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0098 HAYES ROAD
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I W .1 MOW TO w M; x OANIA ,OW!, 40 APifk?" f", inmP, girl MEN NOR is so -W MIN,I 9, ;,Ilkiw p gk I NOW�AATIMAiav,,R Town of BarnstableBuilding :,, �«w� ,,,, �.....-,. r.«.�.�.��, .. .,,y«.e".»....cr..,.,-.,... s _ jPost ThisCard So,That it is Visible From'the Street-Approvecl,PlansMust be Retained on Job and this Card`Must`;be,Keptp ' M ASS, Posted Until Final Inspection Has BeenMade. 4 � '_ �., �� �� Where a Certificate of Occupancy is Required,such Build�ng�shall�Not be Occupied until a Final Inspection has.,een made�p m Permit No. B-20-866 Applicant Name: RICARDO TERSAROTTO Approvals Date Issued: 05/18/2020 Current Use: Structure Permit Type: Building-Addition/Alteration -Residential Expiration Date: . 11/18/2020 Foundation: Location: . 98 HAYES ROAD,CENTERVILLE Map/Lot: 210-097 Zoning District: RD-1 Sheathing: Owner on Record: PARSI, F THOMAS,TR Contractor Name:- RICARDO TERSAROTTO Framing: 1 Address: 98 HAYES-ROAD Contractor License'. CS-109137 2 CENTERVILLE, MA 02632 _ 'Est. Project Cost: $95,000.00 Chimney: Description: demo existing 2nd floor and roof. rebuild new 2nd floor master Permit Fee: $534.50 bedroom and bath. renovate 1st floor, install; ew siding&roof Insulation: Fee Paid: $534.50 Project Review Req: s/co required outside bedroom_#2 Date: 5/18/2020 Final: ' l Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning 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 public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:l Service: 1.Foundation or Footing '• Rough: 2.Sheathing Inspection - 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: M All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT " ' . _ Tow_ n of Barnstable _ Building . rn Post This=Card SoTha,it is' s Visible From the Street Approved'Plans IVlust"be Retained on lob and this Card Must be Kept, -. ', 1 ti Posted UntilzFinal lnspection-Has_Been Made: i.WhereYa Certificate of Occupancy is Required;such Builtlmg shall`Not be Occupied until a Final Inspection has been made Permit _.,�,�. Permit No. B-20-866 Applicant Name: RICARDO TERSAROTTO Approvals Date Issued: 05/18/2020 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 11/18/2020 Foundation: Location: 98 HAYES ROAD,CENTERVILLE Map/Lot: 210-097 Zoning District: RD-1 Sheathing: Owner on Record: PARSI, F THOMAS,TR Contractor Name"t,RICARDO TERSAROTTO Framing: 1 Address: 98 HAYES ROAD" Contractor License. CS-109137 2 CENTERVILLE, MA 02632 l Est. Project Cost: $95,000.00 Chimney: Description: demo existing 2nd floor and roof. rebuild new 2nd floor master Permit Fee: $534.50 bedroom and bath. renovate 1st floor,install new siding&`roof Insulation: = 3 � Fee Paid:,` $534.50 Project Review Req: s/co required outside bedroom #2 ' Date ": �_" 5/18/2020 Final: Plumbing/Gas. Rough Plum'bin : g g -•.• . 'NBuilding Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by-this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning 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 public inspection E for the entire duration of the final Gas: work until the completion of the same. f --° i Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this.permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing '` Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting`with unregistered:.contractors do-not have access to the guaranty fund" (as set forth in MGL c.142A). ' Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable Building t 'Post Card So That it.is Visible Frorii>the Street FApproved Plans Must be Retained-on lob and th�s,Card Must be Kept. •. A� ..: "^ Posted Until FinaFlnspection �bsy . WFiore a�-Certificate of Occu anc is Re u�red,such Building shall Not be Occupied until a,Final Inspection has been made. Permit p Y q Permit NO. B-20-61 Applicant Name: RICARDO TERSAROTTO Approvals Date Issued: 01/27/2020 Current Use: Structure -Permit Type: Building-Addition/Alteration-Residential Expiration Date: 07/27/2020 Foundation: Location: 98 HAYES ROAD, CENTERVILLE Map/Lot: 210-097 Zoning District: RD-1 Sheathing: Oy Owner on Record: PARSI, IF THOMAS,TR ` Contractor Name-,RICARDO TERSAROTTO Framing: 1 Contractor License CS'109137 Address: 98 HAYES ROAD 2 1 CENTERVILLE, MA 02632 Est Project Cost: $50,000.00 Chimney: Description: DEMO EXISTING CHIMNEY AND ROOF AND RE.BUILO ROOF OVER , °Permit Fee: $305.00 EXISTING LIVING ROOM AND 3 SEASON ROOM,COMBINING THE Insulation: fee Paid: $305.00 TWO ROOMS AS ONE LIVING ROOM Date: 1/27/2020 Final: Project Review Req: Plumbing: j� Plumbing/Gas Rough (T._ _ _ . �5 , '.Building Official Finai Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after`issuance. All work authorized by this permit shall conform to the approved application-and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for3public inspectionr'for the entire duration of the Final Gas: work until the completion of the same. rY —' Electrical The Certificate of Occupancy will not be issued until all applicable signatures by=the Building and Fire-Officials are provided on this"permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough:. 2.Sheathing Inspection ection , 3.All Fireplaces must be inspected at the throat level before firest flue limn is installed p p g Finah 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall'not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).. Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �.M L r SS gall Application Number...... HAWMABLE, MAS& Permit Fee.................... ..................Other Fee:....................... 039�- TotalFee Paid.................... ....................................... ...... TOWN OF BARNSTABLE Permit Approval by...—.0, . ................. ......... BUILDING PERMIT Map......... ...........Parcel.............01.......:9....... . APPLICATION L Section 1 — Owner's Information and Project Location Project Address Village Owners Name. SCANNED Owners Legal Address JAN 3 0 2020 City State zip Owners Cell # Zn4 og 4al-I E-mail Section-2 -Use of Structure Use Group BUILDING DEPT. F-1 Commercial Structure over 35,000 cubic feet JAN 10 ZON ❑ Commercial Strucfture under 35,000 cubic feet TOWN OF BARNSTABLE Single/Two Family Dwelling Section 3 - Type of Permit F-1 New Construction ❑ Move/Relocate [:] Accessory Structure ❑ Change of use E:1 Demo/(entire structure) ~ El Finish Basement El Family/Amnesty 0 Fire Alarm Rebuild El Deck Apartment El Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar E�Renovation El Pool DInsulation Other-Specify' Section 4 - Work Description 11—VI C4--6 AA hka4 ght=, A �2. Tact undated 11/15/20IR Application Number..............................................:..... Section 5—Detail Cost of Proposed Construction 40 Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist Design Section 6—Project Specifics [ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas b Fire Suppression ❑ Heating System _❑ Masonry Chimney ❑Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal ❑ Municipal Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes U No f Section 7—Flood Zone , Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes. ❑ No E Section 8—Zoning Information Zoning District - Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required . Proposed' Side Yard - Required- Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No J l Last updated: 11/15/2018 _1 z Application Number........................................... Section 9- Construction Supervisor Name �Y,a-er )y p� � a Telephone Number Address_i( ?, ( f City yy�, �r State vet Zip. /2. !2 7 License Number L'S - )ryj)S License Type Expiration Date / 2I/y Contractors Email Cell # a I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation req ' y�Ce Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor Name 9—kCA, -25AZo�C-i, Telephone Number Address )I 15,aAu-A 6A, City ►V\(!= � State Zip of 2!27 Registration Number j Expiration Date I understand m responsibilities under the rules and Y sp regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and k documentation req ' d d the Town of Barnstable.Attach a copy of your H.I.C... Signature Date 1 w Section 11 -Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number '{ I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. y Signature Date APPLICANT SIGNATURE u. Signature Date Print Name ,� ( �_,� Telephone Number E-mail permit to: Tact inrintrri• 11/1 inoi R Section 12 —Department Sign-Offs 1 Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ ,n - Conservation ❑ _ r a For commercial work,please take your plans directly to the fire department for approval Section 13— Owner's Authorization ij I, as Owner of the subject property hereby authorize Sze ,�� __ to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name • r Last updated: 11/15/2018 SHE ~O .°application Number. - ............ BA MASE SI.�, * Permit Fee..........-...3. t..J..0...Other Fee........................ 39. ���� SCANNED TotalFee Paid............._...................... ......................... ...... TOWN OF BARNSTABLE Permit Approval b BUILDING PERMIT C� { .....Parcel..... 7� Map............ , �........ ........................... APPLICATION Section 1 — Owner's Information and Project Location e Project Address c/ Village U� � Owners Name Pr Owners Legal Address A MAY oe ` TpWN 0 State f 84 Zip pZ6 S Z Owners Cell# ZZ.t E-mail Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 — TI pe of Permit ❑ New Construction , ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm [✓Aebuild ❑ Deck Apartment El Sprinkler System ddition ,, Retaining wall Solar Ly'Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description �' 2i3� ,ram—c.��. f�tAG�� r��n��,ru� �. ��—'�r !�� �n.�.4•R= �� y�I�. - /iY�,f•1-y=�L�+N/ �/7/1��� '�� JLC�� � w �A��L�f y k l Last updated: 11/15/2018 Application Number.................................................... Section 5—Detail Cost of Proposed Construction Square Footage of Project Age of Structure 6,0 Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist �esign Section 6—Project Specifics (Wiring ` ❑ Oil Tank Storage ETSmoke Detectors 11 Plumbing �- 0 Gas `` # R Fire Suppression L�Heating System ❑ Masonry Chimney �� ' L�Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal ❑ .Municipal Site Historic District ❑ Hyannis Historic District Old Kings Highway Debris Disposal Facility: ��,�q-�v�i I am using a crane ❑ Yes !s No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ " Section 8—Zoning Information Zoning District 09 Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units on site) Setbacks Front Yard Required Proposed . . Rear Yard .+ " Rfequued ~ Proposed 'Side Yard:- `` Required. -,Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 Application Number........................................... . Section 9- Construction Supervisor Name �Zi��-,L� �����-�-r� Telephone Number T Address it bj jC" ,¢✓G City W/L j' L; _State MA- Zip D License Number 1 License Type Expiration Date / 2 1 2 Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation re aired by 780 CMR and the Town of Barnstable.Attach a copy of your license. r Signature i�.�...5�� �----������ — Date � Section 10—Home Improvement Contractor i Name &,A-2" Telephone Number s Address M/L,�Lj.� State xAj= Zip 61%Z 7 . Registration Number 1 Expiration Date --rT I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature, T��� ��� Date 19' iG Section 11 -Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date Print Name 1�,, , Telephone Number E-mail permit to: 4::?44477;�i. %L-L-I . Last updated: 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ y` ti �'. - Conservation- For com mercial work please take our plans directly to the fire department for approval Section 13— Owner's Authorization i as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work auth rized by this b 'lding permit application for: (Address of j ob) Sign a o er ti to Print Name 9y . 3 9 Last updated. 11/15/2018 i ,acoRO® CERTIFICATE OF LIABILITY INSURANCE 7(MWDDNYYY) `� /03/2020 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 NAME: Kim O'Shaughnessy CHARLES RIVER INSURANCE PH$NE : (508)656-1400 FAX No): E-MAIL ADDRESS: kOShaughneSSy@ChariesriVerinSUrance.COm 5 WHITTIERST INSURERS AFFORDING COVERAGE NAIC0 FRAMINGHAM MA,01701 INSURERA: AIM MUTUAL INS CO 33758 INSURED INSURERS: CRJ CONSTRUCTION INC INSURERC: INSURER D: 14 JOANNE DR APT 14 INSURERE: ASHLAND MA 01721 INSURERF: COVERAGES CERTIFICATE NUMBER: 488720 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 POLICY EXP TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM DDY EFF MMDD LIMITS LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑OCCUR AGE TO RENTED PREMISES SES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY 0 JE d LOC PRODUCTS-COMPiOP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA IJAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DIED RETENTION $ WORKERS COMPENSATION X I STATUTE ERH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/F-XECUTIV.E Y/N E.L.EACH ACCIDENT $ 100,000 A OFFICERIMEMBEREXCLUDED? N/A NIA WA VWC10060244812019A 11/28/2019 11/28/2020 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 IT yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOm ParSI ACCORDANCE WITH THE POLICY PROVISIONS." 