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HomeMy WebLinkAbout0038 EATON COURT __ 1 �_ r _ �. n - TOWN OF BARNSTABLE {. CERTIFICATE OF OCCUPANCY PARCEL ID 055 018 GEOBASE ID 3140 ADDRESS 38 EATON COURT PHONE COTUIT ZIP LOT 53 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT 'PERMIT 38148 DESCRIPTION SI.NGL'E FAMILY DWELLING (BLDG PER 34058) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY Department of Health, Safety CONTRACTORS:ARCHITECTS: and Environmental Services I TOTAL FEES: OTNE BOND $.00 CONSTRUCTION COSTS $.00 BARNSI'ABLE, # j MA83. �► 1639. ED MA'S BUIL , IV TON DATE ISSUED 05/03/1999 EXPIRATION DATE .�'• ,, '.I,wa��"� o,:+�.E" �t':k1!<+isnlJL��.13�aa:, - • ,y- s BUILDING PHP14M PAROW -fl) 055 018 GROBASE TD 3140 PHONE COTUI.T ZIP ,ox , )BA DEVELO11KENT DISTERIPT CT R "14IT 34058 DESCRIPTION Sg /2BA/CO T-CA /A�_2C ( �.�1 8-8 ) PERMIT TYPE WJILD TITLE , RE D3 N'IAL— IUD PTA :O RACTOR.1= BAYSIDE UILD i 114 - Department of Health, Safet3' ,ARCHITECTS A and Environmental Services ** BAMSTABM MASS. 16.39. BUILIAG fDIVfS1 IN BY A!FE ISSUED 10/15/1 B EXPIRATION . M THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN <' CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET O ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF AN ?PLICABLE SUBDIVISION RESTRICTIONS.- MINIMUM OF FOUR CALL INSPECTIONS REQUIRED - FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPA 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT,POSTED UNTIL FINAL INSPECTION PERMITS :ARE REQUIREC_ 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND. (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. n 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. JI 1 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS MAY 319 2 2 - 3 1 HEATING INSPECTION APPROVALS 40�JG EERIN DEPA E �I 2 BOARD OF `A TH Voe OTHER: ` G, SITE PLAN REV OW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS 1 THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDING PERMIT LUT S3 TDB i Town`of Barnstable *Permit# 210o Expires 6 months from issue date Regulatory Services Fee &UMSTABLE, 1 639�- 1� �`� Richard V.Scali,Dire co� AIFp MA't A Building Division Tom Perry,CBO,Building Commi r 200 Main Street,Hy !bPeNj 0�2601T1 www.town.barnsigs oF Office: 508-862-4038 AR/VsTA8 KLY' Fax508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL Not Valid without Red X-Press Imprint Map/parcel Number Property Address esidential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 1^'��, IA4 t S ®GI J� + Contractor's Name Telephone Number 7 Home Improvement Contractor License#(if applicable) 11,�� (c Email:. �Slll Construction Supervisor's License#(if applicable) 7 7 (o O "oran's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ Lern the Homeowner I have Worker's Compensation Insurance Insurance Company Name �/C , .y -�w/il f Workman's Comp.Policy# (J9 7 40 —c9 1 S� Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping.'Going over existing layers of roof) ❑ Re-.side r . ti ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑`Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A co of the Home Improvement Contractors License&Construction Supervisors License is re ed. SIGNATURE: Q:\WPFILES\FORMS\ i ding pe t forms\EX0RESS.d6c Revised 040215 Ile t✓omttzoynvea�h of-Vassachruetts Depcarattent of Industrial Acciderds Offw.e oflmwstigadons 600 Washington Street - Boston,ILIA 02111 wovi—mass gavfdia Workers' Campensaf an Insurance Affidavit: B.mlders/CantractorslEIectticians/Plumbers Appheant Infarmatian Please Print LegibIv Name(Busffiessmrganh3fionanavduey 11�.