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HomeMy WebLinkAbout0058 DOVETAIL LANE ZZ49 4,9�^ X-PRESS Pamir-, Town of Barnstable ' *Permit# G AUGQ 5 2 o i w 6 mo to from issue date `T Regulatory Se ces Fee EARNWA MASM 8� OWN OF BARNSTAB E Richard V.Scali,Interim Director Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL, ONLY ¢ Not Valid without Red X-Press Iinprint Matp/parcel Number 0YO -/ q Property Address �— Residential Value of Work S 7 7/4 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Aol i 2 Zo 2Y S� d� WO Oct' kl%j. o vi 3 Contractor's Name 0 aT'1t?lN 0_E�. V V(fU me S i%NN/_S O Telephone Number Home Improvement Contractor License#(if applicable) I�YS7 Email: Construction Supervisor's License#(if applicable) 0 76W 7 Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation tt Insurance n Insurance Company Name N �/U�7 < Workman's Comp.Policy# W01 9 D-7 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris vd1l be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)_ ❑ Re-side 9'ReplacemenfWindows/doors/sliders.U-Value 3 0 (maximum.35)#of windows J_ #of doors: " ._❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. Mhere required Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Consen-ation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement.Contractors License&Construction Supervisors License is required. SIGNATIJRE:9_1��;� T:IKEVIN Muilding Changes\E?TRESS PERMIT�MRESS.doc Revised 061313 c=~�� Renewal L��K � '; �-q7'l1V -� ( —,r A jadi�eat:ufiM?�?•r7 ea� REMACKE r 26 hincA Wcun, . ! « . --- UW6rm41VT ' Nhncue lI�SB'i.�2�.4*Fax�IGit.63'3v1`rti1J2 1�.#eaYias ryaym.�aeE:xau sawtho!•it$feW Iasi MA Iw1ada"1 dl/h/s iPkar v d tt:y Aodkrvw n of Sualiern New Hgfied CUS'i' M.WINDOW,ANDbbGRRHMODELQiGA MEN '►'°�`-- " � a �'=�-��l '��-..� r. o,ina�aLee,Rao /S�J� .,,.:C.J � Y ewba�drre,� Bu} r(e ha tctPay.xtw t4wly:tnd km epnj s and/or tervic s ttf.S:xict�ern NI:w dl.Frty�s�ld"{i9ldciu5'Ili tLfa ta'ei�svA by Anctt mm c4°Scxt+cra Num E,n g6M. ffG nit rm;a3 ,in:tepiwnlfnitr J 18t the ie rrit�nratl v u:�f�dcmos dtd illscvj cam tF�a fie iau itMA.filed:.nwg e . t1Slk agtoemteui.a,ui ens athc amad"-spedfle n un wltea t1a}(ertlexdaeln;,tug nt 1•- ❑1[letarle ❑Condo 63 N41AF t>0alf4bl�m9utwr +e lk i 4w"61e' attsod of Chedt Cisis witiimw. 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JUMMSS DO AFrIm TWIDntOr tkii SIRT*e11r1'MD,NO`ncz-l-iiCANC�iCa1�0(�1� <'• -46RAN tMTilON8FT6 itWdim ) fsI&tlCS OF G — — — w ,7 w 4�4oef af5tronlAcdon _r mar''t�riw:ell 1 Dara'ofTFansaCtvOn 1'o1s tabrbt�sl thIs $e cbon,w1 R aa#► alkyl or obR$>don;*kItin chit tronsaa' wdtHoct Penalty ar ob9ig�t't►a,vvritliiri khs^cc busltrese 00 above dart.If.yrom amc4 eery:,+ three btalmess from the above dkce R yore calue ally u�R tasiied 1+ p> rwterits made lib you raider rho' i pt+6�w y'tredsd in„anir:11211 tints madb bl► tmd�ar tkie Cos t or,ScA-t11td ortrr wrapatiablo�ntts lntrtt extcat3sd 1 brae t.or Salkw,awed ne6otaitb{o iwwstrursneltt esaacu � by-You w{ti•be reeptitdi widwwwt,tear bl �s fts tottowitis.1 iJy+:{K►ct rArill be tunnel wlWm tan btithime"d q 0.Wkming f rt!se br tIm Salk►' of your ianraeEE�Eort�,Uke.and awry:� netaelpt by Seller of roar atr ilatit►n ratudce,awul'w1fty uNRlr Interest:awisiig;out of"dim tac an,;vri{{ lit dettirity rwrtertst_'#irislns but of,Hrn transaction, +wrSl'i cattceled.lEyou t ttrll. onus4 fill*i4al6m.t 6 the Seller 1 Wiled.tf You eatuaeli must tttalte:aoMalAmblta to d Settler at year residewwey+ri �oAr at4 mid tondkian as wt":ana i; tit jraur eee{dimao,iti' wrmaYlir at gt�oE1:towtditwoa.tss when + 'tiny gaiade dalati ei eel to you t undo ehreF Cotvtrwtt of I. to Bid.anyr pods°dettvet m yva t Htls s dtiftwt�Ct'er ti. > + E✓om.4.vvo tt►e irrst cns ofe,'oif yi;wcw atfror>F, wrs{t,t�otrrpl w Mdllr the Intl ttloin taf z'Vie, - f e�pi s t return sit a nk 4f Solids 6tt i Seikr�u err a xrt tlto tbs Boller'! wippame titaf rills:N yali'de mays:lam goodt;`availahle.` Seller es and`rislt If lrw do make o�d s availablo to Hie Seller and thw Seftdr does riot peck m i ",4tW Y to tLe rQ_ew and•dte 9atlhwF des not'.piE{e �rerst:up witltiti 1rir1 X e gra of tltim dame sf e:ant:C11"on,ou may?abaih or i' twontj,d at Hale dat Itf cancdladon:y^ i►ran, d se tltti> s uwlHroswt.`bity'fsiwtNer;obttgatlon;If you A d e the Soodi wiHrorst amr furthe�o4llSatt�w 1!you. , Vto ns{ae"goods«osvollable to tltc,$¢:Mori or if1.you 44e'1• fat tnalko tMie Stwwwds'atrallable,to tfid.Sollee,err if yoit free. to tarsi the•goods Owl dtw3•Seller,arid M to do so,t au ; fJa nt ft tAa oa Seller and MI to .estwaln`(fie far act stce"af;atl`oblig 'urtdar t1.0 'remain'galJlt der peke'ad all abtlgedomts under'ttie t gtytrgt5t'1b t aw►cwtl Hwla lrawtea otr tneul m de{hoer at si,Bned Contr4iLlbi cancel Wit transacRlon,ttaiail i dellttrsr a s{grtied;; and d copy' of.th�s eattidllawdon rro¢fye`tu aurtjw oHsar,.s awwd #tied eelwy of thk, catutdlao notice or � other. 'vwriti: m ito4AQe;or gird std�to Rene+val b'Andtrt�of t written lioticew,otr tttw d w► egram Call newel byAstdwsel+of Sornfiet�n lwlew Ewngfaiid 3r Albtum o R ORBfs,'E Sowrtllcm Imee�ww Est aR'26Alblon Raad,Ll D?g16�.•. tdOiT'.La4T",tf Aft F41pNtGEtiI;� 1 i�1.OT.�ATSR YHq�I't41D(�IiIGFIT OF lets) F . 77�- IIiEE .Ycat�c LTf�l4is. ilol+ae, I1 Ft 1rGl1N ,Titi' a%,act10 •MM ltsme Qow, ` VYtebe' C Ye41ow. r�Rr rrtnc Mom. RbA GQpr b* s.l< Southern Ne w England Windows d.b.a Renewal by Andersen of SNE L'S Massachusetts-Department of Public Safety Board of Building Regulations and Standards t Construction Supervisor License: CS-095707 BRIAN D DFMWS6 7 LAMBS POND1.>EIR Charlton MA 01507 " Expiration Commissioner 09/08/2016 ` Office of Consumer Affairs and Business Regulation. 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 173245 Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS L.L Expiration: 9/19f2016 DENNISON BRIAN 26 ALBION RD LINCOLN,RI 02865 Y - Update Address and return card.Mark reason for change" SCA1 G teMWn - - Address Renewal Employment Lost Card -�l'/ul�c'ar hrn�u.,cc/���CYflryxsd:rulG , ._ (lice of Cooacmcr�rtairs A Rusiners Regulation License or registration valid for Individul use only - _ ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: .1. - Office of Consumer Affairs and Business Regulation Registration: 173245 Type. 10 Park Plaza-Suite 5170 !� Expiration: 91IM016 Supplement.-ard. Boston,MA 02116 SOUTHERN NEW ENGLAND WINDOWS LLC. RENEWAL BY ANDERSON DENNISON BRIAN 26ALBIONRD LINCOLN,RI 02865 Undersecretary Not valid without signature I -Me Commoxweah* ofmassachaasew Deparhment of jnd Acddeats _ ®.fOwe ofinvesfigaadons 600 Washington,S&zett Boston,MA 0211 wmmass gov/dia Workers' Compens,itfon hnuruce d�vito Bu-Uders/Contractors/Ele s /pl bens llcan$Information Please Print Leelb�� Naffie (BusinessMrgaaiz don/IndMda9): 5 0-0 t4-j )4C j —J� -Address:- _ IAJ CRY/State/Zip--I/- c-0 0,7d6s Phone#:' �o 1-re yqu anemployer?Check the appropriate bey a of project(required): -1. am a employer with g-c" 4. ® I am a general contractor and 1 6. New construction employees(full and/or part-time).* have hired the sub-contractors 2.EJ I am a sole proprietor or partner- listed an the attached sheet 7. ®Remodeling ship and have no employees These sub-contractors have 8. E]Demolition working for mein any capacity. employees and have workers' [No workers'comp.mcnrance comp.insurance.] 9 (�Building addition required.] 5. e are a corporation and its 10.�Electrical repairs or additions 3.