HomeMy WebLinkAbout0197 KILKORE DRIVE i.
WE Town of Barnstable -*Permit# .
� Expires 6 montle�f om issue date
Regulatory Services Fee L�
'a"S&639. Richard V.Scali,Director
'°rEo rub° ,.
Building Division eqo�
Tom Perry,CBO,Building Commissioner
200 Main Street,Hyannis,MA 02601 !J�
www.town.bamstable.ma.us FEB 012�
Office: 508-862-4038 �'ooIInn// Fax- 501-%0-6230
EXPRESS PERMIT APPLICATION RESIDENTIPAIN YMNSTABI
E
Not Valid without Red X-Press Imprint
Map/parcel Number 62 ?oZ/9,_3
Property Address- /I ;/ llre�7110 Z 7,7/f-1 4212
E�Iesidential Value of Work$ ` RC2002 Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address 2a / /�-
1�� zlraaele
Contractor's Name 7-o S en� �7"U�sd`A/ Telephone Number &0 77
C 6sj- __
Home Improvement Contractor License#(if applicable) D`J9�.CP 3 Email:
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Che one:
Lt I�am a sole proprietor
❑ 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 Requ t(check box)
Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to,�/'j/�ljOU7�/�
❑Re-roof(hurricane nailed)(not stripping. Going over, existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders.U-Value - (maximum.32)#of windows
#of doors:
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. '
Separate Electrical&Fire Permits required.
*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. a
SIGNATURE: x2,
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 040215
t- -
?Tie i7ommonivealth o,f Wassachusetfs
Department o,f Industrial Accidents
r Ofr&e o, rove-itrga�ii ons
600 Washington Street
Boston, 3M 02111
WitnumasmgovIdia
'Workers' Campensatian Insurance Affidavit-. Bnilder,IContractQirs/Electricians/Plumbers
Applicant Infmrmatian Please Print Legibly
Name r/ L/
Address:
"7
City/St ateai_ /S f���c�60/ Phone
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer vxzth 4. ❑I am a general contractor and I 6. ❑New construction
employees(full andfor part-time)-* Have]sired 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 '
wa dug for one in any capacity. employees and have workers' 9. ❑Building addition
[No workers' Comp.insurance comp-insurani�$
d] 5. ❑ We are a coiporation and its lo.F.-1 Electrical repairs or additions
3. I am.a homeoufner doing all vSrork officers have exercise d their 11.❑Plumbingrepairs or'additions
myself[No workers'camp. t of exemption per MGL 12.2-1�oof repairs
insurance required,]I c.152,§1(4)6 andwe have no
employees.[Nowor=s' 13.❑Other
camp.insurance required_)
•Any s"bcaat.that cbedcs box K must also EU out the sectionbelaw showing their workers!compensatianpo&7 information.
Homeowners who submit this sftidmit in&cxtmX they axe doing all work and duen hire outside contractors mast submit a new affidxW indicating such.
fCannactors IT=check.This boa mast attached au additional sheet showing the name of the sub-ca otractm and state whether of nat those entities haM
employees.Nthesuhtonttsctoeshm employees,lkymusrpmvide their worke&comp.policy number.
I ant an employer that ispr4nidbWworkers'compensation insurance for my entplayees BeI0w is t)tepolicy dRd job site
information
Insurance Company Name.-
Policy 14,,�or Self-ins.Lic. Fxpitation Date:
Job Site Address- City/StatelZsp:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to sec um coverage as required.under Section 25A of MGL c 1572 can lead to the imposition of criTeinal penalties of a
fine up to$1,500:00 and for one-year imprisomaenk as well as civil pamMes.in the form of a STOP WORK ORDER and a tine
of up to 0-DO a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
lavestigati,ons of the DIA for insurance coverage verification-
I do hereby cedi under the pains and penaities ofpet,jut}that the in;forma€an prmided abm e is true and correct
SitEtature: Date:
Phone
Officiai use only. Do mt write in this area,to be caniplreted by city or town official,
City or Tov«.: PermitlLicense if
Issuing Authority(drde one):
1.Board of Health 3.Building Department 3.QtytTown Clerk 4;Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone#:
Mforrnation and Instructions
Massachusetts C=,utrai Laws chapter 152 requires all employers'to provide workers'compensation for their employees.
p tD this fie,an.mV,&gyee is defined as."_.every person in the service of another under any contact of hire,
express or implied,oral or wiitte�
An e2npioym'is defined as"an mdindoal,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 i adividnal,part e:rsbip,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 -
o on such dwellin house
another who employs ersons to do ma?ntenan ce,construction or repair work g
dw-eTT�•,.,�house of �p ys P
"-"mob I mt be deemed to bean loyer.n
or on.the grounds or building apprnden ant thereto shall not because of such emp oym
MGL chapter 152, §25C(6)also sues that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to contract buildings in the commonwealth for nay
applicant who has not produced acceptable evidence of compliance with the insurance.coverage required."
