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HomeMy WebLinkAbout0101 KILKORE DRIVE Dr-,�) e- a —1a -/7 F-F �IHE Town of Barnstable *Permit# gyres 6 months r issue �e date Regulatory Services _, e U Richard V.Scali,Director iOrEo ate '' ' Building Division AR 28 r Paul Roma,Building Commissioner TOWIA 200 Main Street,Hyannis,MA 02601 N OF E1,A11 j/4 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERAUT PLICATION RESIDENTIAL ONLY �1U t Valid without Red X-Press Imprint Map/parcel Number 0V Property Address / f? `SCJ� TI 91lilJ� ®'Cesidential. Value of Work$ a�j�, �� �, Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name �q r v /�Y vrr'T/ Telephone Number Home Improvement Contractor License#(if applicable) ��o� �� Email: s Construction'Supervisor's License#(if applicable) p35j,� EaWo'r-k-'man's Compensation Insurance Check one: E3-l'am a sole proprietor - r ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# - Copy of Insurance Compliance Certificate must accompany each permit. Permit Request check box) / [We-roof(hurricane nailed)(stripping old shingles) All construction'debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows M1 #of doors: *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 required. SIGNATURE: Q:\WHILESTORMS\building permit forms\EXPRESS.doC 01/25/17 OPMassachu.sPtts Department of Public Safety Board of Building Regulations and Standards Licgnse: CS-054428 Construction Su z pervisor BARRY`B MERRILL 312 SKUNNKETT RD, CENTERVILLE MA 02632 Commissioner Expiration: - c, ,05/2:1/2018 r S 1 C�fzeomvmantiueczalC/a a� r � 0Aaanacficrae; Office o;Ooraum zr Affairs&2ua-,ness Regula t HOME IMPROVEMENT CONTRACTOF TYpe: Partnership- Regestration Ex iration 11/09/2018 a, Cape 00fi Earry•Merrill r,`� Jtt SSES t Yar neuth,1MA Undersecretary s =x i Massachusetts Department of Public Safety Board of Building Regulations and Standards tic nse: CS-054428 Construction Su t 7 Pervisor BARRY'B MERRILL 7y. 312 SKUNNKETT-RD CENTER MIA 02632.E t:oinmissioner Expiration: 05/2:1/2018 'before bore th on Valid f it tke ex °f' dividual u office.of C P�ration date. i use,"I., 70 Park P onsurner Affairs f found re:,rn? Boston;MA a-.Suite 5170 and Busi. s ' . 02116 ma's Regui�i-,r t. t 11a11d Withoutr sisnature / P r �a���a� slriat Acrid� . Office OfbrPCMvadMU 68.wash U-WON SYeet $asion,MA#2111 ��,� Warrkers' Cr v .1ia n sfrr nInsur ce avit EISJ�nfria' T5{�I an' fphm1bers AppliCgnt lufm7nafigII Please Print .Nagre Citglft� r_ 4 Are you an employer?. eckthe appropriate bom Type of project(required): L❑ I zm a etaploper wffiL 4 ❑I am a general coafiractoc and I 6- New • - emp�a (frsll au�foc park-��* �veltiiredtfie sg�r-coaQzat�ozs - 2.[Tam a sale prop6etas orpartaer- listed cathe attached sheet: 7. E]Rern deltag. ship and ham no ewployees ��sorb cem4ractors have 8. E]Demalakn ' wading forme in any capacity- elT l°yew mad have woe 9..E].B,nildirrg adxiifioa 1No wad'cop.iflshhrance comp-mMMM$ restim&] 5. ❑ We area corporafi=andifs 10-0 Elechical repairs or additions officers have exercised fheir 3_El ama laomeowztes doing all trtork 1L0 Ph>mbsagrepairs or adcfriions . Myself[Nor warimse whop_ Tightof ere per mm 17 ElRoofregaits ;.Mslg ,n required_]7 c-l•52,§1M andwe have>ra l3-❑other camp- ERm2ema=vdw sabm t dris xffidaeg dteF sxe+t�a alFw Tan SaInd anems�d:ei3'iadia ng rnrF� .: . fCe=-1ftxzd�cttl&bwrEstattach ffisadirb—,duet arnatihme hna angbyem Iftbesi-cm2mcfts1zmemplayea%dv-T =srp'mr&&w wadme-rnp.pGHUa>M3bEz .Tam an euip�drat ig prapWag ivarkers'co errs�tarn i}rsurahres nr hrcy�PIQ1�eea SeIoty is tlrsF+��c3'curd jeIh shoe rn,jormalibm ` IhSU=Ee CoMvzaYxrame: v Poficg or f €Lie. 6 iG L�2(l Fgi�iaaDa o� Job Sit�$dd. /, fie,0- citvlstaf>r ww- - Attach a-MW ofthe workers,coMMpensationp-a cy dechkraflon page•(shozv*g the policy er aad expirsg.z' date}. Fail=to sera=coverage as requireduuder Sectkn 25A o€MC L c.1y-7 can lead to the imposition of airy;",A penattaes of a fine up to$L,SaQ00 i a br orii:Fe$rimprism=aeA as well as vivs1 peaalties is flee form of a STOP WORK OR=and a fme of up#h a dap againd the viola tan Be advised'giat a copy of this stated ntay be f xwnded to thie OfScce of IMeStigaboms of the D-TA ExMi srwww coverage verification.