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EXWMmm!D SYS'T cr Date Definitive Plan Approved by Planning Board UMT� Historic-OKH Preservation/Hyannis j ca Project Street Address tY9We_ cr' T Village Owner e;Gr) Address �� r Telephone i o`� ' '_ /� W r Permit Request � �� ir°r M-� � ' )) _ _ __ , IV Square feet: 1 st floor: existing proposed nd floor: existing proposed Total new _ Zoning District Flood Plain Groundwater Overlay Project Valuation '� Construction Type LA-W-660 Ae, 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: Cl Yes ❑No Basement Type: ❑Full W-Kawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ] Basement Unfinished Area(sq.ft) Number of Baths: Full: existing I new 0 Half:existing new F Number of Bedrooms: existing.new Total Room Count(not including baths): existing —new— First Floor Room Count Heat Type and Fuel as ❑Oil O Electric ❑Other Central Air: ❑Yes bx Fireplaces: Existing New Existing wood/coal stove: ❑Yes " ❑No Detached garage:❑existing .❑new size wool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new sizeNo ed:❑"existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes,site plan review# - Current Use Proposed Use BUILDER INFORMATION Z�6 91-6 1+72 ""Name D1� D wi Crl�� Telephone Number /�4'r Address b tdd2 ;1�� v3 License# l c�g W k9 Home Improvement Contractor# 3 D% ® '23 Worker's Compensation# ��, tr.0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILLBE TAKEN TO Ae-w SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. , • ` ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME Id :D INSULATION 1 a/4/A�� }.. FIREPLACE ELECTRICAL: ROUGH FINAL - - - - PLUMBING: ' ROUGH FINAL GAS: ROUGH' FINAL FINAL BUILDING r r ' q ,f DATE CLOSED OUT ASSOCIATION PLAN NO. 1 i RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 r Alterations/Renovations $ 50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE q - do square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000'sf. 75.00 >1000 sf-- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00 (number) Deck.._. ..- _-. _ x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 �,. Above Ground Swimming Pool $25:00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost '" Rev:063004 Town of Barnstable ' Regulatory Services j f 13 F Thomas F.Geller,Director v�plEo MAC k~�� Builcilag Division Tom Perry,Bullding Commissioner' 200 Main Street, 4yannis,MA 02601 0ffice: 508.862-4038 Fax: 508-790-6230 permit to. . Data • AFFIDAVIT ' HOME UORO"YEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL e.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, -improvement,removal,demolition,or constriction of an addition to any pre-existing owi.er-occupied bOc7 ng containing at least one but not more than four dwelling units or to structures which are adj scent to • such residence or building b e done by registered contractors,with certain exceptions,along with other requirements, ; • Type of Work,-,Rc J 0&&j W^JJ S Fstirn4ted Cost CI'� Address of Work; Gr) roll ^� Owner's Name; LA— Date ' of Application• 2< °� I hereby certify that; Registration is not required for the following reasons); DWork excluded bylaw ' []Jab Under S 1,000 ' []Building not owner-occupied []Owner pulling own permit , Notice is hereby given that; OWNERS PULIMG THEIR OWN PERMIT OR DEALING WITH UNREGISTERED COIFTFUCTORS FOIL APPIAC4,LEHOME IMPROVEMENT WORKDO NOT MOE ACCESS TO TEE ARBITRATION PROGRAM OR.GUARANTY YM UNDER MGL c.142A, bIGNED UNDBRPENALTIES OF PERJURY Ihereby apply for apermit as the asnt of the oyr4en Date Contractor htame Registratzonhlo. Owner's e , _ The Commonwealth of Massachusetts Department of Industrial Accidents' _ 600 Washington Street Boston,Mass. 02111 . Workers'-. Com ensation.Insurance Affidavit-General Businesses - ' �'s«•Ji , :Na, rojst!a• ✓•'•4F r"T„,„•. ,. • - • ,, �.'a� ..: ':tw•§1 name: address t�( ��{ .• state•`�� '� zi : hone# .. •. '��� `� work site location fall address): I am.a sole proprietor and have no one Business Type: 0 Retail❑RestaurantBar/Eating Establishment working in any capacity. [I Once[] Sales(including Real Estate,Autos etc.) ❑I am an em to er with ein les�full& art tim�: ❑Other �I am an �loyer providing v,�orkers' compensation for my employees working on this job. coin' in •'east `. � �•' '�'` - eaar insiirarice.co"• - 4e- .i. .,Y !Viet.wiK%,. Ol1C. •#�• ••• ^.� ^<V�•: '• / J .0 I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: com an name—:.._ ...+.:.5".•':. , ,:.:,...r ...:."•':' .:yid:': �• ;,.... .::i'::f.. "e:'i.:: "s•.: • ... f:,:%,,' ,^.y:..;9. -.�' address: ':�•.^' Phone" ' ci` — — insurance co. -`a}` I 117z11111j ,!:•::: ::i::�.. •,i.,+ ;••9' Wit;, ''4: address'. ' cif,•• �uhoriE:#c• -•;'. '',;• f• `� :4 insurance c Y ,.,. . Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$4500.00 and/or one years'imprisonment as well as civil penalties in the,foim of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that it copy of this statement may be forwarded to the O, of.Investigations of the DIA for coverage verification d thins and a des of perjury that the information provided above is true and correct. I do hereby certi an Date Si�aature , � �J ;V?r * • Phone# • Print name _ -. official use only do not write in this area to be completed by city or town official city or town: p!=Aflicense# DBuilding Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (7evised Sept 2003) + Information and Instructions Massachusetts General Laws chapter�152 section 25 requires all employers to provide workers' compensation for their. employees: As quoted from the law', an employee is.defined as every person in the service of another under any contract of hire; express or implied; oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or m ore of the foregoing engaged in a joint enferprise, and including the legal representatives of a deceased,employer, or the receiver or trustee of an individual,Partnership,. association or other legal entity, employing employees. However the owner of a dwelling house hawing not more than three apartments and who resides therein, or the.occupant:of the dwelling house of another who eirrployspersbiis to do.maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such,employment.be deemed to be employer. .. MGL chapter 152 section 25 also-states that every state-or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the.cOmmonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any.of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting . authority. Applicants Please fill in the workers'compensation affidavit completely,by checking the box that applies to your situation.. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department-Of Industrial Accidents for confirmation of insurance coverage. A.lso'be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being artment of Industrial Accidents. Should you have any questions regardin�'the"law"or if you are requested, not the Dep ers' compensation policy,please call the Department at the number listed below. required to obtain a:work City or Towns . Please be sure that the affidavit is complete and printed legibly. The Deparment has provided a space at the bottom.of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill.in the perrrrit/license number.which will b'e used as a reference number. The.affidavits.may.be.returned to the Department by mail or FAX unless other•arrangements have been made. The Office of Investigations would hike to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Departrnent's address,telephone and fax number: The Commonwealth Of Massachusetts _ Department of Industrial Accidents Dina of Wesftdlons 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 exL 406 7i0 CMR Appendk i Table AL1b(continued) Prescriptive Packages for One and Two-Family Residential Buildings Hated with Fossil Fuels • MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab Headug/Cooling Area'(*/a) U-value= R value' R value' R value] Wall Perimeter Equipment EtTcicncy' Package I I R value° R-value' 5701 to 6500 Hating Degree Days' Q 12% 0.40 38 13 19 10 6 Nomud R 12% 0.52 30 19 19 10 6 Nomud S 120/6 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 N/A N/A Normal U 1 15% 0.46 38 19 19 10 6 Nomud V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X IS'/o 0.32 38 13 25 N/A N/A Nomwl Y 19% 0.42 38 19 25 N/A N/A Nonni_ Z 18% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: V 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: l 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J r Footnotes to Table J5.2.1b: I Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, 'and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fl of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation. thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as,above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement &:scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes elearic resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest.city or town see Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 Town of Barnstable p4'SHE fOh� �.� Regulatory Services Thomas F.Geller,Director SWIMS MASS Building Division 'OrfD FM'� Tom'Ferry, Building Commissioner 200 Main Street, Hyannis,MA 02601 . YMM.town.b arnstable ma,us Fax: 508-790-6230 office: 508-862-4038 Property Owner Must • Complete and Sign This Section If Using A Builder as Owner of the subject property I, ®�� f l to act on my behalf, . hereby authorize in all matters relative to work authorized by this building permit application for: (Addres f Job) Z 3 ignature of Owner Date f Print Name IJul 2.2 04 09: 1.7a JOHN / VICKIE DELSIGNOR 15082791531 P. 1 � - _ iZuard of Quildie¢p f��'G�soc�t .6 a uPations and Standard_ OME IMPROVEMENT Reglatralion: bfVT License or registration v 130295 before the ex acid for individul use only Expiration:. N12006 Board expiration date, If found of Building Reguiations rtturn to: Type: DBA One Ashburton Place Ben and Standards DELSIGNOR Basron,1Na,ton P' 130, JOHN DELStGNOR 02)08 50 ARThURS PL. BRIDGEWATFR,AAA 02324 Adminiytratnr .. Not valt without Signature` - - r i r �1 Board of (ding PR egu)agons 1104le and 3tanaara® R tra .., EN CONTR,gCTOR { 1• L., 136295 DELSIGNO T aBA JOHN D SI STD CTION. r 50 ART ►'L.iL R 1 B/ ATER, _.......:.....