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0045 DANIELE STREET
,: � , 1 �. ,� A �, �. ., . ,. �� �, 'j �, � � � t �� n � � ': i - (i � .. - .. � v 'I u ;� � � �� �- L�� � � �� � ., �; �� �( S/N6L E F<t�J/L Y ~ 3 BE0.2aoM // L j�Id y� �l/O G.4�2B�4GE G•e/iU0E.2 �•- /'�'.� ��•" jr; //e, xv �- SE,oT/C . w ,S/OEIr/,QLL AeE,Q 2E OL 47 V,V.e..47a /"/.t/2Af N. eL �-� F �``. Y.OF N T_rt J uL i4rAP; RICHARDA. 4SG ! u rCJry� . 6 v BAXTER n r 01 ISTS Low,,' � P�/.L.) s /.f/✓. Su�svi 5 ro) /rV✓. s /it/✓ /iV✓ • • .frz.vE - CE�'T/F/EO PG OT' ,oL.4.✓ / LE2T/.c'y Tf/,QT Tf►'E�X/,�T. ✓p S,4/ vc'v �/E�Ea.c/ GO�lPLY.S lid/Tf/T,�,�E S/OEL✓NE B-�X7F2 E y2 I M, . 4ivv.fETI/�G� ,eEQIJ/eEMENTS Or= Tf•'� , ,e.EGisr�,ec=lJ�.�tvo.Sl�.e✓Eyct�S LINT/ /.S iS/OT- G2STE.E Ii/LLc �/.Qss�. ,4,cPL./c"a.c�T- •T� �N" �G=�'-.�f y'���"l"` 22, /.s NoT r3.4.rE0 UA/ AN /ysre— ,t -�/,sfEyT.Sv.2c/�Ysl�t/O Tf/E v,' f•S2FrS Shy�t/�/yE,eEa�✓,5,4/o�/L�,s/oT G� vSEp ; 1 , s Assessor's mal5.,and lot number .........a...........,/.......... F THE rp� Sewage 'Permit number ...... o EARISTADLE, i House number 4......{ .:t�'................................... 9 NAG& 039. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .:.Construct New Flaw ,e,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,;,, ........................... TYPEOF CONSTRUCTION ...ldood... an ....................................................................................................... .....Jan. 8,.........................19.85.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... 2 7.......Dame-1.3..f'...S.t........�',0.t.11 it.y. .M_►j�. ................................................... ................................... ProposedUse ...S...Re.0............. ....................................................................................................................I....................... Zoning District ....R '...... ............ .e �.... .Fire District ......... Qt.Tlj,t:.................................................... Name of Owner , �. . � . .. Address .................................................................................... Name of Builder .....Johra...J......>!ae 1 aney......................Address „Rte. 14.9,. Marstons Mills,,,,,MA,,.,,,. Name of Architect NOnP Address .;None ........D.P................... ............. ........................................................................ Numberof Rooms ...6.............................................................Foundation . ..IQ.!!...n ..z........................................................ Exterior Wood Shingly..........................................Roofing ....Asphalt ..................................................................... Wood & Ca '�" Sheetrock Floors T.,. .t.......:.......................................:..Interior .................................................................................... Heating bm Gas%.......................................Plumbing ..�....... Fireplace .....1..........................................................................Approximate. Cost .$4.5,0,00 00........................................ Definitive Plan Approved by Planning Board ---Dec_.___3_z___-_______19 71__. Area ...8,1F6• —sq:......ft............. Diagram of Lot and Building with Dimensions Fee �-�` SUBJECT TO APPROVAL OF BOARD OF HEALTHv�� 1� STdRY FRAMED STRUCTURE OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of the Town of/Barnstable reg rding is he above construction. Name .ffU',J.W..... . �. . . ..... ........... .. J 009q 6I:� Construction Supervisor's License .......:...:........................ 1 `DELANF'.Y REALTY TRUST A=27-76 J 27440 12 Story No ................. Permit for .................................... Single Family Dwelling .............................................. T Location ....Lot„27{ 45 Danielle Street - ................. Cotuit ............................................................................... Owner ....Delaney RealtX Trust... ............ Type of Construction ......Frame........................ Plot ............................ Lot ................................ January 18, 85 ` Permit Granted ........................................19 — 4 Date of Inspection ....................................19 Date Completed ......................................19 � _ p � p-D7o � Z- -L -7 i t'Assessor's Amaprand lot numb +Y• � � � � y i `" � THE SEPTIC SYSTEM RMILIST � P•, F TO�`f Sewa a Permit number ........... ►�'1 House number. T14 TITLE 6 t LE, .B9Bd9TSB yyp� �g MA86 �•r q� 4 � 0 YpY fir' TOWN OF BARNSTABLE 4 BUILDING INSPECTOR APPLICATION. FOR PERMIT TO ...Construe. ...N.�y..IjA.US.Q....................................................................... TYPE OF'CONSTRUCTION ...Woo.0...F. aw................:...................................................................................... Jan. 8, TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for-a permit according to the following information: Location ......Lot...�.7. ., PaX1iQ.7 le...S.t....,...Ctatuit.,....MA................................ ProposedUse . ...S...k...1?..................................................................... ................................................................................... ire District C.QtUi.t.................................................... Zoning District ...... k.....:.. ............... . , . .......... .......... Nameof Owner .. .. ...Address .................................................................................... Name of Builder ......JOhXt...J......D.elane.�r........................Address e.......149, Marstons M 11•*i......n....••• Name of Architect ...NQ.ne.................................................... .•None ................. ....................................................................... . -Number of Rooms .................................................Foundation ..1p!!...g.,c.......................................................... ExteriorWood...Shingle..........................................Roofing ....Asphalt............................................................. Wood & z" Shee•trock Floors .....................Ca Q.t..................................................Interior ......... .......................................... . ,_. Heating Wdz l..Aix...hy...Gas................. ...................Plumbing �.............. ............... .......................... .......... Fireplace`.....1............:..............................................................Approximate. Cost .. ..4:5...Q.Q.Q.,.Q.Q........................................ Definitive Plan Approved by Planning Board __Dec___3______________19 7.3 Area ...816...sq._.t.t............. II, Diagram of Lot and Building•'with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTHdij✓- 1%2 STORY FRAMED STRUCTURE OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS F hereby agree to conform to all the Rules and Regulations of the To n B rnstable re in t e above construction. Name ... . . . . .. ................. . . ... ....... C struction Supervisor's License 009961 "1 "Y REALTY TRUST b, 27440- 18 Story No ...... Permit for Single Family Dwelling y .................. ......................................................... -per Location ......Loot 27, 45 Danielle :Street V ........... ................. ......... -, CotuitOwner t Delaney Realty Trust f' Frame . Type of Consfruction .......................................... . .................. ................ ...... ................... .Plot ............................ Lot*............ .................... ' r. January Permit Granted .................... ..... ..........19 35 Date of Inspection ....................................19 .;�r-�� Date Completed .... ............................19 F a. r � 4 ,E5/ Al 0.4 7,4 - S/N6L E FAiy/L Y OA/LY 440l t/ _ //D X.3 = 330 G.P.O: �- S'EPT/c _6/SE /,000 GAL. T w O/S.�2S,4L P/T•-USE /,000 6'/iL_ . ,, Z/S'd�;7-���s J• /�.v 9, /1 . 'o s.� X Z.S. _ ,�7f'GPO. - - --- I ToT.4,� 17.4/L}�FLo�t/= �.30G•Pv, N �Es/G�s/ �E.eGOL4T/.O�V.PATE.' /"/.v 2•y/N. G��LE� 4 fi�r.