- Ida hffAy comfy hzrrdfsr the pains and paarel es afyerjrreg thafthe ir�fbr ma6vript ot-hW abort%i;tress and cored at=go amI�% Do jot wrke in his wea,to be wrerpTe a4 by city aertahvn officiaL City or 'own.: PermiftTicenseS Iwxing A.a&K*y(circle fine) L Board of Ekaltfi r.Bffiling Depart 3.CRylrowR clerk 4.,Electrical Fnspector S.PhxmMmg fitTecfflr �.Offier, Can act Person: Phona#- 6 ormation end lastructions . lea.-Irnc s Gc=ral I-aws r I52 recl=m aIl emgIoy�s fn.provide W��comPe M�fbezf eaPIope . Pura o fbis Ltot-,as=Ployre'is def =a as.=cm7p=saam ff a=Vice of Moffi=der RELY=dMrt ofhirl;, csgress or k3 j)HC cl,oral or tetra" An�Tay�is'd�raed as man in:�xvidsal,p asso®iion; ti0n or offier legal edify,or aay t�� of������aJ� �ands the legal ofa deceased e¢�Ioyer, rwciv=or t mstee of an per.assoc fi6M or ofimlegal eniiip,employes MuPloy=S- Sovrevei'fbe owner ofa_dwellmghousehavingnotmaretbaa'91=aPMtMccfsanclwhoresidW1ff3=em,ortbe:occ oftbe- dWt 1Tmg horise of a2.dhexWho eaigIM pexsrms to do mdnfc a caagf a rn,ormpair wio&on such dweMag b0mc, $stein sbZnotbe=se ofsnch anploym=±bc demedto be an eVglnye�" ' or am fbe grounds or b�dmg app�� • MCA cbapt r If'L,§25C�C�a]so sfat that-every sf�or local ficeasazg agency sl�aII wnhoId$e issuance isr renewal of a license or permit to operafe a breskess or to mwtruct bufldmgs iu the commonwealth for any applican who has natproduced acceptable eFideace of comtpr=Mwife ti=msm-once covO age rKair� Addidmn-Uy.MCQ.rbapirr LU2 §25CM stairs fiN=ffi cthe _ nor�yofitspolitical snb�visions shah `ce o Hancewith$Ze instuaaae._ eft'inin any contract f�fiep ofpublio wo�n�I �eyidso: f°amp . �erri�offliis cha�bane beenprese�d.in the eanfractmg anfho�y. -; w�. ,. - App4c=ls ' Please fEL ovt f ao W013s'compeosafion affidavit completely,by g t=boys ffi2t apply to you srfnat mc�if n Y,s'IIpply s)name(s), al&�cs)KuaPh°nerammbe(s) alcngwifhthea=tcacatrCS)Of ibaathe inscnanr-. L.,,, d.LiabihLy Cana panics(LLC)or L=tedLiabR3*-? s(1�)wifhno �Inyees me=bers or pis,are not requited to eaizy w��p ;,,r'"E"„c , If m IS C cr LLP does have employees,apolicyisreqah-ed. Be advised.fiatfhisaffidayitmaybe sabruitted try fteDepaitmemEtofBAMftial Accideats for.conf=afon ofinsor =coverage Also be sore to sign and dafethe affidaYit T1ie afhdaYPtshould be r b=,--d to fe CRY or tnwn that the appficafiM fbr fie pesffit or license is being rmlaestrA not the Depadm.=f of Tr ai A cd&U Es Shouldpou ha4e any q�ons regarding fhe 1; or ifyon Ric regos�3 'obtain a�vo�ers' =np=sation poTey,please call m$u Depart eat at the n�brr lisp.below: Self-=ured compa�es sb onld enter rhea self-msmm ce Jjccrosez=nbm am the line. My or Town Ofaciais t Please besorc,il t the affidavit isc,:,,�Iefnandpriendleg-bly. TheDe-partne thasprovidedaspacaatthebott= of the, idavk for yoII m fM ont i a ii=event the Office ofkyf vatk=has to cozdei ycrmregm£mg tb a applicant Please be store to f Mjnffiepcn lI rcnScM b=whLchwMbeusedas a=efximcemmbm k-addifion,as applicant i�mast sabmt mnbiple p=nWH =applit�iiams in any given .need�lY sa�ait one affidav>z�„ri'ratin g eat pym Tb Qdes° iepir oli in( nrynII � h �Id >f��aII locaios iu ( Y°1 town):'A copy of the affidavitthat has bea officially staatped or matlMd. $ie�or by tOyM may be provid ed fII ibE _ applican#as proo�fbat a Valid affidavit is on file for f to pc®$s or Iice=M Anew affi���-st be:fMr-&cot earn year.Where ahome owner or cifl=is obt Ewing ELH= a or pexmitnotrolatNdio anybusmms or commercial Cie_adoglicenseorpetmittobinn�eaves�-)saidpersanislIOTrerpmedto.