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Home My WebLink About0044 HEADWATERS ROAD o 9 . o w e Assessor's Office(1st floor) Map -Par cel ?�/ Permit# Conservation Office(4th floor)(8:30- 9.30/1:00-2:00)- Date Issued �P . Board of Health(3rd floor)(8:15 -9:30/,1:00-4:45) r LIZ1 Fee Engineering Dept.(3rd floor) House# �` a ae►p Planning Dept. 1st floor/School Admin. Bldg.) P ( j T BE e'$ Definitive Plan Approved by Planning Board 19 SEPTIC c7 IWSTALLE®I MCE 1ITTOWN OF BARNSTAB NPOIE TT� t" j /1BuildiiJng-Permit Application Project Street Address /L� J�Lz�iC 4jG 1 f �� Village Owner Address . k-t�nee Telephone .-Permit Request First Floor �� square feet Second Floor square feet Estimated Project Cost $ V ' / Zoning District /V oc.v Flood Plain /�l` Water Protection Lot Size . 7 Grandfathered ? / f Zoning Board of Appeals Authorization . Recorded L� Current Use .Sr11 S X 0 / Proposed Use_�� r 14 Construction Type LCfd Q c l Commercial Residential L� Dwelling Type: Single Family �J Two Family Multi-Family Age of Existing Structure cv"() yro•of Basement Type: Finished Historic House ,�1�® Unfinished Old King's Highway d' Number of Baths Q/f{ �%�� f �S No. of Bedrooms Z Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air _ n6 Fireplaces a� Garage: Detached Other Detached Structures: Pool Attached Barn None t"__10" Sheds Other Builder Information Name ai i Telephone Number 76 Z 2' Address 6 License# e f Home Improvement Contractor# See gwaC� Worker's Compensation# 'r G 116 C NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION IS RESULTING FROM PROJECT WILL BE TAKEN TO SIGNATURE DATE 176 BUILDING PERMIT ENIED FOR MHLWING REASON(S) -�.3 FOR OFFICIAL USEONLY ' f PERMIT NO. DATE ISSUED MAP/PARCEL NO. . - t .. r • I +r , f ' x tit.: # ,° � � ADDRESS VILLAGE OWNER .. r � � .. , t • `' ...r r- DATE OF INSPECTION: FOUNDATION ✓ FRAME ` -INSULATION - - w, FIREPLACE ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL` GAS: ROUGH, t FINAL FINAL BUILDING co DATE CLOSED OUT , ASSOCIATION PLAN NO' I d MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.0 C cked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 8-3-1998 DATE OF PLANS: TITLE: COMPLIANCE: PASSES Required UA = 117 Your Home = 106 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 368 30.0 0.0 13 WALLS: Wood Frame, 16" O.C. 624 15.0 3.0 42 GLAZING: Windows or Doors 86 0.400 34 FLOORS: Over Unconditioned Space 368 19.0 17 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 131 and J4.4. Builder/Designer L � qfy� S Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.0 DATE: 8-3-1998 Bldg. Dept. Use CEILINGS: [ ] 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-15 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.40 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and .fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ) Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4 . MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only)------------------------- ii :---. Department of Industrial Accidents r Office ofloyestfyalfons 600 Ji'ashingtun Street,'- .. �� Bi►von. Ma.-v.v. 02111. Workers' Compensation Insurance Affidavit .- -_.�-. .ram_ .._._ .. _ ....a.w.....r..��.aw�+-....�r....y�,:�...�...��.�.,.._.�.�_ .. _ HE t tnformation• zna me ' citv t2� ) t I am a homeowner performing all work myself. 1 am a sole proprietor and have no one workings in any capacity _.,�.:-•"""--7s Tr--_,,,_ ..-„t.-.oz ..- ..--.nAs.:. ,•-t+-.c-;�F•'+ *---�.•.-..- -,-A• - - - - - ---a 'F.�ir.'+ "`..,....—.-•,.,�T+'--• - - s.. Lj�I am an employer providing workers' compensation for my employees working on this job. company pa m^c_T Y address insurance co. policy# �r/ Q �7 �T I am a sole propri or• general contractor omeowner(circle one) and have hired the contras;iors listed below who have the following workers compensatton polices: company name; y dr c• Sc✓r GI #•, insurnnccco. ��/'"'!/f''7��C ��f polic}•# _.. .tee.. .m,__�'+-T....��;Z„•f-e -r...!ce r'r•' '^, f 'ni':TL'.',"`vM.. 7� :•�.'.�.q� "'e'.T.."r_� __»_-...___s 3.- ...._-. .�tia �- -w. rntir�r4L.,'.i��•BirJ - - .L1rii company narne: addr ss: / • !/ v �C phone Of: 7.7l _ insur y � f •tncc co ��'�'��' policy :Attach additional sheet if necessary 'A.40 Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or unc years' imprisonment as well as civil penaltiis in the form of a STOP WORK ORDER and a tine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the office of Investigations of the DIA for coverage verification. 1 Rio hereht•cenifi•under the pains a naities of perjury 1h the in ortnation provided above is true and correct. Signature Date Prim name !�/'�S/ C�y /o'� Phone# of;csni ;use or.1% do not write in this area to be completed by city or town official cih or to%%n: permitflicense# rIBuilding Department r ' (31-icensing Board I check if.immediate response is required 3 C]Sclectmen's Office ti []Nealth Department contact person: phone#; r'lother • Ire,,&,d i,' PJA! DEPARTMENT OF PUBLIC SAFETY��Gi NCO CONSTRUCTION SUPERVISOR LICENSE Nu®ber: Expires: Restucted Io 11 LARRY D" IICKUTAS BOX 511 PEST BARNSTABLE, NA ��ie TJom�xan«ea�i o�./�aaoac/uaetla HOME IMPROVEMENT CONTRACTOR Registration 100496 Type - INDIVIDUAL Expiration 06/18/00 LARRY NICKULAS Larry D. Nickulas "HUCKINS NECK RD ADMINISTRATOR CENTERVILLE MA 02632 : ro- 0 -LJ J r �. °FTMEt The Town of Barnstable WRNS U& 9� 1659.. Department of Health Safety and Environmental Services 'OrEo ' 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. r 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 I g it 0 ther requirements. Type of Work: 601-1 c S IF d c% Wervl--1-7—Est.Cost VC) Address of Work• l i � 0 Owner's Name Date of Permit Application: Ci I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. _Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for 9 pe Co Date Contractor Name Registration No. OR Date Owner's Name ru .00 �, .� _ , cs . c o$ o 5 -2r-z 0 Io N i. Z'7 C- SAS-� 120. .. �8�• � c-a,r�E.�.j o 24.?7 o IS,D1S SF 0 c� A Ste' W 74- �1_27 �ci Ce N ��' .S Jos�,,u 03 Je. i • I � � # one* I. �f t,ria,s Ik' x C v y c,� , � o r 3 f Px I 4L.�St �z ��l r)'O � I V Li � r dew I f� - Sol I x i 4 1 r x1� �. 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