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HomeMy WebLinkAbout0019 MYRICA LANE� f ACTIVE oFt r Town of Barnstable *Permit`#'r 00 6i&IR Regulatory Services Fee 6 BARNSPABLE � MASS.1639 Thomas F.Geiler,Director s6;Q �� AjEG MA't A Building Division Tom Perry,CBO, Building Commissioner - 200 Main Street,Hyannis,MA 02601 ` - www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 3 q of Valid without Red X-Press Imprint Map/parcel Number o Property Address I q � �fLi ca (IV [ Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address TAM 1R 1141 Z C--4 I/V, [fi(a hJI S , /A a Contractor's Name L Telephone Number_ nt, Sa 9. �p l Home Improvement Contractor License#(if applicable)_ r' 111 37 1 Construction Supervisor's License#(if applicable) ❑Workman's Cpdipensation Insurance Che one: I am a sole proprietor JUN 12 2013 ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance �' Insurance Company an Name '. Owjy ®F B,gFINS7�BLE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Re ue check box) h���r ,rc"J Re roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to O k � �� ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ 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 no exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner ust sig roperty Owner Letter of Permission. A copy of th ome provement Contractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\decoil' \AppD Local\Mic oft\Wi ws\Temporary.Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053 12 i OF1ME may,_ _ w BARNWABLE, 039. ,� Town of Barnstable A _ Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize $Q �� cir �F to act on my behalf, in all matters relative to work authorized by this building permit application for: �q e Ic ��� Njf (Address of Job) Si ature o Owner bate TM �� i Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 Massachusetts -Department of Public Safety I Board of Building Regulations and Standards Construction Supervisor License: CS-049619 ' GEORGE J.CA JR 52 PLAIN.STD: Upton MA 41568 Expiration Commissioner 02/26/2014 Office of Consumer Affairs,&B ness Regula i64. ` r � ,. HOME IMPROVEMENTFCONTRACTOR x Registration 16331 .a ExpirationY 6I7/2Q94 'Indiuidual• F -- G GE�J CYR 1 F Im gig GEORGE CYR JR ST UPTON MA 01568 c { 1 Undersecretary. r 0 Unrestricted-Buildings of Any use group which contain less than 35,000 cubic feet(99111.13) of enclosed space. i :i Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. j i For DPS Licensing information visit: www.Mass.Gov/DPS i�� � i -rt•.., . f,i. tl } license o�reg�strat�om'val�d for�ndrnd9 quse only l before the expvation date +If found~return to {1 Office of Consumer Affa1rs andBusmess;Re rulat�on s td'k6rkRlaza Surte�5170� . k {. E yfv 4� r• i T Not valid+ out attire r ff r the Commonwealth of Massachusetts Deparbnent of Industrial.Accidents Office of Investigations 600 Washingtoir Street Boston,AL4 02111 n-%,ss,,.mass,gm,1 dia Workers' Compensation Insurance ufidaNit: Builders/ContractorslElectiici nsiPlumbers Applicant Information _ Please Print Leyibl_y `J 1.Name ah sinessi0rganizatio idual): - r JP d� ' Address: � J City/StatelZip: U bone it: .S 0 SJ 9 V Are you an employer?Theck the appropriate box: Type:of project(regnired): 1-❑ I anya employer with 4. ❑ I am a general contractor and I "Vloyees(full and/or part-time). * have hired the sub-contractors b. ❑Neu construction 2_®/I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling, ship and have.no employees These sub-contractors have. g. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance... I 9. ❑Building addition. required.] 5• ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeoumer doing all work. officers have exercised their 11.