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Town of Barnstable
F'll Nt b Oced :�'r`,,d.tiohna JFoinba al rnInds jtheicst Building
BAPXWA
Tzh nets Permit
Permit No. B-16-1330 Applicant Name: Jason Stoots Map/Lot: 168-089
Zoning District SPLIT
Date Issued: 06/10/2016
Current Use:
Permit Type: Solar Panel-Residential Expiration Date: 12/10/2016 Contractor Name: JASON D STOOTS
Location: 11FIVE CORNERS ROAD,CENTERVILLE Est Project Cost: $35,800.00 Contractor License: CS-090293
Owner on Record: HANSEN, DAVID E&JENNIFER L ermlt Feed _ $ 232.58
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Address: 11 FIVE CORNERS RD Fee Paid'z X $ 232.58
CENTERVILLE, MA 02632 Date 6/10/2016 -
Description: Installation of a 7.0 kW Solar PV System Includes 28:panels, roof mounted,flush mounted grid tied and net metered.
Project Review Req .:
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Building Official
This permit shall be deemed abandoned and invalid unless the work authorized by thispermrt�scommenced within six months after issuance.
All work authorized by this permit shall conform to the approved application and the approvedreonstrwction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structi res shall be in compliance with the 169661,zoni by laws and codes.
This permit shall be displayed in a location clearly visible from access street or,road�and shall be maintained open for peblicinspection for the entire duration of the work until the completion of the same.
The Certificate of Occupancy will not be issued until all applicable signatuees�y the Building and Fire Officials are provided on this permit.
Minimum of Five Call inspections Required for All Construction Work
1.Foundation or Footing
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue ning is instalied'R R
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) r;>
6.Insulation
7.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.
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
Building plans are to be available on site
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
TOWN OF BARNSTABLE BUILDING,PERMIT APPLICATION,
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Map Parcel e�v Permit# `Vo 13
Health Division - Z - Date Issued f
Conservation Division ✓i,e a¢ o2: 7 ly Fee D
Tax Collector
Treasure r' A96
p SEPTIC SYSTEM MUST BE
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INSTALLED IN COMPLIANCE
PlanningDept.P � •WITH TITLE 5.
Date Definitive Plan Approved by Planning Board + ENVIRONMENTAL CODE AND l
TOWN REGULATIONS
Historic-OKH Preservation/Hyannis ,
Project Street Address !`� +�i`vf_ c.�r VA-e vt_S Q
Village
Owner �►N , k
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Telephone
Permit Request 16r-_ 11.1a8t 1 �' S�i ti ��,%v✓P✓y}— �ftPcc�e (.vw
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Square feet: 1st floor: existing q&p proposed 9,A10 2nd floor: existing proposed O Total new
Estimated Project Cost 20 x0 Zoning District Flood Plain rVC Groundwater Overlay
Construction Type W E O O-
Lot Size AA_ 14COPE Grandfathered: ❑Yes ❑No If yes,attach supporting documentation.
Dwelling Type: Single Family V Two Family ❑ Multi-Family(#units)
4 .
Age of Existing Structure A raS Historic House: ❑Yes �o On Old King's Highway: ❑Yes SNo
Basement Type: t 4ull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 4Q
Number of Baths: Full:existing 0 new 0 Half:existing d new
Number of Bedrooms: existing Al new G
Total Room Count(not including baths):existing new First Floor Room Count
Heat Type and Fuel: ❑Gas Oil ❑ Electric ❑Other
Central Air: l7 Yes N(No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 19"No
Detached garage:❑existing ❑new sizek Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:1 existing ❑new size Shed:0 existing ❑new size Other: }
Zoning Board of Appeals Authorization ❑ Appeal# , Recorded❑ '
Commercial ❑Yes 4No If yes, site plan review#
Current Use Proposed.Use 'lC1�i-►
''rr BUILDER INFORMATION
Name "V241- ti 14 11 Telephone Number 2-0—0 95 C)
Address 161 64 {2V License# n s: �
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l - Z 2- Home Improvement Contractor#
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Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -: /- Gl`
,,-'-SIGNATURE DATE a 44 y
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FOR OFFICIAL USE ONLY "
PERMIT NO. - L� 3z?
