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HomeMy WebLinkAbout0175 EISENHOWER DRIVE / '76 ' I 1 } 1 _ t Town of.Barnstable G WE Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-62��0 1 PERNIIT# I I C�� "FEE: $ ter! SHED REGISTRATION 200 square feet or less v y i UV � s n i ho rv,er pr Cv t)i f Location of shed(address) Village N/ CK CC 0 U SOg- 2 8 r j3 Property owner's name Telephone number PW CJ::C_ 12C Size of Shed Map/Parcel# 4 12 - 23^tall Signature Date Hyannis Main Street Waterfront Historic District? r Old King's Highway Historic District Commission jurisdiction? C-onservatian+@oiimss�onsatas Sig ,hatcrs` r�C-anserBD-�9: 11?5Bi (10_ PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAYBE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:042911 t ;I 143 67' r 0 �o MAP 39, PARCEL 126 24 51.D9' 0' #175 EISENHOWER DR. BARNSTABL&. MA w PROPOSED ,. 24x26' Q ADDITION PROPOSED . 18'x16' LP @O DECK EX o ° EX. DWELLING ANK DECK EX. PORCH n h SEPTIC SYSTEM sHowN IS DRAWN FROM DESIGN PLAN ON FlLE AT THE TOWN HEALTH DEPARTMENT . LOT AREA 21,914 SF EX. DWELLING AREA— 1010 SF EX. LOT COVERAGE= 4.69 PROP. LOT COVERAGE= 10.9% CERTIFIED PLOT- PLAN PICCOLO RESIDENCE I CERTIFY THAT 7HE IMPROVEMENTS SHOWN of w� 1175 EISENHOWER DR. HAVE BEEN LOCATED WITH AN INSTRUMENT ���`�� ss9c . BARNSTABLE, MA SURVEY. i- ROBE ti� DATE JAN. 4..2005 DRAWN: RBS o SYKES SCALE:f"=30' `OB It E00585 TNo. 35418 y DWG. CPP EASTBOUND LAND SURVEYING, INC. P.O. BOX 442 RdBB SYKES, .LS DATE FORESTDALE, MA 02644 508-477--451 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION t Map'',, ! Parcel �`� Permit# ,��`� Health Division �° �� fe�.r� ��. �3�ns� Date Issued 201.5 QJ Conservation Division < S, // ��j / Application Feed °° Tax Collector Permit Fee Treasurer P Planning Dept: EXISTING SEPTIC SYSTEM Date Definitive Plan Approved by Planning Board LIMITED T0, L #OF BEDROOMS Historic-OKH Preservation/Hyannis _�_IGO,Urr S.er► oA P'a�oor; Project Street Address Village Owner /G yU/cGe L 67 Address M)O& Telephone Permit Request S 7D,P D/�® �1 T/Y Square feet: 1 st floor: existing I-00A proposed &Z-L 2nd floor: existing 1608 proposed ~"�l Total new (o Z- Zoning District Flood Plain' Groundwater Overlay Project Valuation Construction Type `c Lot Size 191 q Grandfathered: ❑Yes 21"No If yes, attach supporting docume tation, Dwelling Type: Single Family i1 Two Family 0 Multi-Family(#units) Age of Existing Structure 20 )(i?S Historic House: ❑Yes UW On Old King's Highway: ❑Yes UWu r Basement Type: &(ull 0 Crawl 1, alkout ❑Other Basement Finished Area(sq.ft.) No N- Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new I Half:existing new 0 aN✓S Number of Bedrooms: existing G w �_ 7-0 77 Total Room Count(not including baths): existing 7 new First Floor Room Count Heat Type and Fuel: ®'Gas 0 Oil 0 Electric ❑Other Central Air: ❑Yes Lb,<o Fireplaces: Existing Now-- New 2. Existing wood/coal stove: 0 Yes 2<0 Detached garage:0 existing ❑new size Pool: 0 existing ❑new size Barn:0 existing ❑new size -- Attached garage:O existing ❑new size ~— Shed:O existing 0 new size -' Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded 0 Commercial 0 Yes Cklo If yes,site plan review# Current Use i r'��<t f}-t� Proposed Use BUILDER INFORMATION NameG, �S,P�iL� 5, 5 Telephone Number Address z �,� � 4261 License# 4_/0 33�� &Xzzl�,S J 1 Home Improvement Contractor# /®/,!�,/Y r Worker's Compensation# W� yO� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE / DATE FOR OFFICIAL USE ONLY PERMIT NO., DATE ISSUED MAP/PARCEL NO. ADDRESS - VILLAGE - • i 3 OWNER .