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HomeMy WebLinkAbout0150 KILKORE DRIVE I5D ILro �� �R ACTIVE GG� V � E��SN�• o co \\ Q PRPGE ti I9 69 LOT 65 0 CERTIFIED PLOT PLAN I CERTIFY THAT THE FOUNDATION SHOWN ON THIS PLAN IS LOCATED ON THE FOR GROUND AS SHOWN AND THAT IT CONFORMS LOT 65 KILKORE DR. , HYANNIS, MA. TO THE MINIMUM BUILDING SETBACK REQUIREMENTS OF THE TOWN OF BARNSTABLE. PREPARED FOR BAYSIDE BUILDING INC . ����" ° s o? ny N H SCALE: 1" = 301 DATE: NOVE[�R 8,2000 o RU91 m ,! 9�FESSIONP ,rill;J f•'`1-+,�04 WELLER & ASSOCIATES 1645 FALMOUTH RD. - SUITE 4C CENTERVILLE, MA 02632 (508) 775-0735 Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 11/10/2014 Thomas Perry CBO Town of Barnstable Building Division 200 Main St. Hyannis,MA 02601 RE: Insulation Permits Dear Mr. Perry This affidavit is to certify that all work completed for 150 Kilkore Lane (#201307536) has been inspected by a third party Certified Building Performance Institute(BPI) Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey NOI5IAIG b 4 Wd ' 3 is n 119MM'd OO Nr" & A rt TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel G Application # J3b 7 S 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 Village AfY aoi wit Owner 0 O k/ i & e, VQS Address 4S Ito Telephone Cl Permit Re/quest `r-ce- w/ / —1 Q 01 ll r r we Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3/00 —Construction Type Lot Size Grandfathered: ❑Yes . ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ZV' 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) Number of Baths: Full: existing new Half: existing © r�evv _ c� Number of Bedrooms: existing _new C> N rya Total Room Count (not including baths): existing new First Floor Count— Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/c al stove,;_A Y ❑ 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 �❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Wo MC � �� P Telephone Number V � �v s` Address ' U 0°1 A( License# kA Home Improvement Contractor# t b o Worker's Compensation # x 336 J? % b- ALL CONSTRUCTION-DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE X DATE FOR OFFICIAL USE ONLY f _ "APPLICATION# c —DATE-ISSUED- MAP/PARCEL NO. ADDRESS VILLAGE OWNER " DATE OF INSPECTION: FRAME F -A JNSULATIONNji, ,o, ..s ,•s .: FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOC IATION,PLAN NO. 3AN, The Commonwealth of Massachusetts l 4Pnnt Form} Department of Industrial Accidents Office of Investigations _ 1 Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/individual): Cape Save,Inc. ,. Address: 7D Huntington Avenue City/State/Zip: South Yarmouth, MA 02664 Phone#: 508-398-0398 Are you an employer?Check the appropriate box: Type of project(required): 17 4. 1 general contractor and I I.�✓ I am a employer with � am a 6. []New construction employees(full and/or part-time).* have hired the sub-contractors 2.El I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 :Building addition [No workers' comp. insurance comp. insurance. required.]• • 5. We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers t comp. c. l2. Roof repairs right of exemption per MGL ❑152, §1(4),and we have no insurance required.] 13.0✓ Other Insulation employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f 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: Technology Insurance Company Policy#or Self-ins.Lic.#: TWC 3353968 Expiration Date: 04/09/2014 Job Site Address: 6J V 1 � �C��( 1' City/State/Zip: Mli 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury tat the information provided above is true and correct. Si ature: — ------ --- — --- ------- .