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Home My WebLink About0027 TIDAL LANE a7 Tom, i t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Z-70D,5t1013 Permit# �- p Health Division S 6 - Date Issued k1l CA Y � Conservation Division z a �' �.' : t;;� Application e Tax 6ollectoll ON .8 f 0 f o+ LA' Permit FeeNU T . Treasurer 0;1 "�`.-•�--- Planning Dept. CONNECTED SEWER ACCOUNT Date Definitive Plan Approved by Planning Board # Historic-OKH Preservation/Hyannis Project Street Addres 27 -1 i yA.L__ 1`t� c Village -o Owner tS� Address " .Telephone O -- 1 $ IJ` Permit Request b [21> t r( C> L$ � lpoa2c- 1 3�� f o ¢-, o r-I E-7 t3 Poo i Square feet: 1st floor: existing proposed 2nd floor: existing �' proposed -:-3- v Total new Zoning District �TC 17 Flood Plain Groundwater Overlay Project Valuation 14A0, :!5c::, n Construction Type \N n Fe-A Lot Size �3�7 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure yf Historic House: ❑Yes �3ft On Old King's Highway: ❑Yes XNo Basement Type: MFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1---31 Number of Baths: Full: existing 7/ new Z Half:existing y new Number of Bedrooms: existing 3 new ff / .Total Room Count(not including baths):existing b new First Floor Room Count 4� Heat Type and Fuel: %Gas ❑Oil ❑ Electric ❑Other Central Air: XYes ❑No Fireplaces: Existing f New_we- Existing wood/coal stove: ❑Yes ;Vo Detached garage:❑existing ❑new size A Pool:❑existing ❑new size Barn:❑existing ❑new size a Attached garage:Xexisting ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ r Commercial. ❑Yes XNo If yes, site plan review# Current Use _o n F,a M 11-�,Y_ +ion ff Proposed Use, N BUILDER INFORMATION Name "RYGA--ap �J ' Telephone Number Sc$ S 4 7, '2� Address '-7 Z �A D�► S T: License# C S 0 7 ►`�Y 1�r,l NHS Home Improvement Contractor# I�Zd.3 CI Worker's Compensation# V�1e, A019 0/ ZO D ALL CONSTRUCTIO RIS RESULTING FROM THIS ROJECT WILL BETAKEN TO 6L SIGNATURE DATE 6"2S' 7-6� 5�S /&Z FOR OFFICIAL USE ONLY t PERMIT NO. DATE ISSUED - =• '\ _ k MAP'/PARCEL NO. ADDRESS VILLAGE y OWNER DATE OF INSPECTION: FOUNDATION FRAME S c INSULATION Y // G S FIREPLACE ELECTRICAL: ROUGH FINAL 0 PLUMBING: ROUGH , FINAL m GAS: ROUGH 0 FINAL ; it1 ` FINAL BUILDING � ff .`• , DATE CLOSED OUT f ` _ r ASSOCIATION PLAN NO. c , " 7` f , RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 _ Residential Addition $50.00 Alterations/Renovations $ 50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 3 9 3 square feet x$96/sq.foot= x.0041= plus from below(if applicable) ' ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot Ty / x.0041= ` plus from below(if applicable) GARAGES(attached&detached) V square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. - >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..0041= - STAND ALONE PERMITS Open Porch �x$30.00- 1 (number) Deck x$30.00= -�- (number) 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 Proicost. - The Commonwealth ofMassachusetts Department of Industrial Accidents' - t 600'Washington Street Boston,Mass. 02111'. Workers',• Com ensation.Inmrance Affidavit-General Businesses _ N ` :a:� t.r:b�jfa.• T�P-aF3 r `s... r'' a: . , S� ,/:Sys\�G;: e•' �• � � I•� .n SyauN �, S a address; state: ziv:07 (ey(• phone# S��S 2--��0� �. Lam, full address ►.