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HomeMy WebLinkAbout0039 HIGHLAND AVENUE ; i S`l��- �D�- �� 7a� J o E @ � .�: ��-x �. 5���r. . �Q �� ���� �_.._ M 4 , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 040 Parcel Oq Application # S Health Division Date Issued 1 9 /b Conservation Division Application Fee s® Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 3q Me9 klaJ A w • Village C o fV 0+- I' Owner Vykr- V45 Address �� C�_n� �a"i Co�" , A y�- DO Z- Telephone 1 Permit Request Tµ9LiI Cl- ✓'oodr W01-v.tej S, !W Py 5,/S1,.L ® k�✓ CO Po L,/ wt o J rS C 0(Atn Je l W!-(k Kt",'AWIY 0 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation .731309 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 i 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,-gGod/coal�stovedU Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Ban,❑ existing U ew size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: K:e h+J S� Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# J Current Use Proposed Use - ' APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name G o�� ��'� " °Cf�` V�t Telephone Number S _ Z�— �Z_ Address LO go IM A 02 (75--License # Home Improvement Contractor# 0 6 26 Worker's Compensation # ALL CONSTRUCTION DEBRIS F�ESULT JG FROM THIS PROJECT WILL BE TAKEN TO 11 ii !l1�1//�/,,�� 9 r 1 L1A d . �vSIGNATURE 11,14iWA DATE i :a ti FOR OFFICIAL USE ONLY APPLICATION# - DATE ISSUED r MAP/PARCEL NO. r ADDRESS VILLAGE OWNER f t _ DATE OF INSPECTION: FOUNDATION 4 FRAME } INSULATION i FIREPLACE l k ELECTRICAL: ROUGH FINAL ` ,R PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 3D15��(v DATE CLOSED OUT E i ASSOCIATION .PLAN NO. 1 �l�,ssachusetts Lregatfr�sent of uci¢c Safety ;xssa,d of i3uatding r2egulations grid Standafds Cafistructhj 4uponiujr License:CS 107947 JOHN VREELANO. 48 QUASIrIIYET ROAD; higshp&NU 02619 �` r �rrrtcet ssinnei 04/2W018,f IF Y "Al m q.Fold Then t)etaah Along Ali PeAcretl6 r N Rs?yCOiHI O WE4U.—W MESA US m g A �� s LEA R,1cIAks -M� c� I rWPSSUES�THE FOLLOWING LIC N ERAS R fry- REG[STERED MST it SE�CfRaCIAPI , COTUfT SOtA vv s FRANC I S 3 �fiAUY'� fjW ggs '��, 'OWPL XMDUTH MAD23b2t 366 x� ' Qlffc� of Consumier Affairs A.Business.Regulataon 10 Park Plaza Suite:5:l'70 Hostob; Massachusetts 02116 Home Improvenjent Contractor Reg�st on ftegr'stravon 1462r6 Type Supplerieril Gard C.OTUIT SOLAR - F.Piretido 4l8/2O JOHN`,VREELAND P.-O,-BOX 89' COTUIT, MA 02635. (lpdatq:Addrecc antl:r¢forncard.Narkrcun f6t:cs►flttAe: SCA �,.�k,� 3._ f t / "y Addresv': .Rtne�val Employment �:LostCard �,A r//(d�r.tirlha.`+ri!Yrdfl�Pl' :-:tlSr�rd fe:ddJt�+t. flscc otCo•>nrner Affnirx t 0ustrrr+3 Regptaituq 'License or registration-61id fair iadWitluf.use.rialy qM IMPROVEMENT CONTRACTOR. If foand return to: 4fGce or.Consumcr AlUirs ansl lsusiness Reggtation da Registtatlon i452r0 Type:: • 10 Par k PbA-Suite.5170. piraUon 41si201T Supplement Curd Balton:nTA OZ t 16 COTUIT-SOLAR 40RN:VREEL AND 3800 FAL19OUTH RD. ��s�=�,�t•1'�_ . j/ NtARSTGzAiS PAilIS,MR 02048 Undereneretary Not vali s without signslure� The Commonwealth of Massachusetts Department of Industrial Accidents v Office of Investigations I Congress Street, Suite 100 Boston,MA 02114-2017 5� www mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Cotuit Solar LLC F i Address: P.O. Box 89 City/State/Zip: Cotuit, MA 02635 Phone #: 508-428-8442 Are you an employer? Check the appropriate box: Type of project(required): 1.Q I am a employer with 12 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet.. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.: 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no 13.❑■ Other Solar PV Installation employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Travellers Insurance Policy#or Self-ins. Lic. #: 6KiUB-4988P868-15 Expiration Date: 3-26-2016 Job Site Address: cl/ go tt Q4 A City/State/Zip: 31' I<i�6l t/`-or 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 cIt o erage verification. I do hereby certi n er t e p ins and en Ities of perjury that the information provided above is true and correct. Si ature: Date: Phone#: 50 4288442 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: i Rigf'tfax 03—'L 3/31/'L015 4:bU-:16 AM PAGE 2/002 Fax server DATE(MWDD/YY`M CERTIFICATE OF LIABILITY INSURANCE FICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THFS CERTIFICATE DOES NOT AFFIRMATIVELY-OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_ THIS CERTIFICATE OF INSURANCE DOES NOT CONSTffUTE A CONTRACT BETWEEN THE ISSUING INSURER(%AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDES IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the polioy(tes)must be endorsed. if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement Astatement on this certificate does not confer rights to the certificate holder in lieu of such endorseme s PRODUCER CONTACT NAME: DON BUNKER INS AGCY PHONE FAX PO BOX 221 (A/C,No,Exo. ( to,No): iv. vmp.MA 02339 6M E ADDRESS:, 73JCD INSURER(S)AFFORDING COVERAGE NAtC; INSURED INSURER A. TRAVELERSINDEV(NITYCOMPANYOFAMERICA COTUIT SOLAR LLC INSURER S. INSURER C INSURER D. 3800 FALMOUTH RD INSURER E: MARST'ON,MILLS,MA 02648 INSURER F.- COVERAGES CERTIFICATE NUMBER' REVISION NUMBER: THIS IS TO CeffnF'THAT HE POLER V=11131 DITISBELOW HAVE BEEN ISSUED TOTHE INSURED NAM ABOVE FOR THE POLICY PERIOD INDICATED.NOTYNTHSTANDING ANY REOUIREMENr,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERT FICATE MAYBE 1551IED OR MMAY PERTABL THE INSURANCE AFFORDED BY THE POUMES DESCRIBED HEREIN ISSJB1ECT TOALLTHET6iMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIARS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR ADD SUB POUCYEFFDATE POLICYEXPDATE LTR TYPE OF INSURANCE L R POLCY NUMBER (tJR1MID61YYYY) (MMDIYYYY) LIMITS GENERAL LIABILITY [R"EMISES CCURRENCE g COMMERCIAL GENERAL LIABILITY CAMS MADE OCCUR., ETO RENTED $ (Ea occurrence) P(Any orte person) S GENL AGGREGATE LIMIT APPLIES PER: NAL&ADVIWURY S AL AGGREGATE $ POLICYPROJECT❑LCC CTS-COMP/OPAGG IS AUTOMOBILE LIABILITYED SWGLE S ANY AUTO LIMB N D SINGLE ALL OWNED AUTOS BODILY WJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY tWURY $ NON-OWNED AUTOS (Per acciderd) PROPERTY DAMAGE $ (Per accident) UMBRELLA lie OCCUR .. EACH OCCURRENCE $ EXCESS LIA3 CLAIMS•MADE AGGREGATE $. DEDUCTIBLE $ RETENTION S S A WORKER'S COMPENSATION AND % We STATUTORY OTHER EMPLOYER'S UASKM