= ' DATE OF INSPECTION: .z FOUNDATION Cal c �ftw 4Z6)65—, g, . , FRAME O J INSULATION 6S, FIREPLACE ' ELECTRICAL: ROUGH FINAL P m PLUMBING: ROUGH FINAL 5 GAS: ROUGH a FINAL f m cr FINAL BUILDING f2 DATE CLOSED OUT ASSOCIATION PLAN NO. co r i 143 67' co 0 �o MAP 39, PARCEL 126 � 24 51.os' #175 EISENHOWER DR. BARNSTABLE, MA � N � 7 PROPOSED 24'x26' p ' ADDITION Q PROPOSED • rY '{rv , '�"' LP 18'x16' � UO + . DECK .;. EX n `'--'TANK EX. DWELLING O DECK T EX. PORCH n h SEPTIC SYSTEM SHOWN IS DRAWN FROM DESIGN .PLAN ON FlLE AT THE TOWN HEALTH DEPARTMENT LOT AREA 21,914 SF EX. DWELLING AREA- 1010 SF EX. LOT COVERAGE= 4.6% PROP. LOT COVERAGE= 10.9Z CER TIFIED I'L 0 T PLAN PICCOLO RESIDENCE I CERTIFY THAT THE IMPROVEMENTS SHOWN aF N #175 EISENHOWER DR. HAVE BEEN LOCATED WITH AN INSTRUMENT �P��� Ass90 BARNSTABLE, MA SURVEY. o`'� ti� DATE. JAN. 4, 2005. DRAWN. RBS kow ,* SCALE.1"=30' JOB * E00585 c SYKES DWG CPP No. 35418 y o o EASTBOUND LAND SURVEYING, INC. oy P.O. BOX 442 ROBE SYKES, P.[,?' DATE FOR ESIDALE, MA 02644 508--477-4511 `� ---=` The Commonwealth of Massachusetts Department o� De artI '_-_ p f Industrial Accidents i i = Office e11nsesti9atieffs 600 Washington Street - - ;% g Boston, Mass. 02111 Workers' Compensation Insurance Affidavit A liea-nt ::� name: A// ,L�_/�l G O address: „��a )1/� city Gd 71// 7- state:/�'/ zip• 02— 3? phone# work site location(full address): ❑ I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. company name: Z/4ettf— Li?9_,9,aZe OAIr ��$IPS address: ,7 .11L Le-a 4Z& A42 city: Ysl/d!/'`r` phone# insurance.co./?,�5aal r°i L4 C olic. # W f4,— I am a sole proprietor,general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name address city. phone`#• insurance co.. policy# company.name•. address city: phone%N: insurance co. Policy"# Ahab h'ailure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$I,500.00 andlor one years'imprisonment as well as civil penalties in the form of'a STOP WORK ORDER and a fine of$I(1(1.(10 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations ot'the DIA for coverage verification. R I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Date Print name G !J Phone# • official use only do not write in this area to be completed by city or town official s city or town: permit/license# nBuilding Department ❑Licensing Board z ❑ check if immediate response is required ❑Selectmen's Office []Health Department contact person: phone#; f 10ther (revised 08/12/03 P1A) 1„ IR l I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code f Permit # I MAScheck Software Version 2.01, I I I Checked by/Date I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non;Electric Resistance) DATE: 1-3-2005 PROJECT INFORMATION: Nick & Sharon Piccolo , 175 Eisenhower Dr. Cotuit, Ma. COMPANY INFORMATION: Home Improvement Specialists 25 Iyanough Rd. Hyannis, Ma. 02601 508-775-2815 COMPLIANCE: PASSES Required UA = 122 Your Home = 105 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 624 30.0 0.0 22 WALLS: Wood Frame, 16" O.C: 557 13.0 0.0 46- GLAZING: Windows or Doors _ 51 0.340 '17 FLOORS: Over Unconditioned Space 624 30.0 0.0 20 ------------------------------------------------------------------------------- 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 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 �o� MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2:01 DATE: 1-3-2005 Bldg. l Dept. l Use { I CEILINGS: [ ] I 1. R-30 I Comments/Location I WALLS: C ] I 1. Wood Frame, 16" O.C., R-13 I Comments/Location I WINDOWS AND GLASS DOORSt [ ] I 1. U-value: 0.34 I For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ J Yes [ j No I Comments/Location FLOORS: { ] i 1. Over Unconditioned Space, R-30 Comments/Location { I 'AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: i 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. { 2. Type IC rated, 'in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been.tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. I VAPOR RETARDER: [ ] -1 Required on the warm-in-winter side of all non-vented framed I ceilings, walls;' and floors. - { -MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can i be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be - I provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. I