❑Plumbing.repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]1 c. 152,§1(4),and we.have no employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box 0.'1 must also fill out the section below showing their workers'compensation policy information- 1 Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mast submit a new affidavit indicating sack Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether of not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number_ I ain an einplayer that is prosidiiig it,orkers'compensation insirraiice for eny etrrplolrem Belo",is the poiicy erred job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: CityfState zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or me rear impriso ent,as well as civil penalties in the:form of a STOP WORK ORDER and a fine of up to$250.00 a day against tire.violator Be ad d that a copy of this statement may be forwarded to the Office.of Investigations of the DIA for insurance overa .verification. I do hereby cer#i r nder thepains nd aloes of perjury that the information providee/d a r e i true and correct Si tore: ,✓� Date: (J Phone#c u J lQ Official use only. Do not write in this area,to be completed kv city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/rown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: phone#: 6. r d r 91 7o � u 60,00 ' ' M , T /3 773 50.H=- / D0 CERTI FI ED PLOT PLAN y LOCATION ".69 ?! s'rAOF44 ('3�NN�S SCALE DATE ?3 /9�8 Of PLAN REFERENCE . a4�F'N,G'.LoTa �¢ ELLEY "' 6 . . . . .. . . . . . . . . . .. .. . No. 26100 � hers 9fG►S1E� . . .. . . s� I. L�it��' .. . . . . . . . . . . . I CERTIFY THAT THE BviLVIAte [iND �u,ST.: SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE " SETBACK REQUIREMENTS OF THE TOWN OF F6- • . . .WHEN CONSTRUCTED. + DATEL REG S RE TE D LA ND SURV R \ Y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Z-7 3 Parcel 09 Q000NSTRUCTION. NN Permit# C)q CkNT MUST OBTAIN A SEWER Health Division M NEENNECRING ON DIVISION PRIOR TO Date Issued Conservation Division 4 sr l (qo FeeTax Collector �� � l e Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 1`1 M,l ki Cc-, L z Village „]&�5 Owner L&A, Address ICA t L Telephone 7-7 Permit Request Co.") ; i b•n��a , Square feet: 1st fl or: existing I proposed 2nd floor: existing proposed �_ Total new Valuation , Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Ut'Two Family ❑ Multi Family(#units) Age of Existing Structure 1'�I R Historic House: ❑Yes U No On Old King's Highway: ❑Yes 4/No Basement Type: JrFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) o Basement Unfinished Area(sq.ft) /Sya Number of Baths: Full: existing 3 Z new a Half: existing new Number of Bedrooms: existing 3 new o Total Room Count(not including baths): existing —7 new Z— First Floor Room Count Heat Type and Fuel: VrGias ❑Oil ❑ Electric ❑Other Central Air: 6�Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes NdrNo Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage: Vexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use V Proposed Use BUILDER INFORMATION Name Telephone Number`= 1� `° Address 33 7?;e6,,QS License# p Co 4=. 3,(q `KcLtS t�«� i a( 6 ,mil a _ Home Improvement Contractor# I Z-Z- Worker's Compensation# ✓tl� ALL CONSTRUCTION DEBRIS RESULT]N FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE �( o g o FOR OFFICIAL USE ONLY z PERMIT NO. - - DATE ISSUED MAP/PARCEL NO. _ ADDRESS - VILLAGE OWNER K = r DATE OF INSPECTION: , I _ FOUNDATION FRAME INSULATION r' FIREPLACE - ELECTRICAL: ROUGH FINAL k PLUMBING: ROUGH FINAL r _ , GAS: ROUGH FINAL FINAL BUILDING t. DATE CLOSED OUT ASSOCIATION PLAN NO. RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE -Cre-eft square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE S_ o o square feet x W/sq.foot= d� x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.f� >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 - >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) f Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) permit Fee projcost f The Commonwealth of Massachusetts • —� Department of Industrial Accidents - r men ol/aya g affoss 600 Washington Sheet Boston,Mass. 02111 Workers' Com ensation Insurance Afridavif � name- location: / OF city OA vZ ��b one# ZO ZIJI ❑ I am a homeowner pel tming all waxk mysei£ I am a sole =Prietor and have no one woxkia in arty pop lvgpg� for my adcing an this job. 1 •�7 $$:}if}}:?R2:^:.N:4}:j;:ryvr:{^F$::iti:M;•I.^:?}:}}t.�y,:'S.`•'::}Y.}i:::}:::::::::... 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O.�.,'{o,'°.,�C{2;'.. :%, : ' .„}.#:', ...... +•:?a;{oh{;.. .. n.... ^'R" i'}oh• v.\4•}ifit,+"-wJi. ::. ;•:{.:4J.f•}:... .�.,,.)•:A?:7@•>rn+S::;:t;'»t: •.a?c'......•;. ,,. {k ,•.,�}. .v '. '.:dc ;{:{2a.,4}R'!. htit;:+ : .::;�k�.F••-.�••:::�:i+�?v:i�F'S;£:g�:;•}:;;i.:+.•:..Y..: :":�;v.:;?:::3::::�:::;>:.: .:,;�yY:in,4�:<•rf..t',*'R%'{?':. ..: .,..{ pR,4 ,,�(.�}#�,�}�-,,t x .M Y ��Rr:yg:}- _'! Jj ...9-.:t{F,:;F.,-::::•:.:.. :•.:?