YIN Ua 4988P86&15 03262015 03W2016 UMnS ANY PROr saiTORIPARINER/EXECUTive OFFiCEPA413118E11 EXCLUDED? �WA I-L EACH ACCIDENT- $ 500,000 (Mandatary InHH) EL DISEASE-EA EMPLOYEE S 500,000 It yes,deseriae under DESCRIFnON OF OPERATIONS bejaw El-DISEASE-POLICY LIMIT $ 500,00() DESCRIPTION OF OPERAnoNS/LOCAnoMS/VEHICLES/RESTR1CIlONSISPECIAL ITEMS TH'S REPLACES ANYPRIOR CERTIFICATE ISSUED TO THE CLR7ERCATE BOLDER AWECtATG WORKERS COMP COVERAGE, { CERTIFICATE HOLDER CANCELLATION CONRAD GEYSER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 44 OLD SHORE RD BEFORETHE EXPIRATION DATE THEREOF,N0710E WILL BE DELIVERED IN ACCORDANCE WITH THE POUCYPROVISIONS. AUTHORIZED REPRESENT COT'UIT,MA 02653 /.SO ACORD 25(2010/OS) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORP�ORATIOIL All tights reserved. Y i Cotuit Solar LLC Project: System: 5.4 kW DC (STC) Site Plan 508-428-8442 Duke Bates 18 — LG 300w modules Revision: January 24, 2016 PO Box 89 39 Highland Ave. 18 — Enphase M-250 (OTUIT SOLAR Cotuit MA 02635 Cotuit, MA 02635 microinverters I 1. Warning: Dual Power Source Second Source is PV System 2. Photovoltaic AC Disconnect Utility _ ��� Service (9) LG 300 W Modules 3/ PVC Voc=39.8V, Isc=9.98A 3#12awg conduit #12gnd Line Side Tap 9 Enphase M250 Envoy 250W, 1.OA,240Vac Sub panel UL 1741/IEEE 1547 (1) 100A AC Roof Top Main Panel (1) Junction Box 1 Pole 15 Revenue Grade PV Meter 100A Main 3#8aw ® 2 Pole 20 g utility Breaker._ Pole 20 #8gnd Disconnect(2) 60 Amp (9) LG Roof Top 300 W Modules Junction Box — Voc=39.8V, Isc=9.98A 9 Enphase M250 250W, 1.OA,240Vac UL 1741/IEEE 1547 3#12awg #12gnd Cotuit Solar LLC Project: System: 4.68 kW DC (STC) Solar Riser PV Wiring detail ff\\� Bob Heron 18 260w modules January 24, 2016 508-428-8442 Revision: �� PO Box 89 54 Hiller Ave, 18 - Enphase M-215 scale: None (oTUIT SOLAR,. Cotuit MA 02635 Wellfleet, MA 02667 microinverters JAMES Ado CLANCY li PROFESSIONAL ESSIONAL ]ENGINEER NATIONAL ]BARK, NJ 08063 (856) 358-1125 FAX: 48566 3 8-15]11 Construction Code Office Date: January 24,2016 Re: Cotuit Solar LLC,3800 Falmouth Rd.,Marston Mills,MA 02648 Subj: Duke Bates residence, 39 Highland Ave, Cotuit, MA 02635 We have provided an inspection and review of the residence roof construction of the above named property in regards to verifying the capacity of the existing roof for installation of a new Solar Panel Array. We have found the residence to be of wood frame construction bearing walls with a rafter framed roof system. The main roof is of 2x10 @ 16" o.c. and is sheathed with 1/2" ext-ply sheathing and a single layer of composite shingles. The existing roof structure bears directly upon the exterior stud framed wall system. The existing rafters as installed meet the required load/span ratings with sufficient capacity to carry the minor additional load of 4#/sf imposed by the proposed solar array per the details below. Installation of solar rack systems shall be as follows: Each panel row shall be supported upon 2 mounting rails. Rails shall be screw anchored through roof and directly to rafters below. Rail attachment points to rafters shall be staggered each row with exception to the first fastener row from the gable end which is attached to two adjacent rafters. Silicone caulk shall be applied between the angle foot of the mounting system and the existing roof shingles at each foot location. Typical mounting detail sketch attached. When installed per the above specifications the system shall exceed 110 MPH wind & 30. PSF snow loads as required by Massachusetts 780 CMR table 1604.11. Should you have any further question or comment please feel free to contact our office. Respectfully, OF fie- MES A. G NCY .46775 y J mes A. Clancy Professional Engineer pow& MA License#46775 ge!�w Moot)eE PILOO-*R To feewrt CLAMP 0 Nix Bow' Z N40• Ph�la� TYPsehrb Jr{evN4s*1G .F � PV pMer�4•� PR+.deµ¢. Fkq�6 J S CY S James A. Clancy, PE •osQ o 601 Asbury Avenue E� National Park, NJ 08063 Massachusetts PE Lic#46775 Cotuit Solar LLC project: System: 5.4 kW DC (STC) Attachment Plan PO Box 42 Duke Bates 18 — LG 300w modules Revision: January 25, 2016 39 Highland Ave, 18 — Enphase M-250 Scale: COTUIT SOLAR„ Cotuit MA 02635 Cotuit, MA 02635 microinverters Feb 0316 03:19p' • Cotuit Solar LLC 508-428-8441 r p.2 "rown of Barnstable ' Regulatory Service Thnmas F, G.Mer, Mreciar t-9- Building division TvIn krTry, Building Commissioner 260 Morin Sires!, Hyznnis,NIA 02601 *�xea-wr.r�w,�.fiaroslshle.rna.u5 i Fax: 508-790-6230 r�per~y O_Wner. 11/Just COM.Plete and Si�x�. TI-Iis Sec,#inn 0 � .If (J'5ing A Builder � as Ow:tez of the subject p=open Co act on:nrr, behalf, r..Y. fir;i�Zis heiltLriE, ncr�)ue application tier: 3 �Address cif foIi) .ry A If Fsjp rty k�ro rucr;S,;App�vingforprrMil plratic complete the Hoincownr_rs Licrnse. F::Y Ltd i Fonia.ran The rrymr, f fifc. PROJECT v' � �►-- 2�� � . NAME: ADDRESS: ?JLjt� ® �4VIE— C'D�►z���-~ 1 PERMIT# ),4 Q'7 612.Z� PERMIT DATE: M/P O 2D —' V LARGE ROLLED PLANS ARE IN: BOX 8� SLOT1�b Data entered in MAPS program on: , BY: D q/wpfiles/archive y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 04 7 e w Application # R Health Division Date Issued Conservation Division Application Fee 10_ Planning Dept. � ..,. Permit Fee Date Definitive Plan Approved by Planning Board ° Ir1 Historic- OKH _ Preservation/Hyannis ° ° 4•� Project Street Address 3q �a h I ar (.(_ Qrkn W__, Village Owner M IZ bu kf ba k s r Address 3 Telephone ( - Permit Request + An c' El if tq t3 — (AM a X l q P ur I d &4 09x1;, Square feet: 1 st floor: existing proposed I qo 2nd floor: existing proposed Total new t� «a ' Zoning District Flood Plain Groundwater Overlay Project Valuation* I 5Z), 000 Construction Type Lot Size Grandfathered: .0 Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family .'La/ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes 0 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 Couriff- Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing woo oal stove, ❑Yes ❑ No Detached garage`. ❑existing ❑ new size—Pool: ❑ existing ❑ new size — Barn: ❑e isting dP nevi; size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use 12��(��'�h�. Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �.y• J& /t'I'1.21� Telephone Number . Address T 8 F�0�22� {-6lI?.