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0201 KILKORE DRIVE
ov I 9 Town of Barnstable *Permit# 10--7(o(o Expires 6 months from issu us Regulatory Services Fee MASS Richard V.Scab,Director MAR 2 9-2016 TOWN C p n p f /� Building Division TOUVN OFBARNSTAoP erry,CBO,BuildingCommissioner, 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERAHT APPLICATION - RESIDENTIAL ONLY 2 -- VNot without Red X-Press Imprint Map/parcel Number a I �� ' _ . Property Address odrz �v— esidential Value of Work$ �� v� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address (n .CSC,, c!.ie j—_- Contractor's Name r4g 0 Telephone Numbers Home Improvement Contractor License#(if applicable)- ��l� � Email: Construction Supervisor's License#(if applicable) �orkman's Compensation Insurance Check one: ❑ I am a sole proprietor . ❑ I am the Homeowner ' ❑ 1 have Worker's Compensation Insurance Insurance Company Name. Workman's Comp.Policy# Lam. r-0 2 to — 3 Copy of Insurance Compliance Certificate must accompany each permit.' Permit Request ck box) LL4tS-Toof(hurricane nailed)(stripping old shingles) All construction debris will be taken ❑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. i ***Note: _ Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: QAWPFILES\FORMS\building permit foYmsEXPRESS.do, Revised 040215 f ,r 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: Name: /�,e4X'-5 '� Street: 0.o Street: � City: City: Y �y��ti< � Telephone: Telephone: . he labor necessary for the completion We hereby propose to furnish all the materials and all t ve address. Mid Cape Roofing proposed to of: roof replacement of the dwelling at the abo remove and dispose of the existing roof. The roof will be replaced with CertainTeed Landmark shingles. on Al uminum drip edge will be installed along the gutter line. Ice & Water ShTidinstalledwill bottom edges to protect ice back-up. 15 pound felt paper will also be applieshingles be installed using 1% inch roofing nails. New pipe vent collarserting w will beinst algid. spa ee vent will of thebe installed along the ridgeline of the roof to provide proper v Mid Ca a Roofing guarantees the workmanship fora period of 10 years.and cle l aned walls d l of al p will be raked landscaping will be protected from damage; the property debris. rmed in All material is guaranteed to be as specified and the above WOrk om 's to b leted n ae suobstant I accordance with specifications submitted for above work and p workmanlike manner for the sum of: '00—All discounts have been applied. Payment made as follows: Deposit of:'$, 5 Z the day job is started and remainder paid on completion. pecifications inv Any alteration or deviation from the above s used wit costsra h the homeowner.become an additional charge over and above the estimate and will be discus Respectively Submitted by Mid Cape Roofing 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 are hereby accepted. Mid m work as specified with payments made as Cape Roofing is hereby authorized to perfor outlined above. Accepted: r ?lie Commomveahz gfMassadiuseffs rA Deparfiment ofludmtrid Accidewr Offwe of�ga�ow 600 Washbigion&reef Boston,MA 02M, im mmasmgorldia Wcwlmrs' Compensatimt Insurance Affidavit: B-Hilders/Cantractur&Mecfr cians/Fhunbers Applicant-1 PleasePrintt li Name ti Address: l/ SL-,5�c> , citj�t t t U � Phone- zs 33 Sr ca b( Are you an mnployer?Aeckthe appropriate ox' , 4_ I a.m.a eneral contractor ant€I Type of px+oJect trequn ec _, I.