•};:•.:..+Y}dQ�C•:• •:..,�,rpp,, 'j�}' r�........r::'•..:• :>j;i4:t Q-:lx%}. ,:... 011�'�F'nv.....::•-.:. of czb dml of a line vp to St.S00.0o sadlor FWI=to secure eo�era=e as regsdssd mtdar Beetlaa 25A of MQ.1S2 emlead to the hapesillost p tsse ynn, aswtR m dwil pamld s iathe form ofa STOP WORSORDRB assla Que of 5100.00 a dq ataimt me. I that s copy of dd,stetemmtmey be fotwarded to the OMee ofImestiptlons oftheDIAfor t ovmV do hereby cv*underthepains mid patchier of paj nY d""10saf°rn►�—p"DH�above is trues mrd eorred I Sig �R Date l 1 0 4, % t Print name oMc,,d ure only do not write in this area to be completed by city or town omcild {� • �Butlding pepat�aeet city or town: P� ❑Licensing Board t,.......dt.�. ❑Selectmen's OtIla ❑cbeekif response is regm� ❑Health Department contact person: phone — QOther Mll 4evud 9/95 PJAJ' f � . Information and Instructions to rovide workers' compensation for their Massachusetts General Laws chapter 152 section 25 requires all employerspr in the service of another under any contract employees. As quoted from the"law",an employee is defined as every person of hire, express or implied, oral or written. ; association,corporation or other legal entity, or any two or more of An employer is defined as an individual,partnership, the-foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the reserver or trustee of an individual,partnership,association or other legal entity,employing employees. :However the owner of a or�� a�of the dwelling house of dwelling house having not more than three apartments and who resides therein, � house or an the grounds or another who employs persons to do maintenance, construction or repair work on such dwelling building appurtenant thereto shall not because of such employmeat be deemed to be an employer. ter 152 section 25 f also states that every state or local.licensing.agency shall withhold..the issuance or'renewal MGL chap applicant who has of a license or permit to operate a business or to construct buildings in the commonweal produced not produced acceptable evidence of compliance with the insurance gem performanti of public work until commonwealth nor any of its political subdivisions shall enter into any h ave been presented to acceptable evidence of compliance with the insurance regnir�s authority. Applicants by chectdag the.box that applies to your sitr�tan n Please fill in the workers compensation affida*�P�Y may be supplyingcompany names,address and phone numbers along with a certificate of insurance as all affidavits y submitted to the Department of'Industrial Accidents for of insurancx coverage. Also be sere to sign and or to application for pemut or license is =? date the affidavit. The affidavit should be retuned to the city regarding the"law"or if you not the Department of Industrial Accidents- Should Y°n have °� being easatiaa policy,please call the Department at do number listed below• are required to obtain a workers'mmp City or Towns. _-... ._. ... . provided a space at the bottom of the Please be sure that the affidavit is caniplete and printed legibly. The Department has the applies Please affidavit for you to fill out is the event the Office of Investigations-has to contact you regarding be to be sure to fill in the peke number will be used.as a reference mimber. The affidavits may the Department by mail or FAX unless arrangements have been,made. The Office of Investigations would like to thank you in advance for yore cooperation and should you have any questions• please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents amce of lavestloadons 600 Washington street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 eat. 406,409 or 375 f The Town of Barnstable . aeatvsrnat.E. � . MAN% g Regulatory Services i639• .• Thomas F. Geiler,Director Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LA SUPPLEMENT TO PERMIT PA MGL c. 142A requires that the"reconstruction,alterations.renovation,repair,modernization,conversion, improvement,removal.demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions'along with other requirements. Type of Work::1.Jk pia a ?S' . t�,,i—)Estimated.Cost l!0oe• o Address of Work: Owner's Name .