�. License # a M�- d 2 I Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTINGFROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Sk 0q. ' FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. N ADDRESS VILLAGE a OWNER DATE OF INSPECTION: FOUNDATION t , -o WAR"rf row FRAME sc ov o ao'ibcr + /.4.r .,y occeen /ter T -INSULATION ' 5 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL __GAS: ROUGH FINAL FINAL BUILDING 11 o b '4 :DATE CLOSED OUT ASSOCIATION PLAN NO. t ; r Town' of Barnstable Regulatory Services EARNSrA)SM -Thomas F. Geiler,Director Building Division rfa►,v Thomas Perry, CBO,Building Conllmssioner 200 Main Street,'Hyannis,MA 02601 www.towfi.barnslable.ma.us Office: 508-862-4038 Fax: 508-790-6230 /2Z? PLAN RErVIIEW Owner: r+7'E Map/Parcel: O - D Q Project Address 3tFfrph� Awed;I r. BuiIdcr: rx7-10^�� The following items were noted on reviewing: l 0_S �tts es �osT C_*log //oS LAI un/ib.V7-loa1 G Reviewed by: Date.• / Q:Forms:PlnrVW :: 04/15/2009 19:31. 508-790-4686 PAGE 01/01 Taylor Design. Associates, Inc. P. 0. Box 1313 " 1lorestdale,MA 02644 Telephone&Fax: (508)790-4686 April 15, 2009 Mr_ Gordon Clary Northside Design.Associates . ... }.41 Main Streex Y=outhport,MA. 02675 ` RE, 39 Highland Ave. Cotuit,MA Dear ivlr: Clark: The building located at 39 Highland Ave.,in Comit(Barnstable), Massachusetts was designed in.accordance with the Massachusetts State Building Code 7 h TAtion_ This includes the wind load for exposure B and 110 mph. . 114 OF Sincerely, TAYUM R. Greg aylo , P. cc: B. J.Jaxtitner If I l� 1. �• �I A r ` y 3aTe 5- a.. 1� JOB EzJGe rt� iC�s o� .: TAYLOR DESIGN ASSOC., INC. SHEET NO. I of P.O. Box 1313 �-+ / FORESTDALE, MA 02644 CALCULATED BY `T.` DAIS 3-7-0"t TEL./FAX: (508)'790-4686 //^^ ., CHECKED BY DATE 19 lC . " �..�.T7��+ r M 4 SCALE OF i ...... .... .. _ 4.. ..........<.... .. �"��?..,A �_s+�"Tt,� ., v+W,+,Nt� +L:.._:. 7..,.., _ Zc TA. .. ... Z4o.a. Qs� . .............. . . .ca.Q.'G2/a-r�►L+.�►.C�� .. :.. ......, . .. .:: ........................... i$ lQ.aoTr..... .� :. f*_..IS ....1.L.. 1! 4�b. :" ,z , ,.� ... 4 5'0 :. © 7 .�, . 4�Z�mac; ;. .... 3 L�D.C'� it `✓ p f 41-1Q ... GO Zito le..f4+ - g` . A* 4 ..: ?o.St °� ......:. ... .. � i _......................................._._....................._................_............................_.....::_................__..............._:......................._...__......_...... ......_..........,........._<....._....._.............,... `,_......_.....,_...............:,._.:........_................_....__,............. .... 8° . .. Z. Z 3 �-�-.. R-R........ �Z 3 ►.41 3 3.6 �........ .t:k Q 1. G..9 .. `J(2.... .... _ .. JOB TAYLOR DESIGN ASSOC.' INC. aHEEr No. of P.O. Box 1313 . FORESTDALE, MA 02644 . CALCULATED BY T DATE TELWFAX: (508) 790-4686` CHECKED BY DATE L CfA"N CoTvl T SCALE - 4 ...... .... 3 ? n 3 .k L..._� k t 1j... k. ..3. . .. `` l Alk t23 L;........�-� 3 � , . . . 4.. k - ._.3. t 4 `l`14�.:= 74 ............ Ri - ...... ... 3 - _ 381 � 4.3Z- _.. . ........ ... . Gc' L �-- t o <t o /3 c , 7 � C i,p.c-% � r -,�..c.�c-r�e-��ry T' Pr-�J.... 14.... . I 4 .... .{ ; .... ...... +.c.. ,,f 170:.�.�r? .. ............ . t a�z I " TAYLOR DESIGN ASSOC., INC. SHEET No. ..� of ' u P.O. Box 1313 FORESTDALE, MA 02644 CAICULATED BY '��• `DATE TEL./FAX: (508) 790-4686 CHECKED BY DATE COTtiI P SCALE ... . .... ....... . ........ .....:. ... ...... .. ..:- ............. ..:...t... .. .... _ ... .. . t-kt 4. . . 3. .. ... Z iAl JK G►. .. . ... ..... & � � ` i3. - c:_._ 5 Pam_ is .. z 3c++ t c .............: . . .: . :_... z - tt; t$� • _. ..:... . : .... ...: . .... ...... z� t� . . _ _.. 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Box 1313 t _ FORESTDALE, MA 02644, cALcuLaTED eY DATE TEL./FAX: (508) 790.4686 CHECKED BY 'k DATE 3ckt.� I �V 4 Td IA, SCALE,. e � F .._.... ....- ..^ _ .. <t, ... f <. ti°/ I' ; {{Y 'sd • i 2. ..... ..._ .... .. ..... ... ... ... .. 1. s . - . i ..F....<. .. .. ... ... .:.. ....... ...... ........ .... ... 5 r .... .... ........-.- ...... .............. - t! Y Y * 6 I` i ` x- w N.-. ,_ r` ... 7 t zx8 .... .... .. .r 4 ..... ��,,.... of f J. ..P` f z } ....... . F e ........ v. .. -n..8� , " . a 8 43� d w / 4 v � . . • 7-711 _ .. ... F. I • 4 . REScheck Software Version 4.2.0 Compliance Certificate Project Title: Bates & Newcomer Residence Energy Code: 2006 IECC Location: Cotuit,Massachusetts Construction Type: Single Family Project Type: Alteration a Heating Degree Days: 6137 Climate Zone: 5 Construction Site. Owner/Agent: ":Designer/Contractor: 39 Highland Avenue Northside Design Associates Cotuit,MA 141 Main Street Yarmouthport,MA 02675 • Compliance:2.6%Better Than Code Maximum UA:110 Your UA:108 - � Ceiling 1:Cathedral Ceiling(no attic) 224 30.0 0.0 8 Wall 1:Wood Frame,16"o.c. 947 19.0 0.0 49 Window 1:Wood Frame:Double Pane with Low-E 40 0.330 13 Door 1:Glass 95 0.330 .31 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 224 30.0 0.0 7 Compliance Statement: The proposed building design described here is consistent Kesign b ding plans,specifications,and other calculations submitted with the permit application.The proposed building has r' the to meet the 2006 IECC requirements in REScheck Version 4.2.0 and to comply with the mandatory requirements liste Ins ion Checklist. 45,5603�kQ �51 (6 10 ? Name-Title Sign r Date, Project Title:Bates&Newcomer Residence Report date:03/09/09 Data filename:C:\Program Files\Check\REScheck\client'repoits\NEWCOMER.rck• Page 1 of 3 Pe r t REScheck Software Version 4.2.0 Inspection Checklist Ceilings: ❑ Ceiling 1:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.330 For windows without labeled U-factors,describe features: ' #Panes Frame Type Thermal Break? Yes—No Comments: Note:Up to 15 sq.ft.of glazed fenestration per dwelling is exempt from U-factor and SHGC requirements. Doors: ❑Door 1:Glass,U-factor:0.330 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: s ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ Recessed lights are either 1)Type IC rated with enclosures sealed/gasketed against leaks to the ceiling,or 2)Type IC rated and ASTM E283 labeled,or 3)installed inside an air-tight assembly with a 0.5"clearance from combustible materials and a 3"clearance from insulation. T Sunrooms: Cl Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum. skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Vapor Retarder: ❑ Vapor retarder is installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors;or it has been determined that moisture or its freezing will not damage the materials;or other approved means to avoid condensation are provided. Comments: Materials Identification: ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. ❑ Insulation is installed according to manufacturers instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the insulation. ' Duct Insulation: ❑ Ducts in unconditioned spaces or outside the building are insulated to at least R-8. 