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0078 HIGH STREET
,� .. I� � / _ _ _ _. .. � � ��. t �, I it i 4 ` I is r �� ICI t I i i ' ! � ,. f 'I ,fir �' � , �.� __ �r�� ja sez ✓fit _ivy- F7CPA- f/e111,-IJ6 Sod- `fa�- 7aa9 h'"' Sob- 560 - 07 Yl �P rtment unt Payover Form TE: 8/13/02 ���� CHARGE SH CHECK TOTAL CODE 360203 938.00 938.00 630102 1,652.88 1,652.88 630103 25.001 704.00 729.00 630105 630102 630116 630101 1,436.001 1,436.00 630106 25.00 • 325.00 350.00 630104 25.00 1,147.50 1,272:50 630107 . TOWN OF BARN T BLE R I S E Division of Thielsch Engineering,Inc. £ PAY I H"3 H: 17 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island02910 aW-T's�N f May 1, 2013 Thomas Perry, CBO Town of Barnstable Building Division 200 Main Street Hyannis, MA 02601 Re: Insulation permits Dear Mr. Perry, This affidavit is to certify that all insulation work completed for 78 High Street has been inspected by a Building Performance Institute (BPI) certified Professional. All work performed meets or exceeds Federal and State requirement. Sincerely Erik Nerstheimer Supervisor of Installations, ' BPI certified Building Analyst Professional and Envelope Professional, RISE Engineering, a division of Thielsch Engineering, Inc. 1341 Elmwood Avenue Cranston, RI 02910 401-784-3700 •800-422-5365 •Fax 401-784-3710 105d42 _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �O Map #� Parcel we � ^.Application L-C&z Health Division Date Issued Z� U Conservation Division Application Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis OIY" Project Street Address 78 High Street Village Cotuit Owner Pat Avellone Z ,AQ1E ,/ 0y1✓ Address 78 High Street Telephone (508)428-7229 Permit Request 8 Man hours of air sealing, install insulation in attic area, install and insulate exhaust hose w/roof mounted flapper vent to exhaust existing bathroom, install 12 lineal ft. of continuous aluminum ridge venting, install 5/4" x 16" soffit vents to attic Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2086.90 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family •.❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: 54existing nevi5size_ ZE Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Others'• ; w � Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# - Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name RISE Engineering Telephone Number 401-784-3700 Address 1341 Elmwood Ave, Cranston, RI License # 100459 Home Improvement Contractor# 120979 Worker's Compensation #WC2-z11-259874-019 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Rhode Island Resource Recovery,,,Joh on, SIGNATURE --- DATE 11/16/09 t 1 FOR OFFICIAL USE ONLY f. V O APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ¢ . PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. { The Commonwealth nwealth of I ass achusetts Department of Industrial Accidents Off of Investigations . 600'Waski ngton Street i�dston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit. Bunlde rs/Cont r°acto ri/Electiricians/PRu> bears Applicant Information - PB aise Print�����➢� Name (Business/Organization/Individual): RISE Engineering; •A Division of Thielsch Engineering Address: 1341 Elmwood Avenue City/State/Zip: Cranston, RI 02910 Phone #: 401-784-3700 or 1-800-422-5365 Are you an employer?Check the appropriate boys:. Type of project(required): I.M I am a employer with - 4. ❑ I'am a general contractor and I 6. ❑New construction employees(full and/or part-time).: have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. t. 7. ❑.Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance.` 9, 'Building addition . [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ L am a homeowner doing all work right of exemption per MGL l I Tl Plumbing repairs or additions .myself..[No workers' comp. c. 152, §I(4),and we have no 12.0 Roof repairs insurance required.] t employees. [No workers' comp, insurance required.] 13.Fx Other Insulation "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. .i 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 their workers'comp.policy information. d am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: The Preston Agency _ Policy#or Self4ris. Laic. #: WC2—Zll-259874-019 Expiration Date: 04/01/ 10- _ Job Site Address: / r /1 City/State/Zip: rjl U Attach a copy of the workers'compensation policy declaration page(showing the policy number.and expiration date). -Failure to secure coverage as required under Section 25A of MGL c.,,152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA.for insurance coverage verification. d do hereby centixunWr the i2iailni (penalties of perjury that the information provided above is true and correct. .. /Signature -tea.% � �'_ 1.' - Date — Erik Nerstheimer for RISE Engineering Phone#: 401-784-3700 or 1-800-422-5365 Ext. 133 Official use only. Do not write in this area, to be co►npleted by city or town official .City or Town: " _ 'Permit/License# Issuing Authority(circle one): 1. Board of,Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: yicensee oetails Page 1 of 1 The Official Website of the Executive Office of Public Safety and Security(EOPS) Mass.Gov Home Public Safety Department of Public Safety LAceaisee Complaints License Type Construction Supervisor, License# 100459 Restriction WS,IC Name Erik Nerstheimer, City,State,Zip North Scituate, RI, 02857 . Expiration Date 3/28/2012 Status Current No complaints found for this Licensee. Back To Search &\ ,per ✓,ie.-tDamirrioouvea�Z o���aQaacJuuet�a _ • _ I <. - ", Bard of Biflldin�Regulations and Standards I License or registration valid for individul use only- HOME IMPROVEMENT CONTRACTOR i. before the expiration date. If found return to: ! Registrat+on- 12097g Board of Building Regulations and Standards Ex ,iat+on J25/2010 One Ashburton Place Itm 1301 P 3 Type Supplemerit Card .,,osti�++,.lala.OZ]:0$ THIELSCH ENGINEERING I ERIK NERSTHEIMER= y 1341 ELMWOOD AVE_ ' -RANSTON, RI 02910 Adm Not valid rn.ist� to r without signz the http://db.state.ma.us/dps/liedetails.asp?txtSearchLN=CSL100459 t 0/)n i')0n0 ' ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID MK DATE(MMIDD/YYYY) THIEL-1 11105109 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF IIZNFORMATIO The Preston Agency, Inc. ONLY AND CONFERS ISO RIGHTS UPON THE CERTIFICATE 1350 Division Rd Suite 303 BOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 810 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW East Greenwich RI 02818-0810 ' a Phone:401-886-8000 Fax-401-885-1700 INSURERS AFFORDING COVERAGE°', P�IAIC� INSURED '. INSURER A: Hartford Underwriters Ins. Cc - - Thielsch Engineering,, Inc ' INSURER B: Hartford Casualty Insurance Cc " Thielsch Group Inc. NSURERC: Liberty Mutual Insurance Grou Hi Tech Realty Inc. y P 195 Frances Avenue INSURER D:Cranston RI 02910 - North''Amercan Capacity INSURER E:' COVERAGES 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 MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICYEXP RATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD DATE MWDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A :X COMMERCIAL GENERAL LIABILITY 02LUNTD5678 - 04/01/09 04/01/10. A i's`A E�S(Eaoccurence)- $ 300,000 CLAIMS MADE ®OCCUR MED EXP(Any one person) . $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,OOO,OOO GEN'L AGGREGATE LIMIT APPLIES PER: p;d PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X' JECT LOC Emp Ben. - 1,000,000 AUTOMOBILE LIABILITY a COMBINED SINGLE LIMIT. $ 1 OOO,OQO B X ANY AUTO , 02UENTD4850— 04/01/09 , 04/01/10 (Ea accident) ALL OWNED AUTOS # i BODILY INJURY $ SCHEDULED AUTOS' . (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ r' PROPERTY DAMAGE' $ ,. (Per accident) GARAGE LIABILITY. AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ 'AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY '. `_ EACH OCCURRENCE $ 10,000,000 B X OCCUR CLAIMS MADE .'62XHUUF6573 04/01/09 04/01/10 AGGREGATE $ 10,000,000 RDEDUCTIBLE +' •. $ X RETENTION $10,0 0 O e ' $ WORKERS COMPENSATION AND! X ITORY LIMITS ER EMPLOYERS'LIABILITY C. ANY PROPRIETOR/PARTNER/EXECUTIVE, { WC2-Zll-259874-019. 04/01/09 04 01•/10 'E.L.EACH ACCIDENT , $ 500,000 OFFICER/MEMBER EXCLUDED?' - _ E.L°DISEASE`EAEMP.LOYE $ SOO-000 ' If yes,describeunder - - - SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000, OTHER , D Professional Liab DVL000025902 04/13/09 04/61/10 Prof Liab 2,000,000 A Leased/Rented Egp 02UUNM5678 - 04/01/09 04/01/10 Equipment 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS F CERTIFICATE HOLDER- CANCELLATION Y w TOWN, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO M" - AIL 10 DAYS WRITTEN Town- Of Barns table NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Building. Division IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 200 Main Street Hyannis MA 02601 REPRESENTATIVES. ' _ AUTHORRED EPRES ACORD 25(2001108) " ©ACORD CORPORATION 1 r _ r RISE ENGINEEP.NG � g� Federal ID#05-0406629 I RI Contractor Registration No 8186 A division of`l'hiclsch Engineering�t a tl r ` MA Contractor Registration No 120979 CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,R1 ,02�t0 5, i (401)784-3700 FAX(46j')178413.710 •i t �. , i CONTRACT I r t, Page THIS CONTRACT IS ENTERED INTO BETWEEN RISE. ENGINEERING AND THE CUSTOMER FOR WORK AS - ENGINEERING . ._.� .': '� - DESCRIBED BELOW .. CUSTOMER _ - PHONE ;^ - DATE' Client# _ Pat Avellone (508)428-7229� 10/29/2009 105142 - SERVICE STREET - BILLING STREET - — -- 78 High Street P O Box 991 SERVICE CITY,STATE,ZIP - i - BILLING CITY,STATE,ZIP — --- — Cotuit,MA 02635 Cotuit,`lV1A 02635 y JOB DESC PTION ' RISE Engineering will provide labor and materials to seal areas of your home against wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your home can nclude caulks,foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements and other unheated areas(windows are not generally addressed.) This work will be performed at the rate of$66 per man per hour,which includes materials and testing.' S man hours. $529.00 RISE Engineering will provide labor and materials to install a—8.5"layer of R-30 Class-I Cellulose added to 100 square feet of floored attic kneewall band.joist space. $120.00 RISE Engineering will provide labor and materials to install a 8"layer of R-30 Class 1 Cellulose added to 242 square feet of open attic space., $266.20 RISE Engineering will provide labor and materials to install FSK foil faced rigid insulation board across the face of the rafters,behind the knewall. Seams will be sealed with FSK foil tape. 281 square feet of area. $758.70 RISE Engineering will provide labor and materials to install insulation and weatherstripping to overhead attic access hatch(es). $25.00 RISE Engineering will provide labor and materials to install Iinsulated exhaust hose wlroof mounted flapper vent to exhaust existing bathroom fan(s).... x $100.00 RISE Engineering will provide labor and materials to install(12)lineal feet of continuous aluminum ridge venting at.the to ridge of your roof. The vent will be be supplied in(circle color)black,brown,mill finish.' ' $204.00 RISE Engineering will provide labor and materials to install 5/4" X 16"rectangular aluminum soffit vents to increase ventilation in attic areas. - . i ,F: � s RISE ENGINEERING federal ID#05 0405628 RI Contractor Registration No 8186 A division of Thielseh Engineering MA Contractor Registration No 120878 CT Contractor Registration No 620120 x s-, 1341 Elmwood Avenue,Cranston,R1029.10 � I (401)784-3700 FAX(401)784-3710 CONTRACT . ' - � ,- !'' Page 2 ''� THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS ,. s=NUl'' EERINC -. - DESCRIBED BELOW ' CUSTOMER r PHONE _ - ,DATE. Client 0 Pat Avellone (508)428=7229 10/29/20091 =•1.05142 SERVICE STREET BILLING STREET - 78 High Street P O Box 991" SERVICE CITY,STATE,ZIP — _---_ BILLING CITY,STATE,ZIP ----- _-_—"— Cotuit,MA 02635 r Cotuii,MA 0205 JOB DESCRIPTION RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only"the Net amount. Currently,for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed$2,000 per calander year. >' _ # r $11565.18 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF •h ***Flve`Hundrnd Tv entyy-®ne&72/100 Dollars 4 $621.72 UPON FINAL INSPEC N AND PPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY F - } " UNPAID BALANC R 90 D S.