4 96 Hayes Road AUTHORIZED REPRESENTATIVE Centerville MA 02632 Daniel M.C y,CPCU,Vice President—Residual Market—WCRIBMA 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD CorrYn+ai►vrratth ofMassachusetts ;��. 0.'v{sio�t of Prorassional 4{censura � . Board of 8uiidIng itagulat ons and StnndarilS Consitait ri SfappfrV{sor CS-109137 rires:01l21f202'J i RICARDO TERSAROTT�O -' 1113186Oa liVtsNOE APC 01 MILFOR0 MA 6ornmisstonerr C/4 Office of Consumer Affairs d Business Regufeiiaft•. c HOME IMPROVEMENT CONTRACTOR Registration valid for lndividuat use only s. TYPE:•tndividual batore the expiration date.#f found return to: Office of Consumer Affairs and Businass Regulation f 18$875 111 11100 woshington street-suite 710 € RICARDOTERSARdTTO its Boston,MA 0�11e.. sicARDO:TERSAROTTO i It GIBBON AVE.APT Ot rt `�' tid witfiout signature MILFORD.MA 01757 "t«� u r ,f f ' 6 7 The Commonwealth of Massachusetts Department of IndustriatAccidents Office of Investigations , 600 Washington Street -Boston,MA 02111 www marsgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizagon/Individual): �iK—� Gt�n-ISi _�\c A 1tAL Address: City/State/Zip: A"r--> Phone#: 6 - o Are van an employer?Check the appropriate box: Type of project(required): 1, I am a employer with- i� 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- •listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have S. Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance t required-] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing allwork officers have exercised their 11.0 Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required-]t c. 152,§1(4),and we have no . employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 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 worker;'comp.policy number. I am an employer.that is providing workers'compensation insurance for my employees Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Vwt-)Db fjz> Expiration Date: I Job Site Address: ii �fl-r�_ Z City/Stawnp:�, �j�, ��,�.� -d'2(j�Z Attach a copy of the workers'compensation policy declaration 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,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 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 under the pains and penalties of perjury that the information provided above is true and correct: Signature: ,..�_. �,�c Date: d<Ar,,1 Phone#: 4QSr- 5D�- �ZoS Official use only. Do not write in this area,to be completed by city or.town offuial 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,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 more of the foregoing engaged in a joint enterprise,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 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 grozmds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)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,MGL chapter 152, §25C(7)states"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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Ofcials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at time bottom of time 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 permit(license number which will be used as a reference number. In addition,an applicant that must submit multiple pemmittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or ' town)."A copy of the affidavit that has been officially stamped or marked by time city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your 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 Commoawealth of Masst&useis , Department of Industrial Accidents Office of Investiptious 600 Washington.Street Boston,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877 MASSAFE Revised 4-2407 Fax#617-727-7749 www:maw.gov/dia Town of Barnstable i ,w,asAz �.�.•w .= .., ^r• � � � Build'ng gPost is" s Card So;aThat it s,Visltile From the;Street :Ap roved Plans=Musflie"Retained on'�J'ob and th�s;Card„Must,beKe t ""w �ARNSPASLG L ss: -s24"" ,z:`.""°:,v 4 sJ't e t - ..o.. •.. M" PostediUntil Final"Inspection % :" "'7 . .i*;s , ,..t �. Permit ,iva <Where a Certificate ofOccupaney is`:Requiredsuch BuildmgshallNot be QccupieluntiltaaFinal`Inspectionhasbeen,�matle '' .aza:.srs .n<.>_..s�;= ..e`: .: ;_.x. w.e,: .:n...:.�` ;.,.«.:_ar....::s,.;v .a. =;...s..�..=:.5-..:z:ix�..,,K..,•a a„�t.=kr_,ry:.u.-t':: :.:' .r. ..,.... :.,..r.&:::.w: ...a-;,r-.sue,».:_:- ,:�.,.1.,:. i:. ,: ':' � Permit NO.- B-18-2620 Applicant Name: F.Thomas Parsi Approvals Date Issued: 08/28/2018 Current Use: Structure Permit Type: .Building-,Shed-Residential-200 sf and under Expiration Date: 02/28/2019 Foundation: Location:` 98 HAYES ROAD,CENTERVILLE Map/Lot: 210-097 Zoning District: RD-1 Sheathing: Owner on Record: FTP rev trust of 2004s Contractor Name Framing: 1 42, Contractor License " Address: 3RD AMNDMT FTP REV TR OF 2004 2 x Re zroectBOSTON, MA 02116 Est P Cost: $3,000.00 Chimney:A v _ Description: Existing 8 x 10 on the property that has been there for 30 plus � Permit Fee: $35.00 years.The shed frame is rotted beyond repair a nd is not safe. Fe�Paid; $35.00 Insulation: Planning on removing the old shed and purchasing a new x 12 Final Y 4 Date 8/28/2018 shed to replace the existing shed. " r _ Project Review Req: 8'x12'shed to replace existing shed as shown with setback on` Plumbing/Gas submitted Ian y w P Rough Plumbing: m� Building Official Final Plumbing: T r Rough Gas: x Final Gas: This permit shall be deemed abandoned and invalid unless the work authored by this permitas commenced .within six months after issuance. Electrical _ _ All work authorized by this permit shall conform to the approved application and thp.approved construction documents for whichi this permit has been granted. .n.- Service: All construction,alterations and changes of use of any building and structures shall_f e in",com,pliance,with the,local zoning b"laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall bie maintained open for publirinspection for the entire duration of the � ., Rough: work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Final: Minimum of Five Call Inspections Required for All Construction Work: Low Voltage Rough: 1.Foundation or Footing 2.Sheathing Inspection Low Voltage Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to frame Inspection Health 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Final: 7.Final Inspection before Occupancy w !L Fire Department Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: 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). -To 191.A—p pc, O, PC. �N Vv Job . o Sl TOVVIN OF BARNSTABLE y' 22 16 ok <y AL 2 t2k ojtcl E 7 � a 44Ao �f r eta. fas # t vcc C O Y- N j O co j C Ocz r qq a o o cMo I 9 fcl tAbm 7 L E c ¢ o i Lo f Asa! C> ca ! I Urn U N E W .22 N CDCDN — In ; I + _ (� r u co o o � Ym3v I ' r` 2✓ N [0 t T 0 U CD U O � mC . i T 14IN OF BA,RNSTABLE LN e iY 22 PM 3. 16 II f a e .P� o Y'I,.v�,�WM�idY. ry!{YC+`1"�Y..R�._�;'&%%�''�$�1�4�f1' M !'J.L:^. a '+Y9'i.AIR4}:221PM.^::lfi'�WatYl+3!"A'ib:':^'...ewxeexx:. ..�^ ,...•...-....:.. TOWpi OF BARNSTABLE 6 T oFt1E r, Town of Barnstable y��oci�F Planning & Development Department hr40, ' Barnstable Historical Commission * anatvs ABLF. 200 Main Street,Hyannis,Massachusetts 02601 r' Y 9� 1639.S 10�' (508)862-4787 Fax(508)862-4784 �w AtF p�•t�► erin.logan@town.bamstable.ma.us OF BAR SAP Commission Members Nancy Clark,Chair Nancy Shoemaker,Vice Chair Marilyn Fifield,Clerk George Jessop,AIA Elizabeth Mumford Cheryl Powell Frances Parks 'Jack Kay,Alternate May 1, 2020 Re: Notice of Intent to Demolish Structure & Relocate �' . 98 Hayes Road, Centerville, Map 210, Parcel 697/000 CRJ Construction °' c/o Chad Hill 52 Hayes Road BUILDiNG DEP i ;, Centerville, MA 02632 `'' MAY 67 Z020 Ann Quick, Town Clerk TOWN Ur. Uriruvo IABLt 367 Main:Street, Hyannis, MA 02601 Brian Florence, Building Commissioner 200 Main Street, Hyannis, MA 02601 Pursuant to the attached determination, after review and consideration of your application for Notice of Intent to Demolish:a Significant Building dated March 23, 2020, for the property located at 98 Hayes Road, Centerville, Map 210, Parcel 097/000, the applicant may proceed,with the partial demolition of the dwelling as a public hearing is not'required. This determination updates an earlier determination submitted to the Town Clerk on April 17, 2020 based on my review of additional information on the development of the building. Please contact Erin Logan at 508.862.4781 or erin.lo angtown.barnstable.ma.us with any questions. Sincerely, Nancy Clark, Chair - Planning&Development Department-Elizabeth Jenkins,Director;Paul Wackrow,Senior Planner; Erin Logan,Administrative Assistant-200 Main Street,Hyannis;MA 02601 of'ME r Town of Barnstable ��E4ovMfHr c Planning & Development Department aF� Barnstable Historical Commission ,Z 3 B STABLE.�+ 200 Main Street,Hyannis,Massachusetts 02601 c, 9� 1639. (508)862-4787 Fax(508) 862-4784 �Fp Mp`t A erin.logan@town.baimnstable.ma.us "0.SASk�'�` Commission Members Nancy Clark,Chair Nancy Shoemaker,Vice Chair Marilyn Fifield,Clerk George Jessop,AIA Elizabeth Mumford Cheryl Powell Frances Parks Jack Kay;Alternate _s Chapter 112 Historic Properties, Section 112-3 D. DETERMINATION of SIGNIFICANT BUILDING 98 Hayes Road, Centerville, Map 210 Parcel 097/000 Pursuant to Intent to Demolish Structure The property located at 98 Hayes Road, Centerville, Map 210, Parcel 097/000, is not associated with the broad architectural and cultural history of this area. In accordance with Chapters 112-2 and 112-3 (D), the Barnstable Historical Commission Chair has determined that this structure is not a significant building. This determination applies only to the demolition described in the notice of intent submitted on March 23, 2020. Any future demolition shall require a new determination from the Barnstable Historical Commission. This determination updates an earlier determination submitted to the Town Clerk on April 17, 2020 based on the Chair's review of additional information on the development of the building. Planning&Development Department-Elizabeth Jenkins,Director;Paul Wackrow,Senior Planner; Erin Logan,Administrative Assistant-200 Main Street,Hyannis,MA 02601 DATE(MMIDDIYYYY) AACo CERTIFICATE OF LIABILITY INSURANCEF01/03/2020 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 NAME: Kim O'Shaughnessy CHARLES RIVER INSURANCE PHE ac°NNo. o Ext: (508)656-1400 AA/c No: E-MAIL ADDRESS: koshaughnessy@charlesrlverinsurance.Com 5 WHITTIER ST INSURERS AFFORDING COVERAGE NAIC# FRAMINGHAM MA 01701 INSURERA: AIM MUTUAL INS CO 33758 INSURED INSURER B: CRJ CONSTRUCTION INC INSURERC: INSURER D: 14 JOANNE DR APT 14 INSURER E: ASHLAND MA 01721 INSURER F: COVERAGES CERTIFICATE NUMBER: 488720 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 POLICY NUMBER MMIDD/YYYY MMIDD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO CLAIMS-MADE OCCUR PREMISES Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL 6 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: - GENERAL AGGREGATE $ JECT POLICY PRO ❑LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ - Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION - X STATUTE ERH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBEREXCLUDED? NIA N/A NIA VWC10060244812019A 11/28/2019 11/28/2020 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Tom Pars) ACCORDANCE WITH THE POLICY PROVISIONS. 96 Hayes Road AUTHORIZED REPRESENTATIVE . Centerville MA 02632 Dar M.Daniel Crow4ey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD I REScheck Software Version 4.6.5 Compliance Certificate Project 2nd Floor Master Bedroom Addition Energy Code: 2015 IECC 4 •• Location: Centerville (Barnstable), . Construction Type: Single-family Project Type: Addition Climate Zone: 5 (6137 HDD) Permit Date: " Permit Number. Construction Site: Owner/Agent: Designer/Contractor: 96 Hayes Road Tom Parsi Chad Hill Centerville, MA 02632 96 Hayes Road Hill Design Build, LLC Centerville, MA 02632 56 Hayes Road 603-686-6221 Centerville, MA 02632 tomparsi@me.com 860-759-0502 chadbhilll@gmail.com Compliance: 44.9%Better Than Code Maximum UA: 238 Your UA: 76 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. Envelope Assemblies Ceiling 1: Cathedral Ceiling 591 49.0 0.0 0.022 13 . Wall 1:Wood Frame, 16"o.c. 848 21.0 . 