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HomeMy WebLinkAbout0035 REGATTA DRIVE �C@�,G� � I �� O ram, �' TOWN -,OF BARNSTABLE CERTIFICATE 01' OCCUPANCY PARCEL ID 252 061 005 GEOBASE ID 43461 ADDRESS 35 REGATTA DRIVE PHONE 4. r ZIP - LOT 58 © BLOCK - LOT SIZE _ DBA . DEVELOPMENT DISTRICT HY E PERMIT 3951a DESCRIPTION SINGLE FAMILY HOUSE (BLDG PERMIT #34317) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Hea_h fety ARCHITECTS: �-. ,� �' �'i ; I and Environment alServ4ces TOTAL FEES: BOND $.00 Ox THE< = CONSTRUCTION COSTS $.00 Qi► 7-56. -- CERTIFI-CATE-OF -OCCUPANCY - 1- PRIVATE P * BARNSTABM MASS. �► A. A�0 Fp�l BUILD ' BY DATE ISSUED 07/02/1999 EXPIRATION DATE TOWN OF BARNSTABUr .. EU.ILDIOd PERMIT . PAR," ,L 1:1) 262 061 01A GUOBASE ^SD 43461 ADDRESS) §65 REGATTA DRIVE PHONE 4" ZIP 0T L5f3 Bfj c.K LOT SIZE , BA DEVELOPMENT DIS`111TCT Hy' ERMIT 64317 DESCRIPTION SINGM, FAMILY DWELLING (SEW.PM,T_#98--(i62) '.ERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PH.' I e ., INTRACTORS: BAYSIDE BUILDING, INC Department of Health, Safety C;HI. "EC'1'S:" and Environmental Services I COT°AL FEES: $262.. 57 ;OND $.00 INE ONST: UcTi6N,., COSTS $84,700.06 1.01. SINGLE FAM HONE DETACHED I PRIVATE ':k 1'fd.,l,�, * iARN3rABLE� •. MASS. . �► BUILDING DI,VISI09 DATE .I*SSUED 10/26�1998 EMPIRATION DAT ,F THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,�ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE. REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). FANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. I BUILDING INSPECTION APPROVALS PLUMBIN INSPECTION APPROVALS ELECTRICAL INSPECTIONAPPROVALS 4251 �,� 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT . 1 �'al 2 �c9 a ,9 D EALT OTHER: d 1 SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS 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. NOTED ABOVE. TION. r BUILuING PEMMIT _.. T7 fJ tr, I � ` y III w y ti T LOT J N 0 121.s's 00 1 14 91 5.F I� Lp[k) . EXKTNG 5 P AcE \0 Fup• i11 1 �A 'n /lam` v W �7'4 i I 14-T- -3 Le Sl a-- ASSI=sSoz% M4P 252 1'g12ct-� - -g. eaS G��r,FIGATI�� M+'cDE �!, iti1 Q�-sPcrr CERTIFIED PLOT PLAN LOCATION CEkYMZ.XJ%LLE,NYAUu1S I CERTIFY THAT THE FOUNDATION SCALE I'' - 3�' DATE �40, 1Q- 1� SHOWN HEREON COMPLYS WITH - �' THE SIDELINE AND SETBACK PLAN REFERENCE REQUIREMENTS OF THE TOWN OF BARNSTABLE AND IS NOT LOCATED IN THE FL00 PLAIN..- PL , mL SnS' PC,. 76 C�uzT PLAk) 3c��(o DATE : I -Iq _9q '�` BAXTER f NYE, INC. THIS PLAN IS NOT ASE ON AN REGISTERED LAND SURVEYORS INSTRUMENT SURV THE OSTERVILLE^- MASS. OFFSETS SHOWN SHOULD NOT BE USED TO DETERMINE LOT LINES. APPLICANT -f3A SIDE ►�.x►u_D►►J6r Co. LAC. �2�s I TOWN OF BARNSTABLE BUILDING PER'NqT APPLICATION Map es Parcel 5®1 00 5 ` . Permit# / l Health Division C � �� Date Issued /4 Conservation Division Z 3 qV �— Fee v� �? Tax C o I I etok ., Treasurer`: U ,?