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0026 MASTHEAD LANE
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Where a Certificate 6U ccupancy is Required,such Building shall Not be Occupied until a Final Inspection has_been`made. ernl Permit No. B-19-2943 Applicant Name: Dean Fraser Approvals Date Issued: 09/10/2019 Current Use: Structure Expiration Date: 03/10/2020 Foundation: - i in Windows Roof Doors P Permit Type: Building Sid YP g g/ Location: 26 MASTHEAD LANE,CENTERVILLE Map/Lot: 193-068 Zoning District: RC Sheathing: Owner on Record: ERICKSON,VIRGINIA M Contractor'Name-: Fraser Construction Company Inc. Framing: 1 Address: 26 MASTHEAD LANE Contractor License: 194747 2 CENTERVILLE, MA 02632 Est. Protect Cost: $6,900.00 Chimney: i, Description: Re-roofing of home . E' Permit Fee: $35.19 Insulation: Project Review Req: Fee Paid::r $.35.19 Date: 9/10/2019 Final: Plumbing/Gas. i Rough g PJumb n .- ` - - - - '\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 zoningMby-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 o signatures by the.Buik ing and Fire Officials arep%ovided on this;permit. Minimum of Five Call Inspections Required for All Construction Wrk': 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 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy tow 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). QZ Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT tJt�fN 5/ y ^, Town of Barnstable *Permi (0vow 1 Expires 6 moo rom issue date Regulatory Services Fee ► BASNBTABLE, • , MAW Thomas'F.Geiler,Director Z- Building Division a. Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,annis,MA 02601 www.town.barnstable.nia.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X:Press Imprint Mar/na,rcel Number V C Property Address 2 [A 4-S ►"14 02, I? [ Residential Value of Work . 6 j 3d Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address V i Tj . ✓S 2� (P-14&a tic 1'�'4 6e C3 Z %vutrwAVL'Z,INaLLIQ�M t�4 � i- - - %cicpiiiiuc iviiauvcr Home Improvement Contractor License#(if applicable) K-?U 53 Construction Supervisor's License#(if applicable) Cl Cl3s E2Workman's Compensation Insurance Check one: ® Ss [II am.a sole proprietor F? 17 ❑ I am the Homeowner LJ I have Worker's Compensation Insurance JAN 2'71�12 Insurance Company Name C N/4 ` Workman's Comp.Policy �//v U YWN OF BLE . Copy of Insurance Compliance Certificate must accompany each-permit. Permit Request(check box) dRe-roof(hiirrirann nailorl)(ctrinnina old chinalec) All c_onctnirtinn rlahric xuil1 ha takan'tn dcr 7,1, ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders:U-Value (maximum.35)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. A copy,of the Home Improvement Contractors License&Construction Supervisors License is require SIGNATURE: _.. C:\Users\decollik\AppData\Local\Mcrosoft\Windows\Temporary Internet Files\ContentOutlook\DDV87AAZ\EXPRESS.doc' Revised 072110. e4vi w� . * JARNSTABIA • " A,� Town of Barnstable Reguia ory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 A .Ln.Ujj,;....., n,VV 1k9... M..aL ,: Complete and Sign This Section If Using.A Builder l.- !1/ t�J C�fG✓t , as iiWner Ur Lae SuulcC.i prope iy hereby authorize X(f 47�-nC 62,n 5111--le 41 01 to act on my behalf, ;., all .... .",. ..: - by • ..� �;::.:: :,...' is (Address of Tob). Signature of Owner ate Print Name' If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doe Revised 072110 Tlae f oiaaraataaa.n�ealtl OY Ud.sS Gdluseus �.,� • .