0.0 0.057 37 Window 1:Wood Frame:Double Pane with Low-E 160 0.030 5 Door 1: Glass 40 0.030 1 Floor 1:All-Wood JoistlTruss:Over Unconditioned Space 591 30.0 0.0 0.033 20 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 2015 IECC requirements in , REScheck Version 4.6.5 and to comply with the mandatory require men listed in the REScheck Inspection Checklist. (39 NameTitle Signature Dat Project Title: 2nd Floor Master Bedroom Addition Report date: 03/17/20 Data filename: C:\Users\Chad\Documents\REScheck\96 Hayes Road_Phase 2.rck Pagel of 9 REScheck Software !Version 4.6.5 Inspection Checklist Energy Code: 2015 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed.Where compliance is itemized in a separate table, a reference to that table is provided.. Section Plans Verified Field;Verified # Pre:Inspection/Plan Review Complies? Comments%Assumptions'„ & Re .ID Value: Value 103.1, ;Construction drawings and ❑Complies ; 103.2 documentation demonstrate []Does Not [PR1)1 ;energy code compliance for the ;building envelope.Thermal []Not Observable envelope represented on <' ❑Not Applicable ; ,construction documents. 103.1, ;Construction drawings and �" s ❑Complies ; 103.2, (documentation demonstrate ❑Does Not 403.7 ;:energy code compliance for Y [PR3)1 ;lighting and mechanical systems ❑Not Observable ; :Systems serving multiple x ❑Not Applicable ; ;dwelling units must demonstrate ,' x compliance with the IECC Commercial Provisions. 302.1, Heating and cooling equipment is: Heating: Heating: ❑Complies 403.7 sized per ACCA Manual S based ; Btu/hr Btu/hr ;❑Does Not [PR2]2 on loads calculated per ACCA Cooling: . Cooling: ❑Not Observable V Manual J or other methods Btu/hr Btu/hr :❑Not Applicable approved by the code official. pP ; Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 2nd Floor Master Bedroom Addition Report date:, 03/17/20 Data filename: C:\Users\Chad\Documents\REScheck\96 Hayes Road-Phase 2.rck Page 2 of 9 i Section, .;# : IF Inspection' Complies? • Comments/Assumptions &Re .ID '3032.1 A protective covering is installed to ;[]Complies ([FO11]2 protect exposed exterior insulation ,[]Does Not and extends a minimum of 6 in.below []Not Observable grade. ;[]Not Applicable 403.9 Snow-and ice-melting system controls![]Complies '[r012]2 installed. ;[]Does Not []Not Observable ;[]Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 2nd Floor Master Bedroom Addition Report date: 03/17/20 Data filename: C:\Users\Chad\Documents\REScheck\96 Hayes Road_Phase 2.rck Page 3 of 9 Section .. Plans Verified Field Verified # Framing:/Rough-In Inspection :Complies) Comments/Assumptions &:Req.ID .Value.. :Value. 402.1.1, ;Glazing U-factor(area-weighted U- U- ;❑Complies ;See the Envelope Assemblies 402.3.1, average). :❑Does Not ;table for values. 402.3.3, 402.5 ;❑Not Observable ; [FR2]1 ; ; {❑Not Applicable 303.1.3 ;U-factors of fenestration products ❑Complies [FR4]1. :are determined in accordance _ ❑Does Not ;with the NFRC test procedure or []Not Observable ; ;taken from the default table. s ' :rt ❑Not Applicable 402.4.1.1 ;Air barrier and thermal barrier ❑Complies ; [FR23]1 installed per manufacturer's []Does Not instructions. ❑Not Observable ❑Not Applicable 402.4.3 ;Fenestration that is not site built = " w, ❑Complies [FR20]1 :is listed and labeled as meeting ❑Does Not AAMA/WDMA/CSA 101/I.S.2/A440 z ❑Not Observable ; ;or has infiltration rates per NFRC �. ❑Not Applicable 1400 that do not exceed code pp ;limits. - ; 402.4.5 IC-rated recessed lighting fixtures «, ❑Complies [FR16]2 sealed at housing/interior finish " ' ` ❑Does Not and labeled to indicate:52.0 cfm JF leakage at 75 Pa. � Y '. ❑Not Observable ; R ❑Not Applicable ; 403.3.1 ;Supply and return ducts in attics ❑Complies ; [FR12]1 :insulated >= R-8 where duct is g ❑Does Not >=3 inches in diameter and >= �. ❑Not Observable ' R-6 where< 3 inches.Supply and t return ducts in other portions of z ❑Not Applicable :the building insulated >= R-6 for diameter>=3 inches and R-4.2 � :for<3 inches in diameter. 403.3.5 Building cavities are not used as ❑Complies ; [FR15]3 ducts or plenums. , ❑Does Not t []Not Observable " t El Not Applicable 403.4 HVAC piping conveying fluids R- R- ;❑Complies ; [FR17]2 above 105°F or chilled fluids ❑Does Not below 55 QF are insulated to aR- 40) ; ;❑Not Observable - ❑Not Applicable 403.4.1 :Protection of insulation on HVAC ❑Complies [FR24]1 "piping. ❑Does Not 4w. ❑Not Observable ; ❑Not Applicable 403.5.3 Hot water pipes are insulated to R- R- ;❑Complies ; [FR18]2 ;❑Does Not } ;❑Not Observable ' ❑Not Applicable 403.6 Automatic or gravity dampers are ❑Complies ; [FR19]2 installed on all outdoor air 4, ` []Does Not Sintakes and exhausts. : []Not Observable ; ❑Not Applicable ; Additional Comments/Assumptions: . 1 High Impact(Tier 1)' 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 2nd Floor Master Bedroom Addition Report date: 03/17/20 Data filename: C:\Users\Chad\Documents\REScheck\96 Hayes Road_Phase 2.rck Page 4 of 9 I 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 2nd Floor Master Bedroom Addition Report date: 03/17/20 Data filename: C:\Users\Chad\Documents\REScheck\96 Hayes Road_Phase 2.rck Page 5 of 9 Section., Plans Verified Field Verified # Insulation Inspection Complies. Comments/Assumptions & Re .ID Value. Value 303.1 All installed insulation is labeled "` ❑Complies [IN13]2 or the installed R-values y , ❑Does Not provided. . 1�J ❑Not Observable At ❑Not Applicable a 402.1.1, ;Floor insulation R-value. R- R- ;❑Complies ;See the Envelope Assemblies 402.2.6 ;❑ Wood '❑ Wood ❑Does Not :table for values. [IN1]1 ; ;❑ Steel ;❑ Steel ;❑Not Observable ❑Not Applicable 303.2, !Floor insulation installed per _• a ,-�..x a ❑Complies 402.2.7 manufacturer's instructions and ❑Does Not [IN2]1 :in substantial contact with the ; :underside of the subfloor,or floor [:]Not Observable :framing cavity insulation is in []Not Applicable ;contact with the top side of ' `` v ; .sheathing,or continuous y insulation is installed on the underside of floor framing and .extends from the bottom to the p ;top of all perimeter floor framing members. 402.1.1, :Wall insulation R-value.If this is a: R- R- ;❑Complies ;See the Envelope Assemblies 402.2.5, mass wall with at least l/z of the ❑ Wood ❑ Wood :❑Does Not ;table for values. 402.2.6 ;wall insulation on the wall j ; [IN3]1 .exterior,the exterior insulation ;❑ Mass ❑ Mass ❑Not Observable , :requirement applies(FR10). ❑ Steel ❑ Steel :❑Not Applicable . . ; . ; 303.2 :Wall insulation is installed per ❑Complies [IN4]1 manufacturer's instructions. h rk° []Does Not ❑Not Observable ; ❑Not Applicable Additional Comments/Assumptions: • 1 Nigh Impact(Tier 1) 2 Medium Impact(Tier 2) 13 Low Impact(Tier 3) Project Title: 2nd Floor Master Bedroom Addition Report date: 03/17/20 Data filename: C:\Users\Chad\Documents\REScheck\96 Hayes Road Phase 2.rck Page 6 of 9 y Y� Section Plans Verified Field Verified # Final Inspection Provisions Complies? Comments/Assumptions Value Value & Re .lb 402.1.1, ;Ceiling insulation R-value. R- ; R- ;❑Complies ;See the Envelope Assemblies 402.2.1, Wood ;❑ Wood ;❑Does Not {table for values. 402.2.2, ;❑ Steel - ;❑ Steel ;❑Not Observable 402.2.6 [FI1]1 :❑Not Applicable ; 303.1.1.1, ;Ceiling insulation installed per n j ❑Complies ; 303.2 manufacturer's instructions. ❑Does Not - [FI2]1 ;Blown insulation marked every []Not Observable ; ;300 f:2. ❑Not Applicable 462.2.3 Vented attics with air permeable ❑Complies ; [FI22]2 insulation include baffle adjacent Does Not to soffit and eave vents that extends over insulation. �, []Not Observable ❑Not Applicable , 402.2.4 ;Attic access hatch and door ; R- R- ;❑Complies [FI311 insulation aR-value of the EDoes Not ;adjacent assembly. I ; ;❑Not Observable ; ❑Not Applicable 402.4.1.2 ;Blower door test @ 50 Pa. <=5 ; ACH 50 ACH 50= ;❑Complies ; [FI17]1 :ach in Climate Zones 1-2,and ' ;❑Does Not <=3 ach in Climate Zones 3-8. ;❑Not Observable ❑Not Applicable 403.3.4 .Duct tightness test result of<=4 ; cfm/100 ; cfm/100 ;❑Complies ; [FI4]1 ;cfm/100 ft2 across the system or ft2 ft2 ;❑Does Not j<=3 cfm/100 ft2 without air ; ;handler @ 25 Pa. For rough-in :❑Not Observable :tests,verification may need to ;❑Not Applicable I ;occur during Framing Inspection. 403.3.3 :Ducts are pressure tested to cfm/100 cfm/100 ;❑Complies ; [FI27]1 .determine air leakage with ft2 ft2 ;❑Does Not ;either: Rough-in test:Total ;leakage measured with a ❑Not Observable pressure differential of 0.1 inch ; ;❑Not Applicable ; I 1 t- w.g,across the system including I 1 1 ;the manufacturer's air handler enclosure if installed at time of ;test. Postconstruction test:Total ;leakage measured with a ;pressure differential of 0.1 inch ;w.g.across the entire system ; including the manufacturer's air handler enclosure. 403.3.2.1 ;Air handler leakage designated ❑Complies ; [FI2411 :by manufacturer at<=2%of ❑Does Not ;design air flow. ❑Not Observable ❑Not Applicable 403.1.1 Programmable thermostats ❑Complies [Fl9]2 installed for control of primary ' ❑Does Not heating and cooling systems and , initially set by manufacturer to ❑Not Observable -code specifications. ❑Not Applicable 403.1.2 .Heat pump thermostat installed x "a ❑Complies [FI10]2 on heat pumps. ❑Does Not , T ❑Not Observable ❑Not Applicable 403.5.1 Circulating service hot water ❑Complies ; [FI11]2 systems have automatic or ' []Does Not jaccessible manual controls. I ❑Not Observable ; I ❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: 2nd Floor Master Bedroom Addition Report date: 03/17/20 Data filename: C:\Users\Chad\Documents\REScheck\96 Hayes Road Phase 2.rck Page 7 of 9 Section. Plans Verified' Field Verified # Final Inspection Provisions _:IComplies? comments/Assumptions; & Re .ID value Value 403.6.1 All mechanical ventilation system ❑Complies [F12512 fans not part of tested and listed ; a' ❑Does Not ; I HVAC equipment meet efficacy and air flow limits. j []Not Observable 1 ❑Not Applicable 403.2 Hot water boilers supplying heat ❑Complies [FI26]2through one-or two-pipe heating v ❑Does Not systems have outdoor setback control to lower boiler water ❑Not Observable temperature based on outdoor ❑Not Applicable ; temperature. 403.5.1.1 Heated water circulation systems ❑Complies ; [FI28]2 have a circulation pump.Thex ❑Does Not system return pipe is a dedicated return pipe or a cold water supply ' ❑Not Observable 4 pipe. Gravity and thermos- ❑Not Applicable syphon circulation systems are ' not present.Controls for circulating hot water system pumps start the pump with signal ; for hot water demand within the occupancy.Controls automatically turn off the pump T 14 when water is in circulation loop is at set-point temperature and no demand for hot water exists. 403:5.1.2 Electric heat trace systems °` ` " ❑Complies [FI29]2comply with IEEE 515.1 or UL []Does Not 515.Controls automatically adjust the energy input to the []Not Observable heat tracing to maintain the . ❑Not Applicable ; desired water temperature in the ' gpiping. V,.:: . ; 403.5.7 Water distribution systems that ❑Complies [F130]2 have recirculation pumps that []Does Not , pump water from a heated water supply pipe back to the heated ❑Not Observable ywater source through a cold ❑Not Applicable ; water supply pipe have a demand recirculation water system.Pumps have controls , that manage operation of the ; pump and limit the temperatures of the water entering the cold water piping to 1049F. 403.5.4 Drain water heat recovery units ; ❑Complies [FI31]2 tested in accordance with CSA ❑Does Not B55.1. Potable water-side pressure loss of drain water heat .:• j []Not Observable recovery units<3 psi for ❑Not Applicable ; individual units connected to one ; or two showers. Potable water- side pressure loss of drain water miff , heat recovery units<2 psi for ; individual units connected to 1 1 three or more showers. 8 ; 404.1 75%of lamps in permanent ❑Complies [FI6]1 Mixtures or 75%of permanent ❑Does Not ;fixtures have high efficacy lamps. ffi Does not apply to low-voltagess, i:Does Observable lighting. p f ❑Not Applicable 404.1.1 Fuel gas lighting systems have y ❑Complies ; [FI23]3 no continuous pilot light. ::„:, ❑Does Not ".,.: []Not Observable ; ❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 2nd Floor Master Bedroom Addition Report date: 03/17/20 Data filename: C:\Users\Chad\Documents\REScheck\96 Hayes Road—Phase 2.rck Page 8 of 9 Section Plans Verified J.:' Fleid Verified # Final Inspection Provisions` Value" Value Complies? '? Comments/Assumptions, & Re :ID 401.3 aCompliance certificate posted. � ` ❑Complies [F17]z ❑Does Not ❑Not Observable ❑Not Applicable 303.3 Manufacturer manuals for ' .