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HomeMy WebLinkAbout0040 LOVELL'S ROAD l � �G�i/�CJC. _ \ t r. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map (7 Parcel "7 J Permit# ( � Health Division 6 'a pg Dated sued � 2 1-U� %il O A !k tl GEw� D Conservation Division T�LL E F� CO ".� F�LIANns 0, WITH TITLES Tax Collector ' ' E@l��E�Cfh � L CODE AND Treasurer Planning Dept. t i Date Definitive Plan Approved by Planning Board I t Historic-OKH Preservation/Hyannis 4 Project Street Address 6 J a ya:1-4 2 ®&d Village Owner j o�TL ' a- L.tjc v R Rat J Address W O J-a u,J(S Rd telephone 'o t3 - — �q® 1 a_ Permit Request Add !!�J),4 1 0 9-14 9,00ar! Q--_ 1kr't0 o tiF- L=d1019A11- ^-at44t41C� Square feet: 1 st floor: existing proposed- 2nd floor: existing proposed Total new Estimated Project Cost- -? 000 Zoning District Flood Plain Groundwater Overlay r Construction Type Ujoad FkAMC Lot Size Q,\I. V 6 0 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Z Two Family ❑ Multi-Family(#units) Age of Existing Structure 2.5� Historic House: ❑Yes XNo On Old King's Highway: ❑Yes �60 Basement Type: ❑Full ❑Crawl 'lWalkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ 2'I Number of Baths: Full:existing new Half: existing new i Number of Bedrooms: existing_ new r Total Room Count(not including baths): existing k_ new First Floor Room Count -Heat Type and Fuel:,C Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes XNo 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❑ Commercial ❑Yes ANo If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name �., Telephone Number \ ` 87_ O 3 -7 O Address FM U A v a 'G A4E License#- n I & g S VA la AA © MA Home Improvement Contractor# 10 7 7 8-N D & y Worker's Compensation# /t! ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO t-, T SIGNATURE DATE _ 2 r/ FOR OFFICIAL USE ONLY PERMIT NO. .' f'++ , DATE ISSUED MAP/PARCEL NO.h a ' ' ADDRESS r — s s VILLAGE OWNER is DATE OF INSPECTION: FOUNDATION FRAME 1 I f 3n /Q,�, INSULATION FIREPLACE a ELECTRICAL: ROUGH FINAL ; PLUMBING: : ROUGH FINAL GAS: 'ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ' ASSOCIATION PLAN NO. yj C j, • i t t r_, tr yyir.q,'k� 2'r• c d .t •afr j.. 1` a i Ye ir.'W rM atn � a tk+ I, f ��iS r� r J;�• r (yJ r i i� %,f�t Jt7•4 .ii{{,,�t t t '• t 1 s ,q 1 i, t � j � -_� + ny,l� t4 Y� � F t t i� „y C� t ♦ � ' ��r,ry� �'r`��. t-ifJ}. et w -�:,a � �..•Y{ � �C l+�vli -z t .'.",.��Fa �p: �?��,�� `+ .4,•�c, ,.t �i " �', D. { '� ,+�ti4{ � «y`;,f. .�. ��,�>•� a��������x ��:� a {e t,t�t �. 4, t Jr S +i! ! t t• c i._-r t ,rc.t ,:o S Y,t •.< F y .n.4 '!is • { r. T - '(' 1 _r;+ 4 eT` M rt f a�.�5. •ny,r •�� T' �'. � '�� S' t i. e e` e + `+ „� r �� i) t iq iY•� °i s `r '� ;;�t r� !, a ,f.• .4dt IT'`rr.4't{r �t� t �.. sev.3. '✓, j .•1 e e;' �.. t.•t - '`f a �ri',, �.r �' < r yea' < : wA '�• t �• �' It 6 - .+ t r • VVV >. x4.ts 16' v _ J v r I-LAN SHOWWN.01 :•Y FOUNPAT ION LOEAT Shlf . . 1 ON'0 N 16. C0• C®?"U/ 7' i 5. E w v y - pFUW v O1VN 0 BY T/y�'© CO�fr�S'Ti�? . ,. .GG 0� --. - --._.• zeo - _ - DATE , �6 /98�- a w SCALE: 'pd'� 0 NORI#AN OROS SAIAId' LAND SURVEYOR 3} in w 7. �`,�OF'4f O of t �IEkEBY: CERTIFY THAT THIS FOUNDAVON IS LOCATED ��, s4�� U) ON THE 4OT AS-SHOWN -ARID CONFORAiS TO THE TOWN �d kpR�q� y��` �� Q.a GROSSMAN fn OFd+9 ,yF'�-rs',sLB ZONtLiVfr RE SULATIONS RESARDlMB ® No.t2775o �'� ��wtwrw . 