�� `.® .�G►Lr Address: PC,49 • �-� City/stab9zip- zfL.i�.,P/(`Z Phoneik' c , r'4;Pj an employer?Check the appropriate boy: Type of project(required): . 1. a employer Kith l 4. ❑I am a general contractor and I New construction employees(full and/or part-time).* have hired.the sub-contractms ❑ 2.❑ I am a sole proprietor orpartner- _ listed on the attached sheet 7. ❑Remodeling shop and have no employees - These sub-contractors have $. ❑Demolition r - Q employees aadha�e x�aders womb for sue in any capacity mP ' [No workers' comp.insurance comp-insu anml g. ❑Budding addition required-] 5- ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am.a homeciamer doing all vlrork officers have exercised their 1 L❑Plumbing repairs oradditions myself o workers' right of exemption per MGL �' � - 12.❑Roof repairs , insurance required,]r c.152, §1(4�andwe have na employees-(No workers' 13.❑Other camsp.insurwxerequired-j •Any WKcasrt fat checks box#1 mnst also falcut the section below sbowiag theirwoskere compensationpolky informstion. Someoavners who submit this af#idmit m&catmg they are doing all weak and,dreg hike autside contractors mast submit a new affidavit indica=g smdi fCanrracters Yhat check this box roast attached as addid ad sheet showing tba nme of the sub-coutwto-rs sad state wheel"ar not tbose entities bay employees.Ifthe sub-contzctors hive employees,theymuTpmuide their workers'romp.policy number. I am art errep1q-wr that is pr4n dbW ivorkers'congmLsatiaii iimiratrce far myr errrp£nfves Be£ow is the policy and job site informafion Insurance Company Name: L Policy*'or Self-ins.Lic- 1��� 3!S ? � p c9—4t;iration Date: `7 Job Site.A.ddre=:39 _ �/� �6`�' City/State/Zip: Attach a copy of the corkers'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 ai inah penalties of a fine up to$1,50 D 00 and/or one-Iyear imprisonment,as well as cih�penalties.in the form of a STOP STORK ORDER and s fine of up to$250-00 a day against the violator. Be advised that a copy of this statement may be fxwa ded to the Office of lavvest gations ofthe DIAA€or- urance coverage verification. .I do hereby ce&fjr na" t e •is ig4penafties ofpet jury that the infotmadan pt m i&d abo w is bat$and correct Sis ature: I?ate: t'1 Phone Ofi%cfa£use only. ,Do not write in this area,to be cornpLeted by c*ortotrn ofciaL City or T'o nrn: PermitUcense if Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CitylT wn Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions r hf&ssaDhmetfs Geheaal Laws chapter 152 requires all empIoyers to provide workers'compensation for their empIoyees. purmg�this statute,an.m plvyee is defined as-"-every person in the service of another under any coitcact of hire, 4 express or implied,oral or writteu." An errrplvyer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a Joint enterprise,and including the legal representatives of a deceased employer,or the receiver or tmstee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling horse having not more than three apartments and who resides therein,or the occapant of the - dwelling house of another who employs persons to do mafi t2 c6,construction or repair work on such dwelling house or oa the grounds or but7dmg appurbt out thereto shall not because of such employment be deemed to be.an employer." MOL chapter 152,§25C(6)also states that"every state or local Rcen sing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildiags in the commonwealth for nay applicant who has not produced acceptable evidence of compliance with the irnsuax nce.coverage regnired." Additionally,MCIL