0 Ducts in floor trusses above unconditioned spaces or above the outdoors are insulated to at least R-6. Project Title: Bates&Newcomer Residence Report date:03/09/09 Data filename:CAProgram Files\ChecMREScheck\dient reports\NEWCOMER.rck Page 2 of 3 Duct Construction: Air handlers,filter boxes,and duct connections to flanges of air distribution system equipment or sheet metal fittings are sealed and mechanically fastened. All joints,seams,and connections are made substantially airtight with tapes,gas keting,mastics(adhesives)or other approved closure systems.Tapes and mastics are rated UL 181A or UL 181B. , .. Building framing cavities are not used as supply ducts. Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Additional requirements for tape sealing and metal duct crimping are included by an inspection for compliance with the International Mechanical Code. Temperature Controls: Thermostats exist 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 is provided. Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment. NOTES TO FIELD:(Building Department Use Only) Project Title:Bates&Newcomer Residence Report date:03/09/09 Data filename:C:\Program Files\Check\REScheck\client reports\NEWCOMER.rck Page 3 of 3 I Energy Effidency Certificate N' t Ceiling/Roof 30.00 Wall 19.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): Window 0.33 ' Door 0.33 NA ME Water Heater. f Name: Date: Comments: r , tir ; s► Toyti Tom of nstable t Regulatory Services STA9 BM Thomas F:Geiler.,Director �PTfD bpi p,� B Ildin DIAsloII Tom Perry, BniIding Commissioner 200 Main Street, Hyannis,MA 02601 ffice:. 508=862-4038 Fax: 508-790-6230 Property Owner Must . Complete and Sign This Section If Using.A-Builder . I, G ,'as Owner of the sub'ect property , 7 . hexeby authozize �Qi,C jl /f?Cto'act on my behalf, in all matters relative to work authorized by this building p ermit application for: . (Address of Job).. Signature of Owner Date /r� /,3 47/4�1 Priat Name Q:FORMS:OwN-ERPERMIS SIGN The Commonwealth of Massachusetts Department of Industrial Accidents ' Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information I Please Print Legibly Name(Business/Organization/Individual): . J . J a V - mtr /,t� Il.�-L(/T/`f Cam_ i Address: ' l s �(� �Q e Xdg-.�—, . City/State/Zip: n iS Phone#: 2 0 M - / Are you an employer? eck the appropriate box: Type of project(required): 1.M'I am a employer with 4. I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' . insuran $ 9. []wilding addition [No workers comp.comp. insurance P ce. required.] 5. We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are.doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: �C��i��T �/� d 2�0/ d IN /V S Policy#or Self-ins.Lic.#: 1 I O O I y 9 Expiration Date: 3g Job Site Address: / //�� � � C� ( W l"/ City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify ur r e pains penalties of perjury that the information provided above ' true and correct Signature: Date: 2 Phone#: n ' 1� Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions 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." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(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. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial 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 Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.mass.gov/dia WAR, 13. 2009 10:24AM HART INSURANCE NO. 635 P. 2 A QRD7x CERTIFICATE OF LIABILITY INSURANCET0311 pA78IMMIDDIYYYYj 3/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HART INSURANCE AGENCY, INC- ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES, NOT AMEND, OCTEND OR 243 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 700 BUZZARDS BAY, MA 02532-0700 INSURERS AFFORDING COVERAGE NAIC# . INSURF� EJ Jaxdmer Builder,Inc INSURER A. ARBELLA PROTECTION INS CO 41360 48 Rosary Lane INSURER B: ARBELLA PROTECTION INS CO 41360 Hyannis,MR 02601 INSURERc: AREELLA PROTECTION INS CO 41360 INSURER D: ARBELLA PROTECTION INS CO 41360 INSURER R COVERAGES THl=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 POLICIE&AGGREGATE-LIMITS-SHOWN.MAY-HAVE_BEEN.gE0l10ED_BY PAID CLAIMS.. INSR D POLICY NUM9ER POLICY EFFECTIVE POLIOY EXPIRATION LIMIT& A "NIZRaL LIABILITY 8500042039 01/01/09 01/01/10 EACH OCCURRENCE s 1 QO0 0O0 Rmgr- COMMERCIAL GENERAL LIABILITY eel ES Ea o nce $ 300 000 =,me MADE FI OCCUR MED EXP(Any Gmpardon) S rJ OOO AERSONi4L8'AOV'INJDRY S '{ flO©'OOU GENERALAGGREGATE S 2.000.000 06WL AGGREGATE LIMIT APPLIES PER; PRODUCTS.COMPIOP AGG $ 2 000,000 POLICY PRO• F1 LOC g AVYOMOBLE LIABILITY 87083400003 01/01/09 01/01/10 GOMBINEDSINmaLIMIT S 1,000,000 (Ea accmnl) ANYAUTO X ALL OWNED AUT06 BODILY INJURY 3 SCHEDULED AUTOS (Par person) HIREDAUTOS BODILY INJURY $ NON OWNED AUTOS (Par awiftm) PROPERTY DAMAGE $ (P�r acclaenl) GARAGE LL40RM AUTOONLY-EA ACCIDENT 5 ANY AUTO OTASR THAN EA ACC S AUTO ONLY, AGG S C E)ICESWMERRU A LIABILITY 4600042040 01/01/09 01/01/10 EACH OCCURRENCE $ 2 O00 000 OCCUR ❑CLAIMS MADE AGGREGATE S $ DEDUCTIBLE $ RETENTION 5 $ p VYORKERS toMPENsanDN AND 9111010109 01/01l09 01/01110 '^C sTATu- OTH. EIIIPIAYERStJAtI1LtTY E.L EACH ACCIDENT $ 500.000 ANY PROPRIETQRFARTNER/EYECUTIVE OFFICEIUMEMBER=LUDEW E L D15EASE-EA.EMPLOYEES 56O OOO Nyas dlsctbe lultler E L DISEASE-POLICY LIMIT 5 500,000 SP tl PROVISIONS pillow OTHER DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES IEXCW$IONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE A66VE DESCRISEo POLICIES BE CANCELLED BEFORE THE ET.PIRA-MN DATE THEREOF,THE ISSUING~INSURER WILL ENDEAVOR TO MAD, 30 DAYS WArMN TOWII Of.Barnstable NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 367 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KID UPON TILE INSURER.ITS AGENTS OR Hyannis, MA 02601' REPRESENTATNEs AUTH01MMO REPRESENT ACORD 25(2001/08) 9)ACORD CORPORATION 1988 .,4 �\ - Board o u� m e ula oq-/p ns an an ar s g g One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvemerit�bntractor Registration Registration: 110609 - - Type: Private Corporation Expiration: 11/3/2010 Tr# 276582 E J JAXTIMER, BUILDER, INC. { ERNEST JAXTIMER 48 ROSARY LNG HYANNIS, MA 02601 } Update Address and return card. Mark reason fo.r change. Address Renewal Employment i Lost Card DPS-CAI 0 50M-05/06-PC8490 ...... _ Boa-ile V/Q99UIJ'LO'I2CIJe��6L a./!