��eprtrlm�rl of fitrli�straal4�c�acln7rts O/�ace'of Investigations X :600 Wam*gtbn Street l store,MA 02111 . `. wow-ntass govldi4q: Workers Cotlapensaati,om,.Insur=c;e Affidavit- .uildet-s/ContzactorwTIectFticianstPl hers Appliea.nt.Information Please Print 1"e4ibl, Naie Wusiiws-OtgauizafianUt4vidlual): Address Cite/statefz cl cJ 0 246y. P lone 9- S&J 7 6)-Z 70 z Are you an employer?Check the appropriate boa. < T}gf of pr0le' '(requi7 ) 1. I am a employer with.: 4,.3 I am t genial contractor, I full and/or havezhired the sub-contractor 6: M New coslshurhoal employees f )• , . 2 El I aiu a sole proprietor or partner listed oa the attached.Meet . ®Remodeling On'- ship and have no employees Tle_subcbagactoishave 8: Demolition woddng for me in any capacity-, '_ employees and leave workers,.'•< 9 ❑Building:addition [Na workers couip_u-isurance comp insurance 2 required.] 5_ 1 we ale a corporawn:and its. : 10.n ElectciI ropaics or additions 3_Q I am a homeowner doing all work olfioers have o wmised their'... 11.0 Plumbing repairs or additions..-. 1£ o workers' sight of exemption per 1IGL. mYre 12_[Q Roofrepars insurance required.]= c. 152,`$1(4);and we have ao'' eisrployees:[No workers 13_❑Other comp.insurance;required.} *Au),xpplicanr dot cheds bay.:".1 mn3 also 511 out the section t3elo�_storri++g teas�ar�Ers''�o�pe�sa�oa paL+ek'�foss�flo�, T HOmeowuns wbo submit this affulmrit in&cstmg they ale doing aU white uA liken biro uutdde loud mrs must submits new aff dsed indicating such. Cauuacws tW ebeck dais-;vac must attactad au additional sheet sturwing the sauce of ibe-sub-cantractois-aad.swe whetbu ur not dwse eadties bane employees. If the mbcoatractots Uve aWl"ws�they tnuat piovide d0r,workers'comp:poIIcy nutob- I ern an employer that isitrovidiug workers'compensation ins rance for shy emplo wes:`B¢to+v:is fire policy and job site inOrmation. d hmnance Company Name: Policy#or.Self ius Idc # Cs 21 YA,13"7-0 ,D L men Date 3. . 5 AZ A. Job Site- 1ddrss 04 4,t1 P.,Z '+ Cit}afstatc'Zig2�t 'e/. /l'�'�7� df Attach a cols} of the wdrliers'etrmpensahon polies declaration page(shoiving the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL 6::1.52,can lead to the imposition of cr muual penalties of a ftne,up to U 500.00 andlor one=year imprisonment;as well as civil penalties in the form of a STOP WORK ORDER and a-fine of up.to$Z50.OQ a day azaimf the NY®latoT..*Be adeised.hat'a,cog}-of thi3.statement,suay.*�e,for�xxded.to the Office:of Iavesti atiauls of the DIA for rns urance coverage verification I�fe herby cerf'rfy'rtnd :the peens end ponnah`es of parJrtr�Ntet'the infornratian proufded elune is l'nte crest correct: true: Date: Phone* . . Sy k �DO :.• 2 4 .e . Official use`only.-Donoi►trite in this Area;to 6e completed by city or Mrin offle al' Cite or`Town I'ei;mitlLit€use ff.. Lssuin Authority(circle one)r 1.Board of Health 1.Building Department 3.Cityf 6 Clerk A.Electrical Inspector'S.Plumbing Inspector 6.Other Contact Person. Phone sic. 6 f { CERTIFICATE OF LIABILITY INSURANCE DATE(MMJDDlYYYY) 103/21/2011 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 REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. - _' v_ •� ,� �VV11ry „r�V 1J) a. 1 r..�rce.. 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 - Schlegel 6 Schlegel Insurance Brokers Inc PHONE FAX (A/C,No.Eat): {A1C,NoP 34 MAIN STREET 4_fAI1 .. ....._ ADDRESS: -PRODUCER. ......