consent to the excavation in the town way as requested an th s set forth above:this day of Director of DPW Town Manager,Town of Barnstable NOTICE TO APPLICANT: "Attach a detailed plan/sketch indicating proposed limits of work and detail of installations" �0,60X !r V l 6 • ; • a snare • Town of Barnstable 1619. Department of Public Works Engineering Division 367 Main Street,Hyannis MA 02601 Office: 508-8624088 Thomas J.Mullen,Director Fax: 508-862-4711 Robert A.Burgmam,P.E. Town Engineer ROAD OPENING PERMIT PROPOSED WORK DETAIL SKETCH Permit No. A'1y1 Date:_ v AVAJ Location: 0- r• Contractor: Tel. No.: N fe .a #80 RIC T CE X �- .46 ACC GERMANIs CIAUDE ,MAP AG6N,LILA,$ � 1� 7yc MAP 306 1 HAMMOND,MARLISE D z #249 MAP 306 T . ' TRS.33 AC i FOR S Jg IM MA 6 249 �F1 E'NLRI fR AUS # 15 (Q P 36 �` �„ 17 .24 AC r GERMA IO.S A ,-- --' a4a11 CARR,-Nfil Z81 MAR 306 - _ S AP 306 , 2 --' T E,ANTHO Y 18 PA IINE L S " MAP b NEII, 453A C _ 20 AC a.-' D F A ON BE Q6RINA 8 M P 06 1#Y5 d---- 17 _- ,'GERMANI #20 _ 13 AC RBUR ON,ARTMIS A IRS -, ' _ s s�' AP`3QG # -.33 At- E Ong ----� � �� � . IS AC _ 83-2 TON 3RT6NI ,� 26 AC 'A .-- TO IOlO CAR01 HHF,JO THAN 306 ELYN M 1 18 � NA CAR MAP 306 -� 7 7-2 #100 ASAP b 77 �1,_ #35 x IKOD ' PAUL 8 CAT �1NE 17 4 #34 23 AC QS, --'"- MAP-306: 33 3 AC NEY,KATN�,�EN f.' "�"�4— aP ob I - VENUE �- _ #37 REN a 61 31A JEANb # 1 CA F' MILNE,1 GR9GORY CAI NIS M 28�o MAP 36 M HER Y ELLEN C M LNE, GRE YP4 6�7 _ O 17 2 AP 3 6 #5 i - - 1 M 40 2 49' ' � 31 AC S 9 r,F �° Y E ORD FO DO PARL6 - 184 ' � �-� - , � REY DENNIS M P AK, A C` FA T P 306 , ' P 3 1 3 ;1 ✓ RINO,0I1 ARPD3&0 LII H 1 5- ,- 3 3 y4.6.4-' � r m ' 0 AC '-- - - -"" -, HU EY,,4OH & OSIMARY 7� ROGERS MARILYN P \ D 0 ""-'IS TR M P N P C A W TR MAP 3�06 � -30b --a TAP 306 2 4 4 M P 4 �rrl -- _ 05 #28 \, 17 ac -- -_ #25 -- AC 3K C .16AC - ----x-- y RT ,DAVID :&CAR L A JOHN W&MARILYN P ; t MA 306 MAP 306 _ 245 HYLAND,- '& BY,ALAN x $4 #24 3Q6: .26 L ' • - 'w [Al co�nnuAl Iu naTMrl� 1� r �,. ............. . PQ it CP lk- ,,- .• w ow Xt" 77-0—x F....... 17 ........../. n n ARB i, �O- w t. o x 1,0 t o. p X.._.: Cti 5 • ti w H:\BARN\BASEMAP.dgn Dec. 09, 2002 15:27:13 SCALE 1"=100' Property Brace ns'Cto'vn,c ; ii i and dry Pzll eapresent actual l'alionshics to physocsl objects ��i �.