� Ant wor site loc S atiozi I am•a sale proprietor and have no one Business Type: Ej Retail❑Restaurant/Ba/Bating Establishment ' working in any capacity Office Sakes(mcludiug.Real Estate, Autos etc.) ❑ Other ' ❑I am an em toyer with em to ees(full& art time . //%%/%%%%///////G/%%/%%//%%////%%r,�/i//////////%////%/%%/%%//%/%///�////%/�/�%% /%/O%%%%%%%% I am an employer providing Nyprkers' compensation for my employees working on this job. :�, :.4 t'al,r3:S: 'r'; -.;,i:'h• �•i vi P'+ •• .,5:�::•:.' .t: •.•r:•' * 1 ','�ri.•;yi'rf *.ij',S.•h:.;�n(:.°••.:.' '~ •+;,. fC:•�.�. `•'?'•. .t., .1 r t .{,:.:a(a .3. -•ti:'i :r. .ti'.'�r:• 113. coin�an•Jiame: •' .;r : ,.x.,• ,• •.L, .. •+,.•=:..'• : • 1,•-'-• •.�•,; . • ...��l: . ,� �'i•Y:. ♦ , ,•�M •'•L ,,.' fix'••{'..� 1:�,•. ''1'r:.^r•�' •� , .^a ,:' '•�f,M1�, �"y' ••S =!: .:�` ,a,• .•';.>:�- - �r.. `.;�.:n:�S:I1•' fi:'xL�{:•'`+Iti. '7�:� �i^ter:;i} :;�'•t;.. r• •.r •t, .ri: :.7 i..:•=.. — •.t:.' ::�•?'4y• 'i.r'• +'. :� •'t'''r •.�:t5 :i• -3 S•. '+:• .. ;'t': :1•' �a:• '�: 'k:��°erg 5rtibi•', � "''' �'''�� ..,' :,ir'j: 't. r,r -:( + •1•' .�,F.1�f.'i`: is 1,ut•S s:t�:`,•r:,. O1fC. ::i1.: s• _ ° nsurance.ct75 1:" •�,:: . :: ;.. ' I am a sole proprietor and have hired the independent contractors listed below who have the following workers' .compensation polices:• i '•`.'. 't::.{: .P t •y• �^ '�..: ,fr .1•:'r ••i:.�� !:'•' .,1,ry�y''+�.='..ah,;.�' •n.t.l•�i�`,;, •rt com •:nY;'. ••! .r .yl. ,t.A.t: :A^x:fe .t.;.�y 1•.. ddress •t Ste• •• i�`C��', s/•.S^" [-J1 �< a ° � :R:a P� 4:ira:`• t•'�,r•.1 •:.,t: .J.�. .r i'x rx�.5 t• .L :t: .1 :'Kr�: ,• i},{Stip^•-,L,i;1=,t•,,•J,,+ ,11. + t j •�. .;..t�.; r, nn 1• t reV r; \r•'.�.'. '.'.\d.et ,:-I.��1:. �: ,�,'—l•••2: Jam• _ ';: •ki} ='r,me ,µ.: ,: :#. C � insurance co. 't.l� ti.,;(. •{:. ' IPi!� ':4.. -ri.n..+ ':f"• 'fit'! +f�.'','r t,.,:t N��11{: •i —•1'. .:.:j• L' ',' ,ti v r3t ' ,�.5,'•:.... '?!;�. is }'{,, :+"'•�'r•,t, '"t:�•',L•.• �.t:•-•f1 {l'. di:x:: ',�•+1•:+i•,.i1: •:•• r•Yd::'� ,..,`• _ � .7:. ::t>',., ,rr. f .t•• coin eri. nee..�YSr .. � . . :•• .. .�_' x.r . , ..=1,; , a dre'si on wi �a.1...r-- ,.r- -.t,S .:r;.+:',+i�'t: •.'¢.•i.Y, •a. .y.• ur�i.i•i• .�.T'' .'Y'S,::�: :5:"�{ •<_:.•S'.:{.:' a ,t, 4.• .�•1:, •�;'e•'y�}'. :•.i'J` � ',•, L; N. ,:(.:+' •, t;ft;;i, tea•;i •11•, .t: '�, "�", . . `;•, i.;. r:: '9•.r. .:ir :a',•.:': +'. 1�,:ri:: OZ1Cy.#�i'•' 'r •.4}, .i.• i; + in-suraace:cb,"=' Fa0ure to secure covers required under Section 25A of MGL 152 can lead to the imposition of eriminalpenalties of a fine up to$1,500.00 and/or one years'imprisonme t is ell as civil pen 'es In the foim of a STOP WORK OPMER and a fine of$100.06 it day against me. I understand that a . copy of this statem n may forwarded to e 0 e f Investigations of the DIA for coverage verification. ion. do hereby ce i der h a s o perj th nation provided above is True and correct Date % '{' ^ Zvz, Sigaature • -L,7 LE Phone# PnIIt name official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑-checkif Immediate response is required ❑Selectmen's Off11 0Health Departmeni contact person: phone#; ❑Other t avaed Sept 2003) Inforniation and Instructions. Massachusetts General Laws chiapter�152 section 25•requires all employers to provide workers' comtherpensation for*their. loyees: As quoted from the law', an employee is*.defined as every person in the service'of ano under any contract n1plie oral or written. )f hire; express or imp .•� ' ; �m em Loy •partnership, association, corporation or other Legal entity, or any two or more of p er is defined as an individual,g hlp . he foregoing engaged a']oint enterprise, and including the legal representatives of.a dmeased,employer, or the receiver or artnet. , association or other legal entity, employing employees. 