'P f. 4• `� Z H Z U SE TBAC 4S F17Q�A1 ,TR ET LINES AND LOT LINES . G�sYb� y�,f��bS�-`F aoN� NORMAN GRDSSAIAN-, R.L.S. DATE MLS Client Detail Report(294) Page 1 of 3 1 Client Detail with'Addl Pics Report Listings as of 03/20/10 at 11:35am Active 03/15/10 Listing#21002471 40 Lovells Rd,Cotuit,MA 02635 Listing Price:$299,000 Count Barnstable �. Prop Type Single.Family Prop Subtype(s) Single Family ~` Town Barnstable Beds 3 Approx Square Feet: 1800 Agent Estimated Baths(FH) 3(2 1) Year Built 1983 Lot Sq Ft(approx) 24393((Assessors Records)) Tax ID 40-71-0-0-BARN Lot Acres(approx) 0.560 k w^} M http://ccimis.rapmis.com/script,s/mgrgispi.dll 3/20/2010 MLS Client Detail Report(294) Page 2 of 3 Man � lip P•O•N•D' 4 k i Directions Route 28 to Lovell's Road to#40 Public/Internet Remarks Exceptional well maintained spacious ranch in pristine condition-Walk to Lovells Pond—A short ride to Loop Beach and Cotuit Village.This inviting home,set on a,56 acre private lot,is located in a lovely Cotuit neighborhood-perfect for the first time home buyer,retiree,or a Cape Cod get-away.Offering a more recent master bedroom suite addition;the first level includes a sunsplashed diving room with fireplace,spacious kitchen with oak cabinetry,dining room with sliders leading to an oversized deck,and 2 additional bedrooms,one with a half bath.The finished walk-out lower level is inviting and bright and includes a spacious family roorn and another private room for guests/home office.Addditional amenities/updates include a 1 car garage,newer outdoor shower,new roof,shed,and plenty of basement storage space. Location Description North of Route 28 Street Description Paved,Public Listing Page Special List Cond. None General Page Zoning Residential Year Built Desc. Actual Total Rooms 8 Total Levels 1.0 Basement Yes Basement Description Finished,Full, Interior Access,Walk Out Foundation Concrete,Poured Foundation Width 24 Foundation Depth 40 Fndation Wing Width 14 Fndation Wing Depth 16 Irregular Yes. Topography/Lot Desc. Cleared,Interior,Wooded Association No Garage Yes #of Cars #1 Garage Description Attached,Direct Entry,Door Opener Parking Description Paved Driveway,Stone/Gravel Year Round Yes Separate Living Qtrs No Waterfront No Water View No Convenient To Conservation Area,Golf Course,House Miles to Beach .1 -.3 of Worship,Major Highway,Marina, Medical Facility,Shopping Beach/Lake/Pond Lovells Pond. Water.Access Bay,Harbor,Ocean,Public Beach Description Lake/Pond Beach Ownership Public Interior Page Fireplace Yes Number of Fireplaces #1 . http://ccimis.rapml,s.com/scripts/mgrgispi.dll 3/20/2010 MLS Client Detail Report(294) Page 3 of 3 Master Bedroom 14x15 Level:First Floor Mstr Bdrm Features Ceiling Fan,Closet,Private Master Bath, Wall to Wall Carpet .'Bedroom#2 1 Ox14 Level:First Floor. Bedroom#2 Features Closet,Private Half Bath,Wall to Wall Carpet Bedroom#3 9x12 Level:First Floor Bedroom#3 Features Closet,Wall to Wall Carpet. f+' Laundry Room OxO Level:Basement Living/Dining Combo No r= Living Room 14x18 Level:First Floor Living Room Features Fireplace;HU Cable TV,Wall to Wall Carpet Dining Room 10x14 Level:First Floor Dining Room Features Deck,Other Floor,Sliding Door