__.--^ski yyyys i i I�tI W A B$62 C; � J 81s89 M TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# r7°175 1 Health Division- 'Zi G )a Loy Date Issued )6N `- Conservation Division i It Otil 'f�l� Application Fee '' 0-0 Tax Collector ��/6>` Permit Fee - IOZ �� Treasurer 2 ® pTIC SYSTEM MUST BE 3TALt 'T6T�,E 5 NC Planning Dept. Date Definitive Plan Approved by Planning Board ' _14 oo ENTAL CODE A ND IONS Historic-OKH Preservation/Hyannis Project Street Address ��~f J9 65w-c_ Village ����-� iZI��-�Owner' l`tT 4 Lem rj YVjV-e_ �-7 n Address -� / nn t—)5 1 f -� Telephone 0 7 9 A y •?8/ 0 U (o 1 7.17.3 - �✓c��r Permit RequestEqL a/,ftoo y P Square feet: 1st floor: existing proposed 19 6 2nd floor: existing proposed Total new�b Zoning District Flood Plain Groundwater Overlay Project Valuation z)�D Construction Type o+r -e— Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family "a Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full 21Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new ' s Number of Bedrooms: existing_ new Total Room Count(not including baths):existing 12 new First Floor Room Count Heat Type and Fuel: Mas ❑Oil ❑Electric ClOther Central Air: ❑Yes zoFireplaces: Existing 0 New C- Existing wood/coal stove: ❑Yes Detached garage:❑existing ❑new size,N®4Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size 1W Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION . Name h of Telephone Number � 7 9, Address S LL:AU0 License# l S ©I r 2i e-Id A te.— Z.3 Home Improvement Contractor# 1 3 Worker's Compensation# o o 7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO C.0 C da i Y% �. fiber SIGNATURE 4^ d DATE FOR OFFICIAL USE ONLY PER9fT NO. J y DATE IS"WED MAP/PARCEL NO. ADDRESS VILLAGE ` r OWNER _ ;t DATE OF INSPECTION: FOUNDATION FRAME INSULATION O o FIREPLACE '¢ ELECTRICAL: ROUGH FINAL ` 'F PLUMBING: ROUGH FINAL_ GAS: ROUGH FINAL FINAL BUILDIN -7ll6Y I; DATE CLOSED`OUT, ASSOCIATION PLAN NO. ' Jul Q5 04 03: 46p JOHN / VICKIE DELSIGNOR 15082791531 p. 1 /776 r � , 'r LXf I ,;j�, �/�>✓!,!�iGllt7lt rit!!/E'nlr/4(j•;�,.�+ Board of Building Regulations sod 5lt a Bard NO"'UPROVEMENT CONTRACTOR license or registration Valid for iudividul use only _~ before the expiration date. Registration; 136295 Board If found return of Building Regulations and Standards E"iratiou; 71gn006 One Ashburton Place Rm 1301 s Type. 08A Boston,Ma.02108 DELSIGNOR CONSTRUCTION JOHN DELSIGNOR"' 5f)ARTHURS PL. BRIUGEWATER.MA 02324 AdmYolstratorNot"alM without sip3storc �FtHE t Town of Barnstable Regulatory Services i BAfiNSrASLE, = - Thomas F.Geiler,Director MASS. $ - `bA 1639• Aim Building Division {" rED MA'S Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION t MGL,c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. I Type of Work: IW ti A-G[d,-LtIa'^) (zj_wC�w h%Lrs Estimated Cost CC), 0V Address of Work: `4 Owner's Name: Date of Application: y i—a- 2-0/ I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 QBuilding not owner-occupied ❑Owner pulling own permit Notice is hereby given that, OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: �V Lf1U Registration No. Date Contractor Name U ZAy OR � ® ��� Date Owne ame Q:forms:homeaffidav 7f0 CMR Appee - J Table JS.Llb(continued) } prescriptive packages for One and Two-Family Residential Buildings Hated witb Fossil Fuels a MAXIMUM MINIMUM Glazing Glazing Ceiling Walt Floor Basement Slab Heating/Coaling Area'('/e) U-va(uei R-value' R-value R-value° Wass l'aim Equipment EE1•icienry' Package R vaiue� R value 5701 to 6500 Hating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15'/e 0.52 30 19 19 10 6 8S AFUE X 18'/0 0.32 38' 13 23 N/A N/A Normal Y 18% 0.42 38 19 25 N/A N/A Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 19% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 1106 3. SQUARE FOOTAGE OF ALL GLAZING: (� 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a RESIDENTIAL BUILDING PERMIT FEES . APPLICATION FEE New-Buildings,Additions $50:00 Alterations/Renovations 00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET -TV S NEW LIVING SPACE s 004 square feet x$96/sq.foot plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.fL= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf—750 sf 50.00 >750 sf-1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit:= x.0031= _ square feet x$96/sq.foot STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) x$25.00= a o (number) Inground Swimming Pool $60,00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee lob ° e > proj cost r The. Commonwealth of Massachusetts Department of Industrial Accidents - — Office URNOstrOUgHS 600 Washington Street Mass- 02111 ._._ '• Boston,M • `3 Workers' com ensatioa Insnz ance Affidavit IN JI r A L1,9 lam-. iR oration KL V11 hone# Cl I am a homes performing all work myself , ❑ I am a sole etor and have no one worldn in ca acs //%%///////%/%////%//////%%///////%///%//%%%/%%%%//a%90/10e////% wo%%%%�os///////b//////%%////%%%/%�/ I am an ea lover roviding workers comers ,F} ;r. 