---—=Date --- - Phone#:` 508-398-0398 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: DATE '� ®® CERTIFICATE ®F LIA ILI`Y INSURANCE 4/9/2013 m THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), 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 CON ACT Colleen Crowle NAME: y Risk Strategies Company PHOIN Ert. (781)986-4400 AIC No:(781)963-4420 IS Pacella Park Drive a AI AD ESS' Suite 240 INSURER(S)AFFORDING COVERAGE NAIC; Randolph NA. 02368 INSURERA Selective Insurance INSURED iNsuRERB:Safety Insurance Cc=anV 33618 Cape Save, Inc iNsuRERc:Technology Insurance Company 7 D Huntington Ave INSURERD: INSURERE: South Ya=outh MA 02644 INSURERF: COVERAGES CERTIFICATE NUMBER:CL134960509 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SLB POLICY NUMBER MOLD EFF PMO�ICY EXP TR. LIMITS L GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 AMAGE TO X COMMERCIA.L GENERAL LIABILITY PRR41SES Ea occurrence) S 100,000 A CLAIMS-MADE Q OCCUR 199448001 0/16/2012 0/16/2013 MED EXP(Any one person) $ 10,000 - PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY SCOT- LOC ° $ AUTOMOBILE LIABILITY CO BIKED SINGLE LIMIT(Ea 1 000 000 B A14Y AUTO BODILY INJURY(Per person) $ ALL OVWED SCHEDULED 208200 1/6/2012 1/6/2013 BODILY INJURY(Per accident) S AUTOS AUTOS X X NON-O)ANED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident) X Underinsured motorist BI spht $ 100,000 A X UMBRELLA LIAB X OCCUR 199448001' 0/16/2012 O/16/2013 EACH OCCURRENCE $ 1,000,000 EXCESS LIAR CLAIMSm-MADE AGGREGATE $ 1,000,000 GED I I RETENTION S IS C AND EMPLOYERS'LIABILITY WORKERS COMPENSATION Officers Excluded from X TT RYTE T,% OTRH YIN AW PROPRIETOR PARTNERIEECUTIVE NIA overage EL.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? 3353968 /9/20I3 /9/2014 (Mandatory In NH) E.L.DISEASE-EA EMPLOY $ 500 000 if Vas,d?scribe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OESCRIPTtON OF OPERATIONS?LOCAT70NS l VEHICLES(Attach ACORD 101,Addfional Remarks Schedule,if more space is required) .Issued as evidence of insurance. Issued as evidence of insurance. National Grid Corporate Services LLC d/b/a/ National Grid, Action Inc.,. Colonial Gas Company and NStar Electric are listed as additional insureds as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Cape Light Compact PO Box 427/SCH 3195 Main Street AUTHORIZED REPRESENTATIVE Barnstable, ice, ' 02630 chael Christian/CLC .cs ACORD 25(2010105) O 1999-2010 ACORD CORPORATION. All rights reserved. INS025 poiompi The ACORD name and logo are registered marks of ACORD I Building Permit Authorization t S 4 I, 1 David Petras as owner hereby give my permission to Cape Save, Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Office: 508-398-0398 to take all necessary steps.to obtain a building'permit to f perform work at my property located at 150 Kilcore Dr Hyannis, MA 02601 Signed = > t Date - r 9 Massacnuse {s -0eoartm= nt ub is Sate+y. Board of Building Reguia ions and Standards Construction Supen-kor Specialty . License: CSSL-102776 WILLIAM 3 MC C-LUSK EY 37 NAUSET ROAD West Yarmouth MA 02673 UirailUii o:,:.r issian�; 06/28/2015 1 Office of Consumer Affairs and eusness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration,* Renistration: 171380 Type: Corporation. - -- Expiration: 3/14/2014 Tr# 222184 CAPE SAVE INC. WILLIAM MCCLUSKEY 7-D HUNTINGTON AVENUE SOUTH YARMOUTH, MA 02664 = = Update Address and return card.Mark reason for change. DP&-CAI"0 son,-0004-G10121e - - - !. Address 1 Renewal- F] Employment Lost Card '�, ✓fie'C�ia�xa�zcoz:aealf� ��.l�aesac/itaselta .� Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: '_S Li 9 171380 Type: Office of Consumer Affairs and Business Regulation Expiration: -3/1412014 Corporation 10 Park Plaza-Suite 5170 F Boston,MA 02116 CAPE SAVE INC..,... WILLIAM McCLUSKEY_- _ 7-0 HUNTINGTON AVENUE SOUTH YARMOUTH`MA 02664" Undersecretary Not valid wit d signa - 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION lG 3Ma Parcel Application # a6 Health Division Date Issued Conservation Division Application Fee V Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board VC Historic - OKH _ Preservation / Hyannis Project Street Address L 5D ���-/�—C 1 LT Village Owner S Address Telephone — Permit Request 7SIL Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑1 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) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Roe ,Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood`/coal stoves❑Y6 ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑,existing f 0 new:) size_ f50 Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: ` Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION VCa& (BUILDER OR HOMEOWNER) 7/?-—a�f Name �� ���/�-/� Telephone Number bpi AddrA1WL X/ 1-,/Zo i -$ Dk/ ✓�--License # Y"W 0 2,1, U Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU DATE "' FOR OFFICIAL USE ONLY APPLICATION# .. DATE ISSUED MAP/PARCEL NO. F ADDRESS VILLAGE OWNER DATE OF INSPECTION: :FOUNDATION FRAME t INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. = The Commonwealth of Massachusetts - Department ofndustrial Accidents Office of Investigations J ' 600 Washington Street - Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Or nd izafiourindividvsI): yL. Address: i LU City/State/Zip:-- Phone Are you an employer? Ch k the appropriate box: ; Type of project(required); 1.El I am a employer with 4. 0 I am a general contractor and I ❑N• have hired the sub-contractors 6: ow construction employees(full and/or part-time).* y � - 2.❑ I aril a sole proprietor or partner- listed m the attached sheet 7. ❑Remodeling ship and have no employees These subcontractors have g. Demolition working for me in any capacity. employees and have workers' 9.. 0 Building addition [No workers'comp. insuranCe {< comp. insursrnce.t pequired.] 5; We are a corporation and its 10.❑Electrical.repairs or additions 3� I am a homeowner doing all work officers have exercised their 11.E Plumbing repairs or additions sel£ o workers' co right of exemption per MGL mymP 12.❑Roof repair 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.. lam 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 secuae 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 forin of a STOP WORK ORDER and a fine of up to$250.00 a day-against the violatot. 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..c under the pains penalties of perjury that the information provided above is true and correct .-Sim+afore. Date. 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.EIectrical Inspector 5..Plumbing Inspector 6..Other Contact Person: Phone#: Informatio and .Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursu nt'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 ovhotresides 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 Iicensing 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 I 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-contractors)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 maybe 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 thei.r 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 cturent. . 