® 1 am a homeowner doingall work officers have exercised their 11. Plumb" ® mg repairs or additions myseLf(No workers'comp. right of exemption per MGL 12.®Roof repairs inc�,rance required.]t c. 152,§1(4),and we have no employees. [NO workers' 13�Oftther W IIV !.� cone.ins�uance required. ` hino ?I �y apPIieaat that checks box#1 mast also fill out the section below showing their worl=,compensation policy oa t Hameownets who submit this affidavit indicating they are doing all work and then hire on side contractors must submit a new affidavit indicating such. $CM&actors that check this box must attached an additional sheet showing the name of the sub-contractars and state whether or not those entties have employees. If the sub-caotractnis have employees,they must provide their wod=-.'co=.policy immber. I arm an employer bw isproviffn0 WFke s'W;Vensation inswance fop my employeeL Below is the po&7 wad job site gaaforvasadom Insurance Company Dame: I O crn a Policy#or Self ins.lac.#: VV ,' �M> Expiration Date: I I Job Site Address: S� — O C w o o r� /✓ - City/StatelZig: w:.f pry Attach a copy of the workers'compensation policy declaration page(showing the policy amber and expiration date). Failure to secure.coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crhinal 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$250.00 a day against the violator. Be advised that a copy of taus statement may be forwarded to the Office of Investigations of the DIA for'insurance coverage verification. I do hereby nde pains and penalties of perjury that the�afonxa ion provided above is fte and correct Signafore: / Date: -5 a 15 Phone# / Qf zcial use Only. Do notate in tlds area,to he completed by city or town official atry ur j'owno Permit/License Is$aing Authority(dr-de one)- ' L Board of Health L Building.Depart ent 3.Cazy/Town Clerk 4.Electrical 1aspector 5.Plumbing hispedw, % �,�ther ; 6� t� � E�pFy 3y4pt �p����yY�pe �pgg.� p�A p �pQ�R�1 #! p� lp. �y� sE€i3C.fs"v YII ,y�Qyg�p�p� VAI-0iijpLOJ^bJV�iY�f{Yi4'O1HVG A�}V'�yYurNjty@V���6 �K��f$9 YSi'i i €dt'dY !f AD IIBfBBf IS SYd 331Y OVAL INSfl�`may ie afii83l'EDE LFt1i3R3 ��93DHi�Jal'fl6i�: titi2 ffirans a�waea�as.s of 9�.e�en3feY; sss�al(etes eatg�;atagt� :�it andesetet�.�:, Qtf ffiNS•a�dFreSaes aka "=- 3t328 of Vic,aerr, . elo as t�tuzi&iva'" pK P A'..HC 8452 S-B7.'7 4S 7379 2ieDhv3YYeY 373305:[9 " 88$-$b7-237D SBd. �Yff3tat�D6l�i7Y�-cam ,:, .. :SURER A,:Bdactivrr.aamiz CCim!ACs�JAE98autaurS."Sda B:•xg2,++* �ia�'.='c . �� .:.. .. _. �. die 88 �lBlB amgvaS$:j{lss3�a=t��. aG Road aasu C" "Deasst n a.,= DDa. . .. Liara2 aaefis: REM Ta.'E E91Y'iFietT Ff$P(YLICfEa E}F;If URA L15 FED BELL I HAal°'B fd ISStfID'T�r�7 tE JMSU7 .NAMFiD nBOVE f'C)t�3ii1:PQLIGX PEtifQD I{lOJ 1'i3 _ �!C} it {AIVDi�EG Y' tlJ2EI3ENF..Tom#Qfl'CC 1DF11QA{QF AJ t'+ONTRILGi OR OTHf�i DL1CUAbII HUifiI AEAPi+ f 3 TQ ki Ef:Tfi{$ CER?IfFICJ,TE tAY BE kiatt@ OR 9fAY'f3 A4A1 71IE;U LtR#NCE ar'�-0xtE)cF? i:THE FOUCIES L7tSG Eo:FlEREif�i J5 St$filECC"Q RLt'TffE 7'r 45; Ek`IX SSIQ 419�ISf'AASDi7i© S P QFCiGti'Ft3t3 tE5_LtR9P7a5HC, t E AAYHh(=,'dEEtdR��iT�CE�r�3Y�i�LT"F�AfE#S ..6i�•SR .: r0m,-C,Ie 74AC6 POLICY.Wtf FE2.: g .. � >.�Ts � CLNF�86.Aii: .�Qfxtb?- � ;3 i aoa aoo. s. 2029 ss ?ia/safaos� oeLiu/aoas rsalraiaa s 2 aaP o�d �JECT cs��acc-sic=ar�����s:.�" ^j rnt.ncnr� ,s 3 aaa;aoa'. . LdC # ds_Cf1iJ'c2 I WAI3Pn66 3 3-'.DaP,itoO'. i & , 'au�s�tr.�uaazer� _ g 5�iliBT f. _ nTdYAUip � nE!.8t9dAt�2" '� � `, & EflII3LYiMnt&Yd�R°�D) "S .... :itkf7l:5' � 3" 3D23$s9 �6ajSD/2D3 -UR �3r a8:fIDf.7DSS' EOalLK8Nt `d{P �a3dett�'S 3itRIDi'1lSCCS '�'',`"' f �• PROP4�'iY¢RA�AG2 .. F: 5 " E7{Gti41As c s,a�P,Dna ; Gts'�76 NJR .`t' E" [ 5 ?,U9 .59 a6/16%2014 .0 110./302a . � � A6��+L4S�iGE.a183LYGY� SdCd � t � !,S QT98= ta�71`.e'ii OFi41R7f2lFe1A7A734t"r�CE"i}tYYE't--� •�,, ... "i T} � �aaou5eu a2lazfaoa� aslzYlao s. cr x;gDD 4W ' •ff - talQar � £LiXsEASE-EASY 'S• S aaa 0aa:. aenaraoFoasrnnaRSo j Pao e u S s oD as D a { � �2Y.9383523y4- !J$( ,. 1SF P8/ai"12ff25 S :• &3.,a®&IPaa [ Z...z7 Zi tz - iic: �. �. B1in�miae Bolaay 7mt._ $7, D8 Daa 37EVCaE9{7C*E C FF'�P3SILOCdrimll3mpirtS{dC6R9iDi;; dtD�elRwriarl S� :Ama9bniaL+3�#tfmmg ffin ) baaro$a_. $griop� $S,e,L00 IIDD. "t sa?B1b'ei (?t3Lfi� 'HOULD AW 6pt "&6$B3IE aLSCR�E"tD pP 4CtLa 8£CJ i!^.El d�A BUMM THE 1=IR19T)OPd.. E2RTE"7HJ Of�.,igf3idEE WILLJ3E aEi3VEREO in ACCDRYitaAICE 9dmtTHE PoptY FRf3N1SfDNS n�TN�ftt1ED"3�itkSEFSfd7iVE= Saut§tixa SJ:;LtC _ ec7n �Dzess-D000"_ a 0 798�-BSft�t'i�Od3�t�R['8?P.FsB7�AI. A,1(€flphffi:Te�'8 �: t s t 3;s (s05vi'(i a; TEs ;stoola ntme a€d ia98'are.reais4E d,in,&im of ACORD SR M. j2s6as' as^a,Csi3a4 '70637 DlLict Leakage Test Form x '-4 custorner Information: Test Conditions: �/ Name: Bayside Building Date; Address: 1645 Falmouth road Bayberry square City: Centerville Ma Indoor Temp=tune()~): State/Zip: 02632 Outdoor Tentperawre(F); Phone: 508)-771-1040 Floor Area(fl}: 1596 En�ail: System Airflow(efm): 1400 _ Cooling Size(tolls): 3 000 80 :) ,(bt u): Siz e ze u ]3uiId1�tsr,Address:Cif different from.above) Heating Street: 58 Dove tail lane Primary Location of �— SupplyDuawork: Basement City/State: Cotuit Ma. 02635. Primary l;ocafioa.of' --�----- Return Ductwork: Basement Comments: - - System located in Basement on one zone, Ad connections Joints and seams sealed with 3-m mastic tape and or caulk.-All duct work in conditioned spaces insulated with r-6 Toil faced insulation,All duct to unconditjone6 spaces insulated with r-8 foll faced insulation.System tested after rough stage of install, S Total Lealcaee Test Depress Press Outside Leakaile'Test Depress Press Test x ressure: --(Pa) Tait Pressure: — (Pa) Baseline Duct Pressure(optiona)): (Pa) Duct Flow lung Faa Press Plow Duct Plow Icing Fat%Press Flow Press. a lmtalled nstalled a) cfu)� _ n I a 25 3 Fan ModoUSN: Results: Outside Leakag.a(cfin); ran Model/SN: Outside Leakage as Res-olts: system Airflow; Outside Leakage as Total Leakage(cfaa): 86 Floor Area: Total Leakage as% —' System.Airflow: Total Leakage as 0/6 FloorAma; 5.4uric Whiteley -- W.VCRNON erie@Wvwhlteley.com / ^ - INC. 28Village Landing 1 PLUMBING•HEATING P,O,Box 1766 W.CONDITIONING .Chatham,MA 02669 SINCE 1952 T 508.945.1100 :91 UNWED \fi Town of Barnstable Building Department - 200 Main Street iA RNSTABLE� ' H ya n nis, MA 02601 MASS. 1639. . (508) 862-4038 rFD MP'�A Certificate of Occupancy Application Number: 201207308 CO Number: 20130036 Parcel ID: 002002116 CO Issue Date: 04/22/13 Location: 58 DOVETAIL LANE Zoning Classification: RESIDENCE F DISTRICT Proposed Use: POTENTIALLY DEVELOPABLE LAND Village: COTUIT Gen Contractor: BAYSIDE BUILDING, INC Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: Building Department Signature Date Signed tiI Z": TOWN OF BARNSTABLEk�� i u i g r� 201,207308 BARNSTABLE, Issue Date: 12/06/12 Permit MASS. �A i639. Applicant: BAYSIDE BUILDING,INC rF0 MAC A Permit Number: B 20122966 Proposed Use: POTENTIALLY DEVELOPABLE LAND Expiration Date: 06/05/13 Locatic-1 58 DOVrETAIL LANE Zoning District RF Permit Type: NEW SINGLE FAMILY HOME Mt'ri P,..-cel 0020021'1-6_7 Permit Fee$ 867.00 Contractor BAYSIDE BUILDING,INC V;110.I-= COTUIT App Fee$ 100.00 License Num 005645 Est Construction Cost$ 170,000 Re-narks. APPROVED PLANS MUST BE RETAINED ON JOB AND EVE PROPOSE TO BUILD A 3 BEDROOM 2 BATH RANCH STYLE HO E WIMICARD MUST BE KEPT POSTED UNTIL FINAL AN E``"TACHED 2 CAR GARAGE INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH OWr,:-• -.:i Record: COTUIT EQUITABLE HOUSING LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL ;r�.res PO BOX 95 INSPECTION HAS BEEN MADE. CENTERVILLE,MA 02632 Applicatsc:n Entered by: RM Building Permit Issued By: FCS p7,t5fl,r CONVEYS NO RIGHT TO OCCUPYANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY 0R PERMANENTLY,'ENCROACHMflNrS ON PUBLIC PROPERTY,'NO Y SYRC'F t A�LYPERMIT'CEO UNDER THE BUILDING CODE,;MUST BE APPROVED„BY THE Ji7RISDICTTON.'