DATE ISSUED
MAP/'PARCEL NO. -
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ADDRESS r'` - VILLAGE
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DATE OF INSPECTION:'
FOUNDATION 3 • 1
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FRAME t
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FIREPLACE
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ELECTRICAL: ROUGH FINAL-
PLUMBING: ROUGH) S: c FINAL
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DATE CLOSED OUT r,me I
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ASSOCIATION-PLAN NO.
Harborside Remodeling
■ Interior • Exterior • Additions
All phases of building (508) 420-0850
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Robert Walsh Mass Lic. #057394 P.O. Box 753 West Hyannisport, MA 02672-0753
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All phases of building (508) 420-0850
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Robert Walsh • Mass Lic. #057394 P.O. Box 753 West Hya.nnisport, MA 02672-0753
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Robert Walsh Mass Lic. #057394 P.O. Box 753 West Hyannisport, MA 02672-0753
Harborside Remodeling
Interior • Exterior • A.dditions
All phases of.building (508) 420-0850
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Robert Walsh • Mass Lic. #057394 P.O. Box 753 West Hyannisport, MA 02672-0753
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All phases of building (508) 420-0850
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Robert Walsh Mass Lic. #057394 P.O. Box 753 West Hyannisport, MA 02672-0753
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--- - . The Commonwealth of Massachusetts
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Department of Industrial Accidents
ONce of/=esligatioos
�_�, = =� ' 600 Washington Street
Boston Mass. 02111
Workers' Com ation Insurance Affidavit t
sn
name:
location
city 1< -Lt!w t Z. phone#
❑ am a homeowner performin all work myself.
(� I am a sole pro
rietor and have no one workin in any ca acity
❑ I am an employer providing workers compensation for my employees working on this job.
comnnnv name:
address:
city: ' phone#
insurance ca. olicv#
❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who
have
the following workers' compensation polices:
company name-
.... .................:
..
address:
dtv: phone#r
insurance ca. policv#
company name-
address:
city: phone#:
insurance co. olicv#
///%%/%%
Fafiure to secure coverage as required under Section 15A of MGL 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of 3100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification
I do hereby certify r t�h pains and p .aloes of perjury that the information provided above is truo and eorl eeLQ
Signature Date
Print name 6 Phone# yZ 0—to g
official use only do not write in this area to be completed by city or town otIIcial -
city or town: permit/license# ❑Building Department
(:]Licensing Board
❑check if immediate response is required ❑Selectmen's Offlce
❑Health Department
contact person: phone#; ❑Other
(remm 9195 PJA)
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 cc=--c-,
of hire, express or implied, oral or written.
An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of
the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receive:c_
trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a
dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of
another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or
building appurtenant thereto shall not because of such employment be deemed to be an employer. F
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renews:
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 and
supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be
submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and
date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is
being requested, not the Department of Industrial Accidents. Should you have any questions regarding the`law"or if you
are required to obtain a workers' compensation policy,please call the Department at the number listed below.
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City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the
affidavit for you to fill out in the event the Office of Investigations has to carrtact you regarding the applicant. Please
be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned io
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
emce of Iwestlgations
600 Washington Street
Boston;Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 eat. 406, 409 or 375
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The Town of Barnstable
• a�►axsrw�. _
Department of Health Safety and Environmental Services
Eo ram'' Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building'Commissioner
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: 12e h,. Estimated Cost �
Address of Work: `l �`t/ ' 6&tt vC'y�S P-1) Ce i,,,41e y I e ,
Owner's Name: Db✓i`io
Date of Application: /.�� %'
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
E]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.
-Z1r199 413 y
Date Contractor Name Registration No.