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'}Yt+.} {� ;o r}r 6., >••4."r.• IMPOSE a.� r x5 3 4�•< a te',i9 y, C; 2` ar C':tn4�s'li:j R,o�'i.r..ileti•�a k�:,•:5.,:.:»Y...G' Il�u¢:7f k�F ..l.• F ur r .��>r�v�... .i. ,rit}a+ :;''�:•°fi133f'i•::fiiMiC.'<:ih''{ ,a,•ra}.; t2. a. l S !,. .}.• y Y iw5: 4' }. �fy°itLi °^!C¢r2 ;SR. •' wt:ffi•b, .;. `3r :7r': ,af'T°. �a a'• i'c�'.fi} ,yaaa A .:a"�:{,G,::.i;: X' ;• S�? ' '•}'iwr'•. "u},.::..,}.c'; i } }r#�A�e4 � £ +, f'r.i ^f{'; n:. i,.k• #, ' ' r:,':.•`,•!.'awi; 'r' : t a .ta;Y� {7wusv � ` 'st tt]I4FEIICb�xt` QO tosdlor • rnaltin Of IL tbte rrp to Sl,SQ4. g,�mre to ucm a coverage as regtdred*order'Section IS&of MGL 152 cm iead to the imposition of abdnsl p one yam+}mprisonmeat a+Ven a,civa p� s n th of Inveof sL S OPof the C for ccoverazg veriitcation o0 a chy against me: 1 mmderstmd that p copy of this statement may be forwarded to the i I do hereby c the p ' d penalties of perjury that the infanrtatinn provided above is into and cortefZz V Date signature �( Phone# S"-b `Zi Print name do not write in this area to be completed by city or town oMdal orgdd,useanly . ❑B�dngDeP��} permitAicense# - Qjicensing$card dry or town: Qsdectmen'i Office Q th,&jfimmed1zte response isreOntl QHeslthIlepastment ❑other phone#; eontactperson:' �a giros PAN From:ROGER KEITH & SONS INS. 1 508 583 8478 05/2312004 15:14 #767 P.001/001 JUN Z3 z004, 1 5: 17 FR LIBERTY MUTURL 603 43 1 5630 TO 15085838478 Liberty Mutultl Group Liberty, PO 8o;i 8090 u��d_7 Y- WausatL Wl 54402-8090 i Telephone(800)65,7-7893 Fax(715) 841-2649 Julie 23,2004 TOWN OF BARNSTABLE 367 FAIN ST HYANNIS, MA a.IZi l- RE: Certifct<tc of Workers Compensation Insurance Insured: JOHN DELSIGNOR DV A JOHN DELSIGNOF,CONSTRUCTION 190 BRA LE"Y IN BPjDGEWA'TER.M?, U2324 Polity Nainber: WCS-31S-490604.053 eftctive: 12111112003 Expiration: 12/10/2004 Covertage afforded under Workers Compenaation Law of ilia following state($): Ernoloy s Liability: )Sodlly Injury by Accident: $ 100,000 leach Accident 9odily1n1urybyDiseuac: $ loo,ow EttichPcrson Bodily Injury by Disease- ,S 500.000 Policy Limits As of this date,the above--referenced policyholder Is invited by LM Insurance Corporation under ttsc policy b9ted kibovc, The insairaance alTofdcd by tl,e listed policy ie liubjaet to all dic terms,exclusions tend conditions.and is not altered by eanyrcguiremeni,term or condition of any or other documents with respect to which this cerdflcate mov be Issued. This em'tificate is issued as at ataatter of iniortnauon only and confers no right upon you,WB cerdflcaato bolder. This ea:sti£icatu is not tins insurmtice policy ojid dots not amend, "tend,or alter the covcruge allardod by the Policy listed above- rf this policy is cancelled before the matod axpira)tian date,liberty Mu41,11 will utaieasvor to notify yoc.a Or such concollat{on.'� � T <,_ A117IiVft(i.LD RL't'ttISRNTn'rlvr, 1JU1-'W1'Y Kr1-tIAJ.INNZSRANCI:MOW 'ttlir�'r"Aui:ym�wueueati by i.f[aiSit'IY MU 1UAi.IN5l1a+,ANI'L•Gaa.i9i 9';w r,ritvts�yuvh In�NMNCC fCl I:•d!{itl�Iu.I alY tllnpe Ca1I111t011"•: cc: U)surcd: Produces of Record, JOHN DELSIUNOR ROGER KEITH& SONS INSURANCE DBA JOHN DELSIGNOR CONSTRUCTION AQLNCY INC . 1%)BRADLEY LN P 0 BOX.1067 BRIDCEWATU, MA 02324 5KOC'KTON.MA 02,304 ** TOTRL PRGE . 01 y: - 4 °F1 r Town of Barnstable -Regulatory Services Thomas F.Geiler,Director HAM 94,P 1639• •� Building Division - 1 Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-862-4038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as.Oainet..of the.subject ptopettp ...._..._. .: ' to`act on m .behalf hereby authorizer Matters relative to Work authO=.ed•by-this building-pe -t•application for: in an . (A ess of Job) Date signstute of Ownet ! of Board HOryxtE IM�P_u. din g R'"Ia tions and Standa raBROVEMENTcONRRe9lWit. cr°R E. 136295piraton: d{7/8/2004 DELSIGNO TYpe R CONSTRUCTIpN. JOHN DELSIGNOR =. 50 ARTHURS PL. J BRIDGEWATER,MA 02324 _ - � Administrator b / BOAR License CO OF DIM Gjj NSTRU REG G NumberGCS Cr101V SUPERVI O1yg ��4Ti 4 Birdate 0.3� 081589 SOR ' f':. Farptre -�V 2006 JOHN Rest T SpgR G �ECSIGNd QQ r no: 81589 SR1bGEWRS PLgCER r ATER. Mq Adthigishator yy 55B \�.'