Kitchen 11 x1 3 Level:First Floor Kitchen Features Breakfast Bar,Built-ins + Family Room 18x23 Level:Basement Family Room Features Closet,Wall to Wall Carpet Other Room 1 13x15 Level:Basement Other Room,1 Type Home Office Other Rm 1 Features Vinyl Floor Appliances Dishwasher,Dryer-Electric,Range- Gas,Refrigerator,Washer Floors Laminated Veneer,Tile,Wall to Wall Interior Features HU Cable TV,Dry/HU-E,HU Washer, Carpet Linen.Closet Exterior Style Ranch Pool No Dock No Energy Saving Feat Storm Windows, Insulated Doors,Storm Doors Exterior Features Outdoor Shower,Deck,Exterior Lighting, Roof Description. Asphalt,Pitched Garden,Screens,Yard,Outbuilding Siding Description Shingle Mechanical Heating/Cooling 2 Zone Heat,Natural Gas,Hot Water Water/Sewer/Utility Cable,Septic,Electricity,Gas, Telephone,Town Water Hot Water/Water Heat Natural Gas,Tank Warranty Available Yes Advertising Publish to Internet Yes Legal/Tax Annual Tax $1942 Tax Year 2010 Land Assessments $113800 Improvement Asmt $126300 Other Assessments $9900 Total Assessments $250000 " To Be Assessed Unknown Mass Use Code 101-Single Family Title Reference-Book 6362 Title Reference-Page .239. Land Court Cert# 0 Underground Fuel Tnk Unknown Lead Paint Unknown Flood Zone Unknown Presented By: Greg & Donna Lapsley Kinlin Grover Real Estate Office:508-362-3000 x117 927 Route 6A Cellular:508-280-3254 Yarmouth Port,MA 02675 Home Offc:508-280-2389 508-362-3000 ..F Fax: 508-362-8220 E-mail:glapsley@kinlingrover.com See our listings online: March 2010 Web Page:hftp://Iapsleyhomes.com www.kinlingrover.com Information has not been verified,is not guaranteed,and is subject to change.Copyright 2010 Cape Cod&Islands Multiple s Listing Service, Inc.All rights reserved ' Copyright @ 2010 Rapattoni Corporation.All rights reserved. The listing contract has not yet been validated by MLS Staff. http://ccimis.rapmis.com/scripts/mgrgispi.dll 3/20/12010 . �D. -16 Assessor's map and lot number .........`fo...-..7�..�.: :....... . SEFFI ^�'' T =4y, t�t�iS: 'oFTHEto Sewage Permit: number .......'...............�.....................:`..... CO :. w . TITLE 5 • © ", d ii d JSB-9TAE House number pp�� !!��jj�q qq�p� q� y ,�^ Z B LE, i • � �q _ �p i639• 9 TOWN �+�t."..WLA E c TOWN . OF BARNSTABLE { BUILDING INSPECTOR APPLICATION FOR PERMIT TO .L�N`�rw��- ......... ......... .......... ................................................. ................ TYPEOF .CONSTRUCTION .... V ..... .rii ... ....:................:..................`.—............................................. r� ./........ ...:....................19d- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a��permit according-to th following information: Location a.<10�. P G�� .............. .. �`�l '1.�-�.. .... .................. ................................... ... ProposedUse .. . .... ........................................ . .....................................................................I......................... Zoning District ......k I.-'......................................................Fire District .Q�.T!V.1..=........... Name of Owner..� e..........� ..........Address Name of. Builder' .._.. �.!' ..............................................Address ................... Name of Architect ....N/ ...:. Address .................................................................................... Number of Rooms ....... .....Foundation ...........!