chaptrr 152, §25C(7)states"Neither the commaawtalth nor siiy of its political subdivisions shall enter mto any contract for the performance ofpubho wont ubl acceptable evidence of compliance with the insurance, regzm ements of this chapter have been presented to tha contracting a uthoi*f A-PPlicatzts Please till out: the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if sub-contractor(s)nam s address es and phone n=ber(s)along with their cerii�cate(s) of ecess l )� address(es)n �Y�supply r() .e( than the to ees other o LimitedLiability-Partnerships LP withno emp y Co antes r (L ) msrrrance_ Lmmr�d Lzabihty Companies(LLC) members or partners,are not required to carry workers' compensation insmmce. If au.LLC or LLP does have employees,a policy is regnaed_ Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confamation ofi„s rrance coverage. Also be sure to sign and date the a a-davit 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 Ir_iial Accidents. Should you have aqY 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-ho ed companies should enter their self-hism--rnce license number on the appropriate Ime. City or Town OfEiciaLs . r Please be side that the affidavit is complete and primed IegJbly. 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 permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current p olicy infOlLlation(if necessary)and under"Job Site Address"the applicant sho71ld•rite"all locations in ( 'or town)_"A copy of the affidavit that has been officially stamped or marked by the city or tows may be provided to the applicant as proof that a valid affidavit is oa file for futm-e permits or licenses A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial ventiu-e (i_e. a dog license or permit to bum leaves eta.)said person is NOT required to complete this affidavit The Office of Investigations would at to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call- The Department's address,telephone and fax number: C_GMMMWaltb�of Massachusetts ' Departmtlnt e&lu(lustLial Accidents. office of 1)[ivegg-atiom 1504.washin tan st=t Boston,MA G� I I I Tf,-L 4 617'27-4900 Cxt 4-06 or 1-9 MAS � Fax 9 f 17-727-7M Revised 424-07 .mas�,��Q vr��t3 t BARNSfABLE, « s 9� � Town of Barnstable Regulatory Services Richard V.Scali,Director „ Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder r - as Owner of the subject property, hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner r Date Print Name . M If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. f QAWPHILESTORMS\building permit forms\EXPRESS.doc Revised 040215. j Town of Barnstable Regulatory Services �oFt T�tj,` Richard V. Scali,Director 0 Building Division BAENSPABM ' Tom Perry,Building Commissioner MASS. 1639. 200 Main Street, Hyannis,MA 02601 �En 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 an individual for hire who does not possess a license,provided that the owner acts as supervisor. 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\building permit forms\EXPRESS.doe Revised 040215 t61AM PST. (GMT-8) FROM: 100005-TO: 15087756688 Page: 4 of 18 t ... RQ® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE r 502015 ,rIS 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 endorsements . PRODUCER FRANK L HORGAN INSURANCE AGENCY INC NAME°T 44:BARNSTABLE ROAD PHONE Fax PO BOX 250 c o a/c No): HYANN IS, MA02601 n DRIESS: INSURERS AFFORDING COVERAGE NAIC# wsURERA: LM Insurance Corporation 33600 INSURED INSURER B: CAPE& ISLANDS CONSTRUCTION COMPANY INC PO BOX 210 INSURERC: CENTERVILLE MA 02632 INSURERD: INSURER E • INSURER F COVERAGES CERTIFICATE NUMBER: 24610723. 