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Home My WebLink About0080 WACHUSETT AVENUE gCD j PROJ +C nn II oo, 11 ADDRESS: oc�G vivi�7 PERMIT# - $ PERMIT DATE: Z O M/P: ''7 �� 3 LARGE ROLLED PEAKS A IN: . .. BOA Data entered, in IVIApS program on: .BY: m: I Town of Barnstable Building Department - 200 Main Street S& * Hyannis, MA 02601 9�p i63� . ' (508) 862-4038 rFD MP'�A - Certificate of Occupancy Application Number: 201005179 CO Number: 20140007 Parcel ID: 287083 CO Issue Date: 02/03114 Location: 80 WACHUSETT AVENUE Zoning Classification: RESIDENCE F-1 DISTRICT Proposed Use: SINGLE FAMILY HOME Village: HYANNIS Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: C.O. FOR GUEST HOUSE Building Department Signature Date Signed J. - ^ TOWN OF BA, NETrABLEHE Building ■4 * BARNS TABLE, * Issue Date: 12/07/10 - - Permi MASS. dpA i63q. Applicant: RHODE GRANT F. Permit Number: B 20102646 Proposed.Use: SINGLE FAMILY HOME Expiration Date: 06/06/11 Location 80 WACHUSETT AVENUE zoning Districf,`'RF-1 Permit Type: GARAGE DETACHED RESIDENTIAL Map Parcel 287083 Permit Fee$ 693.89 ,Contractor RHODE GRANT F. Village HYANNIS App Fee$ 100.00"'License Num. 027092 f`, 's- Est Construction Cost$ 135,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND DETATCHED GARAGE GUEST HOUSE WITH'ONE BEDROOM .THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: HAYDEN,ANDREW J&SHANNON S r BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: ANDREW J HAYDEN 2008 REV TRUST INSPECTION HAS BEEN MADE. 20 CRESTWOOD ROAD W NEWTON,MA 02465 Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO RIGI4T TO OCCUPY.ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF;EITHER TEMPORARILY OR.PERMANENTLY 'ENCROACHMENTS ON PUBLIC PROPERTY,NO"1 SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY,THE JURISDICTION.,-STREET"OR ALLEY GRADES)'WELL AS-DEPTH'AND'LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS'-THE ISSUANCE OP THIS PER MIT'DOES NOT RELEASE THE APPLICANT FR0THE CONDITIONS OF ANY APPLICAB LIESUBDIVISION - RESTRICTIONS. } MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. ' 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONSTO BE COMPLETED PRIOR TO FRAME INSPECTION. t_ 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY, 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. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS.TO GUARANTY FUND(as set forth in MGL c.142A). •, ,ME BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS.. 2 6 �'�-`� IDP?-l) 2 �%JI��-`a-I I `�, 2 z.v lP) S=l -0 So Pk 3 ~ p_ 1 ating Inspection Approvals Engir:eering Dept. -Fire Dept 2 oar o Health G'U jwIT MC610 Insulation Certificate So Number and Streqt City Coulity Subdivision Lot Number Permit Number Description of Installation ROOF Produc CO a��► /f7igaS&,p5Q%umber Thickness (inches) ° Thermal. Resistance (R-Value) CEILING Product Lot Number Thickness (inches) Thermal Resistance (R-Value) EXTERIOR WALL Product Lot Number Thickness (inches) �'. Thermal Resistance (R-Value) RAISED FLOOR Product Lot Number Thickness (inches) Thermal Resistance (R-Value) SLAB FLOOR Product Lot Number Thickness (inches) Thermal Resistance (R-Value) Width (inches) FOUNDATI N WALL Product . Lot Number Thickness (inches) 2 Thermal Resistance (R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards. General Contractor(Builder) License Number -i C) Si ature and e Date ract nsulation staller) I License Number Signatur an t Date cam, Insulation Certificate City County Subdivision Lot Number Permit Number Description of Installation ROOF Product C� QQ=c--nS ®'S2- Lot Number Thickness (inches) • O Thermal Resistance (R-Value,} 72SR CEILING � '�(` Product A� > Q9- Lot Number Thickness (inches) Thermal Resistance (R-Value) asn EXTERIOR WALL Product[ Q�Q-eay� Lot Number Thickness (inche Thermal Resistance (R-Value) .2r.� RAISED FLOOR Product Lot Number Thickness (inches) Thermal Resistance (R-Value) SLAB FLOOR Product Lot Number Thickness (inches) Thermal Resistance (R-Value) Width (inches) FOUNDATION WALL Product Lot Number Thickness (inches) Thermal Resistance (R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards. .P. tj Q General Contractor(Builder) License Number ture nd Titl pc _ _ Date Sub-C_ a lation Install License Number Sig ture a d fitl Date L7 VIE lop rmr L EVALUATION REK R_ Report Number: 0233 [ ; #_ c ; Issued: 08/2011 Expires: 0812012 Revised: 09/07/2012 DIVISION:07.=THERMAL AND MOISTURE The insulation material is for use in wall cavities, PROTECTION'4.2 floor/ceiling assemblies, or attics and crawl spaces Section:07 2100 Thermal Insulation when installed in accordance with Section 4.0. Under the IRC, the product may be used as air-impermeable REPORT HOLDER: material when installed in accordance with Section 3.4 Gaco Western, LLC 1246 Chapman drive PO Box 646 The products comply with the above-mentioned Waukesha, W153186 codes as described in this report. This report is 262-542-8072 based on the 2009 ICC Codes listed above except as www.gacowallfoam.com noted below: EVALUATION SUBJECT: Application with a Prescriptive Thermal Barrier: See Section 4.3.1, except the approved thermal barrier must be installed GacoFireStop 5500 in accordance with Section R314.4 of the 1.0 EVALUATION SCOPE 2006 IRC. • Application with a Prescriptive Ignition 1A Compliance with the following codes Barrier: See Section 4.4.1, except attics 2009 International Building Code®(IBC) must be vented in accordance with Section • 2009 International Residential Code®(IRC) 1203.2 of the 2006 IBC and crawl spaceventilation must be in accordance with IBC • 2009 International Energy Conservation Code Section 1203.3 of the 2006 or IRC R408, as • 2006 International Residential Code®(IRC) applicable. Additionally, an ignition barrier • 2006 International Building Code®(IBC) must be installed in accordance with Sections • 2006 International Energy Conservation Code R314.5.3 or R314.5.4 of the 2006 IRC, as (IECC) applicable. • 2003 International Building Code®(IBC) • 2003 International Residential Code®(IRC) • Application without a Prescriptive Ignition • 2003 International Energy Conservation Code Barrier: See Section 4.4.2, except attics (IECC) must be vented in accordance with Section 1203.2 of the 2006 or Section R806 of the 1.2 Evaluated in accordance with. IRC, and crawl space ventilation must be in accordance with Section 1203.3 of 2006 IBC • ICC-ES AC377 Acceptance Criteria for or IRC Section R408, as applicable. Spray-Applied Foam Plastic Insulation (approved October 2010) • Protection Against Termites: See Section 5.6, except use of the insulation in areas 1.3 Property evaluated where the probability of termite infestation is "very heavy"must be in accordance with • Surface-burning characteristics Physical Section R320.5 of the 2006 IRC. properties • Thermal Resistance Jobsite Certification and Labeling: See • Attic and crawl space installation Section 5.7, except jobsite certification and • Air permeability labeling must comply with Sections 102.1.1 and 102.1.11, as applicable, of the 2006 2.0 USES IECC Page 1 of 5 Copyright ®2011 by International Association of Plumbing and Mechanical Officials.All rights reserved.Printed in the United States of America.No part of this publication may be reproduced,stored in an electronic retrw al system,or transmitted,in any to.—,or by any means,electronic,mechanical,photocopying,recordirg,or oth€revise,wihout ft r;r written permission of the publisher. Ph:1-877-41ESRPT-Fax:909.472-4171•web:wwwApmoes.ong• 500f East Philadelphia Street-Ontario,Catifomia 91761-2816—USA ; EVALUATIO. RETORT . _._. - Report Number: 0233 e Issued: 0812011 Expires: 08/2012 Revised: 09/07/2012 3.0 DESCRIPTION DC 315 intumescent coating is a water-based coating manufactured by IFTI, Paint to Protect, and is supplied 3.1 Materials in 5-gallon (19L) pails and 55-gallon (208L) drums. The coating material has a shelf life of 24 months GacoFireStop 5500 spray-applied foam insulation is when stored in factory-sealed containers at semi-rigid, low-density, polyurethane foam plastic that temperatures between 41 'F(5°C)to 95°F (35*C). is installed as a component of floor/ceiling and wall assemblies. The insulation is a two-component spray 4.0 DESIGN AND INSTALLATION foam plastic with a nominal in-place density of 0.55 pcf (9 kg/m3). The insulation is produced in the field by 4.1 General combining a polymeric isocyanate (A component) with a polymeric resin (B component). The insulation liquid GacoFireStop 5500 spray-applied foam insulation components are supplied in 55-gallon (208 L) drums must be installed in accordance with the and must be stored at temperatures between 50°F manufacturer's published installation instructions and (10°C) and 90OF (32°C). GacoFireStop 5500 has a this report. A copy of the manufacturer's published shelf life of six months when stored in factory-sealed installation instructions must be available at all times containers at these temperatures. on the jobsite during installation. 3.2 Surface-bummg Characteristics 4.2 Application The insulation, at a maximum thickness of 4.0 inches The GacoFireStop 5500 insulation is spray-applied on (101.6 mm) and a nominal density of 0.55 pcf (9 the jobsite using a volumetric positive displacement kg/m3), has a flame-spread index of 25 or less and a pumps as identified in the Gaco Western application smoke-developed index of 450 or less when tested in manual. The insulation must be applied when the accordance with ASTM E 84. Thicknesses of up to ambient temperature is greater than 32OF (OOC). The 11% inches (286 mm) for wall cavities and 16 inches insulation must not be used in areas that have a (406 mm) for ceiling cavities are recognized based on maximum in-service temperature greater than 200OF room comer fire testing in accordance with NFPA (930C). The foam plastic must not be used inside 286,when covered with a minimum '/inch thick(12.7 electrical outlet or junction boxes. The foam plastic mm) gypsum board or equivalent thermal barrier must not be sprayed onto a substrate that is wet, or complying with and installed in accordance with the covered with frost or ice, loose scales, rust, oil, or applicable code. grease. The insulation must be protected from the weather during and after application. The insulation 3.3 Themral Resistance,11 values may be applied to the maximum thickness in a single pass. Where insulation is used as an air-impermeable The foam insulation has a thermal resistance (R- insulation, such as in unvented attic assemblies under value) at a mean temperature of 75OF (24°C) as IRC Section R806A the insulation must be installed shown in Table 1, based on testing in accordance with at a minimum thickness of 3.5 inches(89 mm). ASTM C 518. 4.3 Thermal Barrier 3A Air Pemneability 4.3.1 Application with a Prescriptive Thermal GacoFireStop 5500 spray-applied polyurethane foam Barrier: GacoFireStop 5500 spray foam insulation insulation, at a minimum thickness of 3.5 inches (89 separated from the interior of the building by an mm), is considered air-impermeable insulation in approved thermal barrier of Y2 inch-thick (121 mm) accordance with Section R806.4 of the IRC, based on gypsum wallboard or an equivalent 15-minute thermal testing in accordance with ASTM E 283. barrier complying with IBC Section 2603.4 or IRC Section R316.4 except where insulation is in an attic 3.5 DC 315 intumescent Coating or crawl space as described in Section 4.4. Page 2 of 5 EVALUATION REPORT Report Number. 0233 e Issued: 08/2011 Expires: 0812012 Revised: 09/07/2012 4.3.2 Application without a Prescriptive Thermal b. There are no interconnected attic or crawl Barrier. GacoFireStop 5500 spray foam insulation may space areas. be spray-applied to the underside of the roof sheathing c. Air in the attic or crawl space is not and/or rafters, floor members and walls as described in circulated to other parts of the building. this section.The thickness of the foam plastic applied to d. Under-floor (crawl space) ventilation is the underside of the roof sheathing and rafters, or floors provided when required by IBC Section 1203.3 must not exceed 11Y2 inches (292 mm).The thickness of or IRC Section R408.1, as applicable. the spray foam insulation applied to vertical wall e.Attic ventilation is provided when required by surfaces and between and over the attic joists must not IBC Section 1203.2 or IRC Section R806, exceed 7Y2 inches(190 mm). except when air-impermeable insulation is permitted in unvented attics in accordance with The exposed surfaces of the foam plastic must be Section R806.4 of the IRC. covered with DC 315 coating at a total minimum film f. Combustion air is provided in accordance thickness of 22 wet mils. The coating must be applied with IMC (International Mechanical Code®) over the GacoFireStop 5500 spray foam insulation in Section 701. accordance with the coating manufacturer's instructions and this report. Surfaces to be coated must be dry, GacoFireStop 5500 applied as described above, can clean, and free of dirt, loose debris and other be shaven or trimmed to stud or rafter depth, or left fully substances that could interfere with adhesion of the untrimmed or unshaven. coating. The coating is applied with low-pressure airless spray equipment. 4.4.2.2 Application without an Intumescent Coating: The ignition barrier required by IBC Section 4.4 Attics and Crawl Spaces 2603.4.1.6 or IRC Section R316.5.3 and R316.5.4 may be omitted for the following applications. 4.4.1 Application with a Prescriptive Ignition Barrier. GacoFireStop 5500 can be shaven or trimmed to stud When GacoFireStop 5500 spray foam insulation is or rafter depth, or left fully untrimmed or unshaven.The installed within attics or crawl spaces where entry is insulation must be separated from the interior of the made only for service of utilities, an ignition barrier building by an approved thermal barrier. must be installed in accordance with IBC Section 2603.4.1.6 or IRC Section R316.5.3 or R316.5.4, as In attics, GacoFireStop 5500 foam insulation may be applicable. The ignition barrier must be consistent with spray-applied to the underside of the roof sheathing the requirements for the type of construction required and rafters, between and over the joists on attic by the applicable code. GacoFireStop 5500 spray- floors, and to walls. The thickness of the foam plastic applied foam insulation as described in this section applied to roof sheeting and rafters surfaces must not may be installed in unvented attics in accordance with exceed 11'/4 inches (286 mm) and applied to walls IRC Section R806.4 and may be shaved or trimmed to (vertical surfaces) and between and over the joists in any degree or left unshaven or untrimmed. attic floors must not exceed 9'/4 inches(235 mm). The foam plastic insulation described in this Section may 4.4.2 Application without a Prescriptive Ignition be installed in unvented conditioned attics in Barrier accordance with IRC Section R806.4 when foam plastic is applied at a thickness of 3.5 inches (88.9 4A.2.1 General: Gaco FireStop 5500 spray-applied mm) or greater. foam insulation may be installed in attics and crawl spaces, without a prescriptive ignition barrier as In crawlspaces, GacoFireStop 5500 foam insulation described in IBC Section 2603.4.1.6 and IRC may be spray-applied to the underside of floors above Sections R316.5.3 and R316.5.4, in accordance with crawlspaces and walls. The thickness of the foam Section 4.4.2.2 when all of the following conditions plastic applied to in floors over crawlspaces must not apply. exceed 11'/ inches (286 mm) and applied to walls a. Entry to the attic or crawl space is only to (vertical surfaces) must not exceed 9% inches (235 service utilities, and no storage is permitted. mm). Page 3 of 5 'NAM EVALUATION REPORT }. Report Number. 0233 a Issued: 08/2011 Expires: 08/2012 Revised: 09/07/2012 5.0 CONDITIONS OF USE 6.0 EVIDENCE SUBMITTED GacoFireStop 5500 spray foam insulation described 6.1 Data in accordance with the ICC-ES Acceptance in this report complies with, or is a suitable alternative Criteria for Spray-applied Foam Plastic Insulation to what is specified in, those codes listed in Section (AC377), dated Feb 2011, including reports of tests in 1.0 of this report, subject to the following accordance with Appendix X. conditions: 6.2 Reports of air leakage testing in accordance with 6.1 The products must be installed in accordance with ASTM E 283. the manufacturers published installations instructions, this evaluation report and the applicable code. If 7.0IDENTIFICATION there are any conflicts between the manufacturer's published installation instructions Components of the spray foam insulation are and this report, this report governs. identified with the manufacturer's name Gaco Western, LLC, address and telephone number; the 5.2 The insulation must be separated from the product name (GacoFireStop 5500) use instructions; interior of the building by a approved 15-minute the flame-spread and smoke-developed indices; the lot number; the evaluation report number 0233 • an d thermal barrier, P , ba ier except when installation is as P the name of the inspection agency Intertek Testing described in Sections 4.4.1 through 4.4.2.4. P 9 Y ( 9 Services NA, Inc.). 