..STREET..OR ALLEY GRADESAS;WELL AS,'DEPTH AND'LOCATION OF PUBLIC SEWERS:IofAY BE }' OBTAOF..D FROM THE DEPARTMENT OF PUBLIC WORKS..,*THE ISSUANCE,OE,THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM'THE CONDITIONS OF'ANY APPLICABLE SUBDIVISION RECTRT 1?')NS. � fp )`q-INIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. ?.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. \ :3. WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. .PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). ::.INSU,.ATION. 6.FIN,".°. INSPECTION BEFORE OCCUPANCY. WH.FRI `kPPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. T ERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF BATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). ► ` I V11SWE FROM THE,STREET ; BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS '^ 3�►�sk aK L1011 2 h SlT M 2►�/�(. �r ok y/u112M 3 v 1 Heat' g Inspection App als Engineering Dept (""'tt- eo S 10 013 Fire D t 2 7Bd f H th TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION .y Map pot- Parcel C)02 - `g Application # Health Division Date Issued Z Conservation Division Application Fee ---� � Planning Dept. YV� C� �I� Permit Fee . Date Definitive Plan Approved by Planning Board Historic OKH _ Preservation/ Hyannis Project Street Address DOV477�CLV tin Village r Owner_ t _Address s �C ✓111� . P Telephone 0$ F7r7l 1QZ1 0 Permit Request e O,, 01 C Square feet: 1 st floor: existing proposed 2.nd floor: existing proposed Total newG Zoning District Flood Plain_ Groundwater Overlay CYT Project Valuation Dt� Construction Type_ 6v Lot Size_ 72- Grandfathered: ❑Yes ;&No If yes, attach supporting documentation. Dwelling Type: Single Family J Two Family ❑ Multi,Family (# units) Age of Existing Structure 3 Historic House: ❑Yes $No On Old King's Highway: ❑Yes ANo Basement Type: 49,Eull ❑ Crawl ❑Walko:at ❑ Other Basement Finished Area (sq.ft.)_ _ Basement Unfinished Area (sq;ft) Number of Baths: Full: existing____ new Half: existing _ new d Number of Bedrooms: existing new Total Room Count (not.including baths): existing _new_G- First Floor Room Count Heat Type and Fuel: AGas ❑ Oil ❑ Electric ❑Other Q Central Air: Q_Yes ❑ No Fireplaces: Existing New ts4- Existing wood' oal stove:' ❑Yes4 No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size Barn: O existing Ojnev�gsize ' Attached garage: ❑ existing %-new size—'Shed: ❑ existing ❑ new size _ Other: CEO Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes Po If yes, site plan review # . Current UseI&CL� :Proposed Use C�171�'Q� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name _ �Ct V1 I Telephone Number IM-771 'ftP o Address G(nK I D (epi4eYV1 License # w a Home Improvement Contractor# Worker's Compensation.# ALL CONSTRUQTION DEB IS RE T G FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE l� t FOR OFFICIAL USE ONLY APPLICATION# r MAP/PARCEL NO. s r t R ADDRESS VILLAGE , OWNER t . f� DATE OF INSPECTION: C } FOUNDATION:.old J11 JVL FRAME ZIS113 INSULATION ZJlill,3 i FIREPLACE r. `s ELECTRICAL: ROUGH FINAL k PLUMBING: ROUGH FINAL i - ,GAS: . : ,�3 ROUGH _ : _ FINAL I :.;,.=FINAL BUILDING die:-r.1�3,1 F Y T ;DATE CLOSED OUT ASSOCIATION PLAN NO. Department of Industrial Accidents U �ftce ofir �estiga�ns 3 600 Wash ingtorz Street Bostan,MA 02Ill 5� lmiv M..as&gov1Aa Workers' Compensation Insurance Affidavit: Bnilders/Contractors/Electrgeians/PIumbers Ap-plicant Information Please Print Legibly Name (Business/organizaton/ludividual): V_-S12>'F 1jL b11_fS IAIC— Address: City/State/Zip:C Vf,-'J,Vi 10le e' 3,47,- Phone#: "71 a Q/0 Are you an employer?Check the-appropriate bow:- Ti e of pro]ect(required): 1.El I am a employer with 4: [ .I am a general contractor and I 6. [ Tew construction employees(full and/or part-time).* have hired the sub-,contractors 2.0 I am a sole proprietor or partner- listed on the attached sheet 7. ❑ Remodeling ship and have' employees These sub-contractors have 8. ❑ Demolition ins wozlang forme i workers' co�• ranee. n any capacity. 9. 0:Building addition wo,gmrkers' comp.insurance 5. ❑ We are a corporation and its: required.] officers have exercised their 1.6. Electrical repairs or additions 3.0 I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself o workers' c c. 152,§1(4),and we have no 12. Roof repairs my. [N comp. 0 .. .. ep insurance required.]t 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 thus affidavit indicating they are doing all work and then hire outside rontract6rs 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 their workers'comp.policy information I a€Fn all errxplayer that:is providing rvarFkers'compensation insuraJ ee for my employees. Below is the polky arnd job site inforrmaFt1cm Insurance Company Name: ` °�� �`� .• .. Policy#or Self-ins.Lie.#: C 9A ov . y azz> Expiration Date: Job Site Adclsess: . . � 1le' I LYE City/State/Zip: O 0- Attach a copy of the workers' compensation po-llcy declaration page(sirawin;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 iinprisonment; as well as civil penalties in the form of a STOP WORK ORDER and a fhe of up to$250.00 a dayagainst the violator: Re advised that a copy of this statement may Uq for%varded to the Office of Investigations.of the DIA for insurance coverage verification. I do hereby eel render re ris an peiialties ofpeajufy iliai`t!te era;f'dr reaction prai,,ided.a bob a is tree&ad.coat eet. Sr afore: �""l_ Date: Phone#: - Q Official use only. Do not write era iliis area,to be eornpleted by citl,or tmvra of icia.l City or Tovim: Permit/License# Issuing Authority (circle one): 1.Board of Health 2.Building Department 3.Clt y/Towa Clerk. 4.Electrical Inspector 5.Plumbing Inspector G. Other Contact Person- Phone 4: .Subcontractor's Insurance 2012 3ti� }; sup ,`A _ u` ,�` f GL Policy GLPolic `VWC�Policy� �1NC'.Pol�cy 4N ,t, �,�h !#: -T" 711�Y'., 'e,. :i ..:+i'`."ru«kax k_y. 1-: �.�c ''t'• 3. f,t " 'e'a` C 'S"� `zt ... .. iration �Effectiue Date�� Exp:�ration �- _ All Cape Garage Door 508.398-2757 06/01/04: 10/07/12 06/01/04 06/01/12 Baxter Nye Engineering&Surveying b08=771-7622: 08/11/05 09/29/12 08/20/04 08/20/.1 Z Campbell,William 508-790-3517 08/26/04 08/26/12 _ 07/13/04. 07/13/13 Cape Cod Marble&Granite 508-77.1-2900 07/01/05 07/01/13 08/16/05 08/16/12 Cape Concrete Forms 508-922-1910 06/05/07 09/29/12 . 12/07/07 06/08/13 Carpet Barn Inc 508-548-1443 01/01/06 05/01/.13 01/01/05 01/01/13 Chaves, Robert 508-362-9929 08/13/04 08/13112 12/17/04 12/17/12 Christopher Costa&Associates, Inc. 01/22/08 08/27/12 02/06/07 02/06/13 Coy's Brook, Inc 508-394-8442 04/24/04 04/24/13 09/21/04 10/01/12 Davids Building&Remodel 508-428-3214 01/01/07 01/01/13 06/14/04. 06/14/13 Hill Construction 508-88878.154 04/29/07 04/29/12 08/14/04 08/1,4/12 Jeffrey Lauder 508-22:1-1046 12/09/06 04/05/12 . DBA-N/A kitchen Appliance Mart 508-771-2221 08/12/04 08/12/12 01/01/05 08/12/12 MAP Insulation: 508-888-3599 10/01/07 10/01/12 10/01/07 .. : 10/01/.1.2 Northern Sealcoating 508-398-9474' 10/01/07 10/01/12 04/01/07 04/01/.13 Pastore Excavation Inc. . 06/05/08 06/05/12 10/12/08 1.2/12/12 Wood Floor.Specialists :.. 