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 SUER POLICY EFF POLICY EXP. LIMITS - LTR INSD WVD POLICY NUMBER MMIDD MM/DD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR A A PR 1 S occurrence) $ MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY 0 JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS ( )BODILY INJURY Per accident $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ A WORKERS COMPENSATION WC5-31 S-377540-015- - 5/7/2015 5f7/2016 sTnTUTE. ERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE - E.L.EACH ACCIDENT $ 100000 OFFICERIMEMBER EXCLUDED?- N/A Y/N (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100000 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. This certificate cancels and supersedes all previously issued certificates, only as they relate to workers'compensation coverage CERTIFICATE HOLDER CANCELLATION TOTOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TO THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 MAIN STREET EETMA ACCORDANCE WITH THE POLICY PROVISIONS. I N ' AUTHORIZED REPRESENTATIVE LM Insurance Corporation ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD CERT No.: 24610723 Anne Chandler 5/8/2015 1:54:54 PM (EDT) Page 1 of 1 Estimate 1101 r Date Sep 17;2015 li Cape & Islands Construction Co. y_;_9 4 i 4.4 t PO 3: t .F4 Po Box 210 r Terms # r Centerville Ma.02632 v 508.775.7663 5 Ship�ia r' x r . ,Sh P Date F� r a 'Bill To Mr.Cole C 0a le 38 Eaton Cir. Cotuit,Ma. 428-0827 111121111 11 . . CERTAINTEED Certainteed Shingle Roof 14,332.50 2%Discount$292.50, Regular$14,625.00 Strip existing shingles from roof. Secure any loose sheathing. Install Hicks brand vented aluminum drip edge. Install Wip brand Ice&Water Shield to all eves, rakes,valleys and all protrusions. Install Rhino brand Synthetic Felt Underlayment. Install Certainteed Quick Start starter shingles to all rakes&eves. Install Certainteed LIFETIME Landmark architectural shingles. Storm nail all shingles. (State building code requires 4 nails,we use 6) Re-flash all vent pipes with new boots. Install Rigid Vent II ridge venting. Remove and dispose of all job related waste. leave your property looking like we were never,there! Provide all manufactures warranties and LIFETIME warranty on our labor, if it ever fails due to our workmanship we fix it,forever! It's The Best In The Business. Please note our wind warranty is also the best And longest available ANYWHERE! l j Total $14,332.5..0 ' Signature c '2 r ifie�aor�nxoozcuea�C o�Cac�uaeClb. Office of Consumer Affairsi&Business Regulation ME IMPROVEMENT CIONTRACTOR egistration: fi5936 Type: xpirafionL3/ 016_' . Private Corporatio CAPE.&ISLAND CONSTRUCTf01�1_CO INC. - =i JOSHUA. KOURI _- 55 ELM'AVE. i HYANNIS,MA 02601 Undersecretary Massachusetts -Department of Public Safety " Board of Building Regulations and Standards Cons- �;�u�u ucuv„Supervisor License: CS-074660 JOSHUA X KOiJR,1`'t` PO BOX 210 19 ' CENTERVILLE MA Expiration Commissioner 02/12/2017 4 Lrceiise or reg►stratton yand;:for individul,use only, f before the ezpiratiop date If found'"return to: Office ofConsdmer Affairs`and Business Regulation E 10 Park Plaza-Suite 5170 Boston,lVl-A 02116' v "Id.w hout signature ;a, r r Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991M of ) enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. % www.Mass.Gov/DPS For DPs.Licensing information visit: Engineering Dept.(3rd floor) Map U. Parcel �l`� Permit# /� House 3F Date Issued C) l k�' 98 Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) 991- 6� 'C�- ee"� -1 37 Conservation Office(4th floor)(8:30-9:30/1:00-2:00) - Planning Dept.