5.3 The insulation must not exceed the thicknesses noted in Sections 3.2, 4.2, 4.3, and 4.4. 5.4 The insulation must be protected from exposure to weather during and after application. .P 0 5.5 The insulation must be applied by contractors ES certified by Gaco Western, LLC. TM 5.6 Use of the insulation in areas where the 1APM0 #0233 probability of termite infestation is "very heavy" must be in accordance with IRC Section R318.4 or IBC Section 2603.8. rkit.. 5.7 The insulation is produced in Waukesha, Wisconsin, under a quality control program with Director of Evaluation Services inspections by Intertek Testing Services NA, Inc. (AA-690). Page 4 of 5 iTAi�x EVALUATION REPORT Report Number: 0233 Issued: 0812011 Expires: 0812012 Revised: 09/07/2012 TABLE 1-THERMAL RESISTANCE(R-VALUES) Thickness(inches) R-value(°f ftZ hr/btu) 1.00 3.7 3.50 13 5.50 20 7.25 27 8.00 30 9.25 34 10.00 37 11.00 41 11.25 42 12.00 45 13.00 48 14.00 52 15.00 56 16.00 59 For SI: 1 inch=25.4 mm; 1 OF.ftz.h/Btu=0.176 110°K.m2M. 'R-values are calculated based on tested K-values at 1-and 3.5-inch thicknesses all other thickness'are calculated. Page 5 of 5 IMES Evaluation Report ESR-2072 Reissued September 1,2010 This report is subject to re-examination in one year. www.icc-es.org d (800)423-6587 1 (562)699.0543 A.Subsidiary of the International-Code Councils DIVISION:07 00 00--''t!>;RMA1_AND MOISTURE intended to be installed as a component of floDrlceiling and PROTECTION wall assemblies.The materials are two-component,dosed Section:07 29 00--Thermal Insulation cell, one 4o-one-try-volume spray foam insulations with a nominal inl9ace density of 1.9 pcf (30 kgrm). The REPORT HOLDER. insulation is produced in the field by combining a polymeric isocyanate(A component)with a polymeric resin blend(B SAYER MATERIALSC1ENCIE,LLC component).The insulation liquid components have a shelf 3010 WEST L NCOLN STREET life of six months, are supplied in nominally .55-gallon PMOEt VI1 ARIZOMA 119009 (208 L) drums and must be stored at temperatures (602)269.9711 between 65OF(I80C)and WF(290C). www.BavSvstemsSoray.com 3.2 Surftee-burr ing Characteristics: EVALUATION SUBJECT: The insulation at a maximum thickness of 4 inches (102 mess) and a nominal density of 1.9 pd (30 kg►m3) has a RAYSEAL.m CC AND BA+.YSFAL'u CC POLAR SPRAT- flame-spread index of 25 or less and a smoke-developed APPIJED Psi XUR ff9ANE FOAM IRSI:ILAI-f0MR index of 450 or less when tested in ac ordance with AS`PM E 84. Greater thicknesses are recognized as described in 1 A EVALUATION ION SCOPE Sections 4.3 and 4A. Compliance with the following codes: 3.3 Tisermal Reslstanee(R-values). 0 2009 International Building Code'(IBC) The insulation has thermal resistance(R-value)at a mean in 2009 lntemational Residential Coda?(IRC) temperature of 75OF(24°C)as shown in Table t- i4 2009 Intemational Energy C.onservatlon Cod?(fECC) 3.4 Vapor Refarden 0 Other Codes(see Section 8) The foam plastic has a vapior permeance of less than Properties evaluated: 1 perm (5.WO..' kg//Pa-s-W)when applied at a minimum in Surface-bunting characteristics thickness of 1 inch (25A mm) and qualifies as a vapor iu Physical properties retarder. * Thermal resistance 3.5 Air Permeabilft,y: Attic and crawl space installation Sayseal'm CC and Sayseall CC Polar spray foam insulations are air4mpeanteable in accordance with Section Air permeability insulations of the IRC,at a minimum thickness of 0.754nches * Vapor permeance (i9A mm), based on testing in accordance with ASTM n Exterior walls in Types I through IV construction E 283. 2,0 USES 16 k1dayseal"u IC Inrto.inescennt Coating: BaysealT' CC and Bayseal-' CC Polar spray foam Bayseal'�' IC inturnesre.nt coating is a one-component, Insulations are used as thermal insulating materials in winter based polymer coating. Bayseal'— IC intumescent Type I, 11, 111, iV and V construction under the IBC and coating is supplied in S-gallon (19 L) pails and 55-gallon dwellings under the IRC.See Section 4.5 for use in Type I, (208 L)drums and has a shelf life of one year when store 11,111 and IV construction.The insulations are for use in wall in a factory-sealed container at temperatures of 500F cavities, floor°assemblies or ceiling assemblies, or attics (101C)or above. and crawl spaces When installed in accordance with 3.7 Flame Seal'T8 intumescent Coating: Section 4.0. Use of the insulations in fire-resistance-rate construction is outside the scope of this report Flame Seale T I3, manufactured by Flame 'Seal Products 3.0 OE SCRIPTTIO►N inc., is a two-componerri, four4o-one-by-vohune, liquid- applied, water-teased polymer intumescent coating. The 3.$ i hell al,� CC and �y�at7M CC Polar Foam applied, is supplied in 5-gallon (f 9 L) pails and 55-gallon Plastic Insulation: coating L) drums and has a shelf life of six months when Bayseal- CC and Bayseal- CC Polar spray foam stored in a factory-sealed container at temperatures insulations are mediumdensity polyurethans foam plastics between MPF and 90OF(4°C and 320C). Reports are not to be oo irrueaias representing aestheam ar any other a&ibutes rmt specifically aM esse4 nos are twey to be cmufte7 in an S Evaruaem s. as an endorsaneM aJthe subject of the reFori or recommeRatationfar its fee mere is no warsanty by IC`CEimlua(ion Serve rlC,express Or in�ried as to�frnding anther orateiitt thin repon,or at to atyprarluct abweted by the reptant ..ems C,ts YtVht®20i0 pew 4Of4 f I S114072 t Most I e Acre ed and Trusted Page 2 of 4 4.0 INSTAi LATON plastic insulation is not exposed. The insulation as 4.1 General: described in this section may be installed in unvented attics in accordance with iRC Section R806A. Sayseallm CC and Sayseaf"v CC Polar spray foam insulations .must be installed in accordance with the 4A.2 Application without a Prescriptive Ignition manufacturer's published installation instructions and this Barrier: report,A.copy of the manufacturers published installation 4A.2.1 General:Where Bayseal76 CC and/or Bayseal'm instructions must be available at all times on the jobsite CC Polar insulation is installed without a prescriptive during installation. ignition barrier as described in Section 4A.2.2 or 4.4.3, in 4.2 Application; attics and crawl spaces,the following conditions apply: The insulation is spray-applied on the jobsite using a a entry to the attic or crawl space is only to service utilities volumetric positive displacement pump as identified in the and no storage is permitted. Sayer Material9dence application instructions. The o There are no interconnected attic or crawl space areas. maximum service temperature must not exceed that specified in the manufacturers published installation in Air in the attic or crawl space is not.circulated to other instructions.The foam plastic must not be used in electrical parts of the building. outlet or junction boxes or in contact with water.The foam X Under-floor (crawl space) ventilation is provided when plastic must not be sprayed onto a substrate that is wet,or required by IBC Section 1203.3 or IRC Section R408.1, covered with frost or ice,loose scales,rust,oil,or grease. as applicable. The insulation may be applied at a maximum Wokne€s o Attic ventilation is provided when required by IBC of 3 inches (76 corn} per pass up to the maximum total thickness as specified in Sections 3.2, 4.3 and 4,4. Section 1203,2 or IRC Section R806, except when air4mpermeable insulation is permitted in unvented Additional passes may be applied after ten minutes or attics in accordance with Section R806A of the IRC. more of curing time. 4.3 'Thermal Barrier: A Combustion air must be provided in accordance with Section 701 of the 2009 International Mechanical Code® 4.3.1 Application with a Prescriptive Therrrral Barrier: (IMC). Bayseal m CC and SaysealTu CC Polar spray foam 4.A,:2,2 Use with BaysealT'c IC inturrhescent Coating: insulation must be separated from the interior of the S safer° CC or Ba sear"" ttiC Polar insulation may bull ft by an approved thermal baffler of 44rich-thick � Y Y be (12.7 mm) gypsum wallboard at an equivalent 15-minute spray-applied to the underside of roof sheathing and/or thermal barrier complying with,and installed in accordance rafters,and the underside of wood floors and/or floor joists with, IBC Section 2603.4 or IRC Section R316A, as in crawl spaces as described in this section.The thickness applicable. Thicknesses of up to 8 inches (203 mm) for of the foam plastic applied to the underside of the wood wall cavities and 12 inches (305 corn)for ceiling cavities floor or roof sheathing must not exceed 12 inches are recognized, based on room corner fire testing in (305 mm). The thickness of the spray foam insulation accordance with NFPA 286. applied to vertical wall surfaces in attics and crawl spaces must not exceed 8 inches (203 mm). All foam plastic 4.3.2 Application without a Prescriptive 'Therrrhal surfaces must be covered with 4 dry mils (0.1 mm) of Barrier with Flame Salle TO Intumescent Coating:The Raysealf" IC intumescent coating,applied at a rate of 0.5 prescribed 15-minute thermal barrier may be omitted When gallon (1.9 L)per 100 square feet (9.3 m2). Bayseal$u iC installation is in .accordance with this section. The intumescent coating may be applied by brush, roller or Sayseal nw closed dell insulation and Flame Seal' TS airless sprayer at ambient temperatures between 50OF and system may be used in lieu of the prescribed 15-minute 1150F (10°C and 46°C)and relative humidity of less than thermal barrier,The foam plastic insulation thickness must 75 percent.Surfaces to be coated must be dry,dean,and not exceed 6 inches (152 mm) In welts and ceilings, and free of dirt, loose debris and any other substances that the insulation must be covered with 18 dry mils(0.46 mm) could interfere with adhesion of the mating.BaysealT"CC of Flame Seale TS intumescent coating applied at a and SayseatT'° CC Polar insulation, as described in this minimum rate of 1.6 gallons (6 L) per 100 square feet section, may be installed in unvented attics in accordance (9.3 m2).The substrate must be dry,clean and free of dirt with IRC Section R806A. and loose debris or other substances that could interfere with the adhesion of the coating. name See TS may be 4A.3 Attic Floors: applied by airless sprayer at ambient temperatures Use on Atile Floors with IBayseafT" IC Intumescent between 500F and 115°F (18°C and 46°C) and relative Coating:: BaysealTO CC and Bayseaf'" CC Polar humidity of less than 70 percent insulation may be installed at a maximum thickness of 4.3.3 Use as Interior Finish:The SaysealTm closed cell 8 inches (203 mm) between :and over the joists in attic insulation and Flame Seal' TS intumescent coating floor's.All foam plastic surfaces must be covered with 4 dry system,as described in Section 4.3.2,may be used as an rails (0.1 mm) of Sayseal''°' iC intumescent coating interior finish in,all construction types. uniformly applied at a rate of 0.5 gallons (1.9 L) per 4.4 Attics and Crawl Spaces: 100 square feet (9.3 m?). Sayseal"m IC intumescent coating may be applied by brush, roller or airless sprayer 4.4.1 Application with a Prescriptive Ignition Barrier: at ambient temperatures between WF and 115,'F When Sayseai u CC and/or l3ayseal-r'CC Polar insulation (10°C and 46'C) and relative :humidity of less than is installed within attics or craw i spaces where entry is 75 percent.Surfaces to be coated must be dry,dean,and made only for service of utilities,an ignition barrier must be free of dirt, loose debris and any other substances that installed in accordance with IBC Section 2603A.1,6 or iRC could interfere with adhesion of the coating.The insulation Sections R316.5.3 and R316,5A, as applicable. The must be separated from the interior of the building ignition barrier must be consistent with the requirements (beneath the attic) by an approved thermal barrier. The for the type of construction required by the applicable ignition barrier in accordance with IBC Section 2603A and code, and must be installed in a manner so the foam IRC.Section R316.5.3 may be omitted. ESR-2072 ) Most=e Acne ed and dusted Page 3 of 4 4.6 Exterior 'Mails in Types 1, 41, tot and W 6.0 EVIDENCE SUBMITTED Construction: 6.1 Data in accordance with the ICC-ES Acceptance When used on thralls of Type 1, 11, 111 and IV construction., Criteria for Spray-applied Foam Plastic Insulation the assembly in which the Bayseal"m CC or Eayseal""CC (AC377), dated June 2010, including reports of tests Polar spray.-applied polyurethane insulation is used must in accordance with Appendix X. comply with Section 2603.5 of the 18C and must be 6.2 Reports of room comer tests in accordance with installed at a maximum thickness of 3.25 inches(82.6 mm) NFPA 286 and UL 1715. in accordance with the manufacturer's published installation instructions and this report. The potential heat 6.3 Reports of potential heat of foam plastics tests in 'of the foam plastic in any portion of the walls or panels accordance with NFPA 259. must not exceed the potential heat, expressed in Stuffe (MJ/m2),of the foam plastic insulation contained in the wall GA Reports of air leakage tests in accordance with ASTM assembly tested in accordance with NFPA 285. The E 283• potential heat of the Bayseal m CC or Sayseall'"CC Polar spray-applied polyurethane lnsulation is 1838 Shwe 7.0 IDENTIFICATION (20.9 Mile)per inch of thickness. Components for BaysealTM' CC and Bayseal"" CC Polar 5.0 CONDITIONS OF USE spray-applied foam plastic insulations are identified with the manufacturer's name (Bayer MateriaiScience, LLC), The Baysealr"" CC and Sayseal'R'" CC Polar spray applied address and telephone number, the product name foam plastic insulations described in this report comply (Bayseailu CC or BaysealTm CC Polar); mixing with, or are suitable alternatives to what is specified in, instructions, the density; the flame-spread and smoke- those codes listed in Section 1.0 of this report, subject to development indices; the evaluation report number the following conditions: (ESR-2072) and the _name of the inspection agency 5.1 The products must be installed in accordance with the (Underwriters Laboratories Inc.). manufacturers published Installation instructions,this Each pail of BayseaiI" 1C intumescent coating is labeled evaluation report and the applicable code. 7 he with the manufacturer's name ('Bayer MateriaiSdence, instructions within this report govern if there.are any LLC)and address;the product name (SaysealTM' IC); and conflicts between the manufacturers' published use instructions, installation instructions and this report. Each pail of Flame Seal` TS intumescent coating is 5.2 The insulation must be separated from the interior of labeled with the manufacturer's name (Flame Seal the building by .an approved 15-minute thermal Products Inc.) and address; the product name (Flame barrier, except when installation is as described in Seal"TB);and use instructions. Sections 4.3.2 and 4.4. 8..0 DER CODES 5.3 The insulation must not exceed the thicknesses noted in addition to the codes referenced in Section 1.0, the in Sections 3.2,4.3 and 4.4 of this report. products described in this report were evaluated for 5.4 The insulation must be protected from prolonged compliance with the requirements of the following codes: exposure to weather during and after-appllcation. in 2006 International Bu►7ding Codee(2006 IBC) 5.5 The insulation must be-applied by contractors certified a 2006 International Residential Code®(2006 IRC) by Bayer MaterialScience,LLC. 5.6 When use is on buildings of Types 1, 11, Ill and IV ra 2006 International Energy Consenlation Code® (2006 construction,documentation must be submitted to the II=CC) code offfclal verifying that the Insulation has been in 2003 International Building Codee(2003 iBC) qualified as a component of an assembly tested in 0 20031ntematlonal Residential Coded(2003 IRC) accordance with IBC Sections 2603.6.1,26015.5 and 2603.5.7. The maximum potential heat of the foam A 2003 International Energy Conservation Code® (2003 plastic used In the assembly must be no greater than IECC) that noted in Section 4.5. The products comply with the above-mentioned codes as 5.7 Use of the insulation in areas where the probability of described in Sections 2.0 through 7.0 of this report, with termite infestation is "very heavy" must be in the revisions noted.�krw. accordance with IRC Section R318 4 or IBC Section IN Application with a 13twedpWo Thermal Barrier;See 2603A,as applicable. Section 4.3.1,except the approved thermal barrier must 5.8 Jobsite certification and labeling of the insulation must be installed in accordance with Section R314.4 of the comply with IRC Sections N1101A and N1101.4.1 2006 IRC or Section R314.1-2 of the 2003 IRC, as and I.ECC Sections 303.1.1 and 303.1.2, as applicable. applicable, ie Application with a Prescriptive Ignition(Barrier.See 5.9 Use of the insulations in fire4esistance-rated Section 4.4.1 except attics must be vented in construction is outside the scope of this report. accordance with Section 1203.2 of the 2006 and 2003 IBC or Section R806 of the 2003 IRC,and crawl space 5.10 BaysealuA CC and BaysealTu CC(Polar spray-applied ventilation must be in accordance with IBC Section foam insulations are produced by Bayer 1203.3 of the 2006 and 2003 IBC or IRC Section R408, MateriaiScience, LLC, in Phoenix, Arizona, and as applicable. Additionally, an ignition barrier must be Spring, Texas, under a quality control program with installed in accordance with Sections R314.5.3 or inspections by Underwriters Laboratories inc. R314.5A of the 2006 IRC or Section R3142.3 of the (AA-6ffi)• 2003 IRC,as applicable. ESRa2,072 4 Most I!