�1 T'' SEPTIC SYSTEM MUS` ZE ,. INSTALLED IN COMPLIANCE Planning Dept. ���`� .2 WITH TITLE 5 VIRONMENTAL CODE AND Date Definitive Plan ALprove yPnning Board � �, ,TOWN RE Uy � S Historic-OKH Preservation/Hyannis ' Project Street Address 3 S /C,'5: A77f1` DR, Village H /UyI-S 'Owner i AddressovT Telephone •'?71 ! a 1/y Permit Request 7-0 C0 A.15 T R-VC7- /Y 5 I'/(/QLE roTM/LY toff 114F— ,Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost IV, 7Uy Zoning District � 1 Flood Plain : , Groundwater Overlay '01 f Construction Type Gy0'Oy Lot Size. 7 q s.� Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. - Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure IUD G(/ Historic House: ❑Yes dNo On Old King's Highway: ❑Yes wl o Basement Type: 3`5ull ❑Crawl ' ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area,(sq.ft) /S 'Va Number of Baths: Full: existing new a Half:existing new Number of Bedrooms: existing hew Total Room Count(not including baths): existing new First Floor Room Count• Heat Type and Fuel: M Gas ❑Oil ❑ Electric ❑Other e Central Air: �es Cl No , Fireplaces: Existing New ! Existing wood/coal stove: ❑Yes 8No Detached garage:❑existing ❑new size490 xa 1 Pool:❑existing ❑new size Barn:❑existing .❑new size Attached garage:❑existing ❑new, size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes (R <o If yes, site plan review# Current Use V,4-C4A/7T L 0 t Proposed Use BUILDER INFORMATION Name a/9 V5 ODE 6L,6 (o IAJC Telephone Number 77l:1 LI Y& Address' Sex q 5 License# 56 y s � N7 �' VIC-LLB Home Improvement Contractor# —' i Worker's Compensation# .7Ce 00 9 091 144, J/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO S DATE J/� - FOR OFFICIAL USE ONLY _ > t 71 PERMIT-NO. - ,.,743 Lr� - , ,. y, F. _� . . ., 'r • " DATE ISSUED MAP/PARCEL NO. ADDRESS - "VILLAGE ^ OWNER �• t J• - ,' ` ' 4. _ r • - • Ll _ ' - '^ •� •� f' � ` ' fit. td' DATE OF INSPECTIO FOUNDATION Al FRAME INSULATION wt FIREPLACE _ r f ELECTRICAL: ROUGH FINAL �- PLUMBING: ROUGH' � r ' FINAL GAS: ROUGH) M FINAL r 3 - FINAL BUILDING', -• e-- 1 ru DATE CLOSED OUT : ASSOCIATION'PLAN NO: trr ►. ' ` IV t7 rwo F Lue-Q--.' A9p Mauer.. (Lone SNING�6f� m oi. V- .. _ - � ....'_�.• ALU/A.GU TTC2 70\VN 9poV"jno �I I I � I i rnLsE Cl4llnnJCY TVO I wct I -CrLEE NEr7 LCx.r VCR VENT Ll D N I iUI LI I I III i. ---'- I I SEAL-TAfh'.ASPHALT.ROOF SHINGLES J I v� bo v5 _ r -60 Imili I �W-C.GN,�,6L-Es IrL ; !: II F.�PNn�T R.oOF SHIr..f C+l.aS J ALU/n GUTT FV-5 LEAI7G2S . I o � S"lN6LE4, n LI�1 U J --- Tom•---- . I I LF.f.T, So,2 G:...-. v LS of rasa to 4 bi r to co 37 t! 0 u Z 14 0 0 0 04 C! 0 0 cl OL r4 1j; -vt 10 /10 3— aJ07 22 0 tL4 0 C4 '0 C41 OJ,, �o 4)(12 dl,)O Ls. J1 W W L' I I I10 J .a.e I I u s Ll tD 1 1 I III � I I do 1 I \ r I I V, I LIJZi ° I I ra II I )r I I �° I I; bl b1 W I f--I�d I aed i I "y e + 0 u_ I I b i I + e -----r ' — I Qfl I I >I o! o f r p; f}—I 7 tL t- ---- -- :- I I ..L•.s b I I _►--�, � I I � � � d� r I I , I co 'a �' I - - - - - - - - ---=— I �' 'C4; moo',91 ti� 4 ay d J L%Ij 4 rtm JGr � xIi r c a ZW� a �N�S �W1J4 x� a Op vull d LL fl 0 a I � � N •,6•,L of go a iW w •%r � Yw 0.1 Q� / 12 u- R Qj r, pig < /.. 2. 106 @J jWNdd d }te: 1pa� 90I o ^ 09 r v�� z` I c'Y Z y sJ O�Y u^ 1�� ki � F2 n cl v �) � 1 ..Ty.9}L+ San1S,r}`,� I 6• ill I0 rva�r�1 of,b1 — V C U, i i V 0 40 0 tj Id 2 D�s►�+-i VATA, s4eET t off , FAM IL`{ 3 13ED c�K Ao GA0t3A`� E PLAcI,l oN BIlUL 4�f�R-E ' 'PAA U-y FLOW - ' x 110 =V(D 60> LOT S1;T'ne- TANt. 3 x ZGn =(cfco 6PD u I Sd0 GAL- LWACt} Q6 5 5M44% VES►G1.1 a'Pvc PrPiE �( .fie erc. Ly>e 3 CuLTr,- 33)�Aw+er=es 4?pU GAllc)W A2EA 260'D DrsT. 330 CFD -+ 01d- SF=d44,SF fox - Z-0= -� �rkS 6N �S APpuG�.7tyN ARF� ! 