_._ ._ CUSTOMER to C: west Yarmouth, MA 02673 INSURER(S)AFFORDING COVERAGE NAIC4 INSURER A COLONY INSURANCE Timothy Keating Dba Keating Construction — -------------- ---___ _ INSURER B CNA 54 Lower Brook Rd — -- -- - INSURER C _—_ .South Yarmouth_, ML 02664 rWSURERF• COVERAGES CERTIFICATE NUMBERF 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. DCCIN t[CUtJI.[U BT YAIU t:LHIM J. - INSR 'LTR TYPE OF INSURANCE I I SUER"; � � j POLFCV EFL' POLICY EXP sJNSR NSR Y✓VD i.- POLICY NUMBER (MMIDDNYYY) : (MWDDIYYYY) LIMITS A I GENERAL LIABILITY I ' I GL3594908 03/10/11,_03/10/12 EACH OCCURRENCE ls1,000,000 $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED - __.-__ i PREMISES(Ea occurrence, I S 100,000 CLAIMS-MADE I X OCCUR n_nn PERSONAL&ADV INJURY 1$.1,000,000 GENERALAGGREGATE i$2,00.0,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMWOP AGG s2,000,000 PRO- POLICY JECT �.,LOC S ANY AUTO ' (Ea accident! ;- ' I,ALL OWNED AUTOS BODILY INJURY(Per person) S � � i � BODILY INJURY{Pet accident) ;E SCHEDULED AUTOS ( ;PROPERTY.DAMAGE HIRED AUTOS S (Per accident) 1 - NON-OWNED AUTOS j S I ! UMBRELLA LIAR OCCUR EACH OCCURRENCE +$ -�-..EXCESS LIAR �. CLAIMS-MADE - AGGREGATE l S RETENTION S I S B jWORKERS COMPENSATION - - 0224N37-2-10 �03/09/11103/09/12 iR 'NC STAU- i MOTH- 'AND EMPLOYERS'LIABILITY Y r N I _ + TORY LIMITS ER ANY PROPRIETOR/PARTNERIEXECUTIVE I —`- OFFICERIMEMBER EXCLUDED? 'N 1 A i j - E.L.EACH ACCIDENT S 100,000 (Mandatory in NH) I--I! .I EL DISEASE--FA FMPI OYFr 100.000 I DESCRIPTION OF OPERATIONS below j E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101.Additional Remarks Schedule,it more space is required) TIMOTHY KEATING HAS ELECTED NOT TO BE COVERED ON HIS WORKERS COMPENSATION CERTIFICATE HOLDER CANCELLATION .3nOUL1.1 -H141 Vr InC AISVVC ULULKIBtV .PUUCIES BE CANCELLED BEFORE THE EXPIRATION ;DATE- THEREOF, NOTICE, WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIV..E-----�?// 1f ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are r g egistered marks of ACORD Co✓ltC.Lr'O'Ilti/97bI21lJEQA� o�✓OCQQd�tl[dc�6 II ; �.- ;: }.i : .: .. f , Office of nsume Affairs&BJsmess Regulation License or regist�.ation valid for.indrvidul use only HOME IMPROVEMENT CONTRACTOR before the expiration date: If found return to: Registration f 143053 Type. : + Office of Consumer Affaiis and Business Regulation Expiration 61,U,12012 DBA' ".' ( 10 Park Plaza-Suite 517(' f h Boston,MA 02116 �. K ING CONST , s �r TIMOTHY KEATINGC -kf 1 54 LOWER BROOK RD_ r SO.YARMOUTH MR 0•,2664 y Undersecretar Y Not valid..wit hout.signature _ • NI assac husctts Uep a tin(.n1 4 Pub!(c.S ttc.t♦ v' B�l,ird of 13uRdin Rc�ul h(inti and StAnda .(Is. Construction Su.peryis n or Spec7alty'Licesc ' l 1 5 Wit. q}i;'C � f License`. CS SL 99351 Restricted to: RF: TIMOTHY KEATING 54 LOWER.BROOK ROAD ° t' SOUTH YARMOUTH; MA•02664 F Expiration: 5/11!2012 f Tr#: 99351 ('omnu�tiunct. 1 4 r Town of Barnstable ermit:-t&4 I i a �FTHE Tp�, Regulatory Services ate: yY o� T MY OF BA its y,A8T�omas F.Geiler,Director ee: oa BARMSMBLE, : Building Division pas,. 9 MASS.039. �m 16AM 'am3t rry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 0 "—JS10—N — Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: Phone: Z 2/ Install at: .Z 4iet b&2 �a4tt--Village: Map/Parcel: �J ��Q� Date: Stove A. ew sed B. Type: ad' Circulating C. Manufacturer: Lab. No. D. Model No.: 0 ® G Chimney A. New/Existing (If existing,please note date of last cleaning) B. Flue Size C. Are other appliances attached to Flue? D. Pre-fab Type and Manufacturer E. Masonry: Lined/Unlined Hearth A. Materials: y ��'V�W o /� �' l� �C,� L �/�% T1 r: B. Sub Floor Construction: L.!r- Installer Name: Address: Phone: 5-a 7 06 � Location of Installation: F APPROVED BI Q 4a'W--X-A Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove Rev 122801 ;,, i K �[^, V `1 1 O d .11 ] ..