DUCT INSULATION: ( ] { Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the ( manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I TEMPERATURE CONTROLS: ' [ ] I Thermostats are required for each separate HVAC system. A manual { or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the .heating/cooling system is ► not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. [ ] I SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. i [ l I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : I W . i PIPE SIZES (in.) ( HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 1 Steam condensate' any 1.0 1.0 ' 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 [ ] I CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.) : i PIPE SIZES (in.) I NON-CIRCULATING •I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.2511- 1.5-2.0" 2.0+" J 170-180 0.5 I 1.0. 1.5 2.0 I 140-160 0.5• I 0.5 1.0 1.5 i 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- i BoaIof'$nV1 09�Fg—M,I an tan -.4 HOME IMPROVEMENT CONTRACTOR Registration: 101014 Expiration:. 6/24/2006 Type: Private Corporation CAPE COD HOME IMPROVEMEN AoWMacLaughlin 1 25 lyanough Road Hyannis,MA 02601 Adarinistrator t ✓�ie'tAo�m�non��/�`T•"6(oe�or/urte�'a BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 010350 Birthdate: 07/23/1941 - Expires:07/2312005 Tr.no: 13M Restricted: 00 ROBERT A MACLAUGHLIN �' / 25 HARVARD ST L4� S YARMOUTH, MA 02664 Administrator it a y °ZVE ro Town of Barnstable Regulatory Services + BARNST = Thomas F.Geiler,Director 9 MA$s.S. $ � En Ma. &.. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 r - Property Owner Must.Complete and Sign This Section If Using A Builder I, /G � fZ 4 G a G U , as Owner of the subject property hereby authorized f���/ ? o act on my behalf, in all matters relative to work authorized by this building permit application for(address.of. job) 1C� Ge�T�` T N; ,J o y�o Signature pf6tv4r Date �c 1 LCCz t Print Name - } RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $ 50.00 Alterations/Renovations $ 50.00 65b.�a Building Permit Amendment $25:00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot.= x.0041= plus from below(if applicable) GARAGES(attached&detached) a (o ZV - square feet x$32/sq.ft._ q(e x.0041= O $7 ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf. 75.00 >1000 sf= 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck.._. ... _. ._ x$30.00= 36, (number) Fireplace%Chimney x$25.00= (number) - Inground Swimming Pool $60.00 Above.Ground Swimming Pool $25.00 Relocation/Moving $150.00 " (plus above if applicable) Permit Fee Projcost 4 j G, o 0 Rev:063004 .. ,,...lawn. .fvu-awacvuuf I u.rMa l-:fuo'i f:T000f, ', LAMC. 111kaz NJ 11"W: f 1:"J W f N ►'a9C 9 0T a 80M BC CALL®2003 DESIGN REPORT -US Monday,January 10,2005 11:28 Single 16" BCI®900s SP File Name: CC Home Improy_Piccob.BCC:J01 Job Name: Nick&Sharon Piccolo Description: Address: 115 Eisehhawer Drive Specifier. City,State,Zip:Cotuit,MA Designer. Joe Madera Customer: Home Improvement Specialists Company. Shepley Wood Products Code reports: NER 594,ICBO 5208 Misc: 3 2 1 Stnnda�d LmW-40 psr 110 pd OC Speeing 16- a< , `Pb''�f:2 ac- k2 jk g .r F OR 60,1-3/4" B1,1-314" 1095lbs LL 7451bs LL 5501bs DL 250 lbs DL Total Horizontal Length-24-00.00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value OCS Dur. S Standard Load Unf.Area Left 00-MW 244X0-00 Live 40 psf 16" 100% Member Type: Joist Dead 10 psf 16" 90% Number of Spans: 1 1 Conc.Lin. Left 044116-00 04-06-00 Live 360 pff 16' 115% Left Cantilever. No Dead 180 pit 16" 900/0 Right Cantilever. No 2 Conc.Lin. Left 04-06-00 04-Moo Live 0 pif 16" WA Dead 60 pff 16' 90% Slope: 0112 3 Conc.Lin. Left 04-06-00 04-WOO Live 60 pff 16" 100% OC Spacing: 16" Dead 120 pff IT 90% Repetitive: Yes Construction Type:Glued Controls Summary Control Type Value %Allowable Duration Load Case Span Location Live