'However the owner of a zustee of an individual,p . hiP Swelling house having uot'tnore than three apartments and-who resides therein, or the,occupant of the dwelling house bf another who emplbysp sons to do.maintenance, construction or repair work on such dwelling house 6r on the grounds or building appurtenant thereto shall not because of such•employment.be deemed to be,an employer.• e state'or local licensing agency shall,►Vlthhold the issuance or renewal section 25 also'states that every ry , ter 152 s , MGL chap y pp ' of a license or permit to operate a business or to construct buildings in the.commonweaIth for an a hcant who has not produced acceptable evidence of-compHance with the insurance coverage required. Additionally,neither the f its political subdivisions shall enter into any contract for the performance of public work until commonwealth nor.any.o liance with insurance requirements.of this chapter havebeen presented to the contracting acceptable evidence of comp authority Applicants ease fill in .the workers' compensation affidavit completely,by checking the box that applies to your Situation.:Please Pl numbers along with a certificate of insurance as all affidavits may be submitted supply company n'arrie, address and phone numb ng • to the Department of Industrial Accidents-for confizrnation of insurance coverage. - lso'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 Iudustrial Accidents'. Should youhave any questions regazdin the'"Law"or if you are required to obtain a workers' compensationpolicy,please call the Department at the number'listed•below. NMI City or Towns . Pleasebe sure that the affidavit is cbmplete and.printed legibly. The Department has provided a space at the bottorii 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.iu the perrrnt/license number.which will be used as a reference number. The.affidavits may.bei leturned to the Deparrtmentb}�,�or FAX,unless other:arrangements have been made. k you in advance for you cooperation and should you have any questions, The Office of Investigations would like to than please do not hesitate to give us a-call• Fos The Department's address,telephone and fax number: , The Commonwealth Of Massachusetts- Department of Industrial Accidents 9tf�ce of�esti�ens 600 Washington Street Boston,Ma. 02111 fag M (617)727-7749 phone#: (617) 7274900 ext:406 i Town of Barnstable v �9 Regdatoxy Services ��- Thomas F,Geller,Director 9� AB& k1� gu-N n.g DIYIIAOU TomPerrys Building Commissioner 200 Main Street, Hyantis,MA 02601 . --- Tnm.town.barnstable.ma•us -- Fax: 548-790-6230 Off'ice: 5O&S62-403 8 ::.,. :....: Property Owner Must - - Complete and Sign.This Section _.. If Using A,Builder as owner of the subject property hereby authorize Q. �S N to act on mybe half, _.. to workauthorized by this building peiznit application for, in all matters relative (Address of fob) - • _ t Sig �of Owner print Name �3_r.,. 2e �'IYTTl•Y/2�t'.G!{P,17`i,CfiL C� _ BOARD OF BUILDING REGULATIONS License: CONSTRUCTION-SUPERVISOR Number: CS-. 074459 t 8irthdate: 04/30/1948 k Expires: 04/30/2005 Tr.no: 11411 ! — Restricted: 00. i EDWARD A READY', t 22 MAIN ST HYANNIS, MA 02601 Administrator ��_ _ .-:jfie Zoar�vrrecor..uea c� i',a�:rar e�ld Board of Building Regulations and Standards .105 .i OF HOME IMPROVEMENT CONTRACTOR Registration: 140380 Expiration: 10/28/2005 Type: Private Corporation E A READY&SONS INC EDWARD READY 22 MAIN STREET HYANNIS, MA 02601 AdminiOrato:r t k � �` �; ✓�za 7aasalzzoa,coPccx��i �- '-f,�crd%FrK�tra BOARD OF BUIL�?ING REGULATIONS E -$ }' "�License CONSTRUCTION SUPEwISOFI + Number-..CS fl7289 v �a � a Birthdate .1 Q/03/197Q � Lx,wres 10/0312064 Tr no 4919 Restricted .