� �... `,��� t� •, - ,..,�....�.. .-•- tt{ ICI f�A- YSS• ♦ a - ( 1742 41 �` t �` 4�'✓ltl 4F kP'(S�fY °' � '� 1 w.7� t. , 4,; n r f TER Vr 1��,••,.,�• •yam, �r 9.�... T ,,.,F -..,...... 1.__LOO. q' S,?LLi 'M.i v ., ��� FZ►(:F�AFtC, �•\r, � + �G�c-"�=' ,5�'';5' 33v �C...k BAXTER h�� I Zug TEsr/,ia.c.E ,�-`/0�� 11/-GL.�.,.✓1,•sr:���... Fd.a.`. /� '',�.�,��,.: x ./vo�i� /N✓. Gam. /'`N •� 97� Z� 6.aG, LFA-Af -Ir* /` •Z 9` SEPnG w-/ '.i/y- T,Qn�sc I . • .•drz.vE C,E.2T/F/EO PGOT ,oL�4�t/ � h /•�..— '�,f •t`9D Z. + L OG.GT/O.t� Cc:�7 'G!/T I / LE2r/Fy Tf/r4T Tf►'E S"/4wv yE,c�EO.v G0�1PLY.S l-ti/1�TisiE.S/OE!-✓�uE B-�XTE.e E�t/�E /�vC. • 4NO fEnve-e .eEQIJ/,eENIENTS Or TfN4 ,PE6�srEecOAla vo.S//,e�Eya S L ocarE.v /�t//T.s�/N T.yE �L acoP[..Qiiv '�• ' /LLSO7.%/ls�[.•QiV /f iVv7- l3AlE0 G�i✓ AN ♦s.�j�.tT/�t/yEeE4�t%.3.4'a�/�O NoT!E ""S- ` • 3 I M Front Elevation _ - - BENTLEY ADDITION _ LACADINOS CONSTRUCTION - FEBRUARY 1993 _ ® e Rear Elevation _ _ J u ' End E t' v0t . on 235# ASPHALT ROOF SHINGLES 2X10 RIDGE 1/2" CDX ROOF SHEATHING 2X10 ROOF RAFTERS 16" O.C. 2X6 VAULTED CEILING JOISTS 16" 0. R-30 BATT INSULATION 2X6 WALLS 16" O.C. 1/2" CDX WALL SHEATHING c WHITE CEDAR SHINGLES 5" T.W. R-19 INSULATION 3/4" T AND G SUBFLOOR R-19 INSULATION 2X12 JOISTS 12" O.C. 2X12 JOIST 2X6 P.T. SILL SOLID BLOCKING m CRAWL SPACE WITH 2" CONCRETE 8" POURED CONCRETE FOUNDATION 3" POURED CONCRETE FLOOR r 8X8X16" FOOTING ➢" CROSS SECTION' I IV111 LIGVV IIVII 1Ox24 Pressure Treated Deck u b PULL DOWN STAIRS s 0 Clearance Fireplace - e Direct Vent CASED OPENING re—use existing door Existing House 4 u _ a Bentley Addition Farmers Porch Lagodinos Construction January 20, 1993 4 r � b . _ t 12 T-0" r BENTLEY LOT 27 BOOK 280 PG. 25 Ln 26'—0" _ �- 24'—0" I PROPOSED AOwn « 60 - EXWMC MOUSE - ....- .......... S SEOROOMS - n Tj 94'-0" DANIELLE LANE i 4P.Via' { Z vi t DEPARTMENT OF p191JC yy, "T. COMMONWEALTH �N�va i 1010 COMMONWEALTH A "a f r l t ' OF Vie SSACHUSI c SUP RYx.SO a EXPIRATIQN DATE 0 b/3 0/19 93 . I O EFFECTIVE DATE ' LJGNO i RESTRICTIONS j 106/3011991 r1.NONE �t�, .,� ,� *012653 I. 13CTHAAK A LAGADjrk' � COT N F U A�t3S0 _. `` �EI 38„0 6 78_ UiI1A. 02� �►:,hP� HEIGHT, DOB 071161195, rx� T"* OOCUMENt Must !E �` J' >`' s �'r CARREA ON T11E PERSON . � 'HE NO WHEN ENOA JN t•. .;t .� . � PRNT EO M.,TNq OCCUPAT 71 Y" 44 e HOME IMPROVEMENT CONTRACTOR r T �� "Aeaiatatioo 104A01',r���,• ��- License or registration valid.for individual ` use only ;before a iration.date. If found ' tree ' INDItiIDUAI z re;p n to:One urton Place. Rm 1301' O on Ma 210 „pna ti` �.;'+aw��SF� , .' )rH" .Lr••.t'�i r f� F t Micholes Lag dinos t tl "' =='.Nicholas A. lagadinos Thankful lane ACUMSIARMA Co twit MA 01635f 4 i ..."y1- A'.11 .:. TOWN OF BARNSTABLE Permit No. __----______---------------- -- Building Inspector �urn�n, Cash _---- g .ego• � X OCCUPANCY PERMIT Bond Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ....................................................... 19........... .................._......._.............._...................................._............................ Building Inspector tl b TOWN OF BARNSTABLE BUILDING DEPARTMENT = ss8ass : TOWN OFFICE BUILDING rua i639' �� HYANNIS, MASS. 02601 MEMO TO Town Clerk FROM: Building Department DATE: June 4, 1985 An Occupancy Permit has been issued for the building authorized by Building Permit # 27440,............... .......... ............ issued to .............................._. _......Delaney.. .Realty....Trust ... ......................_...... ...... .... Please release .the performance bond. p ® �r t r,- T _ HomeWorks � Energy, Inc e � � Insulation Affidavit h HomeWorks Energy has installed insulation at the following address that meets or exceeds Massachusetts building code and IIC requirements. Project Address: Permit Number:20-542 Doug Bentley 45 Daniele Street C� Barnstable Massachusetts 02635 Location Material Addt'l Thickness Final Assembly R-value Attic Floor Green Fiber Cellulose 8" 49 Sincerely, Scott Veggeberg HomeWorks Energy Inc. CSL#103832 HERS Certification#3081658 HomeWorks Energy 101 Station Landing,Suite 110 Medford,MA 02155 wxpermitting@homeworksenergy.com ., Town of Barnstable Building Post This,Card So,TFiat it is Uis�ble:From.the.Street-Approved Plans Must be;Retamedon Job and;fhis Card MusL�be Kept tAltNf3CACit . ' ., ." ., .. '•fir :..t 4 z f� a ^c x+ D ,� • / *! Posted Until,Final Ins ect�on Has Been-Made ' f R r ertificate of Oia? anc is Re u�red smch Bwildm shall Not be Occu ied until a Finallns ection has beenmade Permit e a C ,: q g p Permit NO. B-20-542 Applicant Name: HOME WORKS ENERGY INC. Approvals Date Issued: 02/21/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 08/21/2020 Foundation: Location: 45 DANIELE STREET,COTUIT Map/Lot: 027 076 Zoning District: RF Sheathing: Owner on Record: BENTLEY DOUGLAS A&JENIFER A TRS !. "' Contractor Name §...HOME WORKS ENERGY INC. Framing: 1 ' ° , ContractoraLicenSq 181138 .' a 2 Address: .45 DANIELE STREET , n COTUIT,MA 02635 Est Pro ecCost: $ 1,365.00 t Chimney: t q p x Perrnrt�Fee: $35.00 Descri tion: insualtion/weatherization i # Insulation: Project Review Req: z Fee Paid: $35.00 Final / / Gate 2 21 2020_ r g Plumbing/Gas iL6 ' k _ Rough Plumbing: n Buildi T g Official 41 Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized,try this permit is commenced within six m6onfhsafter Issuance. All work authorized by this per mitshall conform to the approved application and he approved construction documehts 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 lawsand codes. This permit shall be displayed in a location clearly visible from access streets or,road and shall be maintained open for public mspection for the entire duration of the "Final Gas: work until the completion of the same. s, Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the BuildingsandFireOfficials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work " Service: '; 1.Foundation or Footing Rough: 2.Sheathing Inspection_" g 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 Application number..I . . 5i?..:.::.:.. Q, Fee . 3 J... ......... ......... .................. DAP ABti. Building Inspectors Initials .. ... .. %6 l Date,Issued.....G#, .....................::.....,..:......... A . 627 o7 E R T Map/Parcel ......... ............... ... ........: .......... .TOWN OF BARNSTABLE '"" ` EXPEDITED PERMIT APPLICATION: ROOF/SIDI:NG/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION SCANNED PROPERTY INFORMATION' FEB 2 4 202 Address of Project- .45 &0Street NUMBER STREET VILLAGE . Owners Name:. Doug Bentley Phone Number 508-364-6443 Email Address: dabent59@hotmail.com Cell Phone Number Project cost$ 1365 Check one Itsidential yes Commercial OWNER'S AUTHORIZATION As owner of the above.property I hereby authorize �--� Q �/�S 6otrny to make application,for a b ilding permit in accordance with 780 CMR Owner Signature.: PA Date: /-��6 26 TYPE OF WORK Siding: ED Windows (no header change) # Insulation/Weatherization ® Doors (no header change.)# Commercial Doors require an inspector's review Roof(not applying more than I layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name HomeWorks Energy Home Improvement Contractors Registration.(if applicable)# 181138 (attach copy) Construction_Supervisor's License # 103832 (attach copy) Entail of'Contractor lea.anthony@homeworksenergy.com phone number 781-305-3319 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN. A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. -, APPLICATION NUMBER ........ .........:...................................... *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X ?Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event . Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location (s) of each tent I f..food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pnL.Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES * Manufacturer# Model /I.D. Fuel Type Testing Lab Offsets from combust bles:.front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's 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 T�Bt Signature Date l" APPLICANT'S SIGNATURE I Signature Date �2 ho All permit applications are subject to a building Official's approval prior to issuance. - SCANNED FEB 2 4 2020 PLAN VIEW Name: Do,',' L!tn ( - Site lb: 39 0 54 2. -L- --Firiished Sq. Ft:;, i. Phone:v 7?,�7 2 z ,Year,of House: /G f 5 Electric Acct#`.'% ; o ► Address: r t c S W of Floors: 2 'Gas Acct#:m0_5.,,6 ek"t <> ;Z r�"?5 unit#: _ #.Occupants: Z Housing3ype? L _ _ DUCTWORK INSPECTION Ducts Insulated?❑ ; Duct Linear Ft. Door Duct Square Ft. _ Duct Air Sealing Hour Duct Insulation,,--- tJ r uct Insu on Removal BASEMENT INSPECTION Existing Spec'ing Lh/Sq.Ft. Bsmt Wall AG -Crawl Rim Joist Bsmt RJ w Sill (�13 � Bsmt RJ NO Sill Vapor Barrier i- _,sgft. Bsmt Doorl I 01y, 30 Y Blower Door? WALLS&GARAGE Drill Location? Siding Cell.Height Existing Speeing 5 .Ft. Framing , Exterior Wall 1 x x Balloon/Platform Exterior Wall 2 x x Balloon/Platform Overhang x x .Garage Wall x x Balloon P a orm Garage Ceiling x x . / [//^ter InsulationAernoval Sgft. Sweeps:..y WX Stripping: WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT? MANDATORY) Attic Basement Crawls ace Other: K&T Y oisture Y ombustion Sft Y Kneewall OverFian Gara a Asbestos Y/ old>100 sq.ft Y 0 Detector MissingY/ Ductwork Exterior Walls' 'Vermiculite Y•/ ructl Concerns Y her: - Notes for Lead Vendor 4. ork . ._:o . ...�._,.�..,�.-..- /W Not Contracted r, , t. _..,' . ..... . ',..�... • �. . -_,.. PLAN VIEW a< Name: outs �cn�-I Site ID: 90 Z � -Finished q--Ft: 1 Phone: S�-7'?l '-Z Z Year;of House: /'I'k5 Electric Acct#:`l f33� al g'•�4 Address: y5 D,ni'c IL. S !#of Floors: Z Gas Acct#� 5 Y C{fig j Unit#: #Occupants: Housing Z - g DUCTWORK INSPECTION.Ducts lnaalated?[] Duct Linear Ft. D60C Duct Square Ft. - V Duct Air Sealing Hour Duct Insulation-,-' Duct Insu on Removal - BASEMENT INSPECTION Existing Spec'ing Ln/Sq.Ft. Bsmt Wall AG Crawl Ceiling -Crawl Rim Joist / 2 Bsmt RJ w Sill Bsmt RI NO Sill I Vapor Barrier ,i sqk Bsmt Door I,v 30 Y Blower Door? WALLS&GARAGE Drill Location? Siding Ceil.Height Existing speeing Sq.Ft. Framing ..Exterior Wall 1 x x Balloon/Platform Exterior Wall 2 x x Balloon/Platform Overhang _ x x Garage Wall x x Ba oon P a orm Garage Ceiling x x �.. cl" V � Insulation Removal Sgft. Sweeps: WX Stripping: WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic Basement Crawls ace Other: K&T Y oisture Y ombustion S Y Kneewall OveOian Gara a Asbestos Y/ old>100 sq.ft Y 0 Detector MissingY/ Ductwork Exterior Walls - _ Vermiculite Yj ructl Concerns I Y her: - Notes for LeadVendor/Work Not Contracted: t t � t t f KW Q _ KW SLOPE AND GABLE END Blind Spec? ❑ WAI AND KW FLOOR Blind Spec? ❑ ~— . O�` Wh ? . hy? FRAMING EXISTING SPEC',NG - 5 .Ft " r" SLOPE X .. X WALL x --x }• ! GABLE X X F FLOOR X X .•. y r. _ TRANS X X ACCESS _. x / ; ATTIC _ RAN S X X '' "�"" SLOPE X,-X ATTIC' X w'_% EXISTING VENTING SLOPE - EXISTING PIP-`. Y/N EXISTING VENTING? 9 1 KW Yentln vent BF . Temp Access KV/Venting V t BF BF Hose Dam-in Sheathing Access Temp Acces ^ $ { .. • ' w �� �/��/ ..�•r...rh© ...1 .. .."n1.... 'may r� 0. C— Co U- 1 n M-1 C- ,Insulated Waft X�X Reed light O Ins.Hose® vem BF® Chim.O Damming lY Root 12RV Air Handier FF&q-:Temp Access TD Pull Down ED]5. Hatch® Wall Hatch."/ poor aZs r Roof vent :-x .0058 X kA/61- ATf•IC 1 "- Blind Spec? ❑- x- X ATTIC 2 Blind Sped ❑ X n( I Existing Spec'ing Scl ft Existing Spec'ing } tSq ft � Unflo red S/',G G-.- Zoo Floored (oU "' Crssaatarig Floored �" ----- M•rxedlnsulatfon worst Cath Sloe / / Cath Sloe >6'Lome Walls 17.r o Walls ---- Access• -_. s /:. _ Access Z _ Venting Pro avents Vent BF I BF Hose I Dammin en ng a Pro avents Vent BF IF Hose Damming°° tm _ c �- QUJ Temp Access: • Access:/ J _ Sfit /' sq Ft/300= (Exist.NFA Vendng)' (Needed _ gl• ._ ... R.L.COvem b Existing°Venting? NfAVentfng) Ft/3W~ y.r/1lExlst.NFAVenHn ? Existin 'Ventin ? �' NFAVentingj Roof Type Office of Consumer Affairs and Busiriess Regulation 1000 Washir}Igton.Street-Suite 710 Boston,Massachusetts 02118 Monte Improvement Contractor,Retgistration - Regisltationr, 1811349 - HOME WORKS ENERGY.NC: ' Y .} Expit3tirt, IXt'Q2t2t1$7 - 1D1 STATION LANDM4 97E 1;•,[S - MEDFORD,MA 02145 - � _ UEdnit Addro-.S cud Ra:um Caret. - GY`iceoltuesonlar EMI!s B.HusENMReeataelen. R i6tration,mlld far in'91VIdual useanly t90laEarn RTYPZ; orwT a N'i'RACTOF- - el - 7YPci Eorooralan � beenre U+dex¢rlraHontlata.tf fomndrett rn Fo¢ lkeglltmtivry - ion 'Office bl Consumer:Vairs and Busfnoss Regulation 13t1;`2 03f7a120?: 9Doo Washer o strafe-Suits 710-. - HOME%V0RKSrNEnCY;,11C Boeton;lA. pi.19 . . GiAXl EGQEBE�3 iqt STATION LAUDING STE 1;19. valid WikilFtilt.31gn3tierB M1EDFORD,Mr,i2 iaJJ- r G6ntrnonweallit i E N As'"ctsusetts F Construction Supet tnsor Specialty 104) 01visloo of I?rTiksas,ltieTal t_icensure, $nard of Building Regulations and stoltt9ar_ds . R€stricted to: Ira I CSSL4C-insulation Contractor �vl?zl.truGl�rnrr'tii�pCrvesp�Sp�eaity �l CSSSt,10383S �: tr �pires:1Q113P2t3�3 SCOTT VEGGESERG 8 COVINGTON ST t#t z BOSTON MR.42127 � -ef t o m tt ea Failure to possess a cm Aition of the Massachusetts State guilding Code is c, jr revocation of this license. ornrni"ssiotrter ` ,��.y . For infornutl",,r t>out this license Cali(617)727.3200 or visit www.mass.govtdpl The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/did Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leizibly Name(Business/Organization/Individual): HomeworkS Energy . Address: 101 Station Landing Ste 110 City/State/Zip:Medford MA 02155 Phone #:(781) 305-3319 x5007 Are you an employer?Check the appropriate box: Type of project(required): L❑■ i am a employer.with 200 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 8. ❑ Demolition workingfor me in an capacity. employees and have workers' y p tY . + 9. ❑ Building addition [No workers' comp. insurance comp. insurance.* required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. [No workers' comp.. right of exemption per MGL 12.❑ Roof repairs insurance required.] If c. 152, §](4),and we have no Weatherization employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also till out the section below showing their workers'compensation policy information. 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 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. Insurance company Name: Safety Indemnity Insurance Company Policy#or Self-ins. Lic.9:4001017 Expiration Date:1/1/2021 Job Site Address: City/State/Zip: 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: Date: Phone#:(781) 305-3319 x5007 / wxpermitting@homeworksenergy.com Official use only. Do not write in this area,to be completed by city or town offrciaL 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#: HOMEENE-01 LLARIVIERE DATE(MM/DDrA YY) �.-- CERTIFICATE OF LIABILITY INSURANCE 12/19/2019 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 have ADDITIONAL INSURED provisions or 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 Lisa Lariviere NAME: Foster Sullivan Insurance Group,LLC PHONE FAX 163 Main Street (A/C,No,Ext):(978)686-2266 301 (A/c,No):(978)686-6410 North Andover,MA 01845 nooRESS:certificates@fostersullivangroup.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Homeland Insurance Company NY 34462 INSURED INSURERB:Safety Indemnity Insurance Company - 33618 Homeworks Energy Inc. INSURERC:NH Employers Insurance Company 13083 Homeworks IIC LLC 101 Station Landing Suite 110 INSURER D: Medford,MA 02156 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD/YYYY- MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �X OCCUR 7930060650002 4/1/2019 4/1/2020 PDAMA REMISGEES TOEaREoccuNTEDnence $ 500,000 MED EXP(Any oneperson) $ 10,000 PERSONAL RADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑JECT D LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ ANY AUTO 6244378 4/112019 4/1/2020 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY Per accident $ X AUTOS ONLY X NON JJTED - PROPERTY DAMAGE ALTONLY Per accident $ A UMBRELLA LIAB M OCCUR EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB CLAIMS-MADE 7930060660002 4/1/2019 4/1/2020 AGGREGATE $ 2,0009000 DED X RETENTION$ 0 $ C WORKERS COMPENSATION - X PER OTH- AND EMPLOYERS'LIABILITY - Y/N - - - STATUTE ER . ECC-600-4001017-2020A 1/1/2020 1/1/2021 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N./A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under - 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) - Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Homeworks Energy Inc. THE EXPIRATION DATE THEREOF; NOTICE WILL BE DELIVERED IN 9y ACCORDANCE WITH THE POLICY PROVISIONS. 