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 of 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 burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would Ike to thank you in advance for your cooperation and should you have any questiots;' 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 Investiptions 600 Washington Street Boston,MA 02111 Tel, #617-727-4900 ext 406 or 1-877-1viASSAFE Fax# 617-727-7749 wised 4-24-07 www.mFfs.gov/dia a , Town.of Barnstable . P'' a Regbhtory Services { Thomas=F.'C:eiler Director t RA4iNlR'ART ,R • ' Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601{ www.town.bar'nstable ma us Office: 508-862-4038 Fax: 508-790-6230. . HOMEOWNER LICENSE EXEMPTION .Please Pnnt> > G 4p .. p �t '2 DATE. l�I . � 0 ` . JOB LOCATION: /`/ .L numblEr , i p street ` vtIla "HOMBOwNfiR" UC. ��V �.�� 770c'.&/ name home phone#` .i iireak CURRENT MAILING ADDRESS: �—city/town state zip code Tlie current exemption for`homeowners"was extended to include"owner-occupied dwellings of six units or less and to allow homeowners to engage an individual f6i 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 stractUrCS. 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 an such workperformed under.the tiuildina`perIIII '(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 `3 requirements.. SipatudofftoiT61AMFAV s '' Approval of Building Official Note: Three fami-I:dweil#gs containing 35,000'cubid feet or larger wail be required to'comply with the State Building Code Section°127.0.Constnrction'C6ntroL HOMEOWNER'S EXEMPTION .,; ' The Code states that:"Any homeowner performing work for which a,building permif is required shall be exempt from the provisions of this section(Section 109.1.f-Licensing of construction Supervisors);provided that if the homeowner engages a persons)far hire to do.such work;that such Homeowner shall act as supervisor." ' x Many homeowners who use this exerirption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, r. 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 it.ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibihties,•many communities require;as part of the permit application, that the homeowner certify that he/she understarids the responsibilities of a Supervisor. On the last page of this.issue is,a form currently used by j several towns. You may care t.amend and adopt such a form/mT ification.for use in your community. �r- i Q-forms:homeexempt r Town of Barnstable ReLyulatory Services MA- Thomas F.'Geiler,Director s6;p. 1�� '°fin Mai� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.townbarnstable.ma.us Office: 508-862403 8 Fax: 508-790-6230 R - - Property Owner'Must a ILK. Complete and Sign This Section If Using A Builder h , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit t (Address of Job) #Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OVINERPERMISSIONPOOLS 62012 IJ - :� i :Nl i (.7cri {p 03 ! TL � Q I \ I ! N 0 r� — milli, '. - -----_...._.---•- 2Co -o• 'mil ' ---- - 'z - - I r , m - 71 r• S KE DETECTORS O.K. BARNSTABLE BUILDING DEPT. ., r __ ;� .. �� >_ _ - i 1 �, �- - - - �. f I, Li !� �G � ' I N �i x L I.. � ��'� r _� 9 � � : � %'� � � L1 --- _ - - _ _ � � -- . ; �► ; ,� � � _ � 9 - - �. D . ,r i�� c , . . � �� � � . . . - r i �L iI \ J ,i • y m r �I I �II I ,I I p r I � \V000 oEG1L CZAIL. ►2 x 1 2' L 30 ' at at' ,le 40' (o' sup, CDooFz s --- _ --- 8 - ► t` I -7 1 I 1 I i KITGHt✓tqol l Lli �ININ.Cs ! �N li Q1 =.S�g:'^FCC 1= F-4 rZoGki�b - - tf =: {1zn1t51r1�ct�tit L: GEtt:L;m ! �1t2.1`1L. / I I • iI i � .p I • Aar-�ot-i�?-�ov-�R -' _ .. 1 — -- - - -- - — - • LP ni Z. ' I -ali L' - 3 df14 .G_ I 6E0rL0o//� CARP L'T S Y. (�.t N£ t r . C,O N GTL= a �z 5 7 c g 41 2.�• _0 2-L -"r'- Co" 2' �,, i .8,-�,; __ a- --.�1• 9 -O J ' - - - - C • i o � 0 I 0 6 _ r `III�IIi± IIII(I,I � ---�- PN 5 9 0 —- ---_ I�. I rnLP D 40 .o1�N IP W Ai 01. 