/la'ddQCfLCCQI.k6 J .. rd of BuildingRegulati-ns and Staridards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR - before the expiration date. If found return to: i Board of Building Regulations and Standards Registration: 110609 —--N One Ashburton Place Rm 1301 Ex tratian -at1/3/2010 Tr# 276582 -° Boston,Ma.02108 Type Wmate Corporation E J JAXTIMER �B'U DER,, ERNEST JAXTI ER 48 ROSARY LNr :< HYANNIS,MA 02601 gy Administrator t valid wit out signature ✓dp ie Vr am._ � Ynza7uae + x; Board of Bmlding Regq_kt►pnsi. ,and Standards COnstructton Supervisor License r P +r. Lice a CS.- 325.1' { r { 1 /20'10 Tr* 13629' i �1�estFucti +� •—•-ERNESTSJ JAXTlftit i 48 ROSARY LANE HYANNIS,MA 02601 = +i { CommissWner 05/31/2009 09:10 508-790-4686 PAGE 03103 Taylor Design Associates, Inc. P. O. Boa. 1313 Forestdale, MA 02644 .Telephone& Fax: (508) 790-468tP May 30, 2009 -n -tea E.J. JaxtimeT Builder, Inc. ' 48 Rosary Lane Hyannis,MA 02601 rn RE: Duke Bates Renovation 39 Highland Avenue Cotuit,MA Dear Mr. Jaxtimer: On May 28,2009, 1 inspected the subject residence. There are two primary issues that have been reviewed. I. The 5/8"dia. anchox bolts in the sill were installed at 44"o.c. This is 6"greater than,the 38" listed on the desifpa documents. The capacity as built exceeds the requirements of the MA Building Code, 7*Edition. There is no structural concern. 2. The cantilevered deck uses 3—8"xg"beams as the primary support. If the owner would life a 2"step down to the do:;k.then.6—8"x6" beams may be substituted to provide the sauce strength and a 2" step. If you have any questions,please do not hesitate to contact me. Sincere A, T. t�p1 VW ig mo R. Grego ior, Pa' Presiden� 05/31/2009 09:10 508-790-4686 PAGE 01/03 V TAYLOR DESIGN ASSOC, INC. JOBSHE P.O. Box 2313 E MD.--�— + of Forestdale, MA 02644 CALMATEOBY-c .p, DAIEiZ�o— w Tel./Fax: (508) 790.4686 87 bATE� CO'r&Jrr WALE SH OFIF ,� - i _ ; : �. r r , . ` �. ..._. _..1._.__. r. M : i , t _. i i , , :......_......T......_..5._._......'. t : ...�.... _..;-_ _.r.., i f r , r , .. i Uri�'1L_ » c ; _ ; • i �i ,.... r :.`... t i i , Tu T ... r &A ... _. � , ;r • , i ..._ r : ......_.....l.............:.......-:....... i t _...._ ...... _ ..... f Larl' wq I It ! J I . .. . . : � . ' i i _r.._.._.. ....._...;..... ._...._._._ ..... .. ......;_.r.._..__...... _.... , .. ...:.... ; ....... ... _...__ i r : ..F...�....►'i„�,,....•..... SIC�I✓, _r _ r i r �n 1. r , t t ..................r...._......r._t a ;__._.l, l , t i .........:...._.._.._......._....t_.._ t r , i ........ --...._.........._.._.._......»_..._ ..-�' � , L _.i ; : : ------------ i ......... ........ • , i r : i , , , : �� : tit ......._......._.........__._. ..... ..... _ . ............._.._.._....:_ .-_........ ..._......, .. .._ ...._ .... .... . ......... ... i 4 r ea ,......... • i , _.»_......._...r.._._.�.... , P.1111 p , i y 7 � y 1 ........T........_...__....,. .._.....i._.......... L..._ -0... ...{fit.. Vill 77•• _ i 05/31/2009 09:10 508-790-c1686 PAGE 02/03 ,we �e�1e.�- ►mod.-!''�S `� �. J n+.fie 7hs.•iC��. TAYLOR DESIGN ASSOC., INC. P.O. Box 1313 - forestdale, MA 02644 c ucu�n�n EY_ 7" DATE S_4 Tel./fax: (508) 790-4686 CHECKED 8Y DATE F ; i E r ; a r ; : i 1 I r :. i 4 Iry : 1 i r , �1 I r V r � r , i _...-....:._. : i t = r ; i 1 r ,..._...i......._t._..._ � ?.... .. _._ _ ... _ _.. _......__ .... h_.._�Z..,.._.. - .._- w._..._...t_.._...._...........�.._........<._.__ ._. i r r ; , A 1 3..._.�..._._..y , T r i i r r ; r _... r - r r ...._.._..__......._..._....y.__....._. i ...'. _......... C� ...:.. .......... 3s..�K r r r % r i ; , t ; r _.ti.._...._......._...... " - . , r i i % , : , r .'t.�. .�rl_3. �r.x r . .............r ..T � g i _ .. _. _ i 1 I or :y • i : , r .............:.._...,..d,......._..__...__....____......_._.._.:_....._......._.....__.........' --...*4 � : ..._ ..._ .... .... .._. ..... ....... ..... r r ......Vol r r : ; r r ' i _ i • 1 4.. _....._.,.__..._.._...._...._. ...._......... ...._ .... ..... _i r _ _ _ ; i i ........_�_._.-............_._.a 4............:.. r r ; • r r , r r , r r , i _.......... .-......._.-._.........._._._...-............1....._.... i i • 1 i 1 F. � I t i r : r i : 1 } I -6�/3.0/2009 06:12 508-790-4686 FATE 01102 Taylor Design Associates, Inc. T. O. $ox 1313' F orestdale, NIA. 02644 Telephone&Fax: -(508) 790-4686 C) '> July 28, 2009 � - , -n r_ 5-1 G E.J.Jaxtimer Builder, Inc, 48 Rosary Lane Hyannis,MA 02601 RE: Duke Bates Renovation 39 Highland Avenue Cotuit,MA Dear Mr, Jaxtimer: On this date,I inspected the framing of the subject residence. During construction several revisions were made at the owner's request and two framing changes. All areas were inspected and approved. They are: I. ,A,26"window at the first level of the north wall was located 6" from the back wall Two 2"x$"'s were used as a header. 2. A 26"window at the first level was relocated along the south wall E adjacent to a double window. The header is two l 3/ O A/a"LVL's. 3. The back wall at the first level has two 6' wide sliders with two I %"x9 '/4"LVL's as a header. 4. The exterior wood sheathing is fastened to the wood frame with 2"x4"'s between.studs, 5. The roof rafters are fastened to the ridge beam with metal bangers in place of top metal strap. , . t 6'�Y30/2009 06:12 502-790-4686 PAGE 02/02 page 2 July 28,2009 Duke Bates Renovation 6.. The primary first floor beam has been Mush framed and is supported by the exterior concrete foundation wall. ,All work provides the strength required by the Massachusetts State Building Code, Seventh Edition. If you have any questions,please do not hesitate to contact me. . Sincerely, . R. Gregory T r,P. President i � 07/28/2009� 03:05 5087785731 CAPE COD INSULATION PAGE 01 REScheck Software Version 4_2"2 Compliance Certificate Project Title: New Custom Addition Energy Code: M IBC... Location: Co#iidt;.tthusatts Construction Type: Single Family Nect Type: Alteration HOMM Degnas DoW 6137 Cfmate Zone: 5 Construction Site: OwnprlAgent. DesignerContractor. 