/idety 6ccepted and Trusted Page 4 of 4 a Application without a Pmemiptive Ignition Barrier; accordance with Section R320.5 of the 2006 IRC or See Section 4.3.2, except attics mint be vented in Section R320.4 of the 2003 IRC. accordance With Section 1203.2 of the 2006 and 2003 n Jobsite Certification and Labeling: Sea Section 5.9, 113C or Section R806 of the 2033 IRC,and crawl space except jobsite certification and labeling must comply ventilation must be in accordance with 18C Section with Sections 102.1.1 and 102.1.1.1, as applicable, of 1203.3 of the 2006 and 2003 IBC or IRC Section R408, the 2006 IECC. as applicable. a Protection against Termites.See Section 5.7, except use of the insulation in areas where the probability of termite infestation is 'very heavy" roust be in TABLE 1—THERMAL RESISTANCE(R-VALUESj, THICKNESS(Inches) R-VALUE ff,ft?bMtu) 1 6.9 2 14 3 21 3.5 24 4 28 "a 34 5.6 38 6 41 7 48 7.6 62 8 65 9 62 10 69 11 76 12 83 For Bt:1 inch 25.t mm;1°F.ft2JVBtu 0.17611O*Km2 , 'R-values are cslculz ed tamed on tested K values at 1 and 3-94nch Oftnes . I ,> 3 a f IMES Evaluation Report ESR-2478 Reissued August 1, 2009 This report is subject to re-examination in one year. www.icc-es.or4 1 (800)423-6587 (562)699-0543 A Subsidiary of the International Code Council® DIVISION:07—THERMAL AND MOISTURE PROTECTION temperatures between 50'F (10°C) and 80°F (26.7'C). Section:07210—Building Insulation Gaco Polyfoam 193 insulation has a shelf life of three months when stored at temperatures between 50'F(100C) REPORT HOLDER: and 70'F(21.1'C). GACO WESTERN, LLC 3.2 Surface-burning Characteristics: 1245 CHAPMAN DRIVE Gaco Green 052, at a maximum thickness of 6 inches(152 WAUKESHA,WISCONSIN 53186 mm) and a nominal density of 0.5 pcf (8 kg/ m), has a (262)542-8072 flame-spread index not exceeding 25 and a smoke- www.gaco.com developed index not exceeding 450 when tested in accordance with ASTM E 84. EVALUATION SUBJECT: Gaco Polyfoam 193, at maximum thickness of 4 inches GACO GREEN 052 SPRAY-APPLIED POLYURETHANE (102 mm) and a nominal density of 2.8 pcf (44.9 kg/m3), INSULATION, AND GACO POLYFOAM 193 SPRAY- has a flame-spread index not exceeding 75 and a smoke- APPLIED POLYURETHANE INSULATION developed index not exceeding 450 when tested in accordance with ASTM E 84. 1.0 EVALUATION SCOPE 3.3 Thermal Resistance(R-values): Compliance with the following codes: At a mean temperature of 75'F (24'C), the insulation has ■ 2006 International Building Code®(IBC) thermal resistance(R-values)as shown in Tables 1 and 2. ■ 2006 International Residential Code®(IRC) 3.4 Vapor Retarder: ■ 2006 International Energy Conservation Code®(IECC) Gaco Polyfoam 193, at a minimum thickness of 1.8 inches (46 mm), has a permeance of 1 perm [57 x 10"" ■. Other Codes(see Section 8.0) kg/Pa.S.m2) or less, in accordance with ASTM E 96, and Properties evaluated: may be used where a vapor retarder is required by the applicable code. ■ Physical properties 4.0 INSTALLATION ■ Surface-burning characteristics 4.1 General: ■ Attic and crawl spaces The insulation must be installed in accordance with the 2.0 USES manufacturer's published installation instructions, the Gaco Green 052 and Gaco Polyfoam 193 spray-applied applicable code and this report. A copy of the foam plastic insulations are used as thermal insulation manufacturer's published installation instructions must be material in cavities of wall,floor and ceiling assemblies and available at all times on the jobsite during installation. in attic and crawl space applications in buildings of Type V- 4.2 Application: B construction under the IBC and in dwellings constructed. in accordance with the IRC, as described in Section 4.4. The Gaco Green 052 and Gaco Polyfoam 193 insulations are spray-applied on the jobsite using a proportioning 3.0 DESCRIPTION pump to combine Part A and Part B components at a one- 3.1 General: to-one ratio, as specified in the manufacturer's published installation instructions. The insulation must not be applied Gaco Green 052 insulation is a two-component, open-cell, in areas that will be exposed to a maximum ambient semirigid foam plastic insulation. Gaco Polyfoam 193 temperature greater than 200'F (93'C). The substrates to insulation is a two-component, closed-cell, semirigid foam which the insulation is applied must be clean, dry and free plastic insulation. Gaco Green 052 and Gaco Polyfoam of frost, ice, loose debris or contaminants that will interfere 193 insulations are produced in the field by combining a with adhesion of the spray foam insulation.The spray foam isocyanate (Part A) and a polymeric resin (Part insulation must not be applied in electrical outlet or junction B), resulting in products with a density of, respectively, boxes or in direct contact with water or soil. In areas where 0.50 pcf(8 kg1e) and 2.8 pcf (44.9 kg/m3). Gaco Green the probability of termite infestation is "very heavy" as 052 insulation has a shelf life of six months when stored at determined in accordance with IBC Figure 2603.8 or IRC ICC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed nor are they to be construed as an endorsement o the subject o the report or a recommendation or i f ) f p f is use.There is no warranty by ICC Evaluation Service,Inc.,express or implied as to am nclin or other matter in i fi g this report or as to am product covered by the report 040 xl<a 0-4 ,s �se .awow= Copyright®2009 Page 1 of 3 ESR-2478 I Most Widely Accepted and Trusted Page 2 of 3 Figure R301.2 (6), the foam plastic must be installed in 6.0 EVIDENCE SUBMITTED accordance with IBC Section 2603.8 or IRC Section Data in accordance with the ICC-ES Acceptance Criteria R320.5. Ventilation of the attic or crawl spaces insulated with the spray-applied foam plastic must be provided in for Spray-applied Foam Plastic Insulation (AC377), dated accordance with the applicable code. The spray-applied June 2009. foam insulation must be protected from the weather during 7.0 IDENTIFICATION and after application. The Part A and Part B components for Gaco Green 052 j 4.3 Thermal Barrier: and Gaco Polyfoam 193 insulation are packaged in 55- The Gaco Green 052 and Gaco Polyfoam 193 insulations gallon drums that carry the manufacturer's name (Gaco must be separated from the interior of the building by an Western, LLC)and address;the date of manufacture or the approved thermal barrier of 0.5-inch-thick (12.7 mm) lot number; the product trade name (Gaco Green 052 or gypsum board or an equivalent 15-minute thermal barrier Gaco Polyfoam 193); the product type (Part A or Part B); complying with, and installed in accordance with, IBC the installation instructions; the density; the flame-spread Section 2603.4 or IRC Section R314.4, as applicable, and smoke-developed indices; the name of the inspection except where installation is in attics or crawl spaces as agency (Intertek Testing Services NA Ltd.); and the described in Section 4.4. evaluation report number(ESR-2478). 4.4 Attics and Crawl Spaces: 8.0 OTHER CODES When the spray-applied insulations are installed within 8.1 Evaluation Scope: attics or crawl spaces where entry is made only for service In addition to the codes referenced in Section 1.0, the of utilities, an ignition barrier must be installed in products in this report were evaluated for compliance with accordance with IBC Section 2603.4.1.6 or IRC Section the 1997 Uniform Building CodeTm (UBC). R314.5.3 or R314.5.4, as applicable. The ignition barrier must be consistent with the requirements for the type of The foam plastic insulation described in this report construction required by the applicable code, and must be complies with, or is a suitable alternative to what is installed in a manner so that the foam plastic insulation is specified in, the UBC, subject to the provisions of Section not exposed. 8.2 through 8.7. 5.0 CONDITIONS OF USE 8.2 Uses: The Gaco Green 052 and Gaco Polyfoam 193 spray- Gaco Green 052 and Gaco Polyfoam 193 spray-applied. applied insulations described in this report comply with, or foam plastic insulations are used 'as thermal insulation are suitable alternatives to what is specified in, those material in cavities of wall,floor and ceiling assemblies and codes listed in Section 1.0 of this report, subject to the in attic and crawl space applications in buildings of Type V- following conditions: N construction under the UBC,as described in Section 4.4. 5.1 The insulation must be installed in accordance with 8.3 Description: the manufacturer's published installation instructions, W See Section 3.0. this evaluation report and the applicable code. If there are any conflicts between the manufacturer's 8.4 Installation: published installation instructions and this report, this Requirements are as indicated in Section 4.0 except report governs. substitute the wording below for the wording in Section 4.3: 5.2 The spray-applied insulations must be separated from Thermal Barrier: the interior of the building by an approved 15-minute thermal barrier, as described in Section 4.3, except The Gaco Green 052 and Gaco Polyfoam 193 insulations where installation is in an attic or crawl space as must be separated from the interior of the building by an described in Section 4.4. approved thermal barrier of 0.5-inch-thick (12.7 mm) gypsum board or an equivalent 15-minute thermal barrier 5.3 The spray-applied insulations must not exceed the complying, and installed in accordance, with UBC Section thicknesses noted in Section 3.2. 2602.4, except where installation is in attics or crawl 5.4 The spray-applied insulation must be applied by spaces as described in Section 4.4. contractors certified by Gaco Western,LLC. 8.5 Conditions of Use: 5.5 The spray-applied foam insulation must .have Requirements are as shown in Section 5.0 except for the clearance above grade of 6 inches (152 mm) or following: greater, except as permitted in the exceptions to IBC Section 2603.8 or IRC Section R320.5. Gaco Green 052 and Gaco Polyfoam 193 insulation is 5.6 Jobsite certification and labeling of the insulation must limited to use in Type V-N construction. comply with IRC Sections N1101.4 and N1101.4.1 8.6 Evidence Submitted: and IECC Sections 102.1.1 and 102.1.11, as See Section 6.0. applicable. 6.7 Gaco Green 052 and Gaco Polyfoam 193 insulations 8.7 Identification: are produced in Waukesha, Wisconsin, under a See Section 7. quality control program, with inspections by Intertek Testing Services NA Inc. (AA-647). I ESR-2478 ( Most Widely Accepted and Trusted Page 3 of 3 TABLE 1—GACO GREEN 062 THERMAL RESISTANCE(R-VALUES) THICKNESS(inches) R VALUE eF.ftZ.h/Btu) ASTM C 518 TESTED VALUES 1 4.2 4 15.6 CALCULATED R VALUES 6 23.5 For SI:1 inch=25.4 mm;1°F.ft2.h/Btu=0.176110°K.m2M. 'Calculated R-values are based on tested K values at a 1—inch thickness. TABLE 2—GACO POLYFOAM 193 THERMAL RESISTANCE(R VALUES):ASTM C 518 TESTED VALUES THICKNESS(inches) R-VALUE(°f.FT2.h/Btu) 1 6.2 4 27.2 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel D93 Application # �O►� -�7 _z Y Health Division Date Issued Conservation Division Application Fee , Planning Dept. Permit Feed• Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation /Hyannis Project Street Address 0 o Lat.►ah o,�P volt .c Village n Owner T Uen AndrewAddress Or _h=d cd,/��II Telephone to. I Vr m Gq Permit Request N eo houL<e w1 ! r J Q r o i r VA� (EvzLifn � r l Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 4 Mi 000 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ 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 _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other n Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove ❑Ye ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: 606isting O new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size - Other: _ Jam✓ Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# -� Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name lam- Vernofl Alfdeo, /m, Telephone Number Address Libidi ryj License uU: �r 1( �1VY1, lib I Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE fl a �� FOR OFFICIAL USE ONLY t APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER "A. DATE OF INSPECTION: 7 FOUNDATION FRAME INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL P GAS: ROUGH FINAL ' FINAL BUILDING 4. DATE CLOSED OUT ? ASSOCIATION PLAN NO. f - 4' The Commonwealth ofMassachusetts Department of Industrial.Accidents Office of Investigations 600 Washington Street Boston, MA 02111 a www.mass.gov/dia Workers' Compensation Insurance,Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lelzibly Name (Business/Organization/Individual): W , Ve. 6-n.6 r '~tAJ -�ct-JP- P u m •� '� ua �' 2n Address: City/State/Zip: L U-es-) =P'lp. o�V Phone#: 605 y i t o a . Are you an employer?Check the appropriate box: Type of project(required): I am a employer w 1 to with 3 4. ❑ I am a general contractor and 1 . I p Y �— 6. New construction f employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or;partner- list4on the attached sheet. 7, ❑ Remodeling ship and have no employees.- These sub-contractors.have g- ❑ Demolition workingfor me 'many capacity. employees and have workers' Y p tY- 9. ❑.Building.addition [No workers' comp.insurance comp.insurance. required.} 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions Officers have exercised their 11. Plumbmi repairs or additions 11 3.❑ I am a homeowner doing all-work . ❑ g., P myself [No'workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: w o,u s c,v` C,fn Lam__ Policy#or Self-ins.Lic.#: C.C.,Z 11 tv 0 o a 3 o 19 Expiration Date: 1 c o f Job Site Address: V r-A e+nS City/State/Zip: f y P, Attach.a copy of the workers' compensation policy deeiaration 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 one-year imprisonment, a weh as civil penalties in the form of a STOP WORK ORDER and a fire' of up to$250.00 a day against the violator. Z,",,dv* d t copy of this statement may be forwardedto the Office.of Investigations of the DIA for insurance ov rife t x I do hereby certify under the pat and enal s p - ' that the information provided above is true and correct Si afore: Date: // 7 Phone#: CLl -i f o 0 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing:Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector. 6. Other Contact Person: Phone#: Client#:48736 VERNWHI - DATE(MM/DD/YYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 10/07/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES r BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms.and conditions of the.policy,certain policies.may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER -NAME: Karen A.Walther,CISR Rogers&Gray Ins.-So.Dennis PAHONNo Ext:E 508.760.4630 508.258.2230 . /C A/C,No 434 Route 134 E-MAIL waltherka ro ers ra com ADDRESS: 9 9 Y• P.O.Box 1601 INSURERS)AFFORDING COVERAGE NAIC IE South Dennis,MA 02660-1601 INSURER Arbella Mutual.Insurance Co. 17000 -- - INSURED INSURER B:Wausau Underwriters Ins.Co W.Vernon Whiteley Plumbing&Heating INSURER C Company,Inc.&Chatham Sheetmetal,Inc INSURER D - - P.O.Box 1266 INSURER E:- - West Chatham,MA 02669-1266 - INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE'INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER;DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR'MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES: LIMITS SHOWN.MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP LIMITS INSR WVD POLICY NUMBER MM/DD MM/DD A GENERAL LIABILITY APP463206 0/01/2011 10/01/2612 EACH OCCURRENCE $1 OOO 000 X COMMERCIAL GENERAL LIABILITY - - PREMISES EaENrrrence $300,000 CLAIMS-MADE FX_1 OCCUR MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: X. PRODUCTS-COMP/OP AGG $2,000,000 - POLICY I X PRO- LOC $ A AUTOMOBILE LIABILITY APP463271 0/01/2611 10/61/201 EOaB1NeDtswGLELiMIT - $1,000,000 ANY AUTO - - BODILY INJURY(Per person) $ ALL OWNED SCHEDULED - BODILY INJURY(Per accident) $ AUTOS X AUTOS X HIRED AUTOS X NON-OWNED` PROPERTY DAMAGE $ AUTOS 'Per accident X Drive Oth Car $ A X UMBRELLALIAB - X OCCUR APP463274 0/01/2011 10/01/201 EACHOCCURRENCE $4000000 EXCESS LIAB CLAIMS-MADE ' - AGGREGATE - $4 000 000 F X RETENTION$$1 O OOO •: . . - -, $ WORKERS COMPENSATION WC STATU- OTH- B WCCZ11260053019 0/01/2011 10/01/201 X TER AND EMPLOYERS'LIABILITYI - ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N EL.EACH ACCIDENT $500 OOO OFFICER/MEMBER EXCLUDED? ] N/A - (Mandatory in NH) - - E.L.DISEASE-EA EMPLOYEE $560,000 B yes,describe under DESCRIPTION OF OPERATIONS below EEL DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach A60RD 101,Additional.Remarks Schedule,if more space is required) Plumbing,Heating&HVAC CERTIFICATE HOLDER CANCELLATION TOWn Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE r , ©198 -2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S72459/M72376 KW f - ✓J { COMMONWEALTH OF MASSACHUSETT.S MRR AS A :MASTER—UNRESTRL. ICTED s 7SSUES.THE ABOVE LICENSE TO ERIC T WHITEtEY PO B�XF,248 WEST �1IATHAM 14A '..02669=fl248 1 " 296`7 02/28/12 906489 � -� " r %CORrifJioNVdEALTHffryO�F I1iASSACHUSETTS M- - �x SHEET f�CETAL VJORKEaS .AS A BUSINESS 1 :ISSUES THE ABOVE LICENSE TO. ERIC T `WHITELEY W VERNON WHITELEY PLBG .AND- HT s 28 :VILLAGE LANDING PO `: OX '`1266 .v CHATHAM MA 02669. 