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AUTHORIZED I TURE-RISE ENGINEERING- - ,'"x- - _ - CUSTOMER ACCEPTANCE`NOTE:THIS CONT CT MAY BE WITHDRAWN BY US IF NOT.EXECUTED WITHIN` - DATE OF ACCEPTANCE • ACCEPTANCE OF CONTRACT•THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE - SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO 00 THE WORK " PAYS. - _ AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIa, MA 02601 DATE: '01/23/08 TIME:i;,,09:37 -----------------TOTALS----------------- PERMIT $ PAID 25.00 AMT TENDERED: 25.00 AMT APPLIED: 25.00 CHANGE:. .00 APPLICATION NUMBER: 200800432 PAYMENT METH: CASH PAYMENT REF: 12/31/2007 17:06 5084775733 SANDCHMSWP PAGE 62 A Q, 4 '1'own of Barinst�ble vd=C 60 ' Regulatory Serv,14s ate: xhavowF,Geller,Dlred4 ' ftillting Dividoo cc: t kAft ! t .71'am Perry, Did1ding Comml4inner 200 Main Street, Hyan+!&MA p2601 ww w.to+rn.barns t�bi�.►��.�x t3ffice: 508-862-4038 Fax; 508-790.6230 TOWN OF BAR1VSiUkE E . SOLTD FITEL STOVE kWYnT (7vfR1Cr:� r k_C-tom roy -'-—, -�lPb�n : 7 7Y- o?3$' ` 9 Y i -- install at:_. g 141, Nrap/Parcel; v �3�•_n`IrA3 -,�_M — l.yate��...,,�.„��,: �J Stove A. ;31 L'8n 8. Type- broulatlng C. Manufacturer: tab,�0' 4" D. Model No., .,,�•����- , ,. . _ �S r d x- '� �'7 I Chimney A. view Fxiatin i7/ex0tin . Jr Iarr d0nin p leme note.date o ..._....,.._. - r - B. Flue Si�,c _�•�..,cam�.��!h - �..iL - - - ----- C. Are other appligaces affached to Flue? -- �• D. pre-tab Type and IT E, Masonry 111i Ut711Illod - '' Hearth A. Msteriala; _ �- �}.._ w-- > S. Su3f F'laor CotlatrttGtio►t: Instalter Name: 's��. w4a 1�d4rpeE: ' Phone: ... p Location of Installation; 5z el IS.I.0 Kcgistration# r•�o �" ' CoesteLetion,Supervisor#' C•S _f Z .. 7 K-4*1- Q_- 17-0 K OR check,- Hoir►eovaw Wtalling,no license r0quirud APPLICANTS STGNA �ti• Please ntcike chorkeabLe to t1so Kjrwn o Darnsiable is cons itutes an official stove permit after impvcsidn,j photogrOpltcd,and approu d by the AWdhij Impector _ i �.farssusta�e � , Jl:r.1 p3107 5111-d l0 AU d 'BC-1 so 0D lei .,_ lard �I�di�Oad l'�6t El eooa-;i yr { 12/31/2007 17:06 5084775733 SANDCHMSWP PAGE 03 cam\ Board of Building Regulations and Standards Construction Suporvisor ucanse HOME IMPROVEMENT CONTRACTOR Uconso: CS 68657 lug $lrthdoin: '2/27/1m Registration: 120859 F_ttplfatt: 2/27�2009 TM! 10449 Expiration: 3/12/2008 Type: Private Corporation Rsstrirr n:''1'tr, SANDWICH CHIMNEY SWEEP,INC. KEITH A OLIFF KEITH CLIFF PO Box 20 "'� 28 EMERALD WAY ;-�' -' SANCWl*,MA 025W ••• Comn"oner FORESTDALE,MA 02644 Administrator CERTIFIED CHIMNEY SWEEP 2166 CormrneMal Drive,Plainfield.IN '*CCATWEyY #2722 Exp.owco8 ;'C ME�! Keith Cliff Sandwich Chimney Sweep Sandwich, MA Certification Chair:John Pilger l llllll!!II!IIIII lIIII!I1!IIII �� � � �-2 � � � �=� � } r � ,� s 56D o r � � l r i cot G /- bZ -a3 7 i �12N� - - -_�. ��� �� `� v\ i� f �vsu t 3 i 4.. . '� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION M p ? Parcel ®Y3 T `®`errmit# b a 1 4� la�A H a th I i Op` Ir Date IssuedConservation Division ZC)pZ.�P1 2 4 I 'Application Fee Tax Collector -;A0 0� �—L� �� ��� � 0 0� Permit Fee 541 7� r3 Treasurer N L- Rojo l � N SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE TITLE S Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOWN REGt.fL --TIOKIS Historic-OKH Preservation/Hyannis Project Street Address zsr All Village 6!:�� M Owner ' YlGt'e— GYeV6,1— Address 7� i5� ��T• Telephone 0 ��� 72 Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation SD,tea. Construction Type Lot Size /r 74/, A - Grandfathered: ❑Yes 2 No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes Cl No On Old King's Highway: ❑Yes ❑No Basement Type: Qia�Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) c � Number of Baths: Full: existing new 1 Half: existing new Number of Bedrooms: existing new / Total Room Count(not including baths): existing new o First Floor Room Count Heat Type and Fuel: ❑Gas W Oil ❑ Electric ❑Other Central Air: ❑Yes CR No Fireplaces: Existing New t- Existing wood/coal stove: ❑Yes Q11No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:Cl existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: C 1� R yx a 2 Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes O No If yes,site plan review# Current Use Proposed Use ��cCv BUILDER INFORMATION �. Name �h C/� �ove V� Telephone Number . Address / ' ' �h,�d��� License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE �/a ' y FOR OFFICIAL USE ONLY klRMIT+NO, + -,JXT ISSUED MAP/PARCEL NO. ADDRESS ' VILLAGE OWNER DATE OF-INSPECTION:✓*� ;.FOUNDATION LCj _ �% �� •� I`�i 'ry 'FRAME ` h Z- t+ _ INSULATION 0 n FIREPLACE t ELECTRICAL: ROUGH FINAL'," f PLUMBING: ROUGH u _ FINAL ' R� GAS: ROUGH'•, R,. FINAL i tw- FINAL BUILDING., D 1<1 �=(`tZ: b •.5 A� Zl DATE`CLOSED OUT ' y r; ASSOCIATION PLAN NO.` i.� �FHE l. ( T �. y The Town of Barnstable BARNSTA ar Department of Health Safety and Environmental Services - 9 1639• `0P ' Building Division �PFOMAy>. .\ `) 367 Main Street,Hyannis,MA 02601 Offiee: .508-862-4038 Fax:'' 508-790-6230 PLAN REVIEW I.� Owner: rkA C-14 Map/Parcel: +�3�, � Y3 F` Project Address: wilder: F J � s The following items were noted on reviewing -- l�f M d C o cis OV /'7Df 11/� 7 1 Reviewed by: 4�2 Date: /G 3 d 21 q:building:forms:review i RESIDENTIAL BUILDING PERMIT FEES • APPLICATION FEE New ew Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet'x$961sq.foot= O x.0031= 157, 3 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft� >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >150 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$961sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (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) �S 7 /3 Permit Fee projeost c The Commonwealth of Massachusetts -- =-- Department of Industrial Accidents Olfce ofl17YOS19atlON - 600 Washington Street - - Boston, Mass. 02111 Workers' Com ensation Insurance Affidavit location: • hone# ��� /°� • ci all work myself. . . 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" ''t'•:•rr:r:. }it#:!•Yks... n.........::`:.......,.t....:.:::.,•,....r..tr...N,r.........::::::...,.....:::n•..,......:,::..,,•:}...::)::::v:::;,4?:•r.....n•4}:.}}::.�:.nr......:::•:: ........... :..:.:.:. ..{:?.}:••::}.::;.Y;}a•:.*.:•}::•}r:::n•tt::}:.:.'•:•::+:.:•:::: .....•:.};}}:{.},}.:........:•:....?..}:.Y:::......;•:n•:4:...r... .::::... Fanure to secure coverage as required under Section 25A of MGL 152 canLnad to the imposition of criminal penalties of a ffine np to 51,50t1.00 md/or one years'imprisonment as well as drded penalties the Office of Invest a TO of DlAfor�o erage vveerificadon.e Of 00 adap agauutme. I�derstand that a' copy of this statanentmay b > , udertjcer cdns-and penalties-of-perjury-that the-informatian-pro.Wded d o-ye s.Scue acid coirect —. I do hereby c"ertiffu -p Date 7 !' f�ci2• rn1 -�! •.. S,wo V-e-1 :Phone 7°2"ot'9 Priit nerve Cam, oMdal use only do not write in this area to b e completed by city or town oifidal "pern6hcense# OBuilding Depaxtrnent city or town: ❑Licensing Board ❑Selectmen's Office contact person: phone ii imixiiiii2iRiiiiii Sir: F—A-A 9/95 PIA) ' I y J,nformation and Instructions Laws chapter�152 section 25 requires all employers to provide workers' compensation for their Massachusetts General `Law , an employee is.defined as every person in the service of another under any c.. act employees. As quoted from Laws of hire,'express or implied, oral or written. artners , association, corporation or other legal entity, or any two or more of An employer is defined as an individual, p �P the foregoing engaged 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 dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant theretd shall not because of such employment be deemed to be an employer. • . MGL chapter'152 section 25 also states that every state or local licensing agency shall withhold the issuance br 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' commonwealth nor any of its political subdivisions shall enter into any contract for the perfoamuntil.nce of public work u acceptable evidence of comp fiance with the insurance requirements of this chapter have been presented to the contracting authonty. t VIEMN Applicants Please fill in o your situati��i�& the workers' compensation affidavit completely,by checking thebox t e ty be supplying company names, address and phone numbers along with a certificate of _ _. 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 retained 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",oz�if yQu b}ain a o nbleaton' policy,plee cae DeaitbiE& f dbelo ed,tooworkers' compens kp alerequir w:. :•; City or Towns •- complete and printed legibly. The D epariment has provided a space at the bottomo Please be sure that the affidavit is the You to fill out in the event the Office of Investigations has to contact you regarding the applicant. 'Pei. affidavit for y . •ecense iiiinber which will.be used a's a tefeieace number. The affidavits maybe rto . be sale to fill inthe.p _ - :r the Departmentl?y�aiail;or FAX unless oth&arrangements Have beeniriade. ti .y. The Office of Investigations would like to thank you in advance for you cooperation and should you have any cinesttons. . please do not hesitate to 1.'give.us a call. mom The Department's address,telephone and fix number: f The'Commonwealth Of Massachusetts Department of Industrial Accidents Oiflce of lavestlgatlolls 600 Washington Street = Boston,Ma. 02111 fan#: (617) 727-7749 :; : : phone#: (617) 727-4900 ext. 406, 409 or 375 Town of Barnstable Regulatory Services C BA NSTABLE. ' Thomas F.Geller,Director 9 MASS. 059. % Building Division TED MA'S . Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 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: Estimated Cost 0zv- 0-V 011 Address of Work: 2 � Owners Name: �,-i,C -e- Date of Application: a— I hereby certify that: Registration is not required for the following reason(s): QWork excluded by law Job Under$1,000 Building not owner-occupied 90wner 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: Date Contractor Name Registration No. Date Owner's Narne Q:forms:homeaffidav 780 CMR STATE BOARD OF BUILDING REGULATIONS AND STANDARDS * THE MA;SACHUSETTS STATE BUILDING CODE Manual Trade-Off Worksheet Pautit N BuiklerNatne Date Checked 6 Builda Address r ; -18 16N 5T ) C07WT Site Address , - 2'une 12 ❑13 ❑14 Date .. �. Submitted By Phone - PROPOSED REQUIRED _ Ceilinrrs:SWiAts.and Floors Over Outside Air • Required Instriatian x Net Area U-value DescriptionR•Value U-Value UA (Table 16?1h) x Arca UA -3,97536 L.6'za I F1ow0ra0utsi6cA1r (raw 16.22a) . _ Sic L16 i :� ..Total Ama Wails.Windows:and Doors butdatiaa z t1�I Rognieed a: R-Value• U-Value Area = •UA U-Value x Ara UAwaft (TaaWJ%22bcA 1-3 r09Z 813 (Z-6, • l3 q Zv 11 1..G_ Table 11.53a) -- 34 6R "� Z 3.�• DMCorTable11S3b) ' 1Sfift 2O (MCGlass Dona 3a) •3 ft° ft _ Total Area Floors and Foundations insulation Ituulation R- x Area or Required Dcgn*ion Dcpth value U-Value Perimaer -UA U-Value r A= a UAFloor , Over Unconditioned (rabSpax 2c) [cl .o�� s28 z4. os 5ZE Z6.4 B:9e meat Wall (Table 16.22>) Uaheared stab (rawe 1622 ) in. Hood slab (Talk 1622t) in- Tad PM*w l UAm nt be ka Tots! (r w • Total than w e"d to Txd(arAr(jw4 Xeqxkcd UA Pnaposed U t j l OR Required UA Stateemw of Compl'nncc:The Proper bAling design in L®_. l Adjusted Am docw cma it coaistew MUh dot bnt AV ptmrx spec wad*xL and oer kulations submitted with the it ieatioa Regained UAth a SiZyc� Cool�G CC7y6T �S'A-y ���SIGoJ 130 0Z �ailder/1?esigrrar ConPanY Naau Dati 760.22 780 CMR=Sixth Edition 2/20198 (Effective 3/l/98) II ENERGY CONSERVATION APPLICATION FORM FOR ,LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS . - - 7N CMR Appendix J (effective 3/1198) Applicant Named Site Address: 78 H t G t-t Applicant Address: City/Town• D'7u iT MA Use Group: Date of Application: Applicant Phone: Applicant Signature: Compliance Path(check one): ry [] Prescriptive Package (Limited to 1-or 2-family wood frame buildings heated with fossil fuels only) i Package(A through KK from Table 15.2.1b): Heating Degree Days(HDD65) from Table J5:2.ta: (For items d.through i., fill in.all values that apply from Table J5.2.1b:) a. Gross Wall Area sq.ft f. Wall R-value R- b. Glazing Area` sq.fL g. Floor R value R- c. Glazing%(100 x b+a) % ^h.Basement wall R- - --' d. Glazing U-value U- 1. Slab-.Perimeter R- e. Ceiling.R-value. R J. Heating AFUE M Component Performance:�"Manual Trade-Off"(Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) Zone 12 0 Zone 13 Zone 14. Attach Trade-Of Worksheet from Appendix 1,(and HVAC Trade-Off Worksheet,if applicable] O MAScheck Software Attach Compliance Report and Inspection Checklist printouts: 0 Systems Analysis OR ❑ Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a.Gross Wall+Ceiling Area sq.fL b.Glazing Areal sq.ft. c.Glazing%(100.K b+a) % ® ADDITION with. Glazing% (c.) up to 40% may pse 780 CMR Table J1.1.2.3.I below: . MAXIhtUM U-value MINIMUM li-Values Fenestration Ceiling Wall Floor Basement Nall Stab Perimeter.Depth 0-39 "7 R.13 R-19 R 10 R-10,4 R a "SUNROOM"Addition (greater than 40%glazing-to-wall and ceiling grass area) Attach"Consumer information Form"from 780 CMR Appendix B. Official's Name: Official's Signature: F_" Application Approved Denied Date of Approval/Dehial: Reason(s) for Denial: vide additional details as needed on back side) ro (p 'Glazing Area may be either Rough Opening or Unit dimensions. PUS 06/l2ng The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 , Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION /g Please Print DATE: JOB LOCATION: number street !,cy village , "HOMEOWNER': �GLC(Q, ��1"Citfer SOLI�f o2$= �� 50rr— 71y� name �Q home phone# work phone# CURRENT MAILING ADDRESS: 0- < Q �� S city/town state zip code r 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 Persons)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 proced es and requirements.: x, Signature of Hameowner 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 z y t•, The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from theA • .� , 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. u 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. O:FORMS:EXEMPTN R-E'CEIPT Printed:10-08-2002 @ 11:12:55 BARPVSTABLE COUNTY REGISTRY OF DEEDS JOHN F. ME_ADE,'REGISTER Trans#: 280360 Oper:ETTA Bcok: 15 1' rage , -Inst# 87822-- Ctl#: 84; Fr:"U- 9 11 :11:30a BARN 78 HIGH ST�;Ek. DOC DESCRIPTION TRANS AMT 1. GROJrR, TRAC IE E 2 BARNSTABLE TOWN CF RESTRICTION 10.00 rec fee 10.00 Surcharge CPA $20.00 20.00 Total fees: 30.00 Ctl#: 848 Rec:10-08-2002 11:11:30a DOC DESCRIPTION TRANS AMT POSTAGE FEE- ^- -- --------- Mail per page fee .50 x*z Total charges: 30.50 CHECK PM 3447 30.50 10-08-2002 '(HE Town of Barnstable pF tp� Regulatory Services saxxszns , ; Thomas F.Geiler,Director Mnss. a 9Q 1639. ,0� Building Division SATED MP'�A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR ACCESSORY USE OF RESIDENTIAL BUILDINGS ASSOCIATED WITH RESIDENCE I(We),the undersigned,being the owner(s)of property situated at 79 I'' SY; in ,MA,holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book 1 1000 ,Page o_`l r�,or as Document No. , being shown on Assessors' Map 035 as Parcel 0�0� , hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory building to the residence located on the same parcel as above-described, which contains living quarters,is not intended for and shall not be used as a permanent,.separate apartment for year-round or summer occupancy,for rent in any fashion. The intended and authorized use is for the occasional guests associated with the residential use on the same premises. This separate unit shall not be used for a "Family Apartment" (as defined in Zoning Ordinances) which would require application and approval of a special permit and compliance with the Family Apartment Rules and Regulations. This separate unit shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules,regulations,and zoning ordinances. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated,which shall run with the land and binding future owners. A The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this day of 200 sX TOWN OF BARNSTABLE OWNER(S) Building Commissioneru- THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date Then personally appeared the above-named (owner), 1�. e 6!4&Vl., / PQtjycCh Ayg&O , and made oath as to the truth of the foregoing instrument,before me. Notary P 11 My Commission Expires: �puGw+.Gu� 3, 2006 Q:word/accessoryagreement s, _. FTHE tQ� The Town of Barnstable BARNSTABM 9� MASS. ,m�' Department of Health Safety and Environmental Services A 1 59. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner August 28, 1997 Stephen Murdock P O Box 4147 Newtown,PA 18940 Re: Your letter of August 26, 1997 regarding 78 High Street,Cotuit,MA Map/parcel 035/043 Dear Mr. Murdock: The above referenced property is located in an RF residential zone. This is not an historic district. Setback requirements in the RF zone are 30' from the edge of the road layout in the front and 15' from the side and rear lot lines. There is no zoning restriction that would limit expansion as long as you meet these setback requirements. However,you should contact the Health Department regarding the adequacy/capacity of the septic system as this could impose limitations.The sewage permit number on the original building permit application is 82-367. Our file on this property contains the original building permit application,plot plan,plan of the proposed sewage disposal system and the certificate of occupancy. You may obtain copies of these in our office for a fee of 20 cents a page. Our file does not contain any information about a well or underground tank. I would recommend you contact the Health Department(508-790-6265)regarding both items and the Cotuit Fire Department (508-428-2210)regarding underground tanks. If you have any further questions, please feel free to call. Sincerely, Kathleen Maloney Office Assistant Q970828A 1�108i26/97 13:04 ALPHAGRAPHICS 508-369-6900 3 15087906230 N0.087 902 e � August 26, 1997 From: Stephen Murdock P.O. Box 4147 Newtown, PA 18940 (215) 579--8708 To: Town of Barnstable Building Iinspector's Office FAX: 508-790-6230 Attention: Kathy- I an writing as a follow-up to a request I made today aver. the phone with Gloria, at your office. I am seeking information on the zoning of the property at 78r:High='Street, in_Cotuit, MA. The parcel number on the map we received from the realtor is #43. (See the copy of the map I have included. ) we are in negotiations for the purchase of the property, which we intend to expand, and want to know if there are any`z.on.ing-restrictions that-would -pxevent,us-_from increasing-the_size�of,the=house -to-a three_ or four bedroom dwel-ling=(it-now has one bedroom. ) I would greatly appreciate any relevant information you could provide, specifically: - are there any zoning restrictions, such as historical districting, which would prevent or `f significantly limit an addition?, - how far back from the property lines must the addition be? /what are the set-backs? - what information on the property is contained in building jacket/file? Building permits? inspections? certificates of occupancy? (can I get copies of these documents?) - Zs there any document in the file that refers to a well or tank buried on or near the property, especially in the northeast corner. I will be available at 508-371-9025 [concord, MAJ through August 27; after that, my number is ( 215) 579-8708 (Newtown, PA) . if you can give me the information by August 27 (this would be great, if possible) please Fax it to me at Alpha Graphics in Concord (508) 369-6900. Please put my name and 08/26i97 13:04 ALPHAGRAPHICS 509-369-6900 � 1508'7906230 hl0.087 903 phone number (5081 371-8025 on the cover letter, so they. can call me. if the information can't be assembled by the 27th, kindly mail it to me at my Dome address in Pennsylvania. I had originally hoped to get this information over the phone; if that is still possible, or is easier for you, please call me in Concord. Thanks very much for your assistance. sincerely, stephe Murdock Oe/26t97 1.3:04 ALPHAGP..APH I CS 5 e-369-69k 0 4 150e?906230 NO.Oe? ®1�' � v 40 *56 I M Pt' s� to1 rJ e• /� :C 1 6h U • a8 tY'1 r r A K Dtr c p0. L L M• 1 all 1'Q AS •0 1 it i 64 J io .alµ �� •S� v Ae pD e ` 1.� T7Aj1 .!OK' N � .44 � 1 !•p 1D� A, b°p �a6 ✓ I ft• � rf•1i � OY"L.c A� ® i• is bl ass } dK 71 D Z6 .n,9r 4 M°L nM . .r f f A M a, �•�`' �Ar M QNftY'° Ss tl LA 6 . V/I'f.r1aW! i��ec 10 qK �ff fD f' BT m► - TPw: f(! 