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HomeMy WebLinkAbout0028 KATHERINE ROAD .� 1 h M . �� � e d , � . . �, , N,. I. A. � � n .� i; f. .� � ,. n �� - o Y .' o C � � .. � . _ , u _ •` � .. .. .. �. + TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel DY 8 Application # a d Health Division Date Issued "7 S Conservation Division Application Fee Planning Dept. Permit Fee (J`00 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address. 20 it l n e- kacx Village C�h beels t $ Owner Mit ha!e-A 510 n Ao r S el Address;A/" Telephone Permit Request tLACL I e.,Lj l 6% J Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Asp Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure f'3 Historic House: ❑Yes $No On Old King's Highway: ❑Yes ❑ No Basement Type: .A Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) I�Z 00 Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 3 existing Xnew Total Room Count (not including baths): existing new First Floor Room Count Jr Heat Type and Fuel: ❑ Gas ,X Oil ❑ Electric ❑ Other Central Air: 14 Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No ...Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ n Attached garage:Xexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: b Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use e b QA YL 1 a Proposed Use q Yrl-ems APPLICANT INFORMATION (BUILDER OR HOMEOWNER)Name AM ` /gam ��j� Telephone Number rj O - Address 6'S �l.���cZhaa 9 o a License # G S `� 3140 /5 ;6Y1,.e, M1 `t S MA Home Improvement Contractor# _ Email_PaP$ yd GGO-C ol" C ci S • YL�G� Worker's Compensation # ALL CONSTRUCTION /DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR.OFFICIAL USE ONLY APPLICATION# DATE ISSUED ti MAP/PARCEL N0. ADDRESS VILLAGE OWNER Ik DATE OF INSPECTION: 7 FOUNDATION FRAME 09 r7)/s INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDINQd c. DATE CLOSED OUT ASSOCIATION PLAN NO. . 600 A'ashing�tan Street • Bastm4 HA 02 rrr www.m=gov/&o Workers' Compensa#ion Insurance Affidavit•Bm'ldwWeoniracbrsoectdchns/Plmnbers A.PphcantInforumtion PleasePrint r N "b � � A.dtirew. G`a_ - Citp/staW24: /)4W-4zo Phone#k o e- - f Ate you an emploprx•?Check fhe appropriate bay • t T9Pc of protect(regtured); 1. I am$mmpIcryu with�_ 4. C1 I am a gm=ml eat Mal emplap=(f 3n and(or pact time)_* bane hired the 6 ❑Ncw rm*mlitm 2.Q I am a sole prol¢ietm or partner- listed am the�cbed sheet 7. ❑Rtamdetmg ship and have no cozploymes �c�bane g, ❑Denolida n vvm3dng forme many capacity employers err dhave workers' • [No wotjacrs'Cmmp.mmranrr_ MMP•inartrAr+r_n t 9• ❑BmZdmg Radium regtmr.�] 5. Q We are a coipmEdm and its 10-[]EIectiricalrepaim or additions 3.Q I am a]>nm.cuwner doing aU wm3c- officecs have exercised them 1L0 P mhh3gmparzs or additions myself:[No wadm'=np. 1i&of won per m(m m M-required.]t m 1A§1(4),and we have no 12.[] m4Aoyr=[No wa±=' 13. 3 Otjr comp.imrmm 1" *Amy appfiemtthet check box#1 mast aLsn fM attthe�ectina ScloW shw1DZ theirwa3�ets-caa� =m*Pa&Y hffimzgmx. tl waeawho=I�m tf-is wr&vth-i-&xth,7 i.db-mSaII Wodcaad d=haz=kiae uIctaa;aalstsabmitaaeR'a daritmdieatmgavr.