�FBiHiie uo ut"er•�J` ��tT a ��e;�S 63§ �`r• ,Wr..nEu+s is FBawatrfo'.9 iLl$ ��Egi;�Y Br FEOEBu tRW VI(ILATIOHa qi qj}���E � FUnISWBfE Br hnFB UP •<•O ary 1y�1 g'��.d i0UB10C`�10 RB OFFEnSE •G y�,j�'••• Atl iHf OE5GnEa TO �p)� . - ��`_��`. OBi Of iHILAI C�OFIES•••/r�/ FGAL S� � ® ® ® o 00 4 � and r � i o I I --- - ---�-- ---------------------------;-------- L-- -----------------ti --4-�----------------J p. F�oNT ELEVp.TIoN u � -� / \LEFT ELEVATION oil 4. I Sat r_ A - i _____________l, . r-- --- -Y-------- ----------- ,pulp p o 0 I � _ EA ELE b as � ----- ' 9 "SIGHT ELe _ATIoN V d3 a � "..eer nurHsea. • �a�700 E • xTNESE LnS t E agB • ��.•WTMESE PlM12 BK.•-O� . ��•• IM'xEnN4; PxOHI, •. S IEDEML \KxbEAnOHS S C 16�r.'{a E EKE ' - - T u2 PUNLSHE BY flxE2 Uf � s f� 73 j - B D os emwn vveux .�Z....N.warW"•�Y ••. N SEW,M.PEN OFFENSE —TM6flESIDN m •. Q" . w.H..w.W...r14 "• M—LEM Of CONES v 9�j••••, ,HIS NAM ," Q . _ _ ...we.«u.•I v.i 0 CC`�a` him kit �1 AL- TYPIC t3UIL�ING hEGTI�I 5s h.00 l 3g0g GJGAIG: 1�4"� 1•-tea - it- Ulm I. i, I ORA Mf TYPE, . • • ,. rrw�eR. A 4 00 n . - ,. + Gj,• REmooutiron'.�J. li��7�.63�. r .. �� Df TxESE BANS By Bid 6Y� e 41 ANY NEANB E4 PRRwBITER•.9 �`ggii gggg "~•i - ./� ABRrE ERuuw uxs •0 c % W sqa BY FINES UP oo�� ii�. .. � iR SI[9.RRD VCR RfiENGE G • - �. (�•• CAEL THE RESIGNER iR IL - - .el•. OBTNN LE4LL CG>IES .'nv • anus run E� b1 - 7 u W z Qd -,t e .4 _�p�Fl�yj'FLOOr—PLAN Al a 15I ; ' DRAWM6TVPG. . Fm�f PWar PIAn . + BNGGT NUWEiGRv A200 ,r - Y -•, .(Nup is _ ���•`•REPROWCTIfN!••OT CEQ$33y�%YYYYY66$a f .i - „ I �`C''•AN�NN WSEIR�PRµbHR�iIED•.9 [ 3���x§:g��# - i - . . �-t tt�'EPmu`emir ErcNIIEs w '.v CCCIII € s � 10�91 .=PEROEP M •2 Q- • .r.+-aw.if.ww - aRrAMucr,Ecov¢s•.�v - - eNn"ry�nfm.w lb... 92••. fJF 1NI$PLAN•. ALS�� 7 E 111 r m c a PLAN ---- ----------------------------------, r-----------� -------f-nP—nl.�uC7-f`—imrd.i f.M4-ma.d-1 PGNr-a-.4lsy.y-uW+�-4y/—'.Por�Er,Y..Lfu+.�r nn1r ..r _-__'I -_-__,_-_-_-________ �I' - • ' •.. ---------------- uT- ----------------- _- 'I 0T$6i } FouNpf,'r4--VN PLA t �63 u �E/ DR1Y'IM6T . �Tg � P'aYrdnala"PI." •' BNPCT NUHBE W A l OO TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel o j Permit# 6 O Health Division A) �+�� 3S TOMN CIF B.AR STABLE Date Issued ob Conservation Division T i!���3��� AJATW AN� p Application Fee '�2 Tax Collector f� K" � � �'Ln/ �v j z15/rz Permit Feed Treasurer D�• 1(YI•+M I ��� N MUST ., M TA�LE® OMPLIANCE MTV Planning Dept. 5 ENVIR NMENTA C E ANU Date Definitive Plan Approved by Planning B. TO REGUL,��to 3 Historic-OKH Pr � ation/Hyannis p� ��a�r►,r Project Street Address L � Villagef/!GG Owner Ff " N Addy s V7 - G AiUv�' crT�,�urcc� Telephone Permit Request T/L- D� o� l3f Square feet: 1 st4existingproposed S 2nd floor: existing c� proposed o Total new Z3S Zoning Districtod P Groundwater Overlay Project Valuatioonstruction Type 22jn6Lot Size Grandfathered: ❑Yes ❑No If yes, atta supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Fam ily(# gitg Age of Existing Structure `f2 Historic ❑Yes 01Vo On Old King's Highway: ❑Yes 3<0 Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new © Half:existing a new o Number of Bedrooms: existing new 0- Total Room Count(not including baths): existing 3 new First Floor Room Count Heat Type and Fuel: 9 Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes &(No Fireplaces: Existing O New GA-S Existing wood/coal stove: ❑Yes QIN-o Detached garage:❑existing ❑new size Aoa0- Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size A)$Ali Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Z� t< �2 Telephone Number aS�F— 77.5- a 14ss' Address -22o Ag1A1*8,r�Pes,ewr-A, License# Home Improvement Contractor# ®Z 77 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE�� X DATE Ab z FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL`NO. � •j { ADDRESS - > VILLAGE OWNER DATE OF INSPECTION: FOUNDATION;; FRAME r ' " INSULATION . 3 FIREPLACE ! i , ELECTRICAL: ;ROUGH FINAL ' r t PLUMBING: _ROUGH _ FINAL GAS: ROUGH ". FINAL ' ! 3 it's FINAL BUILDING f• r- x y i j �f i DATE CLOSED OUT F. t ASSOCIATION PLAN NO. oFtHE, Town of Barnstable Regulatory Services • saaxsTasIX, * Thomas F.Geiler,Director r y Mass. g 4pTF 6yg. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW, SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: Estimated Cost Address of Work: l 57 r Owner's Name: Te � Date of Application: Z- I hereby certify that: Registration is not required for the following reasou(s): ❑Work excluded by law ❑Job-Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: /00 Z 7� RegistrationNo. Date Contractor Name OR Date Ovrrler s ,va��_e The Commonwealth of Massachusetts _- ,Department of Industrial Accidents 600 Washington Street Boston,Mass. 02111 Workers' Com ensatior Insurance Affidavi� location: � ' •'' ' ' hone 0 PER a❑ •I am a homeowner performing all work myself. 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'Im.U miCe::roi: <:%ttF:z?