101 Station Landing Ste 110 Medford,MA 02155 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD lf�� �r'rtrr �r,?i�r,��r.•fr�/,ice r . �r�rrlv��fr'irr..�r,!r"'�. office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 110 Boston,Massachusetts 02118 Honie:lmpfoYement Contractor Registration Trp. rtrpcaution .. Regisslr2tion= YtiY i:iA - - - HOME WORKS ENERGY,INN- Expi(ation. IX1(0ZW21 101 STATION LANDING STE :0 MEDFORD.NIA 02155 updnte Addro;*and AoivrA Card, - - HOFCWPP0AtMP8'C0NTR CTU1341Pn. - R 14t1'AIiOq vdld rar lltdlvldUel VSo Oniy - FiDfAEIMPROVECo,me NdRAt:TQ�" - - TYP=.:Bomorri�.ai before iha expi[oNat1 data..H found refurn ion _ Rsaiit[el n ion ; o ico of Comm-gNairs and Business RaguL71ion _ - 18113a -311MV2021 Iwo Wach o st"ei-St.to - iiQ4tE v,4DRKS ENFMOY.1YC Bo4ton'fit 0211 MAXVEGGEBERG cCt i—_ > 101 STATION`LANDING,5..TE 1,11) �....+ valid without signature - MwrDROtout=?2i55 i.7ndetsFxelt�ri< - cornmonwellIVf Oi Massachusetts � Construclion Sujye,osw Specialty , Y oivtsio11 of PeOps Wo''ll'f_icetYEure. Board of Building Regulzitiorts -W-W Stnru511tds.. Aestticted to: �r=15[��t c�r T +- �t ��ttc#ally CSSL4C-Insulation Contractor �st2atr�cfl�> OSSL-103832 'E�kpires.,1011312021 SCOTT VEGCESERG - ;- 6 COVINGTON ST 91, ^_ BOSTON MA-t12127 «* p r 1 Y t Failure to possess po a cut F tl'fi on of the Massachusetts • State Building Code is C Of tf>voeatwn of this license: Commissioner �#z t,�[rf •� .�� For intomaiiut,about this license t Call(617)727-3200 W.VFSit a tww,rnatss.govldpl 9 F= - HomeWorks Irrn Energy, Inc To whom it may concern, Scott Veggeberg is a current employee of Homeworks Energy Inc. and operates under our insurance policy. Policy numbers that Scott is covered by are as follows: Commercial General liability: 793006065002 Automobile Liability: 6244378, Umbrella Liability: 7930060660002 Workers Compensation and Employers' Liability:ECC-600-4001017-2020A All HomeWorks Energy permits are pulled under his CSL license. The insurance provider is AIM Mutual Insurance Company.. If you have any questions or concerns please contact Director of Weatherization Adam David Glenn at 774-365-2446 or adam.glenn(@homeworksenerey_com. Thank You, Adam David Glenn Director of Weatherization HomeWorks Energy. Insulation/Air Sealing Permit Authorization Specialist: Curtis Bridge Company: HomeWorks Energy Email: Curtis.Bridge@homeworksenergy.com - Address: 101 Station Landing Cell: 5083641715 Medford,Ma 02155 HomeWorks [reu,Lac Phone: 781-305-3319 Customer: Doug Bentley Address: 45 Daniele ST Email: dabent59@hotmail.com Cotuit MA 02635 ,Site ID: 31905422 Phone: (508)771-3232 I,the owner of the property identified above hereby authorize HomeWorks Energy Inc.,or their Partner to act on my behalf in obtaining any building permit that maybe required to perform insulation and/or Weatherization work on my property and all matters related to the work authorized by said permit if one is obtained. Any related permit application cost will come at no additional charge provided that the agreed Weatherization work is completed. Customer Signature: _� _ Date: 11/4/2019 _ -— __.......__.._................ - -— Doug Bentley r Page 1 c Uffn HoMeWorks mass save Energy, Inc PARTNER 101 Station Landing Ste 110,Medrord,MA 02155 (781)305-3319 ext.120 Customer Name.Doug Bentley Email:Not provided Phone:508-771-3232 Premise Address:45 Daniele St,Barnstable,MA 02635 Mailing Address:45 Daniele St,Barnstable,MA 02635 Project ID:3924280 Date:Nov.4,2019 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost AIR SEALING Other 7 hr $560.00 $0.00 WEATHERSTRIP DOOR &ADD SWEEP Other 4 each $320.00 $0.00 INSULATE BULKHEAD DOOR Other 1 each $110.00 $27.50 ATTIC FLAT-5"OPEN R-19 CELLULOSE Other 200 SF $252.00 $63.00 ATTIC FLAT-8"OPEN R-30 CELLULOSE Other 476 SF $685.44 $171.36 VENTILATION CHUTES Other 92 each $321.08 $80.27 ATTIC DAMMING- R-38 FIBERGLASS Other 70 SF $172.20 $43.05 COMMON WALL:2" RIGID BOARD Other 40 SF $154.00 $38.50 INSULATED BATH EXHAUST HOSE Other 1 each $60.00 $15.00 ATTIC HATCH:SEAL& INSULATE 1 each $60.00 $15.00 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc. agrees to perform the above described work,furnishing the material and labor specified for the listed tots price. Payment of the balance of the customer contribution is expected upon completion of the work. Customer Signature- ignature r _ Date: Customer Phone: Specialist Signature:c'..�/(.5' �'`�/%G, '.Date: T umrrm TIME OFFER: The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers. Proposals can be sent to:lnboxQHomeWorks£nergy.com Page 2 c nomeWoflG n, ,� mass save Energy, Inc PARTNER 101 Station tonding Ste 110,Medford,MA 02155 (781)305-3319 ext.120 Customer Name:Doug Bentley Email:Not provided Phone:508-771-3232 Premise Address:45 Daniele St,Barnstable,MA 02635 Mailing Address:45 Daniele St,Barnstable,MA 02635 Project ID:3924280 Date:Nov.4,2019 Project Total $2,694.72 Weatherization incentive ($1,361.04) Air sealing incentive ($880.00) Total Program Incentive -$2,241.04 Customer Total $453.68 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc. agrees to perform the above described work,furnishing the material and labor specified for the listed tota price. Payment of the balance of the customer contribution is expected upon completion of the work. Customer Signature: Date: Customer Phone: Specialist Signature:-- ! Date:. _ LIMITED 71ME OFFER: The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers. Proposals can be sent to:lnbox@HomeWorksfnergy.com Project Summary Name: Doug Bentley HomeWorks Energy,Inc. /0 Phone: (508)771-3232 101 Station Landing n Email: dabent59@hotmail.com Medford,Ma 02155 Site ID: 3905422 781-305-3319 HomeWOfltS — -------- Enerfly..Inc MASS SAVE Cost Incentive Air Sealing $ 880.00 $ 880.00 Weatherization $ 1,824.72 $ 1,305.98 Duct Sealing $ - $ - Duct Insulation $ - $ Mass Save Rebates Cost Incentive Preweatherization Incentive $ $ - t BEYOND MASS SAVE QTY Cost Lights-Recessed Box w/out Mass Save Damming 6 $ 216.30 Total BMS Costs $ 216.30 tAdditional listed work may be a requirement of the insulation proposal.HomeWorks will only remove those line items if completed prior to install dote.All work performed beyond Wass Save carries no incentive SUMMARY Cost Incentive Mass Save $ 2,704.72 + Beyond Mass Save $ 216.30 ----------------- _ TOTAL PROJECT $ 2,921.02 $ 2,185.98 Total Copay $ 735.05 Customer Deposit Applied $ 50.00 FINAL COPAY (due on completion of work) $ 685.05 HomeWorks Energy,Inc.agrees to perform the above summarized work(Mass Save&Beyond Mass Save),furnishing the material and labor specified for the contract price(Total Project).All work is subject to change,and homeowner's approval is required for completion of any and all work. Preferred Day of Week for Insulation Install: ~~ Customer: � Date: 11/4/2019 Doug Br_. e t Specialist: Date: 11/4/2019 .____............ _....__.._ Curtis Bridge Curtis.Bridge@homeworksenergy.com 5083641715 v.13 TOWN Off'BARNSTABLE BUILDING PERMIT APPLiCATIUN 1'h.-All I(24 Map_ Parcel � Application _lV —_263 &f Health Division Z6 Date Issued Conservation Division T 0C� � Applicatior e O A Z. k 0 Planning Dept. �O,�e ��®�� Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address li'S -Dam.;e-Le Village � �Owner OGI.D P w •T/9i 40* Address 45 &41k-it J1r-ez,1 Telephone .508 3 6 4. 