-00 '< RANDALL E HUG'HES : ,' 7:7 HOMESTEAD-lN ICKET MA_ ', - Admirostrator ' f P G t I 1 F .e ToWn of: Barnstable •' . yop•rN fo� • . ' Regulatory Services a sr at Thomas F.Geller,Director Building Division t�ep Mph • Tom Perry,Building Commissioner' '. 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 . Permit no. , 1]ata AFMA'VIT ' 1rOME R0ROVEMENT CONTRACTORLA.W SUPPIY,MENT TO PERMIT APPLICATION MGL 0,142A requires that the"reconstruction,alterations,renovation,xepair,modernization,conversion, •irrxproverment,removal,demolition,or constriction of an addition to any pre-existing owner-occupied butding 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 Worl r ''� ��- A r7 d�t T l a Bsti=ted Cost 40, < ' Address of Work: 'L e- N S Owner's Name; c� �Y C� �.x^Y'� t Q o „•.� . Data of Application•, I hereby certify that; Registration is not required for the following reason(s); ' []Work excluded bylaw ' []Job Under$1,004 ' []Building not owner-occupied []Owner pulling own permit , ' f Notice is hereby given that; OWNERS PULLING THEIR OWN]?ERMIT OR DEALING WITH UIMGISTERED COI TP-kCTORS FOR APPLICAB,•LE HOME ZTPROVEMENT W OIK D O NOT HAVE ACCESS TO THE ARBITRATION PROGRAMS OR.GUARANTY FUND UNDER MGL c.142A. SIGNED UNDERPENALTIM OF PERJURY Ihereby apply for apermit as the agent of the owner; %AA Date Contractor Name RegistrationNo. OR Owner's Name , ' Permit Number i REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoftware Version 3.6 Release 1 Data filename:Untitled.rck PROJECT TITLE: Bigelow 2nd floor addition CITY: Barnstable STATE: Massachusetts HDD:6137 { CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) WINDOW/WALL RATIO: 0.14 DATE:08/05/04 f DATE OF PLANS:6-4-04 PROJECT DESCRIPTION: one bed and bath dormer DESIGN ER/CONTRACTOR: E.A.Ready&Sons Inc COMPLIANCE:Passes Maximum UA= 145 Your Home UA= 133 8.3%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 396 30.0 0.0 14 Wall 1: Wood Frame, 16"o.c. 434 13.0 0.0 31 Window l: Wood Frame:Double Pane with Low-E 59 0.420 25 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1346 19.0 0.0 63 Furnace 1: Forced Hot Air, 86 AFUE Air Conditioner 1: Electric Central Air, 10 SEER COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in RES checkVersion 3.6 Release 1 (formerly MECchecl and to comply with the mandatory requirements listed in the RES checkInspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date i } REScheck Inspection Checklist Massachusetts Energy Code REScheckSoftware Version 3.6 Release 1 DATE:08/05/04 PROJECT TITLE:Bigelow 2nd floor addition Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1:Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: Windows: [ ] 1. Window 1: Wood Frame:Double Pane with Low-E,U-factor:0.420 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: Floors: [ ] 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air, 86 AFUE or higher Make and Model Number [ ] 2. Air Conditioner 1:Electric Central Air, 10 SEER or higher Make and Model Number Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. ' [ ] When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: l. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283,with no more than 2.0 cfin(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. 