508-888-3958 02/03/08 02/03/13.. 02/03/08 02/03/13 f Client#: 15273 2BAYSIDEBU ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 05/16/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling&O'Neil PHONE 508 775-1620 Insurance Agency E-MAIL Ext: (A/C No: 5087781218 973 lyannough Rd., PO Box 1990 ADDRESS Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Acadia Insurance INSURED INSURER B Bayside Building,Inc.and Bayside Design &Remodeling,Inc. INSURERC: INSURER D: PO Box 95 INSURER E: Centerville,MA 02632 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 CONTRACTOR 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 SUB POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DDIYYYY MM/DD/YYYY A GENERAL LIABILITY CPA007340920 1/01/2012 01/01/2013 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $250 000 CLAIMS-MADE FX]OCCUR IVIED EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1,000,000 X OCP GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- JECT LOC I $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $' A AND EMPLOYERS'LIABILITY JOT - WORKERS COMPENSATION WCA007340621 1/01/2012 01/01/201 X WORYTLAIMirs ER" ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $500 OOO OFFICER/MEMBER EXCLUDED? (Mandatory in NH) . . . . E.L.DISEASE-EA EMPLOYEE $500 OOO If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable, Building SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Department ACCORDANCE WITH THE POLICY PROVISIONS. 206 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S96172/M96171 LS1 s•` .r AWC Guide to Wood Construefion in A High Wind Ar eas:eas; 110 inpl: Wind Zone Massachusetts Checklist for Compliance(78o eN 530t. .1.1)' THE SURFSIDER MODEL,COTUIT=MEADOWS Check Compliance 1.1 SCOPE j Wind Speed(3-sec. gust).... ...: .. .... 110 mph , Wind Exposure Category.... ........ !.:.: ........ ....... .........B 1.2 APPLICABILITY - E Number of Stories(a roof which exceeds 8 in 12 I lope shall be considered a story) 2 stones s 2 stories Roof Pitch........................... ......... ......... ......... ..::.....(Fig 2)..: ......... . ........ .................12<_12:12 Mean Roof Height,....:............... ,......(Fig 2)...:...._.... ... ... .::......16 ft 5 33' Building Width,W.. ......... ::......(Fig 3)..,. 39 ft 5 80' Building Length, L. :..... (Fig 3) ..: .69 ft s 80' cca�tt Building Aspect Ratio(L/1IV) :.: (Fig.4)..': ....... ....... .....:..........2.0 5 3:1 u Nominal Height of Tallest Openingz:...... . ......., '......... .........(Fig 4)..: ......... .:.....::. ...... .......6'-8"<_6'8" .1.3 FRAMING CONNECTIONS General,compliance with framing connections.......:. ...,.....(Table 2) ......:.. ........ .......:. [� 2A FOUNDATION { Foundation Walls meeting requirements of780 CMR 5404.1 Concrete .... ......... Concrete Masonry ..... .... ..... ......... .. ..... ........ ......... N/A a �.:.. L i 2=2 ANCHORAGE jTO FOUNDATION',3 ? 5/8 7Anchor Bolts imbedded or 5/8 Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing:-, Table 4 p g_-general ....... ... ( ) ..... 3 in t.,,:. .......(Fig 5 .....:.12 in. _6., cBolt Spacingwrom end/joint of plate ..:.. ( g )::: Es Embedment—concrete:.... :_..... ........: ...(Fig 5).. ...:... ..7 . m.>7" � "aBolt Embedment-masonr y.-:::: ........ ....:.:.(Fig 5,).... in.a 15 N/A Plate Washer._............. . .::....: (Fig 5):.:..:..........: ..... z 3"x 3"z'/4" 3.1 FLOORS Floor framing member spans checked.....:.. (per 780 CMR Chapter:P ) Maximum Floor Opening Dimension................ ....................(Fig 6)..............:.... ......... ........ .......9 ft s 12' Full Height Wall Studs.at Floor Openings less than 2'1rom ExteriorWall(Fig 6)............... ................ N/A Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall..:.. ....:,(Fig 7)................ _ft-'s d N/A ..... Maximum Cantilevered Floor Joists Supporting Loadbearin Walls or Shearwall.. :: .........(Fig 8 ......... ......... .:. ::::_ft s d N/A PP 9 9 { 9 ).... Floor Bracing at Endwalls..:............ :..... :.::...: .........(Fig 9)..:. Floor Sheathing Type ........ ....................... ....(per 780 CMR Chapter 55).....:.................... ......; Floor Sheathing Thickness.......... ...:.:. . ..................:(per 780 CMR Chapter 55)........ . ...........;...3/4 in. Floor Sheathing Fastening. :,.(Table 2).... .......8 d nails at 6 in edge/12 in field 4.1 WALLS Wall Height : Loadbearing.walls....... ........ . ......... ,....,.(Fig 10 and Table 5):....:. 8 ft.s 10': Non-Loadbearing.walls ..... ..: .....'........ ....:. (Fig 10 and Table 5)...... ........18 ft 5 20` [� Wall Stud Spacing ......... ....:;. .......(Fig 10,and Table 5)....... ...........24 in. s 24"o.c: Wall Story Offsets ........ ............... ...(Figs 7&8).:..:::: ........_ft 5 d N/A ................... AWC Guide to Wood Construction in High Wind Areas: 110 mph. Wind Zone Massachusetts Checklist for Compliance (780 cNm 5301.2.1.1)' 4.2 EXTERIOR WALLS3 Wood Studs Loadbearing walls..................................... .:................(Table 5); ...... ................: 2x6-8 ft 0 in. Non-Loadbearing walls.................................................(Table 5) .......:..2x6-18.ft 0 in. Gable End Wall Bracing' Full Height Endwall Studs...................... (Fig 10).. .... ......... WSP Attic Floor Length......................... ..::�..... ,........(Fig 11).. ft zW/3 IN/A Gypsum Ceiling Length(if WSP not used)...................(Fig 11)..:..........::...............................26 ft z 0.9W and 2 x 4 Continuous:Lateral Brace @ 6 ft.o.c. ..'(Fig 11)............... ..:.:.::.:..........................:......:: N/A or 1 x 3 ceiling furring strips @ 16 spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays Double Top Plate Splice Length ..........................................................(Fig 13 and Table 6)........ .:..............8 ft Splice Connection(no. of 16d common nails).... ........(Table 6).............................................................6 [� Loadbearing Wall Connections Lateral(no. of 16d common nails)......... ........ ........(Tables7) .......... ..2 Non-Loadbearing Wall Connections Lateral(no. of"16d:common nails)......... .....(Table 8) :... .........3 Load Bearing Wall Openings(record largest opening but check all.openings for compliance to Table 9) Header Spans ........ P ,...:... ..................... .......:.(Table 9)............. .......:. .............6 ft 0 in:s 11' [� Sill Plate Spans .....:.. ....................:............ .:.....:.(Table 9).....::...,.. ;...:.....:.3 ft 0 in. s 11' Full Height Studs (no.,of studs)...........:. .......:............(Table 9).............. ........ '.................3 0 _. Non-Load Bearing Wall Openings(record largest opening.but check all openings for compliance to Table.9) Header Spans............ ......... ..:.............:..... .........(Table 9)............. ......... ..........:..9 ft 0 in. s 12' . Sill Plate Spans.:.....;............................. ....::... ........:(Table 9) .........: .................._ft in. s 12" N/A Full Height Studs(no. of studs) ......... ..........(Table 9).........:................. ........ ......... .........3 Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,VV Nominal Height of Tallest Opening 6'-8"s 6'8" Sheathing Type ......... ......... . ........ .........(note 4).. ......... .,..... ...::........WSP Edge Nail Spacing ............. Table 10 or note 4.if less Field Nail Spacing.....; ......... ....:...............