Additionally,MCrL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall
enter into any, contract for the performance;ofpubho work until acceptable evidence of compliance with the insmanCei..
requirements of this chapter have been presented to the contracting authozity."
Applicaizts
Please fill out the workers'compensation affidavit completely,by che-r a the boxes that apply to your situation and,if
necessary,supply sub-contractor(s)name(s), address(es)and phone numbers)along with their certificates) of
ec
insr„-a„ce. Lmmited Liability Companies(LLC)or Limited Liability-Part:amships(LLP)with no employees other than the
members or partners,are not rearmed to carry workers' compensation msRnante. N an LLC or LLP does have
empIoyees,a policy is required. Be advised that this affida�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
b,retrnned to me city or town that the application fur the permit or license is being requested,not the Department of
h2ffil. •a 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-i asurz z license number on the appropriate line.
City or Town Officials .
f
Please be sure that the affidavit is complete and primed legiilly. Tht Department has provided a space at the bottom
of the affidavit for you fn fill out i a the event the Office of Investiga Pions has to contact you regarding the applicant
Please be sure to fill in the pennit/Iicrose number which will be used as a reference number. In addition,as applicant-
that must submit multiple per nitUcense applications is any given year,need only submit one affidavit indicztiag carueat
policy information Cif necessary)and under".lob Site Address"the applicant should. "all locations in (city or
town)_"A copy of the-affidavit that has bean officially stamped or marked by the city or town may be provided to the '
applicant as proofthat a valid affidavit is on EIe for fume 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 relab�d to any business or commercial venture
(
i_e. a do g license or P ermit to binm Ieaves etc.)said person is NOT required to complete this affidavit
ons
The Office of Investigations would like to thank you is advance for your cooperation and should you have any gMMd ,
please do not hesitate to give us a call.
The Departraenfs address,telephone and fax number.
T t C:G-=nMWe31t11 of Mamachusu--t is ,
DEegartrnent of ladustdak Accidents
wCe. of kve9tigatio---=
(504-washivou st=t
Boston MA O� I I I
T(,-1.4' 617 727--49GO Qxt 4€6 or 1-M- I�
Fax 9 617-727-7749
1Zcvised 4-24-707 .masq-gav/dia.
- l
9� s639. 10� Town of Barnstable
ArfD��,
Regulatory Services
Richard V.Scali,Director,
Building Division
Thomas Perry,CBO
Building Commissioner`
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-8624038 ,Fax: ,508 790-6230
L
Property Owner Must .
Complete and Sign This Section.
If Using A Builder ,
I, fir/f7 /4as Owner of the subject property
hereby authorize to act on my behalf
in all matters relative to work authorized by this building pertnit application for: e
(Address of Job)
ignature of Owner Date
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side. _
QAWPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 040215
Town of Barnstable
Regulatory Services
��tHE rQJyr Richard V.Scali,Director
Building Division
EAMSTABI.E Tom Perry,Building Commissioner
MAss.
163g6 ��� 200 Main Street, Hyannis,MA 02601
ArFD 6 www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION: 191,�? �
n mber street vi e /J .
"HOMEOWNER": lQe
name home phone# work phone# .
CURRENT MAILING ADDRESS:
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.
DEFINMON 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
pro edures d requirements and that he/she will comply with said procedures and requirements.