-y�K]Complies [FI18]3 mechanical and water heating ❑Does Not , systems have been provided. ❑Not Observable ; a ❑Not Applicable Additional Comments/Assumptions: i 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 2nd Floor Master Bedroom Addition Report date: 03/17/20 Data filename: C:\Users\Chad\Documents\REScheck\96 Hayes Road-Phase 2.rck Page 9 of 9 �J( 2015 IECC Energy Efficiency certificate Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling / Roof 49.00 Ductwork(unconditioned spaces): lamaftwmw Window 0.03 Door 0.03 Heating System: Cooling System: Water Heater: Name: Date: Comments r CRJ Co' nstruction Inc. 14 Joanne Drive 508-904-5209 Phone Ashland,MA Town of Barnstable 0 Regulatory Services Building Division ` 200 Main Street Hyannis, MA 02601 c,► r January 14,2020 NOTICE TO THE BUILDING DIVISION OF w LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY I, David Corrijo,owner of CRJ Construction Inc., herby certify that Ricardo Tersarotto Construction Supervisor's License#CS-109137,a full time employee of CRJ Construction Inc., will assume ` , responsibility as project supervisor for the following project: Ricardo Tersarotto-#CS-109137 98 Hayes Road,Centerville MA 02632 David Cor jo,Owner Date , a CRJ Construction Inc. 14 Joanne Drive- 508-904-5209 Phone Ashland,.M Town of Barnstable Regulatory Services Building Division . 200 Main Street - Hyannis, MA 02601 May 07,2020 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY I, David Corrijo,owner of CRJ Construction Inc.,herby certify that Ricardo Tersarotto Construction Supervisor's License#CS-109137,a full time employee of CRJ Construction Inc., will assume responsibility as project supervisor for the following project: Ricardo Tersarotto.-#CS-10913T 98 Hayes Road,Centerville MA 02632 David Corrijo,Owner Date , Construction Supervisor lie:AddrasS 4 �f- 1 (or)application ti �ianie: ,&Welephone Number �d{Tess l{,VCy- t3te 2'1 license cl ber4i 3-7Llcense Type U Expiration Date i �! Q . Contractors l�matl.���RSIq->�OT�cEell If 14:deei6od my responsibilities under+the rules and regulatlons for Licensed Construction duper isor.in accordance with 780 CMR the Massachusetts State Building Coda. i rs t�dderstat d the construction inspection procedures,specific inspections and i. d�cutnentation requ` d: y 780 CMR and the Town of Barnstable,Attach a copy of your iiceiase. E I Sigaturre Date d/ 2d � r Commonwealth of Massachusetts t Division of Professional Licensure s Board of Building Regulations and Standards° Constrtstrisiljrvisor CS-109137 �ires:01/2412021 F RICARDO TERSAROTTO, r..•*Mt t e 'a* 11 GIBBON AV NUE APr 01 g MILFORD MA 0177,f7, ` Ql Conimissioner V^^' 1 " —.` :. r *� 1lDA . R ' ';,;1=�"r•4y,;:G��`"-:�#'.� r"-.x.`--:"L�.i'�.�..r.."+�k.*+:�ai4�•:e�.. �.;.F. r•{.+e..�.,.�'3'v ' #i""�u' .�t=.� :.:�''X•. ,.:r#'`�r'7'F-+��.� „Y-: 'fit .k,. '��`�l r, �THE 1� Town of Barnstable Conservation Commission BARNSTABLE, + ADMINISTRATIVE_REVIEW FORM ••� ADM 20- �EDMAT� F Fee $25.00 n Fee Paid Address/location of proposed proiect: Street: a 4,g-/ram Village: K?i�,�,3o,2�_t Map:ta ID Parcel:�Oq Owner/Applicant: ,Mailing address: /-1 /�Zt_1� =-��+'�L.r Ic A a= z Phone/cell: 6ZZ1 Email:_r_4,6QZ S4,LA-A,-C@ 6.aAz t, c.a^,%- Fax: Contractor/Agent: 171 2 1sc- Address: Phone/cell: D� Email: Cjesp-yS' �rS��+-t 1�L [� ��•r.c�,� «..� Associated File: J>A-9002� Project descri tion: Attach additional sheet if necessary,along with photos and a site plan if available(include distance from resource). PJ.�vov ��� Vlo ��nn�p o i I �{ov�. reAA�-tv,.% , �v�� w�(l 6A rwe w►al�a� . 1. Will the proposed worktake place within any of the following resource areas? (If"yes,"please check the following resource areas). w//J ❑ Town coastal bank; ❑ State coastal bank; ❑ 100-year flood plain (land subject to coastal storm flowage); ❑ Salt marsh; ❑Beach; ❑Dune; ❑ Vegetated wetland; 91 Lake; ❑ Pond; ❑ Stream; ❑ Intermittent stream; ❑ Estuary; ❑ Ocean; ❑Land under said waters. 2. Will the proposed work take place within 50-feet of any of the above resource areas? 3. Is excavation by machinery required? 4. Is foundation work proposed? 5. Is removal of vegetation proposed? n Understory ❑Groundcover ❑ shrubs 6. Is regrading proposed,either the addition or removal of soil? do 7. Is tree removal proposed? If so,why? ❑Water view ❑Aesthetics ❑ Safety issue Are trees: ❑ living ❑dead ❑ dying(please supply photos) 8. Is planting proposed? �� If so,please supply a plan which includes species. ,, 9. Is removal of poison ivy proposed,or other invasive species removal/control proposed? No If"Yes,"please explain on additional sheet. 10. Is the use of herbicides propo d? A110 Applicant signature: Y-"" Date: Reviewed by: )ate:,_�f g� Zo Q\regulations\admin policies procedures\adminreviewform 7/1/2017 The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations . 600 Washington Street Boston,MA 02111. www.mass.gov/dia , Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information f Please-Print Legibly Name(Business/Organization/Individual): f�{— 1, ��_c�C' l[ J Address: l City/State/Zip: Phone#• A�Kan employer?Check t/he appropriate box: Type of project(required): 1. a employer with 4. E] I am a general contractor and I 6: ❑New construction employees(full and/or part-time).* have hired the sub-contractors -_ listed on the attached sheet. 7. ❑Remodeling 2.� I am a sole proprietor or partner- ship and have no employees Thesesub-contractors have g• ❑Demolition working for me in any capacity.c aci • employees and have workers' $ 9. ❑Building addition [No workers"comp.'incnrance Comp.incur-ance. required.] 1 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] f *Any applicant that checks box#1 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 subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide they 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. � Z Insurance Company Name: Policy#or Self-ins.Lie.#: - l Expiration Date: 20 Job Site Address: City/State/Zip: .WW 1JlC►&- CS?_ Attach a copy of the workers'compensation policy declaration 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,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 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 under the pains and penalties of perjury that the information provided above is true and correct , Signature•-- � l �.•� Date: Phone# 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,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 more of the foregoing engaged in a joint enterprise,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 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,constriiction 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." MGL chapter 152,§25C(6)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,MGL chapter 152, §25C(7)states"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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials , 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 contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as,a reference number.In addition,an applicant that must submit multiple-penmit/license applications in any given year,need only submit one affidavit indicating current x policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or - town)."A'copyof the affidavit that has been officially stamped or marked by the city or town may,be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your 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 .x�:- r , Department of Industrial Accid_eAts ofrxe of investigati�s 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.ov/dia THE Application Number... r .... .... .............. ............. V BARNSrABLE, • MASS. Permit Fee........................................Mer Fee....................... 1 39. -0 n Total Fee Paid.................................... .................... ...... co TO" OF BAIWS"E Permit Approval by........ 1.1.....................On Cn BUILDING PoIrUT H r, Map.........................................Parcel............ : ............ APPLICATIJON . Section I — Owner's Information and Project Location Project Address J 4,U) Village (2j4LL Owners Name TO ry. ?Otr Owners Legal Address __s4 e Ap— State —zip djzzl Owners Cell# u 3 �eb 12—t E-mail AAL_ Section 2— Structural Use nxSingle_/Two Family Dwelling F-] Commercial Structure over 35,000 cubic feet E] Commercial Structure under 35,000 cubic feet Section 3 —Type of Permit ❑ New Construction E] Move i Relocate E] Accessory Structure E] Change of use El Demo/ entire structure) ❑ Finish Basement El Family/Amnesty El Fire Alarm Rebuild El Deck Apartment Y El Sprinkler System El Addi-ton _, TJ Retaining wall --Solar Ny Ell Renovation. pool. El insulation o Other—Specify Section 4 - Work Description r /'tmvi 4, 4 i&4 /—C)C- V q 014 ve.* RA19�,�_L T.nqt iindstnti- 1,).1,)Rnf)i 7 Application Number.................................................... ,w. Section 5—Detail ` Cost of Proposed Construction OT-v Square Footage of Project j i Age of Structure Dig Safe Number j #Of Bedrooms Existing Total# Of Bedrooms (proposed) 3 I 11-0-UT-H W-_ind-Zone_Compliance Method 0 MA Checklist ❑ WFCM Checklist_❑ Design . _ 9 Section 6— Project Specifics i El/wiring ❑ Oil Tank Storage ❑. Smoke Detectors �umbing ❑ Gas _ ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply Public El Private Sewage Disposal El municipal , L✓f On Site p Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No. Section 7--Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes No ❑ Section 8= Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) I - Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No. Y r ... 7 roA• V)/7R/7M7 Application Number.......... Section 9— Construction Supervisor Name C� �� '��h Telephone Number Address L, City CtA%% —State k.,-- Zip O 1 4�4 3 License Number License Type' Expiration Date©2/Ll Contractors Emai Cell:# yQ I understand my responsibilities under_the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature ' Date 1,�, I �� Section 10 —Home Improvement Contractor Name IN �i�IF Telephone Numbers Address all A City State Zip .�3 Registration Numberl 0 Expiration Date -7 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation require4jbZ 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date tL-24 T Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date f ll Print Name Telephone Number S1 h 1—Y( lb Z3 js6 E-mail permit to: -CL, E_ V1 .ate eo Last updated:42/28/2017 r Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ j Historic District Site Plan Review(if required) ❑ -- Fire Department ❑ i w Conservation :, + For commercial work,please take your plans�direct&to the fare department for approval. Section 13— Owner's Authorization 1 subject roe hereby I, , as Owner of the subs property rtS' y authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner Y.• date Print Name i E T.ast undated: 12/29/2017 Prom.bavid Crawford david@eiinsurance.com Lf 1" Subject. Town of Barnstable-Bldg Dept Certificate Gate, January 29,2018 at 6:09 PM Y To: clay@wilkinsconstructioiiilo.com Cc: David Crawford david@eiinsurance.com Hi Clay: Y ` Per our earlier conversation, attached is a certificate of insurance for the Town of Barnstable's Building Dept. f If you have any questions, please give me a call or email. k Thanks. Regards, David David D. Crawford Eldredge & Lumpkin Insurance Agency, Inc. 697 Main St. Chatham MA 02633 (508) 945-0393 (800) 945-1840 (508) 945-4048 (Fax) david@elinsurance.com ACR&I CERTIFICATE OF LIABILfTY INSURANCE � eatYYe 1 MISCERWWt MMUCO-ASAMATtEROFINFtSR"TMN OkLYAND CONITEMNOMMUPON THE TIFICAIRROLf R."HIS CERTIMCATE DOES NOT AFFfRIVATIVELY OR K-OATIVELY AMEND,EXTEND 09 ALTER"E COYMACE AFFORDED BY THE Pt lES ULM THIS CEIdMCATIOFINSURANCE DOES NOT CONS@`UTEACONTRAC'I SM9ENT14E MUMWSU S�AL"HORIZED Attn"TATIVV Ok PaODUCM,AND TH6 CUMICArE HOL EP- WPORTANY It'd cartlhaatn holder is an AbbOWNAL I}lSU ,the policyfws)must haac7 ADWMNAL INSURED provision w be andamed. 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SF, A 3,C�Cffi'Bi�3 t 4�L4K83f?t�dt �7+ 6L6CAGrtIXYSl VC713ii°S''S tM:G���$'{i/Id�19Cif�#Sl£6��d$K7�f�fYe mq'Ci ilUSfuPt{1 RQ@'�(6Kf� . i �€ tlWke�FEYL�Y��•aaeett YYff�++� '�ppFp�fAq 'EAftP=TE k6LLCR iJi391wC"-A9liJ SHOULD"Y OF THE ABOVE DESCRIBED POLICIES 9E CANCELLED AEFWE THE EXPIRA N bA1tO"MOP,NOTICI"LL Ot O D IN 'fer. a"nlwo ACCORDANCE 41 IMTHEPOLICYPRDVMIDN& mo mo ro*m AEtIIY£AMMU MMMICWTAMW elSU-2415ACOROCO"'ORA➢ION.ADrigItsreserved. 4C-ORD 25# 1dMIS) The ACM tame amd lago era registered marks of ACO" i -I The Conunonwealth of Massachusetts Department of Industrial AccidentsIA Office of Investigations ' 600 Washington Street Boston,MA. 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit:Bulders/Contractors/Electricians/Plmnbers Applicant Information Please Print Lezibly Name(Business/Organizat;on/lndiv&9): A L'V-,C C�!y� S c�}y�.� u-(— Address: - - — - - - City/State/Zip: & Phone#: 50S� 2'f l o 2-3 Y AFla, an employer?Check the appropriate bowType of project re 4. I am a general contractor and I p 1 (required). 1. am a employes with_Q7 ❑ 6. ��DaZg ction employees(full and/or part time).* have hired the sob-contractors Z.❑ I am a sole proprietor or partner- listed an the attached sheet; 7. ship and have no employees These sub-contractors have S. Demolition workin for me in capacity. employees and have workers' g �Y aP �'• # 9. Building addition [No workers'comp.insurance comp•insua~ance. required.] 5. ❑ We are a corporation and its 10. Electrical repass or additions 3.❑ I am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself[No workers' comp. right of exemption per MGL 12.0 Roofrepairs incrtrance required..]