5MEWALL AMA �57 K'Z i"Ss PLaIJ vlt=yV - L AC�}Ir� GI M8Ee5 t7, -TarAL AWA _ 4465T FiNrsN C�ea PE240LATW14 M&ls L S Mrv/1 { �,.� ,..war• sort_ elk5; I ���H of r.�;�\ p Yg-%Z 5roNE tx c t l j 0� STEPHEN yG a a o Cut_TEG 2 tA AL 'N U'� 330 o a "I �I Wu*5�.E ► SN6� z ✓ 9 J�� �Ntc .xCD - c4i SAiXTER %'v No.30216 1 eo asca c .FF�/STE��o oNAL NG�`' Ceo55-SE:C-noN o F 6i4AAA39-1- E . ✓ � n� �10-� T 9 EA. Le;" 4- pr1C- SG47 �SW • 1►+ . . -76 Lsalrl CyA�u iZ5 r-77.0 r D 1►r[ low 77- 7 S C 77 s�onc, �� 41- TAW- g M `r 5Irne Lase TVqE10f;;0 MFILC— Ib C~ "i RGD PLOT PLANj lJo uJL f 2_ LoCAT 10►�1 G't►J OW)LLS *410 p- Dom �2e1 oS SGAt_� I ! DAM C?, 16, I CEZ'n F`f r pAT "E QeFGMWM ��k �vimmar'T 1)F Tu6 -mwN eF 5�S Rf ,A2tJS I [ P-* t S fvT—LtV-ATED WIT 41 N A MAP `LgZ Pam- 51 51 E AL FLZCV HAZ.AZb (ZONE. BA)tT ! NyE INC C1 StJ>zvr:`ItroS • ��1�t 0 F5erS v=om 5v IC.DI W&5 4W0 XD /NCI' g& (rS�D Tb t-s,TA'6uby PRo�Ty Lr1.fl:S, QPPLlG4NT.� ( AqS tpg - uu i Lzw(, Go lei 4EEr S l `L Ile • � � nPEN SPAc,� Sv�±�lvl�la.l 5 1 � !s �° 'ai`t►OF a1a� . ALLYf u' t 1 7 pv �.\<�r / 4 �'UNA; tNu�; ! r��P 1�'O Al.tltO llNCr7��� n //17J.1r7r�NJr�II DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Restricted To: 11 BRIAN T DACEY 61 FERNBROOK LN CENTERVILLE, MA 12632 1 105)0 i Restricted To: 11 11 - 35,100 cf enclosed space I (MGL C.112 S.61L) IA - Masonry only 16 - 1 6 1 Family Homes Failure to possess a current edition of the Massachusetts State Building Code Is cause for revocation of this license. ` =� F I�LASSACHUSETTS = - c COMMO TH O -= a7EFAR MENT OF MDUSTRUL ACCIDENTS zl!l� 600 WASHINGTON STREET -ames Car—.00e1: BOSTON, MASSACHUSEITS 02111 Corn-+:ssicne• WORKERS' COMPENSATION INSURANCE AFFIDAVIT (liccnscc/permirrce) with a principal place of business/residence ac f� x � L�N��� ✓l � � U.� 6 3.-Z (City/S ntc/Zi p) do hereby ccri4, under the pains and penalties of perjury, that: [q/I am an employer providing the following workers' eompensaion coverage for my employccs working on this job. A) iz yc4,v b Tc 11 00 l 4/ toy l Insurance Company Policy Number [ � I am a sole proprietor and have no one working for me. [ � I am a sole proprietor, general contractor or homeowner (circle one) and have'hired the contractors listed b-ew who have the following workers' compensation insurancc policct: //(JL. T c q 00 2 1 � f Namc of Contactor Insurance Company/Policy Number Name of Contractor Insmnec Company/Policy Number Name of Cont—,actor Insurance Company/Policy Number 0 1 am a homeowner performing all the work myself. NOTE: Please be aware that while homeowners who employ persons to do rnaintentnce,construction or repair work on : dwciling of not more than three units in which the.horneowner also resides or on the grounds appurtenant thereto arc not gener:Jy considered to be employers under the Workers' Compensation Act(GL C 152,secL.1(5)), application by a homeowner for a