Z��Al
ignature of Homeowner
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:\WPFILES\FORMS\building permit forms\E3G'RESS.doc
Revised 040215
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map d 7 ;1' Parcel llq 3 . d D 9 ;'f j Permit#
Health Division 0x/ Y 7o4il Date Issued
eY
Conservat•ion Division .2- a4 Fee ' �J
r
Tax CollectorlMCANT UMOBTAIN A gEwER
7 - � CONNECTION PERMIT FROM THE
Treasurer L /j-�� FR$NGINEERINO DIVISION PRIOR fi0
?ZMSSTRUCTION
Planning Dept.,
Date Definitive Plan Approved by Planning Board /
Z—o - R� I�KsYe,� S rr'� c e
Historic:OKH Preservation/Hyannis
Project Street Address 147 1< 1LtkQ _F_ D2 C D F-v LoT 71
Village
Owner /30#Lt& Address
Telephone 7 21 — L 0 'YG 1.
Permit Request TO
Square feet: 1st floor:existing proposed t� 2nd floor:existing proposed Total new a0
Estimated Project Cost.133•2V4� Zoning District 2 C Flood Plain Groundwater Overlay
Construction Type 9W-b FRA141E
Lot Size a. q6 q Grandfathered: W'Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family Wr Two Family ❑ Multi-Family(#units)
❑ M Age of Existing Structure IVE Historic House: Yes - o On Old King's Highway: ❑Yes 4o'
Basement Type: ®Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1376
Number of Baths: Full: existing new d2 Half:existing new
Number of Bedrooms: existing new
Total Room Count(not including baths): existing new 7 First Floor Room Count 5-
Heat Type and Fuel: 0"Gas ❑Oil ❑ Electric ❑Other
Central Air: LIPYes ❑No Fireplaces: Existing New_� Existing wood/coal stove: ❑Yes �o .
Detached garage:❑existing ❑/new size Pool: ❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing Z new sizeZ1"a3 Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑,Y/e�s Ulo If yes,site plan review#
f/Current Use ae� Proposed Use
BUILDER INFORMATION
Name aY0A �� Telephone Number '7 21
Address ,�G� License# oef 5/O e/s-
Home Improvement Contractor#
Worker's Compensation# TCQ UD�r l tl lO4//
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE Z - `
FOR OFFICIAL USE ONLY
PERMIT NO. V r
DATE ISSUED
t MAP/PARCEL NO. .
ADDRESS VILLAGE
E OWNER `=
` x ,a - y
DATE OF INSPECTION: _
FOUNDATION
FRAME
x INSULATION 0'o
FIREPLACE
lk r.9
ELECTRICAL: ROtfGfI-- FINAL
PLUMBING: ROM.HS! FINAL
GAS: ROL.CGD S9 I FINAL
FINAL BUILDING a
DATE CLOSED OUT r
4
ASSOCIATION PLAN NO.
r ,
a
,- TOWN OF BAR TABLE
r CERTIFICATE OF OCCUPANCY
PA4CEL ID 272 193 009 GEOBASE ID ` 37604
ADDRESS 197 KILKORE DRIVE PHONE
HYANNIS ZIP
I
(LOT 51 BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT HY I
PERMIT 48192 DESCRIPTION
PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY
CONTRACTORS: Department of Health, Safety
ARCHITECTS: and Environmental Services
TOTAL FEES:
BOND $.00 pfr
CONSTRUCTION COSTS $.00
756 CERTIFICATE OF OCCUPANCY •1 PRIVATE P f
* BARNSTABM •
MASS.
1639. A� i
BUILDIr V
BY
DATE ISSUED 08/22/2000 EXPIRATION DATE
_J.LJw '•sa @SAS _ - ..
BUILDM PERMIT
PARCEL ID 272 193 009 GE013ASE 1D 37604 °
1#Ui. RES S 19/'�TxY�F,{T,•I-I�s,�.O +' ,"DRIVE PHONE
LOT 51 BLOCK MIT SIZE,
DBA 'DEVELOPMENT ;T
PERMIT 44101 DESCRIPTION SII►GLE FAMILY HOME .W/2 CAR GARAGE-TOWN. SEW
PERMIT TYPE BUILD TITLE. N RESIDENTIAL BLDG PMT . ,
coNTAACTORS: BAY'SIDE BUILDING, 'Mc Department of Health-'Safety
ARCHITECTS: and Environmental Services
TOTAL FEES: $413',.04
BOND $. 00 Ox `
CONSTRUC` TON WETS $133,.240:UC.
1.01 SINGLE FAM HOM..E DETACH,D z PRI�A`t`�' P� :#r �`���_
* HARNS'rABM s
MASS.
R, k 031 A�
ED Mpl
` BUILDING DIVISION .'