Load: 40 psf Moment 7425 Bibs 53.0% 115% 3 1 Internal Dead Load: 10 psf Neg.Moment 0 ft4bs n/a 100°k Partition Load: 0 psf End Reaction 1645 lbs 97.0% 115% 3 1-Left Duration: 100 Total Load Deft. U448(0.642") 53.5% 3 1 Live Load Dell. U638(0.451") 75.2% 3 1 Disclosure Max Deft. 0.642" 64.2% 3 1 The completeness and accuracy of Span/Depth 18.0 r9a 1 the input must be verified by anyone who would rely on the output as Cautions evidence of suitability for a Web stiffeners are always required under concenrated loads that exceed 1000 lbs. instal the particular application. The output web stiffeners snug to the top of the flange.Follow the nailing schedule for intermediate bearings. above is based upon buikfing code-accepted design properties Notes and analysis methods. Installation Design meets Code minimum(L240)Total load deflection criteria. of BOISE engineered wood Designs meets User specified(U480)Live bad deflection criteria products must be in accordance Design meets arbitrary(1")Maximum load deflection criteria with the current Installation Guide Minimum bearing length for BO is 1-3/4". and the applicable building codes. Minimum bearing length for Bi is 1-3/4". To obtain an Installation Guide or if Entered0splayed Horizontal n L you have any questions,please call , , en gftt(s)=Clear Span+12 min.end bearing+12 intermediate bearing (800)232-0788 before beginning product installation. SC CALCS,BC FRAMERS,BC16, BC RIM BOARDT",BC OSB RIM BOARDT",BOISE GLULAMTT', VERSA-LAMS,VERSA-RIMS, VERSA-RIM PLUSS, VERSA-STRAND'". VERSA-STUDS,ALLJOISTS and AJST"are trademarks of Boise Cascade Corporation. Page 1 of 1 of T Town of Barnstable Regulatory Services BMMSTABM ` Thomas F.Geiler,Director iOrEp,,,,pva Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the`reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: A®®/ j' eAl Estimated Cost 77�P�� DicO Address of Work/ Owner's Name: Date of Application: L 6 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply a permit as the agent of the owner- Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav Engineering Dept.(3rd floor) Map Parcel Permit# House# /�JS� Date Issued Fee Rs o - i . THE PIF T -- 1111 A111�1 'ILLS Trr"rC1:F0y riaiuuu BARNSTABLE, MARSL TOWN OF BARNSTABLE -� 1 > ' Building Permit Application Project Street Address Village Owner j Address Telephone Permit Request . i ` First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ /75-D Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement-Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name C�e w� Telephone Number Address `71 774.t't License# cc)`:-L, .12,1Iq Home Improvement Contractor# Worker's Compensation 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 SIGNATURE - DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) f � FOR OFFICIAL USE ONLY Y PERMIT 1 }' DATE IS EDk . y ` 7 k ' MAP/ A CEO NO ADDR S VILLAGE OWNER DATE F� SF E N: ; FOUND A RION W FRAME t INSULATION at j FIREPLACE ELECTRICAL: ROUGH FINAL 1 s t PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING t DATE CLOSED OUT k ASSOCIATION PLAN NO. ; h The Commonwealth of Massachusetts Denartment:of Industrial Accidents l� OfliceoJlnvestfgat/ons '\�^ i.?#;•.�%i'^�J 600 N pahnt-lon Street Boston. Mass. 02111 Workers' Compensation Insurance Affidavit ►�plicant information• Please PRIIVTle�i � " '' name locition �� t111�GCi✓� ( `/i city 064-cu —7( /H& phone#I ❑ 1 am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity 7«-.�•.' Y"7^' .'R".,s.t.'+awura'�.i(>'. ,"-?9 '""5sR`ax a�'iTT •«A w!•.�...:�'?a'rilr•. .,r..nr•,•.,4•- I am an employer providing workers' compensation for my employees working on this job. company name: address: city: / /'� phone#•, ' Policy insuranceCO. "`—t a # ,.; ,... ...<. ,.. ..... .a.-.•y-,..-.t�:m.�r w.�..ae-.r.:..{.a,�vu..•w-f•X,vs;•�",f s�.�'..- a,,,�, ..»-.off, ..