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other *Any applicant that checks box 61 must also fill out the section below showing thrir 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. �Contraators that check this box must attached an additional sheet showing the name of the sub-contractors and state vybetber or not those entities have employees. rf the sub-contractors have employees,they must provide their workers'comp,policy number. . I am an amployer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insm ceCompanyName: . f , Policy#or Self-ins.Lie.#: E l'a X Z—° I') � Expiration Date: le- Job Site Address: Crty/State/Zip: Attach a copy of the workers' mpensation policy declaration 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* froe up to$1,500.00 and/or one-year imprisomnent,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to$250.00 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 under the pains and penalties of perjury that the information provided above is true and correct Si e' A Date: v Phone#: d Official use only. Do not write in this area,to be completed by city or town official City or Town: PerinitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#: > i € 2 111 r, d E ti € E ��„ � 1 � ,.,..�.;,...w..... .........,� � ,.ice. �- �. 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(1st floor/School Admin. Bldg.) f E �; �,a_, ; ' Definyanved by Planning Board 19 If SSTA� �rJ ` va ��A�CE A TOWN OF.BARNSTABLE CODEAND 4 y r Building Permit Application Projes Village ri6/%�6X ella..A !YI/? Owner q&'O,Nc5T®/V /C/� i t Address Telephone `7 a -2 2/ '7 .:Permit Request Z 224 7;ozu 12 46arir C-x/s i� C. 5,1-/?J1.2 First Fl r square feet Second Floor square feet Constructi Type Estimated Proje Cost $ r-4LE-i i Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family o Family ❑ Multi-Family(#units) Age of Existing Structure toric 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 } No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing od/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name d Jly.r� �I /�`f�'![L44Pi C Telephone Number Address � f/Si1i4 S' License# coR6'9- 5- 7" ZQXs'%A&g4 Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)-SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 21 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE,ONLY PERMIT NO. SI�J -•+ _ _ _ DATE ISSUED- MAP/PARCEL NO: ADDRESS - .-+ VILLAGE OWNER DATE OF INSPECTION:; FOUNDATION FRAME INSULATION ' FIREPLACE t t ELECTRICAL:t• ROUGH I FINAL, r - PLUMBING: ROUGH FINAL r t t , ..firwo - _ _ • GAS: '*ROUGH- = FINAL" s FINAL BUILDING ✓��(,y 1 - x t DATE CLOSED OUT Y - ASSOCIATION PLAN NO! r °f THE ri ` . •'L The Town of Barnstable • �rrsTnstE. • � 9e�A Department of Health Safety and Environmental Services rEn H,o•�'' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only , 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 otjkr reauirementtl. y 1 r.-LE .C17 Type of Work t _AAJ_r= _Est. Cost r Address of Work: �✓ Owner's Name Date of Permit Application: ;4_A�r I hereby certify that:, Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied 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 IJI ereby apply for a permit as the agent of the r: L2-199 / ll� sq Date Contractor Name Registration No. OR Date Owner's Name J The Commonwealth of Massachusetts Department of Industrial Accidents ff Office oflnsestigatiens Vk," _ _ t 600 Washington Street < J% Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: �����r location: �� Ayy7 jr 4,t city 5 S � N f 7�IOQ�� phone# 37,02 — ❑ I am a homeowner performing all work myself I am a sole ro rietor and have no one workin in any ca acity /% %%%%%/%///%%%%%%&any//////////%/l%%%%%////////%/////% ❑ I am an employer providing workers' compensation for my employees working on this job. company:name: address. city. phone#. . insurance co... " 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: city: phone#. :insurance*ca ohev# I%'%////////%/% campanyname. :: address:< .. city: phone#: insurance co. olic # Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 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 under ns and penalt' of perjury that the information provided above is true and correct Signature ✓ Date/ Print name 1�a1 f eGv/�rA A � i' Phone# �� r 36 PI E3 official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 9/95 PIA) 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 more of the foregoing engaged in a joint enterprise, 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 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. 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 inmirance 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. 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 contact you regarding the applicant. Please be sure to fill in the perniitllicense number which will be used as a reference niimber. 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 Office of Invesugatlona 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 MC34t Appeoft, Table JIM!;(conthmed) prescriptive Packages for due and Two-Family Residential Buildings Heated with Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor I Basement Slab Heaang/Cooling Area'('A) U-value= lt value' It-value' . R value' Wall Perimeter Equipment Efficiency' Pie R value' R value' 5701 to 6500 Heating 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 IS% 0.36 38 13 25 WA WA Normal U is% 0.46 38 19 19 10 6 Normal V ISO/4 0.44 38 13 23 WA WA 85 AFUE W Isy/o 0.52 30 19 19 10 6 85 AFUE X 19% 0.32 38 13 25 WA WA Nomad Y 19% 0.42 38 19 25 WA WA Normal Z 18% 0.42 38 13 I= 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: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. F BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a Assessor's office(1st Floor): J6 _ �9� SEPTIC SYSTEM,MUST BE `TME Assessor's map and lot number / INSTALLED IN COMPLIANCE Board of Health(3rd floor): �', WITH TITLE S ' 1 fO�Q� Sewage Permit number 75" - VGG ) "ENVIRONMENTAL, COWAND = BASd9'fADLL 'Engineering Department(3rd floor): �/ JS rass House number Definitive Plan Approved by Planning Board 19 ��MO a APPLICAT09S PROCESSED 9:30-9:30 A.M.and 1:00-2:00 P.M.only BsoaAutable� P i W N OF B A R N S T A B L E rns bl ssenstl s E - - 1LDIN0 INSPECTOR ,1APPLICATION FOR PERMIT TO L l /b (4411YU t -Wr' Cd1Y TYPE OF CONSTRUCTION 4-bdb Mtn 6 /- 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 99 MIS 10 rcAl'Erle!lza Proposed Use l Zoning District 1J Fire District /'L9 Name of Owner9&n1 PVC78ry IY704) Address mo ode®. C Name ofBuilder.WS ill!A#L1,jA h C Address '19 C -7" 44 /QXA/S l� Name of Architect ?1 Address Number of Rooms , Foundation cONC Exterior f L 2 Roofing /-7r AgAZ 7-- Floors / Interior7>&f�ROC./� Heating �Ji9Q/r1 ®f� ' Plumbing mu z,>zp / &Wu Fireplace ' Approximate Cost 44 coo Area 0',16 Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable rega ' g t e above co truction. Name Construction Supervisor's License 00 9 CP 5 1^ MERRY, REMINGTON v ; R No - Perrnit or BUild Addition Single Fa-ini*lv DfiAellina Location '98 Ha7esl Road - - Centervialle - Owner Rem in t Type of Constructio Fram4 Plot + Lot c • r _ 4 Ifs •• ! �,,.. Permit Granted May 1 , 19 90 �- Date of Inspection 19 05-te C&mpleted r 19 - PT) r�! r •f i �.y: �. R .s.:� a }".��+:k Vr..,;. ter, 3,',...� o..:�. ra.. ,. tr`iw*i'yd's'�'�,�' .fiC r"•,.. ...:...cfr.. �i.. P,� �xx`'."., r- .ttiro:�c'�n,!^�az"r�,.a:�.i'�•%f`+ ,�r"�•�,�,�4n Assessor's office(1st Floor): b .� 9 Assessor's map and lot number _ oi�8c>0 Board of Health(3rd floor): qq d Sewage Permit number O Z DAS)t9LipLL i Engineering Department(3rd floor): rasa House number b °V, 1639• Definitive Plan Approved by Planning Board 19 o'rw APPLICATIQNS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only - #` TOWN OF BARNSTABLE r4 AM I LD ING INSPECTOR - APPLICATION FOR PERMIT TO �)47-) n- Wb 172,1)4 I (1,40MU (- Gt/w( r► � f TYPE OF CONSTRUCTIONff�(' 1 G If! 3 19 j TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 9 R IIA L 5 Alrr.yrr- 11114 ': .. 11?4_ j t. Proposed Use 1�n rV 5'- Zoning District Fire District a Name of Owner l,6/11 i rV(710,v IYYU� )- Address CK MA7 r-KS An 62— Name of Builder t�r AlyyC /)`)r.A,l/[_Gf.AA Address 41. 6W7.)X 9-)' (f Name of Architect i 1 Address Number of Rooms Foundation CO'Ai Exterior J• 1"/' r Roofing �' �� Floors Interior sw, �t6CrC Heating C�ntz/ %IZ Plumbing Fireplace VOA Approximate Cost � (:yo Area 00 Diagram of Lot and Building with Dimensions Fee a r � n x. r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License 00 J 4. - MERRY, REMINGTON Ej-210-097 ' No 33705 Permit For Build Addi-c:_on Single Family Dwelling Location 98 Hayes Road Centerville Owner Remincfton Merry Type of Construction Frame Plot Lot Permit Granted May 1 , 19 90 Date of Inspection 19 Date Completed 19 PERMIT COMPLETED 1/1/ °�L t S (H OF AOgS ` t ROBERT p NISS AL 1 13834 Q F.v p r AL _. i y t Y _ v ✓`- rL-1 E' 4' w ' a .� � r . . _.__ m w , � � �: � _"__ tsssar�t irs�a �x axt 54a�x,A,Ch sSotK 1. TStu�sson at'pml sse nil sisazre � €5 ra9'd"ad tzsdc3e" f 5€p.i fiotts 411d 9Arts404 " fry Ct 3i "; f :c =��*e . a� ' i �E AROO T i SAlli ft ,, �' 91 GtBtN ASfit -y; ': WLFORD f#A ti1Ti T .. 4' Y t I E tt�i€titss:cir .,�, t . t p y 4 p .e 4, y,'r-qnx,€f;s' Pwl s i? QliEro of Consumer Affairs&8us]st�ass Aag�r"taa,s NCfbt£.I&ipdOV�b4E:NT, Qti7R+t Ti3R Aeistaptton valid ttr individusf use or+iy TYiaE )r 'a t3a befot,D tht expiration dale, it'tound return W. i? �57 ,1i211, 3r its Otllce of Ccsnsumea Affairs and f3usintss Flos3uletian 1�7 71a`96: a? tfl }�pasffifitetgt6TnS3aeEt •Suit87'ti7 ,. Boston.MA 02110 g i i Ai�DO TE RSAROTTO.: l I � r;GiB ON AVM:A 0t � No vAd without s pMure i; M�Lf-oE1 ,W� C't57 �rmde'rWIlelaty 1 _' . €, . ;: .. .. :: .': .: :. .. ... ::: :. -.. k ... 5 ..: .: :. j - i . :: .. t;: . .. :: .. REScheck Software Version 4.6.e e 5 Compliance Certificate Project 3 - Season Room Renovation Energy Code: 2015 IECC Location: Centerville (Barnstable), Construction Type: Single-family Project Type: Addition Climate Zone: 5 (6137 HDD) t Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 96 Hayes Road Tom Parsi Chad Hill Centerville, MA 02632 96 Hayes Road Hill Design Build, LLC Centerville, MA 02632 56 Hayes Road 603-686-6221 Centerville, MA 02632 tomparsi@me.com 860-759-0502 chadbhilll@gmaii.com Compliance: 9.8%Better Than Code Maximum UA: 82 Your UA: 74 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. Envelope Assemblies Ceiling 1:Cathedral Ceiling 150 49.0 0.0 0.022 3 Skylight 1:Wood Frame:Double Pane with Low-E 9 0.053 0 Wall 1:Wood Frame, 16"D.C. 351 21.0' 0.0' 0.057 17 Window 1:Wood Frame:Double Pane with Low-E 34 0.030 1 Door 1: Glass 20 0.030 1 Floor 1:Slab-On-Grade:Unheated 50 0.0 1.042 52 Insulation depth:0.0' 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 2015 IECC requirements in REScheck Version 4.6.5 and to comply with the mandatory requirements listed inthe REScheck Inspection Checklist.' Name-Title Signature Datb } Project Title: 3 -Season Room Renovation Report date: 11/29/19 Data filename: C:\Users\Chad\Documents\REScheck\96 Hayes Road.rck Page 1 of 9 REScheck Software Version 4.6.5 Inspection Checklist Energy Code: 2015 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement,the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed.Where compliance is itemized in a separate table, a reference to that table is provided. Se Plans Verified Field'Verified # Pre-Mspection/Plan Review Complies Comments/Assumptions':. &Re .ID Value Value 103.1, ;Construction drawings and x ❑Complies 103.2 documentation demonstrate ❑Does Not [PR1]1 ;energy code compliance for the y" ` ;building envelope.Thermal ,- ❑Not Observable ; envelope represented on ❑Not Applicable ; ;construction documents. 103.1, ;Construction drawings and ❑Complies ; 103.2, :documentation demonstrate ❑Does Not 403.7 ;energy code compliance for [PR3]1 ;lighting and mechanical systems. []Not Observable :Systems serving multiple []Not Applicable ; ;dwelling units must demonstrate ,. >; compliance with the IECC I ; Commercial Provisions. ,. 