' . BY
DATE ISSUED 02/10/2000 -EXPIRATION..DATE
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY CA SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- �
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED'..1NDER THE BUILDING CODE,MUST BE APPROVED,BY THE JURISDICTION.'STREET OR
_ ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS1-AY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF.THIS
.PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS(� ANY APPLICABLE SUBDIVISION RESTRICTIONS:'
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED t a
FOR ALL CONSTRUCTION WORK: APPROVED Pi. NS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE
THIS CARD Kt' 'T POSTED UNTIL FINAL INSPECTION
1.FOUNDATIONS OR FOOTINGS � PERMITS ARE. 'REQUIRED FOR
2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MP't_.WHERE A CERTIFIC E OF.000U
READY TO LATH ELECTRINSTALL TIO NS AND MECH-
�. PANCY IS HE:,_,,.RED,SUCH BUILDING NOT BE 'ANICAL INSTALLATIONS.
3:INSULATION. OCCUPIED Ut�1L FINAL INSPECTION HAS BEEN MADE.
4.FINAL INSPECTION BEFORE OCCUPANCY.
POST THIS CA-RD SO 1 ,1 IS VISIBLE
BUILDING INSPECTION APPROVALS i PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
r
2 2 2
3 1 TING INSPECTION APPROVALS 4 ENGINEERING DEPARTMENT
rJ
2 BOARD`OF
4�
I
OTHER: rt SITE PLAN REVIEW APPROVAL
I
ak �i
� 4lI I
WORK SHALL ZT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED OWTHIS
THE INSPECTOR 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. r NOTED ABOVE. TION.'.
BUILDING
PERMIT
DR0
115.66
25f
rn
EXISTING
FOUNDATION Lo
r
Qo��
98 89
LOT 51
0
D
O
O�
41.13
-�- q� KID
KORE DRIvE
CERTIFIED PLOT PLAN I CERTIFY THAT THE FOUNDATION SHOWN
ON THIS PLAN IS LOCATED ON THE
FOR GROUND AS SHOWN HEREON AND THAT IT
LOT 51 KILKORE DR. HYANNIS, MA. CONFORMS TO THE MINIMUM BUILDING
SETBACK REQUIREMENTS OF THE TOWN OF
BARNSTABLE.
PREPARED FOR
BAYSIDE BUILDING INC .
OF M.
s
SCALE: 1" = 30' DATE: MARCH 17,2000 STEVEN W 9�ti
RU m
WELLER & ASSOCIATES
1645 FALMOUTH RD. - SUITE 4C CENTERVILLE, MA 02632
(508) 775-0735
115-66
N
20.5-
n
PROPOSED
DV ELLING
0
L 07 51
12470 S.F. --
0,29 AC, --
C
I
RF DR
IVE
KILKO
PROPOSED PLOT PLAN
FOR
LOT 51 KILKORE DR., HYANNIS, MA.
PREPARED FOR
OF MgsS
BAYSIDE BUILDING INC. oz�
2 SIEVE W. m
RUM
79 v,
SCALE: 1" =30'- FEBRUARY 8, 2000
���ss�o�jP'oQ
Weller & Associates
1645 Falmouth Rd.—Suite 4C Centerville,Ma. 02632
(508) 775-0735
MAScheck COMPLIANCE REPORT
Massachusetts Energy Code Permit #
MAScheck Software Version 2.01
Checked by/Date
CITY: Barnstable
STATE: Massachusetts
HDD: 6137
CONSTRUCTION TYPE: 1 or 2 Family, Detached
HEATING SYSTEM TYPE: Other (Non-Electric Resistance)
DATE: 2-4-2000
DATE OF PLANS: 2/4/00
TITLE: LOT 51 KILKORE DRIVE, HYANNIS
PROJECT INFORMATION:
COBBLESTONE LANDING II
COMPANY INFORMATION: '
BAYSIDE BUILDING, INC.
COMPLIANCE: PASSES
Required UA = 569
Your Home = 504
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
-------------------------------------------------------------------------------
CEILINGS 2052 30.0 0.0 72
WALLS: Wood Frame, 24" O.C. 2828 19.0 0.0 165
GLAZING: Windows or Doors 489 0.350 171
GLAZING: Skylights 53 - 0.400 21
DOORS 21 0.350 7
FLOORS: Over Unconditioned Space 2052 30.0 0.0 67
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 125% 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 51 KILKORE DRIVE, HYANNIS
DATE: 2-4-2000
Bldg. 1
Dept. 1
Use
CEILINGS:
[ l 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: 0.4
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-30
Comments/Location
AIR LEAKAGE:
[ l 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 28.3, 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.
