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HomeMy WebLinkAbout0025 SUNBEAM LANE �� Jun UE'ct.rv� ��..-,.e.,� i Town of Barnstable QBuilding - . d 'Po' st;,T1U1 his Card SoThat•it4is /isible,From the Street App",rouetl Plans Must,bewRetamed on Job and this Card Must'be Kept te il F nal"las ection Has'8een�Made � ''� `' sb�a Prosper,. ,,o ." y ti. , _ ��. �. ... . 1Nhera rtificatof.Occu anc .is°Re tired such Buildin shall-Not be Occu �ed�unt�t aaFinahlns ect�onhas'been made4 Pernllt .. .. aa.m ... pE Y_ q... ,. ,.' ..a. .... _.: •,,g, ate,p.. ,. ., �•:,,,w ., p ...,_ . . •, .y Permit No. B-18-1241 Applicant Name: Jonathan Whipple Approvals Date Issued: 05/18/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 11/18/2018 Foundation: Location: 25 SUNBEAM LANE, HYANNIS Map/Lot 273-252 Zoning District: RC-1 Sheathing: .. Owner on Record: BORDUN, LATASHA CContractor Name JONATHAN N WHIPPLE Framing: 1 Address: 25 SUNBEAM LANE �� �z Contractor License CS 078683 - 2 �s .:. � HYANNIS, MA 02601 Est Protect Cost: $2,159.00 Chimney: Air sealing. Attic i P.ermit fee: Description: Insulation. s g $85.00 Insulation: Project Review Req: signed installers certificate required to close permit Fee Paid` $85.00 18 Final: Date 5/18/20 itPlumbing/Gas .. .. .... Rough Plumbing Building Official �` • s. Final Plumbing: V"", �� Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after rssuance. g All work authorized by this permit shall conform to the approved appl cati6 'and the;approved construction documents for which this permit has been granted. 1 lot ,� AI ,. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws amend codes. This permit shall be displayed in a location clearly visible from access street or"road and shall be maintained open for public m"spection for the entire duration of the Electrical work until the completion of the same. y ¢ F 6 2 4 9 9 R 9 The Certificate of Occupancy will not be issued until all applicable signatures by the Building and rare Offiaisare p�ovided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work Rough: 1.Foundation or Footing '� •' 2.Sheathing Inspection_ Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: ( "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department r Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT r leg r Town of Barnstable *Permit# -I - °� Regulatory Services Expires 6 months fr°m issue dine �' Richard V.ScaIi Director MAMa ' Building Division ' Tom Perry,CBO,Building Commissioner n JVgR 2 200 Main Street,Hyannis,MA 02601 ll1�/�®r 9 ?pb' www.town barnstable.ma us 1 Office: 508-862-4038 �F' °'.58790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address �U N h�,�,•-c� / y/¢/�',c� ,4e00- [a-fCesidential Value of Work$ iS 7S .6c, Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address /2ZI&OL'A Contractor's Name -r Telephone Number j(j6�}- — 6 Home Improvement Contractor License#(if applicable)_ Email: Construction Supervisor's License#(if applicable) E3Wo—r1&an Compensation Insurance I am a sole proprietor r ❑ I am the Homeowner ❑ I have.Worker's Compensation Insurance Insurance Company Name '^ Workman's Comp.Policy# L dcl d Z A 6 3 — 3�¢ Copy of Insurance Compliance Certificate must accompany each permit.' Permit Request(cbeck box) LLJ-fCe--Toof(hurricane nailed)(stripping old shingles) All construction debris will.be taken to ` ►' ov4 ❑Re-roof(hurricane nailed)(not stripping._Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. �. Separate Electrical&Fire Permits required. *where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is r . required: '2 dp—� SIGNATURE: Q:\WPFILES\FORMS\building permit forms\E)PRESS.doc Revised 040215 I 37ie Commornvealth of—Vanadiusettr DePrtMent oflirrl=hialAccidads Owe +' 600 Ff mbrbigion,S met .Boston,,L4 02111 tmmmasmgovIdia Workers' Cumpensatimu Insurance Affidavit: E•�dex-slCrntraciurs(EIechician&Tlumhers AppErgut Infwmatign Please Print .h 1Va '�i 71C1Tf��R97T.i7'A�7� 6'� C. 