(Table.10)........:.. ........: ......... .........:...12 in. Shear Connection(no. of 16d common nails)(Table 10).............................................................4 [� Percent Full-Height Sheathing............ .:.....:.(Table 10).................:........................................38% 5%,Additional Sheathing for Wall with Opening>6'8 (Design Concepts)........ [� Maximum Building Dimension, L Nominal Height of Tallest OpeningZ......................................................... .......6'-8"s 6'8" Sheathing Type ......... ..::................. .........(note 4)............... ........: ..........................WSP. Edge Nail Spacing.................. ......... .........(Table 11 or note 4 if less)..............................3 in. Field Nail Spacing...... ...... ....................(Table 11)................................................::...12 in. Shear Connection(no:of 1:6d common nails)(Table 11)........... 'Percent.Full-Height Sheathing [� 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts) .................... N/A Wall Cladding Rated for Wind Speed?................................... AWC Guide to Wood Construe on in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (7so C.mR 5301.n..1)1 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS.Website) Roof Overhang ....................................................(Figure 19).............:.2/3 ft<_smaller of 2' or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift.......:.:.......... (Table 12) U=236 plf Lateral.......... ...:...: .........(Table 12) ::......: L=176 plf Shear......................................... :..:.(Table 12).....:.............................................S=77 plf ' Ridge Strap Connections, if collar ties not used per page 21.... (Table 13) ......... .T= plf N/A Gable Rake Outlooker................... .....(Figure 20).............. ffs smaller.of 2'or L12 N/A Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift :. :.:.(Table 14)........... ...U= lb: N/A Lateral(no. of 16d common nails)...(Table 14)............ ..............L= .Ib." N/A Roof Sheathing Type.., ....... ..::.....:.........(per 780 CM Chapters 58 and 59) .::.._...... Roof Sheathing Thickness....:.......................................... ......... ................516 in. z 7/16"W$P Roof Sheathing Fastening;...... . ...... ........ ......:(Table 2 THE SURFSIDER MODEL COTUIT MEADOWS MEETS.THIS CHECKLIST IN ITS ENTIRETY,.THEREFORE THE NOTE BELOW APPLIES: Notes: 1. This checklist shall be met in its entirety, excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301..2.1.1 Item 1. If the checklist is met in its entirety then the following metal:straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c, Uplift Straps per Figure 14 d. .All Straps per Figure'17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b' 2. 'Exception: Opening.heights of up to 8 ft..shall beIpermitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10•and 11. 3. The bottom sill,plate in exterior walls shall be a minimum 2 in.:nominal thickness pressure treated#2 grade. 4. . - a. From Tables 10 and 11:and location of wall sheathing and Building Aspect Ratio, determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. jj. All horizontal joints shall occur over and be nailed to framing. iii.: On single story construction,panels shall be attached to bottom•plates and top member of the double top plate. iv. .On two story construction,:upper panels shall be attached to the top memberof:the.upper double.top plate and-to band joist at bottom of panel. Upper attachment of lower panel shall be made to band.joist and lower attachment made to lowest plate at first floor framing. .. Y.: Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of 8d staggered.at 3 inches on center per figures below:-Vertical and Horizontal Nailing for Panel Attachment AWC Guide to Wood Construction in High Wind Areas: I10 mph. Wind Zone Massachusetts Checklist for Compliance (?so clvm s3oi.2.1.1)1 k -WHEN THIS EDGE RESTS ON Fi3AMIMG USE Sd NAILS AT6%, 11 1I - 11 it 11 - 11 11 11 - i - 11 It it ft it 1 Q .... W -I1 1.1 _ F 1 t Z 11 1 • a u i IU - , W 1 1 to .. . .. .. NAI SPACING PANEt_� See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment , I AWC Guide to Wood Constiuct,on in High Wind Areas:'110 HO, Wind Zone Massachusetts Checklist for Compliance (780 ctvm 53oi.2.i.1)1 II Y 1 k .1 ; 1 .. 1 1 { i Ff1AMING MEMBER$ i I. i. � EDGE Rd'fERMEDIATE .:. ��i 1 Y i I z ple. .YN STAGGERED NAIL PATTERN wj PANEL PAWL EDGE DOUBLE NAIL EDGE SPACNG DETAL Detail. Vertical arid Horizontal Nailing for Panel Attachment IV emd of i C onstrUcti(in Sup�un CS-005W BRFAN T D 4C�EY � �t e POBQX 95 u CENTER LE r _. M � tORd Cex��e►Is�► f6411�f201.4 �nre'str�cted rrr tlian 3 , U I lruilc�iZ�s o auy ause-�rou ;`;I11li�I l cailtaui Itess ' 0 ube of eaacliosed'�pac�;, .. . ®sses_a cu rf ent•.ed't�i.vn of��Masfiaeh`u�.F�tfure:fo p :S •• state Building Code is cause faTreuQcattonrof thMlicense: For Dhg Lieensi'ng info�maiom wsiii wwwnf�lss you'/t©P.`S - p i'�p tKE Tod, Town of Barns.. able. Regulatory Services �a Mom ' Thomas F. Geiler,Director 1639. �ArFa r �k Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA.02601 ",w.town.b arnstab le.rria:us Office: 508-862-403 8 Fax: 508•-790-6230 Property Owner:Must Complete and Sign This Section If Using ABuilder I IZOA J T- tL , ds OV er of.the subject property. hereb authorize 11 Y �� t�G� VC, to act on;rnybehalf, in all matters relative to.work authorized bythis building permit application for: , (Add Mess of Job) �o Sig tur of C 4v 7e-r Date . Print Name'. Q.To RM S:o W NERPERMIS S ION REScheck Software Version 4.4.1 Compliance Certificate Project Title: THE SURFSIDER Energy Code: 2009 IECC Location: Barnstable,Massachusetts Construction Type: Single Family Glazing Area Percentage: 14% Heating Degree Days: 6137 Climate Zone: $ Construction Site: Owner/Agent: Designer/Contractor: COTUIT MEADOWS BAYSIDE BUILDING, INC. Compliance: trade-off Compliance:6.7%Better Than Code Maximum UA:284 Your UA:265 The%.Better or Worse Than Code index reflects how close to compliance the house is based on code trade-off rules. .. It DOES NOT provide an estimate of energy use or cost relative to a.minimum-code home. Gross Cavity Cont. Glazing ILIA Assembly Area or R-Value R-Value or Door TOTAL CEILING:Cathedral Ceiling(no attic) 1588 38.0 0.0 42 Skylight 1:Wood Frame:Double Pane with Low-E 18 0.340 6 TOTAL WALLS:Wood Frame,.24"o.c. 1649 21.0 0.0 77 TOTAL WINDOWS:Wood Frame:Double Pane with Low-E 186 0.340 63 .: Door 1:Solid 42 0.260 11 Door 2:Glass 42 0.340 14 .TOTAL FLOOR:All-Wood Joist/Truss:Over Unconditioned Space 158.8 30.0 0.0 .52 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building ha ben signed to meet the 2009 IECC requirements in RES heck Version 4.4.1 and to comply with the mandatory requireme lis e I REScheck Inspection Checklist. E73 � t2 Name-Title Situ Date Project Title:THE SURFSIDER Report date: 11/19/12 Data filename;C:\Users\Fine Line Design 1\Documents\REScheck\THE SURFSIDER.rck Page 1 of 4 REScheck Software Version 4.4.1 Inspection Checklist Ceilings: ❑ TOTAL CEILING:Cathedral Ceiling(no attic),R-38.0 cavity insulation Comments: Above-Grade Walls: ❑ TOTAL WALLS:Wood Frame,24"o.c.,R-21.0 cavity insulation Comments: Windows: ❑ TOTAL WINDOWS:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Skylights: . . ❑ Skylight 1:Wood Frame:Double Pane with Low-E,U-factor:0.340 #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Solid,U-factor:0.260 Comments: .