-'L•:!, ~~�.,.r• . I am a sole proprietor, general contractor,or homeowner(circle one and have hired the contractors listed below who have the following workers' compensation polices: comijany name: address: city. phone#• insurance co policy# !; a ... l7,:di'«: s.1..�; .•r,."y`;•- ="'.f+-Y tigr,.R^.,. r -e^- ..ee:7^;y-s•—^. - SFr.v.A^•-�.,�Orr.:.^�. , r�epif ;7x1*•xqr_cy.., -.!e.;•-.•..^--^{' ...�._..._.,e.... ..�._ ....a• a.r«. .�::1..►waal:.�+a1c + "' r_�^. a..i.t�x.us company name: — address: city: phone#• insurance co policy - ..._ :Attach additional sheet if necessa �:"��f�':t;�•��•�",F- ���rc. �;-••� •. �/�` ^'" '"'� 'r �-=�'`M' "'•'`�`'-� ..�,u, +adalrut�i ,Wt-e-a^- � :�siisil'uis1�•�--`+•• ..arm —`a.'~�iitC�..feh:c Yia: Failure to secure coverage as required under Section 25A of DtGL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP N1'ORK ORDER and a fine of 5100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do bereht'certify it er the ai an p allie of perjury that the information provided above is true and correct. Sienature Date Print name YQ- Phone# . �ofGcial use unl_v do not write in this area to be completed by cih•or town o(Ticial :� city or town: P crmit/license riBuilding Department oLicensing Board check if immediate response is required c3Selectmen's office [311calth Department contact person: phone#; pother _F Ire%lsed 1'95 P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under anv contract of hire, express or implied, oral or written. An enrpl(►ver is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing enLa��ed in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling; house having not more than three apartments and who resides therein, or the occupant of the dwellino house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the -rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that even,state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant,who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the comm oil weal th nor any of its political,subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. to Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. , x M ,City or Towns Please be sure that the affidavit is complete and printed legibly. Tile 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of investigations would like to thank you in advance for you cooperation and should you have any questions, ,please do not hesitate to give us a call. . �-•. ..,,_,...-._,—•-s.,.y+. _..... ter-,-r.,•v-�na•.....,v>s,:-rc..- -.>....,.e..iw.y.R- '.T.w ++�r,G...R�...:.r�-c-'^-='-';r;-.r!..`..u.ns-nr!+.+i,.r•s-?r:?wt.{fir rn-v, •,,�'+ws-�..-�....,• - - Tile Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 °F IHE 1p� The Town of Barnstable 9� 1659. ���' Department of Health Safety and Environmental Services p'E� " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: Est.Cost Address of Work: G C Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Da Contractor Name Registration No. OR Date Owner's Name TOWN OF BARNSTABLE permit No. 27835 Building Inspector Cash ------------I--- OU16 1619. OCCUPANCY PERMIT, Bond x Ak Issued to Nick Piccolo Address Lot 245 17,5 Eisenhower Drive, Cotuit Wiring Ingpector Inspection date Pl umbing inspecto/K Inspection date 7 Gas Inspector Inspection date Inspection xEngineering Department date,. Board of Health Inspection date q- 02. PJ THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ................................... 19- —................. ----------- ----------........... Building In7speetor b � �,,� '°•.ew TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING rua i619. HYANNIS, MASS. 02601 �o r�r►' MEMO TO: Town Clerk FROM Building Depaartme t�—O' . DATE: An Occupancy Permit has been issued,for the building authorized by `� wh Building Permit $ _ .L_ -------_--- ........_................................„.». ---------- ----------- C t� l � issued .to - -� Please release the performance bond. I F j r /7 3o-O yw� i ��NOFM P w�uiAM WAR71 SURq Assessor's map and lot number Jh.i('..... .. .. ...........G.C?.