�I I� � � d n �� f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 Parcel .� Permit# 62o44 Health Division � f�` �. � ��� � Date Issued Conservation Divisio 3 0� Application Fee Tax Collector �— ®� SEPMD SYSTrM MCPENNCZF& VV INSTALLED 114 COMPLIANCE Treasurer ! — o WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE AV Date Definitive Plan Approved by Planning Board vita Historic Historic-OKH � Preservation/Hyannis Ad� o&W PeAm i1- .UaT 0&9� P Project Street Address �' CD C ? L �°� co/ Village Owner / Y' Address Z Telephone l . Permit Request - t Square feet: 1st floor: existing �y©d t� proposed&00t/2nd floor: existing /Oto0 proposed &00 Total new ZOO Zoning District t1, Flood Plain Groundwater Overlay Project Valuation Construction Type _ J Lot Siie 7-� Grandfathered: ❑Yes ❑No If yes, attach supporting doetrr►`entation� Dwelling Type: Single Family �f Two Family ❑ Multi-Family(#units) Age of Existing Structure U7S-- 30 XIS Historic House: ❑Yes ,� No On Old King's High ay: ❑Yes No Basement Type: -Wull ❑Crawl ❑Walkout ❑Other f Basement Finished Area(sq.ft.) © Basement Unfinished Area(sq.ft) Yzab �f _ Number of Baths: Full: existing new Half: existing O new O Number of Bedrooms: existing new Total Room Count(not including baths): existing 7 new First Floor Room Count Heat Type and Fuel: ❑Gas '90il ❑ Electric 0 Other Central Air: ❑Yes � No Fireplaces: Existing _ New O Existing wood/coal stove: 0 Yes )W No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:X existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# A ° Recorded❑ Commercial O Yes XNo If yes,/site plan review# Current Use 411,v_�Proposed Use BUILDER INFORMATION Name Telephone Number Address y2� ��i11 a License# D 3 C? �! ��• Home Improvement Contractor# l D 3 6 �O Worker's Compensation#l4WAS ALL CONSTRUCTION)DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO c-- IWv S e SIGNATURE j DATE n FOR OFFICIAL USE ONLY VI PERMIT NO. DATE ISSUED i MAP/PARCEL NO. ADDRESS- "' VILLAGE - OWNER ` DATE OF INSPE�TION: FOUNDATION FRAME1 , INSULATION C 2-2-y-2 FIREPLACE - ? ELECTRICAL: ROUGH f FINAL PLUMBING: ROUGH FINAL GAS: ROUGH I FINAL' t, FINAL BUILDING o DATE'CLOSED OUT r ' ASSOCIATION.PLAN NO. r 3 , r FEES = - RESIDENTIAL BUILDING PERMIT APPLICATION FEE '. t VCR - New,BuiIdings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET i NEW LIVING-SPACE (1 1-60 x.0031-_ 2AD square feet x$96/sq.foot= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq. ` , >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS , Open Porch x$30.00= (number) Deck x$30.00= Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 _ (plus above if applicable)' Permit Fee 6S projcost 780 CMR Appendix 1 Table J&LIb(continued) Prescriptive Packages for Oae and Two-Family Residential Buildings Heated with Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab Heating/Cooling Area'(•/a) U-value= R-value' R-value' R value, Wall Perimeter Equipment Efficiency' Package R vaitu° 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 15% 0.36 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 IS AFUE X 18% 032 38 13 25 N/A N/A Normal Y 18% 0.42 38 19 25 N/A N/A Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 