�Ie#efmsaffidavit , The Office ofln s woU dh --to tb=.kyonmadvance foryotrrcoup®and shoIIldyoELhave my.gaes��, please do not hesitate to give vs a call The Dqe rfinerfs addr�teleph�e anti faz x�mbrr - T ha Depa6nwt cflibE�A=Uuut�, QM=aDnMRtkI4fi= M&oil II izevIsed 4-z4--o7 MRSg gAra I MID CAPE ROOFING 11 RUSSO ROAD WEST YARMOUTH, MA 02673 508-775-3799/508-385-8801 Barry Merrill & Paul Merrill, Job Site Address Mailing Address Name: Swanson Name: Street: 101 Kilkore Dr. Street: City: Hyannis, MA City: Telephone: ' 401-258-7028 Telephone: rpswan@cox..net We hereby propose to furnish all the materials and all the labor necessary for the completion of: roof replacement of the dwelling at the above address. Mid Cape Roofing proposed to remove and dispose of the existing roof. The roof will be replaced with CertainTeed ProSeries shingles. Aluminum drip edge will be installed along the gutter line. Ice&Water Shield installed on bottom' edges to protect ice back-up. 15 pound felt paper will also be applied. The shingles will be installed using 1% inch roofing nails. New pipe vent collars will be installed. Ridge vent will be installed along the ridgeline of the roof to provide proper venting of the attic space. Mid Cape Roofing guarantees 'the workmanship for a period of 10 years. All walls and landscaping will be protected from damage;the property will be raked acid cleaned of all debris. All material is guaranteed to be as specified and the above work is to be performed in accordance with specifications submitted for above work and completed in a substantial workmanlike manner for the sum of: $8,450.00-All discounts have been applied. Payment made as follows: Deposit of: $2,850.00 the day the job is started and remainder to be paid on completion. Any alteration or deviation from the above specifications involving extra costs will become an additional charge over and above the estimate and will be discussed with the homeowner. Respectively'Submitted by Mid Cape Roofing. q NOTE: This proposal may be withdrawn by Mid Cape Roofing if not accepted within 30 days. Acceptance of Proposal The above prices, specifications and conditions are satisfactory and are hereby accepted. Mid ,Cape'Roofing is hereby authorized to perform work as specified with payments made as outlined above. Accepted: Kelly Swanson f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Z, Parcel `I' o� l Map -7 �• '° Application # � /� Health Division Date Issued Conservation Division Application Fee, Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 101 � F-UR_IG L?I?1 v� Village P0 {fit S Owner �L 7s(s� f'l� Address Telephone 5bS - 7-7 l<So s A4A DZ1061 Permit Request 6 P-MM D }-1 NO Square feet: 1 st floor: existing proposed 2nd floor: existing proposeda Total ne Zoning District 09 Flood Plain Groundwater Overlay r Project Valuation /D/MO Construction Type Lot Size ® •Z Grandfathered: ❑Yes ❑ No If yes, attach supporting docuM`%htation. Dwelling Type: Single Family `I Two Family ❑ Multi-Family (# units) Age of Existing Structure _ Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl "❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) 0060 Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: VGas ❑ Oil ❑ Electric ❑ Other Central Air: XYes ❑ 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 ❑ Appeal # Recorded ❑ Commercial ❑Yes X No If yes, site plan review# Current Use Proposed Use Swo0_11-M I APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Naive �� � � � Telephone Number �$. 