85 rl evWt lib e �.. r. o. .Olat '11 • :re•a op f r p t F r O f f •0 0 i1 i • •e11115 t9 el IQ '.aT le 0 .4y�L feet En 'tea yQ L 16 it 14 +sa 04 a efroc IaQ •ea •.+ 1 r�� t s�J•.a r�. •'�• 'y' .vw..e.c. e+"c Q b .wRc .pet yb •.•'� e � � ^°p fear 51 0,11 1 •0 9 J J q noec � o rI f'+PrrAa9cQ uwot 11 rqt PoaEt»9Yd 9f Thtl 8160khBPA94t GOARD OF A88E880✓a8 ' WS AIAMAP INC. -- 09/26i97 13:04 ALPHAGRAPHICS 508-369-6900 3 15097906230 N0.0e? D01 ,4 WORLDWIDE FAX NETWORK nips® p 9 p TO: COMPANY: FAJC #: 0130 FROM: DATE: O o -� NO. OF PAGES' DESCRIPTION OF TRANSMISSION: SPECIAL INSTRUCTIONS: ® RESICN ® COPY PRINT 192 Sudbury Road 0110 Self Serve top e� i Concord, Massachusetts 01742 ,/ Self Serve Mac Terminals 1 r mm�larp Rindoty Service Tel. (508) 369-1991 FAX (508) 369_6 900 of Canon laser Color Copier � a ,7 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 03 PArceL Permit# L s� U4F �J Health Division t/ � j�j/) Date Issued Conservation Division ; ,) , La�®� Application Fee �a®� Tax Collector Permit Fee' � D i 00 Treasurer � b d C %.ad1 MUST BE INSTALLED IN COMPLIANCE Planning Dept. MTV TITLE 5 Date Definitive Plan Approved by Planning Board E '�:.tC:' ^:9TAL CODE AND T OV,471 I R_C,- T10N3 Historic-OKH Preservation/Hyannis Project Street Address 75"' lit S Village Owner ry Address 77 74 L c� � Telephone ���_ y�gs 7a?-2 9 Permit Request ee✓ZA_.• Square feet: 1st floor: existing proposed 2nd floor: existing a6Z1 proposed Total new /9 7 Zoning District Flood Plain Groundwater Overlay Project Valuation avv6 00 Construction Type Lot Size 76 e4,e_- Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 5d Two Family ❑ Multi-Family(#units) Age of Existing Structure FYC Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No A Basement Type: ❑Full 96rawl ❑Walkout ❑Other Basement Finished Areas .ft. Basement Unfinished Area '( q ) ea s .ft Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing 3 new_� First Floor Room Count 3 Heat Type and Fuel: ❑Gas ®'Oil ❑ Electric ❑Other Central Air: L(Yes ❑No Fireplaces: Existing New O Existing wood/coal stove: ❑Yes 11<0 Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:dexisting ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes �No If yes, site plan review# Current Use Y•o L+wp— Proposed Use BUILDER INFORMATION Name v Telephone Numbers='y Address �✓t �T� License# G` Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE J DATE w U FOR OFFICIAL USE ONLY PERMIT NO. ' , J DATE_ISSUED ``• ,✓ . MAP/PAI CEL�NO. ' 'a,:tj > i ADDRESS t VILLAGE . . _ k 'All OWNER i f � r 1 k 1 DATE OF INSPECTION: FOUNDATION FRAME INSULATION f 1 FIREPLACE 4. ELECTRICAL: ROUGH,_ FINAL ; r* • PLUMBING: ROUGH •, FINAL GAS: ROUGH+ ; ' ° FINAL FINAL BUILDING -DATE CLOSED OUT #� Li ASSOCIATION PLAN NO. ,� / Y F 4e °z RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE i 00 New Buildings,Additions $50.00 ro Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE ` { p c7 square feet x$96/sq.foot= �,,,�`$ x.0031= O u r plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= 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.0031= STAND ALONE PERMITS 49pm Porch x$30.00= SO; (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool - $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) D Permit Fee R _., The Commonwealth of Massachusetts Department of Industrial Accidents office o//nYOS119MOBS 600 Washington Street y Boston,Mass. 02111 Workers' Compensation.Insurance Affidavit 7 name ���—��-- ���✓ location ci F1 .� shone# 5 CYT— l Z!! r F] I am a homeowner performing all work myself. ' I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job i+•., t:.. � �SgF i � .n 4.�<3-�: ate-^a rxr r .:'. � �.: F' z� t ,, �r '.� 4 k'ti�£a`"`+t���: 5`z �7�rF:�Y}T,yytda•,:>,. � ` r`aF+ 4(`•` .,x`s t ! z;K t"'`s9 Y y... r R,J+t't k a { 2 ,, �y T Ur 74, £ ,t •' s.�-- r L+ S'}'`x. xa^`iTxi�J X� r' ,('•. '' F f �+ :COm an �name4 7F 7 32 .Rra i x v 4 r71ti 's. Y 3Eu r' r X 7'.l -Gy k' si r -x.x#f 'f?�`., . j x. to x ,v z.�q+' x f r9tt° 5 ° r > 'y .Ti�"'a7 R:u "'l `'F 9 kPM° r"' :, xi'.z.Rt� ty"�J Key,. v F •.,i l+""� S } 5 r f' �'t rc 4.. ! �..as A ...� ,tss^— ,tr,,, .'�� J°�4'� ct ''G> 3 n r 4 G '. rr h `".. `Sr T 4S. 1, ,A. e-1. .rw.•. 1�cr ` k c^' .: r:addE�SS�'�l c `( ry rt r 4 "Fi�r 'A's, tom,...rV .l•.ri l Y isc"'$,�fy lEC�,.:rY'^��W3G x. x+yr5 + to •4.:,,s�x�'f �Tw- `b'.c'f,. w� t , _g;tT d�-. ,Qx, �-�r 3.{ Y i �i .... y? 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Ya .e c � e.�'d-.r rr �'?.,,��'S?'!`•�i's SCI �?s .„i•=� 3ekc...i,.'Si'rg+.4_w;ro"-y "'; , ...,+. v:^•, r.s ,,e .r q �' 2yim��"�� ;+.ivs5,r r.7 ��-1"!' ., f r...w` �1, .xt"'. �' ,1:; ir,.y3fa64,+ 4�,.�'S-w 1ri+^"�;t.`,t?��.+�i z 'F''"i �+,-,cam„ .d V�„ r•r* >s,' �a+7�i..7•r��",.?�" ��'My,,,,'rL�4• j"'xn'��' ;f 'f'q �„'S t'�'�` - .,.t,.. -r .h _� �_a?��. t`'��. k.�..�r r{i..::�'� .3r�'S`.•','.� ``a,:ih.��.� �,+��...�..3": I am a sole proprietor,general contractor,o omeowner ircle one) and have hired the contractors listed below who have the following workers' compensation polices _ n •u'S, ,1".. >Fd 'fir r st.+.1'. „.c" Y.t�At ,`�� 4 ty x r`Yt+ .v p'" .y tYhyy"�^Y.a,k Z s 5. 4 'r 21r Pr °: wA +.- n s 1 '+ J5� P{ r u r F.ac }'�#, °�"'.t {.leFc r:-�Jarm�,,,,+,. „M1r` } {F 43 (}j > _r, 4F t w 4 F ertd 4..r r f a.. r s 'L S r,S�r M4t�'tlan5 �Xk 'rR A Kykn 3 t V 1- 1 :1 Y 7Fis com an name a, ., 7 ..�5 -r. f' e rzttq `.v w rt• rA..."r .t+,Rji aW 7 ei+. 9r'.:�'"•F rr c•' S t a,'. rt r f Yk }V + it r� r-1.:t t' r :.� ct t kk-�t '�x'.°3,7',r, r^':k:�-Pp � 3r y rIS allUrCSS .Y; r:'+• riSTG;� ;' 4-iw �,,••.tr�y'.�,��y y& of s. .gyp} t W r 1 ,{' 4-„�U +.➢ „}.7�.,a4F t� i k :r ' v '4F""'-+ 3 e r �r'a u b 2' 'L .er'✓s ,...0 Lnms —�—� NEON C h wwt3��...�wSr�[„��,'�-fr i-:i .ss J. I st"�=4s1:- `Sr�#F�'�'�*c .ti`+I 1F�'7`k.: ;,1't � i y.-� ��lti r d a!tt'9''r�'4c 7'M��A��o� s •t s'.l -,! ., tt `�Ns �ns'.Su•+,.11011C1Ye�rtt'�! .., b ta� ,., .. R trr.�....L.a 11.:+ ie':'h r.asY'" Y'.�, yr' ale t.�e 1 i ;s24 N !+"F"N � f�+�tF !'`-{�ys` � 'rr' ��.jL�'`.7; +r<�y�A Sr 4 r i�,�!"��r.�n��y�.7Ay�yt'cr; i�.it`, + t�1 t".�5 a;,, v r 4 ''3 :a �.;'1. ? '�r ... *a 1r' y ,� i 7j ..r fA Nw�'SY''e�.f anname y 3 re q }t ai rc" 0s c Ti' t<h +,c h * 7 :.. a i R�, -tr�.`a 'F+.:• 7 �' x ark' - a'H.ni `1T x",.�r E�'�'3N'+eu�'y�,'..e�kx,�,''_� - :+ ,9, .�K :,�- a ti -� FF•c .r t�1:v: tiAi t?r k l FM �E�'+���',3• '�. �r-t'�vr%c.�`tea-^,*-.y' �4• s if r .a ?� }r� J � k a� r 'tt s y 2r ,�r�'w�'�'xM'�'R�' i10 nC��� .G.r.,. �.•.�,wti '>=saic.ref � tr:� zs :J'u + :_ ..... ro a. a.::-:,. .n`l.C Failure to secure coverage as required under Section 25A of MGL 15Z can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine is tion. 0 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under thepains an penalties ofperjury that the information provided above is true and correct. Signature Cyc� 2 Date Phone# Print name official use only do not write in this area to be completed by city or town official city or town: permit/license# F- Building Department []Licensing Board C]check if immediate response is required []Selectmen's Office ❑Health Department contact person: phone#; 710ther (mvised 9/95 PIA) Information and Instructions er 152 section 25 re uires all employers to provide workers' compensation for their General Laws chat Massachusetts G p q " employee is defined as eve person in the service of another under an quoted from the law anevery P Y employees. As qu � contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint 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 dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or buildingappurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance 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. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out.in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the 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. The 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 • .:, P��ptHE'Owti Town of Barnstable y Regulatory Services BABNSUBLF. ' Thomas F.Geiler,Director MASS. 9�plE1639. a`°� . Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 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. J Type.of Work: Ac(,d V7 Estimated Cost Address of Work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ding not owner-occupied er 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: Date• Contractor Name Registration No. OR 3 - 03 � 2F Date Owner's Name RESIDENTIAL BUILDING PERNUT FEES APPLICATION FEE New Buildings;Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKS ET NEW LIVING SPACE square feet x$96 q.foot= .0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXI TING SPACE I square feet x$64/sq.foot= x.0031= L33 plus from below(if applicable) GARAGES (attached&detached) square feet x$32/s ft.= x.0031= 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 ne uilding permit: square eet x$96/sq.foot= x.0 1= STAND ALONE PE ITS Open Porch x$30.00= \ (number) Deck Z x$30.00= (number) Fireplace/ y 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 1 1 ' no MAR Appmfee J Table dS.ZIb(continued) pt-neriptive packages for doe and Two-Family Residential Suildinp Hated with Fossil Fuels MAXIMUM MINIMUM Glaring Glaring Ceiling Wall Floor Resew Slab Heating/Cooling Arm'('/o) L1.value= R-value' R-values R-values wall Pesimeta Equipment Efficicn R-value' R-value' Package 5701 to 6500 Hating Degree Days- 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal 6 ES AFUE S 12% 0.50 38 13 19 10 Normal T 15% 0.36 38 13 25 NIA NIA U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE w 15% 0.52 30 19 19 10 6 ES AFUE X 18% 032 38 13 25 N/A NIA Normal y 18% 0.42 38 19 25 NIANIA NomW Z 18% 0.42 38 13 19 10 6 90 AFUE AA IS•/. 0.50 30 19 19 10 6 90 AFUE s► � t 1. ADDRESS OF PROPERTY: f �� 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(93 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE, ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a 1 1 780 CMR Appendix J Footnotes to Table A2.Ib: I Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 fl of decorative glass may be excluded from a building design with 300 f'of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table 11.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation.thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry, log)wall constructions,but do not apply to metal-frame construction. S The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. ne entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned bauements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. "The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. For Heating Degree Day requirements of the closest city or town see-Table J5.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE Manual Trade-Off Worksheet Permit q Builder Name Date Chocked By Builder Address U Site Address 1 N u&q Sms-o ' anx*&,/'fit ?AnA2 013 014 Date i '. Submitted By Phone - a: PROPOSED REQUIRED ;:, Ceilings:Sk_ylitrhts.and Floors Over Outside Air Required Insulation x Net,Area U-Value lion R-Value U-Value UA (Table 16.2 1h) x Area UA Ceiling able 1611a) Floor Over Outside Air tTabk 16.2?a1 —272 CWT ft: .