� �Coahada¢s that ehecicthis box� �edditianaI rhrrt the amine arfthe sob-eaaiac>nts emd state whether urnatthose atities haPe employees-If the rab- n hm=3playeq thq sins±pmn&then wmh&=mP-Ply m®bcr l am a!L etnpTayer fhai t 4 prffPidmg]parlors'c.0JZT tiSadDn nz===far my ZZTL a -#dw it the.PU&Y and job.rite . rnfartnadon, - Insuzsnce Company Name: Policy or Self-ins.Lic.A '122C,C O y 5-01 1 d[77 Z OIL/ ExpiatimDafe: rob Sifz Address: Affae Tz a copy of the Worktts'eomp n wffal-a policy declarafion page(sliowkg the policy immmber and expn-ation date). Fallnreto seem cave- asrmpimdmnderSectiaa.25A ofMGL c.I52 cmtleadto the impositi®of¢immalpanaW=of a fain up to$1,500.00 and/or one-year fiaprisommcu4 as Wall as civE pm aMm m the f a=of a STOP WORX ORDER and a fine of mP to MO-00 a day against the violator. Be advised that&copy off:ds sbt mm±nuxy be frw=L-d to the OMM of 3myeshigafions of the DIA for iasuraace:caYerage vr�f cation. I do hazrhyrar fy=der mrdpeaaTtfrs ofpm jrn y that the uzfm=agan provided above is&=mid correct -2, Phtme ` 7 3:7 ` lie 7I FFtvgL-=3-L. vnl. Do not write in f&area to be cnnVTdrd by cry or fmm q�aL II: Perm ii/f.i�Pn.�e Healfh 2 BmI ingDepartaxent 3.CIty/Tmm Clerk 4.EIec$zcal ecfo - Irrsp r S.Plmmbmglnsperiar Pb.one�: - Information and Instructions Massachusetts Gc=zml Laws dwptEr M=I==all employers to provide worker'cmnpeasation for their employCM. Pm 7m-W this sty,an m ployre is deed as a..evelp person in hie service of anothrr under e¢zy comraet ofhnr, c2:pr=or f opliect oral or wtitiru." A.L playa-is defined as-am mdivi�partnership,essocMa .carporabion or offier legal en9,or any two or mox-e of the fmegoing engaged in a joint enirtp�se;sad including the IegaI ieprescaisiives of a decried a uployer or$ne =ceiver or t ud=of an indwidual,partomship,association or otherIegal enfitL employing employe= However fbe owner of a dwelling house havmgnot more than Scree apmimeots and who resides there, the occ of the. dwmUing house of another who employs pemons to do mice,consfruction or repair wor3c on.sash dwelling house or on the gi oimds or bmldmg apgazimant thereto shall not because of salt employment be deemed to be an employer." MGL chagrin 152,§25C(6)also that aeverystatz or IocaI 3icmLdng agency shan withhoId the issuance or renewal of a license or perutlt in operate a business or to construct buildingsm the commonwealth for any produced acceptable evidence of cdm Tra with the fimmanm coverage requited-" applicant�ho hss natpro nce p p Additionally,MsL chapter ISZ,§ 5C(7)states aNeibe the comm-aweaNh nor any of poltcal subdivisons shall enter into any contract forthepedmmance ofpohho woikuatl acceptable evidence of caa 4diaPcevift the insnraned.. � regm¢rments of this chaptrr have]teen parxeoted in the contacting rdy . Applicants Please fill oat the wotiorrs'compensation aidavit comple*,by rheclang the boxes that apply to yopr situation and,if nmmsarY,sWply ems)nmne(s). ad&=(es)m dphone mmmber(s)aIongwhhthcir cettificat*)of himin nce. Limited Liability Companies(LLC)or LTmntcd Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'wod=s'compensation in=gran= If an I I.0°r IMP does have employees,apolicy is rzgafi-mL Be advisedthatfhis affidayitmaybe submitizd to the Department of IndEntial Accidents far confmmaiim offos mce coverage. Also be sure to sign and date the affidavit 11e affidavit should be rdnmed to file city as town that the appEc afm for the permit or license is being requested,not the Departmeit of burial Accidents. Shouldyou have any questions regarding the law or if you are iegaired to obtain a workers' compensation policy,please call the Department at fm mmmber listed below. Self-insured companies should enter their self-insurance license number co the approptiafm lime. City or Town Officials Please be sate that the affidavit is romplein and printed legibly. The Department has provided a space at the bottom of fine affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sate to fM in the pev rt/ scow m mtber which will be used as a reference rutmber. In addition,an applicant that must sobmit multiple permifliicense appHt sf ions in any givm year;need only sabmrt one affidavit indicatmg cuu-ent policy fi form atian.