7(aim Address License # a's U5�"� V ! A 6� Home Improvement Contractor# J� Worker's Compensation # W--, 005 U1 TRW ALL CONSTRUCTION DEBRIS RESULTING FROM � THIS PROJECT WILL BE TAKEN TO Wall SIGNATURE DATE `( Y f FOR OFFICIAL USE ONLY APPLICATION# DATIk ISSUED MAP/PARCEL NO. r F 4 ADDRESS VILLAGE k OWNER a �r i DATE OF INSPECTION: mFOMNDATIONuk miz, t,:. W)/V ` FRAME :INS.ULATION FIREPLACE I� ELECTRICAL:, ROUGH FINAL PLUMBING: ROUGH FINAL -4 { GAS: ROUGH FINAL r FINAL BUILDING - DATE CLOSED OUT { .ASSOCIATION PLAN NO. 017ic, of Co 111i,irs�l j;,ti�(1css 2e gul tion /rJ License or registration valid for individul use only OMEimp)R" EIVIENT CONTRACTOR before the expiration date. If found return to: 7!7/2D14 egistntion: 151 t353 Typo Office of Consumer Affairs and Business Regulation xpintion: Private Corporatic,n 10 Park Plaza-Suite 5170 SCOTT PEACOCK BUILDING "a REMODELING INC Boston,MA 02116 JAMES PEACOCK 1046 MAIN STREET SUITE OSTElWJLLE,MA 02655 " P lludcscu•ef:u•y -- _ Not valid without signature Nlassachuserts -beparin)ent Of Public Safety Hoard Of Building RegulationS and Star[d 1fds Construction Supcn isor License: CS-094500 ifM IkMES S PEACOCK Yw,� PO BOX 171 OSTEVILLE MA 02632 Y C omrru s s,s n e r 07/22/2014 Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991M )of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DPs The Commonwealth of Massachusetts „r Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information r Please Print Legibly Name(Business/Organization/Individual):�i Address:�� '�� S7,(cvl City/State/Zip: `��1`�9�1�J C , W1 A 0Z&�- Phone#: Are you an employer?Check!hp h appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' insurance.$ 9. Building addition comp.[No workers' comp. insurance P• required.] 5. We area corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑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.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: Policy#or Self-ins.Lie.#1/ /1i/� .�`�" ° �y'( Expiration Date: Lb 2-! 1 LJ Job Site Address: h l�� W- V� City/State/Zip: M 1 I 02, 0 and expiration 1 Attach a copy of the workers' compensation policy declaration page(showing the policy number ation 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$1,50.0.00 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 the DIA for insurance.coverage verification. I do hereby c r under the pal s an pena 'es ofperjury that the information provided above is true and correct. Si ature: Date: �� f Phone#: Official use only. Do not write in this area,to be completed by city or town official City or flown: 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#: DATEfMMIDDNYYY) ` �- CERTIFICATE OF LIABILITY INSURANCE F07I03I2013 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 CEATIFICATE 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 Gennani Insurance Agency NAME: 008 Main Street PHONE FAX (A/C.No.Ezt):(508)428-9194_ - qIC N10508 42B-306B Osterville,MA 02655 EMAIL - ADDRESS:certsAgerniannnsurance.corri 1 INSURER(S AFFORDING COVERAGE - -_ NAIC# — ----- INSURER A:SAFETY INS CO INSURED .- Scott Peacock Building&Remodeling,Inc. INSURER B: P.O.BOX'171 INSURER C: --- _ _.— Osierville,MA 02655 INSURER D: Commerce&Industry Ins.Co. INSURER E: INSURER F: -- - — COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. A661 SUBR POLICY EFF POG&V EXP l.'