❑ Door 2:Glass,U-factor 0.340 Comments: Floors: ❑ TOTAL FLOOR:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking: Air Leakage: . Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in.the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/doorjambs and framing. Wood-burning fireplaces have gasketed doors and outdoor combustion air. ❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Lj Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk. between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. Air Sealing and Insulation: ❑ Building envelope airtightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 33.5 psf OR 2)the following items have been satisfied: (a)Air barriers andahermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. Project Title:THE SURFSIDER Report date: 11/19/12 Data filename:C:\Users\Fine Line Design 1\Documents\REScheck\THE SURFSIDER.rck Page 2 of 4 (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is i,stalled in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. (f) Corners,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunrooms: ❑ Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: rl Materials and equipment are installed in accordance with the manufacturer's installation instructions. Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. Materials and equipment are identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. 0 Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: Building framing cavities are not used as supply ducts. 0 All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A o.r UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened.with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam: Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent.a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). ❑ Duct tightness test has been performed and meets one of the following test criteria: (1)Postconstruction leakage to outdoors test:Less than or equal to 127.0 cfm(8 cfm per 100 ft2 of conditioned floor area). (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 190.6 cfm(12 cfm per 100 ft2 of conditioned floor area)pressure differential of 0.1 inches w.g. (3)Rough-in total leakage test with air handler installed:Less than or equal to 95.3 cfm(6 cfm per 100 ft2 of conditioned floor area) when tested at a pressure differential of 0.1 inches w.g. (4)Rough-in total leakage test without air handler installed:Less than or equal to 63.5 cfm(4 cfm per 100 ft2 of conditioned floor area). Heating and Cooling Equipment Sizing: 0 Additional requirements for:equipment sizing are included by an inspection for compliance with the International Residential Code. ❑ For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: Circulating service hot water pipes are insulated to R-2 ❑ Circulating service hot water systems include an automatic or accessible manual switch to turn:off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: - ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: Heated swimming pools have an on/off heater switch. Project Title:THE SURFSIDER Report date: 11/19/12 Data filename:C:\Users\Fine Line Design 1\Documents\REScheck\THE SURFSIDER.rck Page 3 of 4 Pool heaters operating on natural gas or LPG have an electronic pilot light. ❑ Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage<=15 (d)50 lumens per watt for lamp wattage>15 and<=40 (e)60 lumens per watt for lamp wattage>40 Other Requirements: Snow-and ice-melting systems with energy supplied from the service to a building shall include,automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,ands)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement'c'). Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility, of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building:Department Use Oniy) Project Title:THE SURFSIDER Report date:.11/19/12 Data filename:C:\Users\Fine Line Design 1\Documents\REScheck\THE SURFSIDER.rck Page 4 of 4 2009 IECC Energy Efficiency Certificate Insulation . Ceiling/Roof 38.00 Wall 21.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.34 0.34 Skylight 0.34 0.34 Door 0.26 0.34 CoolingHeating & Heating System: Cooling System: Water Heater: Name: Date: Comments: Imol _ ; ,i^, .°'..o...y,.__ SMOKE DETECTORS EVIEWED' • 4 _ BARNSTABLE BUILDING DEPT. - DAT O E - I�1 e 'T DATE FOR FERMI771NG ►Vn 11[A`` � u Now .FRONT ELEVATION. . z _ SCALE: 1/4• a 1:_Q.. M O V O zo Qw y W N F Z rl Hgu . w w� -' 3: � '' , . . REAR ELEVATION SWEET 1 ' ., SCALE: 1/4" e V_D: { i DRAWN BY: KN 11/19/12 r, ? � ti . - jol - VJ RIGHT ELEVATION., C SCALE: 1/4" I•_D" - d m m a u 3 z0 B12- 0 w - WR' F 0 w F. 1 0 W ® - W J I , z 0� W LLI - L—_—J _ 514EET - LEFT ELEVATION A2 . - SCALE: 1/4' • 1'-O' DRAWN BT: KW � ` I.-]' 8'-4' 12'-O° w . n = m n i � r.l DIL<a {I` W.I.C. 2g 12'-O'GTN I N3 606 I n'-O'CATHEDRAL ✓- C7 . CARPET 5 E 00 _ I _ sKrur,NE i BEDROOM u m _ = CARP o -- ---- _ _ CARPETTV : - 14'-6 .. rv(2)II T•B'LVL LE FLAT A 14'-0 CATHEDRAL - r�/� I�,yiy111 :yWp(I . KITCHEN DINING ® TI 3o I/D•x.] `tea Yam• . - BTR K uR4R10GE _-_ 0 w REF OAK OAK 2(1 2� - - - 1- - - _ TW MIO W� 2k . 2fi + 2-D I - � 14'LEILIN lIN AS ER 3 3'-6 3'-0' i3'-B' 3'-2 Iv° 1° • T - ® 2' OAK 2fi ®q LAn 2).14'LVL IA 11 LVL RIDGE - {-, IL Y . ® ® - • @ - DN 01-FLO o RAL RIDGE PARnLAn YD 1h .n FIRE R PA T 2 RATED _ 14'-0'CATHEDRAL 4'-]' : II• W V0'X.60 nyprP'-10' .. LIVING (.. TW 1 . o OAK HDnI,nIXi15 VALVE - J ® ® ACE ❑ 2L M. 54 I/2•z 82 1/2' '2D ® O . 2B6S 9 LRE - rV 11:-0' - - . :GTHEDRALh' . _ BEDROOM #3 - ______ -- ----- CARPET u 3 TRANSDFI. n UP ^ ABOVE I LU �LALL7 COLUI]ry `y(A.LLT COLLIHN - 53 9/B•x 2I' N Ul TW 24310 STORAGE ABOVE 5'-2 Z 40 PSF �. Q W{__ _ GARAGE _ _ -..3 Q Ov CONCRETE SLAB- ®... _ . . . PITCH TOWARD.DOOR. tLi - tLl a q 4 S 7'x16'ON.DOOR __-_-_�II]/B LVL LmR •. CONCRETE APRON SEE DETAIL _ SHEET 2_O 2:_7. _ 15_5 ' 9_0° 4_3. 6_6• 4'-9 _. 3 20'-0' 24'-2" 15'-0' - JOB: 1219 DRAWN BY, KW ` ` � i •R�� -- ,ALL_ _`Ig1..L� GALV.METAL_I BT ANDIOR I ' -12''BCNO TUBE' IER P 28'BIGF077,FOOTING DECK �■■yyew I10. DROP T.O.K. -- _—— — — :,. I BACK WALL ONLY T - I I • O I I 10"x7-q"CONCRETE WALL 14'-4 1/4' 16'x10'CONT. FOOTINGWo T-4" 7'-4" T-4" 7'-W 7'-2' 6'-li° 6-II' S-3' 5'-5" 7'-O' \ ''I limm 0 'Rli - - --T-- --MISS \\ .BEAFI ET ry LPAD '_PD 61U 6>1� r 3. 2 GIRDER 3 I/1 PA.STEEL - I c- .. -- -- , ;r.- -- --- -- DROP 10'@DOOR I• _ ,- d B o I I FULL BASEMENT I ,I _ vA1F�oR J O �g x6.xl CONCRETE'WALL - - - 6 N I - - I J Ib°x10°CONT. FOOTING I W 0 2'-OFFSET TD I ; u — J =i... Z O - :IB'-10' ALIfiN WALL9 I' I 24'-0' W Q - J II �ARAr_E _ r --- -- -------- --- — W - 0 I 4'CONCRETE 9 ;. aI STEP .t b , a L _ Z STEP WALL NOTE, Q V I._I - I,�I g._2• E 5/5,ANCHOR BOLTS ..•:D n- : DROP 12•Flo EMBEDDED T _ l j'q TOP OF FOUNDATION- SPACED 52'O.C. B'x3'-q°CONCRETE WALL I °-I 12" FROM CORNERS Q# I 16°xl0°CONT. FOOTING I WASHERS 3"z3"x1/4' W DROP 10'®DOOR FOUNDATION PLAN . SWEET. SCALE: 1/4° I'-O° � AA �� I./�/�} .. 20-D 24:_2, 15:_D. JOB: 1219 1 DRAWN BTU KW _ f DATE: it/Iq/12 IN JIN . a 'RIDGE VENT O (2)14'LVL STRUCTURAL RIDGE BOARD - RAISE CEILING JOISTS TO ■■ - - 6S/a COXALT SPLY.SHEA HINGLES THING _ - -�pG' �/Oe - ALLOW 6-i DOOR AT TOP OF •�. 0 ■�, 4p R3B 12 NSUL 12 . ' DORMER RAFTERS - I li D.C. BLOCKING 4'-D'O.C. � QH IN FIRST TWO RAFTER • ♦♦♦w Q 'FOATING DORMER' BAYS FROM GABLE ■.■ - AN 461 S 6H 3/6 '•'x 21' -- CA CEILINGS. I I MAINTAIN AIR SPACE ' - W 3'-0' 44'-O'LIVING/DINING I 4x4 . 