(if nccxssary)and under'gob Site Address"the applicant should write nail locations in (cay or town)."A copy of the•affidavit that has beta officially stamped or mar3ced bythe city or town maybe provided to the applicant as proof that a valid affidavit is on file for fiArrm permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or pert not related fin say business or commercial vmtnre (i.e.a dog license or permit to bum leaves etc.)said person is HOT required to complete this affidavit - The Office of Investigations Would lilm to fm*you in advance for your cooperation and should yon have any questions, please do not hesiiat o to give us a call The Depmtm=f s address,trlephane and Ac.number . Tha C0n3nx3aWwttt of 14machustts - Depailmmt of Inhsf daZ Aor,dmt% _ Of ace of Xuvestgatio= 6W vtdbsm Stet Dosix,MA Eli 11 Ta 9 617 727-44Q4 cit 4€6 or I•- 77 MA SAFE Fax#617-727 7749 Revi sed 4-24-D7 ww ,rnasg Pgidia Town of Barnstable Regnlatory'Services $ Richard V.Scab,Director i63q. ♦� �A. Building Division Tom Perry,Building Commissioner _.._..._. ___..._. 200 Man Street,$yanais,MA 02601, WWWADwn.barnstableanams Office: 508-862-4038 Fax: 508-790-6230. Property Owner Must- Complete and Si' This Section � . If Using A Builder as Owner of the subject ro herebyauthorize . to act on mybehA - z in all matters relative to work authorized bytbis building permit application for. (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are perform d and accepted S;gmar„p of Owner 0AppW 4 L ��4ois K h V � �<� G //j G hit .Print Name Print Name Date Q:FoxMS:OWNWEPI SSMIe00IS 'i-own ot-Barnstable . Regulatory Services '. Gov rolryy Richard V.Sca.%Director Building bivWon Tom Perry,Building Commissioner BUM 200 Main Street, Hyannis,MA 02601 www town.barnsfable.ma_as Office: 508-862-4038 a Fax 509-790-6230 HONNOWMR LICENSE EXEMPTION --- _—• -- --ptnsePr;nt DATE JOB LOCAIIObt:• numbs sun village 'IiOIviEOWNER": same home phone wod[phone C UPJMNTMAnJNCTADDRESS: cityholm stda zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six emits or less and to allow homeowners to engage an individual for hire who does notpossess a license,provided that the owner acts as supervisor_ DEFINITION OFHOMEOVMM Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm struchnzs. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such`homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work perfaimed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned"homeowner'certifies that he/she enders aridc the Town ofBaamsstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signatum ofHomeownrr AppmvA dBuilding Official Note: Three-family dwellings containing 3 5.000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control ]EDNZOWNER'S E7C1UdMON The Code states that: 'Any homeowner performing work for which a building permit is required shaII be exempt from the provisions of this section(Sermon 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such wort;that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsMiIiiies of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against:the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her respoasiibUiities,many communities require,as part of the permit application,that the homeowner cerfify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certif=tion for use in your community. QAWPFI IMMRlv%'WdmgprrmithEms11lPRES5 doc Revised 061313 AC40® CERTIFICATE OF LIABILITY INSURANCE FDATE(MMIDDIYYYY) �� 6/12/2015 F 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 