-Total Area Sb Walls.Windows.and Doors lnVAwon x N Requited Description R-Value - U-value �pAra 'UA U--vaallluue 2x AA�reaa� UAwaits; . fe (Table 1611b.c d) t 3 a0UZ L i( _. Z�.t� F. { J .3 _ / u 71 Windows (NFRC or Table J1.5.3a) •3 S I'•� Doors, — fe (NFRC or Table 11.5.36) Sliding Glass Doors — . 2 e+ I" (NFRC orTablc J1.53a) J—I �o ft: tY Total Area 3 doors and Foundations insulation lasulatica R- x Area or Required Description Depth Value U-Value Perimeter �.+�UA U-Value x Area �UA Floor Ova Unconditioned (Table 3 0 /03 3 IG V. `O 5- 116 E S 16.2.2e) o Basement Wall (Table J6110 le Lh&caed Slab ft k (Table 16.22 ) UL Hcatod Slab 1 l (Table J6.21¢) ie. road rropaac+tf UA attar be ka TOW • • rota! rwar � VA J z c���l tkas or equal to ( A4we*ReVoked Proposed UA 1 oa Required UA l Sruanent of Complimcc:The proposod building design rcpresatted in L_.,CdjstAed I rluu docu�eeerr a eonrtrteM vale au barufiu�planr.sprclfiaallora. � and other calculations submitted with the permit application. Required VA :5-ra,L4Z COOK, ��; RariddeWDesigrrer Comparry Nome Dare 76022 780 CMR-Sixth Edition 2/20/98 (Effective 3/1/98) ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780 CMR Appendix J (effective 3/1/98) Applicant Name: Site Address: g kG1+ ,S(��1�. Applicant Address: CityrI'own: . . O TQ t~ Use Group:. Date of Application: Applicant Phone: Applicant Signature: Compliance Path(check one): ❑ Prescriptive Package (Limited to 1-or 2-family wood frame.buildings heated with fossil fuels only) Package(A through KK from Table J5.2.1b): Heating Degree Days(HDD63) from Table J5.2.1a: (For items d.through i., fill in,all values that apply from.Table J5.2.1b:) a. Gross Wall Area sq.ft f. Wall R-value R- b. Glazing Area' sq.ft. g. Floor R-value R- c. Glazing%(100 x b+a) % h. Basement wall R- d. Glazing U-value U- i. Slab Perimeter R- e. Ceiling R-value. R- _ J. Heating AFUE Component Performance: "Manual Trade-Off'(Limited to wood or metal framed buildings only) Zone 12 Zone 13 Zone.14. Climate Zone(from Figure J6.2.2) � {] ❑ Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet, if applicable] ❑ MAScheck Software Attach Compliance Report and Inspection Checklist printouts. Systems Analysis OR ❑ Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: . a.Gross Wall+Ceiling.Area sq.ft. b.Glazing Area' sq.ft. c.Glazing%(loo x b+a) % #ADDITION with Glazing % (c.)up to 40%may use 780 CMR Table J1.1.2.3.1 below: MAXIMUM U-value MINIMUM R-Values Fenestration Ceiling Will Floor, I Basement Wall Slab Perimeter.Depth . 0.39 R 37 R.13 R-19 I R-10 R-10,4 ft "SUNROOM"addition (greater than 40% glazing-to-wall and ceiling gross area) Attach"Consumer information form"from 780 CMR Appendix B. Official's Name: Official's Signature: Application Approved ❑ Denied ❑ Date of Approval/Denial: Reason(s) for Denial: (provide additional details as needed on back side) 'Glazing Area may be either Rough Opening or Unit dimensions. BBRS 0&12199 The Town of Barnstable Regulatory Services Thomas F. Geller, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 iffice: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print / DATE: ' JOB LOCATION: number street village "HOMEOWNER /�'��-r c✓en/ o 7D;?7 -50 S�' 6 62- O 71// 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 proced es and requirements.: Signature of Homeowner F 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 fn„n re,rrenNv„sPA by several towns. You may care t amend and adopt such a form/certification for use in vour community. z> aQ� zam - c? 00 LLI3CD LO cavr.Esl¢wur ca Ul N IEW AY1V1f 9Ri2E5 • - 9 O - •. 6 f0AWO1t105fDY� Q' rar_oe PLVE Z¢x0 mdw — ,4p.f.PMW/ p _ _ O 14 N4 - 224 PS:U111�95 FPONf� VMON - -' E-9x 00 1 a� t7WW6 I EXIST, 00 Z 66r 'F rW t?OOM KFfQffN O (_fa xn o�l NEW 'B"�d'B' O w iwow/ MUD�OOM sure Q CM 24/eM pEW Ccvw= Q Q a, 13ATH E6P�. BF41068 I �•B' n T z• S• C ef0'R. r n W . P ww sry - - ------- --- ebsr. - - ea•.d®' M24 EXPANDED s' ''' S,•z, INING SCALE, P NEW ———• ` I/4'=F-0' � EXST. k00M PGVCH "& DATE: FI?5f FOOp P AN 3/16/2003 4 D%PI5f PLOOR -616 5f. A - PROJ.NO.: _ AiWMII7ROOM - 1685f. W+•+P•r.Poslswi N W5MEAWDPOR01 - 845f. I.z/Ii6G1YVd 1r 6 ewsr GROV GENMAL NO4E5: LEGEND; 7'41 T-0. ' E05 em. DWG.NO: 1.) C0NTMf0R 15 f0 VEPJPY EX15"C0W7WN5 MV EXI`JfING WADS DUAMUN5 N 4E PELP MOR f0 71•E 5fPkr 0P WORD r4• I+•4' a•o• Al 2.) 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Q 15QEa)w Vcy4'-O• b'-O' .CK EfON •e NM DP0.'R(�) W a F+a iW IT,PIA SGNoam � a--� ro4'0"BEtLW(QN4 A p5✓ ML P PW WW POM �J TOM POND%F O W 0 el P BOeOM (LN1gD�VFNf 0 W El : RG17AY. - �NEWASRW.f91N2E5 aA107-X _ e 15 x wAw5OASFREF � � )�' TalOROa(Ja515e16"u f \ a� BO/R'.SrO AWOIEf05f O P fi `Q�J( �ii EXIST, W (y x WWA Ma 6A5EMENf Z E-4 ti SCALE: DATE: 3/26/2003 • -- s-P.f2aoa ' A emr.Parm.watsP PamlrGsroQEexvt PROJ.NO.:GROV • uDIe:DDwrasnrsensr. ) s•a' 7O' rv' DWG-NO. QEfANNG WALL Il'{p' ♦ ^ . ��Ap �I.�VA110N FOUN19ATION PLAN AG■ t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ti r Map,_. 03Y, Parcel Application# o�0 766330 Health Division may,. Conservation Division Permit# Tax Collector Date Issued l LQ7 Treasurer ; Application Fee Planning Dept. Permit Fee , S • .---. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis t/ � f j . Project Street Address /_ � Village �'TU� Owner 7-rno Gf C? G ye-k— Address ! ll ! Telephone 7027=79;2 77 _ c3o&- Permit Request 4L.� bn- 0-n m= w/A rlrl,;� un 4v-- . Square feet: 1 st floor:existing (� proposed Yea 2nd floor:existing ca-30 proposed Total n Zoning District Flood Plain Groundwater Overlay Project Valuation, 0 0V 0 Construction Type 11 Lot Size jo 76 aen• Grandfathered: ❑Yes Rio If yes, attach supporting documentation. Dwelling Type: Single Family V Two Family ❑ Multi-Family(#units) Age of Existing Structure / 9�a- Historic House: ❑Yes UK On Old King's Highway: ❑Yes lB'I�lo Basement Type: ❑Full ❑Crawl U4alkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1 1 b Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing / new Toll Room Count(not including baths):existing new:o First Floor Room Count Heat Type and Fuel: ❑Gas M/Oil ❑Electric ❑Other Central Air: dYes ❑No Fireplaces: Existing _� New Existing wood/coal stove: ❑Yes I No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:dexisting ❑new size Attached garage:❑existing 2(new size 3A® Shed:Id/existing ❑new size Other: , ri vn r Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes E(No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name rauc( Telephone Number 5 `7aa 9 tz- C Address 7 g H Azk, License# G- Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 12 SIGNATURE DATE - 1 FOR OFFICIAL USE ONLY 4 i PERMIT NO. DATE ISSUED WAP/PARCEL NO. i i ADDRESS VILLAGE OWNER 1 DATE OF INSPECTION: FOUNDATION °p� FRAME l INSULATION N�Iy I�� U�J��YV✓ ' FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL _ FINAL BUILDING C4 ff,� V� / . 1h 6;EA DATE CLOSED OUT ASSOCIATION PLAN NO. Town.of Barnstable Regulatory Services MAMThomas F.Geller,Director ArEp :►`�� Building Division Thomas Perry,CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.ns "Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: Map/Parcel: 03 5 cO Z3 Project Address 9M y t 11- ;• Builder: The following items were noted on reviewing: 42 Reviewed by..-- Date: Q:Forms:Plnrvw ' 4 The Com»'conwealth of Massachusetts Department of Industrial Accidents , Office of Investigations ' 600 Washington Street Boston,MA 02III' ' wtvw.mass.gov/dia ' Workers"Coinpensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organiiation/Individual): -Z—reuc, Cnnzyer— •Address: S*1 City/State/Zip: ? 4. � � Phone.#: 7 Are you an employer?_Check the appropriate box: :Type of project(required); 1;❑ I am a employer with 4, ❑ I am a general contractor and I 'employees(full and/or part-time) have hired the vub-contractors 6. ❑New construction . 2.❑ I am a'sole.proprietor or partner- listed on the.attached sheet. 7. , emodeling ship.and have no employees These sub-contractors have g, ❑Demolition iworldng for me in any capacity. employees and have workers' [No workers' comp,insurance comp,insurance,$' 9. ❑Building addition . re ed] ' • 5. ❑ We are a corporation and its 10.❑Blectrical repairs or additions '3.M1 am a homeowner doing ill-work officers have exercised their I L❑Plumbing repairs or additions ' myself.[No workers' comp, right of exemption per MGL insurance.required]t c. 152, §1(4),and we have no 12.❑Roof repairs . . employees. [No workers' 13.P Other_ comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the gub-contractors and state whether or-not those entities have employees, ifthe sub-contractors have employees,they must provide their workers'comp.policy number. I aM an employer.that is providing workers'compensation insuran- c�r my employees. Below is.the policy and job site' information. Insurance Company Name: fiA✓` Policy#or Self-ins.Lic,#:_ � .7 / � � . Expiration Date '2 7 O lab Site Address: ! dRfr5(j City/State/Zip: (,!J/t/� e Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure•to secure coverage as requited 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 maybe forwarded to the-Office of' Investigations of the DIA for insurance coverage verification. ' I do hereby certify under the pains and enalties of perjury that the in provided above is true and correct. Si tote: Date: Phone#: a.' a. / 7 7 o-1-3 9— �,C�-YO Offrcial use only. Do not write in this area,.tb be completed by,city or town official. City or Town: Permit/License# Issuing Authority(circle one): .•1.Board of Health 2,Building Department 3, City/Town Clerk 4.Electrical Inspector $.Plumbing Inspector 6. Other Contact Person: Phone M. Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint 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 dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the.grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced•acceptable evidence of compliance with the insurance coverage required." . AdditionaIly,MGL chapter-.152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public-work until acceptable evidence.of-compliariee:W thtlie insurance requirements of this chapter have been presented'to the contracting authority,.' Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply.sub-contiactor(s)name(s),address(es)and phone number(s) along with their cerdficate(s) of insurance. Limited•Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members'or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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. Self-insured companies should enter their . self-insurance license number on the appropriate-line. City or Town Officials Please be sure that the affidavit is complete-and printed legibly. The Department has provided a space at the bottom of the-affidavit for.you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the 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 policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves•etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have-any questions, please'do not hesitate to give us a call. The Depg ment's address,telephone-and fax number:. h4 CgmMonww1h of Ma rh=tts Dqpn tMelat of lnd'>l i€ Acowents Of ."Of fnvesti Lions ' . ' �Qfk��S71irw €�ri Steeet • R(nton,.MA 02111 Te],#617-727 40-00 ext 406 or 1- �-ArfA�SA��s Fax#617-727-7749 Revised 11-22-06. w .mamg6v'fdia THE pM, T 1 V Yru V1 Lai tiaLai✓ia; ,Regulatory Services Thomas F.Geiler,Director $6 9. ��� Building Division lea►++� • Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.,barnstable.ma.us Fa6e: 508-862-4039 Fax: 508-190-6230 Permit no. Date LK O7 AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION MGL c. 142Arequires 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 retain exceptions,alcug with other. requirements. `� Type of Work xa�` � Estimated Cost, Address of Work: 7 :? 9/, 1 Owner's Name: �1Z�-G� — ��'�y-e_�c Date of Application 1 ' ® 7 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: OyMRS 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 UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PBRJURY I hereby apply for permit as the agent of the owner', Date Contractor Signatuie. Registration No. Date Owner's Signature Q yrpfiles.forms:homeaffidav Rev: 060606 , oFt r Town of Barnstable Regulatory Services 1AENSIABLE. : Thomas F.Geiler,Director 9 MASS. �A i639• ••� Building Division rED MA'I p Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: " JOB LOCATION: 7 >{ /yJ C��. CG !C/!' number street village �/�G cy Q «HOMEOWNER": l�C, e - � 1� 50S'7��-tl_7,7gc� 77 a name /) home phone# work phone# CURRENT MAILING ADDRESS: r• - � / cr /town h' 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 require ents. i ature 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:forms:homeexempt 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS ' THE MASSACHUSETTS'STATE BUILDING CODE Manual Trade-Off Worksheet Petinit q Builder Name Date Cricked By ti Builder Addt ess k. Site Address �� rJ 1 i /� Zonei(12 ❑13 ❑14 Date t 1 Y' Submitted By Phone - PROPOSED REQUIRED Ceilings•Sk_vliehts:and Floors Over Outside Air Required Insulation x Net Area U-Value tion R--Value U-Value UA able J6.:3h) x Ares UA T�w ceiling ID fe 4c?o able J6.2 2a1 Floor Over Outside Air kr (Table 162121 Lll, 2 S n' Z. R : :.. . _. •Total Area Walls.Windows:and Doors insulation z Net Required don R-Value • U-Value Are� alls c a r USA U-valve zAArea -UA Wra J6 2 2b.c d) l°� —16 -� !,s-- t l 1 66wimm o(• (NFRC orTabic JI.S3a) —~ ef Doors. (NFRC or Table J I.S3b) Sliding(NFRC orTablle 1133a) • ftt �J� Total Ares UR- Floors and Foundations bsutadan Insulation R- z Area or Required Description Depth Value U Value Pedracter -LA U-Value x Area =UA , Float OverUneocditioned ? ¢ S J6.2.2c) Bueencnt Walt (Table J6.2.2A re Unheated Stab (Table J62-2 ) in. HMW Slab (Table X2.21) .•.. Told Pnposasf U4 aaut be ka Taia/ Bart or equi to Turd(orb Regwhvj JA proposed UA 17i d�Gj Olt Requttl d UA Stu--t ofComlrr—=The proposed baldt*sip tcptes nwd is L.--►Adf iKttd.. t dam doconextr u candnewartdt the 6."vPfmrt syre(fr W*M and od+a Calculations PAMiuw with the ion. Regsfkid(.W 8srr7d-1vesigr.er Coaspaey Nacre Date V 76022 780 CMR-Sixth Edition 2R0198 (Effective 3/1198) d�•'� l ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780 CMR Appendix J Applicant Name: Site Address: 1 Applicant Address: City/Town: Use Group: Date of Application: Applicant Phone: Applicant Signature: Compliance Path(check one): ❑ Prescriptive Package(Limited to I-or 2-family wood frame buildings heated with fossil fuels only) Package (A through KK from Table J5.2.1b): Heating Degree Days (HDD65) from Table J5.2.1a: (For items d. through i., fill in all values that apply from Table J5.2.1b:) a. Gross Wall Area sq.ft f. Wal1.R-value R- b. Glazing Area' sq.ft. g. Floor R-value R- c. Glazing%(100 x b-a) % h. Basement wall R- d. Glazing U-value U- i. Slab Perimeter R- e. Ceiling R-value R- j. Heating AFUE . Component Performance: "Manual Trade-Off"(Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) Zone 12 ❑ Zone 13 ❑ Zone 14 Attach Trade-Off Worksheet from Appendix/J, [and HVAC Trade-Off Worksheet, if applicable] ❑ MAScheck Software Attach Compliance Report and Inspection Checklist printouts ❑ Home Energy Rating System Evaluation Attach Home Energy Rating Certificate(HERS rating score must be 83 or higher) ❑ Systems Analysis OR ❑ Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a. Gross Wall+Ceiling Area sq.ft. b.Glazing Area' sq.ft. c. Glazing%.(100 x b_a) % ❑ ADDITION with Glazing % (c.) up to 40% may use 780 CMR Table J1.1.2.3.1 below: MAXIMUM U-value -MINIMUM R-Values Fenestration' Ceiling' Wall Floor I Basement Wall Slab Perimeter,Depth 0.39' R-37 R-13 R-19 I R-10 R-10,4 ft t Glazing Area may be either Rough Opening or Unit dimensions. 2 Based on NFRC listing. Applies either to every unit,or to area-weighted average of all units. 3 R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area (i.e.-not compressed over exterior walls,and including any access openings.) ❑ "SUNROOM" addition (greater than 40% glazing-to-wall and ceiling gross area) Attach"Consumer Information Form"from 780 CMR Appendix B. Official's Name: Official's Signature: Application Approved ❑ Denied ❑ Date of Approval/Denial: Reason(s)for Denial: (provide additional details as needed on back side) I ,,.,;,,,,;.,::::.DATE.......... I::::::::::::: 1DD/Y ..:,.:.....:...._:::::.::::::::::::::::::.,.::y'Y::;:::t:;i:::i;::isi;:::: ::::;:;;:;_::;;:>:::::;::>':: :i:::ii::;:;;;:::;:::::;:: i?'•: :::':;::::;:::;::isi::;'::;: ::::;::;;::::.::;<:::: ::.>:;;:::;: ::;:::;::: :::ii:;;:;:::: :::;::;:;;:ifi`ti5i::>:::`• d(/lam[//�j/�� .::.: .. :::: ;:; .... �.:::.' ::::: :::: ::::?:y`::i:�' ... :;:;: :::. ': >:: >:. .;;,�;;:<y �•: �.': .: � .: � •'� ''�.��: ..:«<:':i<::�:::':::::::::::..:. (M Y) 01/12/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION OLDE CAPE COD INS AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 296 WINTER STREET COMPANIES AFFORDING COVERAGE HYANN I S MA 02601 COMPANY A INSURANCE CENTER SPECIAL RISK INSURED COMPANY ISAC PEREIRA B COMPANY 100 PINE GROVE AVE C HYANN I S MA 02601 COMPANY D VERA ::. :.'.:::T:..:.E:::.::....................................................................................................................................................... THIS ...................................................................................................... S O 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE_(MMIDDNY) DATE(MMIDD/YY). 1 LIMITS ORSLIABILITY 3CU8439 07/20 06 07 20/O7 GENERAL AGGREGATE $1, 000r OO( X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $1, 0 0 0, 0 0 CLAIMS MADE f X]OCCUR PERSONAL 8 ADV INJURY $ 500, O O C OWNER'S S CONTRACTOR'S PROT EACH OCCURRENCE $ 500, 0 0 0 FIRE DAMAGE(Any one fire) $ 50, O O C MED EXP(Any one person) $ 5, O O C AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY SCHEDULED_AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND A EMPLOYERS'LIABILITY • !TO RY LIMITS LIMITS1 ER EL EACH ACCIDENT $ THE PERWEXECUTIVE ROPRIETOR/ INCL PARTN EL DISEASE-POLICY OMIT $ OFFICERS ARE: REXCL EL DISEASE-EA EMPLOYEE $ OTHER DESCRIPTION OF OPERA'nONSA.00ATOWNEHICLES/SPECIAL ITEMS .,.. :..:..........:::..:<:.::�>:;�:�>:�;;o•�:;�•�>::::,,v> rt:� i'is SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TRACY GROVER EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 54 HIGH S T BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY COTUI T MA 02635 OF ANY KIND UPON THE FANY ITS AIENTS ORanEsEtzrATivEs. AUTHORIZED REPRESENTATIVE r\ n ,� i ''FROM :RICHARD HURST FAX NO. Jan. 19 2007 11:44AM P1 a'Gv mgrs��ro; i r�or icy I s_ 500,00 C R;W DAMAGE-_fNTWW Ike►I i 50, 000 NIl�lxmu uAaumr MCC axw wn a�a ve mq � 51000 covarw&pla t LIMIT a ANY A=NWM �. A,nns � eow.r uwumr - � � � PAoPolnronmeoC �8 QAneM LOIL ► r.ea loawr' wy- . GJ�lM �oCotnMpe �ffi TM umlympm romm �MFL*VMW Mum Tt P1tOPF1iTeW owL I Ir 3 Y LAB B PARtB� I .. oSARl� DOp; j GIEBt I s'�'� ' 0 EMRLf,YSY 1l � I � I • I I i. INSURED BIAS WORn R,S COMPENSATION COVERAGE W'ITu O:RANI'1'E STATE INSURANCE CO. WE HAVE ORDERED A CERTTVICATE FROM THEM AND ZT WILD,: BE MAILED TO THE CERTIFI LATE HOLDER. AaLICY #WC4393596 t7/25 R5-07 :.:i ��n'�• ,2¢qp�� pi y (�� :l 'Y'^'•+'i".:;qE:"�%�::�i'�G�:IN'X a'' N;H '�y, e:.{^.,.,.n r}•t, .y I'm b4,�' .,e<4,1:4tiw rvi�x:0.'L. W' ".! IE� .....•.5 h,.::T4; h'�'.'f71::itii ist✓.ua .w,.. .•... 1 ... ..{{�•��,,, rr^' i j.'.. aN9UL0 Aka or Tm A"Vz Ilm Ppwma t1E CAmocu=mwom YNE TRACY GROVER CW=AIM WE TF614606 WM 0 ccllwaWV W L UNIT eUM TO IM. eays wmsT1:11Ucome To Tm colmmm►oLolm W=To rw ter, 54 HI C9 ST DUT RAe M TO VAL SIM t mtoA L W"Sm Na 99WATM On UA=ff COTUI T HA 026.35 v tam uP4H 7m Peter cm mm �� 1 a 1/1'5/07 MYOB/Excel 8:50 AM Permit Number MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release I Checked By/Date TITLE:TRACEY GROVER CITY: Barnstable STATE:Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 01/16/07 DATE OF PLANS: 11607 PROJECT INFORMATION: 78 HIGH ST COTUIT COMPANY INFORMATION: MAP INS. CO. COMPLIANCE: Passes Maximum UA= 132 Your Home= 117 11.4%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 490 30.0 0.0 17 Skylight 1:Wood Frame,Double Pane 8 0.410 3 Wall 1:Wood Frame, 16" o.c. 760 13.0 0.0 - 56 Window 1: Wood Frame,Double Pane 78 0.340 27 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 410 30.0 0.0 14 Furnace 1:Forced Hot Air, 80 AFUE 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 Massachusetts Energy Code requirements in MECcheck Version 3.2 Release la. 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 Page 29 i 16 111e107 1 MY09/Excel 8:50 AM MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE: 01/16/07 TITLE: TRACEY GROVER Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16" o.c.,R-13.0 cavity insulation Comments: Windows: [ ] 1. Window 1: Wood Frame,Double Pane,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: Skylights: [ ] 1. Skylight 1:Wood Frame,Double Pane,U-factor: 0.410 For skylights without labeled U-factors,describe features: #Panes Frame Type. Thermal Break? [ ]Yes [ ]No Comments: Floors: [ ] 1. Floor 1: All-Wood Joist/Truss,Over Unconditioned Space,R-30.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air, 80 AFUE or higher Make and Model Number Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 } L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls, and floors. Materials Identification: Page 28 i iM5/07 ' MYOB/Excel 8:50 AM [ ] 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,glazing U-values,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] 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. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. Page 27 1M5/07 • MYOB/Excel - 8:50 AM Table]: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1 Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1" and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 Lo and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) Page 26 Z �c toa as ma U . IAWITroM IADDmOM IWBTINGI - OO NO co{4(--1 2 U] A4 - (.1 N ® C B B �?r W-co 5 E+1=e I R CO��x EXIST. I 00 NEW pF LA o E°J m A DINING MASTER EXIST. 