39 Highland Ave . Curtis M1teunpener Est nerlrzer , Ct ,MA 02fi36 .39_HighkNW.Ave E.J.iwdkT r Company Cofuk AAA 0205 48 Rosary.Lane Hyannis,MA 02601 508-7784911 Ca rwrce:CA%Better-Than Code Mdxirnurrr:UA:i19 Your'UA:119 Assembiv Area or F-Vthip R-VaILIC or Door Perimeter U-Factor Cefling 1:Cathedral Ceft(no attic) 524 38.0 0.0 1d Ce6ng 2:Flat Calling or Sciew Truss 28 30.0 0.0 Wall 1:Wood Flame,18"o.c 192 15.0 0.0 10 Window 1:Wood FrameAouble Pane wilt,Low-E 54 0.260 15 W doww 2:Wood Frarme.0ouble yang with Low-E 5 0" 1 Wall 2:Wood Frame.1 IV o.c. 328 15.0 0.0 18 Dew 1:Glass 98 '6.340 33 Wail 3:Wood Frame,16"o.c. 204 15.0 0.0 id Window 3:Wood Frame.-Double Pane with Low-E 18 0 0 5 Floor 1:All-Woad J0, WTrass:Qw uncandihoned Space 228 30.p 0.0 8 Furnace 1:Forted Hot Air 872 AFUE' C~S7areungrtt: The proposed Wft dw%n de:;aibed here is=Udstent with the building Pam,moons,and oftw CalCulation6 strbMitted with the permit application.The proposed bumng has been designed to meat the 2006 iECC Mgktiremenb in RESchoctr Version 4.22 and to Comply with the mandatory requirements NSted in the RESCheCk Inspection Checklist. Name-Ting Signature pgbg ftJeot Notes: RESchack by Cape Cod insulation,Inc 4.55 Yamnouth Road Hyannis,Me. 02601 Project rdle: New Cumm Addition Report Data filename:C:V-r Wram date:07/22109 FileslCheckXRESchedo#7571.rek Page dat 1 of 3 - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map OC90 Parcel 0 Application# dvv 3 Health Division ` Conservation Division Permit# Tax Collector Date Issued 'Id Treasurer Application Fee �� v Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address -39 11� 94,Z gAd / P: Village Owner&R7-1s Ac ded 6e& lw"Ii ; R—E�R Address Telephone (So$) 41a ar- / (&/n A96 . 7 9 9 S (617) 305 _ <"dam.S Permit Request _� � r�� (rc�R Iry /�Azo4r4i� �i�/�� E , 17 5$,9/3 '��0 �+sTn.U�r-�,�•-, � ��erw�s��. LAG.. � �� c��'�9 �>® Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new - Zoning District Flood Plain Groundwater Overlay — _Project Valuation 5 - Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting dcumentn. f � Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) --' Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Hi uvay: ❑Vees No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) CA3 co M 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: aldas ❑Oil ❑ Electric ❑Other 'r Central Air: ❑Yes ❑No Fireplaces: Existing _ New Existing wood/coal stove: ❑Yes )(No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: —' Zoning Board of Appeals Authorization ❑ Appeal# Recorded U. Commercial ❑Yes V No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION ( ame -1. _ p'b Telephone Number 0'8 _260' OY&I dress L�. 1 1 (� License# 'y4 ��,� �, A- 4 a L.�Co o Home Improvement Contractor# Worker's Compensation# A/07tIr ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO pp IGNATURE DATE✓ FOR OFFICIAL USE ONLY ` PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' F . DATE OF INSPECTION: FOUNDATION } FRAME INSULATION FIREPLACo ELECTRICAL: ROUGH FINAL a PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING l!� }- L DATE CLOSED OUT ASSOCIATION PLAN NO. x • L Town of Barnstable � a Regulatory Services ' HAS&� Thomas F.Geller,Director M,►ss . �' Eo ;;•`� Building Division Thomas Perry,CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us ' Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner. Map/Parcel: Project Address 32Y� Builder: �� �� The following items were noted on reviewing: Reviewed by: Date: 4C Q:Forms:Plnrvw ASP �y vc vou/Q, ALL fl The Commonwealth of Massachusetts �Z, E•, a Department of Industrial Accidents E �1 � Office of Investigations `� :,.W 600 Washington Street Boston, MA 02111 'c 3" www.mass.g ov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Ledbly Name (Business/Organization/Individual): (_�,/•��� Address: ' IJ City/State/Zip: s.c ��/t S ff�i��,2e,(*0 Phone #: O57) -760 - 01/& Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. VNew construction employees(full and/or part-time).* have hired the sub-contractors 2 I 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. Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I LF❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.[]Roof repairs insurance required.]t employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. r t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurancefor my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: ""' Expiration Date: Job Site Address: City/State/Zip-. Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby and the ns and penalties of rjury that the information provided above is true and correct i ature: _ Date: Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): �-1 1.Board of Health 2.Building Department 3.City/T�wn Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r Information and Instructions L 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." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(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. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial 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 Department's address,telephone and fax number: The.Commonwealth of Massachusetts Department of Industrial Accidents office of Investigations 600 Washington Street Roston,MA 02111 Tel, #617-727-4900 ext 406 or I-877-MASSAFE Fax 9 617-727-7749 Revised 5-26-05 www.mass.govldia �FZ}1E a Town of Barnstable Regulatory Services Thomas F.Geiler,Director 'MASS. `b�Fp ,.