`.'e e� k�................................................... •.................................................. Exierior ..LL�1 ..... `J ........................................Roofing ...J75.pq,L r� .... h. .''! .�e .............................. Floors `�. 6�: 1•........................................:..................Interior .............................................. Fieating /T.. !9.5.........................................Plumbing .....�:./ ... ................:............... ......................... Fireplace .. ....................................................................Approximate Cost ...°�P(..mq'Q.................................. .... . ...... ' e Definitive Plan Approved by Planning Board __ _ ______19_ �. Area �`...... 5'............. Diagram of Lot and Building 'with Dimensions Fee 3.Z....S� ..... ... ....................... SUBJECT TO APPROVAL OF BOARD,OF HEALTH --PA A)*0 T OCCUPANCY PERMITS REQUIREDFOR NEW DWELLINGS ,I hereby agree to conform to all the Rules"and Regulations of the Town of Barnstable regarding the above construction. aName .. ... .............:... //7 41�9; / . ' [ ' THEO CONSTRUCTION ' 24090 One Story jN�~ _--.--. Permit for . . .. . - Sing16 Family Dvvel i .......... � Location ..Lot....#3.x__40..Lone1lo._I�J��� .. ... .. C�ont�uit..- Cwnar .- ..............................................................n ,n construction__.____ Type of Construction ......]FXA%Q-------.. ---'----'-`---'----�-----'�--- Plot ........................... Lot ----------- Jaooa Permit Granted --.......................... ` —6��--lg 83----._'. ' . . . Dote of In-spection ._.. ---.. .. .. :--.. lQ Date Completed - ' . - - . - ^ - ` ' ^ ' ' - . ` ` ^ , . ~ . .._.ge Permit "". b= --.. --------------- House nunnbe, ---.....c�. ............................................. NAM � v � TOWN �� �� N�� Jk �]� l�T�� r�� � ��l� �7 -� J� �-� ��� l�� �-��� ��������i�|�~� ]� �� ��� ��]�u � -` ~' BUILDING �0N 0 N �� N �� N ���� �� �� . ' ��NNNN| NNN ���m N �����~0~N� 0NN �� � �� �� � ��=~ m m� �� m mm��m ���� � �� m� � APPLUCATUON FOR PERMU' TO --_-------------------.------..---.------^..-.. TYPE OF CONSTRUCTION -.�«������-,,���� _______.__~____,._.____________ -------Jge?� TO THE INSPECTOR OF BUILDINGS: ( The undersigned hereby 000is for o permit according to the 6dlovv � ^.--. ' ~..^,'-- ----_-.---._—_------------.---.'----.....---.-- . Proposed Use . -------.....-...---.'-.--...-...----...---.-._--._____ � - ~_ . Zoning District .r�..���.��. ....................................................Fire District -----..-----_____.__._______, . . Nam' ufOwner .. --.l� ��x�---.A66,ex c,���../��������-.:��x���.��.-� Nome of 8ui|6er'`-. ---------------�A66res --------..------_,___,/______ ` ' . � Nome of Architect .. */1A---------- .....................Address -----------------------.-___.. ' _ Number of Room, -- ------------------'Foun6ohon ..�.e�)� �`�� ----'----_______ Exiehor � ' -------------�Roofing -^A���Ln��/�7.-. '.��./�c-__________ - " � v / Floors A^ 4�/�,��°�______-------------..|ntehor ---------------. Heating -T........................ ..........................................Plumbing--. .. -..