OR
Date Owner's Name
q:forms:Affidav
MAScheck COMPLIANCE REPORT
Massachusetts Energy Code Permit #
MAScheck Software Version 2 .0
Checked by/Date
CITY: Hyannis
STATE: Massachusetts
HDD: 5973
CONSTRUCTION TYPE: 1 or 2 family, detached
HEATING SYSTEM TYPE: Other (Non-Electric Resistance)
DATE: 2-9-1999
DATE OF PLANS:
TITLE:
COMPLIANCE: PASSES
Required UA = 161
Your Home = 137
Area or Insul Sheath Glazing/Door
Perimeter R-Value R-Value U-Value UA
-------------------------------------------------------------------------------
CEILINGS 580 38.0 0.0 17
WALLS: Wood Frame, 16" O.C. 828 15.0 3.0 55
GLAZING: Windows or Doors 54 0.400 22
DOORS 42 0.350 15
FLOORS: Over Unconditioned Space 580 19.0 28
-------------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design represented in these
documents is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building
has been designed to meet the requirements of the Massachusetts Energy Code.
The heating load for this building, and the cooling load if appropriate
has been determined using the applicable Standard Design Conditions found
in the Code. The HVAC equipment selected to heat or cool the building
shall be no greater than 5% of the sign load as specified , in
sections 780CMR 1310 and .4
Builder/Designer Date /, �l
MAScheck INSPECTION CHECKLIST
Massachusetts Energy Code
MAScheck Software Version 2 .0
DATE: 2-9-1999
Bldg.
Dept.
Use
CEILINGS:
[ ] 1. R-38
Comments/Location
WALLS:
[ ] 1. Wood Frame, 16" O.C. , R-15 + R-3
Comments/Location
WINDOWS AND GLASS DOORS:
[ ] 1. U-value: 0.40
For windows without labeled U-values, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments/Location
DOORS:
[ ] 1. U-value: 0.35
Comments/Location
FLOORS:
[ ) 1. Over Unconditioned Space, R-19
Comments/Location
AIR LEAKAGE:
[ ] Joints, penetrations, and all other such openings in the building
envelope that .are sources of air leakage must be sealed. Recessed
lights must be type IC rated and installed with no penetrations
or installed inside an appropriate air-tight assembly with a 0.5"
clearance from combustible materials and 3" clearance from insulation.
VAPOR RETARDER:
[ ] Required on the warm-in-winter side of all non-vented framed
ceilings, walls, and floors.
MATERIALS IDENTIFICATION:
[ ] Materials and equipment must be identified so that compliance can
be determined. Manufacturer manuals for all installed heating
and cooling equipment and service water heating equipment must be
provided. Insulation R-values and glazing U-values must be clearly
marked on the building plans or specifications.
DUCT INSULATION:
[ ] Ducts in unconditioned spaces must be insulated to R-5.
Ducts outside the building must be insulated to R-8.0.
DUCT CONSTRUCTION:
[ ] All ducts must be sealed with mastic and fibrous backing tape.
Pressure-sensitive tape may be used for fibrous ducts. The HVAC
system must provide a means for balancing air and water systems.
i
TEMPERATURE CONTROLS:
[ ] Thermostats are required for each separate HVAC system. A manual
or automatic means to partially restrict or shut off the heating
and/or cooling input to each zone or floor shall be provided.
HVAC EQUIPMENT SIZING:
[ ] Rated output capacity of the heating/cooling system is
not greater than 125% of the design load as specified
in sections 780CMR 1310 and J4 .4 .
MISC REQUIREMENTS:
[ ] Refer to 780 CMR, Appendix J for requirements relating to swimming
pools, HVAC piping conveying fluids above 120 F or chilled fluids
below 55 F, and circulating hot water systems.
----NOTES TO FIELD (Building Department Use Only) -------------------------
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✓1tC U/O�IYI/IJ'GOiItIAJP.C7.GU'L @�✓�7.CIJ:12C�lL;ir:�J
j DEPARTNENT OF PUBLIC SAFETY
CONSTRUCTION,SUPERVISOR LICEN5E
F, Nudb z Expires: ._
- 1estric€ed-T6- 16
•+.r 74 ROBERT G WAISH,
III ROSEMARY+LN
CENTERVILLE, NA . 02632 i
•HOME IMPROVEMENT CONTRACTOR
' M'Registration :111434
";:Type =M,DBA
Expiration 12/29/00
i.Y
HARBORSIDE REMODELING
`FOOBERT G. NALSH
= Iy ROSEMARY LN
ADMINISTRATOR CENTERVILLE MA 02632
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