�•`� Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town..barnstable.ma.us )f ice: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFMAVIT HOME ZUROVEMENT 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,alor-g W&' other requirements. Type of Work: /Lezc3 /�9 '�� i e,k Estimated Cost �� S Address of Work: 3� ;����� Owner's Name: A_9AT 6_,;. /if e )cdw&,q 3 Date of Application: J® I hereby certify that: Registration is not required for the following reason(s): MWork excluded by law [2Job Under$1,000 MBuilding not owner-occupied []Owner pulling own permit Notice is hereby given that: OVi'NERS 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 o er: Date Contractor Signature Registration No. OR Date Owner's Signature Q:wpfiles.forms:homeaffidav Rev: 060606 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 j FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x .0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chirriney x$25.00 (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Projeost Permit Fee Rev:063004 P�oF�► r�,ti' N' Town of Barnstable Regulatory Services $nxxsraeie, KAW. g Thomas F.Geiler,Director PIED r p`e Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 e: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property, hereby authorize��' xp " � t/7 � to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name 1 Q:FORMS:OWNERPERMISSION T1. i/Joryxry�o���ea o��/'�uW���z�rGe BOARD OF BU1LDTNG REGULATIONS 'I License: CONSTRUCTION SUPERVISOR Number; CS,, 053990 X Ere 1812008 Tr.no: 16811 GORDON B HAZAf2l} PO BOX 1136 S DENNIS;•MA 026fi0 _ - Commissioner Results Page 1 of 1 Home Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City, Name, or License number Select Search type: r AND r OR i Search s Search Results Reg. No. Applicant Street City State Zip Name Title Expiration 115843 GIORDONN B 38 SLA E EA GULL WESTDENNIS FMIA 02670 GO R RDON, PROPRIETOR 4/20/2008 Total of 1 Records matched. Back to Home Page BBRS Privacy Statement http://db.state.ma.us/.bbrsihic.pl 10/17/2006 to E4• =, ering f—mp�:-f3rd aor) Map (�� Parcel 0 `"( �_ Permit#- 'gip© kC) `f House# 3C, Date Issued oard of I°Iealth(3rd floor)(8:15 -9:30/1:0 - a ��=/g� ee, 71. �(JT Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) SEPTIC lC � � BE f I , . INSTALL �iPL�d�NDE Definitive�Plan Approved by Planning Board 19 - 5 ENV6R® ODE AND , TOWN OF BARNSTABLE TOW w�cS Building Permit Application ° Project Street Address 3 L2 ? V Village �nTU F w O ner ?j tL-,1s.[L ���iZ�i 1VL Add Address (-,(-f t_, ul� Telephone K4--22-1 � L Permit Request ��� 6 OIL , / -� �p i 16- L V� /T# u I I VA First Floor square feet Second Floor `76Z2 square feet Construction Type \ljgC,�, Estimated Project Cost $ ?�5,C;CC> Zoning District Flood Plain Water Protection Lot Size . 7c( 0,4�,L15 Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes O No On Old King's Highway ❑Yes 4 No Basement Type: 0 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing _ New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ®Oil ❑Electric ❑Other Central Air ❑Yes WNo Fireplaces: Existing INew Existing wood/coal stove ❑Yes No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None DO Shed(size) <�, 10 K IaA�, ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 5JNo 'If yes, site plan review# Current Use Proposed Use Builder Information Name �� Telephone Number 5013 -q�• L(CVg Ek& � Address License# h(A,5 35 7 0,,wm ' 1 Home Improvement Contractor# 10_0 3(0o �—CV 4afo�, Worker's Compensation# WLL pal 5-02 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE A PERMIT DENIED FOR THE FOLLOWING REASON(S) oil lei g-0-t Tom" FOR OFFICIAL USE ONLY PERMIT NO. O b 0 6 „DATE ISSUED' - r} . - :; �^- 4• +�` t- �,`1 MAP/PARCEL NO. ADDRESS t' ` VILLAGE- "{ ' '+✓ • ' s OWNER t - � `'' }; •gp + -_ , , Y �: ;�,. L DATE OF,4NSPECTION: -� f - • 'y ' FOUNDATION g• k. } - T M FRAME INSULATION — - s FIREPLACE i ELECTRICAL: ROUGH _,FINAL PLUMBING: ROUGH '- FINAL r. ' GAS: RE)UGW, E FINAL FINAL BUILDING "�� ,� 5 ' —_ J - • A. DATE CLOSED OUT tit 0 ASSOCIATION PLAN NO: In,,�r�'"""`ti i,4•^w.r•ar+.�.�.r+....r-....-. .�.-•. ••-.-.--...�. -.. t.,.-N-. t.•--•-n.»-*.r.�--w.,e. .,.,.�..� -.•mot..---...�s.,,�.....:o rt,rr�:�,:,t��gr;tv,r',j .y..:-..-.`#l7•"S�'�4=-'� ..�a.'Y.,•.••...��•3 `Op VIA The Town of Barnstable BARMARABLE. MASS. • Department of Health Safety and Environmental Services Y 039. �0 �EDMAya Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection v� Location � ,- l �,,�y/ Permit Number �j Cc� U V Owner Builder �, �`,( o One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: )-kip d kA) L k;'Q of K.6Z 0 N �V wEaY Yt5f'4 'S , Please call: 508-790-6227 for re-inspection. Inspected by Date THE The-Town of Barnstable 9� �0�' Department of Health Safety and Environmental Services " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only ; Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent tIo suet residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: Est. Cost -r CDOC7 Address of Work• 3 c( kAt LAA!=6tA Owner's Name Z —1 NLJ Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the t of he owner: L Date Contractor Na a Registration No. OR Date Owners Name The Commonwealth of Massachusetts Department of Industrial Accidents Office of/nsestioodons 600 Washington Street < ,` Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: location: N ! city tl)t \ 1 phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole ro rietor and have no one workin in anv capacity ❑ I am an employer providing workers' compensation for my employees working on this job. r company name. : ��/« �� �C address.` `l -.: LJ f city. C QTU d�3 phone#. t��- insurance co. — l olcv# l�l Ca O d� ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company>name.; address. city:_ phone#. insurance co olicv# - .. . campany'name. address: cityr phone# iiYsarance co.; „:.:< olicv#` ��. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 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 ur re f perjury that the information provided above is d correct Signature Date truo Print name Phone# G7L.; '7 official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's O1gce ❑Health Department contact person: phone#; ❑Other (wvmd 9/95 PJA) Information and Instructions ` Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under 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 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 io 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 Otflce of Investigatlons 600 Washington Street _ Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 >mCMRAppaWki Table Jl=b(condoned) Prescriptive Packages for One and Two-Family Residential Boildinp Heated with Fossil Fuch MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab Heating/Cooling Areal('A) I U-value? R-value' I R value' R value' Wall Piaimeter E wpment Efftciency Package R-value' R value' 5701 to 6500 Heating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 83 AFUE T 15% 0.36 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal V 150/0 0A4 38 13 25 N/A N/A 83 AFUE W IS% 0.52 30 19 19 IO 6 83 AFUE X 18% 0.32 38 13 25 N/A N/A Nornud Y 18% 0.42 38 19 25 N/A N/A Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AF'UE 1. ADDRESS OF PROPERTY: C (,kL N 17 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: Vie. 