Michael Edwards Lawrence Carlin insurance Agency PHONE (508)540-7100 No;(50S)540-8426 230 Jones Road EMAIL ADDRESS:Michael@lawrencecarlin.com INSURERS AFFORDING COVERAGE NAIC4 Falmouth MA 02540 INSURER AArbella Protection 41360 INSURED INSURER B Associated Employers Ins CO Schulze Building Company, LLC INSURER C 65 Sawmill Road INSURERO: INSURER E: Marstons Mills MA 02648 INSURERF: COVERAGES CERTIFICATE NUMBER-CL1561200844 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. TR TYPE OF INSURANCE ADDL S BR POLICY NUMBER MMIODY EFF MPIOLI DI EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 000 A' CLAIMS MADE X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence) $ 100 r 9520036828 3/5/2015 3/5/2016 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑PRO JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 B OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory In NH) WCC50050110072015 5/11/2015 5/11/2016 E.L.DISEASE-EA EMPLOYE $ 500 000 N yyes,describe under E.L.DISEASE-POLICY LIMIT $ 500 000 DESCRIPTION OF OPERATIONS.below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Barnstable Town Hall THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 367 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE ? ' David Lawrence/MEDWAR � ✓f YI .� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 onl4nn CLIENT: DATE: SHEET: / I� SiRJCTU?.=�.DcS!G4 CJ`SU!'AtiiS A R T PROJECT (9781204-3753 NAA4E: 0co, E'ATHtR!/iL �� �c5uri?'ill f' E R IN,c, r.v c. ;: .maltelerginc.com PROJECT NULI3ER V 4j4 r ,�H OFR4, �� f E. MICHAEL - I!p MARTEU t -- STRUCTURAL ► No. 41074 O1 i a T i o \ i 9 i i 1 I i f _—; L ._.. C ti i 1 y z I /• i I.' PLAIN PANEL AT BACK 66.00" 812;(1)TRAY DN REC TOE L W1230 36.00" ` w. B33;DS3 B33;DS3 >" REC TOE L&BACK REC TOE R&BACK RANGE W3013 4'• B28.5;DS4 k` CUTLERY/SPICE W1230 97.50" 3"FILLER R TEP 0.75 X 83 X 26 70.50" 5-1/16"FILLER W4230;BLIND EACH SIDE OF FRIDGE B18.5 D/W " W3612; B26;SINK �Y HINGE UP DOOR W1230 W2030 0W12: 1.5 FILLER L 7C4 lY n 66.0625" 135,0625" s,� Massachusetts - Department of public Safety Board of BuildingRegulations gulations and Standards Construction Supervisor License: CS-056340 WII.LIAM L SC'HYI,Z ,. 65 Sawmill Road ; q Marstons Mills Na j • Expiration Commissioner 10/29/2016 / I Unrestricted -Buildings of any use group which contain less than 35,000 cubic feet(991M ) of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing Information visit: www.Mass.Gov/DPS f 6/12/2015 Office of Consumer Affairs&Business Regulation-Mass.Gov The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) t Consumer Affairs and Business Regulation Home Consumer Rights and Resources Home Improvement Contracting Home Improvement Contractor-Registration Lookup To search by registration number, enter the registration number in the textbox below and click the 'Search' button. Search by Registration Number 1112049 Search , r r To search by other fields, enter the search criteria in the fields below and click the''Search Registrants' button. For the State field, use the two character state abbreviation such as "MA "for Massachusetts and "RI" for Rhode Island. All search fields allow partial text so the search will look for any values that begin with what was entered. For example, if you enter"Fr" in the City/Town field and "MA" in the State field then the search will return records for Framingham, Franklin, and Freetown Which all begin with "Fr" and are located in Massachusetts. To return less information enter in more criteria. For ', instance, entering in a state of "MA" will return a large number