4 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,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. ' Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling 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. 4 . Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 °F or chilled fluids below 55 OF must be insulated to the ' i levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes , Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) U12 to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 ,. 1.5 . 100-130 0.5 0.5 0.5 1.0 k Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes r Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 ' 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any' 1.0 1.0 1.5 2.0 . Cooling Systems } Chilled Water,Refrigerant, "40-55 0.5 0.5. 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5' . 4 NOTES TO FIELD (Building Department Use Only) } • f • _ 1 • 1 e a 9 r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel UD q-D 13 Permit# Health Division ' Date Issued ✓ �� '� Conservation Division 00 . — Fee- r b Tax Collector A. A BTAIN MRTreasure -- - A9nrANT UM O rr, CONNECTION PRUrf FROM THE—', F ENUINEERING DIVM Planning Dept. t�3NtTC'iTODt Date Definitive Plan Approved by Planning Board f 1L1 Historic-OKH Preservation/Hyannis Project Street Address • A)01/ 4,11VI .�y .Village ��uANNrS / 3 Owner 'eA,2} 13;Q71ow Address t3, 7p. Qal,111A/9 Q4-,Vc11,r1 Telephone (-,06 760 -D�(7 / Permit Request /y bilk 14k Vv. Deck Square feet: 1 st floor: existing 16 qi proposed /419 2nd floor: existing proposed Total new U9 Valuation go Zoning District 2C°-I Flood Plain Groundwater Overlay Construction Type Aq X Lot Size IY3,6 sic Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes W16 On Old King's Highway: ❑Yes Flo Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Alz CQ�Jdxll Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths:A Full: existing new Half: existing new Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing S_ new i First Floor Room Count Heat Type and Fuel: C6 Gas ❑Oil ❑ Electric ❑Other Central Air: 5k�es ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 21lo- Detached garage:❑existing ❑new size Pool:El existing ❑new size Barn:❑existing ❑new size Attached garage:Rexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes C(No If yes,site plan review# Current Use Proposed Use sum ko&>t- BUILDER INFORMATION Name Fo 4� ` Telephone Number ? Address_74-�S_ /',EEL/C`9AJ A4Y h.e - Licen \ r Jib i OD.y A _�cif Ho a Imp v en ontr Wo er' ompe ion# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE KEN TO X_SIGNATURE DATE 9 �d D 0 FOR OFFICIAL USE ONLY - - { PERMIT NO. r DATE ISSUED + CAMAP/PARCEL'NO. a , ; ADDRESS m 'VILLAGES { a- OWNER - ,; - 1 DATE OF INSPECTION:: �7 FOUNDATION �II�� C�Il�/� C/I//d FRAME lI I r V I I — ; INSULATION ' FIREPLACE -' ^ ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - GAS: ROUGH; '~' FINAL FINAL BUILDING _ _ ' DATE CLOSED OUT ASSOCIATION PLAN NO. r f r .- F SHE ' 20 The Town of Barnstable • sAxrrseABM 9�A MASS. ��' Regulatory Services rEo +' Thomas F. Geiler, Director Building Division Ralph Crossen, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax! 508-790-6230 Permit no. Date i AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION 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:. Smear&A- Estimated Cost qo,.o 0 a Address of Work: Ll Li4NE J/guIk K Owner's Name: Ro bF_Z 03G4f oat Date of Application: 9-;2a_o0 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law - _... .., .