(R TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DDIYYYY LIMITS A GENERAL LIABILITY CP00001152 7/5/2012 7/5/2014 EACH OCCURRENCE AL $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED - -'- I PREMISES(Ea occurrenceL —_J CLAIMS-MADE'[--I OCCURMED EXP(Any one person) $ --—' --- PERSONAL&ADV INJURY $ _ —GEN'L AGGRL=G P=.I�: APE LIMIT APPLIES 'L GENERAL AGGREGATE $ 2,000,000 � --" -"-- - 1-1 PRO- -_. PRODUCTS-COMP/OPAGG $ POLICY LOC —---- AUTOMOBILE LIABILITY $COMBINED SINGLE LIMIT Ea accident) $ ANY AUTO — BODILY INJURY(Per person) $ ALL OWNED SCHEDULED _ AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PR TY OPER DAMAGE AUTOS Per accident) $ UMBRELLA LIAB CCUR �JCLAIMS EACH OCCURRENCEEXCESS LIAB -MADE --- -'---.---- AGGREGATE $ DED RETENTION$ -— -- D WORKERSCOMPENSATION $ ANU EMPLOYERS'LIABILITY WC 005-81-5464 6/22/2013 6/22/2014 WC STATU- O1 H- ANYPROPRIETOR/PARTNERI/EXECUTIVE Y/N — Y_L1IdIhi___-I - OFFICER/MEMBFR PXCLUDEW NIA E.L.EACH ACCIDENT $ 500,000 (Mandatory in NH) — - _ If yes,describe under E.L.DISEASE-EA EMPLOYE $ _ 500.000 _ DESCRIPTION OF OPIRATIONS below - - I _ E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (At[acli ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER . CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Scott Peacock Building&'Remodeling, lnc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD MAY/28/2014/WED 06:22 PM F.AX No, P, 001/001 Town, of Barnstable MAMRegulatory ServicesLf►39- t0� r " s Thomas F.Geller,Director Building Division Thomm Perry,CBo Building Commissiroloei 20b?Main Street, H n i MA 02601 Www.town.barnstable.maxs Office. 508-862-403S Fax 509-790-6230 Property Owner Must Complete and-Sign This Section If Using A Builder as Owner of the subject property 11Mby authorize S C_c� C r n C �L to act on my behalf, in all matters,relative.to work authorized by this buMitag permit application for Id ► K�lk0rg, � �1� ��,nls o-z�t�7 (Address.of Job) ignature of OvMer ate S .YXSo� Print Name Q;IWPFILSW0RMS%uiIdfng permit formsl'E7CPVE'sSS.doc Revise020i08 ,TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY . PARCEL ID 272 004 003 GEOBASE ID 37568 ADDRESS 101 KILKORE DRIVE PHONE HYANNIS ZIP _ LOT 76 BLOCK LOT SIZE DBA :DEVELOPMENT DISTRICT HY PERMIT 37787 DESCRIPTION CERTIFICATE OF OCCUPANCY PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 tNE CONSTRUCTION COSTS $_00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P.4t, HA�RrrsrABI.E. MASS. I � ED MA'S BUILD DIVISI By DATE ISSUED 04/13/1999 EXPIRATION DATE �- v .OWN OF .B RNS��"ABT, PERMIT BUILDING ,nm.;HL Ill,72 004 003 -e, �i'IFGBASE ID 37668 f � ' t i�I}RI.►'�2a�"J`"�•�O& �{.Z�,t���.� 0 � r� �H0N�:1«y, i N IS ZIP 4 _ k LOT 76 y' - _: FtfrL LOT SIZE DBA ?~Y'� I►OPt E T DI'STk1IO`l Hy PERMIT 33150 DESt',,i: ,'fi'' SINGLE FAMILY DWELLING CONNECTTO TOWN Ste_ PERMIT TYPE BUILD `37ITLI NEW RESIDENTIAL B:UDG CONTRACTORS: BAD S i UF' BU g 1,D I�( ACII' JFt;T : Department of Health, Safety, � FEES: and Environmental Services YAL r ME S`�RUCa.'3:ON COSTS 0 plrT �0,c�,4O<a w0 4' 101. SINGLE -F'AM DOME DETACT.46 3.. ' , -PRIVATE A P41 .1)F�,� + DAB�NS�TpA�BLF, + . MAS& 9 BUILDING DIVISION BYE OATS ISSUED 59/Ct 3�`1..#: 3! R: L� A'I"I0 I R ' '`" _ s I THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN. CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISIOWRESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED , FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU_ ELECTRICAL,PLUMBING AND M FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. CH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 4 1 IOU -I 14 3 1 HEATING INSPECTION ROVALS ENGINEERING DEPARTMENT 2 Y BOARD OF HfALTH > 7 M_ OTHER: 4kk SITE PLAN REVIEW APPROVAL WORK SHALY NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE IN SF PECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE.ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED"ROVE. TION. r w `I 1 BUILuIING mum M " 1 EmMIT Uz-r ^ s. i/ 4'r'!r.. .�.r--'� .rT � . � at •.... • r }.. h.. .)'• `"A M" .."