6443 Permit Request 14,flue &elrmn Ao4yol Wf • � Seri' � i'►�vy, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 9 o' O Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family L!d Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes YNo 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 A Half: existing new Number of Bedrooms: 3 existing 3 new Total Room Count (not including baths): existing new J_ First Floor Room Count 3 Heat Type andFuel: VGas ❑ Oil ❑ Electric ❑ Other / Central Air: ®/ ❑ ❑ ®Yes No Fireplaces: Existing New Existing wood/coal stove: Yes No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes VNo If yes, site plan review # Current Use Proposed Use �R-8 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �r�'I/�/"� `� �/IP� Telephone Number Address A. 1,53r Sao License # 0'77Oc?Y �fT ef90e601 Home Improvement Contractor# Email fJGI�O�']�6�l>'/�/%I'1p���n�✓G • CD/�'I Worker's Compensation # A �65/331 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL B�ETAKEN TO _ Q SIGNATURE �^ DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. -ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 'PLUMBING: ROUGH FINAL ,GAS: ROUGH ' FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. VMassachusetts =Department of PublicJSafety r 'Boardof Building Re ulatioris and'St 9 andards wuairiiCiiul,oupe�viSui • w 'License:.CS-097029 DZI4IITRY P.O.BOX 2881 !� HYANNIS MA 02601 �' Expiration Commissione"r, 10/08/2016 s 6 .., . ffice of Consumer Affairs&Business Regulation E OME IMPROVEMENT CONTRgCTO License or re z .Registration: R before the expiration dateon ,,If foundd for rreturn to only Expiration 164148 9/1/2017 i Type Office of ° Private Corporation Consumer Affairs and Business Re BELPORT BUILDING& y 10 Park Plaza_Suite 5170 gulation REMODELING, LLC: Boston,MA 02116 MAZHEIKA DZMITRY 60 JOSIAHS PATH { WEST BARNSTABLE MA 02668 " i. Undersecretary , f,. alid without signature 3��t�alrtrent tf� ����cc�de� ` Offim qfbmaqatrour 600 Washington Street Boston,M4 02111 MMIMm MgvP1x&a Wurlm& C en-atian Insm-mice Affidavit Raffde7dCuntrz ers APPF= d Infarmatinu Please Fib oe C¢yls t a t M /1i 3 Are you an employer?Qieckthe appropriate bow Type of project,(required)_ L❑ I am a employer via 4. ❑I am a general contcactur and I G_ ❑Ides cellshmetioa - employees(fall andfor part-fime)-* bave hiredthe suinco� 2.❑ I am a sole p%psietw or partner- listed M the aitsched sheet I_ OR— deling ship and ham no 1 These sib-coafractas have��5`� g. [-]Demolition waddag forme is any capacity.' employees aadhave wodmm- [No •oomp_iusum=5 • comp_kntm+o-l • . q- ❑ROAxng addition. l *. 5_ We are a corpmmf:cn and its 10.❑Eleeffical reps or adcELons officen have wed thew 3_❑ 1am.a fomea�er doing all work 1L0 Plumbsagrepaiss or adc#tioms myssd f[No •gip- Tight of a unpfiou per Me- L-0 Roofrepairs insum we reed,]i c-M§IM aadwelavem empioyeea[NOWQrke=s' I�_0'Otlier ul�S ,o9Y11�/ camrp_insurmce lured] &4(r& /yI • #Any fst cbe box R toast Elsa Mo tthe sectionbgbwalr�die vadw:s'coopm%fimpaycyin5mnwff L I l&Mnelauffisvho sain&dus rffidava=fisting they mm dom.-snwa l m dtfiembim awsidecoatacfaasmmst sahmitanewa�dast indite rnrh -Fa a �tFne d 3ciLis bmc mast at�ched saa�a;+;�,•g�sizeeY shmingd-02eof ft and ststeMhedM arnotihase hxee mq*Yees.Iffie MVCM=MctMM UM=010yea%&eyrm1 PMvIde-ihMao&as•imp.pon5--ber lam an euiplopff tliatisprvuiri g ivarkets'ca saf'�rtt i u=rMr8 far my cmpta3 =- -Ho&,v is 16 pa awl jala sits inforra�fian // /�/� ^ . Iasuence company Naine: Co ff? AAD ,7A s 40 P�fi or vim_ �oZWC, (9 5/33 Job.lkte Addressq 874 Citr tate 4olzuil e,� 0�635' Attach a copy of the worl-ers'comapensationpoUcy deciara4ion page•(showing the policy nutnher and esspfiwtioa date). Failure to secure coverage as req=cd under Settir m 25A o€MQ.e.I5'1 caa lmd tD site imposit of ca.-iiyal penalties of a fine ap to$L50D OO andfar One-gewimpEisonmcnk es well as dud penalties in the fio=of a STOP WORK€RDERand a fine of up to$21QM a dap against the violater. Be adsdsed fiat a copy-of this statement maybe f nvuded to th a Office of lmvesbgadom oftbe DIAL for;*+sazz,w coverage verffgzu= Ida herab,9 psr�i�s afperjlurp that ifia it f ortua6n privv ded above Es bars and c"rect PhMe off. 98. �523 jai we anfy. Do urrt write in ffds"to, be wwpktod by city artmvu a,,okiat City or Town: Per znit icense;9 Lnming Aufiordy(cirde one): L Board of Health 3. Dqmtment 3.ctyirai Ciewk 4.nectcical bspwtar s-Pkmbimg hmpector (.Other Contact Person: Phone : 6 I. afjormation and lastructi.00 ' ' Mace=b=c s Gc=alLaws ffiEly=M=qm=all=4& —to XUVIde WMk=e=MP=M M f 'f M==Plar es- Pmsaar¢'tD.fl=sf�,an=Tkg.�is defined as¢.may p�onin$3e servi ce of snob rmdex �y caAract of1�r, mqz=or implied,oral or wzitu:a An enpTayer is d as an individna],Pam,asso�fiom,cmpo�on or cd=legal e�y,or�-Y two or mole of fhe:fai�gamg m a Johnt eoi�p�se,andmchhdmg r�esf of a deceased ,°1es fbe rc:=iVw or t uste-of an p ip,assoamfion or otherlegal eniitY,mP�"Plow owner of a,dwe mg hanse having not mare than t=apart=3t6 and who residw fheaem,or the occupant of the - dwBU5ng house of anof w who cEop oys pm=m to do constrUL't;um or repair wank an surd dvmmng hose or onfhe grains appp�a�fherefo shannotbecause of such employmentbe deemedto be an employer." c MQ, lhsptcr ISZ,§25C( also states fhaf"every silfE or local Ficeasihlg agehhcy shall wiihlhold$ire is5aance or • ' asin`ess- `ar tD"cnhhsfx¢ct cTmgs i¢the cohamonwwM for any renewal of a Tcease"or•per�Itihi:'op crai :a applicantw'ho has aotprodnced acceptable amide =of cahnprmce wjm t�hz.sarance covearage r - of ifs orticid susdiv ns Shan Addsti"onaIly,M TC`L chapter 1 ,§ �`Teifber the Y P. y any=itca.ct for the pace ofp�ho ua acceptable evhd ace of comhpli�aceNwith$ie msm�ce. essiDz adn 1 p in flee��7(�(��� o ,,, \ t� "rt�•: ; requsemM3ts of this AppIicaorfr __... _ Please fal cut the wm1m,compeDsafion affidavit completely,by g fhn boxes fhaf apply Y� 011 +if necessazy,supply s)n=e(s), ad&ms(es)mad phsmemlmWs).along via ffieircerfiffcafr-(s)of InS =. LimitedLiabMt5r Companies(LLC)orLm ti dLiabHrtyPertacubiPs.(LIP)wl&no M3playees offier fhanthe merbbers or pis,are not rbgTmEd to cairy wo6m7s' campt-nsafirm hl=ml= If an I.LC cr LLY does have ea¢pToyees,a.polir-y is regained. Be advisedthatthis a$.daYitmaybe so. in t r,Department of Industrial Accid far cones of ftMIM ce coverage: ATso be ante to siga and date$Ie af=-dzvlt The afUzvit should be r$t ned to!he city or town that the agplicalion for fh a pcmit or license is being requestr4 not the D epa dment of ; I+ ia1 li�cid� Shouldyou have any questions xegariEng ffie law or ifyou are required to obtain a woii=' ^" K s ar�heat at the n�bez listed below: Se3f msuMd oozPanies should eater their �rrs,ca�or;,po$cp,Please caIIfheDep self-ins'mance 3i e City or Town Offi als t Please be sore that tie aft a- is compleb_-andpriaindlegh�ly. The Deputmenthas provided a space atf=botb= of the affidavit for you in fol out in tae event the Office of�Ines i B has to Y°u the applicant Please be sure tofMin§hepea h' crosemmberwhich-WM be;used.asarefm=cen=ber. In-addition,anapplicant §hat must submit multiple p e license appl es m any give yc,need only m�mit°d1°.affidavit mdtcafmg-cat and m, `Job�1�_d&C;ea&C`applicant should aI1°Tizc&goes in (city or policy mformatiohh (if necessary) be rovlded to fat,- - - town):'A copy ofti%e-affidavitthathas bem officially sh+mped or dbythe�Y onto may p ' Est be filed ovf earth applicant as proof that a'valid affidavit is on file inr foime putts or'lic�ases`A new affidavit year.�►?here`ajiome oeper or citi=is obtaining alicense or permitnotxrlatM&fn anybusmcss or aI = "peam t to birch Ieavrs,.)said Pm is NoT r.q to Iefe thhs aff davits P (i-e.a dog license or" The Of fce of Ind would hie to thank you in advance for your coopea ion and should you have any queshohrs, please do not h esifafe to give vs a caIL The Department's address,telephone and fax hmmber.Depu� 1 - N. s. m Gf <i `a Ba5bon.1F A Oil II Tt,-L.4 61 7- -4 md 4-06 or 14MMA GAF g evised 424-QT MaS9 9WAHRL i Town of Barnstable , Regulatory Services ` MAM Richard V.Scali,Director. Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma:ns Office: 508-862-4038 "` Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder Ji • LJ e n.., f , as Owner of the subject property hereby authorize �/�%�3" mffa gly P.✓.1�-- to act on my behalf in all matters relative to work authorized by this building permit application for: (Address of job)- **Pool fences and alarins are the responsibility of the applicant Pools V are not to be filled or utilized before fence is installed and all final . inspections are performed and accepted. �Signatfe of Owner 6Ve f Applicant Jer►.��Grk �milr' ,foo42 `iri' Print Name Print Name T Date Q:FORMS:OWNERPERMISSIONPOOLS xr Town of Barnstable Regulatory Services o� Richard V.Scab, Director Building Division Paul Roma,Building Commissioner NAM bs &�� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: --- -- cityhown state zip code .The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a licided that the owner acts . as supervisor. , ti ti aV5ense,provided l i.^ DEFINITION OF HOMEOWNER Person(s)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 ti'-*1 use!and/or farm structures. 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 performed under the building permit. (Section 109.1.1) The undersigned"homeowner".:,assumes,responsibility for`compliance with tthe State Build Ag Code and other applicable codes,bylaws,rules andIregulations.' The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. — Signature of Homeowner Approval of Building Official �'1 �' ti, , Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. =- I i , HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required . shall be exempt from the provisions of this section(Section 109.1.1-Licensing of constivction Supervisors); provided that if the hoineowner,eagages-a persons)for,hire to do such woiQthat•such HomeownWshall;act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities 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 nnIicensed, 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 responsibilities,many communities require, as part of the permit application,that the homeowner certify 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 to amend and adopt such a form/certification for use in your community. Main Level Move window and heat remove window,re-use in 2nd fl. — -`� 6' 9 - " 919Oz N Closet i` ��•� /�(,/o ,,/'-,t Bathroom 6 • TC,I .wow•...-.���. y � � � ' 1 1 N 6'2" / HallwayN n �O (1) �io Zed ✓� � M T 11" et N N Stairs- CN �k✓ Master Bedroom 14,'� T M 1 12'4„ 13' - Ltv / ✓ L/t�d'f�` SY. �7`GC./fir`" Main Level 123456-3 //� � ✓� - 7/12/2016 Page: 1 �� Main Level Q 17' 6" a� -� �3� et 10, o ►-3' Bathroom in Q Room 1 0 � 61611 arT 1, 1 , Rooms N cn -9' 6" �t Room2 iv d, M N fV '4" �—51,211 2' 09 � �• VPlAoom3 0 _fir J j 121411 M 1 13' w Main Level 1234561 ��� �� 7 7/12/2016 Page: 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # � Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee a`� Date Definitive Plan Approved by Planning Board Historic OKH Preservation/Hyannis Project Street Address �/�S uC ,;71 e-le- S'� A eo76' / I Village � �� �� C_ Owner / Address Telephone " r / Permit Request Xo�Xl-,__ Square feet: 1 st floor: existing proposed 2nd floor:-existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �1gi�3 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 Historic 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 Number 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 wood%coal stove:,•;❑Yes' ❑ No 7 Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑�6,ew ;;size_ tly? Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: . , U.r Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use .Proposed Use � APPLICANT INFORMATION a „(BUILDER OR HOMEOWNER) `�-- Name ��/�� i ��n � �� ,telephone Number Address o?a� �.�C ! � �Gsi License# g7Od 9 �� � �26�� ��' /• /r���/ Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE7qJ rl DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. T ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: - - FOUNDATION - FRAME O 7 ' t m rZlticn&= ' INSULATION 5G �' 30 le FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING Bfi&�R DATE CLOSED OUT ASSOCIATION PLAN NO.. x - k The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations I' 600 Washington Street t ` Boston, MA 02111 y-y www.mass.gov%dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizatiort/Individual): �� ��t��%��/ �G � ��� �7 Address: �� Rip City/State/Zip: /!�� [.Gfl� p9l Phone #: �Are you an employer? Check.the appropriate box:. Type of project(required): 1.❑ I am a employer with 4. ❑ I-am a general contractor and I 6 ❑New construction employees (ft.ill and/or part-time).* have hired the sub-contractors _ .. 2.❑ I am a sole proprietor or partner listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees'and have workers' 9 ❑ Building addition No workers' comp. insurance comp. insurance.1. re uired. 5• We are a corporation and its 10,0 Electrical repairs or additions q ] officers have exercised their 1l.❑ Plumbing repairs or additions 3.❑ I am a homeowner doing all work myself. [No workers' comp: right of exemption per MGL 12.0 Roof repairs insurance d.ire re u t c. 152, §1(4), and we have no required.] 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. tContractors 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 workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: P/(/ ���J� �6 6 oLv/ Expiration Date; t� POP /'lR Job Site Address: K ie�� City/State/Zip: 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 MOL 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. m I do hereby cert' er pains and enalties of perjury that the information provided above is true/and correct. Si nature: e� 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 histructions Massachusetts General Laws chapter 152 requires all employers toprovide 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 entc prise, 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 an three ap artments and who resides therein, or the occupant of the hou se having not more than p dwelling ho - owner of a w g g dwelling house of another who employs persons to do maintenance, constriction or repair work on such dwelling house ilding appurtenant thereto shall'not because of such employmentbe deemed to be an employer. or on the grounds or,bu " chapter 152, §25C(6)also states that hat"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 yours i tuati on and, if ertificates)of necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their c 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 is required. .Be advised that this affidavit may be submitted to the Department of Industrial employees,a policy 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 permiUlicense number which will be used as a.reference,riumber. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current " t should write all locations in (city or policy information(if necessary)and under"Job Site Address the applicant s town).`A copy of the affidavit that has been officially stamped or marked by the city.or town may be provided to the affidavit is on file for future Perm] or licenses. A new affidavit must be filled out each as roof tha t a valid aff v P applicant p year. Where a home owner or citizen is obtaining a license or perm it not related to any business or commercialventure (i.e. a dog license or permit to burn leaves etc.)said,person is NOT required to complete this affidavi 1. The Office of Investigations would like to thank you in advance for your cooperation and should,youhave any questions, please do not hesitate to give us a call. The Department's address, telephone and fax numbers R The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 021111 Tel. # 617-727-4900 ext 406 or 1-87.7-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.inass.gov/dia Town of Barnstable Regulatory Services 91639. ' g` Thomas F. Geiler,Director Fo;p.,A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax:, 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I; IJD y 6 Cgj as Owner of the subject property p L ., r hereby authorize ) o �LA i C, ot 4 Wt• C to act on my behalf, in all matters relative to work authorized by this building permit application for. y s; --Z--)-j 7 (Address of Job) Signature o e D to Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. 