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:
[ J 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 78OCMR 1310 and J4.4.
[ ] 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.
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" 2.5-411
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 0-111 0-1.25" 1.5-2.0" 2.0+11
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
----NOTES TO FIELD (Building Department Use Only) -------------------------
f-
'�I .��P 1/•[U/[lNOIrI/rPll��� r�.. Il rr:IJNr'�l/.IP��1
DEPARTMENT OF PUBLIC SAFETY
CONSTRUCTION SUPERVISOR LICENSE
Number: Expires:
Restricted To: 11
BRIAN T BACH
62 FERMBROOK IN
CEMIERVIIIE, MA 12632
10
Restricted To: 11
00 - 35,111 cf enclosed space
I (M6l C.111 S.611)
lA - Masonry only
16 - 1 6 1 Family Homes
I
Failure to possess a current edition of the
Massachusetts State Building Code -
is cause for revocation of this license.
COMMONWEALTII OF N ASSACHUSETTS --
DE'AIUMENT OF LNDUSTRIALACCIDENTS
600 WASHINGTON STREET
ames Cam:ioel: BOSTON, MASSACHUSFI TS 02111
,or-m:ssicne• WORKERS' COMPENSATION INSURANCE AFFIDAVIT
1, P-/c MIti11, T %�i�IC�F Y
(licensee/permincc)
with a principal place of business/residence ar:
(City/StatcrL:p)
do hereby ccri4, under the pains and penalties of perjury, that:
[VJ//'l am an employer providing the following workers' eompens-.6on coverage for my employees working on this
job.
rc r oo V /q / My/
Insurance Company Policy Number
[ ] 1 am a sole proprietor and have no one working for mc-
( ] 1 am a sole proprietor, general contractor or homeowner (circle one) and have') ired the contractors listed b-ew
who have the following workers' compensation insurance polices
Name of Contractor Inst:r:nce Company/Policy Number
Name of Contractor Insurance Company/Policy Number
Name of Contractor Insuranec Company/Policy Numbc:
a 1 am a homeowner performing all the work myself.
NOTE: Pleve be aware that while homeowners wbo employpersoes to do maintenance,construction or repair work on :
d,vc:ling of not more than three units in which the homeowner also reside or on the grounds appurtenant the.cto arc not genet-JI
considered to be emplove.s under the Workers' Compensation Act(GL C 152,sect- 1(5)), application by a homeowner for a licccsc
or permit may evidence the legal status of an employer under the Workers'Compensation Act
1 unde-st:.nd that a copy of this statement will be forwarded to the Depar^c-.:of Industrial Acddents'Ofnce of Insurance for cove.q:
vc-i-ic::ion and th:t failure to secure coverage as required undc:Section 25A of MGL 152 can lead to the imposition of ciminal pe-.a iu
consisting of a fine of up to Sl 500.00 and/or imprisonment of up to one ye::.nd civil penaluu in the form of a Stop Work Order
fine of S 1 00.00 a d:v agains: mc.