'e, Address GityltatF:f �iL7 /¢.t`Mc b t✓- Phoneme Are you an employer7 C6&the appropriate bay Tp I am a general contractor and I, lse ofect{regn proju ed}: I.❑ I oat a employer vitb. ❑ g,., yeez(full am&or part time).* 1mve lured the sub-contract= ti. ❑New c�onsfrnction ` 2.L`�'I am a sale pmpsietar orpartnw- listed on the attached sheet, I ❑Remodeling ship and have no employees . These sub-contractors have g- ❑Demolition woddng forme is any capacity_ employees and have wo&=' Ildo workm'Cflnlp.*[av131133 c comp.ksuranw l - 9..❑B.wldmg addition required-] 5_ ❑ We are a corporation and its M❑Electrical repairs cr additions 3.❑ I am.a homeowner doing all work officers have exercised their 1L0 Plumbingrepairs Of"additions mysel€[No workers'camp. fOL of ememgtim per MGL 12❑Roof repairs inn�nce required]Y c.152,§1(4�and we have no employem[No woriress' 13.❑other camp-insarance -] 'tkayap BCMtffatcbecksbosPqmastaLaaMcutthesecdonbdawsbnvoagthe¢wwkerecompensatiaapobcginfurmatiML T&nmevamerswho submit dais dEdavit=&cztm_q they sxe tlamg an wady au-j dies him cF=j&r==ct m=mst submit a new afda t indicstig such. ZCamxsctursth cbecf tans bar must r tacked as additional sheet sbou�gtbemua of dse sub ca�sctira and sbdeurhethec arnottbnse ex tiesbav� emP9oyees.Ifthesn5-�tshmempIayees,t6ey ustpmuidetheirwarkess'-mmp.palic3rnumbM -ram an empl rr that is pratzdurg x�orkets'coa perisrdi rt iosrirance for may*a Fla3�eex �8etonv is#lie palicg ar�d ja&srte trtf ormadors Insurance Compamy Policy-,4:t-or Self-ins.Tic_� �y�� p 7- F.xpin i=Date: /-.9 V1,1 Jobs a 57- cayrSWPJ2r p: Attach a copy of the takers'cosapeusatioaPolicy dectaratian page(showing the poficy•der and a pII-attion date). Failare to secum coverage as required.under Se-ctson 25A of MGI..c. 15-7 can lead to the imposition of criminal penalties of a fine up to$U.00.OD aad.+'ar one year impfiso as well as cif penalties in the form of a STOP WORK ORDER and a fine of up to WOM a day against the violator. Be advised Umt a copy of this statement sway be forwuded fn the Office of Iuves(dga#ions o€the DIA€or insurance coverage verificaiaa. I do Tier 6Y csrfff under&apains and prilaWes of j;rdkry flratthe info riva&wprmiiW abmw is hue and carrect Date: -� Phone OJOWat use Only. D47 not t wate in dib area,tir be campleterl by clip artoicit afficial L'it)-orTonu: genmh f;renseig L tar€ty(cacle floe):lealth 2.BwWmLg Department 3.�lI'own Clerk 4.13ectrical Inspector S.Plambing Insppector an: Phone#- Information and Insfimc-ions warkeas'compensation far their employees. !` Macgarlrrtsetf5 C-reuea-dI Laws Chaps 152��all 7�oy=to `�""" pm scrautto this stafnfe,an-WV&PW is defined as=-v7my person.in die service of der under any cant-act ofht-e, express or implies oral or " An earplvyer is defined as"aa i xUvidml,pmtaenbip,assocfidon,corporation or other legal ertftn or anp two or mare of the foregoing=gaged m a joint�1?