{r,{:f.5i:.:•s:•n•.4. e iu re uiredunder Sectian25A'of MGL 152 cahlead to the imposition of criminslpenaltles ota fine MP to 51,30Q.QQ and/or Fanure to secure cove q _ one years' priya ent as weliss civil pe��piste of form Of g tipaa of the DIAforca geye cation.QQ a day againstma Immders{9asdtliat a' copy of t7ds statanentmay be forwa?'ded to _ •. _ . eve-isscv�aud.coirec+t -avid¢deb • 'anon- r _ . -and- enalties-of-Perjury-thy-the-inform p • _ Ida hereby-e'eriifyundzrthepains P ` Date signature r „� - Phone • print name'�,�,� , r- .. official use only da not write in this area to b e completed by city or town official - - pernditlicense# OBaadineDepartment city or town: OLicensing Board O5eleten's Office contact person: � . .Information and Instructions eir Massachusetts General Laws chapter�152 section 2e requires all mPeloYee1 oaprovide, eof another underanoyteoatract employees. As quoted from title `law , an employe is ry P , of hire,'express or implied, oral or written. An emp to er y is defined as an individual, Partnership, association, corporation or other legal entity, or any two or more of �P _ the for, engages 111 a]off eIlterprise, and including the Iegal representatives of a deceased employer, or the receiver or trustee of an individual,Partnership, association or other legal entity, employing employees. However the owner.of a .., . dv,ellmg house having not more than three apartments and who resides therein; or the occupant of the dwelling house.of ' another who employs persons to do maintenance, construction or repair work on adwwe dwelling house or on the.grounds or building appurtenant thereto shall not because of such employment be deemed to b employer. a_ .:..•: MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance 6r`renewal '. monwealth for any of a license or perrait.to operate a business or nce with the insurancto construct e coverage in the s required. Additionally, neithbrthe' has not produi:ed acceptable evidence'of c p 'cal subdivisions shall enter into any contract for the perfonnance of public work until • or an of its political commonwealth n Y P chapter have been resented to the contracting • the insurance requirements of this p P • fiance with acc table evidence of comp _ _ , eP authority. MEN Applicants . e fill in, the workers' compensation affidavit completely,by checking the box that applies al a da�� •be Pleas a certificate of insurance as all affi _. y aloe with . . es add ress and P hone numbers g ,. .. , 1 company nam_ - Also be sure to si ' and ' supplying insurance coverage. IPs . P Y ofinsuran P arbneut.of Industrial•Accidents for confirmation g submitted to the Dep `^ date the affidavit. .The•affidavit should'be returned to the city or town that the application for the permit or license is artment of Industrial Accidents. Should ypu have any questions regarding the"last"o _ifygu being requested, not the Dep aitaierit at"the number list- btain orkers' cpmpensVE atiohpolioy,please caltttie Dep edbelow:.� are required,i6 0 aw City or Towns ,. . Please be sure that the affidavit is complete and printed legibly. The Depaitmeat has podede ace at the li antb Please affidavit for you to fill out lathe event the Office of Investigations has to contact youregarding PP r� to bei which wilLbe used as a reference num -er.:TFie affidavits may ie r n fill Ill the eTIIllt/llCel]S e Iiu711 r.•'• be Buie.artai by�or FAx unless o&ir' arrangements have been made - the Dep ations would like to thank you in advance for you cooperation and should you have anY9uesti . . The Office of Investig. please do not hesitate to give us'a call. / ent address,telephone and fax number. TheDepartrns The'CommonwealthtOfMassachusetts , • De_partment of Industrial Accidents O�tce of investl9atlons r . 600 Washington Street Boston,Ma. 02111 fax 9: (617) 727-7749 R. (917) 727-4900 ext. 406, 409 or 375 r - RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 - �✓� Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE �35' square feet x$96/sq.foot= / 1 x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE - square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 - >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney' . x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee pro;cost I _i Tk BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number 'CS 014558 BFrthdate 05/1:0/1.933 Exp�r."es 05/10/2004 Tr.no: 22528 17 A Restnetgd D¢' •..' FRANK G THACF!€WI 220 ANNABLE PTtOl'© O)4'277 CENTERVILLE, MA 02632" Administrator i ✓die�anvmsareurea�c o��.craaae/uiael7a e . Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 100277 One Ashburton Place Rm 1301 Expiration: :6/15/2004 Boston,Ma.02108 Type:,Individual FRANK G.THACHER, II Frank Thacher, II 220 Annable Point Rd:: -- Centerville,MA 02632 Administrator Not valid without signature FROM FAX NO., Oct. 16 20e2 07.2 7 AM P2 Permit Number MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release 1 a Checked By/Date TITLE:New Custom Addition ' CITY: Chatham STATE:.Maseach.usetts FIDD:6058 CONSTRUCTION TYPE: 1 or 2 Family, Detached DATING SYSTEM TYPE:Other(Non-Electric Resistance) DATE: 10/16/02 DATE OF.PLANS: 0823/2002 PROJECT INFORMATION: Thatcher Residence 157 Bay Lane i Centerville,Ma. 02632 COMPANY INFORMATION: Peacock&Crosby Builders - 111.2 Main Street,Unit 7 Ostervillo,.Ma. 02655 NOTES: MaCheck by Cape Cod Insulation INC. ' COMPLIANCE: Passes Maximum UA=79 Your Nome=76 3.8%Better Than Code - Gross Glazing Area or Cavity Cont. or Door, perimZe-T R Value R-Value -Fact _ LJA Ceiling I:Cathedral Ceiling(no attic) 132 30.0 0.0 4 Ceiling 2: Flat Ceiling or Scissor Truss 108 38.0 0.0 * ' 3 Wall 1: Wood Framo, 16"o.c. - 449 13.0 0.0 29 Window 1:Wood Frame, Double Pane with Low-.E 77 0,340 26 Door 1: Glass 20 0.310 6 ' Floor 1: All-Wood Joistll-rum,Over Unconditioned Space 234 30.0 0.0 8 Furnace 1: Forced I•lot Air, 82.7 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.2 Release )a. . The heating load-for this building,and the cooling load if appropriate,has been determined.using the applicable FROM FAX NO. :, Oct. 16 2002 07:28AM P3 Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 790CMR 1310 and J4.4. Builder/Designer r _ r � i • a FROM FAX No. Oct. 16 2002 07:28AM P4 MECcheck Inspection Checklist ' - - Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE: 10/16/02 TM.E: New Custom.Addition Bldg. Dept. Use Ceilings: [ J 1 1. Ceiling 1:Cathedral Ceiling(no attic),R-30.0 cavity insulation I Comments: [ j 2. Ceiling 2: Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade WaIU: [ i 1. Wall 1:Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: WindowA: - ( ] I 1. Window 1.: Wood.Frame, Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: - #Panes_Frame Type Thermal Break?[ }Yes[ ]No Comments: Doors: r [ J I. Door 1:Glass,U-factor:0.310 #Panes_Frame Type' Thermal Break?[ J Yes[ J No Comments: Floorsi [ J 1. :Floor 1:All-Wood Joist/Truss,Over Unconditioned Space, R-30.0 cavity insulation Comments: - .Heating and Cooling Equipment: [ J I.` Furnace 1:Forced Hot Air,82.7 AFUE or higher Make and.Model Number Air LeakaFge: [ J Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ) I When installed in the building envelope,recessed lighting fixtures shalt meet one of the following requirements: 1. .Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283,with no more than 2.0 efm(0,944 Us)air movement from the the conditioned space to the ceiling cavity. The lighting fixture 1 shall.have been tested at 75 PA or 1.57 Ibs/V pressure difference and shall be labeled. -Vapor Retarder: } FROM FAX NO. : Oct. 16 2002 07:28AN P5 ( ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors, w j M.aterlals Identification: ( ] .Materials and equipment must be identified so that compliance can be determined. ( ) .Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. ( ] I Insulation R-values, glazing U-values,and heating equipment efficiency must be clearly marked.on . the building plans or specifications: Duct Insulation: ( ] Ducts shall be insulated per Table.14.4.7.1. I r ' 1 Duct Construction: [ ] j All accessible joints,seams,and connections of supply and return ductwork located outside j conditioned space, including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation j instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ J j The HVAC system must provide a means for balancing air and water systems. j Temperature Controls: ( ] I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off,the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipmont Sitting: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and.14.4. Circulating Hot Water Systems: ( ) Insulate circulating hot water pipes to the levels in Table 1: Swimming pools: [ ) All heated swimming pools must have an on/off heater switch and require a cover unless over 20% j of the heating enorgy is from non•depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120°F or chilled fluids below 55 OF must be insulated to-the levels in Table 2. r FROM FAX NO. Oct. 16 2002 07:28RM P6 1 • Table 1: Minimum Insulation Thickness for Circulating Hof Rater Pipes. [n4ul4tion Thickness in Inches Piye_$,j..Z_j Heated Water Non-Circulating Runouts CikFOJating Mains and Runouts Tetnpernturel F) up=_L". Up to 1.25" 1.5"to 2.0" O 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100.130 O.S 0.5 0.5 1.0 Table 7: Minimum Insulation Thiekness jor HVAC Pipes. Fluid Temp. .(nsulation Thickness in Inches.la ipe Sizes jpingSSystom Typ. Rage(F) 2"Runouts LmO s 1,25"to 2" 7 5"to 4" Heating Stems Low PreQsure/Temperature 201.250 1.0 1.5 1.5 2.0 ' Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) My 1.0 1.0 1.5 , 2.0 Cooling Systems Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department.Use Only) 4g6•bEbbpp PE'ESN J PEPPDDUCiIDN••O i Q6 GG �e dyye ��.•prwEEE PLw58Y � � �S�a�i� 4d� .. _ � ANf MEPMS Ibw POn&iED•.'A B b b+• , ' 6r fEDFPnE t4 N0.ATOn5 ��tt p 3f� • - , `..