❑ I am a employer msfh ❑ g G. ❑New coasixucfiion ogees(felt arrdlflr park ime * have hired fine suit-coutcactars 2.Er am a sole proprietor orpastaer-' listed can the attached sheet '£. ❑Remodeling slap and have no employees . These sub-contractors have s- ❑Demolition: Woddl6a farme is any capacity- employees andhaure woakess' [No war3~ras'cflmp.in�m.,e comp-fimu arm# 9..❑Budding addition required-] 5. ❑ We are a corporatifla and its M❑Electrical repairs or anions 3.❑ I ama homeowner doing all wow . officers have exercised their , 11-0 Plumbingrepairs or additions myself [No wod='comp- ' right of emmiptiou per MGL- 11❑Roof repaim inamance regaired_]Y a 152, §1(4k and we have no employees.[No roods' 13-❑Other cone_inmrartce required_] 'LtayWhcasrttbstcbedl=sb=ft1 elsei�Iaottt secHoabeIowsbmm�gtheiramzTces' �++•,,,comp poTncyinfDams¢am #Enmeovnmm Who submit duffs efiid=imdcatiag they sm chin.-zu wank suii tbea hex Gut a&caatmcwm= t salmit anew sMdav8 indite sacb- ZCantisct ettari, ea additimal sheet shoufmg the of the Sdb-00=M:3b=mmd state whether ornot•Hose entities bay ^ e-91 yees.Iftbesvb-cantmambmempIofez dleymnscpmadetheft trarkem'Comp.paliLYMUmb- I atn are eutplOYer tiiatis prQuidiry warkers'compmsadvii hmiraum for my ejrWZoj,om Below is iiie pa£icp Wd joh S&e• informations Insurance Company Name: Pofiey or elf ems.l.ic_' � ci l�Z�j�.3 _3_ 7 Expiration Date: 7 Z / Job site.Address; a2 a / ������v Y e /staw Attach a copy of the wori-ere coaapensationpolic_declaration page(shaving the poiicp=mbei and expiration date). Failwe to setae coverage as r equired.undes Section 25A of MGL tw 157 can lead to the imposition of criminal penaltieS of a fine up to$1,500.OD aadlor one-yearimpais6nmenk as we11 as civil peaslties.in the farm of a STOP WORK 01?DERand a trine Of up to P30_DO a clay against the violator. Be advised filrat a copy of this statement may be forwarded to the Office of ImreG(d&a ions afthe DIA for insuranm coverage veri{cation. .f do£ier jy reader t}tepains and penal�s aiget�urJ �att7te inform- iff nrprovided abm N is bar$ ctxrrect ` Sit tature: Date: 2 / Phone A- Official um only. Do aat write in tM$ran,to be competed by c*y artomn offic&L cry,or Town: : PermzWI&ense i# Issuing kaffiar€ty(cane one): L]Board of Heal& I BwMing Department 3.GStyl Tovin Clerk 4.Electrical IhsP'ector S. ` cfor Phzm bmg b.Other Contact Person: Phone#: , ormation and Instructions M .crar�,rrsetfs Ge:= ra Laws ffiVtea 152 reQonrs an` ploy=to °QOMPeIIsaiion for fl==employees. e s ce of another nnder any can tact of hire, � defined as. _. airs oain$i ervn an. is ��Y P pms¢antto this sue, ��3' express or implied oral or wrh= " An ernplayEr is defined as"an individual,parineasb�,association,coiporafton or other legal euCify,or any two or more of the in a omt andinchd]3g the legal�e$e ta&w of a deceased employer,or the �°� J fie' Io However the, receiver or tastee of an individaal,partoexslnp,association or otherIegal entity,eploY�eP Y�- owner of a dvmI ling horse having not more than three apartneuts and who resides therein,or the occupant of the- dweMng house of ano5ier who employs persons to do mace,construction or repair work on such dvmIIlmg horse therein