Sir-ncd this day of 19
Licc:iscc Pcrmiricc Licc:isor/Pcrmit-ror
C�
SUBCONTRACTOR'S INSURANCE
ENGTNEEER:
BAXTER & NYE ENG: (L) FIREMENS FUND - S30MXX80564866
(W) LIBERTY MUTUAL - WC1312.595563023
WELLER & ASSOC: (L) NAT'L GRANGE MUT.- MSP45246
EXCAVATION & SEPTIC:
ROBERT J. OUR (L) U S F & G - IMP30109550901
(W) U S F & G - 771521695
DECO CONSTRUCTION (L) TRAVELERS - 660364K8342
(W) LIBERTY MUTUAL - 312446298044
FOUNDATION:
BAYSTDE FOUNDATIONS: (I_,) COMMERCIAL UNION - ABR406267
(W) LIBERTY MUTUAL - WC1312201785044
WELLS:
DENNIS SCANNELL (L) TRAVELERS - 660873E5627COF92
(W) WAUSAU - 151-300062926
CELLAR/GARAGE FLOORS:
MICHAEL BROWN: (L) AETNA - MP0023672849
FRAMERS:
ROBERT DORRER: (L) TRAVELERS - W680526K991TIA9
(W) AETNA - 006CO023972416C
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 & MEAT:
WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9
(W) EASTERN CASUALTY - POLICY IN MAIL
ALARM SYSTEM:
BALTTC SECUIRTTY : (I_,) FIRST FINANCIAL - FF0131 G400831
(W) COMMERCIAL UNION - CB0743379
CENTRAL VAC:
VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045
TNSUL,ATTON:
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
14 & R CARPENTRY (L) MARYLAND INS. GRP- SCP30235965
(W) CTGNA PROP & CAS.- C80049997
OAK INSTALLER:
ROBERT BUDDEN: (L) NORTHERN ASSUR. - NBF528652
PATNTTNG:
CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF
(W) AMERICAN POLICY - WCC 186604
GARAGE DOORS: ,
ALL, CAPE GARAGE DOOR: (I:.,) U S F & G - BSC14667590301_
(W) COMMERCTAL UNION - CB11573757
S`L'ORMS & GUTTERS:
ALUMTNUM PRODUCTS : (L ) AETNA - MP0021-01-4146
(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) I-IARTFORD FIRE - 77WZCY2409
WIRE SHELVING:
CAPE COD CLOSETS: (L) U S F & G - BSC146983441
APPLIANCES:
KITCIIEN 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) COMMERCIAL UNION - ABR345850
(W) CIGNA COMPANIES - C41138178
DRIVEWAYS:
NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18716945
(W) THE PHOENIX UB387K530
IIIIIIIIIIIIiI,I
IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII
NONE
■'
■COME
�IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII �
IIIIIIIIIIIIII�II
IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII
iiii 'i'iiiiil _ IIIIIIIIIIIIII
uuuueu�
� IIIIIIIIIIU
�111
II IIII
IIIIIIIIIIIIIIIIII,II
■ENE■ IIIMIII
■■■■■I
1111111111111111111��'I
IIIIIIIIIIIIII IIIIIIIIIIIIII
I�ICI�I ICI ICI I��I ICI ICI ICI ICI,I i
luuuuuu��J���
IIII i1i i1'
Ell B 1i
�,111 �I� iIl
IIII
i111 II i11 �I
Ii,II
111 IN 1!
i Ii 1 i1i i�
'�IIIIIIIIIIIII ;III
C
F F
EE
L---J III I I 11 I IL---J I I I
I I III I I I I I I I I
I I I I°Il I I I I I I I I
----------I I I I I
I I I I I I
-J ------- I I I
L--------------- ------------------------------------I�---- - ---�
REAR ELEVATION
SCALE- 1/4• 1'-0'
y
II II
II , I
II II
II , I
1I I1
_ �rrn 1I II
, I I1
J 1
1I
m= <
y1. w I L------
rm � F Is-------
FE, D
Is
OL
m
I app
Dn „ rF-------
•
3 . R
m o rH N y�lp
II
I I p
o
4-� ® 0
II
II
II
r1
I , r
II I
I - L
II
1
i I 1
--------
L---
A2'-O'' IA'-& -
15'-A' W-A' T-O' 7-0-
Q
A
DECKpCC M
`� I G N
`v 25 5/Alytq 31AI
. g PCC 255q- I OYM 70 I-A' -
Y V V ❑
FAN I LY 7 FMI A= $
ROOM
GAS FIRE PLACE it
DFS 7252 OY W/WOOD FRAME CHIMNEY b .
A' I 72"xEQ' -
E% !OR I 26" OAK
CHAIR RAIL .
Orfm 70
IA'-A' _ AdOVL 27'�-&' Q - 14'-O"
... ...
2666 CHAIR RAIL x5 A
b MASTER LIVING DINING
s SUITE ROOM i OAK s
CARPET OAK J
7 o p g S/W FIRE RATED -
GYP-.BOARD
.BETWEEN-LIVING SPACE
AND GARAGE
2666 PK ALL.WALLS RM&ATED .
R3O M21MATICN IN CEILING
® e r PCC 25Eq `
BATR ��E
WALK-IN TILE oAK glo KITC+=IEN ' GARAGE
. -
u r s'_A1 _ E 1p p aI caNC sLAe- A
PITCAL 2'TO DOORS
IRS am IFa Gael I LAND b
AR(NE J
l— FOYER I I I IRE RATED -
-tv BOT q OAK I I 4 2860 DCOR t
1 ,
- - m 3, 1666 A Y I FLD I EN TO I (.