00DD 1.60 12/22/12 970D52 {\\ ! 6 p f �T r ti TmNrn of Barnstable Regulatory Services �tinxie � Thomas F. Geiler,Directo-c r�s� .� RFD16 -Buildhag Div ision T] Tom ferry,Building Colnnaluiollel, 200 Main Strcct, Hyannis,MA 02601 - r�'wvv.town.barnstabfe.ma..us Office: 509-862-4038 ;Fax: 508-790-6230 Property OwfterMUSt Complete and Si&n This Section If Usiaa A BuUder as Owner of the subject.property bercby wtlao rt �(� _ _ to act on n27 behaH-, in all=titers rdative to work auibodzed b7-6ts binding Pez=it applicau.on for: - (Address of Job) 5ignanur- of Owner Dztc Priest Na nae ., If Property Owner is applying' forperxxiitplease complete the Hoineo)-iners License Exemption Form on"the reverse side. Q:FO Pti1�45:0 RrNER.P ERM 15S l ON ZO/ZO 3!DVd SW-1d A3-131IHM. 6b555b6805 5b:ST TTOZ/TO/ZT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I Parcel 01� 3 °Appli a � t Health Division Date Issued fitZ r Conservation Division Application Fee V)® Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board CID.`.'�sYVO G Historic - OKH _ Preservation / Hyannis Project Street Address �(� ��US� aver)Uc, 0 Village G,n n Owner 4&tW aLl S1 Nfir&n k' Address ?6CCW� & A Nab6 Telephone ka6 Permit Request l 1`� (�Yl 2. b2& —z� Square feet: 1 st floor: existing proposed (Qq 2nd floor: existing proposed �gTotal new Zoning District Flood Plain N� Groundwater Overlay iU U Project Valuation Construction Type_' Lot Size iwo Grandfathered: ❑4'es ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King ighway:,- ]Yefici ❑ No Q Q Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other n Basement Finished Area (sq.ft.) Basement Unfinished Area (sq o f1 Number of Baths: Full: existing new Half: existing na —t {� Number of Bedrooms: 'l existing anew t C� Total Room Count (not including baths): existing _�new First Floor Room CountN �' Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No � p '/ 9 9 Detached garage: �xisting �ew size `b'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 ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER)Name (.`�0X �� . 90(Ae C044+lkTelephone Number �� - ' 2 `r7 o Address ^�-r License# (a� 3 L2 Home Improvement Contractor# Z �� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO G rl C.S r DATE SIGNATURE FOR OFFICIAL USE ONLY APPLICATION.# r DAT-E'ISSUED `F z: :4_4° �'` MAP/_PAR_CEL NQ:_ - F S t t ADDRESS VILLAGE { OWNER DATE OF INSPECTION: i 1))FOUNDATION -il' i FRAME .'INSULATION.I: '-`►�� '� ?; �; - FIREPLACE i� ;y ELECTRICAL: ROUGH FINAL ` , «PLUMBING: ROUGH FINAL } GAS: S'-i ROUGH a AK'm A' FINAL +'°F>INAL}BUI:LD.INGW" H`RQ"Jfi_t: t - r - 3 DATE CLOSED OUT e_0i } ASSOCIATION PLAN NO. E T . f oFtHKE r Town of Barnstable Regulatory Services .K r r 9 BAMSTAB `'E, Thomas F. Geiler, Director lFn N,pr 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 November 4, 2010 Mr. Grant Rhode G. F. Construction 1666 Hyde Park Aver Boston, MA 02136 Re: 80 Wachusett Ave., Hyannis, MA 02601 Dear Mr. Rhode, - On October 20, 2010 a building application was submitted to this office regarding the above referenced address. Please be advised that the permit cannot be issued at this time because of the following reasons r. 1) the unsigned Rescheck was for an address in Cotuit The samey form was also submitted for both the house and the garage; 2) there are no framing plans for the garage; 3) Mr. Siegel states in his letter, "These documents are being submitted to you and bear my stamp and signature."Pages SO, Sl, S2, S3,.and S4 have no stamp or signature from either Mr. Siegel or Mr. Curl; 4) the existing side setback of the house (3.0 and the proposed side setback of the house(5.0" are within the 15'setback required in the RF 1 Zone; 5) the proposed,front stairs are within the:30'front setback; 6) the proposed location of the rebuilt garage is 10.5'from the side property line; a 15'setback is required; 7) the principal permitted use in the RF 1 Zone is a single family residential dwelling.The submitted plan.shows an apartment above the detached garage. Items 4, 5, 6, and 7 require relief from the Zoning Board before a permit can be issued. Please feel free to contact this office if you have any questions. Sincerely, Paul Roma: Local Inspector l./ � ?��" `� n� _- �� O ? i � P 1 • I i Y Siegel Associates, Inc. Consulting Structural Engineers September 29,2010 - - www.siegelassociates.com 634 Commonwealth Avenue Mr.Robert McKechnie Newton Centre,MA 02459 Building Inspector 617.244.1 tel Town of Barnstable BuildingDivision 617.244.1732 2 fax Town Office Building 200 Main Street,MA 02601 Re: Applicability of Provisions for Guide to Wood Construction in High Wind Areas Massachusetts Checklist for Compliance For Hayden Residence,80 Wachusett Ave,Hyannis Port,MA Dear Robert, Siegel Associates Inc. has worked in conjunction with project architect Richard Curl on the renovations to the Hayden residence located at 80 Wachusett Ave. As the Structural Engineer of Record, we have produced structural documents consistent with accepted engineering practice utilizing the wind and snow loads set forth in the 7 h edition of Massachusetts Building Code for One-and Two-Family Dwellings. These documents are being submitted to you and bear my stamp and signature. Please note that on sheet SO we list the live loads for which this building has been designed for including a 110 mph wind,exposure B. Accordingly,the Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)does not apply to our design. At least two bodies of text should be referenced for verification: 1. "5301.1.1 Alternative provisions." "...In lieu of prescriptive compliance, where engineered design is used in conjunction with these standards the engineered design shall be performed by a Massachusetts- registered professional engineer or architect, employ an appropriate engineering rationale consistent with the standards below and utilize the wind and snow loads set forth in this code." 2. "5301.1.3 Engineered design. When a building of otherwise conventional construction contains structural elements exceeding the limits of section 5301 or otherwise, not conforming to this code, these elements shall be designed in accordance with accepted engineering practice. The extent of such design need only demonstrate compliance of nonconventional elements with other applicable provisions and shall be compatible with the performance of the conventional framed system. Engineered design shall be provided by a Massachusetts-registered professional engineer or architect and shall utilize the wind and snow loads set forth in this code." Please feel free to call if you have any further questions about this topic or about other structural work on this proj ect. Very truly yours, SIEGEL ASSOCIATES,INC �R�ZH 0F>Vf4 STEVEN PAUL 0 SIEGEL Na.W9'a STRUG'ruflAL 1 Steven P. Siegel,P.E.,Principal Barnstable Historical Commission MINUTES March 8 2010 Meeting called to order at 4:00pm Members Present: Barbara Flinn, Len Gobeil, Nancy Clark, George Jessop, Marilyn Fifield Members Absent: Jessica Rapp Grassetti, Nancy Shoemaker Staff Present: Jackie Etsten, Growth Management Department Jo Anne Miller Buntich, Director Growth Management Department Also Present: Julie Larry and Geoffrey Melhuish - TTL Architects; Patti Kelleher—,Community Opportunities Group, Inc. Chair Flinn informs attendees and public that this is a joint public meeting, with discussion of 408 Wianno Avenue prior to hearing from the consultants Shakeab Alshabkhoun Tr., Estate Nominee Trust of 2003 for demolition of f a historic building located on Assessors' Map 140 Parcel 154-002, 468 Wianno Avenue, Osterville. Demolition Form filed for Alterations and Additions Shawn Gilfoy, representing the building, for the owner • Seeking to demo the structure and rebuild new. • Full set of plans not available yet v • Will be adding architectural elements, possibly a tower; building barely visible from East Bay.Road . and not visible from Wianno Avenue • States building is in very poor condition • Copy of inventory with history of house received; building is eligible for the National Register of Historic Places (NR) but is not on it Questions/Comments from the board • Letter was sent to the owner ensuring that the building was-safe and secure ` • Building not boarded up yet— Mr. Gilfoy states that it will be done tomorrow morning • Section between tower (middle) is clearly in deteriorated condition; suggests that the two end pieces of the building be saved./preserved; Mr. Gilfoy states that the top section of the tower is not accessible but will convey the proposal to the owner; possibly incorporate a new tower with historic perspectives • Photos of proposed�style submitted.-into,record - - • Plans would have been appreciated.by the board members to better render a decision • To preserve architectural elegance, charm and history, Historical Commissioners respectfully request that applicants-try to preserve historic elements • Discouraged that the property was purchased seven years ago and neglected since then • Building appears to be eligible for the NR and contributes to the historic neighborhood • At the very least, a replication of house in that style is requested • Alternative uses for the,tower suggested;•using the tower would allow for similar heights for•the - - building • Options available approve demolition, delay for 6 months or refer it to the Cape Cod Commission Motion duly made by Nancy Shoemaker, seconded by Nancy Clark, to refer the application for demolition to the Cape Cod Commission VOTE. So voted unanimously Discussion • ' Marilyn Fifield questions the need for another vote per the ordinance to'proceed with demolition delay Motion duly made by Nancy Shoemaker, seconded by Jessica Rapp Grassetti, to impose the demolition delay VOTE: So voted unanimously Motion duly made by Len Gobeil, seconded by Jessica Rapp Grassetti, to close the public hearing on 408 Wianno Avenue, Osterville VOTE. So voted unanimously eFormal Jemolition application-review 80 Wachusett Avenue, Hyannis, Map 287, Parcel 083 (1880—'NR District, Contributing) ` (continued from February 16, 2010) • As previously requested, calculation of actual square footage provided • Review of updated plans, reflecting previous requests from Historical Commissioners • Percent of change proposed is 24%; no referral to the Cape Cod Commission required • Towers will be removed, replaced and enlarged Motion dulymade-tiy Naricy Clark, seconded bV Nancy Shoemaker_to allow the application for demolition to move forward;-allowing the demolition as cited on the application,--with-chan-ges that timprove the building and take it back to-its original state, Discussion: • Need further discussion on the garage • Vote will be for the main building VOTE:Ave: Flinn, Gobeil, Shoemaker, Clark, Grassetti, Nay. Fifield Garage: • Jessop speaks to concerns surrounding access to the apartment; needs to be moved and window(s) added; door with overhang to be added for access and minimal weather protection Motion duly made by Nancy Clark, seconded by Len Gobeil, to approve the application for demolition of the garage with the recommendations of George Jessop for the changes in the garage, roof line and dormers VOTE. So voted unanimously INFORMAL REVIEW 329 South Main Street, Centerville, Map 207, Parcel 082 (1805— Not Inventoried) Remove Fire Damaged Portion of House and Construct Addition Represented by: Paul Crossin and Frank Donovan ` • Proposing restoration of a fire-damaged property; proposed renovations submitted • Brief details of project reviewed; applicant seeking to maintain historical significance • Proposed site plan reviewed • Existing brick faced foundation will remain • Application for demolition needs to be filed Motion duly made by Nancy Clark, seconded by Nancy Shoemaker. to approve the request for demolition VOTE:So voted unanimously " Submission of approved plan requested for file 58 First Avenue, Hyannis, Map 267, Parcel 028 (1870— Not Inventoried) Exterior Alterations— Enlarge Windows, Enlarge Dormer Represented by: Curtis Frazetti for Brian and Eva Bethune and AVL and Co. Construction i own oT tsamstame - 200 Main Street i t Hyannis, MA 02601 Notice of Intent to Demolish or Move an Historic Building/Structure Is Building/Structure located in a Local or Regional Historic District: YES No If YES, Protection of Historic Properties Bylaw does not apply and it is not necessary tG fillout-the remainder of this form. PRINT IN INK Date of Application j IlfL�h`� �,, Z Building/Structure Address: 80 Wt%CWVSE t T Ave �At2V s'6 L-c AM Number Street T@wn j,�,(�R —3 Fq"7 Zip Assessor's Map* Assessor's Assessor's Lot#: 0 a"S Is Building/Structure listed on the.National Register of Historic Places or on a pending list with the National Register of Historic Places: YES INO1 W 44r,%1j0tP0%zT' How old is the Building/Structure; 18 7 3 How Is the Building/Structure Occupied: Number of Stories: Architectural style of Building/Structure,describe if not known: V r CTORrAN ` MM 6K- to?TAGS Material of Building/Structure: Uo0 0 FMM f ` WOO SN t N6LO VALE-1 Is this K Building/Structure associated with one or more historic events or persons. Please list event,description or names: por✓F' jowi.! Type of Building/Structure and proposed worts ALTerullt-W-S AF-J6 AO Dl'1r o!✓S Explanation of the proposed use to be made.of the site: SUM E k S F C?iN G Zoning District. Fire District: Applicanfs Name: 1ZC44knZ cy", Cv(LL. A(L49iTF rwE Address: PO Qo tf y 10 0 C O LAmIliL106F MA 6T I D NumXguV � &4 SA gwoo r t AY�C�Street Torun State Zip _ Ownefs Name: Address: 'l•o CQESTwao0 RaA0.. NEw10WO l A O2,gG5 Number Street. Town state. Zip Contractor: ell, N oalu s Address: l 3 8 We bkL&J MacjF- 14 ho 4S—1t--yLVlLt'G MA Number Street Town State, Zip Program of Lot and Building/structure with dimensions: Name: Siegel Associates, Inc. ® Consulting Structural Engineers November 23, 2010 www.siegelassociates.com 634 Commonwealth Avenue Mr. Jeffery Lauzon Newton Centre,MA 02459 Building Inspector 617.244.1612 tel Town of Barnstable Building Division 617.244.1732 fax Town Office Building 200 Main Street, MA 02601 Re: Exposure Category C For Hayden Residence,80 Wachusett Ave,Hyannis Port,NU Dear Jeffery, It has been brought to our attention that the contract drawings submitted for the Hayden Residence building permit incorrectly labeled the exposure category as B and not C. This letter is intended to serve as a correction for that typo. Although this change does increase the design wind pressure on various localized elements the overall design of the main wind.force resisting system remains unchanged. Localized components such as windows and doors will be required to sustain the increased pressure and Siegel Associates will work with the architect and general contractor to ensure that this is accounted for in the fmal material selection. Please feel free to call if you have any further questions about this topic or about other structural work on this project. Very truly yours, SIEGEL ASSOCIATES, INC �°Fss�c o� STEVEN tiG PAUL rt, o SIEGEL �+ V STRUCTURAL No.35496 Steven P. Sie.E., Principal A IS'I ss ` it REScheck Software Version 4.4.0 Compliance Certificate Project Title: Hayden Garage Energy Code: 2009 IECC Location: Hyannis,Massachusetts Construction Type: Single Family Project Type: Addition/Alteration Heating Degree Days: 6137 Climate Zone: 5 Construction,Site: Owner/Agent: Designer/Contractor: 80 Wachusett Avenue Hyannis Port,MA • • Compliance:2.0%Better Than Code Maximum UA:358 Your UA:351 The%Better or Worse Than Code index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. • Wall 2:Wood Frame,16"o.c. 2213 19.0 0.0 114 Window 5:Wood Frame:Double Pane with Low-E 179 0.300 54 Door 2:Solid 128 0.400 51 Ceiling 1:Flat Ceiling or Scissor Truss 585 30.0 0.0 20 Ceiling 2:Cathedral Ceiling(no attic) 385 30.0 0.0 13 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 425 30.0 0.0 14 Floor 2:Slab-On-Grade:Unheated 126 11.0 85 Insulation depth:4.0' 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 2009 IECC requirements in REScheck Version 4.4.0 and to comply with the mandatory requirements listed in the RE check Inspection Checklist. Name-Title Signatu Date REScheck Software Version 4.4.0 Inspection Checklist Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: ❑ Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 2:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: Windows: ❑ Window 5:Wood Frame:Double Pane with Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 2:Solid,U-factor:0.400 Comments: Up to 40 sq.ft.of this door is exempt from the U-factor requirement. Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. ❑ Floor 2:Slab-On-Grade:Unheated,4.0'insulation depth,R-11.0 continuous insulation Comments: Slab insulation extends down from the top of the slab to at least 4.0 ft.OR down to at least the bottom of the slab then horizontally for a total distance of 4.0 ft. Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/doorjambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: ❑ Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 33.5 psf OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. • (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. M Comers,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunrooms: ❑ Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: ❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions. Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. Materials and equipment are identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: ❑ Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: O Building framing cavities are not used as supply ducts. Lj All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). Duct tightness test has been performed and meets one of the following test criteria: (1)Postconstruction leakage to outdoors test:Less than or equal to 108.9 cfm(8 cfm per 100 ft2 of conditioned floor area). (2)Postconstruction total leakage test(including air handier enclosure):Less than or equal to 163.3 cfm(12 cfm per 100 ft2 of conditioned floor area)pressure differential of 0.1 inches w.g. (3)Rough-in total leakage test with air handler installed:Less than or equal to 81.7 cfm(6 cfm per 100 ft2 of conditioned floor area) when tested at a pressure differential of 0.1 inches w.g. (4)Rough-in total leakage test without air handler installed:Less than or equal to 54.4 cfm(4 cfm per 100 ft2 of conditioned floor area). Heating and Cooling Equipment Sizing: ❑ Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: Circulating service hot water pipes are insulated to R-2. Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: Heated swimming pools have an on/off heater switch. Lj Pool heaters operating on natural gas or LPG have an electronic pilot light. Lj Timer switches on pool heaters and pumps are present. - �� Exoeptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: ❑ A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage<=15 (d)50 lumens per watt for lamp wattage>15 and<=40 (e)60 lumens per watt for lamp wattage>40 Other Requirements: Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement'c'). Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) 2009 IECC Energy Eff iciency Certificate Ceiling/Roof 30.00 Wall 19.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): Window 0.30 0.33 Door 0.40 NA Heating System: Cooling System: Water Heater: Name: Date: Comments: �� ,�� ✓ ije& License or registration valid for indiv'idul use only Office of Consumer Affairs&B siness Regulation before the expiration date. If found return to: - HOME IMPROVEMENT CONTRACTOR Type office of Consumer.Affairs and Business Regulation ` 8 Registration:,--1:21906 10 Park Plaza-Suite 5170 x Private Corporation Boston,MA 02116 Expiration: ;6Y262012 G. .RHODE CONSTRUCTION GRANT RHODE ` r 1666 HYDE PARK f�V,E - __r- `� Not valid without signature BOSTON,MA 02136 L Undersecretary + Massachusetts- Department of Public SafetN Board of Building Replations and Standards Construction Supervisor License License: CS 27092 Restricted.to: 00 GRANT F RHODE 1666 HYDE PARK AVE ST BOSTON, MA02136 A Expiration: 8/19/2011 Commissioner Tr#: 1494 9' ' The Commonwealth of Massachusetts Department oflrtdustrial Accidents Office of Investigations 600 Washington Street t Boston, MA 02111 . :'`y w ww.m ass.go v/dGa Workers' Compensation ati n Insurance Affidavit_ Builders/Contractors/EIectricians/Plumbers Applicant Information Please Print LeEibly Naive (Business/Organizatiordfndi,,idual): (gran hd/]� Address: V City/State/Zip: /3 4a/ Phone #: bIT 3bW■Z7n) Are you an employer?-Check the appropriate box: Type of project(required): 4. I am a general contractor]azd am a employer with=� 6. ❑ New construction einployeas'(full and/or part-time).* have'hired the sub-contra _ 2.❑ I am a sole proprietor.or partner- . listed on the attached she7. ❑ Remodeling ship and have no employees These sub-contractors hag, 0 Demolition working for me in any capacity. employees and have work9 0 Building addition No workers' comp. insurance comp. insurance. required.) 5. We are a corporation and 10.❑ Electrical repairs or additions 3. 0 I am a homeowner doing all work officers have exercised their 1 L ] Plumbing repairs or additions Myself [No workers' comp- right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13-❑ Other comp. insurance required.] 'Any applicant that cheeks box ill must also fill out the section below showing their workcrs'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire oulsidc contractors must sub'mil a new affidavit indicating such. tContraetors that cheek this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have cmployccs. If the sub-contractors have cmployccs,they must provide their workcrs'comp.policy number. I am an employer that is providing workers compensation insurance for my employees. Below is the policy and job site information_ Insurance Company Name: Policy# or Self-ins. Lic, #: �,�)C 0�� 7CL-- Expiration Date: Job.Site Address: Q �/l��'h A /'1�e City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and.expiradon dale). 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 one-year imprisom--nent, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify tinder the pains and penalties ofperjury that the information provided abov/e�is true and correct. 0_� i dLG S�tTnature �-11 —� Phone# loil ?1 (j-1 2-r7W E12Do only. Do not write in this area,-to be completed by city or town official n: Fermit/License# hority (circle one): Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector son: Phone#: Siegel Associates;Inc: Consulting Structural Engineers' September 29,2010 www.siegelassociates.com 634 Commonwealth Avenue Mr.Robert MCKechnie Newton Centre,MA 02459 Building Inspector 617.244.1 tel Town of Barnstable Building Division on 617.244.1732 2 fax Town Office Building 200 Main Street,MA 02601 Re: Applicability of Provisions for Guide to Wood Construction in High Wind Areas Massachusetts Checklist for Compliance For Hayden Residence,80 Wachusett Ave,Hyannis Port,MA Dear Robert, Siegel Associates Inc.has worked in conjunction with project architect Richard Curl on the renovations to the Hayden residence located at 80 Wachusett Ave. As the Structural Engineer of Record, we have produced structural documents consistent with accepted engineering practice utilizing the wind and snow loads set forth in the 7`h edition of Massachusetts Building Code for One—and Two—Family Dwellings. These documents are ' being submitted to you and bear my stamp and signature. Please note that on sheet SO we list the live loads for which this building has been designed for including a 110 mph wind,exposure B. Accordingly,the Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)does not apply to our design. At least two bodies of text should be referenced for verification: 1. "5301.1.1 Alternative provisions." "...In lieu of prescriptive compliance, where engineered design is used in conjunction with these standards the engineered design shall be performed by a Massachusetts- registered professional engineer or architect, employ an appropriate engineering rationale consistent with the standards below and utilize the wind and snow loads set forth in this code." 2. "5301.1.3 Engineered,design. When a building of otherwise conventional construction contains structural elements exceeding the limits of section 5301 or otherwise, not conforming to this code, these elements shall be designed in accordance with accepted engineering practice. The extent of such design need only demonstrate compliance of nonconventional elements with other applicable provisions and shall be compatible with the performance of the conventional framed system. Engineered design shall be provided by a Massachusetts-registered professional engineer or architect and shall utilize the wind and snow loads set forth in this code." Please feel free to call if you have any further questions about this topic or about other structural work on this project. Very truly yours, SIEGEL ASSOCIATES,INC � 'QF �� S T EV�4 P EIS it SIEGE IT Steven P. Siegel,P.E.,Principal , Try Town of Barnstable v , t Regulatory Services - aiax6TAHL� Thomas F. Geiler,Director Building Division Tom Perry, Building Connnissioner 200 Main Street, Hyannis, MA 02601 www.to wn.b arnstab I e.ma.us Office: 508-862-4039 Fax: 508-790-6230 Property Owner Must. Complete and Sign.This Section If-Using A.Builder I, �� / �✓ S(-{r4�( fS — as Owner of the subject property hereby authorize C2 f�� ae con U fur to act on my behalf, is all matters relative to work authorized by this building permit application for. O � e ✓enue �' Rb t ) OA (Address of Job) 12- /v Sig afore of e Pnat Larne l If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side.. Q:FORMS:O WllERPERMISSION Oct. 18. 2010 1 :46PM NSTRR-SUMSW3 No. 3610 P. 1 ONSTAR One N El &Gas Company One STAR Way.Westwood,Massachusells 02090-9230 E��c rRic GAS October 18, 2010 l - Andrew Hayden &Shannon Hayden 20 Cresswood Rd Newton MA 02465 RE: 80 Wachusett Ave Hyannis Port MA Dear Andrew Hayden & Shannon Hayden: This letter will serve as confirmation that the electric service at 80 Wachusett Ave Hyannis Port MA, has been removed as of 10114/2010---W/o 1796533. Based on this information,there is no electric power to this building and you may proceed with the demolition, if you have any questions, please contact meat 888 633 3797 Sincerely, Ms Hebshie New Connections Office ctn �v lwffemJ,;e O�ZHE tOW Department of Public Works 47 Old Yarmouth Rd. ti P.O. Box 326 �► Water Supply Division Hyannis,MA. * BARN3TABLE, * 02601-0326 TEL:508-775-0063 i639. Hyannis Water System Operations FAX:508-790-1313 October 20, 2010 Town of Barnstable Attn: Paul Roma, Building Inspector Town Hall 367 Main Street Hyannis, MA 02601 RE: 80 Wachusett Avenue Dear Mr. Roma: Please be advised that the above water service was shut off and the meter removed on October 7, 2010. The water line was cut and capped the following week and an inspection of the property was done. The owner has.informed us of plans to demolish the building. If you have any questions,please don't hesitate to contact me. Sinc ely, Christina Ferrari Hyannis Water System Operated and Maintained by United Water. national October 8,2010 Town of Barnstable Re: 80 Wachusett Street Hyannisport, This letter is to notify you that after our investigation, it has been determined there is no gas being supplied to 80 Wachusett Street,Hyannisport,Ma. If you have any questions please feel free to contact us at 781-907-2930 Sincerely, Diane L. Stevenin Customer Driven Construction diane.stevenin@us.ngrid.com 781-907-2930 _ 781-522-1056 fax 40 Sylvan Road E-2 Waltham, Ma 02451 R a ' Siegel Associates,Inc. Consulting Structural Engineers www.slegelassociates.com 634 Commonwealth Avenue November 18,2011 Newton Centre,MA 02459 617.244.1612 tel Mr. Thomas Perry 617.244.1732 fax Building Commissioner Town of Barnstable Building Division 200 Main Street,Hyannis MA 02601 Re: Structural Framing Affidavit-Garage Hayden Residence ` 80 Wachusett Ave,Hyannis Port,MA Dear Mr.Perry, Siegel Associates Inc. was retained by Curl Architecture of Cambridge, MA to perform structural consulting services on the above-referenced project. Specifically, we reviewed the proposed architectural design drawings, performed structural calculations, and produced structural framing plans. We inspected the site several times during construction and provided verbal and written direction to the general contractor, GF Rhode Construction, and the architect or record. Our final inspection was done on July 19, 2011. On the basis of this work, I certify that to the best of my knowledge, information, and belief, the structural work associated with the above-referenced project complies with our original design,with approved field modifications,with the structural provisions of the Massachusetts State Building Code 780 CMR-7, and with accepted structural practice. t .. Please feel free to call if you have any further questions about the structural work on this project. Very truly yours SIEGEL ASSOCIATESJNC. 4� � S_ r5 S1 STRUCTURAL � 44� Steven P. Siegel,P.E.,Principal Siegel Associates, Inc. ® Consulting Structural Engineers www.slegalassociates.com 634 Commonwealth Avenue September 29, 2011 Newton Centre,MA 02459 , t 617.244.1612 tel + 6 Mr. Thomas Perry 17.244.1732 fax Building Commissioner Town of Barnstable Building Division 200 Main Street, Hyannis MA 02601 Re: Structural Framing Affidavit Hayden Residence 80'Wachusett Ave,Hyannis Port,MA r Dear Mr.Perry, Siegel Associates Inc. was retained by Curl Architecture of Cambridge, MA to perform structural consulting services on the above-referenced project. Specifically, we reviewed the proposed architectural design drawings, performed structural calculations, and produced structural framing plans. We inspected the site several times during construction and provided verbal and written direction to the general contractor, GF Rhode Construction, and the architect or record. Our final inspection was done on July 19, 2011. On the basis of this work, I certify that to the best of my knowledge, information, and belief, the structural work associated with the above-referenced project complies with our original design,with approved field modifications,with the structural provisions of the Massachusetts State Building Code 780 CMR-7, and with accepted structural practice. Please feel free to call if you have any further questions about the structural work on this proj ect. f Very truly yours,, or 4 SIEGEL ASSOCIATES, INC STE PAUL S1'ECEL t' Nd.30496 r" S`I'I�,t��1lRtil. al Steven P. Siegel, P.E.,Principal NOV-9-2010 02:47P FROM: TO:5087906230 P.2 �•►� Town of Barnstable ' `� Regulatory Services Thomas F.Geller.,Director 16 Building Division Thomas Perry,CBO . Building Commissioner 200 Main Street, Hyannis,M-A 02601 yvwvY;toYyn.barnstatRle,nia':ys Offcea .508-82=4038 Fax: $08-790-623.0 N.ovoigbec 4,201:0. A(r:&antRhode ' G.,F.Constmetion 16..66 Hydo Park-Ave. IoGtton,.Mp Q213G Rol 80 Wachusett Ave., Hyannis,MA-02601 Dear Mr.Rhode.; On.Octotxex 20,.2010 a building,aApliGa'don was eubm'itted to this offiee regarding the:above referenced.addremi.Please be advised that the permit cannot be issued:a:t this f me because of the following reasons* 1)the vnsigne.d Rescheck was for an address in Cotuit 'lie same form'waa also submitted for both the house.and the garege. 2)theme are nQ fr4)ming plaiwfor the garage, 3)Mr.S.iegel.states in.lis letter.,"Theso docum-ants are)zem aubtniited to you and bear-my stamp and signature."Pages SQ,Sl,52,S3,,and.S4 have no stamp or signature, from eithex-Mr.Siegel or Mr.Curls 45 the exi6ting side setback of the house(3..3.)and the proposed aide setback of the house(51) J are within the IV setback required in the RF 1 Zone; 5)the proposed front stairs are within the 30'front setback; L 6 kl e,pYpposed loc4ti,on of the reb+ilt garage is 10,5'frog the lido property li, a 1:6'ae6back is requre[l � � . 7)the principal parmitte.a use in the R.F 1 Zone is:a single lamity residantaal dwelling.The n /� submitted plan showaa-n.apartment above the detached garage. Isms 4,,:5,6,and 7'req4 re:reliaf.from t1 .Zoriiiig BoRrdliefore aperirgt con be issued. Please£eel free to.contact this office iPyou have azy questions. �u Sincere`fy, r Paul Roma Local InspectoY - t V-9-2010 02:47P FROM: TO:5087906230 P.1 T0 RII OF BARNSIABLE Baxter Nye Engineering & Surveying i 78 North Street, Hyannis, Massachusetts 02601 FAX(508) 771-7622. w DIVISION Date: jil'i', , 2010 TO: ,a Pe r,-y FAX# 50Tr- 710- C.2$0 RE: eo Aux Wl q&► iir. Paw^' From: Stephen A. Wilson,P.E. 2 Pages, Including This Cover Sheet If you do not receive all of the pages included with this transmittal or if there is a problem,please contact me at(508)771-7502; ext. 13. Job# 2 od 9 -o30 .'n7- i ( a PAINTED WOOD OPEN SHELVING 12"BAR SINK CABINET WITH ADJUSTABLE SHELF ----J _ REF I I to _ J 1 24 24 24" 18" 1 " t � PO Box 4100. Cambridge,MA 02141 Hayden Residence Bar Elevation Ca 617-816-7571 80 Wachusett Street Architecture www.curfar.chitecture.com Hyannis Port,Massachusetts 12/13/10 1/2"=1'-0" BARNSTABLE BUILDING PERMIT"PLICATION ._OWN OF --- VIDe, Map 2 9 Parcel-. OS3 Application # Health Division Date Issued 0 Conservation Division �Applicatbh Fee Planning Dept. �.� J -Permit Fee Date Definitive Plan Approved by Planning Board d fie uo c3 S Historic - OKH Preservation /Hyannis / J Project Street Address Village4vanm&, ft Owner ILAddress ZOCrP.wood a Telephone kno V • 5 Permit Request 1 �2 , A. `r 64- dC .