shaRnotbecanse of such empl,aymentbo d=m.edto be an employer." or on the grounds or b�mg appurEeua� ' MGL chaptrr 152,§25C(b)also stares that"everysfat-m or local][ice•sin agency shall withhold ffie issuance or renewal of a license or permit to operate a binkess or to construct buildings is the commonwealth for airy applicantwho has notprocinced acceptibie.uddeuce of cdm�plfancewith the trim-2nec coveragerequired." ates Additionally.MC=L chapter 152,§25C(7)stNeither the co=umvmzlfh nor try off political subdivisions shall ed�d iota any contract f 3r the pmfomla ace ofpnbHo work nntrl a�ptable evidence of compliance wthi lha h sm'�ce._ t�havo been enttedIn the cantw;ting Mfho3ity_" ` septa emus of this chap Pry ApPIicarrts Please vit completely,by checIoag the boxes apply 1 o your situation and,if fill out the worlcers'compensation affida necessary,sapPIY sab_c�tor(s)name(s), addresses)and phone rTber(s) along with their=tficate(s) of insrna ce. Lzmit-,dLrabi-ityCampames(IZC)or LimitedLiabiLTtyParft=hTs(LLP)withno euzployi--s otherffimthe members or paa tnejs�ale not required to eany workersa compensafron finmrsn= If an L LC or LLP does have employees,a policy is required. Be advised that this atfidagit maybe snbmith--d to the Department of Industrial Accidents for con amsfion offinurance coverage: Also be sure to sign and date�he affidavit The affidavit should be retomed to the city or town that the application for the permit or license is being rsgnested,not the Department of L,J±Ustdal A cci eats. R ould you have any questions regarding the lax or if you are repaired to obtain a workers' compensation policy,please call tht-DepartmentattbennmberIistedbelow Self-insiaedcompauies should enter.their self-insvrance license nm2ber on the appzc�iate line. City or Town Officials . f Please be sine that the affidavit is complete and prahtd legil:Iy. The Departmenthas provided a space at the bottun of the affidavit for you to fill out in.the event tin:Office ofIuvestigations:has to contactYonregmdmgthe applicant, Please be sru a to Ell in the pemnitlIice arse M=bes which will be used as a refereaca number. Iu addition,an applicant that must submit mul#p1e pennitlIiceuse appIiMd=in any given Year,need only sobmit one affidavit indicafing dent Policy filfbnnation Cif necessary)and unded`uob 5`ite.A_ddress"the applicant should w,dte"all locations in (Ci[Y or town)-"A copy of the-affidavit that has been officially stamped or mariced by the city or tovm maybe provided in the ' applicant as pmofthat a valid affidavit is on file for fie pm=#s-or licenses. Anew a$davhmust be filed out earn year.Where ahome owned or cozen is olvbiininzg alieense or puttnotrelatodto any business or ccmmmcial veotrne (ie. a dog license cr peuoit to bum leaves etc.)said person is NOT rcgdo:d to complete this affidavit The Office of Investi zfi _ would at to thank you in advance for your cooperation and shonld You have any questions, please do not hesitate to give us a call The Depffitinmfs address,telephone and tax number. DegarfmMt cif Iz Cl dal Agents C =of IILvC&VgI4ti0= �ashin�tQn Bmtoaa.,MA E1i111 Ti�_L 4 617 -49QO=t 4-06 or 1477 MA gAFF, Fagg 617-727-77D Revised 4-24-07 m�eg� j .. • .. Sys 1 F. .' .. . �. inns mer Affairs,&Bu�iu?, d •' ° CONTRA • ��str�a ton• rt4,'58 ��.,�....