�-r'..f✓ r.y..v.-nr'yrfa • • }i 1 1 +�� .: .�+—. � •Y ^•. .. The Town of Barnstable BARNSTABIE.MASS. Department of Health Safety and Environmental Services S t639' �0 �Ev Na+" Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection.--e Location I o .1 , ( k z)rtZ F -D,2 ,j e, Permit Number 3 3 /, S0 Owner Builder - "A"5 ,'h e- " ) I One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: (` (7) k{ P4p51(n -tv -_-p_4P a-✓G- of 2 C e- _3 Ei1'jco L'sLS el'-0 nlc _ -i'(OC1 Please call: 508-790-6227�for re-inspection. Inspected by `, ._ ✓�- Date c � i 2 Engineering Dept.(3rd floor) Map 0'7oZ Parcel 00� a 3• d03 Permit# .1 r!5a i House# 1,91 1 / Date Issued Board of Health(3rd floor)(8:15-9:30/�1:00-4:30) w - e -A 3D Y 3 Conservation Office(4th floor)(8:30-9.30/1:00 2:00) J p AI?�i. PLt�,1 .�usT oB , „'0:, PERMIT THE Planning Dept.(1st floor/School Admin. Bldg.) ]LNG,�r7' "' .tY1� TQ _ 8 De 've Plan Approved by Planning Board � 6 19619. TOWN OF BARNSTABL ? ; rEDMA�a Building Permit Application Project Street Address / 0/ C P90 Z-0 T 7 6, Village Owner Address Telephone 2 7/"'M c Permit Request Ta First Floor 90 square feet Second Floor q,2 q square feet Construction Type Estimated Project Cost $ Op, Yq S Zoning District kc _ Flood Plain Water Protection (9P Lot Size 1A, /5 7 Grandfathered Y�es ❑No Dwelling Type: Single Family f� Two Family ❑ Multi-Family(#units) Age of Existing Structure iV Cc/ Historic House ❑Yes �io On Old King's Highway ❑Yes Basement Type: (full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ?90 Number of Baths: Full: Existing New � Half: Existing New No.of Bedrooms: Existing New 3 Total Room Count(not including baths): Existing New 7 First Floor Room Count Heat Type and Fuel: MG* as ❑Oil ❑Electric ❑Other Central Air aafes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes a40— Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) a V,< as 9 C9,Q ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes f l o If yes, site plan review# - Current Use Proposed Use r Builder Information Name Telephone Number '771 — /a yU Address try q j License# QQ 560 Qo2/ 7 Home Improvement Contractor# 72Y 0121 /V /6Vl , Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOA �i SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY -3 PERMIT NO. 3t DATE ISSUED MAP/PARCEL NO. ADDRESS r - VILLAGE .� a , � ..: • w 1 r 3 A F 1 R at 'OWNER - y DATE OF INSPECTION:, FOUNDATION FRAME INSULATION , 1 -FIREPLACE ELECTRICAL: , ROUGH FINAL PLUMBING: ROUGH FINAL` ' GAS: ^, ,'ROUGH FINAL • -y., i 1 . � r 1 . f r ' � ' '. 'ram * .. � r FINAL BUILDING DATE CLOSE J 0 , ASSOCIATIO N NO. ? G`• a ! r r .- j w II { I - i II i I � i I � I li 1p _ EEEIB Aiii it a i Q Z I r - - II \` II f �--__- %� ; � � :% i � � � j ; I i , �� � � i � i� � �_ - � j j � \ J '� � � � � � . . �, \,� W � _ --- I 1- ��- -- w i 2 z 0 I q 1 ( FCf�] � I II II s i 1 a � u m - I N� JaUl U) u 2 •I I nr� j 4 ` �C4 1 CI L 0 \9 7 vl 9 � 17 Y l7 J� 0 u J •.L;S ,ti•,E •.9•,6 .•o•,ol o'Z C U Ll L LIP � ~• L tY w w � I 9 f } m d ❑ o � ,���� TIy 4IT�� �� � I _`�� sY Y 1 o Id -- - i. - -9i Ly �•,�6 R��.. . _ 08 Ui w y I I J � I I a . - - s i < N 7 J d `J •CIS N r r i -.X�LA O � a le N � C- i ( 1 0? m z I Prz I.p n a �Z61. i --Cs ? i iOD II I I_.L.I_;.._._.—_.. i .P I�• I I: � -I•- '- I B I itP ii I l i l I III 0 Il li Rio I .I i m i �) I' I ?• i I Iw o I III I I, , ' � i c ° D Sx , I u oZ II I I I I ._...22.0 I I I I I I I I I I j I I i I C MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 . 0 Checked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 9-4-1998 DATE OF PLANS: 8/28/98 TITLE: LOT 76 KILKORE PROJECT INFORMATION: COBBLESTONE LANDING COMPANY INFORMATION: BAYSIDE BUILDING, INC. COMPLIANCE: PASSES Required UA = 345 Your Home = 273 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 880 38 . 