� t Square feet: 1st floor: existing ZMproposed a59( 2nd floor: existing proposed Total new 600 Zoning District P\ ' Flood Plain NO Groundwater Overlay Project Valuation Construction Type Wo40A e- Lot Size Z.OiCX'n Grandfathered: U"Yes: . ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family. 111/ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes O'No On Old King's Highway: ❑Yes ®'No Basement Type: 'Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) 1 -1 200 Basement Unfinished Area(sq.ft) /069 Number of Baths: Full: existing_LA new Half: existing Q new _ Number of Bedrooms: (0 existing new o ry o Total Room Count (not including baths): existing new First Floor Countc3 Heat Type and Fuel: ®'Gas ❑ Oil ❑ Electric ❑ OtherCD W Central Air: ❑Yes No Fireplaces: Existing 2. New Existing wood/ al stove=,❑Y`s &'I�lo ^Det ize�"'J'"Barn: ❑ e isting 4;newV izeca Attached garage: ❑ existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: N M Zonng Board of Appeals AZo thorization ❑ Appeal # Recorded ❑ Commercial ❑Yes If yes, site plan review# I� Current Use SUrr)rY\91 �(�l0�lpf��.� Proposed Use 50rflrilef Ir2SiC�2�C��. L� APPLICANT INFORMATION ,0 (BUILDER OR HOMEOWNER) ,,�� (�I 3��f. ZZO Name rAaJ"f +�I'lc�.�e. ��fi � l/��CTelephone Number Address s AM J`C— License # 2909'Z �r P�l 62t 3 to Home Improvement Contractor# L o Worker's Compensation # we W.S Og4 IT ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO f�6che,s+ey Enujammu+J ak Ce"beml-07111AMA &cheAr p),ft SIGNATURE 67 tom' DATE IO r FOR OFFICIAL USE ONLY APPLICATION# IS DATE ISSUED �_?4 MAF PARCEL NO. r ' «-ADDRESS VILLAGE i� OWNER DATE OF INSPECTION: > !FOUNDATIONS ems:t_rOC Tuba ok 3I��)i ,�Pd FRAME t;N 6 9 U ghtlu Q/� ;_'?INSULATION' jl FIREPLACE • ELECTRICAL: ROUGH FINAL s PLUMBING: ROUGH FINAL I.GAS': ROUGH : ' . „ 12,, FINAL }AFINALBUILD.ING MATE CLOSE.D_OUT.9_.a�.. ASSOCIATION PLAN NO. I \ - Th.e Commonwealth of Massachusetts Department of.Industricrl Accidents Office of Investigations 600 Washington Street c Boston, MA 02111 w ww.m ass.go u/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electrici2ns/PIumbers _Applicant Information Please Print Legibly Name (Business/organizati on/Ind i%idua0: 'O Address: V City/State/Zip: /' difim Oa/3 6 Phone#: b�7'31vf-z 7404) Are you an employer?-Check the appropriate box: FE e of project (required): ].�am a employer with_ 4 ❑ I am a general contractor and I. ❑,New construction __. * have'hired`tbe sub-contractors.. employees (full and/or part-time). Remodlin2.❑ 1 am a sole proprietor-or partner )fisted on the attached sheet. ❑ Remodeling ship and have no employeesThese sub-contractors have ❑ Demolition working for me in any capacity. employees and have workers' ❑ Building addition [No workers' comp. insurance comp. insurance.required.) 5. ❑ We are a corporation and its Electrical repairs or additions 3.❑ I am a bomeowner-doing all work officers have exercised their 11.0 Plumbing repairs or additions myself .(No workers' comp_ right of exemption per MGL 12.0 Roofrepairs ).t insurance required. c. 152, §1(4), and we bave no employees. [No workers' 3 ❑ Other comp. insurance required:] *Any applicant that checks box#f must also fill out the section below showing their workers'-compensation policy information:. - t Homeowners who submit this affidavit indicating Lhcy arc doing all work and Lhcn hire outside contractors must su6mil a new affdavil indicating such, tContractors that check this box must attached an,additional sheet showing the name of the sub-contraetorsand state whether or not those entities havc cmployccs. If the sub-contractors havc cmployccs,they must provide their workers'comp.policy number. I am an employer that is providing workers' compensation insurance for my.employees. Below is the policy and job si/.e information Insurance Company Name: AClf/aYIQL Policy# or Self-ins. Lic. #: U C od� /� Expiration Date: Job.Site Address: On'A 0Q �� City/State/Zip: q Attach a copy of the workers'compensation policy declaration page (showing the policy number and expiration date Failure to secure coverage as requited 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 one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.0D a day against the violator. 'Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verlfcation. I do hereby certify under�the pains and penalties ofperjurythat the information provided above is true and correct a12alta Phone L,sw only. Do not write in this area, to be completed by city or town officiaC n; Permit/License# hority (circle one): Health Z. Building Department 3, City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector son: Phone#; hformabon and ffistr ctions ` Massachusetts Gencral Laws chapter )52 requires all employers to provide workers' cgmpe.nsa(•ion for,,their employees, Pursuant to this statute, an employee is dcfincd as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is dcfincd as "an individual, partnership, associalion, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,*an nd including the legal representatives of a deceased employe7, °r Lhe receiver or Lrus.tce of a❑ individual, partnership, associalion or olhct legal entity, employing employees. However the ;} , owner DL•a dwelliri'gHouse having no(more than fhreze apartments and who re ides therein, or the occupant °line house ,ram ,,, ..,;, r t' z'w dwelling house of another rwho etimlo s prrson�s'(`oad0 maintenance constniclion or repair work on such dw g or on the grounds or building appurtenant thereto shall not because of such.,employmen( be derrncd (o be an employer." 1-4 MGL'`ch ter 152°;§25C(6) also slates that ' every state or local'licens�ng agency shall �Yithhold the issuance or renewal of a license or permit to operate a busin ss#o"r to G.onStruet<bui")dings in the commonwealth for any applicant Who has not produced acceptable evidence of.comp)iance with the insurance coverage requil'ed." §25C(7) stales "Neither the conunoriwnalth nor any of its political subdivisions shall Additionally MGL chapter 152, enter'into any contract for theperforritance ofpublie work until accep`iable evidence ofeompliancc wit}i(he tnstLranee requirements of this chapter have beenpresented to the contracting authority.' Applicants_ p y, by checking the boxes that apply to your situation and, if Please f11 out .the workers' compensation affidavit co. lelel necessary, supply sub-conlraetor(s) naroe(s), addresses)and phone numbers)along with their cerlificate(s) of insurancc, Limited Liability Companies (LLC)orLimitcd Liability Partnerships(LLP)with no employers other than the rnembers or partners, arc not required to carry workers' compensation insurance. if an LLC or LLP dots have employees, a policy is required. Be advised that this affidaYil may be submitted to the Deparimcni of Industnal Accidents for confirmation ofinsurance coverage, Also be sure to sign and date th,e affidavit, The affidavit should be returned to the city or (own that-the application for the permit or license is being requested,not the Department of Industrial Accidents. Should-You have any questions regarding the Jaw or if you are required to obtain e,workers' compensation policy,please call the Department at the number listed beloW, Self-insured companies should enter their self-insurancc license number on the appropna(e line. City or Town OFicials_ Please be sure that the affidavit is complete end pnntedlegibly. Th'e l�eparlrn�nl,ha provided a space al the bottom yi `:th;e aff.dayil for you to fill out in the event tb•e.Offiee,,of Jnyestigationshri to contact you regarding the applicant. Please be sure to fill in thepermiUlicensenumber vOi ch•wtJl bc•used,as a,r,:efcrence number, In addition an appliG�t curreni i,b L a rnls;irsub=t`nouRip]e periniUlicense applications Jr) any givenrycar need only.su.brni( one afGdavii indicating (city or policy information(if necessary)and under"Job'Stic Address?:the applican�tsh'o.'uJd write Y'all ]obahons in_�_ town)."'A copy of the affidavit that has been officially stamped or rdarkcd by the city or towo xnay be provided to the applicant as proof that a valid a5davit is on file for future permits or licenses. A new affidavit)nust be fJld ou( each e year. Where a home owner or citizen is obtaining a license orpermil not relaied to any business.or commcrci al venture n is NOT rc- uired to complete this aJ5davit, it to burn leaves etc. id q _ (i,e. a dog license of perm ) said person d haye any The Office of Investigaltons wou i e o arn�rradae f + rat;cn and shoul you questions, please do not besila,ie.to;give us a call. The Departrncni's`addtess, lclephono and fax number. Tbe_Cornmonwealth ofMassachuetts - � Department of Indusb-al Accidents Office.of Investigations 600 Washington Street Boston, MA 02111 Tel. #( 617-727-4900 exi 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised q-24-07 wwW.lnass.gov/dia ACORD . CERTIFICATE OF LIABILITY INSURANCE 10/06/D2010) 10/06/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFPIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Kathleen Munyon Tarpey Insurance Group Inc a/c°"N EXt: 781.246.2677 A No:781.224.0973 442 Water St E-MAIL ADDRESS: PO BOX 567 PRODUCER CUSTOMER ID#:- Wakefield, MA 01880-4667 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: Acadia Insurance Company GF Rhode Construction Inc INSURERB: Holyoke Mutual Insurance Co 14296 1666 Hyde Park Avenue INSURERC: Natl Union Fire Ins Co of Pitt Boston, MA 02136 INSURERD: Western Surety Company INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 10-11 Full - Hyannisport REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DDIYYYY MM/DD/YYYY GENERAL LIABILITY CLA0161986-1510/01/2010 10/01/2011 EACHOCCURRENCE _ $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 2 SO OOO PREMISES Ea occurrence r CLAIMS-MADE FR_1 OCCUR MED EXP(Any one person) $ S,000 A - PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PROJEC1 LOC $ AUTOMOBILE LIABILITY CA903963 09/02/2010 09/02/2011 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ B X SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS $ UMBRELLA LIAB OCCUR - EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE ' - AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC00588417 03/16/2010 03/16/2011 X TIC LATU-IMIT OETH- R AND EMPLOYERS'LIABILITY ' ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N E.L.EACH ACCIDENT $ 500,000 C OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) NJ OFFICERS ARE EXCLUDEG E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OFOPER=.,!ONSbelow E.L.DISEASE-POLICY LIMIT $ 500,000 D treet Bond (L&P) 2482847510/06/2010 10/06/2011 $5,000 Limit DESCRIPTION OF OPERATIONS i LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) E: 80 Wachusett Avenue, Hyanm sport MA CERTIFICATE HOLDER CANCELLATION `+ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Barnstable,` AUTHORIZED REPRESENTATIVE, 367 Main Street Hy nnis, MA 02601 lKathleen Mun on ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD i REScheck Software Version 4.4.0 Compliance Certificate Project Title: Hayden House Energy Code: 2009 IECC Location: Hyannis,Massachusetts Construction Type: Single Family Project Type: Addition/Alteration Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 80 Wachusett Avenue Hyannis Port,MA Compliance:4.7%Better Than Code Maximum UA:723 Your UA:689 The%Better or Worse Than code index reflects how dose to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. • Wall 1:Wood Frame,16"o.c. — — — — — Exemption:Framing cavity filled with insulation. Window 1:Wood Frame:Double Pane With Low-E 126 0.300 38 Window 2:Wood Frame:Single Pane — — — — Exemption:Storm window alteration. Wall 2:Wood Frame,16"o.c. 4466 19.0 0.0 193 Window 4:Wood Frame:Single Pane — — — — — Exemption:Storm window alteration. Window 5:Wood Frame:Double Pane with Low-E 969 0.300 291 Ceiling 1:Flat Ceiling or Scissor Truss 1471 30.0 0.0 51 Ceiling 2:Cathedral Ceiling(no attic) 707 30.0 0.0 24 Floor 1:All-Wood JoistlTruss:Over Unconditioned Space 2511 30.0 0.0 83' Floor 2:All-Wood Joist/Truss:Over Outside Air 269 30.0 0.0 9 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 2009 IECC requirements in REScheck Version 4.4.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date REScheck Software Version 4.4.0 Inspection Checklist Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: ❑ Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity insulation ' Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c. Exemption:Framing cavity filled with insulation. Comments: ❑ Wall 2:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 2:Wood Frame:Single Pane Exemption:Storm window alteration. Comments: ❑ Window 4:Wood Frame:Single Pane Exemption:Storm window alteration. Comments: ❑ Window 5:Wood Frame:Double Pane with Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. ❑ Floor 2:All-Wood Joist/Truss:Over Outside Air,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/door jambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. I Wood-burning fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: ❑ Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 33.5 psf OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. M Comers,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunrooms: Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. ' Materials Identification and Installation: ❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions. ❑ Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. ❑ Materials and equipment are identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: Lj Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: Lj Building framing cavities are not used as supply ducts. Lj All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws: Exceptions: Joint and seams covered with spray polyurethane foam: Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). ❑ Duct tightness test has been performed and meets one of the following test criteria: (1)Postconstruction leakage to outdoors test:Less than or equal to 293.3 cfm(8 cfm per 100 ft2 of conditioned floor area). (2)Postconstruction total leakage test(including air.handler enclosure):Less than or equal to 439.9 cfm(12 cfm per 100 ft2 of conditioned floor area)pressure differential of 0.1 inches w.g. (3)Rough-in total leakage test with air handler installed:Less than or equal to 220.0 cfm(6 cfm per 100 ft2 of conditioned floor area) when tested at a pressure differential of 0.1 inches w.g. (4)Rough-in total leakage test without air handler installed:Less than or equal to 146.6 cfm(4 cfm per 100 ft2 of conditioned floor area). Heating and Cooling Equipment Sizing: Lj Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. rl For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: Lj Circulating service hot water pipes are insulated to R-2. Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: ❑ Heated swimming pools have an on/off heater switch. Pool heaters operating on natural gas or LPG have an electronic pilot light. Lj Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Lj Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: Lj A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage<=15 (d)50 lumens per watt for lamp wattage>15 and<=40 (e)60 lumens per watt for lamp wattage>40 Other Requirements: Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement's'). Certificate: ❑ A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) i Y 2009 DECC Energy • E. iciency Certificate Ceiling/Roof 30.00 Wall 19.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): Window 0.30 Door Heating System: Cooling System: Water Heater: Name: Date: Comments: �� rDtfy Town of Barn-stable Regulatory Services v ' 4 $ Thomas F. Geiler,Director 1 .-- �Eo Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property O-wxier'Must. Complete and Sign This Section If Using A Builder tfl,'as Qwner of the subject.property hereby authorize 8 hpae C S�yu f n to act on my behalf, . in all matters relative to work authorized by this building permit application for. (Address of Job) 2-4 to Sig ature of e Pnnt Flame If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FORM5:OW1tEKPERMIS51011ry ' Town of Barnstable of THE r ti Regulatory Services Thomas F. Geiler,Director �o L65Q. �,$ Building Division rED Tom Perry, Building Commissioner 200 Mairi.Streett_Hyannis, MA.02601 Yrww.town.b arnstable.ma.us Office: 508-862-4039 Fax: 508-790-6230 EfOTIEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCAMN: number s treat vi l l ago "HOMF,OWNER": name home phone# work phone# CURRENT M,4JUNG ADDRESS: city/town state 27p code The current exemption for"homeowners"was extended to include owner-occupied dwelliiiUs Df six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supeiYlSor_ DEFINITION OF EMM OWWER Persons)who owns a parccI of land on which he/she resides or intends to reside,.on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm strictures. A person who constr.