�' Partnershit+ xFira a. FaE Mt EAARRYERR1L ` �' F a STAY 2MOUT:,MA 7. f Massachusetts -.Department of Public Sety j .w , . �Board-of Building Regulations and Standards: %. j :Construction Supervisor ;r License: CS-054428 '. �F.T %; r.' HARRY B MERROL �" '•� 3f2 SKUNNKET)E s CENTERVILLE�VLA J�� .�ria�` Expiration _ Cominissioner' 05121 16 Ji ind key ('S`ro e n � a ntdate I#found x_ tt,M r affairs andUsiness 4 OS Ori 4 stare s k " without Sign r Y. Massacfiusetts —Department of Publrc,S.4ety ' ?..Board of Building Regulations and Standards. j :Construction Supervisor y License: CS-054428 :v:rr.1 BARRY B WRRi [. 32 SKUNNKET t CENTERVnJ.Z MA Expiration...' Commissioner 05121/ 016:.:. Lr->T SZ IrJ EXIS ATI�N FOUND va M �cJ &-k KILKORE DRIVE of 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 52 KILKORE DR. , HYANNIS, MA. m' TO THE MINIMUM BUILDING SETBACK REQUIREMENTS OF THE TOWN OF BARNSTABLE. PREPARED FOR BAYS IDE BUILDING INC . � �H Fs� EVEN SCALE: 1" = 30' DATE: AUGUST 30,2000 o RUMB y 791 �al9�FFSS40���i,o, WELLER & ASSOCIATES 1645 FALMOUTH RD. - SUITE 4C CENTERVILLE, MA 02632 (508) 775-0735 Town of Barnstable CF THE Tp� y� tio� Regulatory Services Thomas F.Geiler,Director sAuvsrnBM MASS. . Building Division .i63q 1m prFD 39 s Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 l S-s S1_3 0/0' 3 PERMIT# FEE: $ r ' SHED REGISTRATION 120 square feet or less ao � ✓ ���co�� L�2�v� �-lY�4NN�S Location of shed(address) Village. Csab) _1 r1 s - 5 3-7 Q Property owner's n e Telephone number _ Z` 416 Mub p '] Size of Shed Map/Parcel# v; co ri S 3c)_n Signature Date Hyannis Main Street Waterfront Historic District? W O ti —Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 IV 14 T i 5-+ s LT Sz N GRF T►tAN ALL RRou N) EXISTING FOUNDATION 01) I KID KORE DRIVE 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 52 KILKORE DR. ,, HYANNIS, MA. TO THE MINIMUM BUILDING SETBACK REQUIREMENTS OF THE TOWN OF BARNSTABLE. PREPARED FOR BAYSIDE BUILDING INC . �� OF Mgkp EVEN SCALE: 1" = 30' DATE: AUGUST, 30,2000 o Rurna 791 A WELLER & ASSOCIATES 1645 FALMOUTH RD. - SUITE 4C CENTERVILLE, MA 02632 (508) 775-0735 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 9 X Parcel LI 3 a B W " Permit# IEANT MUST OBTAIN A SEWER ;n VNECTION PERMIT PROM THE Date Issued Health Division - - �»tic,1NEERING DIVISION pRiOR HP Conservation Division , Fee S Tax Collector -71, Treasurer _ Planning Dept. �/►(\ Date Definitive Plan Approved by Planning Board lo d S P Historic-OKH Preservation/Hyannis { Project Street Address M KfL.te(eF_ �eQ" ��►' L,Qt S�'J Village - Owner —AddressAa � /Zp Telephone 7 Z 1— l d W Permit Request /7f Z Z A � Square feet: 1st floor: existing proposed /© 2nd floor: existing ' proposed Total new Estimated Project Cost 30 ` Zoning District'' !2G-/ Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: Yes O No If yes,attach supporting documentation. r Dwelling Type: Single Family 9 Two Family ❑ Multi-Family(#units)` Age of Existing Structure /tICU-1: Historic House: ❑Yes Q No On Old Kings_ Highway: 0 Yes Basement Type: WfuII ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 134b 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: /Gas 1 ❑Oil ❑ Electric U Other Central Air: »Yes O No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Detached garage:O existing ❑new size Pool:0 existing 0 new size Barn:0 existing ❑new size Attached garage:0 existing Ok new size d0 a Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ k . Commercial ❑'Yves &l O_ If yes, site plan review# Current Use V vt Proposed Use -A"g"aly ILDER INFORMATION Name /W_ Telephone Number 2 l �6 Address qs— License# Home Improvement Contractor# ----^ Worker's Compensation# C / ? ff ql/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE e FOR OFFICIAL USE ONLY PERMIT NO.