�e,and mclnding the legal s�afrves of a.deceased employer,or the receiver or trastee of an mlEvidaal,partneship,association or other Iegal entity,employing employees- However the own=of a dwelling house having not more than tb=aPa d meats and who resides therem,c r the occoP2anE of tore - dwPl�house of MaUffi t who employs pcm=to do mamterm ce,r'' sftuct on or repair work on such dweI3mg house or on the grotmds ar btQldmg appmtEn�thereto shallnotbecause of mach employmmxtbe dmmedto be an employer." MGL cbapter 152,§25C(•6)also states that"evmystate or local licensing agency,shall withhold fiie i=ance or renew2l of a IiceBse or permit to operate a business or to contract buffdiugs in the commonwealth for ang aPpficantwho has notproduced acceptable-evidence,of cumptnance with tim*n mrance coverage required.' Additionally.MGL chapter 152,§25C(n sees=Neitherthe nor jay Of its political subdivisions shall enter info any contract for the pace ofpublic wow untl acceptable evidence of campEance with the insurance._ regret=e±s of this chapirr have]tern presented to the=±mct��ardb oliiy_" AppHcan-ts Please fHI out the workras'compensation affidavit completely,by checIaing e boxes ffia±apply to you situation and,if necessary,supply sub-contactors)name(s), ad&ess(es)and Phonenznber(s)along vviLtheir certifiC21te(s) of insurance. Limited Liability Companies(LLC)or Limited Liali ity-Partaeuhips(LIP)wifhno employees other than the members or partners,are not regc±md to cant'worjrers' comPensafion insurance. If an LLC or LLP does have employees,a policy is requited. Be advised tiaatthis affidavit maybe mhmi-Led to the Department of Industrial. Accidents for conformation of fi=m a coverage Also Be sure to sign and date the affidavit The affidavit should be r-etnmed to the city or town that the application for the pewit or license is being requested,no t the Department of r 7 ,Ascirl�, �uldyon bate any gees ons regat�g tine law or ifyon are regm=d to obt�a worl=' compensationpolicp,please call the'Depar(mentatthen=.b=HsiedbelOW Self-fimu'dcorapaniessbonIde rtheir self-msai`�ce license number on the zp=am iate line. City or Town OffiriaTs . f Please be sole that the affidavit is ca®pletn:and prod le�ly. 'The Departlmenthas provided a space at tape bottom of the affidavit for you to fill orlt intbe event the Office oflnvestigatinncbas to contactyonregardmgthe applicant - of be sine to fill-i a the per it license Mmbes which wM be used as a reference amber. In addition,an aPplicant that must submit multiple penmitl umse applitaiions in any given year,need only mbmit one affidavit indicating cmient policy ini�nnatian(if necessary)and under`fob Site 1a_d�ess"the applicant should wate"aU locations n (may or town)_"A copy of the-affidavit that has been officially stamped or marked by the city or town may be provided to the ' applicant as proof that a valid affidavit is on mr file for fne permit or HDLses A new affidavit must be filled out each year.Whew a.home owner or citizen is obtaa>ni ag a license or permit not related to any business or comet e�• L v btun leaves etc.)said person is NOT rujakcdto complete this affidavit a dog license,orpe�it to The Office of Invesfig-, ons would hie tin Thank you in advance for your cooperation and should you have any questions, please do not hesaate to give us a call- The Departmenfs address,telephone and fax number: Department of 1SdustcialAccidents Gf fice of javegagkt[= ` �4�ashmgtQn�t gt MA 02111 T(�_L:�617 -4 Qxt 4-06 car I- MASS Fax ff 617-727-7M Revised4-24-07 w g-vidia ' r 1 MID CAPE ROOFING 11 RUSSO ROAD WEST YARMOUTH, MA 02673 508-775-3799/508-385-8801- Barry Merrill & Paul Merrill Job Site Add ess Mailing Address Name: �� �,r�,� � io� .rs Name: Street: Street: 0�2 v City: City: Telephone Telephone 3 3 9 1 We hereby propose to furnish all the materials and all the labor necessary for the completion of: roof replacement of the dwelling at the above address. Mid Cape Roofing proposed to remove and dispose