{cts more than one home in a two-year period shall not be considered a bome-owner. Such "homeowner"shall submit to the Building Official Dn a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undcrsigncd"homeowner"asst.tmcs responsibility for compliance vrith the State Building Codc and other applicable codes, bylaws,riles and regulations. The undcrsigned "homeowner" certifies that.he/sbe understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official NDtr: Three-family dwellings containing 3.5,000 cubic feet or larger will be required to cornply with the State Building Code Section 127.0 Constriction Control_ HOMEOlvXER'S EXEMPTION The Codc statrs that. "Any bomcmmcr performing work for which a bui}ding permit is required shall be exerrrpl from the provisions of this scctign.(S=6cn I D9.).) -Licensing of construction Supervisors);provided that if the homeowner engages a p=cn(s)for birr to do such work, that such Homeowner shall act as supervisor." ), 'any homeowners who use this rxcmption arc unaware that they arc assuming the respon.stbilitics of a supervisor(sec Appendix Q, Ru)cs&Regulations for Licensing Construction Supervisors,SecSosi 2.15) This lack of awareness bfl=results in serious problems,particularly whrn w the homconcr hires unliecnscd perrons. In this case,our Board cannot proceed againsf the un)iccnscd person as it would with a}iernsed Svpervisor. The homcowna acting as Supervisor is ultimately responsible. To msurc that the homeowner is fully aware of hisAcr responnbi)ities, many communities require, as part of the permit application., that the homeowner certify that hdahc understands the r=ponsibilitics of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a formieertifieation for use in your community. Q:forns:homcczcrnp t Total Pages: 3 Bk 23395 Ps 259 3643 01-26-2009 0'1 02 2 23P CONFIRMATORY QUITCLAIM DEED We,Timothy D. Shay and Jennifer Shay,husband and wife,both now of Hyannisport, Barnstable County,Massachusetts,for consideration paid,and in full consideration of Six Hundred Twenty-Five Thousand and 00/100($625,000.00)Dollars,grant to Andrew J. Hayden and Shannon S. Hayden,with a mailing address of 20 Crestwood Road,West Newton,MA 02465,with quitclaim covenants,the following described premises: b N A certain parcel of land with all buildings thereon situate in Barnstable(Hyannisport), Barnstable County,Massachusetts,bounded as follows: °qy Beginning at the southeast corner.of the premises,which is a point in the northerly line of z Wachusett Avenue,at the southwest corner of land now or formerly of one Horne;thence northerly in line of last mentioned land 100 feet;thence westerly in line of land now or formerly x of James C. Ward 25 feet;thence northerly still in line of last named land 100 feet to the fisoutherly line of Washington Avenue so-called;thence westerly in said southerly line of Washington Avenue 75 feet to land now or formerly of one Brooks et al;thence southerly in line w of last named land 200 feet to the northerly line of Wachusett Avenue;thence running easterly in said northerly line of Wachusett Avenue 100 feet to the point of beginning. t) This parcel consists of Lots 29 and 36, the easterly half of Lots 28 and 37, and the 4z westerly half of Lot 30,all in section 3 on a plan entitled"Plan of Seashore Lots belonging to the Hyannis Land Co. at Hyannis, Barnstable County, Mass. 1872, R. Cook, Surveyor"and recorded in the Barnstable County Registry of Deeds in Book 111, Page 30, to which plan reference may be made for the location of the granted premises and the other lots and avenues therein named. Also another parcel of land situate in that part of the Town of Barnstable known as o Hyannisport,Barnstable County,Massachusetts,bounded and described as follows: Return to: Robert M Russell,Jr.,Esq. Pabian&Russell, LLC 265 Franklin Street Boston, MA 02110-3113 Bk 23395 Pg 260 #3648 Beginning at the northwesterly corner thereof at a point on the south side of Washington Avenue and at the northeasterly corner of Lot 36 on plan hereinafter mentioned; thence running easterly by said Washington Avenue 25 feet to a stone bound; thence running southerly by the easterly half of Lot 35 on said plan 100 feet to Lot#30; thence running westerly by said Lot#30, 25 feet to Lot#36; and thence running northerly by said Lot#36, 100 feet to Washington Avenue at the first mentioned bound and point of beginning. The above described premises being the westerly half of Lot #35 in section 3 on plan entitled "Plan of Seashore Lots Belonging to the Hyannis Land Co. at Hyannis, Barnstable County,Mass. 1872,R. Cook Surveyor"duly recorded with Barnstable County Deeds. This Confirmatory Quitclaim Deed corrects and confirms a Quitclaim Deed dated from the Grantors to the Grantees dated October 23, 2002, recorded with said Deeds in Book 17069, Page 94, in which the second parcel was inadvertently omitted from the property description. Deed stamps are not required. Witness our hands and seals this 3X13 day of !7{ 2008. TIMOT D. SHAY" 4JN NIFPIS AA O<Z:: COMMONWEALTH OF MASSACHUSETTS j/I orce-0 ,ss. On this 3 KO day of fl2 Ce.M 6 ,2008,before me,the undersigned notary public,personally appeared TIMOTHY D. SHAY,proved to me through satisfactory evidence of identification,which was photographic identification with signature issued by a federal or state governmental agency, 0 oath or affirmation of a credible witness, ❑ personal knowledge of the undersigned to be the person whose name is signed on the preceding or attached document,and acknowledged to me that he signed it voluntarily for its stated purpose. Notary Public.. r My Commission Expires: # +• �. �-�' �. TERESA K. KELLY ; -2- NOTARY PUBLIC COMMONWEALTH OF MASSACHUSETTS MY COMMISSION EXPIRES 4/28/2011 'RY Pu;i,%t Bk 23395 Pg 261 #3648 COMMONWEALTH OF MASSACHUSETTS 'Ss. w On this_3yo day of 9/ 2008,before me,the undersigned notary public,personally appeared JENNIFER SHAY,proved to me through satisfactory evidence of identification,which was 21"photographic identification with signature issued by a federal or state governmental agency, O oath or affirmation of a credible witness, 0 personal knowledge of the undersigned to be the person whose name is signed on the preceding or attached document, and acknowledged to me that she signed it voluntarily for its stated purpose. Notary Public: My Commission Expires: 41 ..j1 .. Y s'a �•o�t ; ;�,� LOWM011 ERESA K.KELLY OTARY PUBLIC WEALTH OF MASSACHUSETTS MMISSION EXPIRES 4/28/2011 -3 A 4TAABLIS FJiI'Y FiEGi E RY COO,ATr BARNSTABLE REGISTRY OF DEEDS A-rpu�comer,Ara>�s� ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 09/29/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Kathleen Munyon Tarpey Insurance Group Inc n/c°"N Ext: 781.246.2677 acNo:781.224.0973 442 Water St E-MAIL ADDRESS: PO BOX 567 PRODUCER CUSTOMER ID 0, Wakefield, MA 01880-4667 INSURER(S)AFFORDING COVERAGE NAIC/l INSURED _ INSURERA: Acadia Insurance Company GF Rhode Construction Inc INSURERB: Holyoke Mutual Insurance Co 14296 1666 Hyde Park Avenue INSURERC: Natl Union Fire Ins Co of Pitt Boston, MA 02136 INSURERD: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 10-11 Full REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DOlYYYY MM/DD .. '� GENERALLIABILITY CLA0161986-15 1010112010 10/01/2011 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE (RENTED $ 250,0001 PREMISESS Ea occurrence) r CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X JERCT LOC $ AUTOMOBILE LIABILITY CA903963 09/02/2010 09/02/2011 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ B X SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNEDAUTOS $ $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE - AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC00588417 03/16/2010 03/16/2011 X I TORYUMTS ER AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUT VE E.L.EACH ACCIDENT $ 500,00 C OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) NJ OFFICERS ARE EXCLUDEC E.L.DISEASE-EA EMPLOYEE $ 500,000 ye(DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 I T7 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) nformational Only - all Tarpey Insurance with certificate holder name and address so a new certificate can be issued CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE In ured Copy Kathleen Mun on ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD �= Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License License: CS 27092 Restricted to: 00 GRANT F RHODE _ 1666 HYDE PARK AVE ST BOSTON, MA 02136 $ Expiration: W1912011 Commissioner Tr#: 1494 A � pp -Aaacu/cuvetYa License or registration valid for individul use only ;/lze (oarrr n>�zurea Office of Consumer Affairs&Business Regulation before the expiration date. If found return to Office of Consumer.Affairs and Business Regulation I - HOME IMPROVEMENT CONTRACTOR Type: 10 Park Plaza-Suite 5170 Registration: >�121906 Private Corporation Boston,MA 02116 Expiration: 6''126A2012 G. .RHODE CONGT-0410. j GRANT RHO[E ` f 9p 1666 HYDE PARK l�VE �� R`� `� Not valid without signature cretary BOSTON,MA 02136 Underse SDI Effective Date:October 6th, 2010 r tCompany Western Sue y r LICENSE AND PERMIT BOND KNOW ALL PERSONS BY THESE PRESENTS: Bond No. 24828475 n That we, GF Rhode Construction r of the City of Boston State of Massachusetts as Principal, and WESTERN SURETY COMPANY, a corporation duly licensed,to do surety business in the State of Massachusetts as Surety, are held and firmly bound unto the Town of Barnstable State of Massachusetts as Obligee, in the penal sum of Five Thousand and 00/100 DOLLARS ($5,000.00 ), lawful money of the United States, to be paid to the Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives, firmly by these presents. THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the Principal has been licensed Residential Contractor by the Obligee. NOW THEREFORE, if the Principal shall faithfully perform the duties and in all things comply with the laws and ordinances, including all amendments thereto, pertaining to the license or permit applied for, then this obligation to be void, otherwise to remain in full force and effect until October 6th 2011 , unless renewed by Continuation Certificate. This bond may be terminated at any time by the Surety upon sending notice in writing, by First Class U.S. Mail, to the Obligee and to the Principal at the address last known to the Surety, and at the expiration Agenof th rK-sy ( Jays from the mailing of said notice, this bond shall ipso facto terminate and the Surety sha �h5reupon he_ermrelieved from any liability for any acts or omissions of the Principal subsequent to said daf� Regad'ess ,khe number of years this bond shall continue in force, the number of claims made aga>nst�'hs bond;,.-the number of premiums which shall be payable or paid, the Surety's total limit of 11atzlity shall not beunulative from year to year or period to period, and in no event shall the Surety's total li ij itya all&k-JqY,Nt w xceed the amount set forth above. Any revision of the bond amount shall not be cutVT hul'atlye. � a��.°a� 6th October 2010 Dated this day of GF.Rhode Construction ff Principal CORPORgjF Principal P. SEAL WESTE SURET COMPANY r By. Paul T. Bruflat, 91nior Vice President r Form 532-1-2010 e r r W WESTERN SURETY COMPANY ONE OF AMERICA'S OLDEST BONDING CO.:ES 0 a , ACKNOWLEDGMENT OF SURETY STATE OF SOUTH DAKOTA ss (Corporate Officer) COUNTY OF MINNEHAHA On this 6th day of October 2010 before me,the undersigned officer, personally appeared Paul T. Bruflat who acknowledged himself to be the aforesaid officer of WESTERN SURETY COMPANY, a corporation, and that he as such officer, being authorized so to do, executed the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself as such officer. IN WITNESS WHEREOF,I have hereunto set my hand and official seal. +��Sy.yeyy,Ssyhhh��yhyg4h+ s S. EICH s s SEAL NOTARY PUBLIC SEAL s s�SOUTH DAKOTAss Notary Public—South Dakota +hhy��y5h�ti5ah5hhhhyyhhy+ My Commission Expires February 12, 2015 ACKNOWLEDGMENT OF PRINCIPAL STATE OF ss (Individual or Partners) COUNTY OF On this day of before me personally appeared known to me to be the individual described in and who executed the foregoing instrument and acknowledged to me that he executed the same. My commission expires Notary Public ACKNOWLEDGMENT OF PRINCIPAL STATE OF (Corporate Officer) ss COUNTY OF On this day of before me,personally appeared who acknowledged himself/herself to be the of a corporation,and that he/she as such officer being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing the name of the corporation by himself/herself as such officer. My commission expires Notary Public a z ❑ A a V E Z .Z'QCU w aa ¢ V) E d m cu w z w a o > Western Surety- Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota,and authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota,Mississippi,Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the United States of America,does hereby make,constitute and appoint Paul T. Bruflat of Sioux Falls State of South Dakota ;its regularly elected Senior Vice President as Attorney-in-Fact,with full power and authority hereby conferred upon him to sign, execute,acknowledge and deliver for and on its behalf as Surety and as its act and deed,the following bond: One Residential Contractor Town of Barnstable bond with bond number 24828475 for GF Rhode Construction as Principal in the penalty amount not to exceed: $ 5:000.00 Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety Company duly adopted and now in force,to-wit: Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary,any Assistant Secretary,Treasurer,or any Vice President,or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys-in-Fact or agents who shall have authority to issue bonds,policies,or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds,policies,undertakings,Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its Senior Vice President with the corporate seal affixed this 6th day of October 2010 ATTEST WESTE N U R E T>7COMPANY - By L.Nelson,Assistant Secretary Paul T.Bruflat Senior Vice President k STATE OF SOUTH DAKOTA ss COUNTY OF MINNEHAHA �We,-U . N� On this 6th day of October 2010 before me,a Notary Public,personally appeared Paul T. Bruflat and L. Nelson who, being by me duly sworn,acknowledged that they signed the above Power of Attorney as Senior Vice President and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the voluntary act and deed of said Corporation. }5hh5hyyyyyhyyhhyyy�e��yyh} ' s D. KRELL s S(SEAL)NOTARY PUBLIC(SEAL IS �sSOUTH DAKOTA�'? +hy5hyyyhhhhyyhhhyyhhyyh} Notary Public My Commission Expires November 30,2012 �ow_ Form F1975-9-2006 �~ - g 3-21—`?01 1 a 0 9 = 23tea, `pF 1HE Tpk Town: of Barnstable P OV lq Of ; RJ`# TA_0,'- o Regulatory Services f BARNSTABLE, :I Thomas F.Geiler,Director lid V �3 f ° Y MASS. mw c;t t apA 1639. .0 Building Division rED"�rp1 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 s Office: 508-862-4038 Fax 508 790-'230 AGREEMENT FOR ACCESSORY USE OF RESIDENTIAL'BUILDINGS:ASSOCIATED, WITH RESIDENCE ](We), the undersigned, , being the owner(s) of property situated at., in, MA,'holding.title under a deed recorded with the Barnstable County Registry.of Deeds or Barnstable County District Registry of the Land Court in f Boo23- , Page 7,56,or as Document No. being shown on Assessors' Map 000 as Parcel 000 296,hereby agree,certify,warrant and represent to the Town of Barnstable that the accessory,building to the residence located on the same parcel as above-described; which contains living quarters, is not intended for and shall not be used as a-permanent, separate,apartment for year-round or summer occupancy, for rent:in ally, fashion. t The intended and authorized use is for the occasional guests associated with the residential use on the same ( n premises. This separate unit shall not be used for a"Family Apartment''.(as defined in Zoning Ordinances) which , would require application and approval of a special permit and compliance with the Family.Apartment Rules and Regulations. This separate unit shall not be.rented as an apartment or as a single room, or in any fashion. which rental would be a violation of the Town of Barnstable's.rules,regulations,and zoning ordinances, This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose.of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated,which,shatl.run with the land and binding future owners. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. �J �h WITNESS our hands and seals this. ` day of _ 200 J vTOWN OF BARNSTABLE OWNER(S) . By. Uilding Commissionerjrl �` '�,.•••� •�.•\ i,� THE COMMONWEALTH OF MASS.ACHUSETT BARNSTABLE COUNTY,SS Date tt ` ` g Then personally appeared the above-named (owner), JUDITH L..KATrai1 ;�t� =�1�' s r \vim made oath as to the truth of the foregoing insu ument ke e me. ,� MLT:LOF lic C MM NWASSACHUS-7 S �.