- DATE ISSUED MAP/PARCEL IVO. ,_ �` eT. '� "x'_r 1 s "` � ,F' „'.x. E .w+._# � i r r`t .. • * �„* F, * , ADDRESS * { - VILLAGE w: OWNER ' ]e • ' •a , , D`ATE'.OF INSPECTIONY=; ` • . I( � _r f "i ,..- _ ,T .,-. , i ''� i; `',q,. `fit., . FOUNDATION` FRAME INSULATIOAI o I At d .. .FIREPLACE:" • �:. f ;:`3 ;. - ELECTRICAL. . ROUGH i FINAL . r ' PLUMBING: ROUGH, FINAL .71 >' GAS: ROUGH FINAL FINAL BUILDING i - DATE CLOSED OUT ` . ASSOCIATION PLAN NO. ESTIMATED PROJECTCOSTWORKSHEET Value liS LIVING SPACE OZ�gO square feet X$S54sq. foot = duo s GARAGE (UNFINISHED) � square feet X$25/sq. foot PORCH square feet X$20/sq. foot DECK I Q� - square feet X$15/sq. foot = OTHER square-feet X$??/sq. foot= Total Estimated Project Cost 4-In -7 3d For OffCe Use Only Inclusion ary Affordable Housing Fee Residential Commercial** Property Owner's Name Project Location I. r� ►V2 `1r Project Value �') 2 Permit Number 2 _ **Existing Sq. Ft. **Proposed New Sq. Ft. Nr ,-' .�.�'� �- � •. % ". � '' �:.� �-� e'er. 2 1 7 _ BAYSIDE BUILDING, INC PERMIT ACCOUNT P.O. BOX 95" CENTERVILLE MA 026 2 ✓� a 53 574/113 it PAY gl TO THE ORDER OF TNTc + s, �. —DOLLARS _ _ 7 . CAPE COD BANK M AND TRUST COMPANY,NA - - �l7 21 153 MAssnceusEM m a/0 "21 ?' •3� J 721 '' xP FORiy�l'ZZ 11'000 2 L 711'. -1:0 1130 S?491: LO 0 303=26 911' _ ." . 73,03 -n 0 �o'i EG E . C. I v� � o C 124� I 70,ZO PROPOSED PLOT PLAN FOR LOT 52 KILKORE DRIVE HYANNIS, MA. PREPARED FOR STEVEN W � RU�I BAYSIDE BUILDING INC. .� .S1 SCALE: 1" =30' JULY 26, 2000 . '1,21_oz) Weller & Associates 1645 Falmouth Rd.—Suite 4C Centerville, Ma. 02632 (508) 775-0735 f., 4 TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY BLDG.PMT_447721 ( PARCEL ID 272 193 010 GEOBASE ID 37605 ADDRESS 201 KILKORE DRIVE PHONE HYANNIS ZIP LOT, 52 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 51594 DESCRIPTION PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 OxIME CONSTRUCTION COSTS $.00 I 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE ;� - * BARNSTABLE • MASS. 039. A�O� � FD MA'S BUILDING DIVISI N BY ------ DATE ISSUED 02/09/2001 EXPIRATION DATE 7 PARCEL ID 272 193 MO GRoBASE ID 37605 kDDRE9C 201. KILKORI -?IVE PHONE HYANNIS ZIP ,.T 52` LOT SIZE 3A. �~ DEVISLQPMUNT DI aTR.ICIT Hy SIT 477,-)j DRSCRIPTTON NEW 4 BDRM SING.M. -HOME RKIT TYPE BUILD TITLE ` FW RESIDENTIAL BLDG P T , "CT n r � INCDepartment of Health Safety'. r ��TRA�,.Ivo� BAY���� BUILDING. , �� P � I ' C" and Environmental Services . ,AL, FEES SINE ISTRUCTION COSTS $277»23 . ()3. SINGLE EAM HOME DIET.ACHED I PRIVATE P: �,*►I>ia::�, ; *' 'BARNSTABLF, + MASS. �► _ 039. D NIA'I BUILDING DI-VISION BY - DATE M1SSUEI�` {)'j/28/20� Q E�° �RATIOI -DATE 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 MY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE'THE APPLICANT FROM THE CONDITION'OF NY APPLICABL&SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPRO',JE:) PLANS MUST BE RETAINED ON JOB AND � WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARO KEPT I OSTED UjNTI VINAL INSPECTION I t PERMITS ARE REQUIRED .FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HA. BEEP?