03 o - 4- 50 ¢9 o W. �- — — I i R > 0 - 1 I I i o I � 6 1 LD i I ►� C Z � - I I J+ �j off , ;TO � t J � J 1 .O 0 Lb . x �!to ip 0 .r m a fed 2k r O �Z 7.': a�x�• 7'-.4' sruo 1 - 7•8 Lo �, �tv X 0 0 r Ai 0 All Im On x 1 z GJC> Jr ,y D V1 Z 1 N � � Z I I I xY L r d � tT4>� tip Z �' N O��° 0 0 G� P D � TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 272 193 023 GEOBASE ID 37618 I ADDRESS 150 KILKORE DRIVE PHONE HYANNIS ZIP LOT 65 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 52071 DESCRIPTION C/O FOR SFH BUILT UNDER PERMIT- 049307 PERMIT. TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 ?ME CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P .Q EEARNsi'AsLE. I MASS.. �► 0.39. R10 eED� BUI NG /jIVIS'O BY DATE ISSUED 03/13/2001 EXPIRATION DATE w T014N 0 BARNSTABLk" '* EU���,P... i PERMIT . . ;. t<. ?h*1Zd L ILA 272 _193 023 GEOBA-SR �D 37618 ADDRESS 150 KILKORE DRIVE PR(' NE HYANN I S Z I P LOT 65 BLOCK �;'` LOT, SIZE' 6 DBA DEVFL6iMENT DISTRICT. 1.1Y PERMIT 49307 DE CRIPTTON 4BR/2EAIiCAR/I: 1'2 ST.CAPE/DECK. (SEWER) PERMIT TYPE BUILD TITLE : NEw RESIDENT., AL LDG PiAffl CONT RA('TQR..S BADS I DE .F UI LWE NG, INC Department of Health, Safety ARCHITECTS and Environmental Services k3:0TAL FEES. INE 00 . �")NSTRUCTION COSTS $167,300.00 101 SINGLE FaM HOME D�,TACIRED: .� !'I�l'VAT4� P.'��Ir�,tM.- ,. * HAAN M •STAB MASS: �► 039.. f BUILDIN DIVISIO �✓ BY DkrE I SSUED« 10/16/2000 _,EXP:IRAT:ION UAL' ' 1,441 THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. EN. CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF O'6BLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT REL-EASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE.SUBDIV(SION RESTRICTIONS. A MINIMUM OF FOUR CALL INSPECTIONS REQUIRED I FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND x ' 1 WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD.-KEPT POSTED UNTIL"�FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN"MADE.WHERE A CERTIFICATE OF OCCU (READY TO LATH). s PANCY IS''�REQUIRED,SUCH BUILDING'SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION.. � _OCCUPIED.UNTIL FINAL INSPECTION,HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. y ., I VISIBLEPOST THIS CARD SO IT IS I� BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2GS 0 . '* 0 AL 3 ' 1 HEATING INSPt0ION APPROV LS EILRIN ,DEPARTMENT 2 VOL b�r F HEALTH OTHER: � SITE PLA REVIEW APPROVAL 5➢ . I WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE. S.TRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY. VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS.ISSUED AS TELEPHONE.OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. I . III i a I i i i i i i i I i I I E VE ESTINA TEO PROJECT COST WORfCSHEET Value LIVING SPACE (high end construction) square feet X$I I51sq. foot= (above average construction) /J-6-5 square feet X$961sq.foot=-i l 5- 2 / o (average construction). square feet X$571sq.foot= GARAGE (UNMISHED) G D square feel X S25Isq. foot PORCH square feet X$201sq. foot= DECK ,� 76 square feet X$I51sq. foot= Z// yo OTMM square feet X$??Isq. foot= Total Estimated Project Cost 16 2300 /nC/usiona Affordable Housing esidential . 0 Commercial" Property Owner's Name Project Location S'ci Project Value16 1, :364) ' Permit NumberL� - 234 BAYSIDE BUILDING, INC. PERMIT ACCOUNT P.O. BOX 95 CENTERVILLE, MA 02632 -,i 53-574/113 ✓_ y DPAY ATE G TO THE _ �u ORDER OF $ THE Sutf C`7 fs' •V DOLLARS 01- b CAPE COD BANK AND TRUST COMPANY,N.A. r � FOR9/( - NP — �� „■nun 71 > 1 [if l•n I I I n � 01 ❑O in in an a a c Qu■ TOWN OF BARNSTABLE4BUILDING PERMIT APPLICATION 4--q .J (�- 7d� Parcel 3 • ©, 't 3 Permit# Map o� � � ',., .. 9� Date Issued Health Division �j�r�l<L lt �L�����'y � —Lis � - Conservation Division 0 .,Fee Tax Collector A a ik } A"LIFANT MUST OBTAIN A 6EWEr, - e 00INNECTION PERMIT FROM THE • RNGINEERIN(i DIvisioN P$lOR ir, Treasurer °'b tCoe i Planning Dept. Date Definitive Plan Approved by Planning Board C Lj+---- n.