0 0 . 0 26 WALLS: Wood Frame, 24" O.C. 1939 21. 8 3 . 0 95 GLAZING: Windows or Doors 239 0 . 350 84 GLAZING: Skylights 32 0 . 600 19 DOORS 21 0 .350 7 FLOORS: Over Unconditioned Space 880 19 . 0 42 COMPLIANCE STATEMENT: The proposed building design represented in these documents 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 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 r 1 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 0 LOT 76 KILKORE DATE: 9-4-1998 Bldg. Dept . Use CEILINGS: [ ] 1 . R-38 Comments/Location WALLS: [ ] 1. Wood Frame, 24" O.C. , R-21 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0 .35 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ l No Comments/Location SKYLIGHTS: [ ] 1. U-value: 0 . 60 For skylights without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: [ ] 1. U-value: 0 . 35 Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no .penetrations or installed inside an appropriate air-tight assembly with a 0 . 5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors . MATERIALS IDENTIFICATION: [ ] 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-values must be clearly marked on the building plans or specifications . DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to R-8 . 0 . f - r' DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts . The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] 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. HVAC EQUIPMENT SIZING: [ ] 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 . MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems . ----NOTES TO FIELD (Building Department Use Only) -----------=------------- v N 9 �'T 7�,- c>157 4 I1 wx 33.9E S� J CERTIFIED PLOT PLAN FOUNDATIONI CERTIFY THAT THE SHOWN ON THISS PLAN IS LOCATED ON FOR THE GROUND AS SHOWN HEREON AND LOT 76 KILKORE DR., HYANNIS, MA. THAT IT CONFORMS TO THE MINIMUM BUILDING SETBACK REQUIREMENTS OF THE TOWN OF BARNSTABLE. PREPARED FOR- BAYSIDE BUILDING INC. 0" OF Mgfs SCALE: V =30' OCTOBER 8, 1998 SMB y 579 ES510N Weller & Associates 1645 Falmouth Rd. —Suite 4C Centerville, Ma. 02632 (508) 775-0735 N s 1 ` �/Z, LvT 7(0 z 1 i3' J PROPOSED PLOT PLAN FOR LOT 76 KILKORE LANE HYANNIS, MA. ��t���x OF Mgs�4 c PREPARED FOR W. R MBA H _790 4` BAYSIDE BUILDING INC. --- '►i9"v�i� Q SCALE: V =30' AUGUST 31, 1998 Weller & Associates 1645 Falmouth Rd. —Suite 4C Centerville, Ma. 02632 (508) 775-0735 r ✓/e �nnu�roxrnen�/� r/..-�fr�.rrrr�rr��(/i . DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Restricted To: 11 BRIAN T DACEY 61 FERNBROOK LN CENTERVILLE, MA 12632 171.050 Restricted To: 11 I 11 - 35,111 cf enclosed space I (M6t C.112 S.61L) 1A - Masonry only 16 - 1 6 2 Family Homes failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. I 4 .Y ` COMMONWEALTH OF MASSACHUSETTS =— DEPAIUMENT OF INDUSTRIAL ACCIDENTS �.� 600 WASHINGTON STREET amen Gar-coei. BOSTON, MASSACHL75FM 02111 WORKERS' COMPENSATION INSURANCE AFFIDAVIT /�i C-�F Y (licensee/pcnnincc) with a principal place of business/residence ar. (Cry/swclzip) do hereby certify, under the pains and penalties of perjury, chat: [q/,l am an employer providing the following workers' compens<rion coverage for my emplovecs working on this job. /11�/Z�l� ti� C�►SCI. LTy 7-Cr 00 9 /gi 16V I Insurance Company Policy Number [ � 1 am a sole proprietor and have no one working for me. [ ) 1 am a sole proprietor, general contractor or homeowner (Circle one) and have'hired the contractors listed be:ew who have the rollowing workers' compensation insurnce politer: f� Y S i3 v/f d i,1-1G IAA T clot 00 `l 1,3 CO Namc of Conrractor Insurnce Company/Policy Number Name of