�nADE.WHERE A CERTIFICATE OF OCCU (READY TO LATH). ELECTRICAL,PLUMBING AND MECH- PANCY IS SUCH�,BUILDING`SHALL NOT BE gNICALINSTALLATIONS. 3.INSULATION. OCCU�E�_)UNTIL"F,NAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. IL BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVAL Voop y I f 2 FYtt c c [ �o0 re 2 j,v A d I PN�\i ti , iL, 0 ?. C> 3 1 i a� 1 "N NG INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 t' '— OARD F HEALT I Z , OTHER: SITE PL". EV'FW.APPROVAL - I ! WORK SHALL NOT PROCEED UNTIL PERMIT W1.., BEGR314."`NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS . THE INSPECTOR HAS APPROVED THE STRUCTs:*N WOR4l It- NUT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHr Xw.C THE.PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NC- st�p', TION. I I I I I I I I I I I / I I I I I I I I I � i I I I I I � C 1 l/ i EST/MATED PROJECT COST WORKSHEET Value liS LIVING SPACE d d-qo square feet X $S4-54sq. foot = q16 3 ra GARAGE (UNFINISHED) YID square feet X $25/sq. foot = ��- PORCH square feet X $20/sq. foot = DECK square feet X $15/sq. foot = OTHER square feet X $?Mq. foot = Total Estimated Project Cost a ZZ a 3d For Office Use Only lncluSionary Affordable Housing Fee Residential Commercial" Property Owner's Name U, c Project Location Project Value $2-1--) ,2 Permit Number "Existing Sq. Ft. **Proposed New Sq. Ft. [MFORM 1/3/00 Ak t f"-• �11.' �'ii/////l fir:/i/'r'i/�� r/ �/./1.1.1r�./.I;'%�.I BOARD OF BUILDING REGULATIONS \ License: CONSTRUCTION SUPERVISOR ]A Number: CS 005645 Birthdate: 04/19/1956 Expires: 04/19/2.002 Tr.no: 18679 Restricted To: 00 BRIAN T DACEY _ 62 FERNBROOK LN CENTERVILLE, MA 02632 Adminishator 00-35,000 cf enclosed space (NIGL C.112_S.60L) I-Masonry only I-1&2 Family I lorries Failure to possess a current edition of the Massachusetts Slate Building Code is cause for revocation of this license. DIG SAFE CALL CENTER: (888)344-7233 1� COMMONWEALTH OF NLASSACHUSETTS — - �^ DErAIU I`FE-NIT OF INDUSTRIAL ACCIDENTS yC 600 WASHINGTON STREET a,nes Can2oel: BOSTON, MASSACHUSETTS 02111 �or-nasicne• WORKERS' CO1viPL•TISMON INSURANCE• AFFIDAVIT I, i3 1,2 /,'J/4 Y (licensee/periniucc) With a principal place of business/residence 2t: (City/St�tcrZip) . do hcrcb)' certify, under the pains and pcnaltics of perjury, dial: ( �am an eniployer providing the following workecs' contpens::ion coverage for in), employees worlcing on this job. A Y, T L I l /y—Il 4 g / lnsurancc Company Policy Numbcr f1 1 am a sole proprietor and have no one working for nre. ( ] 1 am a sole proprietor, general contractor or homeowner (circle one) and have'}tired the corer actors listed be c�ti who have the following workers' compensation insurance pollCc,: 47W1Yr- b 5/(FFPS Narnc of Contractor Insurance Company/Policy Number Narnc of Contractor InSCrartCC Company/Policy Nurnbc- Namc of Contactor Insurncc Company/Policy Nurnbc_ (] 1 am a homcowric. performing all tic work myself. NOTE: Please be aware that while homeowners who ernployperions to do miinteninct,construction or repair work on dwc'ling of not more thin three units in which the homeowner also