(1st floor/School Admin. Bldg.) �tME mite P1 proved by Planning Board 9 7-3 t - ? �." BARNSTABLE, -ry /ecse°t` /—/J�'= TIC UST BE TOWN OF�BARSTABLE° aLLE MP S LIAI�9CE r 1 WITH TITLES Building Permit Application ENVIRCNVE NTAL CCCE AND Project Street Address �J AA !d Al T T p Ra � Village' a'D 7 U ! j 4 Owner.° ! l{//�1• CQ�tj'L� '' • Address /6 79• S •Telephone 7 Z/— l0 (-lU ,.Permit Request 7-0 (fOy U 57kJ/G7' S lN6iC r1J/h/4-Y NE t First Floor square feet Second Floor ► �O 37 square feet Construction Type 4/00 A /-4/)✓�� Estimated Project Cost $ /Q"o(; 3-7 Zoning District Flood Plain C Water Protection GD P Lot Size J./ 7 /JC Grandfathered ❑Yes ❑No Dwelling Type: Single Family 5d'-" Two Family ❑ Multi-Family(#units) Age of Existing Structure IV-041 Historic House ❑Yes (fo On Old King's Highway ❑Yes UKO Basement Type: full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) /YoFo Number of Baths: Full: Existing New o2 Half: Existing New 7 No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count 5— Heat Type and Fuel: U(Gas, ❑Oil ❑Electric ❑Other Central Air dYes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes f io Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) .2-CA/Z a Yx 2.3 ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 9 No If yes, site plan review# Current Use V4C,4A1T LO 7` Proposed Use XAFS 19iFA/CE Builder Information Name YS!�� �D�o Telephone Number `7 7/` /a q0 Address B 0 x. Q S' License# 100 5-6 I CYAIZ Af_A- ✓IU-F Home Improvement Contractor# Worker's Compensation# 7C? 0?9 0 l /d y(J NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ie#Uk2 SIGNATURE DATE BUILDING PERMIT DENIED FOR THE'FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. S-4- DATE ISSUED MAP/PARCEL NO. - - ADDRESS VILLAGE OWNER ; DATE OF INSPECTION: FOUNDATION FRAME !' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL M PLUMBING: ROUGH FINAL GAS:! ROUGH+ .-- FINAL FINAL BUILDING DATE CLOSED OUT,-. ASSOCIATION PLAN NO. t _ i /v � M G � O SZ 1c FoofJDq"noki 4 / CE,2T%�/EIS OLOT O�,q,U f C� eT/may T/-,AT Tf-/,C- 'ZI C-47-/OTC/ (:�-v Tv I iT S�iOWN/�E,eEO�(/COrI'/pL YS �//Th' S•CA Z G— /=� �o� oA 7-� 7. 9 g T"/./�s•/O�.0/iV� A.</O SETBA CK .�EgUreE�-lE�c%7-S O/z- 7-A49 TOWA/aF 13r4 2/%1,57 4$L& A,t/O /S' �167- <ocA T�� WiTy/mot/ TyE .�Loar�,oLA/,f! �L ,e ;?-?2 Z�>,4 7f�/S �.C�7.t//S �t/aT B,4SE"O Get/;4it/ ,2EG/STE,eEO L�{.�/p SU.eY6yar� l/SEp Tz� /it/�S yS'/DE �U/t�i ciC 410 �uG FAMIL:( Q�RLY�K r E PLA i-L ON BAGEL qo 6A¢33A`c LOT -PAat-`f tw = 3 x Rio =.33oGPp SQT1C TANL'. - 33O)(?m s GGO 6PD Uz,v1500 GAL. 4'PvG P►P� 3 cuLTsr- za:wu 's3OcAAA*IeE�0914s' MF — Ar-FU CA110W AZEA 2 'D; -t T. 2c' =--- --� 3 o GPD =44b SF •� 25 ,(PPLiG�,-�oN AV-CA vrAM&" PLa N -v I t=yv - LF-A.C4(W-- 64AMBEe5 Stt�V/AL1_ AtaEA= :5 xZ x2=149 sF o1-rOM ARC = 1 Z i Z-T ='300 T -Tan4L Am4 s 446 sF Fi u►sN G�,a�► PE2z0LATw4 N OF � soil c�� I Q t 4 �.. 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'`�±� �' , _ �.. ...�:: G xJ ,• � ,.�- oST>�tzVfLL6 MASS. oFF5f � VV-0m $VfLD1W.6 SACLXP NOT' Btz APPVCA.N'r: 1�jA SII�� PiUICA(c'TZS L>,5M Tb G6TA15t.41614 PRope2'ry SA s0uS BO iLPM TMC. oc, !�,�qqg Rio f IS As, �P i i kti LoT 52 CPb o �.P- A' ,ram • ��' ,�'."'" •S /' IR Lor A a 53SO' LOT 'M +E q _ e,� IWOr �� ' 6rP•1; -` ��.I,14fRli<S 40 r' lot ,J41 �, yq `1— bE LOT t .44 MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 . 