00 MASTER A ROOM KITCHEN B _- NEW --- (\jl BEDROOM A U } b — CLOS �`, ra ©ry ©. (yZ-D CEILING) a r II BIFOtD BIFMO b I I NEW r� I CLOS. b MUDROOM `"' I y ' J C AU ED A A A , N � b ` b PORCH EXPANDED A -P LO _ LIVING . EXIST. ROOM na R.T.RosrHB HALL 4 _ ti t.ni.ecAsxc A _ - Aa b SMOKE nEtECTORS REVIEWED PJ m - IAo01nOM � , BARNSTABLE BUILDING DEPT. DATE (ADOrtWM ' EXIST. EXIST. - _ FIRE DEPARTMENT DATE O ~ BOTH SIGNATURES ARE REQUIRED FOR PERMITTING O✓ G, IMPORTANT—UPGRADE REQUIRE Z V STATE BUILDING CODE REQUIRES THE UPGRADING O w E- - SMOKE DETECTORS FOR THE ENTIRE DWELLING FIRST FLOOR PLAN G.La ONE OR MORE SLEEPING AREAS ARE ADDED OR CREAT D^— Q EXIST.FIRST FLOOR = 616 S.F. NOTE: A SEPARATE PERMIT IS REQUIRED FOR I Q E"' NEW ADDITIONS = 410 S.F. INSTALLATION OF SMOKE DETECTORS-THE ELECTRI( C/) NEW GARAGE = 320 S.F. LEGEND: PERMIT DOES NOT SATISFY THIS REQUIREMENT. © EXISTING WALLS NEW SMOKE DETECTOR CONST.TO BE REMOVED U Q NEW CARBON MONOXIDE DETECTOR ® NEW CONSTRUCTION CARBON MONOXIDE ALARMS ¢ Z MUST BE INSTALLED PER o WINDOW SCHEDULE MASSACHUSETTSBUIIDNCODE F�— TYPE MANUFACTURER'S UNIT ROUGH OPENING REMARKS SCALE: - NOTES: A ANDERSEN TW 2442 7-6 mr x 4-5.1/4" DOUBLEHUNG 1/4"=1-O" 1.)CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS B " A 31 2%0 5/8"x T-0 1/2" AWNING &DIMENSIONS IN THE FIELD C A 21 1 2'-0 5/8"x 2'-0 5/6" AWNING _ DATE: 2.)CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS. D VELUX VS 306 - T-6 1/2"x T-10 7/8- SKYLIGHT(VENTING) 1/1 1/2007 - DETAILS,&FINISHES IN THE FIELD WITH OWNER NOTE:CONTRACTOR TO VERIFY ALL WINDOWS WITH OWNER AND ROUGH OPENINGS THE OMIGNER SHALLBF xon DiFAxr WITH WINDOW MANUFACTURER PRIOR TO ORDERING OF WINDOWS ERRORS OR OMISSIONSAREFOUNDON 3.) ROUG FLOOR TO BEADHEIGVEHT SUBNDOR nNSTRUCTIN,.THEBnTo smear of DRAWING NO.: CONSTRUCTION.THE BNLOixG cONTMCTOR FIRST FLOOR TO BE 6'-8'ABOVE SUBFLOOR "I IE RESRoxsBLE FOR THE CDNTENr 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS N ESE OMWING9IF FANSIRUCIION ENCES YA ERRORJOR IG THE STATE BUILDING CODE OC-ENC S ANYERRORSOROMIb5WN5 ESE ORAWINGb ARE bOLELY FORTHE 115E OF THE OWNER NOTED.MO'OTHER USE OF � THESE ORAYANGS REOUIgEb IH.E WHITAl iF. NbENf Oi THE DE9GNER. ' z o¢� 00 0 - DOM.RIDGE VQR � 3�N f m¢`:x _. '� NEWASPHALrswHGl&3 - . ro rearcH oa3nHa- M NEW FASCUI a FR1EEh I.J . - 60AR0.R To NAICN EAST. " roP of TE - HEW 6x6P.T.PoSTWI m ��130 00 m m O �xmxecwHD - El FlRSl FLpOR SUBFLOOR NEW umcE . FRONT ELEVATION ® REMOVE FAST.WINODN rOr- . _ I NeW RAA:6TRIM eomw � •�. /Fw�� - • I� TO MATCH EAST. Q ��/� TOP OF FlA Y Q��1 V J m O NEW CORNER eDARG$ F � � tT'F NEW W.C.SHINGLE SIDING 00 TO MATCH ExiSTNG lLr FIRSTi 00 SUBFLOOR SCALE DATE: I FMISHEDGMDE VARIES 1/11/2007 V "RIFT�N FIELDI ' 71 DRAWING NO.: RIGHT SIDE ELEVATION TO-OF NEW O.N.DOOR.ME MFR.aTTPEm-ERI Co< - m4J�a,� p.00 El NEWASPNALT snxcuEs ® n ro MATON FJ0511pY—� - NEW FABCIAb FwEIE , - - BDMDS TO MATCV FAST. - • aPOF PUTS TOP OFPUTE - J � NEW CORNER BOARDS �� � -- • Ncwwc swNGLE sw m sAmN !%LBtL oR FlRSTFLA i sUBFLOOfl suBFi00P TOP OF RAIE ' NEW OOROCN NOTE OO NOT DISTURB ELBT. vG WAu m NEW GAPA[£ 5 TOP OF REAR ELEVATION O . o _ ® ® O c� NEW FAKE b TRIM BOARDS r > LATO 1MTCNETR 1�1 ST FJn� �b TOP OF r w Z p� ti FIRST FLOOR ` suBROOR SCALE: 1/4'= F-0' DATE: 1/11/2007 LEFT SIDE ELEVATION DRAWING NO.: A3 z • !d tOd IId 30d V yLDdn°p (AO InON) (EN$TING) IMDITIOp - FRAMED WAllS A4 Q C¢_f EAST. EXIST. m Lz7.7 T E—Innw�i- 3 Do La NEW9 VS FNGMEEREDJdSTb®16 es. b I X O M¢—¢ A c I I arc. , N�v.r.axe AO _ _ NEwo°oR Fo �I \ FIELTRIGKP o I I . sv.T.zam= © 2cxae S�I I EXIST. M BASEMENT © NEw :Ba woes.Ol°MOATOFOft NEW5� 4 us U -� ALCESb INTO NEW F, _ x 1e - ITINON'BOELW1GRtDEBE6 -1O1 BASEMEN . I GARAGE F F ER PT.B=6 POSTE NEW wpE PT.3=BF is I (l CONC.SLAB I I m q DOOR)tTONWtDb I I- S � n z ,O ExI E FOUIm W! NGI CLOS. sBFasTaBorr. I - N O xEw P.r.x=I= I NEw a-GONG. • - 4 FOUND.W S 8 � NEW Sx16 -- COxL.FOOTINGS - 4 - NOTE DROP TOP OF NEW FOUNDATION - _ A TO MATCH NEW SUBRDOR W/THE 6 A 6IET.G NFEwM E70STINGSUBFLOOR.(VERIFV IN FIELD _ IF REQUIRED). . Nev.—BIGFo°T•w°nNGs UNDER+z DUE SONOTI,BESTD - - asBELOWGRAOEUSE6R.fl60M O r BV6L BC6 POST BASE.CXP A'd fad ad Ad R rl TOFASTENP.T.b=6FoSTb c.DOmoro (ADONIox, - teAsnNG, w°dTDFu "NEW ROOF CONST. ���-CON.RIDGE VEM - BASEMENT/FOUNDATION PLAN DRAFT FS sex z frzcox aLvwooD sxEATmxo E- ' M1S0 FELT ROOF SHUIGLES 2a lF�16' bF FELT PPPFA O 2 6ff(R+lD)MGX DENb.�INb°UUI�TON®40PEDCERMGS r , 3 C V MATCN� �—NEW ROOF CONST. B� a'b"T°MLPno�`w°G®Fnf O ,EXIST, b NX25 HURRICANE WPSATpMERS uj L 2 E— > Ci7 TOP OF MTE C O W "ON Gi xbTRAPPING _ 3a61®+B-e.c 4y ` `COM.KWUNUTA TOP OF SaFFRVENrs NEWMnnonBEw r H NEW —NEW WALL CONST.1ST �1 NEVF BEAo boARD L BEDROOM i�iza rvL1Up5woo v�iE«AiHIxG EW B s frz•(w•rn eATr.I.ulAAnox Neve=6P.T.Fo6FLvr OVERED NEW NEW .:+rr GrPSDM BOARo V .......CASING WALL NEW Yl T 6 G PLYWOOD b,W.C.SMNGLE 61dNG r.,ti ORCH MUDROOM s —OR.—E.—I.E.] a TYVENVAPORBARRIER Ft—FLODR Jy xEW DECNNG CONST� s°BFLOOR P.T.2=6--SEALER NEW.1?ENGINEERS\DIOISTb®tffec. 7 �O XEW P.T.2x BF®15 e.c SUBF—R R ff BATT. --Blp'FIRE... I( I"ruuLAnDN(Run ox+x sTRnrP we®+c —NEW WALL CONST. e F SCALE- x.b sTuos®1ff e.F. "MPT.6 6POSTs �oLOIAANLXOR ..IN GRMGE iVS PLrivOOo bXEAT1nNc 1/4•= I•-l/• NEW I-FIRE——SUM NEW IF GARAGE W.C.SHINGLE SIDING DATE: F 6TYVENVAPORP.DR b NEW 21F DW-BIGF—FOOTNGS pAMPPROOF KL WKL6 I/I I/ZOO) xDER+T DIA SONOTUBES TC BELOW GRAD ONC.SLAB QA BELOW m BELOW GRADE USE SxflSON EXIST.BASEMEN SUB T66 a BC6 POST BASER'N OP Of SIAB O FASTEN P.T.6x b PO515 c e-a fa DRAWING NO.: s BUILDING SECTION NEW BEDROOM FINIBHGRADEVMIEb A (VERIFY Ix ilE1DI q z x _ n BUILDING SECTION NEW PORCH/MUDROOM Q @ _ A4 Co W2 �3=a3 (W—m .. (MDITDM - tWsmm ND om r QQ U 2 EL,_ I ® A6 M - 00 A I 00 ILI InX - I PoOGEBFAY b ert uuin lK aEM� � 4 LLy E-+ 1A o - (apWTDM NOD�noM � rO� i NN V Lr-Ll ww F--1 (WSTNG) W " ROOF FRAMING PLAN w00 NOTES: 1.)ALL ROOF RAFTERS TO BE 2 x 1Us SCALE: UNLESS OTHERVOSE NOTED I/4'= F-0" 2.)USE SIMPSON H 2.5 HURRICANE CLIPS AT ALL RAFTERS ENDS 3.)VERIFY GUTTER TYPE/LAYOUT DATE: W/OWNERS 1/11/2007 DRAWING NO.: ' A5 i { i � E P � t Fi _ Jl, i f i spa �a o .. �..-:� %/ /iS% ,r/// ///S9<=/N0.9i .ii.N,..i .ri«//rr,.Ir /i�F!//. i/ I/.�,(//-/".i/.•/./N.'-`.7r3 r� 'rc CONC.Pb TE' CO✓ER 9.. �� , .1�i2 6EL OW G,e.40E ov7Yt T FVPE".LEVEL M/N IVT /OC"Lc�S. 0►'° 3 3/1 nlze, _ -. I PENS TUNE Rl -919 OU7"L ` e oN LEVEL'B/ySE c PusNEo�. .I i�RAE,47S'7" u� ' TE 'EXCgiai7TE rD ELE✓� 27 O� I;a_ •�za� �—._ _ _ 4,p1_._�oo.'I., '� I ✓E"rP TC-E' wU l��rIL L �::7..'•/�7 ,P CLA?Y Y. -- 'T.<_'R/f7L ^vA;77 H� /i T.�/ ".4i✓�CL q?�-F.F'EE Ci.Pf7Vt�^+EC./gni/CqG L Y, - -�,-----..L--,�= •':'�— � e..., i0 6 ° T c96' CqS T/.PO/V - ' /NS 7.QLL ON ZEVEL BgSE OBSERVAT/ON'P/T t - COLF7T/ON T�'TE S/7N/T.QRY, /✓/TNESSEO 19iY . ;:• ., ...'. , - ". 9L. 9P oL/'CABLE, aE,L%sE0" FOR 0�4TE'' r�rQly"_r d,i� R i C - r✓ ,99 E.,f n;�Yl '.`�14t6Y�.�51di' 1::1"1 4 I /✓0 _ x ..n' � — `� � ♦Ta -3` `t > .: p/}f ... P_ GF..P®�CE, 07Si�03�9L, � '• - � OAJLY FLO�'Y • SEoT/C 7,17,V t' REQ'� LE/TCN/NCB I I• I 4&A, r,� E f v �' yY.• _ ni 4' i"°F'a�sx,� . PRO�OSEO SEWigG�".',Q/SPOS.9L. SYSTEM r ��',. R1C84R0 poi '.;, •. �' rq/:/CE PMA o pEph?:PED f"OR 9ER(It�ND ti , r� , 40� ` '4 I w ,/ r ,Ci! (✓..'M a s : $e✓" Y.� n � ,,� e�� x"YN T/ON 1RL.5 cII09 QVEy/NQSPta� 'I SCALE" ,9S /VOTED. �'4" — � � i • .S' YS 7 Z/6-1 TEP FDN ~;'` { �iM/Sfr. GP4OE �3- `a.,d •f � FIN/SN �R..'OE OVER � .. - 4. ?.r L w_�. � � ='Tic, THNK' •�t�..7 ,�` , St/ ..1. �ia.;:r,.r r ran i r,✓7.�fr-'— ,.;T _. :.i .r. ,... .. ..... .: r..5. . r e .. r 1 .. eo:�e• � .�. .. _ �O:♦ ,�o D r 366% @SM•T FIR e,n0 _. `�' a � - �� - is Py�vl�Oitla tl i } n r A f t ,✓ /� RE/NFORCE,O '� -_ L .+s rr�. ' �1 n .., Gam,v p4.�� ae0o0a ,n-,;.+ -3y1 -?:C--a- ,,• o ,.r �:r�'• ix.,�uy k GJ�"ya�l�1,&� s ��v v �� � iy r' � ci 77. - J - 9Z \ �l! oc� scvEL7utE •on ov e 3 THE" B Dl+,f+,cJ c�F NEi9L i ��/ a •1 - .. FrCCUR0.4NCE�Ii!/TN- �. l COQE TITLE ,✓ .vw� -%fir .\ 4 ;e04�fr, sro4w G t '.<9 4SE.!NlENT DOt Ck .oc���ocso 4 O65EE'✓AT/ON 4 1 ..w�/„ �' •. -.. � 4 � U o/s:•r.�/.fiVTion� sM/N/MUM Colo r�i.!E>"TE•' ,Thf }.;.!J R'N. c,O.�.yK?JL.eri;tom'..e'.t"WW+'w"r .%'F:E'L. 'k'C} ^r•,•G'.�1/. �J`t4.'!/ /�.;!v'Ca?I .,r f±;E �-'s .5'ERT/C - - � � . Qf,` F3'II., Fl 7 t✓{4' fi lSL J> ��:.x�'�a�'t./t?'�'T (Rd?.) ''..: �. ,. �, ' ,•n`r TOWN OF BARNSTABLE Permit No 24232 . i ,, Building Inspector (,6 6 3.1)0 ,MA Cash �' 3 ~`� OCCUPANCY PERMIT Bond ------^____________ Issued to iille_r' Ga.liaghe. Address Tx—,t d. 3 l t) rtl' 'T17 �Lrc,c?9- , I�;7i'.-1-1 Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE B?!:ILDING 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. .....................................................1 19.......... ...............�'.... :..... ....... ....� . _. ...__.. . ..__._... Building Inspector I .77 A nl. v l Y 0 7' w V /�I�1� 1 h 63 / t� 'goo o r ,• s` . t� 90 1 c+ SUR'��, "I certify that the foundation Plot Plan of Land Located in: Barnstable Mass. shown on this plan is as it exists Prepared for: s on the ground and that it conforms Hillery Galagher !� Date: July 21 , 1982 to Barnstable Zoning Regulations. Scale: 1 "=40' 07 Cape &` Islands Surveying, Inc. July 21 , 1982 t -- — — — — Teaticket, Mass. Assesspr's map and lot number ...... ............... ........... Sewage Permit number ... --�................................ I SEPTIC SYSTEM k4US'f a'..A 33AiNSTABLE, House number ........... c-,,- O . .,MASM ... ....2 INSTALLED IN COMPLIA14 0 4039- OR TOWN OF BXRN�Sw XTA KA,0,Q-E NPA TOWN REGULAT10N_S BrUIL I INSPECTOR Ile APPLICATION FOR PERMIT TO ..... 7. �.. ... IAJ66C , ........................... ........ ... ............. ........ TYPE OF CONSTRUCTION ........... ........ ....... .........................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby ap t ies07 .. for a per it according to the following information: Location ../ ...... //. . .... ....................;)................. .....1. ..P7/--- S.j................................... Proposed Use ....... 5.. ... . .....................................................................................I......................... Zoning District ............... .........................................Fire District ..... ........................................ Name of Owner ... ..4&ZAddress Name of Builder- ...e/5 ..........Address..... ........ 7-... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................... .......................................Foundation ..................;..............._ _,)................................ r ;Exierior ...C 7��001, 12. �4�;1. oofing ......4z. X'.1.16?............................................... Floors ....... 12,7........Interior Zz. -1;-.............................................. .........................................................................Plumbing ........ ...... ....................................... Fireplace ................./...................................................:.........Approximate Cost ...........g...,F�...o,-�. I ... . . . ................ • ..................... Definitive Plan Approved by Planning Board ------------------------------19-------- - Area. V" 14 Diagram of Lot and Building with Dimensions Fee .... Fr .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 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. Name �.... . ........ ... .........I............... GALLAGHER, HILLERY J.. 24232 12 Story No ................. Permit for .................................... Single Family Dwelling .......................................................................... '.Lotation ..Lo.t...#.4.3......7.8...High...S.t.re.e.t. .. .. .. .. .... .. .. .... .. .. Cotuit .............................................................................. Owner ....Hi.1.1.e.ry. ....J......Ga.l.la.ghe.t......... .. .. .. . .. .... .. . .... .. .... ....... .. Type of Construction ..............Frame............................ ................................................................................ Plot ............................ Lot ................................ July 21, 82 Permit Granted ..........................................19 Date of io ...... ...................19 Date Copleted .....41. .........19 azb f r , Assessor's map and lot number .....:. ...........................x .... t' TH E r0� Sewage Permit number .....:.................................................. r . Z DAUSTABLE, House number ........................................................................ " MAS&900 1639. • �0 a ul"a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... .....!/ ........................................................................... TYPE OF CONSTRUCTION ............................................... ..........I............... / .................................... .............-7.1f........ 19 .. TO THE INSPECTOR OF BUILDINGS: . The undersigned hereby applies for a `permit according to the following information: `! , Location `(. . �* � � J ...................... .. ..............:................. ............................................................................................. ProposedUse ....... '..........................................................................................I......................... Zoning District ........................�...........................................Fire District ...... .............................. ... S � �� /�..........e��Qr" IName of Ownerl GC &.;.� rAddress •...........9(ec,G7.................... Name of Builder" ... 7 �s1/ .... ? .�l,c 1........Address ��aX.G.`7, ....��� ;��,`i,5 � �'/u 0 `?..`?r : ................... . Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ram..........................................Foundation f.... �- ....................:... ...................... .................................................... Exterior C 2.<Y,................. ...,... .'s Roofing .(af/? Floors /.//�C`-��r-- C��.'L��! ,,...f o; Asi J7,�a,x.......Interior .... �1, r a r, -. / O ................... ,..,.............................................. C: Heating ...............Plumbing - Fireplace ................ ost ......................................................................Approximate C �d........�.........A.� Definitive Plan Approved by Planning Board -------------------_._-_- r � ` :±a ' 19 - - Area t.,:....pp. rr................ :... . Diagram of Lot and Building with Dimensions Fee ..... . ?!..-50 ........... ........ SUBJECT TO APPROVAL OF BOARD OF HEALTH ' S 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. , Name ,���iT�!/.f ... r�t//`'/�r✓t.0`:.:.::........... ` 1 GALLAGHER, MILLERY J. A=35-43 No „..42..2.. Permit for .....1? Story Single Family Dwelling . ............................................................................... Location ,Lot #43, 78 High Street .................................... Cotuit ............................................................................... Owner ...Hillery...J... .. .. Gallagher. . . . . . .......... .. ... ..... .. . .. .... .. .. Type of Construction Frame .......................................... ................................................................................ Plot ........................ Lot ................................ Permit Granted .....July 21, 19 82 ............... Date of Inspection ....................................19 Date Completed ......................................19 V o O r i` BARNSTABLB ASSESSORS LOT 41 , I CERTIFY THAT THIS SURVEY AND PLAN WERE MADE G�89'441 U,_� W 138. 18 IN ACCORDANCE N7TH THE PROCEDURAL AND TECHNICAL IN J w STANDARDS FUR THE PRACTICE OF LAND SURVEYING Q' T COA(MO F M ACHUS PAUL- ENE.. DATE xs AU . ,�."� ASSESSORS m4 LOT ASSESSORS \ `u LOT 42 �( \`$ W ► `�„ �o LO ® a. STRE T SCHOOL STREET t „ . 33 LOCHS MAP S89 4418 W 239 (PER DMTAM"'S CARD)In � LOT -� \ ASSESSORS MAP-. 35, 43 o PLAN REF.• 466/78 .. „RF " ZONING.'FLOOD ZONE.- „C,» C . _ - - COMM. PANEL# .p ASSESSORS' - _ = 250001 0018 D /a :HOUSE DATED..: 712192 LOT 43 "�° I =_ �j AREA=76.503 S.F v T \) 152 0, ADDITIONS ASSESSORS LOT-103 PLOT PLAN o OF LAND 0 _ 118. 13 LOCATED AT . REET 84°1816 E 78 HIGH ST N o w COTUIT, MA REPARED FOR P ����1 t TRACIE GRO VER & PA TRICIA A VALLONE 246. 20 _ N85'0 ssEssoRS A A UG UST 26, 2002 LOT 44 ASSESSORS DEPT) LOT 65 ' YANKEE SURVEY CONSULTAN75 (COTUIT FIRE' a UNIT 1, 40B INDUSTRY ROAD GRAPHIC SCALE 1 MaRSTO j MBiLs 265 Ss 0264e r' TEL• 428-0055 FAX 420-5553 40 0 20 40 ` 160 J# 53135 DCB I ( IN FEET ) ,' �I I inch = 40 ft. 4 t f SORS LOT 41 BARNSTABLE " ! CERTIFY THAT THIS SURVEY AND PLAN WERE MADEASSESn AND STANDARDS FnR THE PR9CTICCEIN ACCORDANCE H THEOCEDURAL OF ND SURVEYING!CAL IN — S89°4 4 '18"W 138. 18' - T COMMOA F Af ACHIW PAUL. HE , DATE c . Gawr � p� Z ASSESSORS �? M 2:4�aorreGE LOT 68 OHO �✓? �� 9� ASSESSORS O� ?' LOT 42 Qs LO STREET e �� I Uj HIGH S89 04 4 18"W 239. 33' ' �' 'SCHOOL STREET \ �� iMMING SEPW Srs" ` LOCUS MAP (PM I�arnusRs CAM)� ° -'� ' ASSESSORS MAP.- 35, LOT 43 c ®t '�� PLAN REF 466178 'ton ZONING: "RF" ASSESSOR FLOOD ZONE: "C" _•----= COMM. PANELf LOT 43 250001 0018 D O �a ` -NEXJWE - � Eazm�o�rK 1 �j ?.►L�o _ B ar��� DA TED.• 712192 AREA=76,503 S-F. -- - ° zp 4B 1' p - °�40 r 152•p' PROPOSED ; •0 11 ADDITIONS 0 ASSESSORS LOT 103 PLOT PLAN o _ 118. 13 » OF LAND E N841810 LOCATED AT 78 HIGH STREET y C ' �? , COTUIT, MA. CV sv � PREPARED FOR V tn �z » 246. 20 TRA CIE GRO VER & PATRICIA A VALLONE ASSESSORS _ N85 03 36 ..E LOT 44 COTUIT FIRE DEPT) M ASSESSORS AUGUST 26, 2002 LOT 65 YANKEE SURVEY CONSULTANTS GRAPHIC SCALE UNIT !,P�B INDUSTRY ROAD BOX ao 0 20 ao 80 1 eo MARST OAS MILLS, MASS. 0264E TEL• 428-0055 FAX 420-5553 ( IN FEET ) Jay 53135 DCB 1 inch = 40 ft. i I CERTIFY THAT THIS SURVEY AND PLAN WERE MADE _ ASSESSORS LOT 41 BARNSTABL6 -- N A IATfTTAECO SURD NGI IN N S89°44 '18"W•' 1 '8. 18' COAlAlO ACHUS / L v PAUL A L MEAITE� Q. ASSESSORS ! uaA .N LOT 68" •2, Q� ASSESSORS �,W6 ' . LOT 42 os Z-� -- , o ,� Na o � � l GH STREET S89°44 '18"W 239. 33 SCHOOL STREET j A�asrrNc �? sNPW Srsmr ; ` LOCUS MA ASSESSORS MAP. 35, LOT 43 PLAN REF 66/7 8 .Q W ZONING.• "R f" p .� ASSESSORS FLOOD ZONE C �1 �-_,+�. o' =•---___ COMM. PANED LOT 43 �'° �� > �'��`_- - �� 250001 OOIB D "°"'`z - N D.4 TED.- 712192 AREA=76,503 SF �• 'fie _ 44. 152 O, .1 N �'ef`X" .ADDITIONS ASSESSORS p -; � . LOT 103 PLOT PLAN o - 118. 13 •� o OF LAND Ng4 '18'10»E W LOCATED AT lbp 78 HIGH STREET y Cv . co COTUIT, MA. PREPARED FOR ��1 Lzj °0336»E ' 246. �2 ASSESSORS N85 0 TRA CIE GROVER & PATRICIA A VALLONE _ _ . LOT 44 COTUIT FIRE DEPT) ASSESSORS AUGUST 26, 2002 LOT 65 REV OCTo=-R I6. 2002 GRAPHIC SC?.LE MIME SURVEY CONSUMMS UNIT 4 40B INDUSTRY ROAD 40 0 20 40 pp ��pp�� eo 'I AIAAS7 S�A/I11S. 1%W.. 02648 7SL 428-0M F" 4Z�0-3.Stf 9 ( IN FEET )1 inch = 40 J,¢� 53135 DCB fir CONT.pIGGf VENT TYPICAL.A5PM-f poor 5HINGUF5 Q N � C) (Z) w cx rn oo � wN TOP OF PI ATE W Q, �:D 0 5'.r 6'_2 Q O � � C) STCP ` fl (3 C3 � L L-�Zzza"VIZA- `c Tu6; SNOW>;p O 2'6'' x 6'8". WOOD SLIDING f l.UF MN GOON CONCAST — � SNFI.VFS CONCk7�t W 5TP Fo,X F \ONT �L�yAflON cFLATCEUN6) . . �ANLL hN r\�C O D A 8 AMA - 0 0 W UNT�i�G ON N GAftr VOVC N IV,0V� f I9 13UWoowl� G M)\/V C � O � U A ANG�pS�N IZ F—FDING W �' W000 SLI 36" x 8�" FWN 6068 PAL 9 131APN Poop, 5TEP Op PAMP O C UIFY IN A I A x 8 pAnC rS0ApG5 w f W/ I GPIP f3UAt?Fi r ►� E--i 1.01I Z-0" (;'' TOP OF PLATE W r ►� FLOOF\ PLAN Ix5/Ix6 w COpNM0AF'G5 r TOTAL /.TA - 528 5.F, W.C.SNINuLE SIDING is SMOKE Pmaop v To wr WP, SCALE 5pr I.OoP 1/4" = F-0" WINDOW 5CHFPlF DATE 9/5/2002 TYPE MANuFACTUpEp'S UNIT pOUGN OpNING PTMAI?K5 P\16HT 51P� FLFVATION JOB NO. A MPFQp �N TW 2442 2 6 1/811 x y 5 I./ 41, POWI,�HIUNG p C 135 2'—0 5/ 8" x 3'—5 3/ 8'' CA5MW GROVER C AN 21 2'-0 5/ 8" x 1'-9'' AWNING 6MM, N0F5. b VFLUX V5 306 2'-6 5/8" x 3'-10 3/ 8'' 5KYLIGNT(VENTING) DRAWING NO. : 1.) CONT ACTP, 15 t0 \V\IFY NI, C45TIN6 CONMON5 NOTE' VFI?IFY &I, WINbOW5 WITH OWN AW WY,41H OPFNIN65 & 19IM51ON5 IN TW FIEL12 WITH WINDOW MANJFACTUFI? 2.) CONTPACfOp fO M&Y MA1U\X5, 2�f&5& F'IN19f5 IN TK FlU WITH OW P\ A I CONT.pIGGE VENT Q, Q C\j wC0 2x6'5@16'' o,c. Q d TYP. P00F COW pl uCfION Q 2 x!U IWTA I?5 @ 16'' ac. W N — 1 2. 112 CPX PLYWOOP SHEATHING n m 3.A5PN.ALt POOF 5HINaE5 W � (3A5WrNT �. I # r�Lt PAPEP, C� — _ — — — — WINRm _ 1= A11 �C - 9" C p-30) I�Att. IN5ULA110N @ FI,AtC�IL.ING5 Z Cb — — — — — — — — — — — — — — — — — 6, 8" (P-!0) NIG O H PFN5. INSULAT10N @ SLOPFP CFIL1%5 W cn O — — — _ — — — — — — — _ — — — — — — — — — — — I 9 - 2x12Pl%E[3EAM I 6 51MP5ON H 2.5 HLIWICANF CUPS At P\AFSP\CONNFC110N5 O _ 4" x 9 1/2'' LVL's 2 x 8's @ 16" o.c. . tOP OF PLATE � � � � C3A5EMENt UJINIiOW 1/2 GYP,C30AFG �CONt,ALUMINUM ON I x 5 5TPWFING 50F-It VENt5 ,y FULL 16'' TYPICAL WALL CONS', N - 1 3 ��C C. L,. I I i 2x�STUC^i5@I61 oc A �A 2. 112" PLYWOOD 9fAINING co n CA" GONG.5LA13) q I ` - 3- 1/2'' C3Atf. INSUWON CIA. 4 11 2 GYP5UM 6OAPG o z. (:Ol.laMNS � � � FI -YWO'� W.C. SHINGLE 51GING 4 T 51"FLO(7t? " & (A PLPy _ - SU(3FLOOp -Gl LCC%,4 �•.�L L 6. fYV�K VAFOr �A ;IFt? SU�FLOC? �-2 x 12 N6666662 x IO FLOOp JOISTS @ 16"ac 1 k . ALOOF jo15' -� �-2 x 12 6RT" — — — — — — 8'-0" V TYP,6" Wf. NSUL.A110N C P,-19) 2 fW,8" GONG. / " PIA,51FFL FOUND.WAIL F UL LALLY COLUMN +� f` •.K ,P, t/ I, M5�M f GAMPPWOF ALL WALL5 co ToF of SLnr, ram,30' x 30" x Iz" L---- CONC.FootING5 GONG,Fool% OFFA �U LbING 5�C1' ON @ LIVING/ �My - � A �s O A2 0 � w � FOUNPKION PLAN_ A E--i > w q2 Y) O nw�' CONT. 006E VFN1 T 1 w 1 x 8 PArE C30AP\P; � C�o 1 x 6 I`ASCIA& I Y.`} -- — FI?IFZF 13OA}?C% -- SCALE TOP OF PLA1L - -_ _ ---- - -- TOP of PLATE 1 /4" = 1,_0„ DATE : 9/5/2002 COFyNr�OAPP5 _ - 1, -- —- _ - -- -- W.C.SHINGLE SLING — _ _ N c " +-To w>�At�� � � JOB NO. : GROVER Sur3rlL. -- ----- -- -- ----- �u�FLoor; DRAWING NO. : F\FAP\ � L�VMON_ ��Ff 51P� �L�VKION_