&�rs-c c;)— Historic-OKH Preservation/Hyannis �G Project Street Address /5� � ��� Village �2Pir i t -Owner Address / Telephone Permit Request r Square feet: 1st floor: ex' proposed YXQ 2nd floor: existing proposed Total new /S� � Valuation 11 • W5� i��o'C ?O-oning District Flood Plain C Groundwater Overlay 1� ' Construction Type 000Z�;�k Lot Size , �t :S� Grandfathered: ❑Yes ❑No If yes; attach supporting documentation. Dwelling Type: Single Family U Two Family ❑ Multi-Family(#units) Age of Existing Structure �- Historic House: ❑Yes 414 On Old King's Highway: ❑Yes Basement Type: Cull ❑Crawl ' ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new r Total Room Count(not including baths): existing new First floor,Room Count Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: C/Yes ❑ No Fireplaces: Existing New Q -Existing wood/coal stove: ❑Yes 3<0 Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn: ❑existing ❑new size Attached garage:❑existing C/new size aOAa;L Shed:❑existing 0 new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 3`N(o If yes,, site plan review# Current Use �G'f���, ' G Proposed Use _ BUILDER INFORMATION Name /� I/-LG'� / � � Telephone Number 7 7(— /d �G Address License# Home Improvement Contractor# Worker's Compensation# T C 110411 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 150:t [ Av-441IL4 SIGNATURE ��` �-�.-, DATE �� 5 - i - r , FOR OFFICIAL USE ONLY PERMIT NO. ` DATE ISSUED_ �. � fi MAP/PARCEL NO. ` ADDRESS, VILLAGE OWNERILL S" DATE OF INSPECTION: - - FOUNDATION FRAME INSULATION FIREPLACE �, s ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGHS FINAL n ` GAS: ROUGH 'i FINAL FINAL BUILDING r F� DATE CLOSED OUT ASSOCIATION PLAN NO. k �6 ESTIMA TED PROJECT COST WORKSHEET Value ` LIVING SPACE (high end construction) square feet X$115/sq. foot= (above average construction) /3-65' square feet X$96/sq. foot=- / l 160 (average construction). square feet X$57/sq.foot= GARAGE (UNFINISHED) G 416 square feet X$25/sq. foot PORCH square feet X$20/sq. foot= DECK 2 76 square feet X$15/sq. foot= 1-%/ y� OTHER square feet X$??/sq. foot= Total Esdmated Project Cost 16 Z 300 } { /n91- siona Affordable Housing HoygLng Fee f 04esidential 0 Commercial" Property Owner's Name Project Location S`cu Project Value Y16 7, Permit Number_,�ym 234 Z - ' BAYSIDE BUILDING, INC. -= .PERMIT ACCOUNT P.O..BOX 95 CENTERVILLE, MA 02632 .'� - h / 53-574L113 DATE (D TPAY O THE ✓, ORDER OF F� „ - - J / HE S U 7 okl 9^ 5 CTS DOLLARS/OE- Ir .� CAPE COD BANKV I� AND TRUST COMPANY,N.A . Q SFM 07 - r FOR 61521 i� 329 , - ------ - ---- a ■nnn 711 111 On 1 1 71n C 71 a.■ , n in an a ae C3 �O 13��g• \ f . 'QROPO��� o ro �A .69 , LOT 65 p it. • PROPOSED PLOT PLAN. : FOR LOT 65 KILKORE DRIVE, HYANNIS, MA. of STEVEN RUMBA PREPARED FOR : 79 S510NP� BAYSIDE 'BIIILDING INC.: SCALE:: 1" =30' OCTOBER It, 2600. p Weller.& Associates 1645 Falmouth Rd. -Suite 4C Centerville, Ma. 02632 (508) 775-0735 r � , ( BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR A Number: CS 005645 Birthdate: 04/19/1956 Expires: 04/19/2002 Tr.no: 18679 Restricted To: 00 BRIAN T DACEY r ov�r Tta� 62 FERNBROOI<LN CENTERVILLE, MA 02632, Administrator 00-35,000 cf enclosed space (MGL C.112 S.60L) 1A-Masonry only 1G-1&2 Family homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DIG'SAFE CALL CENTER: (888)344-7233 1 k =� COMMONWEALTH OF N tASSACHUSETTS - _- DErAIUMEN7 OF LNDUSTRULLACCIDENrS 600 WASHINGTON STREET - ames Camccel: BOSTON, MASSACHUSMS 02111 �or::n:ss�cne' WORKERS' COMPENSATION INSURANCE AFFIDAVIT Ile y (l ice nsee/perrni it cc) with a principal place of