of the existing roof. the roof will be replaced with CertainTeed Landmark shingles. Aluminum drip edge will be, installed along the gutter line. Ice & Water Shield installed .on bottom edges to protect ice back-up. 15 pound felt paper will also be applied. The shingles will be installed using 1% inch roofing nails. New pipe vent collars will be.installed. Ridge vent will be installed along the ridgeline of the roof to provide proper venting of the attic space. Mid Cape Roofing guarantees the workmanship fora period of 10 years. All walls and landscaping will be protected from damage; the property will be raked and cleaned of all debris. e roef- All material is guaranteed to be as specified and the above work is to be performed in accordance with specifications submitted foabove work and completed in a substantial workmanlike manner for the sum of: 7 .00—All discounts have been applied. Payment made as follows: Deposit of: $ 7%S. the day job is started and remainder paid on completion. Any alteration or deviation from the above specifications involving extra costs will become an additional charge over and above the estimate and will be discussed with the homeowner. Kespectively 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 and are hereby accepted. Mid Cape Roofing is hereby authorized to perform work as specified with payments made as outlined above. Accepted: _ t .. rM Y 3 r.+ t 1 q #� }� �'yA'a• ,.def<1 5V-.�^{^y,atf�/�a( MIN ,ns mer A�ffa��rs&wBusiue�s,�,R,.�� .s` p EMENT CONTRA�T f' c16T4'58 aTYp A A�stra�ion, Partnersh� ra i n A` ,BERRYIRRILf STYP�MOUTFI MA 02 4 f Underc� � a Massachusetts -Department of Public Sety 'Board`of Building Regulations and Standards: +i i Cohstruetion Supervisor $ 'License: CS-054428 ' r t x BARRY B MERRII. 32 SKUNNKETT CENTERVH LE�4IA Expiration I I Commissa r 05121 16 c_' - TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 273 252 GEOBASE ID 37677 ADDRESS 25 SUNBEAM LANE PHONE HYANNIS ZIP - LOT 35 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 36315 DESCRIPTION SINGLE FAMILY DWELLING (BLDG PER #32331) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES. ox1NE 1 � BOND $.00 CONSTRUCTION COSTS $.00 '753 MISC.; NOT CODED ELSEWHERE * BARNSTABLE, ; MASS.1 . FD M1r►I BUILDIN BY DATE ISSUED 02/08/1999 EXPIRATION DATE � '� � �{�i,_. �:�",Y4f �i I• y.'IFi�4 �°� A, 'k W S�� �r pp �� i. 3PRESS 25 SUNBEAM LANE P14ON : HYA,NNI S zrP VT LOT SIZE r_._35 BLOCKDRV'91,0PHENT DISTRICT HY '.��..� f DXS4,,WPTION SINGLE FAMILY DWELLING TYPE I PUILDT'I1_LE NMI RESIDENTIAL BUX.31 PMT t NTRAC ORS: BAYSIDE BUILDING, INC Department of Health, SaCH and Environmental Servic VD $.00 THE E .;' 101. $I NG LE F4M HOME DETACHED PRIVATE E KYS"Ea.` * iARNSTABU, MASS. 1639. MA'I BUILDIN_'C3rDIVISIO fi DATE ISSUED 07/27/1998 EXPIRATION DATE HIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET LLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED F@OM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFT } ERMIT 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, SEPARAT 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FO 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INS ECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS Awe i e / d bJ 1 AT NG INSP CTION APPROVALS G EERI DE P ENT - 2 ARD OF H /ALTH THER: SITE P REVIEW APPROVAL (W oil h ' WORK SHALL N PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THI ' zy a� THEINSPECTOR SAPPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX. CARD CAN BE ARRANGED FOR B VARIOUS STAG OF CONSTRUC- MONTHS OF DATE.THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFIC 77 41, t(i � ,, �{ at , , r �t +,t w = c tit ('� �y, i '.fS F+., 4( i 7t .Y ! 