-...._.,___'___,__`_.__~ 'Fireplace -.'*!-------------------ApprnximoUa Cos ... ..............................:,�............. Definitive Plan Approved by Planning Boo lV ���' Area ___'__________ 1 . / Diagram of � and Building with Dimensions/ Fee _______________ | SUBJECT TO APPROVAL OF BOARD Of HEALTH OCCUPANCY PERMITS � l ] � � ` � , REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above Name ~/�� /��.-, x����� ................. THEO CONSTRUCTI�IV A=40-71 24696 One Story No ................. Permit for .................................... Single amily Dwelling ` ............................................................................... Location „Lot #3 . .... Lovelis Road Cot it ........................... ................................................... Owner Theo Construction ............... .................................................. Type of Construc ion ,Frame .............................. .............................. ................................................. Plot ............................ Lot ................................ Permit Granted January 6, 19 83 Date of Inspection :...................................19 Date Completed . ....................................19 i t 40 Y- 2-6 k L Io {W P� :r♦ TOWN OF BARNSTABLE Permit No- 24b�J5 -------------------------------- Building Inspector., 1 s,usr.a : Cash —--------------- era+ OCCUPANCY PERMIT. Bond ________l___. Issued to Theo CofZAtAuctton Address tot#3 A 40 LovcM Road, Cotait Wiring Inspector Inspection date Plumbing Inspector , , Inspection date Gas Inspector � � � Inspection date v ` Inspection date Engineering Department Board of Health -� ,.,. �e�=•c•�-�y�.� Inspection date THIS PERMIT WILL�'/NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 111.0 OF THE MASSACHUSETTS STATE BUILDING CODE. )W,4 y............ 19 r ............................................ ..,... ......_. ...........,------------- Building Inspector TOWN OF BARNSTABLE fir. Fiancis BUILDING DEPARTMENT_ Latin ' � Clerk *" '".$ ' . 367 MAIN STREET HYANNIS, MA 028M . � Phone. 775-1120 m SUBJECT: "FOLDHERE - `DATE - _ - April 25 1964 MESSAGE Work has bem . . ,s '•st.` � ?� .. k,F. '�.y r .. SIGNED- DATE / REPLY y -• �. - - SIGNED Ne7"RM1 RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY _ t • PRINTED IN U.S.A. . SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK,COPIES WITH CARBON INTACT. d-,.'�r.r'• a , `� 'S%:1�, V rr;y��,t.. 4^ e y d k k,j y, a ; , 4 f1 - � t � '`a a `` `a r c { Est i' rt •„ � 1 a i rj � f J'J''�f � tfr .rr F- �: s f ;y� � ( r; r r _ V 1d ` �` `1 i i,.r cif � " .{' •{ � i, ,A r!� ,,,,3� 1,yr 1 j'Yt f x i �l n�,r t t�1ia ,':a x. r .�, ,, F r+'+ c f t,'s. 1 dr1 is r1C r "� z k 7 �,y. 1� .,7 r..�a r d• ?^ - a r k � r1 i r .,ta "' ��1 > .. ry� kt.. k) r+ ' a} ;G a t'•; } w a.* 4 r+ l ai .f4 yi. JyS :i s x . . 3 .5 s' '( �, r y< at, , n y f41r ,rt C•'r t t^ a t - 9 rf �. (., i.,� Z Sri r� 5 4t•. �c r aG _,� i '{ �`.T '. � r ,n 4 , x *trr r .�� ,a..•rr�.�e � ,� t. +t1G � f i. sra � .� +.s,%' f, '3 E.. 1. .+ 1�r4 s y~ ^, y .f a Sa T T" ya i yt � ,, `�1 i r, •s� ! t. -1`.\ t f 11.,; i� ''�p t.�ti , i i .r � ^ ,1 s 1 :ts•li1.t � nt r, yi�1� +vh�•�I :,�� ',q`q\'rT '- } v +: � > r r }.h � S >.:, :n r.. •'� _ ��} i •!f ,.