of records but entering in a state of "MA" and a city/town of "Medford" will lower the results. Search by Registrant's company's name - ' Search.by Registrant's last name City/Town r—� State Zip —' g � code t Search Registrants Click on the registration number to view complaint history. You can also view arbitration and Guaranty Fund history. The list is current as of Thursday, June 11, 2015. Search Results REGISTRANT RESPONSIBLE REGISTRATION EXPIRATION NAME INDIVIDUAL NUMBER ADDRESS DATE STATUS SCHULZE BUILDING SCHULZE, 112049 65 SAWMILL RD 02/19/2017 Current CO., LLC WILLIAM MARSTONS MILLS, MA 02648 1 ©2012 Commonwealth of Massachusetts. , Mass.Gov@ is a registered service mark of the Commonwealth of Massachusetts: https://services.oca.state.ma.us/hicAicenseelist.asp( 1/1 REScheek Software Version 4.5.0 Compliance Certificate Project Sandorse Reno Energy Code: 2012 IECC Location: Barnstable, Massachusetts Construction Type: Single-family .Project Type: Alteration Climate Zone: 5 (6137 HDD) Permit bate: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 28 Katherine Rd. Centerville, MA 02632 Compliant 0.0%0 r Than Code Maximum UA: 22 �Your 22 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. Env.elo a Assemblies N. o Ceiling 1:Cathedral Ceiling 196 38.0 0.0 0.027 5 Wall 1:Wood Frame, 16"D.C. Exemption:Framing cavity not exposed. '- Wall 2:Wood Frame, 16"o.c. 300 21.0 0.0 0.057 17 Compliance Statement. The proposed building design described here is c i t with the building plans,specifications,and other calculations submitted with the permit application.The proposed bull ' b n designed to meet the 2012 IECC requirements in RES eck Versio 4.5.0 and to comply with the mandatory require sted' the REScheck.Inspection Checklist. Amke Name-Title •��� �� gna Date jE rL.. .y MA { Project Title: Sandorse Reno Report date: 06/09/15 Data filename: P:1Clients 2015\Ganz, Brian\Ganz-Working Drawings\sandorse.rck Page 1 of 7 RESc eck Software Version 4.5®0 Inspection Checklist Energy Code: 2012 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 Ver�flec0 Field Oi'er�foed # Pre-lnspectioh/Plan Revtew Value Valcfe Compbes� Coetimen#5/Asi;umptlons 103.1, ;Construction drawings and omplies 103.2 documentation demonstrate DDoes Not PRl1 ener [ ] gy code compliance for the :building envelope. r r ONot Observable ' -.[]Not Applicable 103.1, ,Construction drawings and �; Complies 103.2, documentation demonstrate " DDoes Not 403.7 energy code compliance for [PR3]1 :lighting and mechanical systems. 4 []Not Observable Systems serving multiple 'DNot Applicable dwelling units must demonstrate compliance with the IECC by Commercial Provisions. ; 302`l, Heating and cooling equipment is Heating: Heating: t Complies 4Q3 6� sized per ACCA Manual S based ? Btu/hr Btu/hr DDoes Not on loads calculated per ACCA Cooling: Cooling: N 1 ;Manual J or other methods ❑ of Observable ' z approved by the code official. Btu/hr Btu/hr ;]Not Applicable Additional Comments/Assumptions: 1 JHlgh Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact_ (Tier 3) Project Title: Sandorse Reno Report date: 06/og/15 Data filename: P:\Clients 2015\Ganz, Brian\Ganz-Working Drawings\sandorse.rck Page 2 of 7 2012 IEC Found tign Inspection onitptr s C0M .OntS/A55uttmptionS 3(f3 A protective covering is installed to '.❑Complies �F�O;11J , protect exposed exterior insulation ❑Does Not and extends a minimum of 6 in.below grade. ❑�of Observable ®Not Applicable 403 8 h Snow-and ice melting system controls?