❑Job Under$1,000 ❑Building not owner-occupied caner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. d?0A00 R 1 Date Owner's Name q:forms:Affidav 7=CZMAppwWkj • Tablt.iS2.ib Geed) . ptssaiptfre Paeiss =for das mad Two-Familf Rnideazid Ba"hW goad with Food Faela �IJ3I I MAXIMUM Sib � cam$ cam au E7oor Baaemm Wig &w� �'(%s) U-value= RrvaLr� �°�� P=im SJ01 eo 6600 Hein Dew Dada' ' . ' Q I2%. 0.40gn 13 19 !0 6. Nommi R 12K 0.57 19 19 All 6 Noeaal - - tSAEVE S IrA . 0.50 13 19 _-.__ 0__ - --6- T 13% 035 13 2S WA WA Nazi U 15% 0A6 19 19 10 6 Na W 'r i5% daq+i 13 WA !S AFUE w 13% 0.32 19 19 -to - 6 SS AFt]E x 180/0 o32 31 13 • 23 WA WA Noemd Y ia'/L -0A2 n - 19 2S WA WA Novi Z IV/. 0.42.___ _ 3= -43 19 -10 6 90 pFtJE — _ AA 13'/. OJO 30 19 19 10 6 - 90 AFEYE 1. ADDRESS OF PROPERTY: . 2. SQUARE FOOTAGE OF ALL EXTERIOR ALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5.' SELECT PACKAGE(Q--AA-see ch above): NOTE: OTHER MORE IN VED METHODS OF DETERMINING \RGYQUIREMENTS ARE AVAILAB . ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table JSZ-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 that 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 R=of decorative glass may be excluded from a building design with 300 R2 of glazing area. =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 J1.53a. U-values are for whole units:center-of-glass U-values cannot be used. The ceiling R values do not asst®e 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-3 8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be_,placed between me condiuoned space nu u a'`uc v d pion off'•'�£ Wall R values represent the sum of the wall-cavity=-kmdation�plusm-k=lat g_sheathing-(if used). Do not include exterior siding,structural sheathing,and interior d*vmlL-For example,an R-19 requirement could be met EITHER by R 19 cavity insulation.OR-R-13-cavity rplus-R-6-insulating-sheathin&:Wafl .require:aYnts apply.to wood-flame or mass.(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction- . The floor requirements apply to-Hoors_over.-over = ed spaces(such._as unconditioned crawaces,basements, or garages).Floors over outside air must meerwthe cer7iag requirements. The entire opaque portion of an indn►idual basement-wallAwith as:average.depth less than 50%below grade must -- meet the same R-value requirement:as:-above'gpe-�•wai1s Windows, and,-sliding.glass doors of conditioned i K - -Basement_ - doors.mustmeet-the-door-U-value requirement. basements must be included with the otWIlazuug x, _ described in Note b. v 'The R-value requirements-are for unheated slabs.Add an additional R-Z for heated stabs. • If the building-utilizes-electric rtuceheating nse=cornpiianr_apprnach 3,_4,_or S.-:Ifyouu plan to install-more _. than one piece of heating equipment or more Chad,one piece of cooling equipment, the-equipment.with the'lowest efficiency must meet or exceed the.cffucicA;Y;_px u red=by the selected package eats of the ciosest_dw or town see Table, For Heating=DegreeDa3'requur = ---- ——� NOTES: a)Glazing areas and U-values are maximum.accgptable.levels. Insulation R-values are.minimum acceptable levels.. R-value requirements are—foeinsrilatior%oitiy and do-not mciude stRucmml components :_.W- b)Opaque doors in the building=xavelope_must-havCa U-value no.greater than,--0.35. Door U-values must ba-tested__ and documented by the manufacturzr�accordancc with-theNFRC;_test procedure or taken_from the.door U-value in Table J1.53b. If a door contains glass�and=an`aggregate'Uwaltie,raung forahat doar:is:not available;include the area of the door-with=yours-windows_and_use the.,opaque_door.U-value.to.determine.compli.ance.of.tbe.door-� .