� - i THESEPTIC SYSTEM MUS T � _ Sewage Permit number ..............� INSTALLED I� C�MpLI g // ITH TITLE 5 Z BARNSTABLE, � 1 - r rasa House number .................... .. ................................................ ENVIRONMENTA-L CODC oo,";Fi,639. s� -� /JWIN2 ,Mw py ? i_ 'FOYPYpr TOWN OF BARNSTABLE ' BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... t7..... 4?.�.....4Ov5.!;F............:......... .....© .......... Ot TYPE OF CONSTRUCTION ...... ...............................................: r ...........rn RIB N. 2,J.....19.A. 5. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .4G'.-.....;? ..........E1. �.2........��LLIG�'................................................................................... ProposedUse ...... 51 .► tE....................................................................................................................................... Zoning District ........................./.1.... ..................................Fire District .....Colo ................................................ Name of Owner ..E!�I.G.K...... 1. c.Q.L.Q..........................Addressl....� 4� !' �r 9V� 1�� /����1/l; Name of Builder .AL....... .............Address T.TA19 FV4e...57..........%7. !l�". � ......... Nho Name of Architect ........ ..............................................�Address .................................................................................... Number of Rooms ............... .. .. ....................................................Foundation �4l) l� GO/lr........................... s Exlerior .... ovp..... II .&0.t�.1 ......51...DPQ... .............Roofing .........�7.:�r�. .l�:L.. .............................................. Floors 0> - �s`rYl......i.....�!./.. ....:..............................Interior ...:. h.t F� T"l .�. ............................................. ., ...... Heating .. c.. ......a.,�....... 65..................................Plumbing .................... ................................................... t c.f'—v�Fr� Fireplace ASo.A) I,(� XOD...J.!Cfl�ltApproximate Cost ..................1.!M©................ .... .............. Definitive Plan Approved by Planning Board _-______________19 Area l.. .R...................... Diagram of Lot and Building with Dimensions Fee U�e:. `6 ..... SUBJECT.TO APPROVAL OF BOARD OF HEALTH 6�t/ / OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. n ` , Name I/�I.L-./ 1!)G�.� ! ... ✓G �,-� 1.�/..4! ................. Construction Supervisor's License ..... ......C�/ / 0 P�ILCOLO, NICK yNo ..27835... Permit for .............. ........Single...Famij ...AW �. ??.g............. Location -Lot... ...Drive ................C.Q t N.i t............................................... Owner ......Ni.QX... .?.CG.QUA..........:.................. Type of Construction .....Fr.ame.............I.......... ' ................... ........................................................... ' Plot ............................ Lot, .............................. Permit Granted .......May 3 .......19 85 .......... Date of Inspection .......... Date Completed `3....sir...... . ......19dr 6 . y ` ' 0 MAY TOWN OF BARNSTABLE BUILDING INSPECTOR TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: A. Fireplace Diagram of Lot and Building with Dimensions Fee ...... ................ SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ' | hereby agree to conform to all the Rules and Regulations of-the Town of Barnstable regarding the above construction. ^° �� Name '� � z7 .. ................ ` ^ ` Construction Supervisor's License '_--- i f PICCOLO, NICK A-34-126 �s9 = 39-�a4 No ...2.7.835. Permit for ... . 