❑Complies FQ.12j2 installed. i❑Does Not =• :[]Not Observable of Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2`:: Medium impact(Tier 2) 3;;;Law impact(Ter 3) Project Title: Sandorse Reno Report date: 06/09/15 Data filename: P:\Clients 20151Ganz, Brian\Ganz-Working Drawings\sandorse.rck Page 3 of 7 s�cti6 # Framing/Roug)h In lrspextionr Pfaps lferified Fi�tld Kerlfled � mpt6e§? Cornehents/Assumptions Re ID Value; Value 402.4.1.1 Air barrier and thermal barrier F 1Compiies [FR23]1 'installed per manufacturer's ` ❑Does Not ;instructions. ;[]Not Observable []Not Applicable 402.4.3 ;Fenestration that is not site built zr -Ucomplies [FR20]1 'is listed and labeled as meeting Ty r u.b ODoes Not AAMA/WDMA/CSA 101/1.S..2/A440 :or has infiltration rates per.NFRC ,pNot Observable 400 that do not exceed code ''ONot Applicable limits. 4f13 4 4 IC-rated recessed lighting fixturesF �I4ComplieS lFil 16]? sealed at housing/interior finish , F i []Does Not and labeled to indicate s2.0 cfm 3 leakage at 75 Pa. y ONot Observable C�Not Applicable 403.2.1 Supply duds in attics are R- R Complies [FR12]1 insulated to aR-8.All other ducts R_ R- ;ODoes Not in unconditioned spaces or '[}Not Observable `outside the building envelope are insulated to a11-6. 0Not Applicable 403.2.2 All joints and seams of air ducts, ` :Complies [FR13}1 'air handlers,and filter boxes are sealed. ` T, ;Oboes Not 4 apNpt Observable - Y :fallot Applicable ca 403'2 3 Building vities are not used as ' Licomplies [FRS 5l3 ;ducts or plenums. t "x'SODoes Not Not Observable []Not Applicable 403i3 HVAC piping conveying fluids R- R- omplies above 105 OF or chilled fluids ;Oboes Not below 55 OF are insulated to tR- 3. ONot Observable !C7Not Applicable t? �1 Protection of insulation on HVAC lE R24] piping. r,, ,' 1 omplies „ Does Not pNot Observable n s ' Not Applicable 4fl3' ? Hot water pipes are insulated to - R. R- Complies {Ffi18} :aR-3. UDoes Not 13Not Observable :❑ of Applicable 403 5 Automatic or gravity dampers are F Complies Il:R�91 installed on all outdoor air ' Intakes and exhausts. ' 1 Oboes Not x Y ONot Observable ' 'a C1Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) :'2: Medium Impact(Tier 2) „Low Impact der 3) Project Title: Sandorse Reno Report date: 06/09/15 Data filename: P:\Clients 2015\Ganz, Brian\Ganz-Working Drawings\sandorse.rck Page 4 of 7 Section , '' i�t�n�U.er4Ned Ftetd Verified: - # D�sulatian inspection C�impiies'� Cgtrir�e»ts/Assrampt�ons . &Re iD:` dalu�- Uaue 30 1 All installed insulation is labeled __ ' ' GCompiies [ilul3j� or the installed R-values t j a?❑Does Not .❑Not Observable ❑Not Applicable 402.1.1, Wall insulation R-value.If this is a i R R- tompiies T;See the Envelope Assemblies 402.2.5. mass wall with at least%of the Wood Wood UDoes Not table for values. 402.2.6 :wall insulation on the wall [IN3]1 ;exterior,the exterior insulation Mass ❑ Mass []Not Observable requirement applies(FR10). '❑ Steel Steel ❑Not Applicable 303.2 Wall insulation is installed per k [IN4]1 !manufacturer's instructions. ompiies ❑Does Not r `❑Not Observable ,❑NotApplicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2`Medium Impact(Tier 2) 3`Low Impact(Tier 3) Project Title: Sandorse Reno Report date: 06/09/15 Data filename: P:\Clients 20151Ganz, Brian\Ganz-Working Drawingslsandorse.rck Page 5 of 7 f 8e�tion iFlan s Uertletl ¢[eld Werifieai' # Flnaf Inspection Provislort's , Value` Ualtle Cbmplies3+ Comments/Assumptions 402.1.1, !Ceiling insulation R-value. R- R omplies See the Envelope Assemblies 402.2.1, [] Wood ❑ Wood ❑Does Not table for values. 