�- One door may be excluded°from tlsis requirement(u•e. -may have a U-value-greater than 035). - 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._GIazing_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(035 for doors). 43 ESTIMA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= (above average construction),, square feet X$96/sq. foot (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X.$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Value..-_-- I L IZ k For Office Use Only /nqA sionarY Affordable Housing Fee Residential Commercial" Property Owner's Name Project Location Project Value Permit Number "Existing Sq. Ft. **Proposed'New Sq. Ft. Fee $ IAHFORM 1/3/00 -- __ The Cofnmonwealth of Massachusetts -/--71 Department of Industrial Accidents :_� == Ol�ice oflotyestigauons � - 600 Washington Street yr Boston,Mass. 02111 Workers' Com )nsation insurance davit �g@!C-.i��t�j��j��j�j��j�� name. location: 0 tL 60 / hone# 7 90— /(96'25 tKI I am a homeowner performing all work myself. Q 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. .... comnnnv name: address: To #- city- insurnn ce co. / //////////%///////////%/////%%/ii;;i:� `..... %iii/%%/iiii/ " I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below WhO have - the folloiiing workers' compensation polices: : ., ....,.:;. .. - :. .......... -- comnanv name: - ;.. . :. _ — .:.: address: ........... . .......... .....:::.. .. Bone:#�:.:::->:.; :;:��•::>::<:::::;�:::>:>::::::<:::::>:::::>:»: ::;:::;:;;:<:;:.<:: c�tv- ::::. :.:. ::..........:. .... ..............:..:.:..::.: :..:.. ;.:.::. .....::. insurnn ce co. / //%///////////////%//i�i//,:..�; camnanv nnme. address. .....: :: one#:::":::: :. .:-:,. ..: ci tV. insnrs-`cc co -// ems,—�,�Ittuastl� Failure to secure coverage as required tinder section 25A of MGL 152 can lead to the imposition of criminal penalties of s Hoe up to SI.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the O1nce of Investigations of theflIA for coverage veriflwtion. I do herenv certify'under the pains and penalties of perjury that the information provided above is truce and correct r / " Date O — - Signature � � Print came ®� �/�&-e �/ phone i1 "7 4)111cW use only do not write in this area to be completed by city or town official cite or town: petmit/llcense# ❑Building Departm❑ Department Licensing Board ❑Selectmen's Office check if immediate response is required ❑Health Department phone#; ❑Other_ contact person: y Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quo ted from the"law",an e"Pl°yee is defined as every person in the service of another under any cones-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 c: and including the legal rep��ves of a deceased employer, or the rec.�"'e= the foregoing engaged in a joint enterprise, association or other legal entity, employing employees. However the owner of a trustee of an individual,parmersiup ��who resides the or the occupant of the dwelling house or dwelling house having not more than three ape or repair work on such dwelling house or on the grounds c another who employs persons to do maintenance, 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 Iicensing agency shall withhold the issuance or renes of a license or permit to operate a business or to construct buildings in the commonwealth Dui d AdditionallY.,n•=�° h. not produced acceptable evidence of compliance with the insurance