�.,, x , w 4 �� r l, yr 1 n�ft � 3: f�1 � ��� tti�r y t� i is+a ,:� YYY ,.�r j(I\� rr •� � '. Y .. •per .y -6a t{: _ �: r �A. 0 41 p .QG h M 0v 4171110 r D��l ' `r / .w g a b to 3� C©ry a '.0 o oWaEO BY TiY `a C4r1.�S'Ti� GOP uLl DATE .Z�d'Gr '.:/ � Z o o w 00ROAN 6ROS SWAM - REGISTERED LAND SURVEYOR 1�} a w �ZU. U)O 7 -HEREBY CERTIFY .THAT.' THIS F.OUNDAT;ION IS LOCATED tH Of'M��� o J, OW TF1E LOT AS SPiQgN: AND CONFORMS; TO' THE TOWA moo Napr��> l(n Q a �ApsStY�APt OlK�t�r�i�.t�rs�,S,d , ZONING..RE 6ULA�TI'ONS REGARDING y . . No. 12775 c � � r U li! SE,TBACKeS.ERON STREET LNNES AND L07 LIMES .' <� FGiSTE¢� O�.�f' zr.a, . a o i w NORMAN GROSSWAN L.S• DOTE M CMR Appeoft J Table JS LIb(condoned) Prescriptive Packages for One and Two-Family Residential Buildings Heated with Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab Heating/Cooling Area'(0/0) U-value= It-value3 R value' R valuer wall Perimeter Equipment ElEciency' Page 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 85 AFUE T 15% 0.36 38 13 23 N/A N/A Normal U IS`/o 0.46 38 19 19 10 6 Normal V IS'/e 0.44 38 13 25 N/A N/A 85 AFUE w IS% 0.52 30 19 19 10 6 85 AFUE X 18% 0.32 38 13 25 N/A N/A Normal Y 18% 0.42 38 19 25 N/A N/A Normal Z 18`/e 0.42 38 13 19 10 6 90 AFUE AA I8Ye 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: C?V R mrA 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: �I 9 4. %GLAZING AREA(#3 DIVIDED BY#2): L1 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-i980303a f 780 CMR Appendix J Footnotes to Table J6.2.1 b: 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 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. '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 J1.5.3a. 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. '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. The 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 basements 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 J5.2.1 a 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 °F ME tq� The Town of Barnstable L►srisrasi.E. 6� Department of Health Safety and Environmental Services " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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: 1 ;rt,day Estimated Cost o . s Address of Work: C,M u LT Owner's Name: Jos' �, �� �✓2 Date of Application: TT I hereby certify that: Registration is not required for the following reason(s): Work excluded by taw QJob Under$1,000 []Building not owner-occupied aOwner 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: �T Q 1 10 7-2es Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav The Commonwealth of Massachusetts Department of Industrial Accidents -- - Ofl/COOI/Of�'SUgBI/00S 600 Washington Street Boston,Mass 02111 Workers' Com/sensation Insurance Affidavit name: location A/PfcI 1 i C A i. In6NL- city yhone rr-��®C� ❑ I am a homeowner performing all work myself~ �I^am a sole rietor and have no one worldn In pp ;� !%/%%%%%//�////%%/�/.�/�%%�,'/�///%%O�' //,�//,/,%//////���Y�///////�%////,���/D///O��'2D/i����'�/�/%//////%/��i�,'�/�i,��? i'�i/,%/O/////////D/,d/�i,'��,Di ,%///Oi� i% ��'�✓////�i, ❑ I am an employer.providing workers' compensation for my employees,working.on-this job.::::::::.::..:::::.::..:.:::::..:::.::.::::.:::::..:.,::..:;;:;:;}:;:.: �ma uv EE ?.?'