0 Checked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 10-8-1998 DATE OF PLANS: 10/1/98 TITLE: LOT- 53 EATON COURT, COTUIT PROJECT INFORMATION: OTUIT BAY SHORES COMPANY INFORMATION: BAYSIDE BUILDING COMPLIANCE: PASSES Required UA = 524 Your Home = 426 ' Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1548 30. 0 0 . 0 55 WALLS: Wood Frame, 24" O.C. 2782 i9.-8 3 . 0 143 GLAZING: Windows or Doors 423 0 .350 148 DOORS 18 0 .350 6 FLOORS: Over Unconditioned Space 1548 19:0 74 ------------------------------------------------=`------------------------------ COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125°; of the design load as specified in sections 780CMR 1310 and J4 .4 . Builder/Designer Date i /f MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 0 LOT 53 EATON COURT, COTUIT DATE: 10-8-1998 Bldg. Dept . Use CEILINGS: [ ] 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 24" O.C. , R-19 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0 .35 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: [ ] 1. U-value: 0 .35 Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with. no penetrations or installed inside an appropriate air-tight assembly with a 0 . 5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors . MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to R-8 . 0 . DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts . The HVAC system must provide a means for balancing air and water systems . TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 12501 of the design load as specified in sections 780CMR 1310 and J4 .4 . MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems . ----NOTES TO FIELD (Building Department Use Only) ------------------------- I � r ! :J�P If'o)JL lrro7lrnCn��� O /f!rJ.ln(•�rrJrl�l DEPARTMENT OF PUBEIC SAFETY CONSTRUCTION SUPERVISOR tICENSE Number: Expires: Restricted To: 11 BRIAN T DACET 62 FERNBROOK LN CEMIERVIIIE, MA 02632 :17:1050 Restricted To: 11 BB - 35,601 cf enclosed space I (M61 C.112 S.61t) IA - Masonry only 16 - 1 6 1 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. r COMMONWEALTH OF N ASSACHUSETTS c DEPARrMFEv'T OF INDUSTRIAL ACCIDENTS 600 WASHINGTON STREET -ames Camcoei, BOSTON, MASSACHUSETTS 02111 zor-:-,,ssicne• WORKERS' COMPENSATION INSURANCE AFFIDAVIT Oicenscelperminec) with a principal place of business/residence at: (Gry/St3tc/Zip) do hereby certify, under the pains and penalties of perjury, that: [xy I am an employe: providing the following workers' eompe:tzrion coverage for my emplovices working on this job. AWIN01-1h C150JL7y 7c.gt oa 2 /ql loyl Insurance Company Policy Number [ ) 1 am a sole proprietor and have no one working for me. [ ) 1 am a sole proprietor, general contractor or homeowner (circle one) and have'hired the cont-ractors listed brow who have the following workers' compensation insurance poiic= Name of Contractor Inn imrice Company/Policy Number Name of Contractor Insmnec Company/Policy Number Name of Contractor Insurance Company/Policy Number 0 1 am a homeowner performing all the work myself. NOTE: Please be aware that while homeowners who employ persons to do maintenance,construction or repair work on dwelling of not more than three units in which the.homeowner also resides or on the grounds appurtenant thereto are not gener-0v considered to be ernplovers under the Workers' Compensation Act(GL C 152,seer-.10)), application by a homeowner for a lice:se or permit may evidence the legal sutus of an employer under the Workers'Compensation Act. I understa.