� ✓A-- �4/� Date of Application: PP . I hereby certify that: Registration is not required for the following reason(s): MWork excluded bylaw []Job Under$1,000 ❑Building not owner-occupied . []Owner pulling own permit Notice is hereby given that: UNREGISTERED OWNERS PULLING THEIR OWN PERMIT OIRMPROVEv��WORK DO NOT HAVE CONTRACTORS FOR APPLICABLE HOME FUND UNDER MGL c.142A. ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Registration No. Date Con or Name- � OR Date Owner's Name q:forms:Affidav:rev-070601 °k BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 349 Birthdate- 0612111960 a,= pires:06l21f2 3 Tr.no: 12447 Restnc BRIAN H HENNIGAN Ad 33 BOSUNS W MILLS 02648 Administrator MARSTONS M ' � ✓�ze -C�anvr�zo�tusea� a�G�zfa .: Board of Building Regulations and Stanch 1' HOME IMPROVEMENT CONTRACTOR Registration: ration: 08/08/200 IDUAL. BRIAN HENNIGAN BRIAN HENNIGAN 33 BOSUNS WAY MARSTONS MILLS,MA 02648 Administrator JS= `prescriptivePs Tab f&=W BsUdhw good W&F�Fads " prescriptive ekssa forOas amd Tw&Famii� MAXIMUM tt@IQM1t1M Glaung GIaaag Ceiling Will tlooc Bums" Sw Atea'(%) U-vdue' R-values R-vaiva� R►vvaai W� � 1GvaJoe &W&W Package - I 5"l to 6500 Head=Deuea Dafs' Normal Q 12% 0.40 3813 19 10 6 !0 6 Nomml R 12S'. 032 30 19 19 25 Al{JE S 129% 030 38 13 19 t0 6 T 15% 036 38 13 2S WA W 6 Na�rmsl' Norma! U 15% 0.46 38 19 19 10 AFUS V I59/4 0.44 38 13 25 WA WA 13 w 15% W2 30 19 19 t0 6 8S AFZJE X I8•/. 032 38 13 2S WA WA Na mal Naraml Y 19% 0.42 38 19 2S WA WA Z Im 0.42 38 13 19 t0 6 90AFUE AA 18% 60 30 19 19 t0 i 90 AFUE I. ADDRESS OF PROPERTY: 19 ryt yr it t ergC,�^�►5 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS- 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see cbalt above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR TMS INFORMATION. ��s•,,�wvw v �, � t� BUILDING INSPECTOR APPROVAL: YES: NO: q-form-t980303a Footnotes to Table J5.2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, sk'fiehs5' al t windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross basemen ere requirement. area. expressed as a percentage. Up to 1%of the total glazing area maybe excluded from the -value, q For example.3 ft of decorative glass may be excluded from a building design with 300 fl tuglazing area- For Z After January i, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with -values are for the National Fenestration Rating Council (NFRC) test procedure, or taken from Table 11.5.3a. U whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized ttnss.consttucdo if the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the stun of cavity insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. � � used). Do not include 'Wall R-values represent the sum of the wall cavity insulation plus insulating g(d exterior siding,structural sheathing,and interior drywall.For example,an R.19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirementsacoastruucc apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-flame consttion. 'The floor requirements apply to floors over unconditioned spaces(such as tmcondntioned crawlspaces,basements. or zarages).Floors over outside air must meet the ceiling requirements. L-rhe entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mc_t the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned b..,ements must be included with:the other glazing. Basesnew doors must meet the door U-value requirement d-scribed in Note b. The R-value requirements are for unheated slabs.Add an additional R 2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3,4,or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest efficiency must meet or exceed the efficiency requited by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation Rm o es are minimum acceptable levels. R-value requirements are for insulation only and do not include SWIM MA components. b)Opaque doors in the building envelope must have a U-value no greater than 035.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the arts-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area value average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). - 43 MM t t r I a ®L *zw,�,l a l ti 4 ©u Se— Sews 3 ne_ TOWN OF BARNSTABLE " CERTIFICATE OF OCCUPANCY PARCEL ID 273 091 003 GEOBASE ID 41221 j ( ADDRESS 19 MYRICA LANE PHONE HYANNIS ZIP LOT BLOCK LOT SIZE DBA �! DEVELOPM'ENT DISTRICT HY PERMIT 34784 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#29572) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY i CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 INE ,r CONSTRUCTION,COSTS $.00 4 ' '156 CERTIFICATE OF OCCUPANCY ; * BAMSTABLE. MASS. 1639. I BUS. Bf DATE ISSUED 11/16/1998 EXPIRATION DATE' - - ` °owl or �lsl -tli3 : . ILLS ° °'« �� 3 10 V. A 41;2 ADDRESS 1 ICIA -x- NI., i "o,Y r ��•.qs q-sqocK g-oT z-ems , "# T MIT 24�f aC .. _P1 s ; q{cn� LyyM!! �qsg�lyry.