Contractor Immnncc Company/Policy Number Name of Cont,—actor Insurance Company/Policy Number 0 -I am a homeowner performing all the work myself. )VOTE: Plcuc be aware that while homeowners who employ persons to do maintenance,construction or repair work on : dwelling of not more than three units in which the homeowner also ruidu or on the grounds appurtenant thereto arc not goner-Av considered to be employers under the Workers' Cornpcosatioa Act(GL C 152,tea-,1(5)), application by a homeowner for a lice:sc or permit mtv evidence the legal status of an employer under the Workers'Compensation Aet. I undo stied chat a copy of this statement wiU be forwarded to the Depar--rr.:of lndustrial Aeddenn'Office of Insurance for cove:a:: vcr,iica ion and th:r failure to secure coverage as rcquircd undo:Sccdon 25A o.-MGL 152 can lead to the imposition of criminal per.L es eonsisong of a fine of uo to S1500.00 and/or imprisonment of up to one ya.:and civt7 penalties in the form of a Stop Work Order ar.c: fine of 5100.00 a day gsins: me. Sicncd this day of 19 L1cc:1sce'i'crmirtcc Licensor/Pcrmicror SUBCONTRACTOR'S INSURANCE ENGINEEER: BAXTER & NYE ENG: (L) FIREMENS FUND - S30MXX80564866 (W) LIBERTY MUTUAL - WC1312595563023 WELLER & ASSOC: (L) NAT'L GRANGE MUT.- MSP45246 EXCAVATION & SEPTIC: ROBERT J. OUR (L) U S F & G - 1MP30109550901 (W) U S F & G - 771521695 DECO CONSTRUCTION (L) TRAVELERS - 660364IC8342 (W) LIBERTY MUTUAL - 312446298044 FOUNDATION: BAYSIDE FOUNDATIONS: (L) COMMERCIAL UNION - ABR406267 (W) LIBERTY MUTUAL - WC1312201785044 WELLS: DENNIS SCANNELL (L) TRAVELERS - 660873E5627COF92 (W) WAUSAU - 151300062926 CELLAR/GARAGE FLOORS: MICHAEL BROWN: (L) AETNA - MP0023672849 FRAMERS: ROBERT DORRER: (L) TRAVELERS - W680526K991TIA9 (W) AETNA - 006C0023972416C MICHAEL DUFFLEY: (L) COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL - WC1312492127024 MASON: SHERMAN, WAYNE: (L) COMMERCE INS CO -. N60689 (W) WAUSAU INS - TO BE ASSIGNED ELECTRICIAN: CHAVES ELECTRIC: (L) HANOVER INS. - LHN2964649 (W) MISCELLANEOUS INS CO. - 0708878 91 1 PLUMB & HEAT: WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9 (W) EASTERN CASUALTY - POLICY IN MAIL ALARM SYSTEM: BALTTC SECURITY : (L) FTRST FINANCIAL - FF0131 G400831 (W) COMMERCIAL UNION - CB0743379 CENTRAL VAC: VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045 a' INSULATION: MAP INSULATION: (L) AMERICAN STATES - 02CC326435-3 (W) U S F & G - 7711099932 SHEETROCK: MEL REED: (L) WORCESTER INS - CB817530 (W) COMMERCIAL UNION - CBH557387 INTERIOR TRIM: DAVID'S REMODELING: (L) COMMERCIAL UNION - NB F821442 M & R CARPENTRY (L) MARYLAND INS. GRP- SCP30235965 (W) CIGNA PROP & CAS .- C80049997 OAK INSTALLER: ROBERT BUDDEN: (L) NORTHERN ASSUR. - NBF528652 PAINTING,: CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF (W) AMERICAN POLICY - WCC 186604 GARAGE DOORS: ALL CAPE GARAGE DOOR: (L) U S F & G - BSC14667590303_ (W) COMMERCIAL UNION - CBH573757 STORMS & GUTTERS: AT.JJMTNUM PRODUCTS: (L) AETNA - MP0021014146 (W) AETNA - JC89258880 OAK FINISHER: AMERICAN FLOORS: (L) TRAVELERS - 680 342W754-0 CARPET, VINYL & TILE: CARPET BARN: (L) VERMONT MUTUAL - SBP6507393 (W) PHOENIX INS. - 6NUB476J652794 TILE INSTALLER: TONY AVERINOS : (L) ASSURRANCE CO. - CFP26528977 (W) HARTFORD FIRE - 77WZCY2409 WIRE SHELVING: CAPE COD CLOSETS: (L) U S F & G - BSC146983441 APPLIANCES: KITCHEN APPL MART: (L) FIREMENS FUND - AZC80453098 (W) HARTFORD INS CO - 77WZNBI603 MIRRORS & SHOWER DOORS: L & M GLASS : (L) COMMERCIAL UNION - CBR409003 (W) U S F & G - 0071439933 LANDSCAPE & SPRINKLER: COY'S BROOK: (L) COMMERCIAL UNION - ABR345850 (W) CIGNA COMPANIES - C41138178 DRIVEWAYS: NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18716945 (W) THE PHOENIX - UB387K530