.ABOVE
4• ' ESK
1�
_f BREAKFAST I a x T OVERFIEAD DOOR a x 7'OVERHEAD DOOR
.. OAK i+
CCNCR€TE APRON
IL
21_3.
A-LY 6'-O" A'..O'. i✓-6� 6'-G° A'-6' $ w r A'- ' 31_0r W-0' 2'-3. -aY-O" '-6' °p-d .2-3' .
_�,-O• 1 19'-0'. q'-O' K' C - 6'-0" 2A'-0I
`L
FIRST `FLOOR PLAN
5CAL£1 1/4 e ,_�
26'-0'
dt
x
4
P �� J
D �
rn
O
Jtl O a
1
L3 —� to ,p 3
P 'V
13
W
n m
� rnrn
W
,1 O r b T` ' IDn ► 116 3/4x59 3/A° o
ta
Z c��
r I W
k � O
n
I-k.p
• � z
o T�
�O
_ b O 87 a1 aI
r 6
Ct w
lip
W-7 1/¢° V-A VT
Ln
7zA �/rye 7P{
rn ❑
in I
I � I
D
ar O"
u
1 r-———————————— I p
. ^UI
-- -------------------------------
I w I I Y
I I �
I - J L----------
I ' BASEMENT V r--------------
1. Y - ' -------
I I I
1 I I I
a'-W i•.iY a•�Y. a' O•.iP a•.lo• e I I
1 I I I I
I I r r l r r -�nO CJR7
h i I SCAM J L_J L_J 3 V2•LALLY C.OLLIMMS POC.KEr 1
IS i -1¢°C4W-PADS TYP, I I GARAGE
I I I 4
I I I I rrraa a�ro i�oOa I I p!
F I I I
I I I I I
I a°T 'LCOqNG WA119
I w�xe�101r.�oornR4 I I I
L__
`
------ _ ___ 1 DROP FOUNDA"O. I I
F ---- D 1 i i i --------10— -------------�
aI ------- I -- --------_— — ------------
�d
FOUNDATION PLAN
$car. 3/16' - 1'-O. - -
RIDGE VENT
72 2r12 RIDGY BOARD
. 72� ASPWALT SWINGLES .
/
/ �818°CDX SHEATHING
73 /
2AO'S P li°.O.0
� 77
RRpO PIHERGLA55 RAOUL
72 FRAMO.SKYLIGHT
2118' !1 OPETIING TIGWT TO
IIJNG JOST5
WS STRAPPING .
11/2'GYP BOARD ./
OPEN
/ aMAINTAIN AIR SPACE
/FIN FWOR(BEDROOI.1) - bIC9 FAWAA NG DRIP EDGE
I5/8 PLY SUHFLOOR1 _-- IYA SECOWP 119MVIR
_ _____ -- ALUMINUM CUTTERS AND DOWN OR
2x10'9®ib O.C. 2xt0'S 16°O.C, FRIEZE HOARD AND MOLDINGS
_ ______________
(2)-4 7/9''
2x6 EXT.STUDS o 2e'O.0
RUSH STAR 13R G° FG. IN5UI-.
3-2A2.URRIER5 V2' PLYVVW SHEATHING
LIVING FOYER Tc D R`CLAPBOARDS w PROW
W.C. SWWAI F4 91OM 6 REAR
to
FINISW FLOOR
5/°1 PLY 5UBFLOOR
- °flBERGLA58 INSUL. PT 2X6 SILL r 94LL SEAL
P.T.21 S-®Id O.C. 2x1O'9.a W OC 2xWO G W O.C. 00OU00 ANCHOR AT 8°MAX
3-2112 GIRT
P.T.2,W5 GIRT +I -
4x4 F.T.PO5T I I STAIRS 13R
72°DIA.°SONG TUBE, I 1 3-2x12 CARRIERS
BASEMENT - bM PROOF aIDIA GRADE
U h
8 U2''LALLY COLUMNS
CIA W.W
. 3 I/2°CON!.SLAG
V " '3
SECTION 11511