�eY f W R�L1,A G (18N.;1141..14�) �iR Jr TYPE BUJO 3I LE - RC311 iTECTS and. nvi.' .f"f'4.cTI? 11 -s ' 'kS' - dd g5 �BAMMW ILD � ° BY ` ' a THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STIiErT,ALLEY OR -gf%E•,ALK OR ANY PAHT.THEF4r-OF. EITHER TEMPORARILY OR P[F3FIANENTU,..EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERi HTTEC UNDER THE BUILDINC CODE,N-,ST BE APPROVED SY Ti-1E JURiSU:CTION1.STREET OR ALLEY GRADES AS VVELL AS 0 E PT H AND LOCATION Or PUBLIC SEWERS MA,{i E OBTAINED FROM THE DERA.I;TMENT OF PUSLiC WC'jHKS.THE•sSSUANCE OF TH!S PERMIT DOES I.OT RELEASE THE APPLICAN`'FF:d," ":.E,.,r-.ON!'Dii'lO-NS OF ANY APIPI.iCABLE SUE.DIVIS'OtI:R.E.STRIGTIC?NS. MWIMiUM OF FOUR CAUL.INSPECTIONS REQU19FD��T� FOR ALL CONSTRUCTION WORK: E' APPROVED �LANS NIUIST PC RF AIN U uN ,.OS AND 9 WHERE APPLICABLE,ABLE, SEPArRM E h GS tt o-8 i,ARt. ycr R i POSTED UFJ r ' F r'AE. iF SP �T.dN g I i.'=UIJnIDAs IONS OR FOOTINGS � " PERMITS—ARE REQUI RED F O9 2. PR,OR TO COVERING STRUCTURAE-ME13ERS HASPEEd NI AD , vH RE A G RTiF' ATEOF OCcu- TC -ATH) FA NG {!S RE gRFD 1CH SUiLL`ING -ALL NOT BE. ti E 'RiCAL ✓ UMBINC ANDIMcCH- 'REA ANICAC 1INSTAL WiONS.3.lNSI+LAv C -N , 4.FINAL!NSPECTION BEFORE OCCUFANGY ILDIN °sN Pe CTIe e APPROVALS P INSPECTION APPROVALS 13F B #?;pE T9O6 rk id�a€_ ?� T9C�i�i,�&?PR OVALS rl fr N 1LET i `"�"a-(1�t`s �9,�/�`r'�r1 i`l?'"�3�= 1. ,:���:.je_ .�._.�...�._..�...�,.�.. � a/"f�`�"" �s"� ri,„•„m°",[�a' �. 4 f .. 3 HEATING INSPECT N'APPROVALAPPROVALSa_ EINGINEERING DEPARTMENT ' U s SITE PLAN REVIEW APPROVAL , 1 WORK SHAL` OT PRC:GFED, UN'NLG FEAMIT W'LL BECMAE NULL AND VOK) IF CON- INSPECTIONS IINb:CAl E.3'ON THIS � THE!NSPEC TOR HAS APPROVED THE HE "� STR CTION WORK IS NOT STARTED W9THIN SIX � CAP0 CAN BE ARRAIV B E VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE,THE PERMIT €S FSSUED AS TEL PHONE ORWRI�','EN NOT. icA- E it TIO . NOTED ABOV€a TION. CII r o :37� II II f l`I I II. I I 4 �y.At'^T4.W.rr:.._•^'r�,r^.A��"..�r^...1+..+"'.'-.^' ,�- ,,,a..,.1iJv"r:nin• -.,.:,�..... .�,..... -v'•+.nH�,y 4Y^..s..: I1d F-�.y..a;= •.wf�r,{.t...i�"•WW'�.}„�y.,.�..,...,�iS.:,.�,.:�2., ice...•. �. `OFtHE ip�� The Town of Barnstable BA MARS LE. MASS � Department of Health Safety and Environmental Services 16,39. �fOMP�01 Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection PF,"Li Location �1p,�- i C Permit Number �,7 9 2 Owner Builder <I 1 IN -Cj('b,.. One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: } o S-r G S Q�jszt / 6E:�:� RT V- ra� r r a Please call: 508-790-6227 for re-inspection. Inspected by S� �✓ s Date .v/1Ga11J-w1wi1 Cat GGI-4OO-VGVV ' •/1y U11111J-OG4IAGJ wway - /I LJ-V 1 14 •Welifleet-Commercial St.-349-3734 A t • -Martha's Vineyard-Vineyard Haven-693-3374 •South Dennis-Rte. 134-398-6071 • •Kingston-Route 53-(617)585-4394 ll THE NICKERSON COMPANIES - - SwCE l:iJtlaf.E 612340 **CHG LELIV** 4/23/53 10:43 A14 4/2306 rage 1 I JACQUES N. NORIN KGRIN DEL TO LOT QMYRICA LAN ;CH) BEARSES HAY - HTAt,01D BAYRERPY DFF ACCOUNT V35 = PHIHNEYS LANE 4�AH1II5 PA ('12601 . selliq Shipping sales V Stowe 5 -store 4 Persc?n 122' PLACE, STEPHEt Ordered By: JACtt',IES 4. MORI't, _ Outte• 35246 Itluanti}plkantityWh floc i item Nu*ber 1 DeseTi;tiari Widt Extair, wait Pricel 1 ExteMedl l 10rdered l hipDed I I 1 ! S _ { 11 Price 1 1 3 1 3 f iA ! 123108 1 J114 FS 1 Et-I!X Uf 4 CLEAR IG 1 3./EA 1 2-00.N 1✓{ 600.001 � I _ 3 f 3 1EA .I 1 231202 1 E1'1L-M VELUX FLASHING 3/EA 1 53.00 174.001 f 1 1 1 1.EA 1 1 237024 I P3241 3ivXig LH 2 LITE.PARANI VEA 1 147.25 ),,4- 147.251 � I 1 1 I 'EA I t 237 .k 101 1 F06 2/OXV8 LH FIRE DOOR 1 1/EA 1 180.50 I • 180.101 •i � i t 1 I i ! 1 ! 1 ! I I f 1 I ! I 1 1 { ! t ! t ! t ! I t f ! f 1 1 ! ! f ISTOC1k ST' r 1 I I ! IReceived 1`y I _Ta 1 Byltlet Sales i Taxable iTax .f Tax I ,Total 1 1 1 1 1102.151 1102.151 5.001 55.111 i 157.26E I " All returns and claims vast be made withi-n 30 days ith this ' Ivoice. Returns are subject IAepc►sits iBalance Due I to a service charge. Special orders are non-retlarnable and subiect to storage chaToes. ! .001 1157.2*11 � \� ----------- -------------------------- --------------- ---- ! F- \V- I 114E low The Town of Barnstable RNSTABLE.MASS. Department of Health Safety and Environmental Services o;. Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen i Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection ----- Location 7 t,, (A i?r C A- Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: f ti %) Mal•�r Ot i � � �t'« Q� ( P t �GX /-r l A S 1AITf P (`1 / r a) , ,h1 ll �x)- ' l t0`l r/t( / /'kc(.t .-- �7 C' . (--.4t'P 12- J A v i Please call: 508-790-6227 for re-inspection. 1 Inspected by �✓ Date � i f t Engineering Dept.(3rd floor) Map oc 7.3 Parcel d9/ , pv3 ermit# 7S_7 House# /I�� Date Issued Piz Sewert�ernli-{• - ) Fee % 0 Conservation Office(4th floor)(8:30-9:30/ 1:00-2:00) 3 � L Planning Dept.(1st floor/School Admin. Bldg.) �. ll 4 e-.Q Defin• a an Approved by Planning Board - ' 19 `►' $(� A; / / / RNSTABU;` ^' /^ Q 'f' lP�-f P// G� C, �M MASS U i639• TOWN OF BARNSTABL Building Permit Application Project Street Address 1 r -q r CAA hA U) Village Uu a h n i Owner •-M O r ✓L._ Address 3 6-0 6tArs-es Woq n 11 1' Telephone JLo s- Permit Request ':-y C(7yLSty-u C E A S S-,Lc m l �@ l t,LQ,I.L i r� 2g First Floor 13y1f square feet Second Floor square feet Construction Type (iO(y-�(,'� _Q 1P_ Estimated Project Cost $ /l/W } . Zoning District R,C-/ Flood Plain It K n OW 0_- Water Protection A}� Lot Size o 3 a A Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure A Historic House ❑Yes $,No On Old King's Highway ❑Yes ]No Basement Type: �4 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 'Basement Unfinished Area(sq.ft) f 3 W Number of Baths: Full: Existing New 'L Half: Existing New / No.of Bedrooms: Existing New ♦3 Total Room Count(not including baths): Existing New / First Floor Room Count Heat Type and Fuel: f kGas ❑Oil ❑Electric ❑Other F 44 W Central Air ❑Yes ❑No Fireplaces:Existing New Existing wood/coal stove ❑Yes ANo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ('Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes JU No If yes, site plan review# - Current Use Proposed Use Si y9 Builder Information Name 0,W 0Y_I 4_ Telephone Number kb )_ 7"75 - Address ,� p-0 &-o' (AD Q,t.Q License# D S `? 1-)'7 b d M l S O V-.e-u 1 Home Improvement Contractor# Worker's Compensation# I H N 4`7 7 a'7 1 3 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILD/ING PJ IT ENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY a ~—PERMIT NO. ATE ISSUED - - MAP/PARCEL NO. f' ADDRESS VILLAGE OWNER DATE OF INSPECTION: 4 , FOUNDATION FRAME . INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r t GAS: ROUGH FINAL - FINAL BUILDING '- r 'DATE CLOSED OUT ASSOCIATION PLAN NO. F iT7 LOCATION SCALE . ��: P.� . . DATE !` ??,!t l PLAN REFERENCE .���?!✓G, , �oT ?"`.5 6a II 0 0 M - 'o LANE o N 0 � C /3 77-3 Of ` N 16; M 1� �o �OFAsnl x . E-`1 P ELLEY No. 26100 g �fGISTERo� i AL lAN �pFZNE Tp Town of Barnstable, Massachusetts • ..Department of Planning and Development " 'AR''s`"B`z�Mnss. k Office,of The Planning Board y 1639• �0 ArE0 MAt a 367 Main Street,Hyannis, Massachusetts 02601 (508)775-1120 ext. 190 June 20, 1989 Aune Cahoon, Town Clerk Town of Barnstable Town Fla I 367 Main Street Hyannis, MA 02601 Re: DEFINITIVE SUBDIVISION 4701 - SPECIAL PERMIT MODIFICATION Open Space Subdivision 9701 ; "Bayberry Place' ; SUbdivis. ior, Plan of Land in (Centervi1Ie) Barnstable, Mass . Prepared For Hayberry F7Iace Realty Trust, Jacques N. Morin, Trustee; flan dated 1 2/20108; Low � Weller Engineers ; Assessor' s Map 273 , Parcel 8G, 90, 91 , 8 110-4 . At a duly posted meeting of the Barnstable Planning Board lield June 19, 1989, i t was voted to APPROVE the request to MODIFY -ta.1e SPE::C 1 At- PERMIT, pursuant to Section 3- 1 . 6 of the Zoning Bylaw of the Town of Barnstab l e, to -a I l ow the reduction in s i deyard setb&�cks f rom o f:LeF2n ( 15) to eight (8) feet for all lots with the EXCEPTION of 1otss 1 , 3 , 11 , and 12 , in su division #701 , "Bayberry Pierce" .. Respectful ly, og -p, N ' Jos p E . Bartell , Chairman -- ' nstable Planning Board JEB s vk °� -, zw- 1 -. 