•:{i::i}iiiii::;E:!%v>.: }:?:E`%+j:%??i ii:>%i}: ......:i:%i:%: +{; 3i:% �:{i:;vky%:%:fin•' — .:..................... �, .� �. ::::.::::::.:.:: ::. ..:..... .::::•:......:::::•...:..:::-::::...................:...................................... <' 'hon Q ,,9-f—am a sole pmpri ,gener�co!Wrac11-111-11111-�1114 ac homeowner(circle one)and have hired the co�rWrs listed below who have the following workers'compensation polices:::.:.:.,....:.....:.::.: ::::::..:.::::::::::::::::::.::::::.::::,.::::::.:::::::.:._:::::::::,:::::..::::::::::::::::.:.::::.. ::•A:.,•v.n...:::.:. c*mft yname. ::::::::...:.:. ........... .... :.:........................;FC:fir:•}i:????:::::{::::.;::::::::::::4:•:v:::::w.:v::::::::::::::,•::::v:::::�.v.:v:::::::::w:::::::.v::w:. i.;I:.•}r.wy..�: }.:.4 .:r?:4:::.:i:r:j:?:v.'::E:.,:w;:}}'?:i}.%%%.;kr;;:::%.::?%.:ti%.:%>.i.;.i:!::::'L:`%:::%;:::::::?:i}>:i?3iT3'::fi:;E'::;::;:::•y•;r:;rii:;:;iYJ}?%::?vi:�::.i.i.i.i;`I.:v:%fC;:}:i:(+j::}::; ?:%:;:isiv�;:i�:;?S�::ij: };?i:::i:::%}}?:?i•ir::'^4??:�:4 i:•?:_::4;:iy3:iti3333 33:j::i};i:;i:E:;i::?};:::j:i::ti�:::::::::i:ji}i:%::'?�%}i:%:>>.T>i:ti3•:?;E3::i..:.i.i:i.:...{.x.:.,.3....X.j.?.ry....i.k.}.:r.ry..?..i};i.;?Fo< —.i- % <i . : i:.... vv r:•?:•}:....;.:.�::'w-iii:�:ti6:;{iiiiii}}iii:?::•i:.}:::ir':•:tiv:•v::?�:•}:•r:• ........,........ .......n......: ........ ...v.:....•. :ff{{��:?.}:{•?}?;.�::::::r:??•::vv.v::::}::h.:`:•?:•}:•}:???Y r::L:•?:fi:•}}}x4?:fi%:k:3:kki3:i?:ifi3:%:.�%:^%: mice .............:.... :?.?'?<.:,:.}.::::...::::::::::::::::..:::.......::. ....:...::::::::...:....:. :...:::• ::':33::}.::�.�:::::::.:.�::::.::.::::;:::;::3::;:%EE:;E:y%fi.:iv.}::'>k:<;-k:::::i3;;;:::}_.:?.:;<.: :x:•::•:::.................. ...:rritr'v H.•.x:?•:::::.•:::}:::::n:::??•}r:.v::::::::::::::,...n+• ..::r.�•::^}.+}?.:%}.v\. .;n...... :.......h'r•.'M......,.:....r.. .. .......................r. ................. ..,................:........::::•w::v.:........................w::.v::::::::::::::::•?:•}?}?}:w::::::v:::::::r:4:nv::...1..:":'::::4};w:�'�?'3: ........ ........ ......v.............................:..:::•:?:?':???•�?:?.}:.}:•}:•}:i?r.•}:•:•r..... .x:r::-.ti•::}:•i::L::::iii'{:iF%::3}r:%i.'•3:{%i::}rk{rrii::{}•}r::�ri4:?:{?n}::}}?}::.4Yfi:{??•i}vk<r:v:•r}:r kkj::j{3.,. .:........ romp snv name: «. ..... ............................................... :........:.............::.:.::.:.:.::::................................ ,.. ::::.::........?.:..........::...............::.::.::::.:::.::. diUes s• "h e''1d ... .......:...........:.......:.::....::.. ....:... .....;r:?:::.:::.fi:}::::.; K...,w:.».:r............................. ... ::::. .............. .......... ................ .........:..........,.........rr.•:..................-}t......... ::.....:.�:.�:;.}:<?::::.::.,}r:?.}:.,::...k.::,�:r..�:r::•:::::.�:}:..�.ran:•:�:•:.'-`.%}:.?}:::.::}:=•rr:.. _.............. ...... ............. _ __ oil Faflme to secure coverage as requited under Section 25A of MGL ls2 can lead to the imposition of crhob d penalties of a fine up to$1,500.00 sud(or one years'imprisonment as well as dva penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a Copy of thb statement may be forwarded to the Ofi1ce of Investigations of the DIA for coverage verification. r? _ I do hereby certify the p ' p of pwiurp that die information provided above is trw and coned Signature Date 9 ,0 0 9 Print name phone# '08' offldal use only do not write in this area to be completed by city or town oDidal city or town: permiWcrose# ❑Building Depardnentt ❑Llcrosing Board ❑du ckif immediate response is required Oselectmen's Office _ ❑Health Department contact person: phone#; Otiu r O sed 9195 PJ/y Information and Instructions 1 A. Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their to ees. As quoted from the'law".anemployee is defined as every person in the service of another under any contract � y � 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 gmunds 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 requires of this chapter have been presented to the camdractmg authority. ME 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 members along with a certificate of k ance as all affidavits may be submitted to the Department of Industrial Accidents for coon 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 wodkms' compensation policy,please call the Department at the number listed below.. City or Towns Ple:�e be sure that the affidavit is complete and printed legibly. The Department has provided'a space at the bottom of.the affidavit-mi you to 0 aut in the event the Office�; Investigations has to contact you regarding the applicant Please be sure to fill in the p EkIlicease number which wr71 be used as a reference aumkier. The affidavits may be retmiR 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 Otflce of investigations 600 Washington street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 �.� .MC k-YISTA[: PA,9n_m.n 15 QE"`('ED TO AI)h I4Q� 1III )T 4III4N ' O FPn Wn1� v - 44G - F+•yr. .5UOEQ ]-b••2U-nAOr conk. --,ter- a s°x6 9L -,- -, 5 �. ^I L Hy I 6 S•/ID2 NTS ' * . W ���� O ANC1102 bo l.Y P42 rO1JE I a• o _ �c �6:6�.IIG/I 8"Coat. Ln 1 s y MATGN.EjlS,VX a2V.j1U..)Q -. mb � r �� L< rtrorzooAn ARL.N - _ Y:.[oNr. ginG- ru latHeSH _F a '� _ I PoccfT - . a n ( C L W -A © _ Lo<•/'nLI FILL. \ • m ex N /I GTGa � DNUP l2ooF %cnW %•) - - 1- MATCH L� rTcyT.r_ CIS �• da•os nuek' a // 'YJ! \ d"Nine /r T•e. [ 47<4 /i hPlIA 1.A "CDP-OOF /$!r' Fb C.T '\ -r^ -- R ( FaONT Oticy 2 � ou+:2 �°•,Go>< PLY GOna Cj OFF- UtrC - gi. 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F76- FfIL k4Gw n :x DAMP PROOT 19'E•LOr.J "` a t I I 4 } t1 � .:1 ! � } ,�'� .� I•� .a ; A t ._ is y./ f �`. a `.f , i 4 Ir 0 Cl 0-1, FROn17- Et e.VAP 0iJ - R;(.wr Ef E yA•n Del RAP- 4 gyA Tl on) /o. ,. PQ�1'Z E7-77 J�OD T nl PU}Ny wrrwvm m onrwN w .ry sy 9/1A9041 a tcode-:�,v11ja j sob 7>R 667y p� .�a.� �1ze �amrrruo,x�cea�i o�./�.aaaaG `` 1 OEPARTMENT OF PUBLIC SAFETY CONSTRUCT i \SUPERVISOR LICENSE �f E,pires: Birthdate: CIS @ 99 lZJ@8(1999 12/08/1946 ry Res 80 PO 80X SOUTH YARMOUTH, MA 02664 . HOME IMPROVEMENT CONTRACTOR Registration 107786 I Type `,=INDIVIDUAL 5 •: ,� Expiration 08/06/00 <:, -- `J—,----EE$dWNl�l--�-�ETERSON--BUIt°DER- -• n l Reterson`. � > w s �AVTICAL'T.A r � roA: 5 1'arooutfi"MA 0 k h " ,.K � y �a�au�1»s �e:io bC�ilbO'14b l NORU!OSS $`LEIGH70N PAGE 01 i '.` ,.., ��,: n . M1. ;�t 3 ;'� I � ' liii I. .f ,1$+Y�:$i•�f:''�i t RlAle peUDLVYv).,.,i2 -. ..., ,d:YCS dui �,.. 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