� YtE PIIn SHABiE BY iNESM • t•• � �3�$�Egt�� e c aawvaN�`o� ® eta CD ��� *D sra.om._P niiinsE ��`{///���n�`• h:rNE DEs�cnEP rD q OF -iNls DBiO COPIES •V M1 v •, PIAH ••t Q I I I I I I I d I I I I ------- ---------- ------ - --- --- -- I ---------- ----- ----------------- - - IL �. — FIzoNT eLeViaTloh( 0 — I I I I I I I I � r -- - --------------------- I I I I I ' • 7-z i, - --- -- - If F� �IGNT EL�YATIoI j ` M d� • l -. 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"RD1,, TOWN.• BARNSTABLE SCALE: I 20' PL.REF 203-75 ELEV N/A SETBACKS.- 30'-10'-10' I CERTIFY THAT THE ABOVE �•, YANKEE SURVEY CONSULTANTS FOUNDATION IS LOCATED ON �� ���NO�"�5�,'� THE GROUND AS SHOWN, AND .v�o��F��' P. 0. BOX 265 sT=?HE. UNIT 1, 40B INDUSTRY ROAD ITS POSITION DOES -J. MARSTONS MILLS MASS. 02648 CONFORM. TO THE ZONING LA W ''-= TEL: MILL 0055 SETBACK REQUIREMENTS OF d 4'�`~� � __ BA STABLE____ �F; FAX 420-5553 ---- J Np S, ---- JOB STEPH DO YLE, P.L.S. DATE. 08-04-04 NUMBER 52484FND i • 1, CENTER VILLE LEGEND.- EXISTING CONTOURS I CERTIFY THAT THIS SURVEY AND PLAN WERE MADE IN ACCORDANCE WITH THE PROCEDURAL AND TECHNICAL SCUDDER 11 PROPOSED CONTOURS STANDARDS FOR THE PRACTICE OF LAND SURVEYING IN BAY THE MMONWEALTH OF MASSACHUSETTS. LOCUS DETAIL PA UL A. MERITHEW, P.L.S. " D TE ' CBIDH NOT 719 SCALE FND OFF un nip,, C9 GCB/DX .\ OF Q.. IRON ROD PAULA.•'�y�� i MERITHEW & CAP SET - - =m- IJ RI 32098 � �= PLAN REF. 203/75 s MAI vlt :,� ; ER �ss��r DEED REF. 2617/314 CgNT sU ASSESSORS MAP 186 /1111 WO ZONING. RD—I Rp LOCUS MAP o LOT 1 o A.M. 186/8 AREA=6,,204f S.F. F LAND .� .� PLOT PLAN O 13 W, LOCA TED A T.- � � � 15 7 BAY LANE A. M. 186/9 ,12 - - - `�� DETAIL CENTER VILLE MA. p, cSs NOT 719 SCALE PREPARED FOR. pro.- -= s o�� /Dtr KA THLEEN KENNED Y 9.9' ti�--=--- - - HO USE#157 �� t �\\ NO VEMBER 23, 2002 �O �-t euur �� �sf, REV DECEMBER 5, 2002 10.1' tip%' oP. =---=o ,1^, ��o�� GRAPHIC SCALE PR DI?10 �;II IRON RO T�cS AD ^� do • : & CAP (SET) zo o 10 20 ao eo 1 Ij � Io co UNREGISTERED o ' / Ip 116• 69 IRON ROD; ( IN FEET 47,50»E, REGISTERED & CAP (S17T) N84 1 inch = 20 ft. CB/DH — YANKEE SURVEY CONSULTANTS BENCHMARK A.M. 186/7 . E UNIT 1, 40 INDUSTRY ROAD TOP OF CB/DH LC 9403A P. O. BOX 265 ELEV. =9. 7'(N. G. V.D. MARSTONS MILLS, MASS. 02648 TEL: 428-0055 FAX 420-5553 ` J.1,1152484 T GM I CENTER VILLE , r LEGEND. EXISTING CONTOURS I CERTIFY THAT THIS SUR VE:�' AND PLAN WERE MADE IN ACCORDANCE WITH THE PROCEDURAL AND TECHNICAL SCUDDER ,_, PROPOSED CONTOURS ''E OF LAND SURVEYING IN BA Y 11 STA NDARDS FOR THE PRACTl�.. TH MONWEALTH OF MASSACHUSETTS. • G� LOCUS DETAIL' PA UL A. MERI THEW, P.L.S. WDE CB/DH NOT 717 SCALE (FND OFF) oou�ii► i,; y OFUL IRON ROD �>>� MERrmE11y/.y�, ST IVgR & CAP (SET) ' =o 32ose =�= g PLAN REF. 203/75 s MAIN ICE ',.,�9Na.........oQ DEED REF 2617/314 CENTE ASSESSORS MAP 186 ZONING: "RD-1" LOCUS MAP LOT 1 . I o A.M. 186/8 AREA=6,204E s F PLO T PLAN OF LAND j3 rl� LOCATED A T.- of- � 15 7 BAY LANE A.M - - - R VILLE MA.. 186/9 �z ��J�. DETAIL CENTER S NOT TO SCALE PREPARED FOR: ' CBIDH 4 ' KA. THLEEN KENNED Y o - HO USE_----- 2002 B 15 7- � NO VEMBER 23, lo.o'er ..,, - ---- �\�s� REV DECEMBER 115, 2002 Ij\ 10.1 ti� , --- �, 110 o�� ` GRAPHIC SCALE l P DD1T`v OIL $FE/ ^ .�J/ & C P (SET) zo o ,o zo ao ao UNREGISTERED 1p _ 116. 69 IRON ROD ( IN FEET ) N84 04 7,5D»E REGISTERED & CAP (SITT) 1 inch = 20 ft. CB/PH - YANKEE SURVEY CONSULTANTS BENCHMARK A.M 186/7 - UNIT 1, 40 INDUSTRY ROAD TOP OF CB/PH L. C. 9403A P. 0. BOX 265 ELEV. =9. 7(N. G. V.D. p MARSTONS MILLS, MASS. 02648 TEL. 428-0055 FAX 420-5553 J#52484 T GM ti CENTER VILLE LEGEND. - — 11 — - EXISTING CONTOURS I CERTIFY THAT` THIS SUR MFr AND PLAN WERE MADE p IN ACCORDANCE WITH THE,PROCEDURAL AND TECHNICAL scuDDER PROPOSED CONTO URS BA r 11 STANDARDS FOR THE PRACTICE_; OF LAND SURVEYING IN ..: TH YONWEALTH OF MASSACHUSETTSWDE • m' LOCUS z DETAIL- PA UL A. MERITHEW, P.L.S. i - CEIDH NOT 719 SCALE (FND OFF) ••o ```\ OF ry4 �'9rlr _ Sul IRON ROD ti =�= ME N= & CAP (SET) so_ 3 0� I ER PLAN REEF 203%75 5. ;' AIN vt g v DEED REF 26l 7/31t4 rNTER ,,�9 ..... ... Q, CE ,,`,�,►y'uo ASSESSORS -MAP= 186 _ - ZONING: "RD-1".. 1 F .-` x • ' LOCUS MAP o -- -LOT 1 ' o A.M. 186/8 O AREA=6,204E S.F. "" a A j .� g PLOT PLC N OF, L�NDo: - " - . �_ LOCATED AT. 15 186/9 ,12 - -•� - , �,�, �, CENTER VILLE. 11�I.AI - s DETAIL• NOT M SCALE PREPARED FOR. CB/DX 9.9pro._ _ o�-� KA THLEEN KI�TNED Y row �15 7=�f NO vEMBER 23, 2002 ro. o REV-- DECEMBER 5, , 2002 lo.l ti pRol�,: 1 - 10. �,E,1^ o�'y . GRAPHIC SCALE. B .;' IRON RO p. . i • 1Tt & CAP (SET) 20 0. 10 zo ao eo cs sr ,�. F' 1j s UNREGISTERED 1p 116. 69 . IRON ROD L,i REGISTERED &' CAP (SETJ;` ( IN FEET N84°¢750"E r 1 1 inch = 20 ff. CB/DH -' YANKEE SURVEY CONSULTANTS BENCHMARK A.M 18617 , +h UNIT 1 40 INDUSTRY ROAD TOP OF CB/DH LC 9403A a I P. O. BOX 265 ELE h=9. 7'(N. G. V. 4, MARSTONS MILLS, MASS. 02648 _ TEL 428-0055 FAX . 420-5553 i J)3�152484 T GM R ' i