lice:sc or permit may evidence the legal surus of an employer under the Workers'Compensation Act 1 unde:si;nd chat a copy of this statement wiU be forwarded to the Depar- c.:of Industrial Aeddeaa'Ofnce of 1nsu:anec for cove.a_: vc i:ic::ion and th:: failure to secure coverage as required undo Section 25A ol-.MGL 152 can lead to the imposition of criminal per..::::es consisting of a fine of up to S1500.00 and/or imprisonment of up to one ye:and civi]penalises in the form of a Stop Work Order fine of S 100.00 a day a€sins: me. Sir-ncd this day of , 19 Ble 14AI %. Lic:.iscc'Pc:mince Licc.isor/Pcrmirror io,' SUBCONTRACTOR'S INSURANCE ENGINEEER: BAXTER & NYE ENG: (L) FIREMENS FUND - S30MXX80564866 (W) LIBERTY MUTUAL - WC1312595563023 WELLER & ASSOC: (L) NAT'L GRANGE MUT.- MSP45246 EXCAVATION & SEPTIC: ROBERT J. OUR (L) U S F & G - 1MP30109550901 (W) U S F & G - 771521695 DECO CONSTRUCTION (L) TRAVELERS - 660364K8342 (W) LIBERTY MUTUAL - 312446298044 FOUNDATION: BAYSIDE FOUNDATIONS: (L) COMMERCIAL UNION - ABR406267 (W) LIBERTY MUTUAL - WC1312201785044 WELLS: DENNIS SCANNELL (L) TRAVELERS - 660873E5627COF92 (W) WAUSAU - 151300062926 CELLAR/GARAGE FLOORS: MICHAEL BROWN: (L) AETNA - MP0023672849 FRAMERS: ROBERT DORRER: (L) TRAVELERS - W680526K991TIA9 (W) AETNA - 006C0023972416C MICHAEL DUFFLEY: (L) COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL - WC1312492127024 MASON: SHERMAN, WAYNE: (L) COMMERCE INS CO - N60689 (W) WAUSAU INS - TO BE ASSIGNED ELECTRICIAN: CHAVES ELECTRIC: (L) HANOVER INS. LHN2964649 (W) MISCELLANEOUS INS CO. - 0708878 91. 1 PLUMB & HEAT: WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9 (W) EASTERN CASUALTY - POLICY IN MAIL ALARM SYSTEM: BALTIC SECURITY: (L) FTRST FINANCIAL - FF0131 G400831 (W) COMMERCIAL UNION - CB0743379 CENTRAL VAC: VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045 f� INSULATION: MAP INSULATION: (L) AMERICAN STATES - 02CC326435-3 (W) U S F & G - 7711099932 SHEETROCK: MEL REED: (L) WORCESTER INS - CB817530 (W) COMMERCIAL UNION - CBH557387 INTERIOR TRIM: DAVID'S REMODELING: (L) COMMERCIAL UNION - NB F821442 M & R CARPENTRY (L) MARYLAND INS. GRP- SCP30235965 (W) CIGNA PROP & CAS .- C80049997 OAK INSTALLER: ROBERT BUDDEN: (L) NORTHERN ASSUR. - NBF528652 PAINTING: CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF (W) AMERICAN POLICY - WCC 186604 GARAGE DOORS: ALL, CAPE GARAGE DOOR: (L) U S 'F & G - BSC14667590301_ (W) COMMERCIAL UNION - CBH573757 STORMS & GUTTERS: ALUMINUM PRODUCTS: (L) AETNA - MPOO21014146 (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 AVERTNOS : (L) ASSURRANCE CO. - CFP26528977 (W) HARTFORD FIRE - 77WZCY2409 WIRE SHELVING: CAPE COD CLOSETS: (L) U S F & G - BSC146983441 APPLIANCES: KITCHEN APPL MART: (L) FIREMENS FUND - AZC80453098 (W) HARTFORD INS CO - 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 A MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 . 0 Checked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 10-15-1998 DATE OF PLANS: 10/21/98 TITLE: LOT 58 REGATTA DRIVE, HYANNIS PROJECT INFORMATION: LAKE ISLE WOODS COMPANY INFORMATION: BAYSIDE BUILDING, INC. COMPLIANCE: PASSES Required UA = 357 Your Home = 313 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1540 30 . 