't vi f t io r y't i, f 1 'a �i a t a! � �r.'f. :�^s'.,}' �._ uc��� l a.R. �, ,j,, '?, dt'.:1�sutwui._.r•#:. .+pr o s v Y { a 4 1 _ _ 1 •'f s 5;- At y..; — f L fl tv- M i � � f } . lit, Engineering Dept.(3rd floor) Map v2 ? 3 Parcel ' o2 S . Permit# House# 02 S� Date Issued Board of Health(3rd floor)(8:15 =9:30/.1:00-4:30) T FeeQh�c - Conservation Office(4th floor)(8:30-9:30/1:00-,2:00) Z Planning Dept. (1st floor/School Admin. Bldg.) +' ` �LM. Po THE Definitive Plan Approved by Planning Board 19 r ' � MASS <P t619• TOWN OF BAJRNSTABLE 54, N EC OBTAIN A bEWEB PE RMIT FROM THE ENGINEERING DIVISION P8I08 TO Building Permit Application aOKURUCTION Project Street Address 5� rtm�r ��t-� C AEV! 40T 3 Village ' f Owner Address Telephone Permit Request t First Floor 1 l 3 ea T square feet Second Floor 56 square feet Construction Type WOW fi✓(60y- Estimated Project Cost $ / , 5 ev Zoning District PC Flood Plain G Water Protection 6 P Lot Size 114 Grandfathered W(es ❑No Dwelling Type: Single Family p" Two Family ❑ Multi-Family(#units) Age of Existing Structure Alll�G✓ Historic House ❑Yes 2 o On Old King's Highway ❑Yes fro Basement Type: Vfull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) //3-- Number of Baths: Full: Existing New Half: Existing New l No. of Bedrooms: Existing New -3 , Total Room Count(not including baths): Existing New First Floor Room Count 7 Heat Type and Fuel: RIG-as ❑Oil ❑Electric ❑Other Central Air ' Yes ❑No Fireplaces: Existing New / Existing wood/coal stove ❑Yes U$4go Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) f�Attached(size) ❑,Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial )Yes ff'<o f yes, site plan review# Current Use V Proposed Use Builder Information Name 6atl Telephone Number 7 7 Address License# as 5lo 3 Home Improvement Contractor# Worker's Compensation# :C 9 �Q �' l 9 l /0 y/ 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 _ u2 SIGNATURE � -7 DATE i BUILDING PERMIT DENIED FORD LL ;QREASON(S) I FOR OFFICIAL USE ONLY PERMIT NO. i DATE ISSUED - - MAP/PARCEL NO. 1 , v ADDRESS VILLAGE s OWNERJi + .. DATE OF°INSPECTION: FOUNDATION- FRAME INSULATION- F FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL . } FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. rs � N N/ o - i o 7� N/ i0, z '9 i CERTIFIED PLOT PLAN I CERTIFY THAT THE FOUNDATION SHOWN ON THIS PLAN IS LOCATED ON FOR THE GROUND AS SHOWN HEREON AND LOT 35 SUNBEAM LANE, HYANNIS, MA. THAT IT CONFORMS TO THE MINIMUM BUILDING SETBACK REQUIREMENTS OF THE TOWN OF BARNSTABLE. PREPARED FOR BAYSIDE BUILDING INC. ���"►.i N OF Mqf SCALE: V =30' SEPTEMBER 9, 1998 ,STEVE W. RUM A + � 579 Weller & Associates 1645 Falmouth Rd. —Suite 4C Centerville, Ma. 02632 (508) 775-0735 P N Gam• SSr ' N 3 L5t � y GoT 3S • a Z CO.o SF ._ i3 PROPOSED PLOT PLAN I CERTIFY THAT THE -PROPOSED FOR DWELLING SHOWN ON THIS PLAN CONFORMS TO THE MINIMUM SETBACK LOT 35 SUNBEAM LANE HYANNIS, MA. REQUIREMENTS OF THE TOWN OF BARNSTABLE. PREPARED FOR BAYSIDE BUILDING CO. t'�H OF TEVE W c SCALE: V =30' JULY 22, 1998 R 5M A Weller & Associates 1645 Falmouth Rd. —Suite 4C Centerville, Ma. 02632 (508) 775-0735 Elie 61o9)a»rolrineale/li o &jjacX(.,je11j DEPARTMENT Of PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Restricted To: 11 BRIAN T OACEY 62 fERMBR00K LN CENTERVILLE, MA 02632 171050 j Restricted To: 11 11 - 35,011 cf enclosed space (M6L 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. COMMONWEALTH OF MASSACHUSETTS -= -= OF-rA.