19% i 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: o? (a l�� 17A 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: •J 3. SQUARE FOOTAGE OF ALL GLAZING: ((/ 4. %GLAZING AREA(#3 DIVIDED BY#2): / f 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a - 780 CMR Appendix J z Footnotes to Table A2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 W of glazing area. 'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation....OR R-13 ..cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-flame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 `_��' The Commonwealth of Massachusetts f '` - Department o Industrial Accidents _ p Office of/nsestigations . V 600 Washington Street Boston,Mass. 02111 Workers' C sation Insurance Affidavit location• �Zr ��fi?S� A`o � - city Sid �Lr�1� Y?z Dhone#SJ9, ❑ I am a homeowner performing all work myself. ❑ I am a sole pr7rietor and have no one workin in an ca acity I am an employer providing workers' compens lion for my employees working on this job. :ec►m an'::name:::: >::>:>;; :?<: ..... .., ... e5s >'< . .-- s iii�i•:•::':::v::'i:v:•::':i...::::?:is?:?::::i:}..:v}:'.. ii.. is:::' :::i.is ::iii:?•:ii:::i.:isis:::;: .. .: .:.:::•::.;'.:: :is i::ii::::: '•:i; ..n: ':vi:d?:..:ii: ..... ::::............... ........... .......:::.:::.::.... .. . . . :... ..��� .t1 .._... ..shone#..., � �'`............ � .................... situ i � ❑ I am a sole proprietor, general contractor, or homeowner(circle one and have hired the contractors listed below who have compensa tion ohces: the following workers comp p .... NEW con an .n ad>#t ?L>4:.?.., ii:;:::'., „jj:`�:,+.�<^j i:i�{?:}:�i:>. ::;:;;;};?:iY�iiiii;::yi:;'iri+f�}:.j�S:$:jj;sj}!�u'?::t::?,'•::':;ti:C!is tin rlty: = ............::::::.. itilirttan xx addressr OIIIF::::::::::.:..:................... Ll ,.ry.. 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 s1,5o0.00 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 nder the pains and p 'ejs of perjury that the information provided above is true and correct Signature Date � _ Print name / "7��T l-- ' 'l / / Phone# �O offic ially do not write in this area to be completed by city or town official permit/license# ❑Building Department ❑Licensing Board mediate response is required ❑Selectmen's Office OHealth Department phone#; ❑Other (fe ed 9195 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employ rs to provide workers' compensation for their employees. As quoted from the"law"f an employee is defined as every erson in the service of another under any contract of hire, express or implied, oral or written. An employer is defined\,nn ndividual,partnership, association, corp ration or other legal entity, or any two or more of the foregoing engaged int enterprise, and including the legal repr sentatives of a deceased employer, or the receiver or trustee of an individual, ership, association or other legal entity, ploying employees. However the owner of a . dwelling house having ne than three apartments and who resides erein, or the occupant of the dwelling house of another who employs pedo maintenance, construction or rep work on such dwelling house or on the grounds or building appurtenant thnot because of such employment be eemed to be an employer. MGL chapter 152 sectilso tes that every state or local licen 'ng agency shall withhold the issuance orrenewal of a license or permit tate a usiness or to construct building in the commonwealth for any