° 1HI..,iF �'yExpires 7ary7C .ub)ie ,= JL'y 23 20'^mi:ssion Expires: Q wordiaccessoryagreetnenl p" I - W_____-_-_J BARNSTABLE REGISTRY OF DEEDS + e �kG , CCU 'lrt N 7 IDN Town of Barnstable ti B Regulatory Services + AItNS"I'AIILE, i l rRAss. Thomas F.Geiler,Director Q3 i639• ♦e A�fDMA�A Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.nia.us Office: 508-862-40376' Fax: 508-790-6230 November 4,2010 Mr.Grant Rhode G. F. Construction 1666 Hyde Park Ave. Boston,MA 02136 Re:.80 Wachusett Ave.,Hyannis,MA 02601 Dear Mr.Rhode, On October 20, 2010 a building application was submitted to this office regarding the above referenced address.Please be advised that the permit cannot be issued at this time because of the following reasons: 1)the unsigned Resclieck was for an address in Cotuit The same form was also submitted for both the house and the garage: 2)there are no framing plans for the garage; 3)Mr.Siegel states in his letter,"These documents are being submitted to you and bear my stamp and signature."Pages SO,S1.,S2,S3,and S4 have no stamp or signature from either Mr. Siegel or Mr.Curl: 4)the existing side setback of the house(3.3')and the proposed side setback of.the .house Off) are within the 15'setback required in the RF-1 Zone; 5)the proposed front stairs are within the 30'front setback; 6)the proposed location of the rebuilt garage is 10.5'from the side property liiie;a 15'setback. is required: 1)the principal permitted use in the RF-i Zone is.a single family residential dwelling.The submitted plan.shoves an apartment above the detached garage. Items 4,5,6,and 7 require relief from the Zoning Board before a permit can be issued. Please feel free to contact this office if you have any questions: Sincerely; Paul Roma Local Inspector W ,, i own or rsamsraDie 200 Main Street . t Hyannis, MA 02601 �P Notice of Intent to Demolish or Move a _1 ,B ' Structure Is Building/Structure located in a Local or Regional Historic District: YES NO 7 [.IA.; 3 Pik 1: 13 If YES, Protection of Historic Properties Bylaw does not apply and it is not necessary to fill ,o�utt the remainder of this form. PRINT IN INK Date of Application: /V t AI'I-gym �T Z0/ 0 Building/Structure Address: Number Street Town State Zip Assessor's Map* 'LS'1 Assessor's Lot#t: O R3 Is Building/Structure listed on the National Register of Historic Places or on a pending list with the National Register of Historic Places: YES IN0 1 CcW-M'&riV G SlVW('rvrt a /W 4IY4NP✓tt LT How old is the Building/Structure: g 13 How Is the Building/Structure Occupied: Number of Stories: '�- Architectural style of Building/Structure,describe if not known: V r CToUJAP !;VMM 6Y-- (2dTTA6rs Material of Building/Structure: W o a 0 RAM 6- - IA/0 o 0 S N I N(sCCh V&L S Is this Building/Structure associated with one or more historic events or persons. Please list event,description or names: Pai-/F ;.,owpJ Type of Building/Structure and proposed work A1, uTrot✓S APJO /gyp N TI OWS� Explanation of the proposed use to be made of the site: S�"iti G , _- r Zoning District: Fire District: {{��.� Applicarifs Name: r`^cAAnz CvtL , CvfLt� AVoi t C?t/(LE Address: PO Sod C1 1 O 0 Cp CAM-U1L11D6as MA OTI 41 Numb�r Street Town State Zip Owner's Name: _1t rJDV4 Awt SWAM WY60 F(AY )t Address. 'tO CQE STwo 00 f laA 0 . NEw-(aW, kl!i O 2 q6 5 Number Street Town State Z/p Contractor: _E'0 N 0(71U S Address: W#V bAai rMq(.f- T4 40 4S(eVjL'L'1 /bl A Q 2 to 575 Number Street Town State Zip Program of Lot and BuildingtStructure with dimensions: Name: Town of Barnstable *Permit# C1 Expires 6 months from issue date 's Regulatory Services Fee �o trues Thomas F.Geller,Director Building Division X-PRESS PERMIT Elbert C Uishoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601w S E P` 0 2*1 Office: 508-862-4038 �. Fax: 508-790-6230 EXPRESS PERMIT APPLICATION Not Valid without Red X-Press Imp" Map/parcel Number . -_ C�— Property Address_ F4) (Residential OR ❑ Commercial Value of Work.&12-��0 Owner's Name&Address Contractor's Name d//� /e�'3 Telephone Number 7,7, /— Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 0workman's Compensation Insurance Check one: I am a sole proprietor [] I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# /r / r! Ujl Permit Request(check box) _ Re-roof(stripping old shingles) [1 Re-roof(not.stripping. Going over existing layers of roof) Re-side Replacement Windows. U-Value (maximum.44) Other(specify) *Whore required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature expmtrg C� �.� Assessor's map and lot number ��...................../.....-. 'C SYSTEM MUST BE CF T E t0 L4 INSTALLED IN COMPLIANC" QyK �f Sewage -Permit number .........��............. ......� r r + WITH TITLE 5 ......... ENVIRONMENTAL CODE Ali t BAHHSTADLE. House 'number ........�fd........................................:+..... �. ro rasa T �'P3ro f,•a''f !4 r z p 1639- �00� '>TE'C MAY a• TOWN 'OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... C,�IUP:(-C::........................................................................................... TYPEOF CONSTRUCTION ...................................................................................... .............................................. c D.s...... .1915 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to .the following information: ... ................. . .... .......� . "� >Location ..... ........... �Av. � ......... Proposed Use ..... �� .Q...VT3N ..............:......:.............................................................. .............:............................. Zoning District ........... ...................................Fire District ........... .. . ...p�. . ...........y ` l p..� .... ......................................................... Name of Owner ....1; `�.L......VQ.!T.aal(....................Address .....!.p......�^'� F�US ( .....:�Ut:.....�':�.�"ONl) Name of Builder ...L-JJAr�;-(.....P...:.U.n(-.1-0 ...........Address ......... .......A... Okl!'WRz. Nameof Architect ..................................................................Address .................................................................................... " - `�L pry Number of Rooms .... .............� .......................................Foundation .... ..............1 ':..................................... Exlerior ....Cr«PPN&. g ASPON. FloorsW Q� ' ................................................Interior ��V.&. .L.............. ........................ ................... ... ... ......... ........................................ Heating g .4°o'� C'� Plumbin ...........................................:............................... Fireplace ..................................................................................Approximate Cost ........... .E... ..... ......... ...............�....... o .. �. Definitive Plan Approved by Planning Board ________________________________19________ . Area .......................................... Diagram of Lot and Building with Dimensions Fee // l..�,..a.......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Tow rns le a g the above construction. Name .. . ......... ., ...................................... Construction Supervisor's License ....0.l03.GLI........... DOHERTY, GERRY No .27470 Permit for ............Remodel Dwell...............ing _ r`Siz4gle-Fain lyADw&-ling.................... s .)Location ....80..kJac:htt.s..AuenUG................ •� _ : Hyannisport -, Owner .... erxy...Whexty................................. Type of Construction .Frame............................ 1- _ t................................................................................ _ Plot ............................ Lot ................................ "' J -7 r ti Permit Granted .......January `:......19 85 +=� 7 � Date of Inspection ...................................19 Date' Completed �� ..�1.......... 9....19 Y r i i^ Assessor's map and lot number.... .J..../.....�:.j�..��--� oSTHE tO Sewage Permit number L`n O Z 339SH9TODLE, i House number ...::........ 9�O rb 9 �0 s� 7 \0 MPY of, TOWN OF BARNSTABLE-- ___ � � +� BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....!..d�Qvk—F........................................................................................... TYPEW CONSTRUCTION ..................................................................................................:................................... l/.. . .,9./5 ` TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: c Location .....S ...........�r✓Pt�µu.s.�, �? ....... . ............... iYAU�S........ >... ProposedUse ...... .F.:-:KC(T 1................................................................... ......................................I.................... Zoning District ....Fire District — i�Y .' �S0 W «�uSF.�tiS fur Name of Owner ..... -r...............� . ...................... �;a �N�S i Name of Builder ...dad. ANT"'(.....n....(AR .kCk...........Address .........(x .......LNut........IIYAV93 Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .... .......................................................Foundation ......................... (`...................................... r— Exterior .... .r.®. ............................................................Roofing ...........AW.W-�.l ks. ................................................ Floors .Interior y.�ek.c fv0 Al g o,o ico Heating ..... F�..............................................................Plumbing ........................... ................................................. 91 —�...... .D Uuc Fireplace ..................................................................................Approximate. Cost ................,...................•................................. '.+ 1, Definitive Plan Approved by Planning Board ________________________________19________. Area 4 �! ..(f/�G.................. ....... Diagram of Lot and Building with Dimensions Fee 4� SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town' Barnstable rega dung the above construction. Name ......I......... . Construction Supervisor's License ...S. DOHERTY, GERRY A7--287-083 No ..27479.... Permit for ...RE*IDEL.DWELLING Single Family Dwelling ............................................................................ .. ..... ........ _ Location ...U...Warl=et 4-A.VEZ'Iue�.� Hyannispc)rt ............................................................ ....... .......... Owner ....99XAT..D.Cherty................. ............... Type of Construction .................Frame......................... ............................................................................... Plot ............................ Lot ................................. Permit Granted ..... A .............19 85 Date of Inspection ....................................19 Date Completed ......................................19 Foundation Certification in Hyannis Port, MA . Prepared For: Andrew J. Hayden, et ux. Assessor's Map: 287 Lot: 083 Baxter Nye Engineering & Surveying Community Panel Number 250001 0006D Registered Professional F.I.R.M. Map Zones: C Engineers and Land Surveyors Plan Reference: 111130 N E'ly half 28 & 37 - W'ly half 30 & 35 78 North Street, 3rd Floor Deed Book 17,069 Page 094 Hyannis, MA 02601 Phone — (508) 771-7502 Fax — (508)-771-7622 Owner. Andrew J. Hayden, et ux. Job Number. 2009-030 Scale : 1" = 20' Date : 05-10-2011 A'A.Sf1lNG7Y»1►r AYE11r�• TOWN WAY 45 FEET WIDE BENCHMARK: M AG NAIL EL s 21.3' NGVD S 8338'15• E 100.00' AM 287 Pcl 083 20,000 SO. FT. t 0.46 ACRES t o I � J 24.0' p S GARAGE FOUNDATION g Cr LOCATION DATE: b 3 MAY 9, 2011 a L7 g Z 2 24.0' y TOF 12.$' $J EL =22.3• HELD H FND NS F' W 17.5' t Z `\ !j � 'IF EL EL=22.2• iy U � v Mi ZZ N . VS = �_.�� 8.6•'D y N 5.5 11.3' 13.s' FOUNDATION ' W LOCATION DATE: i MAY 5, 2011 cm FOUNDATION N w W LOCATION DATE: 13.6' � Z 1ss MARCH 21, 2011 5.5' j 00 S `TOF EL zz.s 5.11 FFF== = • M Q LL g '30.T 1 s' ^ Q s.o' 15.9' 3 n O 13.3 ^5ry it W 6� m n y n li _ o s. 6 N 10.6' to O J Q HEBL�p H 75.00' ,1 FND O 100.00. 0 N 83I8'15. N! 175.00' Tp w WIDE w s Y I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING STRUCTURES SHOWN HEREON ARE o LOCATED IN RELATION TO THE MONUMENTS SHOWN AND ARE NOT LOCATED WITHIN A SPECIAL t FLOOD HAZARD AREA. �� wC. � THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. �ttj 4y ]_ to 7& 1 �1::—; —t�---L 1 L11 o REGISTERED PROFESSIONA LANDS VEYOR N BAXTER NYE ENGINEERING & SURVEYING DATE N G.3;� —J G' i 1 O 0 GENERAL NOTES e\ •\ 1.) THE INTENT OF THIS PLAN IS TO SHOW PROPOSED WORK AT LOCUS 1 2.) LOCUS AREA IS COMPRISED OF ASSESSOR'S MAP 287 PARCEL 083 �;�► ° \ \� \ DEED BOOK 17,069 PAGE 094 \ J oc" i � �'\ - G�� '►' t EASTERLY HALF OF LOTS 28 & 37 I NES'tERLY HALF OF LOTS 30 d 35 AS OEFN�ED AT PLAN BOOK I I I PAGE 30 N PLAN DATED: 1872 AND HAS NO BEARINGS. DISTANCES OR AREAS ,%' OWNER: MIDREW J. SFUNNON S. HOYDEN ` \ v� 20 CRES'11MOOD ROAD '�)�. p+� 1i e �'�.• s �„ G \ �� S WEST NEWTON, MA 0205 h H If 'a '' ' ' H YA N1YI S „ ,� s • O 3.) PROJECT BENCHMARK: AS SHOWN ON THIS PLAN l ••.'. • / • � II `! ' r,� DATUM FROM PREVIOUS WORK BY BARTER do NYE, INC. 4•) ZONING INFORMATION LOCUS MAP Scale: 1' = 1000' � �� /�� =, '`� / \.� ��ti ZONING DISTRICT : RF-1 (Roklentiol) CURRENT MINIMUM ZONING REQUIREMENTS: MIN. LOT AREA - 43,560 S.F. MIN. LOT FRONTAGE = 20' MIN. LOT WIDTH - 125 / ,� ry� / \ i \ \ `�► FRONT YARD - 30' SIDE 8: REAR YARD - 15' / 15' AP OVERLAY DISTRICT �. \J / �o`° ; / o�G✓ / �,, \ 5.) A TITLE SEARCH HAS NOT BLRN PERFORIED FOR IRS SITE IF DEIERMNVED �-401 TO !E NECESSARY, A TIME SEARCHH SHALL BE PERFORMED BY OTHERS. 6.) THE PROPERIY LINE INFORMATION WHOM�N IS BASED ON CURRENT AVAILABLE RECORD �� J1,• \ / F / / �0 ,� ,' IEORK47KW OONSISBNG OF PLANS, DEEDS AND PREVIOUS WORK BY BARTER & NYE. INC 4`� , tic THE EXISTING FEATURES SHOWN HEREON WERE OBTAINED FROM AN ON THE GROUND FIELD 4f F A \ SURVEY PERFOR 0 BY BARTER NYE DIONEERING & SURVEYING ON AXY 9, 2009. o,`� O 7.) COMMUNITY PANEL NUMBER: 250001 DOW QQ0 ' ,/ --_ok / ./ ti THE FLOOD IHSURA4M RATE MAP DUINES THIS AREA AS ZONE C. A NON-WIZARD AREA. tK ENVIRONMENTAL `' �� \ GYP / �_ _ � 0 ,o• I R \ I ) ,I0 t��/• �F �� i >'� 8• GOB / �' '��' •SITE IS NOT WITHIN AN A.C.EC. (AREA OF CRITICAL ENVIRONMENTAL CONCERN). o \ • SITE IS NOT WITHIN AN AREA OF ESTIMATED HABITAT OF DIRE WILDLIFE PER / NHESP MAP OCTOBER 1, 2006 'EST MATED HABITATS OF RATE WDL W FOR USE WITH THE MA WETLANDS PROTECTION ACT REGULATIONS (310 CUR 10).- 41 G1'y'�P \�"�% ' ; �� 0 � ,'� / / J \, •SITE DOES NOT CONTAIN A CERTIFIED VERNAL POOL PER NHESP MAP OCTOBER 1, 2006 ' \ C'�,P '� � �� •, / \ TER'IIFIED VRR K POOLS. �� SITE IS NOT WITHIN A PRIORITY HIBtTAT PER NHESP MAP OCIOBER 1, 2006 'PRIORITY O�`E- ' 1x0 } ^� -� O ��r�T 6i �G �'C'i �i' / 4 HABITATS OF RARE ST "5• FOR SPECS$ UNDER THE MASSACHUSETTS ENDANGERED SPECIES ACT. REGULATIONS (321 CMR10). ' y>� 0 1`I' �' / O� \ • SITE NOT WITHIN A STATE APPROVED ZONE I GROUND WATER RECHARGE H'IQO�ECTION !g SITE IS NOT WT1F#N A ZONE OF AONIRIBUTION TO A SALTWATER ESTLtARY (B O.H. 360-45). of \ ��,� ��,• yak Q' ' " O �, ;'� // ��' 9.) UTILITY INFORMATION SHOWN HEREIN: \\ \ �(J � ' , \ �� •THE CONTRACTOR SHALL CONTACT DIG SAFE (AT 1-888-DIG-SAFE) AND UTILITY COMPANIES TO LOCATE ,' �, O• �/ ,/ per J\ ALL E)OSTING UTIITES, AT LEAST 72 HOURS PRIOR TO THE START OF CONSIRUC110N. THE LOCATION OF o' O• / i '��• "� MADOW Y 8E LIINTED TO THOSE SHHOIMN HEREIN AND HAVE BEENRESEARCHIm BASED ON THE - \ a WAY UTILITY RECORDS NOTED HEREON. THE CONTACC'TOR AGREES TO BE FULLY RESPONSIBLE FOR �' ' _,1 ANY AND ALL DAMAGES WHICH MIGHT BE OCCASIONED BY THE`OONTRACIOR'S FAILURE TO LOCATE SAID s' AND UTKITIE'S D ACRY. 'N• CONDITIONS DIFFERS FROM PLAN INFORMATION, THE QQ• \ ,� i \ / i r \ 5•' CONTRACTOR SHALL NOTIFY'THE ENGINEER BMfDfAIELY FOR POSSIBLE REDESIGN. 0 'G' • EXISTING SEPTIC SYSTEM INFORMATION OBTAINED FROM TOWN OF BM�WABLE TIE CARD 98-647, DATED 11/06/98 BY A d� B i O°BY FAX: 07-15-2009 00 WAT ER LIE SHOWN ON THIS PLAN FROM HYANNIS WATER DEFT: DATED 6/14/94 BY FAX DATED: 07-10-2009. ---- - -\ ' ' .o ' !� • A GAS METER US LOCATED AT LOCUS AT THE THE OF SURVEY. GAS:LINE AS SHOWN � - ____ -__� �p0 ON THIS PLAN FROM MAP PROVIDED BY NAITONW. GRID Jl1LY 2009. --a---- ---' ' , \\ � , , 0' ELECTRIC LINE SHOWN ON THIS PLAIN WAS FIELD LOCATED INDICATING OVERHEAD SERVICE ,E. o'y FROM UTILITY POLE 17/2 ON WACHUSETT AVENUE BY FAX: 07 10-2009. J r1 �� o �b• `' 0H y�v\� �F.• /,' •�l►: SITE LOCATION 80 WACHUSEW AVENUE oHw—' P ev HYANNIS PORT, FIA ., 02"7 �o \ PREPARED FOR .� P � ANDREWI J. & SHANNON S, HAYDEN \ \• o ,� \ • t. TITLE ------ --------- \ Septic System Plan \ + CP - - BAxTER NYE ENGINEERING & SURVEYING 1k, ICI' GP OZ EL GEND Registered Professional \ ��• \ P — � Engineers and Land Surveyors �� 78 North Street-3nl Floor Hyannis,Massachusetts 02601 o eouNo Phone- (508) 771-7502 Fax- (508) 771-7622 HOUSE TO BE'U"M AND FULL FOUNDATION � TO 8E NEW FOLINDATKWI SHALL i e HYDRANT �ZH OF At4 C �O �• Bid, \ �°' `_ ? -" BE 24• FURTHER OFF LbT LINE (NEW OFFSET s,S). \ _ ----------- - cry + 5 �' ----- -0- UTIUTY POLE . 10 0 10 20 TE'PYFN g C. GUY WIRE No.so2te J- •� `\ ��.• \ \�, 0� SCALE IN FEET � C' �, `Dp ' 2-P Jg D4 WATER GATE 1"= 10'Ir Tti J. 451 \ ,cam \ O� Qo ��.• t 0 ELECTRIC METER G g \\ `x;_ •�Q' • j ® GAS METER \ o `----- ----•-- - cow-- OVERHEAD ELECTRIC UNE \ Fy ------- --- DATE: 07/08/10 w WATER UNE — - 2 SAW 10/4/1 REVISE PROPOSED HOUSE d< GARAGE LOCATION col 1 SAW /29/1 REVISE PROPOSED SEPIIC/A00 aD. NOTE HNO. BY DATE REMARKS 10, \ WN DESIGNEDW DRAWING NUMBER 0: 2009 09-030 CML PLO 2009-030-SEP2.dw 2009-030