business/residcncc ac (City/S12(c/Zip) do hereby certify, undcr the pains and penahics of perjury, char. [g1am an employer providing tic Following workers' compcns: ion coverage for my employees working on uris job. Insurance Company Policy Number [ ) 1 am a sole proprietor and have no one working For mc. [ I 1 am a sole proprieror, general contractor or homeowner (circle one) and have hired the contl-;;ctors Itstcd L[:c«' who have the following worlccr.s' compensation insurrncc polio Narnc of Contactor Insurance Company/Policy Nurnbc: Namc of Contractor Insurance Company/Policy Nurnbc: Namc of Contaactor lnsurancc Company/Policy Nurnbc: 1 am a homcownr. performing all the work myscl( NOTE Please be aware that while homeowner,who employpersoes to do maintenznce, construction or repair work on : dwciling of not more thin three units in wbicb the homeowner also resides or on the grounds appurtenant tbe:eto are not generzrh considered to be employers under the Worker,' Compensation Act,(GL C 152,sect 10)), application by a homeowner for a license or permit msy evidence the legal status of an employer under the Workers' Coropensztiou Act uade:-st;.-td that 2 COPY of this stare rent will be forwarded to the Depar-;c.:of lndusttial Accidents' Office of lnsunnce'for cove::: vcr.:ic:ion and th;r failure to secure coverage as required undo Section 25.E of►viGL 152 ern lead to the imposition of ciminal Per.Z s eor.sisang of a fine of up to S1500.00 and/or imprisonment of up to one yG.:;.id civil penalties in the form of a Stop Work Order z-..c fine of 5100.00 a d;v qtins: me. Sir-ncd this dzy of , 19 LiccasccTurnittct Lic�.isor/Pcrmittor= SUBCONTRACTOR' S INSURANCE BAYSIDE BUILDINNG: (L) ZURICH - SCPM31195788 (W) NORTHERN INS N.Y. - TC1 91911041 ENGINEEER: BAXTER & NYE ENG: (L) KEMPER 7CQ27676000 (W) EVANSTON, INS - AE802232 WELLER & ASSOC: (L) NAT' L GRANGE MUT. - MSP4.5246 LAND CLEARING: PETER GOVONI : (L) • CNA INS CO - C179997230 (W) CNA INS CO - WC179997244 EXCAVATION & SEPTIC: ROBERT J. OUR (L) U S F & G - 1MP30109550901 (W) U S F & G - 771521695 NORTHERN SEALCOAT (L) TRAVELERS. 660364K8342 (W)- LIBERTY MUTUAL 312446298044 FOUNDATION: GARDNER CONCRETE FORMS : (L) ST. PAUL BFS00000169269 (W) ST. PAUL 7717171998 WELLS: DENNIS SCANNELL (L) TRAVELERS 660873E5627COF92 (W) WAUSAU 151300062926 CELLAR/GARAGE FLOORS : MASON WORKS (L) TRAVELERS - 1680204Y4465TCT FRAMERS : ROBERT DORRER: (L) TRAVELERS 680526K991A (W) ST. PAUL FIRE & MARINE INS CO. - 6S16UB-51OX322-3-99 MIKE DUFFLEY: (L) COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL WC1312492127024 DAVID HILL: (L) COMMERCIAL UNION - NBF821356 . (W) LIBERTY MUTUAL - WC1312492127024 t MASON: SHERMAN, WAYNE: (L) COMMERCE INS .CO N60689 (W) WAUSAU INS - TO BE ASSIGNED FERNANDES WAYNE (L) HINGHAM MUTUAL ART9800896 DANNY TORTORA: (L) ZURICH - SCP 31874051 (W) WAUSAU INS TO BE ASSIGNED aA GAS PIPING: BAYSTATE PIPIMG: (L) CRUM & FORSTER - 5031766863 (W) CRUM & FORSTER - 4086081999 ELECTRICIAN: CHAVES ELECTRIC: (L) MISC. INS . - ZDN5245913 (W) MISCELLANEOUS INS CO. - WCP0006299 AMES ELECTRIC: (L) NORTHERN INS . - NBF418165 (W) AMERICAN EMPLOYERS- QBH2O8297 BAYSIDE ELECTRIC : (L) ST PAUL INS . - BFS00000400422 (W) EASTERN CASUALTY - WC98695063 PLUMB & HEAT: WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9 (W) EASTERN CASUALTY - POLICY IN MAIL ALARM SYSTEM: BALTIC SECURITY: (L) HANOVER INS - PAC105393 (W) WORKERS RISK - WCS-80414040 INTERCITY ALARM: (L) FIRST FINANCIAL - FF0131 G400831 (W) COMMERCIAL UNION - CB0743379 CENTRAL VAC: VACUUM HOUSE : MERRIMACK MUTUAL - SBP1608045 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) CGU - NBFB40738 M & R CARPENTRY (L) MARYLAND INS . GRP- SCP30235965 (W) CIGNA