applicant who has liance with the insurance overa a re uired. Additionall neither the not roduced acceptabence o comp g q Y,P .commonwealth nor anypolitical bdivisions shall enter into any ontract for the performance of public work until acceptable evidence of compance with a insurance requirements of s chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affida completely,by ecking the box that applies to your situation and supplying company names, address and phone n \bers, along a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidenor co ation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returno the c' or town that the application for the permit or license is being requested, not the Department of Industrial Acci en Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, e e call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed le 'bly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Inve 'gatio has to contact you regarding the applicant. Please be sure to fill in the permi4/license number which will be ed as a ference number. The affidavits may be re- nned to the Department by mail or FAX unless other arrangemen have be made. The Office of Investigations would like to thank you in a ce for you ooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax numb The Commonwealth Of Massachusetts ,Department of Industrial Accidents Offlce 91 investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 e ` �°pTHE l°�� Town of Barnstable °; Regulatory Services sARxslAs . ' Thomas F. Geiler,Director 9 MASS. 639. �pIFDMA0. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Zoe Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work:S� ,f// lSl�t "Ce.-Estimatst ed C Address of Work: o /i —ff� .7 Owner's Name: Date of Application:_ I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent f the wrier: Z © 30��� D to Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav `pQ THE fp The Town of Barnstable 9AN E. MASS.ASS. A - Department of Health Safety and Environmental Services 9Q 1679 `00 oPrFU MPS" Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: eC- l 0 Map/Parcel: Project Address: Builder: V '`� �IL WCK— The following items were noted on reviewing: V1n e,V1 La k-% �Jl 0", a rf Reviewed bY Date: ��� �" ^ 0 q:buil ding:forms:rev iew I �, � I, ✓� -�anvazauuea/� a��ivGag6ac/u�et�`6 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR NumbeZ7 S, 030908 BirtFailate ff24L�941 ires,114/�d03 t Tr.no: 13740 NEAL A PRATT 42 CHASE RD E SANDWICH, MA Administrator -. - .� ✓sae'C�oarvmanraea.�o�✓�aa°ac/u�aetA i NOME IMPROVEMENT CONTRACTOR V Registration: 103690 Expiration: 7/9/02 j Type: OBA I REAL A. PRATT, CUSTOM BE Neal Pratt G� �o &—f 42 Chase Rd ADMINISTRATOR E Sandwich MA 02537 V SM .KE DETECTORS O.K. I L BARNSTABLE BUILDING DEPT. 1 , Y v SkV I - l New prapam mh I I \ 1 i KK&en \\\ i/ peen I ratify Roos �'— . � d Reflected co" Gorape Gaspe -------------- Uvbo Room UAnp Roan EXISTING FLOOR PLAN PROPOSED FLOOR PLAN NEAL A. PRATT .HOH ERICKSON RESIDENCE DATE: 6,10.02 PAGE 1 OF 4 BUII.G gWil R SCALE: None e 28 MAST HEAD IN, CENTERVILLE lLA,i R S�omw aff ML 02637 BY: NAP rNoNP (6aa) ase-me FAMILY ROOM ADDITION j L / J EXISTING LEFT ELEVATION EXISTING REAR ELEVATION EXISTING FRONT ELEVATION NEAL A. PRATT BOB ERICKSON RESIDENCE DATE. 6.10.02 PAGE 2 OF 4 a4H CRAM ROAD 6 MAST HEAD IN, CENTERVILLE scA�E: None R. SANVDWYCH ML U537 BY: NAP PHOM (50e) 666-320e FAMILY ROOM ADDITION 1 1 G! -- ---_ -- New YhFte Cedar ------------------- PROPOSED LEFT ELEVATION New Cedar kid swing EEM FrEd EFzEl LEM PROPOSED REAR ELEVATION PROPOSED FRONT ELEVATION NEAL A. PRATT BOB ERICKSON RESIDENCE 12ATE: 6.10.02 PAGE 3 OF 4 BMW 26 MAST. HEAD IN, CENTERVII1E SCALE: None CIS X s ND YA�a2537 BY: NAP PROM (50B) Ma-3206 FAMILY ROOM ADDITION L_ J Roof Systedmoe ��tft mdb rafters lWar(and new) New LLV 1.753W Wileyy rafters Nee 3e6 edlar tks Q6.OC New 10'deeN piers P fiberglass buiiatlon w proper Won Wridgs vents - THple PT 2x8 an 1/2'sheathhwfelt/asphdt sw gles PT Bt8 is I6• 17 61 an .. .. .IT .. .................................................... Side Wall System 2a4 studs 2 161 OC 1 1/2•sheathing VC.sldng a typor 16 fiberdase AisiAatlon00 E i' ........................................i .. ... .. •'i .......................................... Floor p� S stem F--1 �-- --, 2s1GPT Floor Joists® 16. OC i E E i i 1•N R S24iTr Triple .eQPT Girt 7' an Cnax) ..•.•..i:.....,...ii........: subfLoor/Pergo fivarhg i ...........................i Foundation system Xi 1W Concrete ppers a tllg foot foatini, 10 hen Foun"llon bolto/2a6PT plate CROSS SECTION EK vrbr2x4/ iaccess to s `vat at<te . Extartar access to service eater pt i is 16, Garage Living Noon Roof Framing Plan Crawl space access CROSS SECTION NEAL A. PRATT HOH ERICKSON RESIDENCE oATE: 6,10.02 PACE 4 OF 4 B == 26 MAST HEAD IN, CENTERVILLE �' None K S"Mi"CFI I" 122 117 6Y: NAP A4 MGM (soe) eee-sloe FAMILY ROOM ADDITION L J 0—oCA.-FIC)IN C)V RMC)RE zYY 0_0NES M^Y NCYr BE ACC - R^-rE STANDARDLEGEND- Mf'1 P 193 12 4 NOTE:not all symbols will appear on a roap GOLF COURSE FAIRWAY "9 r--rWs EDGE OF DECIDUOUS TREES # 6 ----^ EDGE OF BRUSH r ; ORCHARD OR NURSERY V-V Y- V EDGE OF CONIFEROUS TREES MARSH AREA EDGE OF WATER DIRT ROAD W ILA DRIVEWAY PAVED ROAD � LOT PAVED ROAD /vrw 1 a��� xis7�Ntr — - - — DRAINAGE DITCH PATH/TRAIL PARCEL LINE** IMaP no-�*-----MAP# - - - - 21 PARCEL NUMBER #rasa—HOUSE NUMBER 1 3 s MAP II / 3 2 FOOT CONTOUR LINE MAPI /CJ 3 I —;s 10 FOOT CONTOUR LINE - Elevation based on NGVD29 6 # 1 ��4.9 SPOT ELEVATION 00o STONEWALL 36 - -X—X- FENCE RETAINING WALL F HF RAIL ROAD TRACK - STONE IETTY SWIMMING POOL PORCH/DECK ❑ BUILDING/STRUCTURE - DOCK/PIER Q HYDRANT e VALVE 0 MANHOLE O POST 0" FIAG 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 I C 1 N F O R M A T 1 O N S Y S T E M S U N I T .o SIGN ® STORMORAIN N PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES:.Planimetrics(man-made features),were interpreted from 1995 aerial photographs by The lames 1"=100'scale mapand may NOT meet of property boundaries.The are not true locations,and W.Sewall Company.Topographyand vegetation were interpreted from 1989 aerialphotographs b GEOD UTILITY POLE c TOWER Y P PAY Y 9 P Y i w e 0 20 40 National Map Accurary'Standards at this do not represent actual relationships to physical objects Corporation. Plonimehics,topography,and vegetation were mapped to meet National Map Accuracy Standards a 1 INCH=40 FEET* enlarged sca e. on the map. at a scale of 1"=100'. Parcel lines were digitized from FY2002 Town of Barnstable Assessor's tax maps. O LIGHT POLE 0 ELECTRIC BOX kM r-r � � � • 3z. Up I000 Inc. Pir .v1 �ObbG4L raNK. io 14± Lo Lo-r 40 _ ._,. r Loy 4Z. � r -I-I � 1 4 . 