1?'-O'MASTER 9UME I PARALAM ` COAT.VENTING DRIP EDGE - II-0'0EDR001'is PO TO STORAGE RIGID WIND WASH BARRIER REQUIRED O 4(B FASCIA TO COLLAR TIES IN RIDGE OVER KITCHEN AT EXEERIOR EDGE OF EXTERIOR WAL W SECOND MEMBER - IN STORAGE AREAS TOP PLATE - t _. . ALUMINUM GUTTERS AND DOWN SPOUTS �• I _ 21Se I60.C. FASTENERS 142.5 AT AT ALL a a ' FRIEZE BOARD AND MOULDINGS - IwS aTRAPPING� RAFTER/TOP PLATE JUNCTION9TTP. - GYP.BOARD 3f2x12STAIRS STRING - - iERS 'Lo6 EXT.STUDS i 24'O.C. - KITCHEN R21 F.G.INSULATION - � - 12'PLYWOOD SHEATHING - TYVEK WRAP(OR F AL) I - - N.O.SHINGLEs iiE. J 3/4'OSB SUBFLOCR i'FlBERGLA9S INSUL. P.T.2xi SILL SILL SEAT: - ANCHOR AT 32'D.C. 200e•li'O.C, < • - SUL a-2112 GIRT W I 13R STAIRS 3 In-SIT La CoLUMNs - V � . 3-2.12 STRINGERS 3-2 �n BASEMENT _ Q I N LLl w Y H'x 7'-S'CCHC.WALLS AP CONCRETE SLAB - Q/ Z !2).s RE13AR TOP t BOT I (2)#5 REBAR TOP 4 BOT - -P PROOF BELOW GRADE GRADE ILD CROSS SECTION_ tLl SCALEi Vx'.lib. M O _ J SWEET /' \5 . . - JOB, 1219 DRAWN BY. KW 1 DATE: II/I9/12 - _ ' EMEND NOR TO CORNS 2a6 DBL TOP PLATE - - y = _ - .. _ - • RAFTER v 16'O.0 FULL~HGT.STUDS - . JACK STUD r NAIL TOP PLATE `'� , _ ~, ~, TO BTM OF HDR _ APPLY SIMPSON.HBTAIB CONNECTOR H2.B O EA.RAFTER - w/2 ROWS OF I6d NAILS ON THE INSIDE FACE OF HEADER ey W 3• v 3'O.C. TO EACH JACK STUD .STRUCTURAL PANEL HEADER " _ - TOP PLATE - NAILED 5d COI'IMON _ INUOUB HEADER - 3"O.G.EDGE AND FIELD .CORNER TO CORNER - 6 4 5 ! ° OVER MULTIPLE OPENINGS • fi O W DOOR TRIMMER STUDS ®RAFTER'TO PLATE CONNECTION J W SCALE.N.T.S.- ~ U ANCHOR BOLTS �I - - _ - • _ �-- - W o _ V'z PLATE WA.H-. - .. EACH NARROW WALL SECTION- - - . - _III SHEAR WALL COMPLIANCE, - DOUBLE ROw. - � ' 0 STAGGER NAILIN - ' W- 34%OF EACH WALL RUN INTO BOTH PLATES - - i-Wi /cr A VERTICAL SHEATHING WITH 2 6 DBL TOP PLATE _ U) ' -' Bd NAILS 3A EDGE/12' FIELD k V� n (4)16d NAILS PER FT BOTTOM PLATE y L. 13%OF EACH WALL RUN C VERTICAL SHEATHING WITH - - � I✓<I _ • Bd NAILS 3° EDGE/12' FIELD ` W - (4)16d NAILS PER FT MOT PLATE I'll W VERTICAL I _ TR CT RAL PANEL • NAILED Bd COMMON O 9 O C EDGE NARROW WALL BRAGIN AT ARA E DOOR AND Is°IN FIELD Im Qx .SCALE,N.T.I. IMF VERTICAL �- • DOUBLE ROW STRUCTURAL PANELSO - 5TAGGER NAILING— BREAK ON SECOND FLOOR. _ -RIM JOIST INTO BOTH PLATES ,. - 2x6 DBL TOP PLATE W� p I .. M SECC�DSTLOOR Q W VERTICALVERTI NA ITRUCTURAL PANEL T • N STRUCTURAL PANEL NAILED M COMMON. 4 NAILED Bd CUMMON •9'O.C.EDGE O 3°O.C.EDGE f- - AND 12'IN FIELD AND 12°IN FIELD W u NN DOUBLE ROW 4 F '. - DOUBLE ROW STAGGER N41 LIN ^4 STAGGER NAILIN INTO BOX AND SILL INTO BO%AND SILL SWEET r OFULL HEIGHT SHEATHING N —SINGLE FLOOR ®FULL HEIGHT SHEATHING —MULTI FLOOR SCALE N.T.S. SCALE. .T.B. JOBS 1219 i. DRAWN-BYE KW ' DATES II/14/12 r dal. Commonwealth of Massachwetts } Sheet Metal Permit Date: j / �� �' SS .� M'T l 3 Perm# — Estimated Job Cost: $ BAN 2 3 2013 Permit Fee: $ 00- Plans Submitted: YES NO Plans Reviewed:. YES NO, Business License# 1(oo OF BAN TABLE- n pp�icant License# a 7 b� Business Inform1/afion:. Property Owner/Job Location Information:. Name: 01 1'�eqjff , Name: Street: C D V 1 �I Str t�� oVC� i I City/Town:. City/Town: .Telephone: �� .9y� ' l /OC) Telephone; Photo I_D.required/Copy of Photo I.D_ attached.- YES NO Staff ni 1 J-I /M-1-unrestricted license x J-2 J M-2-restricted ao dwellings 3-stories or less and commercial up to 10,000 sq.ft./2-stories or less Residential: l Multi-family Condo/Townhouses Other: Commercial: Office Retail Industrial, Educational �. Institutional Other Square Footage: under 10,000 sq.ft9 ..� over,10,00.0`sq.1. Number of Stories Sheet metal work to be completed. New Work Renovation: HVAC y! Metal'Watershed Roofing kitchen Exhaust Systeiri Metal Chimney/Vents Air Balancing Provide detailed description:of.work to be done: Arno in h INSURANCE COVERAGE: I have a current liability Insurance policy or its equivalentwhich meets the requirements of M.G.L. Ch.112 Yes No❑ If you have checked.Yes,indicate the type of coverage by checking the appropriate box below: A liability insurance policy' Other type of indemnity El Bond ❑ OWNER'S INSURANCE WAIVER: I am aware thatthe licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owners Agent" By checking this box[],1 hereby certify that all of the details and information I have submitted for entered)regarding this application are true and accurate to the best of my.knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. j Duct inspection required prior to insulation installation: YES NO c Progress Inspections Date Comments Final Inspection - Date - - - - - - - - - - - - comments Type of License: y ❑ Master Title ❑ Master-Restricted City/Town ❑Journeyperson Signature of Licensee Permit# ❑Joumeyperson-Restricted License Number: Fee$ - Check atwww.mass.aov/dpI Inspector Signature of Permit Approval I The Commonwealth of Massachusetts - ---- Department of Industrial Accidents Office of Invesdgations 600 Washington Street Boston,MA 0211.1 i www mass gov/dia .Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lengibly' ' Name (Business/Organization/Individual): eg_ non LAA �c. -e 14 L, F H t1o. Address._ �,�r Po QQx 1 AL, L City/State/Zip: bi f s 4 C1+4 P1 a > A,l, Phone#: ve 9 9 - )) o a Are you an employer?Check the appropriate box: Type of project(required): 1.)z I am a employer with 9 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 g. ❑ Demolition working for mein any capacity. employees and have workers' 9. ❑Building addition No workers' comp.insurance comp.insurance.= required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] ' c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees_ if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. 'Insurance Company Name: co . Policy#or Self-ins.Lic.#: W C C.— Z I 1 - (0 o o S 3 O ] , Expiration Date: /o 1 � o 13 Job Site Address: y a IL,o u s City/State/Zip: tM A 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insuran coverage verification. I do hereby certify under p :ae, o perjury that the information provided above is true and correct Signature- \ Date: /d q / Phone#: � �b$> 9 �1 �- 1)00 Official use only. Do not write in this area,to be rnpleted by city or town official. Citv or Town: ermit/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#: Client#:48736 VERNWHI ACORD_ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/°D/YYYY) 10101/2012 q THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must,be endorsed.If SUBROGATION IS WAIVED,subject to ! the terms and conditions.of the policy,certain policies.may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). a PRODUCER CONTACT .. NAME: Karen A.Walther, CISR Rogers &Gray Ins. PHONE 508-760-4630 FAX A/C,No,Ext A/C,No 877-816/2156 F: : 434 Route 134 E-MAIL kwalther@rogersgray.com South Dennis, MA 62660-1601 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# 508 398-7980 INSURER A:Arbella Mutual Insurance Compan 17000 INSURED - INSURERS:Wausau Underwriters Ins.Compan W.Vernon Whiteley Plumbing&Heating INSURER CArbella Protection Co 17000` Company, Inc. &Chatham Sheetmetal, Inc. P. O: BOX 1266 NSURERD: INSURER E West Chatham, MA 02669-1266 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. CONTRACTOR 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. t INSR - - LTR .TYPE OF INSURANCE I NSRLIWVD POLICY NUMBER MMI D/YYYY MM/DD/YYYY LIMITS_ A GENERAL 8500052832 10/01/2012 10/01/2013;EACH OCCURRENCE s1,000,000 - X COMMERCIAL GENERAL LIABILITY - PREMISESa RENTED S 3O0,000 ` CLAIMS-MADE C