� 7 OF LNDUSTRIAL ACCIDENTS 600 WASHINGTON STREET -ames Car-.00ei, BOSTON, MASSACHUSETTS 02111 Corr:-n:ss,one• WORKERS' COMPENSATION INSURANCE AFFIDAVIT I, P-S 2 / 1A1 ;r iDVqC�F Y (licensee/permince) with a principal place of business/residence ar: (Cry/SuteMp) do hereby certify, under the pains and penalties of perjury, that: [q/]-am an employe:providing the following workers' eompc:s--tion coverage for my emplovees working on this job. AlAl"LlIvb 00� / Rl 16gt Insurance Company Pohcv Number ( ) 1 am a sole proprietor and have no one working for me. O I am a sole proprietor, general contractor or homeowner (drele one) and have'hired the contractors listed be:ew. who have the rollowing workers' compensarion insurance poiic= fiat Dv q Name of Contnaor Inst:rnee Company/Policy Number Name of Contractor Insurance Company/Policy Numbc: Name of Contractor Insurnce Company/Policy Number 0 1 am a homeowner performing all the work myself. NOTE: Pleue be aware that while homeowners who employ persoes to do maintenance,construction or repair work on a dwelling of not more than three units in which the homeowner also resider or on the grounds appurtenant thereto are not gener-01 v considered to be employers under the Workers'Compensation Act(GL C 152,sect 1(5)), application by a homeowner for a lice:sc or permit may evidence the legal status of an employer under the Workers'Compensation ACL I undo stind that a copy of this surcment will be forwarded to the Depart:e::of Industrial Aeadena'Office of Insurance for eove:ap vet:icscion and th:t failure to secure coverage as required undo Section 25A ol-MGL 152 can lead to the imposition of criminal per.z: :$ consisting of a fine of up to S1500.00 and/or imprisonment of up to one yc::aid civil penalties in the form of a Stop Work Order fine Of S 100.00 a day against me. Sinned this day of . 19 31e14AI 7 . e Lic;�sc;''crmittcC Lict.1sor/Pcrmirror 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 - 1513000629,26 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) FIRST FINANCIAL - FF0131 G400831 (W) COMMERCIAL UNION - CB0743379 CENTRAL VAC: VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045 A 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 AVERINOS: (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 i 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: 7-13-1998 DATE OF PLANS: 7/13/98 TITLE: LOT 35 SUNBEAM LANE PROJECT INFORMATION: COBBLESTONE LANDING COMPANY INFORMATION: BAYSIDE BUILDING COMPLIANCE: PASSES Required UA = 397 Your Home = 304 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 1132 38 . 0 0 . 0 34 WALLS: Wood Frame, 24" O.C. 2151 21. 8 3 . 0 106 GLAZING: Windows or Doors 294 0 . 350 103 . DOORS 21 0. 350 7 FLOORS: Over Unconditioned Space 1132 19. 0 54 -------------------------------------------------------------------------------- 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 12516 of the design load as specified in sections 780CMR 1310 and J4 .4 Builder/Designer -� Date �7, l� I MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 0 LOT 35 SUNBEAM LANE DATE: 7-13-1998 Bldg. Dept . Use CEILINGS: [ ] 1. R-38 Comments/Location WALLS: [ ] 1. Wood Frame, 24" O.C. , R-21 + 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 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: [ ] Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to R-8 . 0 . 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. �f TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and J4 .4 . 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) ------------------------- i ALU/A .GUT?C2 -eAr 7 N. 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