3 Z' sut `� LccArl ENTE A5S SCt�LL 1 �, 30' 'D T -2/4/-1 cr.IzTIF= Y T 1-iA J TiAC FpuwV Avow -5wo v►J P�-'�� �►-t=���'"� - WE►?EG1,1 v.Vl�, W i T 14 T1-Ii,:= rji DE LI1-ice K N O T T Y V 1 L L_/,G'G ptva Gi= THc � , .G P � l`t i c:,w�-j O►- �j AaZ i iST�L'�i. �� � SOT 4t p A'r L= tZ_(;It; iL_jZL.0 j_. I"C) SVZ,ia`IvZ.S 1 U4 Ct:��.LGt�I i >t12�/t_y T�tCG C rr �iC�5 Gi1�(;�.11-[� APPLIG/�.1�1 T" f c�ara M 1-4l"= CAS yt/ �;a OU4 G� I Assessor's map and lot-nu ` 7 E SEPTIC SYSTEM MUST E f,. C ( 7 i !ST I_ED IN COMPLIAN E -., Ir AL Sewage`"Permit number GVJITH ARTICLE II STATE ...................'.............................�....... { I SANITARY CODE AND TOWN OFTHETO TOWN: OF '�BAR1 STABLE i HA$B9TADLE, i r i DU-ILD [NGj INSPECTOR 90� i639. ' APPLICATION FOR: PERMIT-TO .`..( .dr.. t, TYPE OF CONSTRUCTION ..........(,... ... .... ..'�' ....................................................... _ .................... ........ ........19..7.. . 'f TO THE INSPECTOR OF BUILDINGS: The undersigns hefe yapplies for a permit according to the'foll wing information: Location ...1.:f.......... . ..........:.....:G ......... ...........a ........... 19 1 ProposedUse ...... . ✓ ''�TTI>>t!//.................................Y..............................�. .:....... Zoning District ....... r...`.4..............................................Fire District .... . .. �....(..i.• �. .... . .....`............ Nameof Owner .....!.. ....... ,f!1 . ,:........Address .......: A. ..................`.......................................... Nameof Builder ....................................................................Address .........................(......................................................... Nameof Architect ..................................................................Address ................................................................:................... ��/ Numberof Rooms .............:....................................................Foundation .......... ...../............................................................ Exterior °:.C..............................................................Roofing ........ ..................... PE'.� �� Floors ...........�U �...�`..................................................Interior .............. ............. ........ :........ Heating .......... ............. .. .... ....... .Plumbing ....... . . ...�................... ..................................... Fireplace ................... ..................................Approximate Cost ...... �:.... .�..... l.......... Definitive Plan Approved by Planning Board ---------------------------------19--------. Area .. ................... Diagram of Lot and Building with Dimensions ; Fee .... ...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH !o 0 ° I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above . construction. 1 c�% { ._ Name ....�........ ........ .�`'�G��1� ............. Capewide Development _ No 1893 .Pe'rmit-for ... ....... single jape lY...dYaelling.............................. - ! Locatiai`.0 Mas thead,.Lane.............. ........ 1 ..................... .......... .•. ................. Owner ........ ............. Type of Construction ......iExae.............. " .. t tom, n ............................. ...................................�............. a.. Plot ........................ .. Lot .......#41.................. j Permit Granted .......Fe ruary 7 19 77 7/ Date of Inspection .. ..7..1...... Date Completed .L7.. .. .. ......19 t 888888 :7 .r .� PERMIT REFUSED ............................ ................................... 19 ............ .............................................................. Approved ........................... 19