302.1, Heating and cooling equipment is;, Heating: Heating: ❑Complies ; 403.7 )sized per ACCA Manual S based Btu/hr :•Btu/hr ;❑Does Not [PR2]2 -ion loads calculated per ACCA 1 Cooling: Cooling: ❑Not Observable Manual or other methods (approved by the code official. ; Btu/hr ; Btu/hr ;❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 3-Season Room Renovation Report date: 11/29/19 Data filename: C:\Users\Chad\Documents\REScheck\96 Hayes Road.rck Page 2 of 9 Section: Plans Verified Field Verified # Foundation Inspection Complies? Comments/Assumptions ' &'Re .ID Value: Value 402.1.2 ;Slab edge insulation R-value. R- R- ;❑Complies ;See the Envelope Assemblies [FO1]1 ;❑ Unheated ;❑ Unheated ;❑Does Not table for values: (0 ;❑ Heated ;❑ Heated ;❑Not Observable . ;❑Not Applicable 402.1.2 :Slab edge insulation ft ft ;❑Complies :See the Envelope Assemblies [F03]1 depth/length. ;❑Does Not ;table for values. ❑Not Observable ; :,[]Not Applicable 303.2.i SA protective covering is installed ' ❑Complies [F011] Ito protect exposed exterior , []Does Not 'insulation and extends a x V ❑Not Observable ; minimum of 6 in. below grade. � ❑Not Applicable 403.9 i5now-and ice-melting system ❑Complies [FO12]2 controls installed. []Does Not J ❑Not Observable : I t ❑Not Applicable ; Additional Comments/Assumptions: 1HihIm Impact i I (Tier Low Tir g pac (Tier ) 2 Medium Impact( e ) 3 o pact( e 3) Project Title: 3 -Season Room Renovation Report date: 11/29/19 Data filename: C:\Users\Chad\Documents\REScheck\96 Hayes Road.rck Page 3 of 9 Section Plans Verified Field Verified Framiing/Rough In Inspection Complies? Comments/As§umptans &Re .ID :�.. Value Value.. 402.1.1, :Glazing U-factor(area-weighted U- U- ;❑Complies ;See the Envelope Assemblies ^ 402.3.1, average). :❑Does Not ;table for values. 402.3.3, 402.5 ,❑Not Observable ; [FR2]1 :[]Not Applicable 303.1.3 ;U-factors of fenestration products ❑Complies ' [FR4]1 :are determined in accordance ?;. ❑Does Not ;with the NFRC test procedure or ;taken from the default table. i ❑Not Observable . []Not Applicable 402.1.1, :Skylight U-factor. U- U- ;(]Complies ;See the Envelope Assemblies 402.3.3, ;0Does Not ;table for values. 402.3.6, ; ❑Not Observable [FR51 ❑ ' Not Applicable [FRS] 402.4.1.1 ;Air barrier and thermal barrier ❑Complies ; [FR23]1 :installed per manufacturer's ❑Does Not instructions. ❑Not Observable ❑Not Applicable 402.4.3 ;Fenestration that is not site built ❑Complies [FR20]1 :is listed and labeled as meeting []Does Not AAMA/WDMA/CSA 101/I.S.2/A440 ❑Not Observable or has infiltration rates per NFRC ❑Not Applicable , 400 that do not exceed code pp limits. ; 402.4.5 IC-rated recessed lighting fixtures ❑Complies [FR16]2 ]sealed at housing/interior finish - ❑Does Not ¢and labeled to indicate:52.0 cfm l leakage at 75 Pa. []Not Observable ; ❑Not Applicable 403.3.1 ;Supply and return ducts in attics ❑Complies [FR12]1 :insulated >= R-8 where duct is ❑Does Not >=3 inches in diameter and >_ []Not Observable ; R-6 where< 3 inches.Supply and return ducts in other portions of ❑Not Applicable ; ;the building insulated >= R-6 for diameter>= 3 inches and R-4.2 ;for<3 inches in diameter. 403.3.5 Building cavities are not used as ❑Complies ; [FR15]3 ducts or plenums. ❑Does Not V []Not Observable []Not Applicable 403.4 HVAC piping conveying fluids R- R- ;❑Complies [FR17]2 ¢above 105 QF or chilled fluids UDoes Not below 55 QF are insulated to>_R- ; 3. ❑Not Observable ; !,[]Not Applicable 403.4.1 ;Protection of insulation on HVAC ❑Complies ; [FR24]1 :piping. []Does Not 00 []Not Observable ❑Not Applicable 403.5.3 jHot water pipes are insulated to R- R- ;❑Complies ; [FR18]2 >R-3. ;❑Does Not ❑Not Observable ❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 3-Season Room Renovation Report date: 11/29/19 Data filename: C:\Users\Chad\Documents\REScheck\96 Hayes Road.rck Page 4 of 9 Section: Plans Verified Field Verified # Framing/Rough In Inspection Complie5� Comments/Assumptions ; &Req.ID Value Value 403.6 Automatic or gravity dampers are ❑Complies ; [FR19]2 installed on all outdoor air ❑Does Not intakes and exhausts. ❑Not Observable ; ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) T-21 Medium Impact(Tier 2) 13 1 Low Impact(Tier 3) Project Title: 3 -Season Room Renovation Report date: 11/29/19 Data filename:C:\Users\Chad\Documents\REScheck\96 Hayes Road.rck Page 5 of 9 h , Section Plans Verified Field Verified # Insulation Inspection Complies?, Comments/Assumptions &'Req.lp Value Value ❑Complies (IN13]2 for the installed R-valuesfi []Does Not provided. ❑Not Observable []Not Applicable 402.1.1, ;Wall insulation R-value.If this is a: R- R. ;❑Complies ;See the Envelope Assemblies 402.2.5, mass wall with at least 11/2 of the ;❑ Wood ❑ Wood ;❑Does Not :table for values. 402.2.6 ;wall insulation on the wall :❑ Mass ❑ Mass :[]Not Observable [IN3]1 :exterior,the exterior insulation. ; requirement applies(FR10). ❑ Steel ;❑ Steel :0Not Applicable : 303.2 ;Wall insulation is installed per ° ❑Complies ; [IN4]1 :manufacturer's instructions. ❑Does Not � ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 3 -Season Room Renovation Report date: 11/29/19 Data filename: C:\Users\Chad\Documents\REScheck\96 Hayes Road.rck Page 6 of 9 Section: Plans.Verified Field Verified # Final Inspection Provisions Complies? Comments/As§umptions Req.ID Value Value 402.1.1, ;Ceiling insulation R-value. ; R- R- ;❑Complies ;See the Envelope Assemblies 402.2.1, ;❑ Wood ;❑ Wood ;❑Does Not table for values. 402.2.2, ;❑ Steel ❑ Steel :❑Not Observable 402.2.E[Fill' PP :❑Not Applicable � � � 303.1.1.1, ;Ceiling insulation installed per ❑Complies ; 303.2 :manufacturer's instructions. [FI2]1 ;Blown insulation marked every ❑Does Not 300 ft2. „ ❑Not Observable ❑Not Applicable ; 402.2.3 Vented attics with air permeable °, 4 ❑Complies ; [FI22]2 insulation include baffle adjacent ❑Does Not to soffit and eave vents that ,extends over insulation. ❑Not Observable ❑Not Applicable ; 402.2.4 ;Attic access hatch and door R- R 1❑Complies [FI3]1 :insulation all-value of the ;❑Does Not ;adjacent assembly. ❑Not Observable ❑Not Applicable 402.4.1.2 ;.Blower door test @ 50 Pa. <=5 ACH 50= ; ACH 50 = ;❑Complies ; [FI17]1 each in Climate Zones 1-2,and ;❑Does Not <=3 ach in Climate Zones 3-8. UNot Observable ; ❑Not Applicable 403.3.4 ,Duct tightness test result of<=4 ; cfm/100 cfm/100 ;❑Complies ; [FI4]1 cfm/100 ft2 across the system or ft2 ft2 UDoes Not <=3 cfm/100 ft2 without air ; ;handler @ 25 Pa. For rough-in :❑Not Observable tests,verification may need to ❑Not Applicable ; occur during Framing Inspection. 403.3.3 ;Ducts are pressure tested to cfm/100 cfm/100 ;❑Complies ; [FI27]1 ;determine air leakage with ft2 ft2 ;❑Does Not either: Rough-in test:Total ;leakage measured with a :❑Not Observable ; pressure differential of 0.1 inch ;❑Not Applicable ; ;w.g.across the system including ; ithe manufacturer's air handler I enclosure if installed at time of ;test.Postconstruction test:Total leakage measured with a , pressure differential of 0.1 inch ;w.g.across the entire system, ; including the manufacturer's air handler enclosure. 403.3.2.1 ;Air handler leakage designated ❑Complies ; [F[24]1 by manufacturer at<=2°!0 of ❑Does Not :design air flow. ❑Not Observable ❑Not Applicable 403.1.1 Programmable thermostats `' ❑Complies [FI9]2 installed for control of primary * ❑Does Not cheating and cooling systems and r�- f initially set by manufacturer to rrw. c : : ❑Not Observable code specifications. ❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies ; [FIJO]2 on heat pumps. ❑Does Not ❑Not Observable ❑Not Applicable 403.5.1 Circulating service hot water ❑Complies ; [Flli]2 Jsystems have automatic or ❑Does Not laccessible manual controls. ' w A []Not Observable , ❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 3-Season Room Renovation Report date: 11/29/19 Data filename: C:\Users\Chad\Documents\REScheck\96 Hayes Road.rck Page 7 of 9 Section Plans Verified Field Verified # Final Inspection Provisions Value' Value Complies? Comments/Assumptions &Req.ID 403.6.1 All mechanical ventilation system 4' ❑Complies [f125]2 fans not part of tested and listed ❑Does Not HVAC equipment meet efficacy R and air flow limits. ~ [:]Not Observable ; ❑Not Applicable 403.2 ?Hot water boilers supplying heat ❑Complies [FI21 through one-or two-pipe heating []Does Not systems have outdoor setback ¢control to lower boiler water []Not Observable . ktemperature based on outdoor ❑Not Applicable ; temperature. 403.5.1.1 Heated water circulation systems ; ❑Complies [FI28]2 have a circulation pump.The s; .' ❑Does Not system return pipe is a dedicated ❑Not Observable return pipe or a cold water supply pipe.Gravity and thermos- ❑Not Applicable syphon circulation systems are not present.Controls for circulating hot water system 7 pumps start the pump with signal for hot water demand within the occupancy.Controls automatically turn off the pump ; when water is in circulation loop is at set-point temperature and no demand for hot water exists. 403.5.1.2 4 Electric heat trace systems ❑Complies ; [F129]2 comply with IEEE 515.1 or UL ❑Does Not 515.Controls automatically adjust the energy input to the ❑Not Observable heat tracing to maintain the w 'a" " ❑Not Applicable ; y desired water temperature in the piping. 403.5.2 Water distribution systems that ❑Complies [F130]2 have recirculation pumps that ti ❑Does Not pump water from a heated water supply pipe back to the heated []Not Observable water source through a cold ❑Not Applicable water supply pipe have a t ; demand recirculation water ; system. Pumps have controls that manage operation of the pump and limit the temperature r: }4 of the water entering the cold water piping to 1044F. 403.5.4 Drain water heat recovery units �. ❑Complies ; [F131]2 tested in accordance with CSA , - []Does Not B55.1. Potable water-side pressure loss of drain water heat x� ❑Not Observable (recovery units< 3 psi for ❑Not Applicable i individual units connected to one ' or two showers.Potable water- I side pressure loss of drain water heat recovery units <2 psi for - individual units connected to m` Ithree or more showers. 404.1 ;75%of lamps in permanent ❑Complies [F16]1 :fixtures or 75%of permanent []Does Not ;fixtures have high efficacy lamps (Does not apply to low-voltage []Not Observable lighting. ❑Not Applicable 404.1.1 Fuel gas lighting systems have ❑Complies (F123]3 no continuous pilot light. ❑Does Not []Not Observable s , k ❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 3-Season Room Renovation Report date:' 11/29/19 Data filename: C:\Users\Chad\Documents\REScheck\96 Hayes Road.rck, Page:8 of 9 . L Section' Plans Verified Field Verified # Final Inspection Provisions Complies? Comments/Assumptions' &'RegaD ..'.:.Value:', Value 401.3 lCompliance certificate posted. ❑Complies [FI7]2 ❑Does Not ❑Not Observable f ❑Not Applicable 303.3 Manufacturer manuals for k ❑Complies [Fi18]3mechanical and water heating ❑Does Not g systems have been provided. ❑Not Observable i ❑Not Applicable Additional Comments/Assumptions: 4 l . 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 3-Season Room Renovation Report date: 11/29/19 Data filename: C:\Users\Chad\Documents\REScheck\96 Hayes Road.rck Page,9 of 9 2015 �ECC Energy Efficiency Certificate Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor 0.00 Ceiling / Roof 49.00 Ductwork(unconditioned spaces): .. Sim am Window 0.03 Door 0.03 Skylight 0.05 •Q -.. Heating System: Cooling System: Water Heater: Name: Date: Comments Construction Supervisor t Addrss - tl (or)application ti Re &;UetePhoneNumber Nan'C 2 '. � . Add tss _ - QA) A5tate Zip_! — License ilemberi 7Acense'y`ype Q� Cxplration Date 0 t ZlL;zl Contractors 8mdtf �'L r{5D T'1r��r2GCe ___ 'S0 '2. 0 ' 56 i understand my sesponsibfildes under tho ru1es,and regt>d atfdns for Licensed Construction Supervisor in accordance with 780 CNCR the Massachusetts State Building Code. 'i p understand theec.onstructton,inspectla'procedures specific inspections and d0cwnef tatloi n re'g ' d' y 7.8a CMR and the.Town of Barnstable,Attach a copy ofyour License. Signature Date . d commonwealth Build n ro a ice Standards clog Division of Profess�o�al Licensure I� Boar f gRegulations Constrkja-1 Nb*rvisor' 4 CS-109137 ESrpires: 01121I2021 RICARDO TERSAROTTO� 11 GIBBON W NUE' M1LFO APiT 01 n '''r t D MA O MT$7 C "— Commissioner i r .. aP..•v``,jtv�i+: .ti}}'"..t..G::' ri g" .`!'"°:•' ^. :;,n s =.�`r.: ,,., - x..r W.. ..��-S'��e�:R��•�r^y�'T*:. .`..:t' 't'_.,.w:,3^�+t"`,f.Y-+'��ii"'�.'.�=�?-..�`...c..-:.F�`.: '� .. Town of Barnstable Building Post,T fiis Card So That�it is=V�s�b.le From�the Street`-A roved PlansMust,be Retained on Job and,this hard Mustbe Kept +.� eriBAIL�t'ABLE, • 6'& Posted Until F�na)Inspection Has Been Made �,' F eaoc+ Where a.Certificate of Occu anc .,s Re u�red;suchBuildm shall Not be Occupied until a;Final inspect�on;has been made t p� y4 _...gam ,.�, ,���.....,. �..... Permit No. B-18-292 Applicant Name: CLAY S WILKINS Approvals Date Issued: 02/06/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 08/06/2018 Foundation: Location: 98 HAYES ROAD,CENTERVILLE Map/Lot 210-097 Zoning District: RD-1 Sheathing: M "K. Owner on Record: MERRY, MYRTLE M Contractor Name.