1 - Q:FORMS:OWNERPERMISSION Town of Barnstable �F THE r o Regulatory Services snxrtsznaLE Thomas F. Geiler,Director 9q, 1' : ,� Building Division AIFp�,tA Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ----- ------- HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage a individual for hire who does not possess a license,provided that the owner acts as supervisor. . ; . N ' _f DEFINITION'OF HOMEOWNER Person(s)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 structures. 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 performed 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 understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0.Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner.shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities 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 responsibilities,many communities require,as part of the permit application, that the homeowner certify 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/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: 113zl,4W Azo ite Address: 115"''11QZ41rG/C J print Town: Y Applicant Phone: 9,y � Applicant Signature: -�' Date of Application: r OP'/o NEW CONSTRUCTION: choose ONE of the following two options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR .* NEW ONE- AND TWO-FAMILY BUILDINGS MAXIMUM MINIMUM Ceiling or. - Slab • Basement Option 1: Fenestration exposed Wall Floor Wall Perimeter AFUE HSPF SEER U-factor- floors R-Value R-Value R-Value R-Value R-Value and Depth National Appliance Energy R-10, Conservation Act(NAECA)of .35 R-38 R-19 R-19 R-10 4 ft. 1987 as amended,minimums or greater as applicable Y Note: This form is not required if you choose either of the two versions of REScheck as listed below. Option'2: REScheck Version 4.1.2 or later, variant software analysis must be completed (780 CMR 6107.3.2) REScheck-Web which can be accessed at http://www energycodes.gov/rescheck/ ADDITIONS OR ALTtRATIONS,TO EXISTING BUILDINGS OVER.5 YEARS OLD* *Buildings under 5 years old must use option 41 or 42 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equ4ls Formula, (100 x b = a) � l S. 100 x — — % of glazing (b)'Glazing area equals SF - If glazing is'<_40%° use the chart below. If glazing is >4.0.%o roceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM Ceiling and Slab Perimeter t Fenestration Exposed floors Wall Floor Basement Wall R-Value U-factor R-Value R-Value R-value R-Value and Depth .39 R-3 7 a R-13 R-19 R-10 R-10, 4 feet a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e. not com resse.d over exterior walls, and including any access openings).g SUNROOM An addition or alteration to an existing building/dwelling unit where the total -0 glazing area of said addition,exceeds 40% of the combined gross wall and ceiling area of the addition. Note: Owner to fill out Consumer Information Form (found in Appendix 120T) S N . Forte MEMBER REPORT Second Floor, Beam over Kitch 1 o software :4 PIEC'f(S) 1 3!4"x 914" 1,9E Mcroilam�L�L�f? SSED i s Overall Length:15'3' 0 0 _ o 0 [All Dimensions are Horizontal;Drawing is Conceptual Dest n:Results ` ActualLoratron Aliowe k' f Resutt`` System :Floor Member Reaction(Ibs) 3339 @ 2" 15925 Passed(21%) -- Member Type:Flush Beam Shear(lbs) 2874 @ 1'3/4" 12303 Passed(23%) 1.0 Building Use•'Residentiai Moment(Ft-Ibs) 12179 @ T 71/2" 22408 Passed(54%) 1.0 Building Code:IBC Live Load Defl.(in) 0.397 @ T 7 1/2" 0.497 Passed(U451). -- Design Methodology:ASD Total Load Defl.(in) 0.579 @ T 71/2" 0.746 Passed(U309) -- • Deflection criteria:LL(U360)and TL(U240). • Design results assume a fully braced condition where all compression edges(top and bottom)are properly braced to provide lateral stability. • Bracing(Lu):All compression edges(top and bottom)must be braced at 15'3"o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. i SU orts F f <- r Total �vadabte rt a�Requtred Supporr Reactions{Ibs) -} Accessones 1 -Column-"Spruce Pine Fir _11�11/ y 3.50" 3.50" 1.50" 10511228810/0 None 2=Column..Spruce Pine Fir 3.50" 3.50" 1.50" 1051/2288/0!0 None �r ... c - r rl-bUtdr�F , nt. r `^•i � r � � c-'" '" r. -.r v�C wM, LOadS 6catr6n Dead �toorlrve �, ` width RoofLfveSnowComments y - .� ,_ a-� :.; � ..�� r ..�._ �yf.�a: '� .._•.( �0) `:' �` (1,00) � �.,.non-Snow_ 1 25). ;..( (�1b)r" :; asp .:?" �i''u �� k��"..�� ,�a 1 -Uniform(PSF) 0 to 15'3" 10, 12.0 30.0 0.0 0.0 Residentialy-Sleeping Areas till• `�� �'��'� ��5 �"��tl C �-�,;� = (p0)��• f� �- �/O•�1`� '1.�'. �IN d.� -I.I� ItV��f' -•i �N r. 1%.A A OF Cr Forte''Software Operator Job Notes Domenic DeAngelo 45 Daniste Streei 5>20/2010 5:45:55 AM DV+/D Engineering,Inc. Coh,it,MA' il_evenD Forte-`v1.1;Design Engine:l/4.8.0:1 (508)378-95G2- 10 195 domdean@aol.com Page i of 2 2# 21 x3O4" I� ��L•- !^Y .M_I� _.t!lL�O DECORATIVE PANELS NEW ARCHWAY FROM p, I W60D TO MATCH C+BINETS 3# NARROW I B.AS KETW EAVE CORBELS C A�E D E((1°°P E 21BAY�lER M CR_OW_AVE 2# 24 q" X 3❑ q" MACH CIAB BASE BASE DECORATIVE PANELS �# BASE UNIT WITH .. �ULL OUT DRAWER ._. .,_ :Il. T-- rg 3" FLUTED SASE ) — — — COLUMN FILLER i I U C9 IC ,, RAN-G KITC — r �3�.30v2 }•a, TRAM PANEL TO 30 SINK BASE 1 � SH = o BASE D/ WASH UN17""WIT.A'T\ILT rBASE WITH Q / \ /C�UT RAWER I DRAWER.., r D D •.'� .��I� 1✓,���.�'.._.::�,� 2 1 ECOR� i 21 ISH WASHER SIDE P.'. i DR All / FIL IND BASE 24" WIDE 32" WIDE NEW /ITH LAZY NEW WINDOW REAR DOOR ASE UNIT 60" WIDE 3O DEG BAY WINDOW fi � � g � 4 .License or registration valid for individul use only Office of Consumer Affairs& usiness Regulation � g y HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration 1 64148 10 Park Plaza-Suite 5170 Expiration 9/172011 Tr# 288409 Type Pro o ation Boston,.�V1A 02116 Vd P BELPORT BUIL'DING&REMDD; LING, LLC. MAZHEIKA DZMIT�Y� " PT 262 SKUNKNET RDA \\ CENTERVILLE, MX02632� -Undersecretary 1r of valid without signature ., Board'of;Buildmg.Regulations and Standards E Construction Supervisor t ice'nse . P License: 'CS 97029 j Birthdate�10/871982 1TE7 ifation . //2010 Tr#`97029 { 4 I �RestrictIon -00. DZMITRY MAZHEIKAt I P.O. BOX 2881 � Y�- - —�` �`j r _ 1 HYANNIS,MA_:02601 Commissioner,d - n y ' Contract for Kitchen works at 45 Danielle St, Cotuit,'Ma 026385 -11*e Barnstable Kitc, ns, LLC 3282 Main St. AcAnor 4-Barnstable,MA 02630 '(508)362 0235 V, 23. rt (508):3675-5900 Estimator:Keith Mackenzie-Betty, Architect:Keith Mackenzie-Betty General Contractor:Dmitry Mazheika Proposal 04/27/2010 to: Doug and Jenifer Bentley 45 Danielle St,; Cotait,MA 026A PhW Project addressa . 45 Danielle St Cotuit,MA 02630'-:�_, General to the Entire Project! 1-GC to carry both Liability and Worker's Compensation Insurance; 2. The Owner shall maintain their Homeowner's Insurance-Policy throughout the duration of the work. 3. GC to pay the required Town of Barnstable fees,as required; - 4.All materials will be furnished by GC; 5. GC to use existing on-site electricity; 6. GC to provide for proper disposal of all construction and demolition debris,and pay all fees associated with same; 7.GC will provide cleanup on a continuing basis and all debris will be removed from site and'nails extracted with magnets.We utilize magnets so as to minimize your exposure to personal injury and/or property damage from nails left behind at the job site. 8.Unaffected areas of the House(those areas where Construction will not take place)will be isolated from the Construction area during all phases of work; 9.Furniture in any affected area of construction will be moved to the unaffected area of construction by GC and covered for the duration of the construction. 10.All affected Construction areas will be cleaned to move-in condition at the end of construction. Furniture moved to affect construction will be returned to its proper place after complete cleaning. 