0 0 . 0 54 WALLS: Wood Frame, 24" O.C. 1672 19 . 0 3 . 0 88 GLAZING: Windows or Doors 207 0 . 350 72 GLAZING: Skylights 32 0 . 600 19 DOORS 21 0 . 350 7 FLOORS: Over Unconditioned Space 1540 19 . 0 73 -----------------------------------'-------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 1250 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 . 0 LOT 58 REGATTA DRIVE, HYANNIS DATE: 10-15-1998 Bldg. Dept . Use CEILINGS: [ ] 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 24" O.C. , R-19 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0 . 35 For windows. without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location SKYLIGHTS: [ ] 1. U-value: 0 . 60 For skylights without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: ( ] 1. U-value: 0 . 35 Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0 . 5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ) Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ l Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to R-8 . 0 . J , 1 , DUCT CONSTRUCTION: "[ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts . The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 1250-. of the design load as specified in sections 780CMR 1310 and J4 .4 . MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems . ----NOTES TO FIELD (Building Department Use Only) ------------------------- . { TO"Oy BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# 37(l 7 /. Health Division*44f�dWM,` Date Issued APPLICANT MUST OBTAIN A SEWER Fee 661 , CONNECTION PERMIT FROM THE -r ,/laX Collector ENGINEERING DIVISION PRIOR TO �RD CONSTRUCTION _,.4reasur IPAS Plain— Preservation/Hyannis ( Project Street Address 5.5a MAiiUr �`C9 �S Village r ' Owner ���(,fi- �S yJ\�.l Address SJ7 HAtO f1'CI`1U Telephone 7 - -OM Permit Request E i UK, QJ l A 1 (�sr� Square feet: 1 st floor: exis' g proposed 2nd floor: existing proposed Total new Estimated Project Cos ��. Zoning District Flood Plain 1 g Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes - ❑No- If yes,attach supporting documentation. Dwe ' Type: Single Family ❑ Two Family ❑ Multi-Family(#units) _ Age of Existing ucture Historic House: ❑Yes ❑No On Old King's Hi. ay: ❑Yes ❑ No Basement Type: ❑Fu ❑Crawl - ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing ne Total Room Count(not including baths): existing, new First Floor Room Count Heat Type and Fuel a ❑0' ❑ Electric ❑Other Central Air: ❑Yes Fireplaces: Existing New istin wood/coal stove: ❑Yes ❑No p g g Detached garage- existing ❑new size Pool:❑existing ❑new size •❑existing ❑new size Attache arage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board o f Authorization ❑ Appeal# Recorded❑ Commercial ❑No If �es site plan review# Y Current Use Proposed Use BUILDER INFORMATION Name _IlI't�- Telephone Number 77i `Cm) W Address 7 PAU 6T License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Q1 U SIGNATUREGU&&. DATE FOR OFFICIAL•USE.ONLY PERMIT NO. r DATE ISSUED dim- MAP/PARCEL�NO. ADDRESS t VILLAGE, OWNER - _ _ t DATE OF INSPECTIO' ; FOUNDATION ► - FRAME INSULATIONco FIREPLACE ELECTRICAL: 'ROUGH y FINAL , f" PLUMBING: ROUGH r FINAL GAS: ROUGH FINAL• FINAL BUILDING' �,_.