-Id that a copy of this statement will be forwarded to the Depar-. .:of Industrial Aedderiu'Ofnce of 1nsu:ance for eove:a:: vc;rication and that failure to secure coverage as required undo:Section 25A ol-MGL 152 can lead to the imposition of criminal per.L i:s eonsisdng of a fine of up to S1500.00 and/or imprisonment of up to one ye::nd dvtq penalties in the form of a Stop Work Order ar.- Fine of S100.00 a day a€sins: mc. Signcd this day of 19 Liccnscc'i'crmittcc Licc:isor/Pcrmictor : , SUBCONTRACTOR'S INSURANCE ENGINEEER: BAXTER & NYE ENG: (L) FIREMENS FUND - S30MXX80564866 (W) LIBERTY MUTUAL - WC1312595563023 WELLER & ASSOC: (L) NAT'L GRANGE MUT.- MSP45246 EXCAVATION & SEPTIC: ROBERT J. OUR (L) U S F & G - 1MP30109550901 (W) U S F & G - 771521695 DECO CONSTRUCTION (L) TRAVELERS - 660364K8342 (W) LIBERTY MUTUAL - 312446298044 FOUNDATION: BAYSIDE FOUNDATIONS: (L) COMMERCIAL UNION - ABR406267 (W) LIBERTY MUTUAL - WC1312201785044 WELLS: DENNIS SCANNELL •(L) TRAVELERS - 660873E5627COF92 (W) WAUSAU - 151300062926 CELLAR/GARAGE FLOORS: MICHAEL BROWN: (L) AETNA - MP0023672849 FRAMERS: ROBERT DORRER: (L) TRAVELERS - W6-80526K991TIA9 (W) AETNA - 006CO023972416C MICHAEL. DUFFLEY: (L) COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL - WC1312492127024 MASON: SHERMAN, WAYNE: (L) COMMERCE INS CO - N60689 (W) WAUSAU INS - TO BE ASSIGNED ELECTRICIAN: CHAVES ELECTRIC: (L) HANOVER INS. - LHN2964649 (W) MISCELLANEOUS INS CO. - 0708878 91 1 PLUMB & HEAT: WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9 (W) EASTERN CASUALTY - POLICY IN MAIL ALARM SYSTEM: BALTIC SECURITY: (L) FIRST FINANCIAL - FF0131 G400831 (W) COMMERCIAL UNION - CB0743379 CENTRAL VAC: VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045 INSULATION: MAP INSULATION: (L) AMERICAN STATES - 02CC326435-3 (W) U S F & G - 7711099932 SHEETROCK: MEL REED: (L) WORCESTER INS - CB817530 (W) COMMERCIAL UNION - CBH557387 INTERIOR TRIM: DAVID'S REMODELING: (L) COMMERCIAL UNION - NB F821442 M & R CARPENTRY (L) MARYLAND INS. GRP- SCP30235965 (W) CIGNA PROP & CAS.- .C80049997 OAK INSTALLER: ROBERT BUDDEN: (L) NORTHERN ASSUR. - NBF528652 PAINTING: CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF (W) AMERICAN POLICY - WCC 186604 GARAGE DOORS: ALL, CAPE GARAGE DOOR: (L) U S F & G - BSC14667590301_ (W) COMMERCIAL UNION - CBI-I573757 STORMS & GUTTERS: ALUMINUM PRODUCTS: (L) AETNA - MP0021014146 (W) AETNA - JC89258880 OAK FINISHER: AMERICAN FLOORS: (L) TRAVELERS - 680 342W754-0 CARPET, VINYL & TILE: CARPET BARN: (L) VERMONT MUTUAL SBP6507393 (W) PHOENIX INS. - 6NUB476J652794 TILE INSTALLER: TONY AVERINOS: (L) ASSURRANCE CO. - CFP26528977 (W) HARTFORD FIRE - 77WZCY2409 WIRE SHELVING: CAPE COD CLOSETS: (L) U S F & G - BSC146983441 APPLIANCES: KITCHEN APPL MART: (L) FIREMENS FUND - AZC80453098 (W) HARTFORD INS CO - 77WZNB1603 MIRRORS & SHOWER DOORS: L & M GLASS : (L) COMMERCIAL UNION - CBR409003 (W) U S F & G - 0071439933 LANDSCAPE & SPRINKLER: COY'S BROOK: (L) COMMERCIAL UNION - ABR345850 (W) CIGNA COMPANIES - C41138178 DRIVEWAYS: NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18716945 (W) THE PHOENIX - UB387K530 A - I i . opg. } c9 t U 9 O < W_ C O - J O G A S1 ��s c G .r-d ,S-Q b S I o d e c k r-e7+/r .]9 J/.- „e ,/f .]p J/1 _ 71 J/�,er .� i- -i 1 b vdo9F'<�� - - - - c_ S I U dm i' _ P pp ^� 7232-ry Ier gM¢c�g caa iL 1 107 J/P.et o living ,ecr cELA4 ; dining k mnr'rr I bedroom f I, I' yr .]9 J/: +C�IY'17 1�zT1'_�1 _________�_________ W b r i d family Q vµTm c', � --- - �-}'- --------- / b C - .� kitchen powder .ewc Its ,/r sv J/: on¢7a) _J _ S b l , s-a r_r 1 3 E9 4 b m 1 ....... •1 ]-� " � I I I I I I' I I 1 1 1 1 1 I I I I I rr��r I � „� �F '. foyer,4� I I I I I I I ! 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