11.Any fees or costs associated with NStar Electric,National Grid Gas,Water Dept.,Telephone Co., Alarm Co.,or any utility to be paid for by Owner. Work to be coordinated by GC; 12.If during any area of Construction(i.e. Demolition,Build Up,etc.)unforeseen evidence of rotting,critter damage,etc.is discovered,the Owner will be notified and an assessment made as to the corrective action and cost prior to proceeding; Client Initial:.......... ............... Barnstable Kitchen Initial: ............. Contract for Kitchen works at` " 45 Danielle St, Cotuit, Ma 02638 We hereby submit specifications and estimates to furnish and install as follows: Item 1: Demolition(I' floor Kitchen) -Dust protection all job -All demolition according proposed drawings/plans -protect existing floor -Remove and save existing window future reuse in bathroom. -Remove entire kitchen cabinets and appliances -disconnect all electrical and plumbing. Item 2:Building and Carpentry -2x4 stud 16"o.c.all interior walls as per drawings according proposed plans -Build 1 new door -Build 1 new bay 5'wide window. -Build 1 new 24 x 36 window -case out wall to side of kitchen cabinets -Form new enlarged opening to kitchen/living room wall with new beam over Item 3: Wall covering -'/Z sheetrock to new end wall to cabinets and short wall adjacent to living room Item 4: Ceiling cover - `/2 sheetrock/Plaster to make good ceiling around new enlarged opening. Item 5: Kitchen Installation Supply and install new kitchen as attached drawings, Ultracraft destiny,with Stone painted finished with brown linen glaze Item 6: Carpentry -All new trims(to new large opening,new window,new bay window and new door)all external trims to be primed and painted.Internal trims to be clear wood to match fireplace surround Item 7: Plumbing/beating -Plumbing work to code:Permit water supply&drains/vents.(According drawings) -All fixtures installation and.hook-up(sink and fridge) Item 8:Electrical -Kitchen:3 GFI receptacles on one 20 amp circuit -2 Single pole dimmer switch -7 under cupboard lighting fittings and installation -connect range -connect microwave in island -connect hood ventilator -Electrical permit/inspections Total project Labor&Materials allowance, (not including cabinets,cabinet labor or counters):$ 16'430.00 Payment will be-made as such: -30%Deposit $4,929.00 -30%upon rough electrical/plumbing inspection completion $4,929.00 -20%upon final electrical/plumbing inspection $3,286.00 -20%upon Final building inspection $3;286.00 Client Initial:....' .................... Barnstable Kitchen Initial: Contract for Kitchen works at 45 Danielle St, Cotuit,Ma 02638 Additional work: 1. Supply of Kitchen Cabinets, Ultracraft destiny,Amherst with Stone Paint and Brown Linen glaze as attached drawings, a. Deposit on Ordering,$8,902.79 b. Balance On delivery,$8,902.79 2. Installation of Kitchen cabinets,2 carpenters,2 weeks, $5200 3. Countertop,black granite or similar,with cut out for sink and faucet $5500 a. Island Countertop $3200 Job is estimated to commence approximately 4-6 week after deposit received unless otherwise noted here: - Work is scheduled to be substantially completed in approximately 4-6 weeks WARRANTY All labor and materials by Barnstable Kitchens,LLC are guaranteed for a period of one [I]year upon completion,free from defects in workmanshipand materials under normal'ormaT use and service. Any-work above and beyond the specifications outlined in this proposal will be performed at$65.00 per man hour plus materials or priced on request.All additional work, including travel time and lumberyard runs will be subject t ry � o extra charge.In the event of rot repairs,roof repairs or any related work requiring immediate attention,we will proceed without customer approval(if repair not exceed more then$100). GC will-provide cleanup on a continuing basis and all debris will be removed from site.All products installed by GC will be to manufacturer's specifications.All work will be performed by insured professionals. Owner not responsible for any accidents or injuries happen during construction project. All material is guaranteed to be as specified and the above work to be performed in accordance with the drawings and/or specifications submitted for above work and completed in a substantial workmanlike manner. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above the estimate. This Contract not valid unless signed by Corporate Officer: Acceptance of Estimate The above prices,specifications and conditions are satisfactory and are hereby accepted. Barnstable Kitchens,LLC is authorized to do the work as specified. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Date: Signatures: - Note:No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract.You,the buyer may cancel this transaction at any time prior to midnight of the third business day after the day of this transaction. Client Initial:....................... Barnstable Kitchen Initial: r U tP Assessor's office(1st Floor): SEPTIC SYSTEM MUST BE Assessor's map and lot number " 7 D �o cti INSTALLED IN COMPLIANCE Q�,0`f M E TOE` Board of Health(3rd floor): - WITH TITLE 5 fO� Sewage Permit number ��-:� ��. � - Engineering Department(3rd floor):�� ENVIRONMENTAL CODE AN : Dsaa9T�LL House number zf�"°F TOWN REGULATIONS '°o 003 9• 4)ef ritrve-Piart-Appraved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only , $eta TOWN OF , BARNST PRO a BUILDING INSPECTOR 8; �, epj APPLICATION FOR PERMIT TO C2 l 1 62 ID 1: 1 � 0 N QBje TYPE OF CONSTRUCTION f• .�// 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location y E 2giVl e, Co TV 1 C. a7 r Proposed Use (N fi M 11,4 Zoning District Fire District Name of Owner AA Address S � �f'GI��{, L.ti 66`:t1S ,J' Name of Builder AG;6 D W 6JL> Address_I_� ���u 1, t✓ C�� Z r] Name of Architect Address Number of Rooms • Foundation 20 C4A--)cRS2L Z (o Exterior )A—A)CA) Roofing 2 s *50►VT '� Floors C�'� _� d Interior 171(711,4 1 A LL Heating s Plumbingou Fireplace Approximate Cost f © .D n Area Diagram of Lot and Building with Dimensions Fee 529, OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Bar le reg in th above construction. Name �. Construction Supervisor's License I �� sENTLEY, D�O(UGLAS & JENNIFER e' f �J Y/ 4. No b `Permit-For BUILD ADDITION Single;, Family Dwelling -' Lot' l 27, 45 Danielle Street } Location _ Cotuit Owner' Douglas & Jennifer Bbntley 'F .. TYP�' Frame e of Construction Plot Lot February >� Permit Grant 7 2� .: 19 9 3 ���• �'_ ��") Dat of spe i nil 41 Date C plated `/ ,.`� ~r 19 . ,• Date 01 d v .iin t r', co M to zk III v I: LIVING ROOM PROPOSED KITCHEN P LAN 2 - 1 FT. To BASEMENT - - - - - - - - - - - - - - - - - - - - t - - - - - - - - - - - - - - - - - - I I 2# 21 x 30 PANELS DECORATIVE PAN I II � NEW ARCHWAY FROM I W60D TO MATCH C+B I N ETS I I ENTANCE I I 3# NARROW LOBBY F SASKETWEAVE I CORBELS CA ED PENING 21 " 3 27u �n 1u" TR 1 C HNGED TO MICROWAVE 2# 24 4 X 30 4 MA CH CABINETS . 2.1 � BASE UNIT WITH:'' BASE. BASE BASE — DECORATIVE PANELS. (+ ." DRAWER UNIT WITH BASE ! DRAWER 21 WALL UNIT ' _IjULL OUT 11IL-A ===�llj 3° FLUTED WALL FILLER 3° FLUTED BASE n COLUMN FILLER ' 30 DARLINGTON RANGE HOOD / 33u 33" WID OVER FRIDGE SINET 30 INSET RANGE RANG KITCHEN!* FRIDGE WITH FRI GE PANELS FREEZER OTC.) TRAY PANEL TO 30° SINK BASE I 'LT SH 3 FLUTED WALL AND -A—SE— D/ WASH UNIIT'WITA`T\ILT BASE WITH / �I I OUT\P(RAV4 1* gA BASE FILLER / / \ 1 5�� WALL UNIT WITH 2 f WALL FILLERS 4 �� WALL CUPBOARD BATHROOM �i� DISH DE ORAT.IVE I 21 BASE UNIT WITH SI E ,PANEL \ -DRAWER , OU4 3011 BLIND WALL WASHER CABINET 1 2° DOOR AND 3�� WALL AND BASE-P IN DECORATIVE END PANEL FILLER LIZ 42" BLIND BASE c135 32" WIDE NEW U'�'ILITY CABINET WITH LAZY C 3 C 1 3 5 REAR DOOR SUSAN BASE UNIT A DECK -,` I PROPOSED KITCHEN PLAN, DWG.NO.45D 201 0-58 MACKENZIE BETTY ASSOCIATES, 45, DANIELLE COURT, COTUIT, MA �� ARCHITECTURE AND CUSTOM BUILDING " SCALE 2 = 1 FT. 1 :24) DATE 2BTH MAY 20113 3286 MAIN ST. BAliN3"fABLE, MA98AC HU9 ETT8 02630 TEL. 908 367 9900 1