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): Q S. 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-fonns-i980303a i e in. ccion tots mom -� r7V Cif � if I �cshed Ns- 7 00 cel h d � �71fI4� Ap -- Q ! � ded�ng aCa�s nor auv a s ,�. d ' :° f T. ar, with an a rxtvc date s-la-�aN,ot' Cocattory o of OGVeQ�ii3 GtO¢�. •�VS (w �1 .+ Q cr ar tru L'itt'!� f comt'1'Uc Qom Wig 1'�1QG�' tp conaL' :rttrn�r .�pGrWM44 r iac oarfi � rcptro�rr�, ,f cation d�xOriS, �j�!yt,Gts 0r' hots Co► c9urA ;Dy. bi[�i[ „ p AFL QCCLtrita-' 4 d i.Ls&umevwSuovey W mcwj re cr renr i tfi- nkati'orv` truov wruw is S"W rwreont r p.jt ,tt pStf p►y gyp; 2-q%V! Colot2i AL, I&nb SZgve ltx-T CCU Y' irx. 2" s rataovm oz3�• piixm�8r�azsz� �r�rrs2�►�z3 ii tZ - �11 �I�' =f+:.rw - i111fpY�-?t�..�'Fr.�y�+illlllfllL _ .:,• ' y .. __ ........ _ _.. AvLtbdjA _.�6�E.i.4wnbN(••w••n..s�r-� ,. ..._.df2tf�/..FitioVtb�! . Y a" ` :..�, .. .... . .�. " '::) ..A.,+.• ,' •ate:.) :3 • • ;' - A � y �� � ;� - r .'' - l�1 •ka n f.Ia F77- -_ a+>S•'w.A 1A rat f r�' •' lrvd N.•I�ir•Ir► - V S 'ti^I IV,R.L. UE �.bd r•Y Vy _ _ •1 rV+...wa w'N.� R.•u. ..- �..•�.`l • - .•aM..I1 "�' tii 'alO.lri _-Jl4tri�4_ A+l.'r+.rr .. -.aws< .'/a'./!o". ►il.•I1[! ./9'Z - t _ � _._. —�E�•GeeruK/w.,�..v�`)� -- '__a�sT!t_Fir�aou � -- .. 3 �� ; _r Gam ILI .._i _ -----_--- - - - ----- ... i• - _ - it -.�_�_ L_..,_�--�L --�`ULt(�_l���AQ'rMi1(, - .. :... __. WEs Ecr•roT•+na •. . 4.1 S J. I •f� . 1 t , `' --` y .: - • fir•y r �' *4 i. .y t..,t � Oh, OrAv. _ ,per ✓fie -C�anirreo�nu�eaC� a��/aCiraaac�ivaett ate\ Y �1 DEPARTMENT OF PUBLIC SAFETY <� CONSTRUCTION SUPERVISOR LICENSE Nuiher Expires: Restricted To: iG PETER D FIELD PO BOX 16 COTUIT, MA 02635 ✓T iDom�non. i o�✓�aaaddu�aelta ,. HOME IMPROVEMENT CONTRACTOR;`. Registrail • Type - IVIDUAL Expir on 11/30/97 PETE FI PETER.' LD 851 MA1P� ST7p0 8DX Y6 i ADMINISTRATOR COTUIT NA 0205 ,z , 'i MAScheck COMPLIANCE REPORT 3 pp 8'Q Massachusetts Energy Code Permit # MAScheck Software Version 2.0 Checked by/bate CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 4-9-1998 DATE OF PLANS: TITLE: COMPLIANCE: PASSES Required UA = 74 Your Home = 71 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 284 30.0 0.0 10 WALLS: Wood Frame, 16" O.C. 368 19.0 3.0 20 GLAZING: Windows or Doors 75 0.400 30 FLOORS: Over Unconditioned Space 224 19.0 11 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4 . Builder/Designer Date i MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 .0 DATE: 4-9-1998 Bldg. Dept. Use CEILINGS: [ ] 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-19 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.40 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ) Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4 . MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only)------------------------- MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.0 Checked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 4-9-1998 DATE OF PLANS: TITLE: COMPLIANCE: PASSES Required UA = 74 Your Home = 71 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 284 30.0 0.0 10 WALLS: Wood Frame, 16" O.C. 368 19.0 3.0 20 GLAZING: Windows or Doors 75 0.400 30 FLOORS: Over Unconditioned Space 224 19.0 11 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4 . Builder/Designer Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.0 DATE: 4-9-1998 Bldg. Dept. Use CEILINGS: [ ] 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-19 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.40 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ) Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. MIS'C REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only)------------------------- AM 020 Pc) 048 o N/r NEIL M. MORR11, _ET U3e y PLAN.®OOK +a1 PACE 7 y i N R 449.96' C8 to road sideline - e g S 86'56'07" E 44993' ¢ffi q . y CB to CB 463' t edge pond (GIS) to road sideline ZONE LINE — _ 931�9 9. .. 15-FOOT OFFSET _�_—_—_— f —� C4 IU sT PATTERSON 0.8 AIR N ,+ ..f.� _:0 t. . c� Q O � 32.6 d _ . w •�• • \ .N rn QMATE FRO _ u IDo ch PER'—LIN OE `� °'� 34.2' o Z ZONE LINE IS-FOOT OFFSET ®ammo HELD y� ®® 5 87'50'49" W 88.76' N 84'29'45" } `J m_am_—____ ____________ ___� 148.59' �� 9.*10M P!� °PLOT PLAN FM237.09' — road-sideline to CB ®ae---- v_____- omm_e_me_o—_o_m B to kCB t§X.9AA9�� JRW MAY IL BY yg� N°'87-21'29" W 236.85 � 'p3 to CB RVEVM AM TAN7 t � r I ��� NIRa ��Fmow IN �. LOT MACAWS AS MUM AT � 3:: j pum Dow 20 PAM j . LO co L*X5 CF OWFAI t A$3 LL9ZilS �P f-L I ®ER 61 Y Y L O00 -) �6if0y��AY v, I -a p, AM 020 Pei '070 I i MAR>0 MA22A.'- ET Ux 1 PLAN BOOK t5__PAGE 67 i lift _0 o WE LQCAWNJ: i m i 39 HIGHLAND AVENUE j v o I Cotu't' assachusetts5 02635 i ° m AM 020 Pd 0� AM 020 Pd 071 c 01 N/P ROBERT H. McMURRAY. ET UDC, PR€PAR® FOR j Z LOT 7 ® PLAN BOOK 26 PAGE 79 . i N/ NOMINEE S. PAT SON N r ; {{, M. R. Duke Sates, Jr. 0 C) i o Lo' NI i M W' ---_ PROPOSED SINE . PILAN �. . 1 7 ON!9 In C. I N o i I BAX TER NYE ENGINEERING & SURVEYING �_, � �t . �ss _ � � / � G ` �. ", J^1 C �J" � ' ' � ... _ . . ` � - � � _ F .... . • � . y - - ... .� - .. .). � � - - 'r e 6 - �i + - - - ,�«. � _ it 9 ' . :. �4 .. �, �,,,. _ _ . 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ASSUMES RESPONSIBILITY FOR ANY MISSING OR INCORRECT DIMENSIONS NOT BROUGHT TO it THe ATTENTION OF THE DESIGNER. m 0 N v z L 4AD.WERED EXISTING C111MNLY '-' .1EPDMROOF W ' CONTINUOUS RIDGE VENT � _ ASRIALT ROOF SHINGLE MATCH EXISTING IX FRIEZZ HATCH EXISTING C) 1x4 NINDOW/DOOR CASING(JAH68) MATCH EXISTING n ; r r� W x 44 CORNER BOARDS g�3 O u a MAT MATCH EXISTING \\ Z'R.C.SILL c 'A.8. mz _..—..—..—.._..—.._ 1 c.._.._.._ SECOND]till _..—.._..SIGN—iuJE%19TI17G� [� W guz� IX4 MAHOGANY DECKING• D D 1- s (LING ON P.T.DECK FRAME -CANTILEVERED L N m�m is MATCH EXISTING11111 Ill I It �Q CJ zC o aq dp� IX4 MAHOGANY DECKING - 4� o 3. ON P.T.DECK FRAMH . - TO•X6 P.T.MISTS Q D7 /,L O D w (f) _.._.. 1 ._.._.._. FIRST,FLOOR—mil II Q W ._.. .._ .I TI -. Tf1 Q! ml O W 22 -.. RIGHT ELEVATION 1 A =g B AA U-I U Z W LLI N > > w o� 0_a z w wm r. Z N, in 00 • Iligg Rey= FRONT ELEVATION g � � A.4 g 8 o {: o \ \ CZ,, c c I � to 0 I � A.4 i i 20 I -.•. 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