` .;CLAYS WILKINS Framing: $' Address: 3RD AMNDMT FTP REV TR OF 2004 A Contractor License GCS 064198 S; R N 2 CENTERVILLE,MA 02632 Est Project Cost: $80,000.00 Chimney: Description: RENOTATE KITCHEN, RENOVATE HALF BATH, REMOVE 2"EXTERIOR Permit Fee: $458.00 Insulation: DOORS, REMOVE WINDOWS IN LIVING ROOM ADD EXTERIOR DOOR AND FLANKING GLASS PANELS, W fee Paid $356.00 ADD SU�MPPUMP IN Final: jr Ld BASMENT-POWDER ROOM TO BE MADE FUL9�BATH�ROOM,, Date 2/6/2018 if REMOVE IN, REMOVE EXTERIOR DOOR IN BEDROOMAND MOVE TO ANOTHER BEDROOM z ;r ��^ ^✓ Plumbing/Gas i, Rough Plumbing: Project Review Req: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorrzed b this permit is commenced within six months 'fterissuance. Rough Gas: All work authorized by this permit shall conform to the approved application and theapproved construction documents for which this permit has been granted. '¢ Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or�ro d'nd shall be maintained open for publicMspection for the entire duration of the work until the completion of the same. Electrical 10 The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials ar&provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work:. Rou h: 1.Foundation or Footing g 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 07 �'-VdI)i/IYfd�Lll/P.Q g DEPARTNENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Expires: 4 00 , Restritted,To 0CWILLIANS 1 45 CEDAR W BARNSTABLE, NA. 02668 t i •. �,S•d t ;t"t��t{7SS}j k! ,'.�F$i^Jy �...'//>F .e xi, • -. ee��kk�� )5'Fk'tom} � ,r .,�` tj�.� !'f •"t.,{"�,&.�4R!." CY(?;3�: 4 .HOME IMPROVEMENT CONTRACTOR Registration-,116599,t �4 �Type INDIVIDUAL r `#?" f Expiration06%2B19&rx _ a*4;DENNIS M MCWILLIAMS ; �;_: �'— ENNIS M MCWILLIAMS'� �; ADMINISTRATOR -45 CEDAR ST 1 Box '15 W BARNSTABLE MA 02668 i, A Town of BarnstableBuilding H,asrAacc Post This Card So That it.is Visible From the Street-Ap,proved Plans Must be Retained on Job and this Card Must be.Kept Posted..Until Final In 26119spection Has Been Made saePer t Where a Certificate of Occupancy�s Required;such Building shall Not be Occupied until a Final Inspection has Been made. _. v . Permit NO. B-18-292 Applicant Name: CLAY S WILKINS Approvals Date Issued: 02/06/2018 Current Use: Structure Permit Type: Building Addition/Alteration-Residential Expiration Date: 08/06/2018 Foundation: Location: 98 HAYES ROAD,CENTERVILLE Map/Lot: 210-097 Zoning District: RD-1 Sheathing: i Owner on Record: MERRY, MYRTLE M Contractor Name:.. CLAYS WILKINS Framing: 1 Address: 3RD AMNDMT FTP REV TR OF 2004 Contractor License: C5-064198 2 CENTERVILLE, MA 02632 Est. Project Cost: $60,000.00 Chimney: Description: RENOTATE KITCHEN, RENOVATE HALF BATH, REMOVE 2 EXTERIOR Permit Fee: $356.00 DOORS, REMOVE WINDOWS IN LIVING ROOM ADD,EXTERIOR Insulation: DOOR AND FLANKING GLASS PANELS,ADD SUMP PUMP IN Fee Paid'' $356.00 BASMENT Date: 2/6/2018 Final: Project Review Req: Plumbing/Gas Rough Plumbing: ' Building Official Final Plumbing: I This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Qffiaals are'provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: -, r 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT BEAssessor's map and lot number .....�..... ................r�...... SW,TLC -SYWM JU WSTAL!_ED IN COMPLIANCE r WITH ARTICLE {i STATE , Sewage Permit number ✓ SA"ITARY CODE NO GG /�...... :.... T"Er°��� TOWN OF BARNSTABLE ii • i 13ARN5,TMILL "�9 a RUIL- D110 INSPECTOR Opp 0 pY { APPLICATION FOR PERMIT TO .:rtr/p0: TYPEOF CONSTRUCTION .......f. /na./n..` ........".................... .......................................................................... ......................... .........19. �. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location . .../!Y..........C41-tA!tA1-/11z.V-Ar..2,6.0.................................................................................................. ProposedUse ...... ............................................................................................................................................. Zoning District ........................................................................Fire District ...eep.�<.V"k'"elle............................................... Name of Owner .��,1�2/•ti .,�Cl...��d./'!:'.�....:...................Address Name of Builder .............Address .....rof.l.C�.l..... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..................................................................Foundation /Cvr...................................... Exierior .Ct'1.E!1 .....�Jf1/.��/1.�...............................................Roofing .... ..................................................... Floors ........ .../ ...................................................................Interior ...Ak!ele,-..,& ..............:...................................... Heating ,t�r�1.J..........., t:t.t.?..............................................Plumbing ..... .t ................,.......................................... Fireplace ......... .......................................................................Approximate Cost . ...... ............Aye .......................... ..... ffl.•..C'NAN�� Definitive Plan Approved by Planning Board -----------_______-----------19________. Area ................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .,r ,01.,o . ................. Merry, Remington 4 No .................17574 permit for , enclose porches ...................... & remodel dwelling _ . ............................... Location H.ayes. ..Road .. . ...... ............................................ Centerville Owner •.......Remington Merry ........................................................... c, Type of Construction frame +, ...................... .v.I . Plot ............................ Lot ................................ January 31 75 Permit Granted ........................................19 ' Date of Inspection ' >.. .... ........ . Date Completed .. �a ��;-��'`�i ',�419 PERMIT REFUSED ` ................................................................ 19 F .............................................. C • .................................................. 1 ............................................................................... k. Approved ................................................. 19 ' ............................................................................... t Assessor's map and lot number ........ .........................:... ` , Sewage Permit number n . ........ ... ..F-:�.:r-�•......���{.... b�QypFTNET��yw TOWN OF BARNSTABLE i BARNSTABLE, i MXft BUILDING INSPECTOR APPLICATION FOR PERMIT TO .. !*� :'�• r +r.s ,,.1.h?:: ..................... ,..................................... TYPE OF CONSTRUCTION ....... .......................... .........I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location !° -!%!...elf..........r :^•4'`r,e.rfr /fw «.r.................................................................................................. :r . ProposedUse ...... :............................................................................................................................................. Zoning District Fire District ... ':.. �'' . '�'.................................................................. .................................................. Name of Owner ......................Address .? ....2*,�rrr P.Fs-�r ....:!r/... ...:r r; .................................... ..: Name of Builder tt.. �¢ �.,» �,,,•�,a /,.......... ..........Address '' .�.• Azr,-r . - �,1..+� . .s�.. .� ...................................• Nameof Architect ..................................................................Address .............."..................................................................... Number of Rooms ..................................................................Foundation ........ ....... ,f./ .•................................................. !, Exterior .tr(� --,�.:-e�.R� Roofing .... „c h a f;f..................................................... ........... .Il. ................................................. Floors ..........................................................Interior ...!In4 ..1 �...... ::........ ........................................................................... Heating .......... ................,. / ..............................Plumbing ......�. T.e, ........................................................... -. ?...? ............ Fireplace .........t.......................................................................Approximate Cost ........./... ....................................................... � i. . Definitive Plan Approved by Planning Board ________________________________19________. /' Area ... ............ . Diagram of Lot and Building with Dimensions ( Fee .......... .... "' ...,........................ t t SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... ...... t:•,-... :... ,................. Merry, Remitgon 17574 enclose pore a No ................. Permit for ................................... . ...e- 0 r r.7 & remodel dwelling .....................................,#...... ........... .... .......................... ..... Location Hayes' Road ............................................... ....... ....... Centerville ............................................................... . ........... ..............................................Remington gton Merry Owner e fr, Type of Construction ............. . ....................... .................................................... ........................... Plot ............................ Lot ............................... /Ja,n, ar 31 Permit Granted ..... ... ....................19 75 Date of Inspection ..... .............................19 Date Completed .... .......................19 ERMIT REFUSED ....................... ......................................... 19 .................... .......................................................... ................. ................................................ ............................................................................... .................... .................................................... Approvd . ...................... .............. 19 ............................................................................... ............................................................................... .9/ � `�� .� r Y� 0 2 E 3 2 -7 7f 2a / 7 I t p i _ Orem O �� � � � � �,� - � �. ---. ., �� Y l f�` F 3"a S S 16i p C. LOT ��--•yy�� n ' —— - k O S.f_ • nC, 16 Q Cw ! J v CJS 76 Ql pG � IC /� nip y M60If �LJ1✓r-7!Q•N' �L.YQN ��1� (•fitri I',�`� l\15t1 �¢y^.��/D/v O NOTE CHANGES �« SCALE:hr4n�l Foe( APPROVED BY: DRAWN BY:gel jZ11u+t�,NOY^S DATE: f 2sj?': REVISED OWN OF BARNSTABLE � � t ?8 HA�6s <C jcd/c-e&,✓hA- Building Innpection Department F 1 DRAWING NUMBER p Soo 3.2-D b �,��M f5�✓L� ,�p d Soo — zoo Or S,s�� 4 y ^s 11_. .. ...._-__ ,• r..i:.-..s _-.wa• s_e_...,..}....-M• -�e..-.,.. .... .. .'.t--n-� ._...._n e 1 ....,.._...•.....,..r», _.........._u_ .._. Fv .. i I _ _•_. _ -�V -_ I ; r .aA k: ' �....._..:�... .-'--.,••�....:.--'---.-:.-_._.........e r:._..�..-•.,--.••row.--s.•a-_..-...-...-..w...,..:...-.,.. y ,..t,.._..,:__.,_ - � ....ti._ „_._. �. .�... � • +" Ul t ELF - ` •t y r• ... .—..._... F T Y cV_a4 e• _ 1 qO I L : t • _ A• .� �� � �.',� ` ` 4a gTTT. E -i E % a .,Y A-t �y'['T4 .. ` < ..' r 5: 'wJ �' " - „' ♦ z S`o k!6>ss'F p`wr SCALE: ? tOe,Y APPROVED BY: DRAWN BY:�j.Msariup,�is r a DATE: REVISED r c- t. l ,, ♦ ek-.ti ,�• �V VJS C.1 � , ` ♦ .. I�`. �t .�../"' .� r`� , (TV� _ - ; . A, ' r L _ern . •Y . . - t ..r DRAWING NUM . . I. ,.C'.., 'r � n«�,i� i ���i 4*.j+F F� :l+'y 'E� ,.n � J~ •1 J s.x ,. .. i ,a _, � t t... - :� d�_ f ,a ' r • } ta'r,•..,,t Y .1` Elg Y. , Y° V : . ' 1 ,. ..r • r .. •c , Via. _ _ % _ w ---- _ - - .. _ � " - ::._ •--_�'�,��/_`ter ..--- ---- ----- - - - -_. __ _ r�- _ _ ._--�__-___'�'\�. ., -- --'_�--- �-+•^-�^�•e+e•�vvrecc:ea��^•c••at_-tr—•�-xt--"aeiaaxxsr x''av--�-�etr..Rccr__�rt-_ ......._ .s�A.—�.a .r: �.. ..—...._._- _—_ _.— ._-._-,__.�___— — _ _.... �—.—__�.._G--_.-- _! � r.—.._...— - a ♦ .. ...u.-T-� _` -- —_ I __. _ _'.__- - i - --_•— w � �.y.�,.ter—. .—._. . f a .e a ♦.' ` r.».._.._+.._.. -----.r_..._.—•._•.-........._..r. __—.�.......-«,r._...__...,. �.. 4 n.... _.n.«._n•..r.r.m..�... , _...._.._.r..-..w_..«n...._..—._..... .._.....•._...w_.___.a._--+_.._._..__...._._......._..._..._..._.__.�._.�..«_.._. _..+-_.r.r _—.•n SCALE:!/�'=/ F7r APPROVED BY: DRAWN BYt�./yi-�tviujw S DATE: / .•;PS 90 REVISED ° •.. �`,;L r`I�'. � t. � ',�- ,;' ,, ...�. e4. �. �' .' �. (�p �IA4'6.� /��. L�'�i !!/l� "��� .y F Y Y r DRAWING NUMBER DEMO ROOF EXISTING EXISTING ROOF t 2ND FLOOR ATTIC UP TO STRUCTURE TO REMAIN THIS POINT EXISTING ROOF {� 0 STRUCTURE TO REMAIN 0 O w00 EXISTING WINDOW TO BE Q !�! .