coverage performance of public work unrd any commonwealth nor any of its polities he insurance Of this r have been presented to the cc=-c" acceptable evidence of compinance authority. VIM /r,VIA X / Applicants the box that applies to your situation an ► ,T °► Please fill in the workers'compeasattom.affidavit completely,by chectang r address and phone numbers along With a certificate of insurance as all affidavits may o e . supplying company names, camfirmaa o f � Ado be sure to sign ane submitted to the Departmenrt of Industrial . -_- .-. - that cation for the perm:o<,�_= a be retained to tbe_cit9 or town aPPh date the off davit. The off davit should aas "law"o_i±,'c not the Department of Indastnal Acadets. you have any quests being obtain a,workers' c�ompensatian policy,please call the Department at the==ber.listed below. are required �mr ^ City or Towns fete mad legibly. The Department has provided a space at the bottom o ---pleas be sure thatthe affidavit is comp _ P _-- . the Iicaat. Please - ouf m the event the Office of has to contact you regarding aPP affidavit for you number. The affidavits may be zcurned to -be sure to fill ta=the permit/liceose n�m b which will be used as a reference the Department by mail or FAX unless other gemcatshavebeen made. would hiss to thank you in advaace for ym-C°0P eeration and should you have any The Office of Investigations questions- please do not hesitate to give us a Call. Avg �� The Department's address,telephone mad fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents estl adolls 01[1ca of ItvY D 600 Washington Street - Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 4069 409 or 375 N N H a b � ,3a'6 . � 050 50' L 0 T 106 a 9736s SF h 3 �z n • v � Q m a 2 � 100.31 ' S 82•47'38.W TOWN OF BARNSTABLE ZONING ZONE : RC- I TO THE BEST OF MY PROFESSIONAL KNOWLEDGE SETBACKS OPEN SPACE INFORMATION AND BELIEF THE STRUCTURE SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS FRONT - 20' A$ GRANTED UNDER THIS OPEN SPACE DEVELOPEMENT. SIDE - 7.5` REAR - 7.5' PROPERTY LINES SHOWN HEREON WERE COMPILED FROM AVAILABLE PLANS OF RECORD AND DO NOT REPRESENT AN ACTUAL SURVEY ON THE GROUND. 'I5i < PLOT PLAN THE DWELLING DEPICTED ON THIS - -c , PLAN WAS LOCATED ON THE GROUND 7/L/f IN BY SURVEY ON JULY 12. 1996 AND BARNSTABLE. MASS. EXISTS AS SHOWN AS OF THE DATE OF LOCATION. SCALE: I'-40' JULY /2. 1996 THIS PLAN IS FOR PLOT PLAN EAGLE SURVEYING 9 ENGINEI'BING.INC. PURPOSES ONLY AND NOT FOR 928 Boat* 8A RECORDING. DEED DESCRIPTIONS varllouthport, KA. 0247S OR ESTABLISHING PROPERTY LINES. (508) 882-8182 (608) 482-6888 THIS PLAN IS VOID IF NOT STAMPED AND SIGNED IN RED. 0 20 40 80 PROJECT NO. 96-296 i I tR- -�z 7- ri -Xi OW� A-t -1.!� i 0',�g t a�'j'e 4 r� ;%�'- - tz,- 'A.-U-410 7m-, -Tz ARTS wo M. w Fix how son " Kv Jor X F ISO. lot q �77 SAM, V W 1, -7 Ony VA m �'z 11t;7 A, YA Y�w 1: low.44AM -,7 r �V "".At" I-TI WK, TO Aw L, TZ IT tk,r Sw: s o-K r Al a f—'iLa- 2a, iLLL - ea pl— 2.1 4�4 % -hA - - �� .:� '-w ': - - . � - --A� .. 7, '." .'� --.7 ... - kt4r - -�w t� '!� -------�,,�,lr;2t,�1,1;�--.�,e�.1-�-� '�4�';: ;--:z�:-'ae-1z'qii!t.�4:��-,t�-z�---��k,,a��"�-.��,-� _.i-� - -��TT�I: .. .,-, -- ..• .- -4'��-..-�--,� S'�--V-.5 i-z........��-�i.��'�-"--'�:-&-'-�'-r .1�.� ,"i- : -r' . :4-1k i� �ti�•r::a, .- '. �' - ......� -��I --"!-t�' -�;-.Le' --l-"". - -- -- .r,,--,:- 'A,',tyr,U-.,.e----,- -."", "L�"-, -tv.� .1. . 1% -"�.j--'�-tz��jl�r-.t t; . , - -;��--�F L sit--;�'" - .1 - . . 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