� _� 1 �� *' � � �� �� �� �� � �. �� ` � -� �n � � t i -2F Q. 1 r T. i P`oFIMET�,ti The Town of Barnstable BARNSTABLE. Department of Health Safety and Environmental Services 9 MASS. 0p i i A �PrFo MAC a 0 t'Building Division 367 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: L AIC Map/Parcel: G 6 17 V 0 01 Project Address: y 9 114,< --'5 Builder: )A/ Al f /Z The following items were noted on reviewing: . by r r e A f kt c.c rS C nn.4 /v Tip k-sv ,og .s /S Alo 7— 09 --C- V W- n Reviewed by: Date: q:building:forms:review r 1 FROM- : MILNE Fq'X NO. 5037780058 Oct. 25 2001 01:44PH P1 i rl0: f r�C'��/G 4121.1�P..0 r ma• (� c (Son) 7r)0-r:; i .."31, fla 7 Pit D i.lz. o ri,ctUi.O r� �. ' � corzv�z.�.a.�e,ovt �Fe.,<yc✓c.[li,u�.� a'O''�''�' co,�crd.i.cu2ce to I) i t d aG/co e (�wd.h a�covz�l �ocar� a-#.n��c a J cvs cH faact ecl on' �t�. 1o�Afi �7 .2.t PLG ✓ Qa,�.CC�!ic, �t(iJY,ar(, eG� t4 yo�,ty 6 'W!?�Y,v( w e c?A4 ar o, rl t trc�Led to tiL't vs w n w,, rict ,t44, 'O t p7apo4-ed wcU,.cs�:e, rzpw yoga riee b444 but 9 urn cPd v�iry r,,uch. CJ!'��C�c�LcvtP. an ar/,Swe-t Jto;m tFou. chord, you `•ot yocet con,.i.desati.on on .hjA 4 all Ir o 0- i FROM MILNE FR,C NO. 5087790059 Oct. 25 2001 01:45PM P2 ` T 1 I j C✓�°- f �r 67 M),77�41 TSB r L_ .��'.•I''7�/��-H IL�%Y•,�'".,a G3� T/-4�' p7{�/��s•"f -44-%',� ,� ,- �/ T- fit' 1 r. \ ��-�,i ?• ?sak- i=3.,, .may TVk V S &Ale V AII Y- P-eutioi l sc,a lei e4 o f `�o Pe� ff(5> A/ac ...... ..� S ,_1..�._..:�.., , , { o lA Pro)�oseD down r v _ u0 wii e- 35 2,$ �e -�l 3 01 � � � .. o m - Z .to 4 2 \ Jwet. w 9G:oS r75.G5* Rt,L 11-30 Cape -h 9 _�ca. l 26, 8 _ `- 7=87,' T 8 9..adc�Golt. o. cl.� )vy rH�, Via, 02501 nev. 1n_7_g7 9-9-2000 .. C�i,��. S)hz Cot} ahownr ovtfws ;p 1n vi no s ieuu� .Cot 1: a.� ahown on a plan �e- wath�c►�the �.foo haand force.: . _ _ � 385 8 8 +-+ ghe:b'utilrl.+.nc� ctawrL-on..thr� plan: v� Y --r- J � , e t71-� b I - I � _t._L a• _t-..l {..a �..� i��� r_ � � i _{ ���lil�f^ q � -4--i—t '+_ �' -_ j 1 1 t i { .L O N y I T �1n� �J �afi ^�4 —I �,-t ., `� it o et ti 4g a L _ 0 rl _.. _ , - I �;. r-�. £ fir. �pc the otle'"C W �.. • - 01� ���q - .F' v�xeo u,+'sfM wnJaov✓'. — �9 "'•- ± �, * I I -• - . 'rTf7NA� ; , 1 IJ. J n �// — oi - 751 , i I a 1 Zs o - - ------ ------------ co of - I k y , 4 q , n -- -- -- -.-- --- �.n Jt r—o`1 C.— df NEW SMOKE DETECTOR - - ---_-- ARE NOW LAW. EVEN THE ADDMbm NEW BEDROOM WILL TRIGGER �� c������L�U _� . 1 � � K UPGRADE OF THE QOKE DETECT - -- - - - �� - FOR THE WHOLE MOUSE. 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