� ® ® REMOVED AND REPLACED > •� TO MATCH CASEMENT (� Fm STYLE WINDOW J J � U GRADE GRADE 1 1 I I 1 1 rJ L----------------------- --------------- ---- ------------------ - _----- ----- ----------------------------r-J Ln -- EXISTING 15T FLOOR WALLS TO EXISTING WINDOWS TO BE EXISTING CASEMENT TO REMAIN, REPLACE WITH NEW REMOVED AND REPLACED SIDING TO MATCH CASEMENT BE REMOVED STYLE WINDOW a - 'DEMOLITION - EXISTING FRONT ELEVATION SCALE =3/16"= 1'-0" � SCANNED v a" SMOKE DETECTORS REVIEWED 1 A A E BUILDING DEPT. DATE FIRE DEPARTMENT ' DATE /1 BOTH SIGNATURES ARE REQUIRM FOR PFPb';'T;NG * 00 olt 11% - ?p2� DEMOLITION - EXISTING ROOF SCALE= 1"= 10'-0" DI o EXISTING TO REMAIN ® DEMOLITION SCALE: 1 3/1611 - 1 -011 DRAWN BY: CBH y d DATE: 3/3/20 EXISTING Dh WINDOW TO BE EXISTING DOOR TO BE NEW ANDERSON 0-0"X G-8" EXISTING PICTURE REMOVED AND REPLACED REMOVED SLIDER TO REMAIN WINDOW TO REMAIN WITH NEW PICTURE/AWNING EXISTING DH WINDOW TO BE' 25'-1 I" WINDOW 24'-4" REMOVED AND REPLACED �U4 (� WITH NEW PICTURE/AWNING EXISTING CASEMENT WINDOW Q WINDOW TO REMAIN a 0 0 CL Z `n EXISTING DH WINDOW u 000 REMOVE WALL TO BE REPLACED WITH BEDROOM ROOM 3 BEDROOM 2 NEW CASEMENT l WINDOW CL M� -VN LIVING ROOM (CATHEDRAL) CL N REMOVE WALL • OO O � REF W/D MUDROOM 7 EXISTING DH WINDOW ,W-1 EXISTING CASEMENT BATH =F: _ TO BE REMOVED WINDOW TO REMAIN KITCHEN I ° �j,° a EXISTING DOOR00 TO REMAIN EXISTING CASEMENT TO DEMO FOR NEW DOOR [-W-� BE REPLACED PAN ____1 o o r---- W O EXISTING CASEMENT WINDOW TO REMAIN z z 17'-1 f" 8' 14'-9" O EXISTING CASEMENT TO EXISTING DH TO BE REMOVED BATH O BE REMOVED AND REPLACED WITH CASEMENT WINDOW W 00 DEMOLITION - EXISTING . FLOOR PLAN - I? TOTAL FINISHED SPACE = 1201 S.F. 4 EXISTING DH WIN o •EXISTING TO REMAIN BEDROOM ., TO BE REPLACED ® DEMOLITION - NEW CASEMENT WINDOW FLOOR AREA RATIO CALCULATION (WITH 2ND FLOOR ADDITION)' LOT SIZE Q14;81O TOTAL FLOOR AREA SCALE: 3/16" = 1'-0"FLOOR AREA RATIO EXISTING BAY WINDOW TO DRAWN By; 1 2'-3" BE REPLACED WITH NEW CBH CASEMENT WINDOWS DATE: 3/3/20 25'-1 1" 24'-4" REINFORCE FOUNDATION 5'-21 6" 1 3'-1 O7 5'-21 6ll WALL A5 REQ'D TO MAINTAIN 4'-0" BELOW GRADE a N HJ 1HJ z a `O Q N N ~ I I I CL �D C) O p I I I I C z I I I I BEDROOM 2 50, W r—, 00 I I I I CL Q x > N j LIVINGIROOM 'n I I 0 I I r I ( DINING ROOM CL ° Od =�N ~ I I N I I MUDROOM 1 I I I I I I I i REF W/D g i REINFORCE FOUNDATION La�ME KITCHEN o UP WALL A5 REQ'D TO � W BATH MAINTAIN 4'-0" BELOW 1 L GRADE 3-0 x 6-8 I 11 1 B 11 B W 1•'•1 17-I I 8 14-19 U CL Q C) B BATH O 04 � fs. 1 ST FLOOR PLAN -><-1 1 w TOTAL FINISHED SPACE = 1201 S.F. I? SMOKE DETECTOR OC CARBON MONOXIDE DETECTOR C BEDROOM 1 OFM S 3� oZ� ROBE T G� IS.) o UCTURAL No. 13834a �0,�9FGI STEP 3'-2" 51- 1 1" 3'-2" FSS/ONALE�G SCALE: 3/16" = V-0" 1 2'-3" DRAWN BY. CBH DATE: 3/3/2O MATCH EXISTING U ARCHITECTURAL CIAASPHALT ROOF a M A � IN d moo Ll PEI o PVC TRIM z COMPOSITE BOARD BATTEN W 00 (WHITE) .> TOP OF 2ND FINf5H FLOOR I PVC TRIM __ i O i COMPOSITE SHINGLE SHAKES (WH ITE) ,L--JL- -L-JL--j TOP OF IST FINI511 FLOOR GRADE GRADE FRONT ELEVATION a • - W H z PVC TRIM W U O COMPOSITE [� BOARD BATTEN (WHITE) ATLANTIS SPECTRUM MATCH EXISTING GUARD RAIL ARCHITECTURAL ASPHALT ROOF COMPOSITE lL� SHINGLE SHAKES l (WHITE) COMPOSITE i SHINGLE SHAKE OF A �p S S C (WHITE) 9 02� BERT W. �yG ENNIS JR. m g STRUCTURAL N No. 13834 GRADE GRADE o '9 O <L� FcisTEP�\�. s SCALE: 3/16" = 1'-011 F:ONAL�N6 DRAWN BY: H LEFT SIDE ELEVATION DATE: 3/CBCB PVC TRIM @ SOFFIT a M PVC TRIM Q =IN a moo CYN z v� COMPOSITE BOARD * BATTEN , , / , W hI�•jII = 00 c�I (WHITE) EMWH i / ►yl cz TOP OF 2ND FIN15H FLOOR _ PVC TRIM ICI �N COMPOSITE SHINGLE SHAKES (WHITE) TOP OF 15T FINISH FLOOR ' GRADE GRADE y REAR ELEVATION w w o PVC TRIM COMPOSITE BOARD BATTEN (WHITE) w MATCH EXISTING f \ ATLANTIS SPECTRUM x ARCHITECTURAL GUARD RAIL ASPHALT ROOF f \ L�P of�q � 3 � COMPOSITEROBERT G�: SHINGLE SHAKES / E v" WH ITE / o CTURAL N 8- No. 13 83 4 � � s 9 4 FGISTEQ \�k, FSS/ONALE�� GRADE GRADE scALE: 3/16" = P-0" DRAWN BY: CBH RIGHT SIDE ELEVATION DATE: 3/3/20 I-I/8" X 1 4" TJ RI M BOARD 24'-4" U N � M Q � a N N CL I I I I Z I I I I B O i 2 oho i i I I DIN NG RO M CL \ O I J I I I-1/8" X 1 4" TJ RIM BOARD > I LIVINGIROOM I I I i I i I I I I CL I I I I =m U \h N I I I I MU R 0 1 I I I I P.EF /D KI TC E W B TN W W -- o oJV 1-1/8" X 14" TJ RIM BOARD U BAT CL Q H Q �' 2 � 0 O 2ND FLOOR FRAMING PLAN w BEDROOM I OF I �� E T yGW IS A g c S UCTURAL p o. 1383si 9 p � FCi13TEQ� NAL ENG\ sCALE: 3/16" = 1'-0" DRAWN BY: CBH DATE: 3/3/20 U N (2) 1-3/ "X 9-1/2"L L (2) 1-3/ "X 9-1/2"L L a M - a �� N �D o00 ,,.,,// o M TE " B DR O(� w G� W � � o�oo s O 2UN ct 6x66 t ff� - 0 NEW 2X8 KD ROOF Pr MA 5TE R B TH o C a RAFTER @ 16" 10 O.C. 1/2" L (2 I-3! "X 9 I/2" L U ROOF FRAMING PLAN x 2� W. tiG ENNIS JR. ,A S2 b TRUCTURAL I� No. 1393 a A /SfEPa��� SCALE: 3/16" = 1'-0" Sg/ONPA- DRAWN BY: CBH DATE: 3/3/20 3'-1 0" NOTES: a eNn 1.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS STATE BUILDING CODE, 9TH EDITION AMENDEMENT& IRC 2015 Q O O 14"_TJI 5GO SERIES ROOF RAFTER a N @ I G" O.C., CLOSED CELL FOAM 2.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS O o Pa INSULATION R49 &DIMENSIONS IN THE FIELD (2) 1 -3/4"X 9-112" "� 3.) CONTRACTOR TO VERIFY ALL INTERIOR & EXTERIOR MATERIALS, LVL HEADER DETAILS, & FINISHES IN THE FIELD WITH OWNER C7 0 � TOP OF WALL PLATE —IN 4.) VERIFY ROUGH OPENING HEAD HEIGHT OF WINDOWS WITH EXISTING W > 00 NEW 2X4 KD WALL O `V > NEW 2X4 KD WALL @ FIRST FLOOR Q •> I G" O.C., CLOSED CELL" - - 5.) ALL WINDOWS & DOORS TO HAVE SILL PANS & ICE WATER SHIELD FLASHING i @ I G O.C. .i .. FOAM INSULATION R21 ml� ►� (V 0 N�0 - 6.) CONTRACTOR TO VERIFY ALL WINDOWS WITH OWNER AND ROUGH OPENINGS 1 2XG KD WALL cq WITH WINDOW MANUFACTURER PRIOR TO ORDERING AND FRAMING OF WINDOWS h�1 @ I G" O.C. N 7.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, U OR HORIZONTALLY W BLOCKING AT EDGES, 3"EDGE 12" FIELD NAILING TOP OF 2ND FINISH FLOOR 8.) ALL LVL LUMBER BEAMS TO BE 1.9e L360 LOAD ' 14" TJI 5G0 SERIES JOIST @ I G" O.C. 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL ADD (4) 2X4 CONT. 1 O„ WINDOW AND DOOR COMPONENTS. TO TOP PLATE ADD (4) 2X4 10.) ALL CONCRETE USED FOR FOUNDATION WALLS, FOOTINGS&SLABS bN �`O ml� TOP PLATE TO BE 3000PS1 EXISTING 2X4 KD N r� 11.) VERIFY ALL PLUMBING, GAS & ELECTRICAL DETAILS WITH OWNERS ON SITE WALL @ I G" O.C. 4 EXISTING DURING FRAMING CONSTRUCTION 2 WALL @ 2X4 KD 12.) FRAMING TO BE SPRUCE PINE FIR NO. 2 GRADE a I G" O.C. 13.) PROVIDE UTILITY INSTALLATIONS OR RELOCATIONS FROM STREET TO HOUSE a TOP OF 15T FINI5H.FLOOR VIA ABOVEGROUND CONNECTIONS TO COMPLY W ALL LOCAL CODES GRADE GRADE 14.) ALL AZEK TRIM TO BE PAINTED WHITE&ALL JOINTS & NAIL HOLES SEALED. W W 10'-101, 15.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR FRAMING DETAILS Z Q d EXISTING FLOOR PERTAINING TO TJI TRUSS JOISTS. U EXISTING CMU NEW 8" FND. WALL FOUNDATION AND AND FOOTING FOOTING I UNDER EXIST. CMU W- 24'-32" AS REQ'D J WINDOW - DOOR SCHEDULE o EXI5T.WALL AND QTY TYPE MANUFACTURER'S UNIT ROUGH OPENING REMARKS C�) FLOOR FRAME EXI5T.5ILL PLATE 2 A- ANDERSON A231 72"x 24-5/8" MASTER BATHROOM 00 W 4 B ANDERSON C13 24-5/8"x 36-1/2" KITCHEN & BATHROOMS GRADE EXIST.CMU FND.WALL 2 C ANDERSON CXW14 36-1/2"x 48-1/2" BEDROOMS-EGRESS #4 REBAR HOOK5 @ 48"O.C. 2 1 D ANDERSON A21 24-5/8"x 24-5/8" STAIRWAY 8"CONCRETE WALL,3000 6 E ANDERSON A351 MASTER BEDROOM FIXED TRANSOM P51,MAINTAIN 4'BELOW 4 F, ANDERSON P3540 MASTER BEDROOM PICTURE GRADE,A5 REQ'D 1 G ANDERSON P351 MASTER BEDROOM AWNING c3�#a REBAR CONT. 1 H ANDERSON P3040 BEDROOM & DINING ROOM P 1 P5151X Po"CONCRETE FTG.GRADE J ANDERSON AR31 BEDROOM & DINING ROO ,AT MIN.48"BELOW GRRADE '4 S3 K ANDERSON SPECIALTY MASTER BEDROOM TRA 0 N n SECTION @FOUNDATION WALL 1 L THERMA-TRU 3'-0"X 6'-8" FULL VIEW RIGHT HAND SCALE:1/4"=r-0° VELUX M02 30-1/16"x 30" KITCHEN 13834 E: 3/16" = 1'-0" O9 9F Q� RAWN BY: Fssi EN CBH D ►�,,r ATE: 3/3/20 24'-4° FG a M EFG CIA E � r� N MASTER BEDROOM ' K K C� ' I 611 COON O` W I��I � D21 m � U bzi 8 D `t 2-6 x 6-8 N 2-6 x 6- N 8 D • - �o WIC a MASTER BATI1 � � in 14'-42" A A Z P-4 W U O - O Q 2ND FLOOR PLAN W TOTAL FINISHED SPACE = 591 S.F. 0 SMOKE DETECTOR rn �C CARBON MONOXIDE DETECTOR:, o2s' Q W. cy g NIS JR. RUCTURAL lo- co No. 13834 QL FSs�oNALF�' scALE: 3/16" = 1'-0" DRAWN BY: CBH DATE: 3/3/2 0 t SCANN!.'0 JAN 3 u 2020 25'- I i" - 24'-411 v N EXISTING CASEMENT a M WINDOW TO REMAIN 9,_9I„ Q CA a o O o CL �..� EXISTING DOOR TO BE REMOVE WALL 110 BEDROOM ROOM 3 BEDROOM 2 W01, REMOVED AND FIREPLACE Q .r..� - CL .., N !�1 , SUNROOM F.P. LIVING ROOM in1� k CL , �REMOVE WALL N ALL EXISTING CASEMENT WINDOWS AND DOOR TO BE REMOVED ON THIS WALL AND REUSED AT FRONT WALL O O 1 ===r 001 REF W/D EXISTING CASEMENT MUDROOM W WINDOW TO REMAIN BATH o a KITCHEN EXISTING DOOR > O TO REMAIN EXISTING WINDOW Z W TO BE REMOVED U 1 7-1 I O B 0 ATH CL 2 W con H con EXISTING FLOOR / DEMO PLAN �o m oo TOTAL FINISHED SPACE = 1088 S.F. TOTAL 3 SEASON SPACE = 139 S.F. BEDROOM I Barnstab le Bldg. Dept. BUILDING DEPT. JAN 10 2020 Approved by: TOWN OF BARNSTABLE Permit#: SCALE: 12'-311 3/16" = V-0" DRAWN BY: CBH DATE: 1/4/20 .. NEW ANDERSON EXISTING PICTURE 0-0" X G'-8" SLIDER WINDOW TO REMAIN -25'-1 1" 24'-4" a N EXISTING CASEMENT WINDOW TO REMAIN 04 - A N • a O O o CL Pq o� z BEDROOM ROOM 3 BEDROOM 2 W °O CL > NN LIVING ROOM. (CATHEDRAL) H - CL ICV N EXISTING 2X4 WALL TO REMAIN, REBUILD AS REQ'D 0 REF WAD M U DROOM EXISTING CASEMENT 6 BATH a WINDOW TO REMAIN KITCHEN EXISTING DOOR > ryQ TO REMAIN Llu PAN _ W 0 0 RELOCATED CASEMENT WINDOWS Eff U p 1 7-I 1" 8' CL Q BATH 2 p PROPOSED FLOOR PLAN. txla TOTAL FINISHED SPACE = 1227 S.F. °Q m °O BEDROOM I 1 2'-3" SCALE: 3/16" = 1'-0" DRAWN BY: CBH DATE: 1/4/2O DEMO ENTIRE WOOD BURNING CHIMNEY DEMO ROOF UP TO THIS POINT I I z 0 ILLLJ EXISTING 2X4 STUD WALLS TO REMAIN Lill I 1 . GRADE GRADE - _ 1 1 I 1 I I 11 I I CONCRETE SLAB Jl ------------------------------------- J. ------------------------ ----------------- ---- 1 L TO REMAIN p MATCH EXISTING EXISTING FRONT / DEMO PLAN a ARCHITECTURAL ROOF ' j a z z ' U LLLI ILLLJ Q c� p a O, Fm . . w Q GRADE GRADE -------------- ----------7 B r T-------------------------------------rJ Lam----------------=-- -- ---- rJ L, CONCRETE SLA I I - SCALE: 3/16" = 1'-0" PROPOSED OPOSED FRONT ELEVATION DRAWN BY: csx DATE: 1/4/2� 25'-1 1" 24'-4" a M Q ..� 1 I' CL N N d O o wi w w i Q BEDROOM ROOM 3 BEDROOM 2 Z cn ml L1 LUI ml CL 7 So _ p 1 c 1 01 c 1 C� _ oo wI LUI LUI � I F-i x cLl � I � 1 '� 1 N N W I CLN � I � I � I , I NEW 2X 12 KD RIDGE z I z I z I z I m H••) Q� N I I I 1 00 REF - 100 W/D MUDROOM NEW 2X8 KD ROOF 2 NEW(2) 2X8 Wl BATH RAFTERS @ I G" O.C. 1/2" PLY KD BEAM KITCHEN I o ' W NEW 4XG DOUGLAS, FIR BEAMS a SANDWICHED BETWEEN (2) 1-3/4" PAN X 7-1/4" LVL ROOF RAFTERS > a H - 17-I I" 8' 14'-9" Z CIL W NEW 2X 12 RIDGE BATH U , NEW 2XG COLLAR. ROOF FRAMING PLAN 2 Q w TIE @ I G" O.C. O (3) 304G SELF-FLASHED NEW 2X8 KD ROOF RAFTER @ I G" O.C., USE _ c VELUX SKYLIGHTS LVL NOTED AT BEAM LOCATIONS, CLOSED RO,= 30 1/2" X 4G 1/2" CELL FOAM INSULATION R49 Z NEW 4XG EXPOSED BEAMS, SANDWICH00 BETWEEN (2) '1-3/4" X 7-1/4" LVL'S USING 1/2' X 8" LONG THRU BOLTS W/ WASHERS, BEDROOM I (2) EACH SIDE � �a OFSSq�\ ROBERT EXISTING 2X4 STUD WALL TO REMAIN, REBUILD AS REQ'D, CLOSED o S UCTURAL ti CELL FOAM INSULATION R2 1 No. 13834 OISTEP A� At OW r EXISTING CONCRETE 1 2'-3" L-------------------------------------- SLAB TO REMAIN SECTION VIEW SCALE: 3/16" = 1'-011 DRAWN BY: CBH DATE: 1/4/2O LEGEND 1 LOCUS N ——10 — EXISTING CONTOUR ' x 1 o0.98 . EXISTING SPOT GRADE ;' ' 40 Wequaquet PROPOSED CONTOUR Lake 11417011 PROPOSED SPOT GRADE _ H. OVERHEAD WIRES PB 61—PG 85 I —G EXISTING GAS SERVICE L_J y W EXISTING WATER SERVICE 198 0 INLAND BANK Q O` Dr er ��� y jl\�o e ; TEST PIT v A o'�sr BENCHMARK c�Ace o Lake Wegvagvet Great Marsh Rd 8 o r`c Rote 2 N 3 Ro t 3t at Main E WATER SURFACE 12/6/17 . LOCUS MAP 4.49 34.08 gd9e..Of WOt5............ . 34.56 IB NOT TO SCALE IB ` BANK o 34,Op ` 0X IB INLAND N 35.34 � CBdh fncl + 36.73 LOT 2 14,820 ±SIF PARCEL ID: 210-097 37.35 — Z36— 1 l� 50 BUFFER o x 39,14 N 00' - BENCHMARK 39,89 __ ORANGE PAINT AT MARK AT to x � x 4014 39.91 3 COR. OF GENERATOR PAD z EL.=40.02 0 N Exisnroc �_ 001 HOUSE(#98) ` u 40:01 TOF=40.3t1 0000 cX.SEWL&R — �� 39.98 -- _ �NV.-39.00 40,05 39. 5 100,B%F'E�••'' INSTALL A 40 MIL POLY LINER ` a, TOP OF LINER, EL.=39.8 39.03 EX.SEWER BOTT. OF LINER, EL.=37.8 40 0 INl%=38.i7 1 �1 1 EXIS77NG FLOW DIFFUSORS \\ 3 LAM T' OVERFLOW TO CESSPOOL \ \ 39,86 x (PER AS—BOIL T) \ \ 40.04 TO BE ABANDONED IN PLACE \ \ O N PROPOSED SEPTIC TANK & \ PUMP CHAMBER COMBINATION 39.55 \ (1500/500 GALLON) x 39.E r SHED W :,..:_ >i>,.I 39.91 EXIS77NG CESSPOOL 0.12 (APPROXIMATE) 39Ll a :.TP 1 TO BE PUMPED, FILLED WI TH .4 0 SAND AND ABANDONED, OR M❑NI ❑ ING WELL REMOVED 1 �i.`: :,o'. �o :...=., I:`' TP 2 u � 318' •�0':,.. 39.24 1�,TONE:".' PROPOSED SLEEVED Pd9 O'IVEWAY:.: WATER SERVICE �� :f: '.; .:: :` EXIS77NG WATER SERVICE 40,0 ::....:`.,. .::.:`". REMOVE & REPLACE STRIPOUT BOUNDARY 2 (TO "C" HORIZON) 40.26; 1 39.83 'V of -11O 40.18 40 ' DRAFT 40.52 PROPOSED •SEPTIC SYSTEM UPGRADE PLAN FLOOD ZONE DESIGNATION 98• HAYES ROAD, CENTERVILLE, MA NON HAZAD Prepared for: Myrtle Merry, 98 Hayes Road, Centerville, MA 02632 WETLAND CONSULTANT O. MARSH MATTERS ENVIRONMENTAL OWNER OF RECORD Engineering by: SCALE DRAWN JOB.P.O. BOX 554 MERRY, MYRTLE M Engineering Works, Inc. 1"=20' P.T.M. 293-17 FORESTDALE, MA 02644 98 HAYES ROAD 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. 978-434-1228 CENTERVILLE, MA 02632 (508) 477-5313 12/29/17 P.T.M. 1 Of 3