2 Story Single Family Dwelling ...... ................................................................. Location Lot 2.4..,......175. . ....Eisenh. . . ......ower. . Dr. .. . . .. .. . .... .. .... .. .. .. Cotuit ............................................................................... Owner Nick Piccolo .................................................................. Type of Construction ...Frame ............................ ................................................................................ Plot ............................ Lot ................................ Permit Granted ........May....3....................19 85 Date of Inspection ....................................19 Date Completed ......................................19 16'-0" 6e 7r co 7'-691 Err SMOKE DETECTORS REVIEWED IMPORTANT - UPGRADE REQUIRE Tc r s��/�05-r7��� - - - STATE BUILDING CODE REQUIRES THE iJpGRADING t "AlE SUIL/DIIN--G-D-EPT, `EDATE 0 SMOKE MORE SLEEPING AREAS ORS FOR THE ARERE DWELLING ADDED OR CREAK C� Cp71 r- O s•concrete sons-tube - -- 1NSTALLAATiO SMOKE DETECTORSEQ T�FOR KALE plerssetto4W eloW FIRE DEPARTMENT DATE tug thm> BOTH SIGNATURES ARE REQUIRED FAR PERMITTING PERMIT S -SATISFY THIS REQUIREMENT. Qj O� O a0 • outline lne of Deck Addition.� k 2-2x6 PT "rt !� Joists f @ 16'O.C. C with 514 PT 6•poured concrete Cp —yam— . . decidng f undation wall with V x ri t— 2-poured concrete footings - - - - - - -..- - - - - - - - - - - _ O f (`— M. — — — — — — — — — - - -� I- S U - i i 0 — — — — — — — — — — - - 02 I ' - - - - - - - - - - - - - - - - - - - - - s` 02 � a ca iw o N I I Heat Detector f U LO 2 1,4 r Z 31 2'x 16'BCI • I v I I SW wood•r joists I 16•O.C. I N Existing GarageCD N I I I ( f •� O I I i Smoke o ----- Detector - - - - — — — - - -, - - — — — — - -- CO U r— n-y N N 26 Addition - :. > r 'F~ '� ;�` _ =* _ p ttf L6 Existing Unfinished Basement I i .�� - 0 o I — — — — — — — — — — — — — — — — — — — — — — — L O - - - - - - - - - - - - - - - - - - - - - - - - - -a O 00 w_, LO r n E 0 ss-o - Addition foundation & Garage Plan 0 16'-0" 20'-0" CV o 10 * C c Extended Deck Area CL w co Existing Deck 12'-0" o � i New Walkout New APatio _ �Bay � Door&side � _ =1 -77 dJ — lightso r ® CL BATH � O \ � O � N ROOM O.� O BED ROOM� a.. iD iD O to r O 0 0 - , N Kitchen Dining _ 14 — - - - - - — o .�. room 0 - U 12 7 1/2 v u7 Smoke --- -8 ,5 �� .Smoke , Rom, N. o � Detector f ( ® DetectorCEI o N Laundry _.. - - - - - - - - - - Bath Laundry/_ N o kJ '-� -9 3/8' cq €q�'— Den 0 � co ... — — — — — — — — — — — — — — to CM O Living - U room Co Ln 4' cased - - - o a. u> CO opening Addition _ 26'-0" c a� LO E = Co y -a N O L6 CL t 00 Ln Extended Deck Area Existing House & Addition First Floor Plan 0 a Y a 36'-0" Existing House u7 N { rt to M o 0 — — — — — — — — — — — — — — — N 0no u 0 Walk-in I closet Bedroom a I I I - o Smoke Smoke o Detector so E Detector o i i Smoke I o 0Cj - - - a 0 2 - - - - - - - - -Detector - - - a Ca w o LO U Smoke So I z Detector i Bedroom Bedroom i i No CO cc LO { I E _ � I I 'o � q L - - - - - - - - - - - - - - - - - - - - = - - - - - - - - - - - - - - - - - a E ti Co E o 0 41 o Existing Second Floor Plan `' N Continuous ridge vent N cfl r 2x6 KD ceiling joists @ 16" o.c. w/ 12 10" R-30 FG insul. ci 4 1/2 12 a. o 6 2x10 KD rafters @ 16" o.c. w/ 1/2' OSB sheathing / asphalt roof t shingles & 8" R-30 FG insulation CO o 2x4 KD wall bo 12a studs @ 16" o.c. 242 3 w/ 1/2" OSB c sheathing / vinyl o 0 0 Y) N siding & 3 1/2' Vented Drip Edge YLL; v R-13 FG insul. 3 1/2" x 16" BCI 900 wood "I" joists @ 16" o.c. w/ 3/4" T&G CDX . 8,� poured a sub floor 0 concrete N foundation wall C' w/ 2' x 1' poured footings vi 'c 4" concrete garage slab w/ 6x6 a tO WWM pitched toward garage doors _ a0 9 N \ O` O �t7 -- -C CO N 00 E O "' Cross Section Thru Addition _ t . , N J , VJ t0 fff Im a. or u ® m®m®nn mono O a.: 000®no no®nn® o fl© ®®®®o® 01313130313 2 _ CO Front Elevation Right elevation ca w o Y IL , U o CL LO N N i - N N • +-' C ® N E _ TPH-H _ Al N � N 0 0 t� ITEM CL ti t QO i E O i O C Rear Elevation Left Elevation = A f � N