� •� a •t -_ - � — } DATE CLOSED OUT ' fjI ( Y ASSOCIATION PLAN NO. r _ I r_- The Commonwealth of Massachusetts :I == =•• Department of Industrial Accidents 11 s__=_ olficeollnfresti�aaans 600 Washington Street Boston Mass. 02111 Workers' Compensation Insurance Affidavit RUM name: location: t { dA(0 9- city hone# ❑ am a sole pro rietor and have no one workin in any ca acity ''/////%%////%%%///%/%%%%//%//%%//%//%/%//%%%/%%%%%%%%%//%/%%%%////////%%//%/%%%%%////%//%//%%%//%/%//%//%%///%%%/%%%%%%%%//�%%/O//%%%/%/%/%%%%/% �;; ❑ I am an employer providing workers' compensation�for my employees working on this job. companv name address: city phone#: su ante co. olicv# I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: &97llfil �/�/TI�t�'�C.W�/�GT%�AL� /�S/ address: L-� �� / .:. I/ /U 12 U Mat 6 a / phone#- / S ( GL- 2 ; insurnnce cn.1/�4 �> ,� olicv# :.<• company name. address: city: phone#r _.. Insurance co. ::. .. oliev# :.::::<.>:::;::;:.r>.:;•;: .. Failure to secure coverage as required under Section 15A of MGL 152 can lead to the imposition of criminal penalties of a flee up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of 3100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby c under the p 'ns and pens of perjury that the information provided above is true 7ancorre Signature ��AA,,'' -,F. Date _ ^ Print name V1PUF., d&UM Phone ii 122t-OW1 fcontactperson: l we only do not write in this area to be completed by city or town official town: permitAlcense# ❑Building Department ❑Licensing Board ck if immediate response is required ❑Selectmen's Office❑Health Department phone#; ❑Other (mmwa 9/95 P1A) Information and Instructions y Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any cow- 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 receive:c: trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and 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 renewa of a license or permit to operate a business or to construct buildings in the 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. ON N 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 along with a certificate of insurance 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. The affidavits may be returned io 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. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents amce of Investigations 600 Washington Street Boston;Ma. 02111 far#: (617) 727-7749 phone#: (6-17) 7274900 eat 406, 409 or 375 I LIUbG A ' uum R M AWN $ S EIS Z7' a, r � 5 s �1l m SS-Al uu s 3,f o 0 � Il � llllll � � I y r G � 1 t Lo tv f �.nd -f ICXv, U443 SSG NPI�J 3T -� � oR PAs1� _b i w Il � ✓ VOiIYI/I➢20�I2UlPQ�AIL O�✓'(/CQ.QQLUJG'G(.� 13/ CEPARTN,ENT OF PUBLIC SAFETY CONSTRUCTION==SUPERVISOR LICENSE- �umtier Expires: — Restricted To , = Bi TINOTHY STOKER Ers�w7i. 56 REOWOOO'IN HYANNIS., NA 02601 _• ..._ . _...._...- ....t _. ,.. e......... _.._�M. ..rj_..ice�`f�... I. Restricted To: BB I BO - None 1A - Nasonry only 16 - 1 6 2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. I. 4