PROP & CAS. - C80049997 K FITZPARRICK: (L) MARYLAND INS . GRP- SCP30235965 (W) CIGNA PROP & CAS . - C80049997 OAK INSTALLER: ROBERT BURDEN: (L) COMMERCIAL UNION - NBF824090 (W) LEGION INS . - WC30024039 PAINTING: CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF ; (W) ASSOC INDUSTRIES OF MA. MUTUAL - AWC 7000126-01-99 GARAGE DOORS: ALL CAPE GARAGE DOOR: (L) U S F & G - BFS000000348188 (W) TRAVELERS INS CO - 1810336H8138T1A99 STORMS & GUTTERS: ALUMINUM PRODUCTS: (L) CNA INSURANCE - 1074079839 (W) CNA INSURANCE WCC174080411 OAK FINISHER: AMERICAN FLOORS: (W) EASTERN CASUALTY .- WCV3001745 CARPET, VINYL & TILE: CARPET BARN: (L) TRAVELERS - 1680625Y1691TILOOS (W) MA. RETAIL MERCHANTS - 8100-06 TILE INSTALLER: TONY AVERINOS : (L) ASSURRANCE CO. - CFP26528977 (W) HARTFORD FIRE 77WZCY2409 WIRE SHELVING: CAPE COD CLOSETS: (L) ARBELLA NBF8410782 (W) TRAVELERS - 7PJUB-521X529-4-99 APPLIANCES: KITCHEN APPL MART: (L) FIREMENS FUND - AZC80453098 (W) HARTFORD INS CO - 77WZNB1603 MIRRORS & SHOWER DOORS: L & M GLASS: (L) COMMERCIAL UNION - CBR409003 (W) U S F & G - 0071439933 LANDSCAPE & SPRINKLER: COY' S BROOK: (L) TRAVELERS' - 6880937DO453 (W) RENNAISSANCE INS - TBD DRIVEWAYS : NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18716945 (W) THE PHOENIX - UB387K530 SUSPENDED CEILINGS: ATC CEILINGS : (L) TRUST INS CO TMP1005666 (W) , SAVERS PROPERTY - WC0000873 RUBBER ROOFS : CAZEAULT CO. (L) AMERICAN EQUITY ACC 06OfO6R-1 SIDEWALLER: STEPHEN CRESSWELL: (L) MARYLAND INS . . SCP29031342 MAScheck COMPLIANCE REPORT ® Massachusetts Energy Code I Permit # MAScheck Software Version 2.01 s Checked by/Date { CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 10-5-2000 DATE OF PLANS: 10/5/00 TITLE: LOT 65, HOUSE #150 KILKORE DR., HYANNIS PROJECT INFORMATION: COBBLESTONE LANDING II COMPANY INFORMATION: BAYSIDE BUILDING COMPLIANCE: PASSES Required UA = 370 Your Home= 305 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 880 30.0 0.0 31 WALLS: Wood Frame, 24" O.C. 2190 19.0 0.0 128 GLAZING: Windows or Doors 241 0.350 84 GLAZING: Skylights 32 0.350 11 DOORS 21 0.400 8 FLOORS: Over Unconditioned Space 880 19.0 0.0 42 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations • submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125o of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 LOT 65, HOUSE #150 KILKORE DR., HYANNIS DATE: 10-5-2000 Bldg. 1 Dept. 1 Use CEILINGS: [ ] I 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 24" O.C., R-19 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 [ ] No Comments/Location SKYLIGHTS: [ ] 1. U-value: 0.35 For skylights without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: [ ] 1. U-value: 0.4 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. 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 cfm (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 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: ( ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. I 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 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. 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. [ ] SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 200 of the heating energy is from _ non-depletable sources. Pool pumps require a time clock. i [ ] I HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.) : PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) - 2" RUNOUTS 0-1" 1.25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any. 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 [ ] CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.) : PIPE SIZES (in.) NON-CIRCULATING CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 1.0 1.5 2.0