resides or on the grounds appurtenant tbcrcto are Dot gener:_!)v considered to be emplove:s under the Worlten' Compensation Act(GL C 152, sect_ 1(5)), 1pplication by a homeowner for a licecsc or permit nry e.idence the legal status of a.n employer under the Woike:s' om n Cpesation Act_ 1 undest:nd that a copy of this statement will be forwarded to the Depar.c.::of ltidustrial Accidents' OGice of h,su:ancc for covc:q: ver.:ic::ion and that failure to secure coverage as required unde:Section 25A ol- .MGL 152 can lead to the imposition of eirninal per.:'-;n eonsiJurig of a fine of ua to Sl 500.00 andlor irnprisonmcnt of up to one yc::.-id civil pcnaltics in the form of a Stop Work Ordc. a-., : fire of S100.00 a day 2gsins: me. Sir-ncd this day of , 19 Licc.iscc Pcrrnincr Licc.isor/Pcrmitror i - i d 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. - MSP45246 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-510X322-3-99 MIKE DUFFLEY: (L) COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL - WC1312492127024 DAVID HILL: (L) COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL - WC1312492127024 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 GAS PIPING: BAYSTATE PIPING: (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- QBH208297 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 BUDDEN: (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 y 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 060106R-1 SIDEWALLER: STEPHEN CRESSWELL: (L) MARYLAND INS - SCP29031342 p 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: 7-24-2000 DATE OF PLANS: 3/23/00 TITLE: LOT 52 KILKORE DR., HYANNIS PROJECT INFORMATION: COBBLESTONE LANDING II COMPANY INFORMATION: BAYSIDE BUILDING, INC. COMPLIANCE: PASSES Required UA = 459 Your Home = 369 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1306 30.0 0.0 46 WALLS: Wood Frame, 24" O.C. 2586 19.0 0.0 151 GLAZING: Windows or Doors 286 0.350 100 GLAZING: Skylights 40 0.400 16 DOORS 38 0.350 13 FLOORS: Over Unconditioned Space 1306 30.0 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 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 52 KILKORE DR,, HYANNIS DATE: 7-24-2000 Bldg. 1 Dept. 1 Use CEILINGS: [ ] 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: [ ] 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 125W 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 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. [ ] 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" 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only)------------------------- l - "'1C2 f �J-ASPH(S LT. .2d�.0 F..S�-C�►...I�GLE�. � _�\�� -� � - I '. ` ALUIntNU/l. .G.GTT_E2._�_LE,L�..�.C�S MET L___L i _— I F]Ll El] l �= SMOKE DETECTORS . . l m � �; Quo ❑ � �� �a ; • j - I-- I� I�I I i iEj I BARNSTABL BUILDING DEPT. _ _� � ' j .. SCALE.�..q.-�7C��F-'�' .•.', w LP Full N Lm HH] NI I'. , 2? s / 4 M N I ' I _ I n i _ _ _ III _ �` - • -Mil I - - - U� - - -- 1.ti .I.. I Z � � a . I . r • r � - I t %9 j/r193,F 29''/1 rx9 --�LG_'_>•5�.$.�j-'L'L¢ W I 0 - a-' rrcreao ,acaan ��� �9Y -- ----� > _ D 4 a r v s --_ A 11 '�i � •' I c �Ir fn OD 0 I- s�n I_ 1 I o , n 6' c .n F n Clo LA n O vsL14-1„ r C4C1°GI � av sn - mP I I a - V �r 1 Il- D fq zl �' rI �i Dr Z I'In r �. P ro - ; m'a. 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