402.2.2, 402.2.E ❑ Steel '❑ Steel :❑Not Observable [FI1]1 ;❑Not Applicable 303.1.1.1,'Ceiling insulation installed per r Uromplies 303.2 manufacturer's instructions. # f uDoes Not [FI211 ;Blown insulation marked every i` i 300 ft2. X❑Not Observable ❑Not Applicable .Vented attics with air permeable '.00omplies [Ff22)� insulation include baffle adjacent f j ❑Does Not to soffit and eave vents that extends over insulation. 4 ❑Not Observable =.❑Not Applicable 402 2 4 Attic access hatch and door R- R- s [FI311 insulation zR-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= I�Complies [FI17]1 ach in Climate Zones 1-2,and '[[]]Does Not <=3 ach in Climate Zones 3-8. :❑Not Observable ❑Not Applicable 4Q 4 2 Wood-burning fireplaces have [FI$]2 `tight fitting flue dampers and , Complies outdoor air for combustion. ❑Does Not []Not Observable a} i ,', ( DNot Applicable 4032.2 i Duct tightness test result of<=4 cfm/100 cfm/100 _. Complies [Fl4]1 cfm/100 ft2 across the system or ft2 ftz ❑Does Not <=3 cfm/100 ft2 without air handier @ 25 Pa.For rough-in ❑Not Observable tests,verification may need to ❑Not Applicable occur during Framing inspection. 403.2.2.1 :Air handler leakage designated µ �1Complies [F124]1 ;by manufacturer at<=2%of w Y ❑Does Not design air flow. j ❑Not Observable ' ❑Not Applicable 4fl311 Programmable thermostats f�omplies [FiBlx installed on forced air furnaces. f ❑Does Not ❑Not Observable `• ❑NotAppllcable 4R` 11 2 Heat pump thermostat installed s Y >[]Complies ( 110]z on heat pumps. ` s iq -,`❑Does Not ` ❑Not Observable r ' } ❑Not Applicable 4 4LJ 4 1 Circulating service hot water [Ftil)2 systems have automatic or " Complies x accessible manual controls. * ry a❑Does Not f F '[]Not Observable ❑Not Applicable 403 51 All mechanical ventilation system u ` fans not part of tested and listed t,' Complies 'HVAC equipment meet efficacy ' z t xz �1 t h '❑Does Not and airflow limits. �, , S ';❑Not Observable .-�} � _<% > -„❑Not Applicable 1 I High Impact(Tier 1) !' :: Medium Impact(Tier 2) =3' Low Impact(Tier 3) r .+� Project Title:Sandorse Reno Data filename: P:\Clients 2015\Ganz, Brian\Ganz-Working Drawings\sandorse.rck Report date: 06/09/15 Page 6 of 7 I Section Plans�sFifistl i Fisld VsrilFlsci. r" iK Pi�al,inspectibn Provisions Uaiue` � ,( Cbmplfe5? Conlertenl��/Assumption5 ileitis ,. 463 9 1 Readily accessible switch on ;}' ❑Complies [F1121- heaters for swimming pools or `❑Does Not permanent in-ground ❑�/l(�y�pt Observable ' r E of Applicable 403 9 2 Timer switches on heaters and ❑Complies [f1;19j pumps serving pools and `DDoes Not permanent spas. 3 ;❑Not Observable Not Applicable 40 93 Heated pools and permanent r r ❑complies 3 Tx rs ti [F12pj spas have a vapor retardant ❑Does Not cover. > ' r ❑Not Observable �R E of Applicable 404.1 75%of lamps in permanent Y, _ �Y a5Otomplies [F1611 fixtures or 75%of permanent I fixtures have high efficacy lamps L 2 ❑Does Not Does not apply to low-voltage ❑Not Observable lighting. , k + ' y `x ❑Not Applicable 4D4 1 Fuel gas lighting systems have Complies [F1231a •no continuous pilot light. f ❑Does Not E � ` ` h �},� � f `��* ❑Not Observable '. ;t. f �❑NotApplicabte 4Q1 3 Compliance certificate posted, s QCom Ues P ❑Does Not []Not Observable }b.'