OCCUR I - MED EXP(Any one person) 05,000 f PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE - IS2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X (PRODUCTS-COMP/OPAGG s2,000,000 i JECT POLICY nPRO- LOC s. AUTOMOBILE LIABILITY !COMBINED SINGLE LIMIT 1 1020006346 10/01/2012 10/01/2013,(Eaaccidenl 51,000,000 ANY AUTO BODILY INJURY(Per person) I S ALL OWNED SCHEDULED i AUTOS 1XX AUTOS BODILY INJURY(Per accident) .S X HIREDAUTOS NON-OWNED - PROPERTY DAMAGE - S- j AUTOS (Peraccident) S A X UMBRELLA LIAR OCCUR 4600052833 10/01/2012 10/0112013,,,EACH OCCURRENCE s4,000,000 EXCESS LIAR H11i CLAIMS-NIADE - _ AGGREGATE s4,000,000 DED I XI RETENTIONSO B WORKERS COMPENSATION WC STATU- OTH- - AND EMPLOYERS'LIABILITY WCCZ11260053011 10/01/2012 10/01/2013,X IT Y MIT IER ANY PROPRIETOR/PARTNER/EXECUTIVE�Y/N OFFICER/MEMBER EXCLUDED? LN N/A �E:L.EACH ACCIDENT SSOO,OOO. ' - (Mandatory in NH) - - ' E.L.DISEASE-EA EMPLOYEE s500,OOO If yes,describe under - - DESCRIPTION OF OPERATIONS below - EL.DISEASE-POLICY LIMIT S500:000' DESCRIPTION OF OPERATIONS/•LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Plumbing, Heating,:HVAC service& installation. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 - AUTHORIZED REPRESENTATIVE ©198 -2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S88017/M87928 TLH °�71r°�ti Town of Barnstable Regulatory Services Thomas F. Geiler,Director Building Division' , ! Tom Perry, Building Commissioner j 200 Main Strcet, Hyannis,MA 02601 www.town.barnstab le.ma,us Of cc: 509-862-4038 i Fax: 508-790-6230 Property Owtier Must Complete and Sign This -Section If Using- A Builder as O�r of tie subject.proper� hj--mby authorize to act on my Ln all matters rz]:ativc to u rk au`ul-oriwd by this buldiag permit application for. (Address of Job) 5iblatuxt of Owner Date Print NTa mP If Prnpe�xty Owner is applying for permit please complete the Homeowners.License Exemption Form_on t ie reverse side. Q:FO RMS:O WNERPERMIS51011 :a t C�JI;�CJi01,V,�)=p.LT} OE 1;r,ASvICH,USETT.S +11�i aa,j,.1�i SHEET METAL WORKERS AS A BUSINESS "ISSUES THE,BOVE LICENSE TU: ERI'C T WHITELEY :5` W VER94014 WHITFLEY PLBG AND "HT y 28 VItLAGE LA14DING y #�D .BOY 1266 L! CHATi;AMi M,A 02669-DD0r�'.�. + 1.69 12/22/12 97 2. '� = i.f --------------------------------, CONIrlJOtdWEALTH OF 10ASSACHUSETTS ..�"< .a-b E— tiL' i SHEET METAL WORKERS . AS A MASTER-UNRESTRICTED ISSU-S HE ABOVE-LICENSE TO: ERIC T WHITELEY - PC BOX 248 EST CHATHAM NA 02669-024-8 2967 02/28/1� 119423 _ °o!c,Then Daiacn Along All Pe'Jrztloru Mi ACHIUSETT- {{T3. 104 AU 2. ��. . Y'�1�� R'-'�II 111I1��"I i� �a�•-'Kl cr f c T, 1 I� ER1CT F�I hr(11 f I�1 i TI vpcs�ra� i N'CHATiHf{M,TMAI TempPareelEdit Page 1 of 1 Logged In As: Wednesday,January 16 2008 Frank Schlegel New Parcel Application Center Road System Reports Road System The record has been added. New Parcel Detail New Mapparcel: 002 002 116 Street Number: 58 Unit: Dev Lot: LOT 116 Road Name: 'DOVETAIL LANE Sec. Road: j T/R: Villlage: 07 - Cotult Part of M/P: MAP 002 PCL 002 Plan Ref: 'PLBK 617/69-75 (APP 7-62)� Date Added: Updated: Update Dele e Add"Another° httD:Hissal2/Intranet/Pro-odata/TembParcelEdit.ast)x?ID=Add 1/16/2008 ® 1�ly/lZ Foundation. Certification in Barnstable MA Prepared For : Lot 1 .16 N #58 Dovetail Lane Assessor's Map: "002 Lot: 02 Baxter Nye Engineering & Surveying Community Panel Number 02.5551 0021 D. Registered Professional. F.I.R.M. Map Zone: C Engineers and Land. Surveyors s 78 North Street, 3rd. Floor Hyannis, MA 02601 Phone (508) 771-7502 Fax — (508)-771-7622 Owner: Cotuit Equitable Housing, LLC Job Number: 2005-214 Scale 1" = 20' 12=13-12 Do l Q,. OPEN SPACE �n P i S 85'05' 101, E 60.66 ; r1 CO r7l N • S LOT 116 SS• 10,371± S.F. v w 50; 0.24f ACRES g F Q (n 00 � o Z st p /L�d ^" O 9.8, 50.41 T 0 F OVNO o- C00q 17 66 5q TjON w 7211. DA 7f.21, o N 20 N.01 15 0'. h� 23,1g. v . N .77.43-1pft W 44 98 0 9 - d. s9, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING STRUCTURE SHOWN HEREON IS IN COMPLIANCE WITH FRONT, SIDE AND REAR SETBACK REQUIREMENTS (20'/10'/10') AS NOTED IN TOWN OF ITN OF nj BARNSTABLE ZONING BOARD OF APPEAL No. 2005-082 (DB 21059 Pg 158) IS LOCATED IN RELATION TO PREIMETER MONUMENTS SHOWN PER EXHIBIT "A- (DB 21804 Pg 45) AND IS NOT LOCATED WITHIN A SHANE M. tiN ' SPECIAL FLOOD HAZARD AREA. � m o BRENNER THIS PLAN IS NOT TO RDED NOR IS IT TO BE USED.TO ESTABLISH PROPERTY LINES. No.45917 e � /STER�� o ONg1 REGISTERED PRbrESSIONAL LAND SURVEYOR N BAXTER NYE ENGINEERING &'SURVEYING DATE ti GENERAL NOTES: 1. LOCUS PROPERTY IS SHOWN AS: ;rs 85•05'10" E 0110 S ASSESSOR'S MAP 002 - PARCEL 02 60.66' ,0 2. SETBACKS: FRONT = 20' '9CF SIDE/REAR = 10' 63.5 3. UTILITY INFORMATION AS SHOWN ON PROPOSED SUBDIVISION PLANS. 4. COMMUNITY PANEL NUMBER. 025551 0021 D `(L % LOT 116 -� Sac;R?• \\ THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE C, AREA OF MINIMAL 10,371 f S.F. \ s3 ¢s. 5. ENVIRONMENTAL NOTES.FLOODING. w ,�' 0.24f ACRES \ 8x• SITE IS NOT WITHIN AN A.C.E.C. (AREA OF CRITICAL ENVIRONMENTAL oa 64 63.0 X i CONCERN). - �� SITE IS NOT WITHIN AN AREA OF ESTIMATED HABITAT OF RARE 00 WILDLIFE PER NHESP MAP OCTOBER 1, 2006 NESTIMATED 4 o o a� Deck a� •`� / ¢ HABITATS OF RARE WILDLIFE' FOR USE WITH THE MA WETLANDS c 7 _ �� Z PROTECTION ACT REGULATIONS (310 CMR 10).' Z 11.59' 63 33 \w`w SITE DOES NOT CONTAIN A CERTIFIED VERNAL POOL PER NHESP � . �' ai b x MAP OCTOBER 1, 2006 "CERTIFIED VERNAL POOLS.' 64.0 l PROP J. 64.0 x SITE 1S NOT WITHIN A PRIORITY HABITAT PER NHESP MAP OCTOBER 3.0 s NC6 H 63.5 1, 2006 'PRIORITY HABITATS OF RARE SPECIES" FOR SPECIES x 66.p oV Se UNDER THE MASSACHUSETTS ENDANGERED SPECIES ACT, PROVID (1) 6' DIA. x a S�q 4064.0. S INV.-57.36 �o X 2.5 . 4:) REGULATIONS (321 CMR10) 6' DEE LEACHING 64.0• 17. a �o ,` SITE IS WITHIN A STATE APPROVED ZONE II GROUND WATER BASIN / 1' STONE '0 `� 4 RECHARGE PROTECTION AREA � SURR NDING (OR ALTER ATE EQUIVALENT 'b 1 *IV LU OF 289 CF) cd VEGETATED 12 64.0 ' 2• C N T ALL ROOF I v he DEEP RAIN DOWN OUTS TO ��_�w � 3� �Si GARDEN (250 x CONSTRUCTION NOTES: LEAC NG BASIN C.F. STORAGE) 63.5 63.0 x '� h TOP=s2.o BorroM=61.0 1. ALL GENERAL CONSTRUCTION NOTES ON SHEET C-2 FROM THE _ 4 c�f 63.0 3 SUBDIVISION CONSTRUCTION PLANS FOR COTUIT MEADOWS, DATED 6125107, SHALL HEREBY APPLY TO THIS SITE PLAN. f�6ft ;9707, co 61.0 2. ALL GRADING, DRAINAGE, AND UTILITY NOTES ON SHEET C-5 FROM CURB x THE SUBDIVISION CONSTRUCTION PLANS FOR COTUIT MEADOWS, E DC , _ STOP CLEAN DATED 6/25/07, SHALL HEREBY APPLY TO THIS SITE PLAN. _ UT D � 3. SEWER BUILDING CONNECTIONS: S 62 - MIN. COVER SHALL. BE 3 FT. ---__ S - ss - SET CLEANOUTS AND MAINTAIN CLEARANCE FROM OTHER UTILITIES S 2,'b� AS REQUIRED BY BARNSTABL.E DPW. IN IN O - MINIMUM SEWER SERVICE CONNECTION SLOPE SHALL BE 2AX. 56`72 - F ` Cotuit Meadows Subdivision Cotuit-Barnstable, Massachusetts • \ S F i t fit. PREPARED FOR 11 `ti c x 63.E� COTUIT EQUITABLE HOUSING, LLC U � \ �L � � �� E S 4 P. 0. Box 95 Centerville, MA 02632 \ VME 1 c X $ Q� Site Plan "0 ��' °� °"' ~ 58 Dovetail Lane SCURB TOP Lot 11 6 ly 164.5 F c CLEAN b,. BAXTER NYE ENGINEERING & SURVEYING \ OUT Registered Professional \`�TED 12" Engineers and].and Surveyors g Y �4.0 78 North Street, 3rd Floor,Hyannis,MA 02601 ��ti "83• Phone- 508) 771-7502 Fax - (508)771-7622 20 0 20 40 -57.53 �L �X S \ SCALE IN FEET S SCALE. 1" = 20' DATE. 11-26-12 65. REV. DATE: REMARKS LOTm 116 • � ti o SMH I C DRAWING NUMBER \ INV OU 58.39 S 0: 2005 2005-214 CIVIL DESIGN 2005-214PBLOTS.dw 2005-214 I