4•-2• 4•-0' 91•-6• 14•-4• GOGONTRAGTOR TO VERIFY p� N MCN51ONS OF DECK t �1 � 'n LOCATIONS OF SONATLWr 53 ————————————— o I 4 _ __ -� I in— I o DROP WALL �TYPICAL N3'ca�RETE WAIL FOR BLCO 'G• ON 16•x 8•CONTKMS L -0 BWOIEAD CONCRETE FOOTING Q ci FULL BASEMENT i Q4 IkPKT. r -� r + 4-1 N L_J L_J L_ L_J L_J m ca 2 x 10 GIRT M7.) GARAGE m TYP.30•x 30'x 10'CONC.COL PAD C4'CONC. SLAB W/ W.W.M./MC" TO OVERHEAD DOORS) N Q 14'-O• Q i9 BM BM 4- 4 PNCT. STAR PNCT. DROP WALL FOR DOORts Q Q Q Q I PAD I --_— I L—__J C2•CONCRETE APRON) 12-0' 5'-O' 2'-0' 4•-O' 7-8' 2'-7' 9'-6' g•-3• 20.,,,4. MONOLITHIC 4' CONCRETE SLAB AND 8'CONCRETE FROST WALL ON 16' x 8• CONT.GONG. FOOTNG FOUNDATION PLAN SCALE. 1/4•• 1'-0' r a �l s Q noa R c Q f ro� v xz ❑M wa [7 C I C C CONTINUOUS RIDGE VENT _ TYPICAL BU.D-OVER 12 . L 5' TYPICAL ROOF CONSTRUCTION, ARCHITECTS ASPHALT SHINGLES/ ATTIC 1/2• PLYWOOD SHEATHING/2 x 8 9' FIBERGLASS INSUL. RAFTERS AT 16' O.C./PROVIDE 'PROPERVENT• O z OR EQUAL STYRAFOAM INSULATION TO a MAINTAIN VENTING AT EAVES AND SLOPED c a 41 INSULATED CELNGS/PROVIDE CONTINUOUS w z 12 SOFFIT VENTNG/PROVIDE RIGID INSULATION w _j 3 12 AS REQUIRED AT'VAULTED CEILINGS T u Y WALK—IN BEDROOM TO MEET ENERGY CODE REQUIREMENTS 0M), a ti a u co 2 x 10's • 16' O.C. 2 x 10'5 at 16' o.a. TYPICAL EXTERIOR WALL CONSTRUCTION. RED CEDAR CLAPBOARDS AT 4' TO LA V`'. DINING RM. WEATHER CFRONT ELEVATION ONLY)/ iv WHITE CEDAR SHINGLES AT B'TO WEATHER SIDE AND REAR ELEVATIONS/1/2 PLY. co SHEATHING/2 x 4 STUDS AT 16' O.C./ i� 3 1/2'FI=GLASS INSULATION 5/8'PLY. SIJSFLOOR GLUED AND HALED TO JOISTS 2x10'eat No, oa 2x10'sat1G'oa. 000000 2x6TREATED SILL 6 1/4' FIBERGLASS INSUI TY- P. C3) 2 x 10 GIRT IN BASEMENT GEEING FULL BASEMENT B•CONCRETE WALL � 3 1/2'CONC.-FLLED STEEL ��- LALLY.COLUMN 4'�GONC. SLAB CONT.GONG.FOOTING O 30•x30'x10' }_ O CONCRETE GOL PAD Q + 0 GRO55 5EGTION J a SCALES 1/4'•1'-O• Q (�[ wQ ce w:Lo • Zmz z 00 < SHEET NUiBf" • 39'-B' 14'-4' 6'-2` 13'-11' 13'-10• 5-9' 7'-2' 7'-2' O O © 'j DECK N p . o 4 FAMILY ROOM o I I a LIVING DINING . o MA 5TER r in SUITE , r -----� 6 p 6 G'-7 3/4' 14'-0' Ln 0 6 6 II WALK--IN II O 11 LMEN DN. I 7 v QG II CLOSET II r HEATING SYSTEM. O I /�1 II pj II , D.W. DUCT CHASE/ LA V it ol D° " GARAGE Q II in 6-0' p W/HVAC CONTR. O� ---- EN 11'-111/2• ®0 Q i FOYER 2•-0•I KITCHEN o I z G-�. in (31I 0 Q II COPEN TO uP ABOVE) a © e II IF7 o c9 N O © p p O O N N N i J� v O 4 I 2 _LLLL • CCATHEDRAL G'-1 3/4' 13'=10 3/4' 13'-10 5/8' G'-O 7/8' GAMING OVER FAMILY RM. BELOW) 7-71 O O © O O ® I I ® I BBUUIILLDOVECR//PROVIDE MEMBRANE UNDER SHINGLES AS REQ D._ BEDROOM COPEN to BELOW.) v 12'-1 3/4' 1. 15'-10 1/4' 12'-0' I O zt BEDROOM 4 i � O O BALCONY 6 OF LVL OB IIIIII O 1IiI1IiI N RIDGE BEAM ABOVE O WALK o BATH 0 LO OGCE55 a COPEN TO PANEL BELOW Ji II II 1 I Z _ Z I Z 0 CSTORAGEP- ACCESS _—_ — I OL O Q 7-7 PANEL O O >— I Q I COPEN TO BELOW CSTORAGE) I O �o I SHEET NUMBERt 6'-6' 4'-6' t 4'-6' 4'-6' t 7'-8' T-2' T-2' t� ` SEGOND FLOOR PLAN ® ® RED CEDAR CLAPBOARDS • 4' TO WEATHER TYP. rRONT ELEVATION ONLY 1313 O ® ® o oaaa IFT 1E:l FRONT ELEVATION SCALES 1/4' 1'-0' 1 i i i v 4 �i w v Q O < < O LLLJ o E3 Qnc � wQ ucw � z 00 � SHEET NUMBER REAR .ELEVATION FILE �:' f j i I f i t LEFT SIDE ELEVATION > ! SGALEl 1/4' 1*-0' OD e . (U E 1 Q LJ J cu PQ N �¢C CN I X Z� P4Q� M pp 0 0 �3In, 0 N Z � WHITE CEDAR SHINGLES w w 3 a 5' TO WEATHER TYP. SIDE REAR ELEVATIONS A u a v a w 1-- Q A RIGHT SIDE ELEVATION o Z SCALES 1/4' = 1'-0' r d o U > 0 W w A The Commonwealth of Massachusetts Department of Industrial Accidents = 600 Washington Street Boston,Mass. 02111 - Workers'Compensation Insurance Affidavit UaMC7�- r; K-- location Citv P) rJ phonef Sod. - tom. ❑ I am a honigowner performing all work myself. p I am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for my employees working on this job. : n: ....:.........:.. ..:.:....:. cpmpggY:rrame� �..+,� . l .. (] 1,am a sole.proprietor,general contr ,or,or homeowner(cir one)and have,hired the contractors listed below who have the following workers'compensation polices: m s name . ... . gd�T ............. f�t3' ones#: ......... is IN I >c' o itisn n r; .:....... ........ • rn n as�n .:;..... ..:..::.. .... ... .,.:..:.:..:....:......:.. .:. ... .. >Z a y C 9d6R8 O C iris"ranee - Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Gne up to Sf.500.00 arid/Or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and n fine of SI00.00 it day against me. I understand that a copy of this sta eat maybe forwarded to the Offiec of Investigations of the DIA for coverage verification. f do hereby ce • under the pains and penal•es of perjury that the information provided above Is true and correct Signat ate � 8 Print n Ac-r— .LrE S N VVLO Phone 7 official use only do not wrile In this area to be completed by city or town official city or town: permit/license# L[3Selectmen's dlag Department nsing Board check if immediate response is required Ofncclth Departmentcontact prrsan• phone tt; er (revised 1195 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their w" l ee is defined as eve employees. As quoted from the"law",an emp oy every person in the service of another under any p 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,associations or other legal entity',employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall:withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in tlue'commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names..address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to?fill in the permit/license number which will be used as a reference number.IzMe affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. WAW6 ,t�a.;k� s- iar>tu6"5:54'#'�9 �`"'+W ... ..'°:...... ... ... ... the Department's address..tc!;n icl1f-and r!'< Tha Coinmeriwcalth O�Ma.:s usctL-. Ilep:tttmedtEtrficYdtaatti�� A�k (e1ra� dt> u of knVes"flade to 600 Washington Street Boston,Ms. 02111 fax N.:(617)727-7749 phone#: (6171)727-4900 ext. 406, 409 or 375 730 MR Appawk f Table JLLIb(condoned) pmuiptive Paeksgo for One and Two-Family Residential Baiidings Heated with Foil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor I Assemeat Slab Heating/Cooling �'M U-vaiuet R-value' R valua' R value' Wall Pfeth :W Equipmem Mpmr/ Package I I I R-vaivao R value' $701 to 6500 Hating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 154/6 0.52 30 19 19 10 6 85 AFUE X 18% 0.32 38 13 25 N/A N/A Normal Y 19% 0.42 38 19 25 N/A N/A Normal Z 12% 0.42 38 13 19 10 6 90 AFUE AA 19% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: MC4 p'l CZ* 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 17 3. SQUARE FOOTAGE OF ALL GLAZING: 82°l-� 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. k44X5 _ 4,11 BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a 780 CMR Appendix J Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls Shat enclose conditioned space, but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 f of decorative glass may be excluded from a building design with 300 ft of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used'. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 .insulating sheathing. Wall requirements apply to wood-fraMe or mass(concrete,masonry,log)wall constructions, but do not apply to metal-frame construction. . s The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. e t install more heating use compliance approach 3 4 or 5. If you plan o s If the building utilizes electnc resistance h g p pp y p than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with.your windows and use the opaque door U-value to determine compliance of the door. r a be excluded from this requirement i.e. may have a U-value eater than 0.35). One door may q ( Y greater c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 DEPARTMENT OF PUBLIC SAFETY M1 r r CONSTRUC QN,,SUPERVISOR LICENSE — + 4Pires; Birthdate j; CSC 5 79 'k/16 2000 02/16/1956 �:'J Nesi n 16 I'a. JAG U �NMOR;I� i 308 BE'ARS'ES'WAY �! X 0YU4/NYANNIS, NA 02601 1 q-/ne -P i544 DEPARTMENT OF PUBLIC SAFETY 164456 ONE ASHBURTON GLACE, RM 1301 BOSTON;�MA 02108-1618 CONSTRUCTION SUPERVISOR LICENSE t NL.IMberY Expires: E3�rtihdat�,; CS 057770 02/16/2000 Restricted To: 10 kip r 1ACQUES N MORIN 300 BEARSES WAY ~ ' t HYANNIS, MA 02601 ` � M Keep top for receipt and' charige ice--- of address riotification. 77 211X u" PoRTl1/oN •» 2 x�1 P rp Rooiv �,, r' K 1 a .y J � �,t...a•__ _�.; •'!-.ice�� q.�s�-.�� �v', ram.. .�� r. IN_ E H7 { PROPOSED SrgpV gooM PRD�OS r,19 ME Rooly M�� dL I �f4 L.A - _:'� ...��-Sw�° o'er r L�r. -�'^tea,`` �rr�F�•G ` .. Y i/V jJ'Ul. M� `J- IM dL s lr�e e�1 {L oG✓� 71 1 z:0 y //=D It no FRONT ID 19us r�-. _ _ • _ f _ �XISTIIV� •b£GK ID'x 26'_ I rls. I 2"X 4" pOR71T/ON �• -.. . - •.f - t�--�� ?3~yew 3r"r+J"�•v� fl•w. .: ' 1 FAT PROPOSED Si Ally ROOK �