� i'❑ 1ca ppl ble Not 303 Manufacturer manuals for UrrCompiles [FI1Rj3 mechanical and water heating r A ❑Does Not rsystems have been provided. ❑Not Observable ; _ []Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3:: Low Impact(Tier 3) Project Title: Sandorse Reno v Report date: 06/09/15 Data filename: P:\Clients 2015\Ganz, Brian\Ganz-Working Drawings\sandorse.rck Page 7 of 7 Town of Barnstable F1HE Tp ° do Regulatory Services Thomas F.Geiler,Director * BAMSTABM 9� MASS. �m� Building Division ArE p 3�A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 7hsloOrw— PERMIT# 7 7909 FEE: $.ZS— o, SHED REGISTRATION , 120 square feet or less �Xv Ce Location of shed(address) Village o 5 a) Property owner's name Telephone number Size of Shed Map/Parcel# 4ipgn�ature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature is required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 LOCATION ;O F P P R Y N O B E ACCURATE STANDARD LEGEND NOTE:not all symbols will appear on a map 315 t � GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES EDGE OF BRUSH 228 --..,.Y,,,.Y ORCHARD OR NURSERY EDGE OF CONIFEROUS TREES 873 27 . MARSH AREA M p Q t MAP 22 V _ p . A _ EDGE OF WATER 1 f =__= DIRT ROAD j( 046 — OC DRIVEWAY V:�?E--PARKING LOT # 301 _ �— PAVED ROAD DRAINAGE DITCH j .........—�..... ..._� .._......._. ———-- PATH/TRAIL i � � — _ PARCEL LINE** I f 3 Si `f ` �i! MAP326 MAP# 021-< PARCEL NUMBER #367 F—HOUSE NUMBER ._ >i 2 FOOT CONTOUR LINE 2 --tom— 10 FOOT CONTOUR LINE 2 j Elevation based on NGVD29 !! �4.9 SPOT ELEVATION STONE WALL ( t 28 _.X..._.._..X_ FENCE ! RETAINING WALL —1 F RAILROAD TRACK I -- -=- STONE JETTY 1 'POOL SWIMMING POOL I PORCH/DECK r [� ❑ BUILDING STRUCTURE DOCK/PIER 16 38MAP 28_ [ HYDRANT �s \ U 9] e VALVE OO MANHOLE LE POST pPP FLAG POLE T O W N O F B A R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N -1 T .o SIGN ® STORM DRAIN N PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetucs(man-made features)were interpreted from 1995 aerial photographs by The James UTILITY POLE ❑ TOWER — -- t 1"=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD w e 0 20 40 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Map Accurory Standards 1 INCH=40 FEET* enlarged sce e. on the map. at o scale of 1"=100'. Parcel lines were digitized from FY2004 Town of Barnstable Assessors tax maps. ¢ LIGHT POLE O ELECTRIC CTRIC BOX Assessor's office(1st Floor): Assessor's map and)otnu Conservation t?' C p 'INSTALLED 4 ��6n. �/br9 fa a„� a ' �'"P `A Board of Health(3rd floor): t WITH TITLE Sewage Permit number _ MENTAL CODE:AN- 6 t Dssa�renca Engineering Department(3rd floor). TOWN REGUL.ATl®�S O�O 39`\,� House number Definitive Plan Approved by Planning Board �g APPLICATIONS PROCESSED 8:30-9:30 A.M.and1:00-2:00 P.M.only TOWN ' OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 4/00/D ` 4 G// 19 y� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location d b �����+�N� /I C� �,�i✓%/��Z 1J%///� �'� Proposed Use /Xi�✓v/� ,6 'l7 � /� ��� /��in%m o o-7 Zoning District Fire District Name of Owner /"M-76171i 1Z�Z S'�9Nl�O�zs Address �&'y Name of Builder T� C ✓�v�"o.Cz e a Address 41 �o �.f',e 0,:,,,z!�, r G J Name of Architect //L .ram -L x i Address Number of Rooms Foundation (9�C � Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost D. D 00 0 O 1019 Area A.r� 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 regardin the a ove nstruction. Name Construction Supervisor's License M_ SANDORSE, MICHAEL No 35929 Permit For BUILD ADDITION Single Family Dwelling Location 28 Katherine Road Centerville Owner ' Michael Sandorse Type of Construction Frame - w.- Plot 1 Lot J _ � 4 Permit Granted June 4 , 19 93 Date of Inspection - 19 , g p k Date Completed /1171`3 19 G'� 7 t t i 'MoPriala L ­' 4 --NNW Gtc'antr rP. 9A SavdOrse I to=w* proyervj -erviu l -_ • 71 f f Suluva v -n f f- Co9gesha d m StDry 4XVts'f� M Lot- z f s art ? 2 f yt¢�:2. UGC t =s r, f Coolwws _ _ � rr6y cert�f y ttiat'a�us pCan tiaa 6ccw. •�`or� , n° 'P. asad r CeYtfet'bank �Ifude s�towr�heroes dons not f alr in.a s cC �° PA"L a;. 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