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0036 MOORING DRIVE
r � CAPE CO INSULATION $ , /IAIR OIAfS OUT,,37 SPRAY FOAM SUSPINDIO 'a 6A1FS OVSFIRS INSUTAiION GIIIINO7 1.800-696-6611QM Town of Barnstable " w Regulatory Services Ln rn Building Division 200 Main St Hyannis, MA 02601 Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute '(BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village palo.� u�A Insulation Installed: .Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls d U ( ) ( ) ( #/ ,6Ntr-t 6VOr k Fer)"Or'e4l _ /4,, -&Z-4 Sincerely 2Hry E ssration, sident Insc. i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 02y Parcel 101 Application # 7 Health Division Date Issued Z��« Conservation Division Application Fee _ Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Streei Addres �' ov t D . Village Owner Address Telephone I ( - 1 ,5s •�� ``,�, 'I Permit Request l•(/ lj/7- ilh _Z' `�(J `TV CA6 k(-x h b bb hff 2t -0 niv a It CWW5 0&C& Square feet: 1st floor: Listing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain roundwater Overlay Project Valuation d��' Construction Type J Yp � `_�) � Lot Size Grandfathered: ❑Yes ❑ No If yes, attach pporting~docuentation. Dwelling Type: Single Family 1�1( Two Family ❑ Multi-Family(# units) cra Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑YAs ❑ No Ln Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other —' w � Basement Finished Area(sq.ft.) Basement Unfinished Area (sq. ) =.41 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: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes N ''No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name C�l ( Telephone Number ' 'i��6 1b 27i Address Peg d 4 G�C a?,> License # Home Improvement Contractor# I L 5 b Email Worker's Compensation # �C 6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL 13E TAKEN TO SIGNATURE DATE }�' F FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t To .off Barn-stable. o Sees , ` Richard"S.sc',', eetor, Tom peiiy,lau96i'9.CO]Mt dOne"r 200'Mak S Hyannis tivlA 82601 Office 5.0402-4098 Fax ..50$,- U G230 1'rop. rLY QwnIL r IVI .. sty , `PMP I. Pent in all matters:relauve to work atihoiaed byrhis bwding perms applicatiion for. 3(� v2 S'yyr� *g ooffences mi- lanb +e.di6 i S,pbbslk f e ,pplic rie o'als arer�c�tto':be f Jle� c F e 1 fo a en a�s nsta�l :md,a final :inspections �re peafari.%ied�d accep�e�. gne.o iie of. ►pplicant ziat eta= ;INot Name Date- q.FoRMS.-O vrrWERMSsiWOMS: r- �. Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-100988 Construction Supervisor HENRY E CASSIDY 8 SHED ROW WEST YARMOUTH (�'S w11 151 5'S Expiration: Commissioner 11/11/2017 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Ck--tra'ctor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2016 Tr# 259188 CAPE COD INSULATION, INC HENRY CASSIDY — 18 REARDON CIRCLE SO, YARMOUTH, MA 02664 Update Address and return card. Mark reason for change. .1 C4 20M-05111 Address Renewal Employment Lost Card ..._. ......._..._............._....... . �e airur�aaoacuea.�C�o�C%�l�ulaac�ccaelt� - a \ -Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date, If found return to: egistration: '153567 Type: Office of Consumer Affairs and Business Regulation „j xpiration: c:r1;2h15/Z0:1.6 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 PE COD INSULATION.,INC. NRY CASSIDY REARDON CIRCLE`.gA� YARMOUTH,MA 02664 Undersecretary N valid wi ut sign e The Commonwealth of Massachusetts Department of Industrial Accidents r - Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Q� I Please Print Le ibl Name (Bus iness/organization/Individuai): �o ' J Address. _��Grt1��;Q 4V'04 L - AR-City/State/Zip: /t, b Phone#; v d���' �i�V Are you an employer? Check th appropriate box: Type of project (required): am a employer with 4. ❑ I am a general contractor and I * have hired the sub-contractors 6, ❑ New construction r employees(full and/or part-time). 2,❑ 1 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' insurance.$ 9. ❑ Building addition [No workers comp,comp. insurance required,] 5. ❑ We are a corporation and its 10.7 Electrical repairs or additions officers have exercised their 3,❑ I am a homeowner doing all work 11,❑ 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.� Other comp. insurance required.] J 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidfit 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 ;mployees. If the sub-contractors have employees,they must provide their workers'comp,policy number. [um an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. ((R, in Company Y insurance Com Name: t'j�� � 11 'olicy # or Self-ins, Lic, #: $, G 00 �1 al� i Expiration Date: Job Site Address: Y�0' yY • City/State/Zip: r Attach a copy of the workers' compensate n 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 Df up to $250-00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of tnvesti ations of the DIA for insurar4 coverage verification, l do hereby certify adthe pai an penalties of perjury that the information provided ab ve is t and correct. Signature: Date:/V l Phone#: ' Official use only. Do not write in this area,to be completed by city or town official, L6O Town: Permit/License# Authority (circle one): d of Health 2, Building Department 3. City/Town Clerk 4. Electrical Inspector 5, Plumbing Inspector r PPrcnn: Phone 9: CAPECOD-27 BDELAWRENCE = oizo'' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 6130/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pblicy(les)must be endorsed, If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder Ili lieu of such endorsement(s). PRODUCER CONTACT NAME: Rogers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 (AIC o Ezt: A/C No):(877)816-2156 South Dennis,MA 02660 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Peerless Insurance Company-see LIBERTY MUTUAL INSURED INSURERB:ATLANTIC CHARTER INSURANCE GROUP Cape Cod Insulation,Inc. INSURERC: 18 Reardon Circle INSURER 0 South Yarmouth,MA 02664 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE DDLSUBR POLICY NUMBER MMIDDY/YEYYY MMIDD�YY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR C$P8263063 04101/2015 04/01/2016 DAMAGE TO PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:2' GENERAL AGGREGATE $ 2,000,000 X POLICY D JE� LOCH PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY a COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ F—TDED I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER B ANY PROPRIETOR/PARTNER/EXECUTIVE M WCE00431901 06/30/2016 06/30/2016 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUOED7 NIA , (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 Ili as;describe under DSCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Ac6RD 101,Additional Remarks Schedule,may be attached If more apace Is required) Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 18 Reardon Circle ACCORDANCE WITH THE POLICY PROVISIONS. South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION, All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Town of Barnstable Regulatory Services .Thomas F.Geiler,Director '"R"'AM sue. ` Building Division tea Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERNIIT# �U l G� l FEE: SHED REGISTRATION 120 square feet or less Location of shed(address) Village - Property owner's name 'Telephone number -- ;? ,k 2 q I 1 G-� Size of Shed Map/Parcel# 411-77IZell Signature Date Hyannis Main Street Waterfront Historic District? /�!J Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&'3:304:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:042506 FILE# --MIP 46277 CENSUS TRACT# 132 CL" NT:DUNNING,KIRRANE,MCNICHOLS&GARNER LLP DEED BOOK 3214 PAGE 28077 O R:THERESA A.RIZZO—SEIM PLAN BOOK PAGE LOT 82 APPLICANT: ROBERT W. &BARBARA J.EUBANKS ASSESSORS PLAN 024 PLOT 101 MORTGAGE INSPECTION PLAN OF LAND LOCATED AT. 36 MOORING DRIVE BARNSTABLE, MASSACHUSETTS SCALE: 1 =40' July 15, 2010 Lo—r &0 Lb, vu i 20, Gq2 S; L>T F,I Q �, or 4 3(. Bit CERTIFY TO DUNNING,KIRRANE,MCNICHOLS&GARNER LLP,EASTERN ATLANTIC FINANCIAL GROUP ITS TITLE INSURANCE COMPANY, THAT THERE ARE NO VISIBLE_ENCROACHMENTS O ASEMENTS EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IM[MEDIAT SUPERVISION. THE LOCATION OF THE DWELLING AS SHOWN HEREON IS IN COMPLIANCE WITH THE' LOCAL APPLICABLE ZONING BY—LAWS WITH RESPECT TO HORIZONTAL b DIMENSIONAL REQUIREMENTS. g 31* THE DWELLING SHOWN HERE DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A r.�,�r Lrlam*era xT n.Trry.0 i cnnn i nnll t t1 n n rrvn^f t7/m nv-ruc CERTIFY TO DUNNING,KIRRANE,MCNICHOLS&GARNER LLP,EASTERN ATLANTIC FINANCIAL GROUP AND ITS TITLE INSURANCE COMPANY, THAT THERE ARE NO VISIBLE ENCROACHMENTS O ASEMENTS EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIAT SUPERVISION. THE LOCATION OF THE DWELLING AS SHOWN HEREON IS IN COMPLIANCE WITH THE LOCAL APPLICABLE ZONING BY-LAWS WITH RESPECT TO HORIZONTAL DIMENSIONAL REQUIREMENTS. ! f THE DWELLING SHOWN HERE DOES NOT FALL WITHIN ,x A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A MAP OF COMMUNITY #250001-0021D DATED 7/2/92 BY THE .e2 F.I.A. Kenneth R. Ferreira a z Engineering, Inc. ia P.O.Box 1903 y� j._1 New Bedford,MA 02741-1903 'cos Owl sL.,ay_ 508-992-0020 Fax:992-3374 "GENERAL NOTES:(1)The declarations made above are on the basis of my knowledge,information,and belief as the result of a mortgage plo plan tape survey inspection made to the normal standard of care of registered land surveyors practicing in Massachusetts.(2)Declarations are mad o the above named client only as of this date. (3)This plan was not made for recording purposes,for use in preparing deed descriptions or fo constructions.(4)Verifications of property line dimensions,building offsets,fences,or lot configuration.may be accomplished only by an accurat nstrument survey. t r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION_ Map Parcel I v Application # ��a pp oo Health Division 6U - A0Z- �` Date Issued Conservation Division , Application Fee Planning Dept. Permit Fee 2 Date Definitive Plan Approved by Planning Board Historic OKH _Preservation /Hyannis Project Street Address Villages�� s Owner i'apR.l ��'Y�3 a Address s � Telephone -363 q66 5331, � Permit Request Square feet: 1st floor: existing proposed L12nd floor: existing -- proposed ✓ Total new �� Zoning District Flood Plain Groundwater Overlay f Project Valuation � Construction Type t v 4 Lot Size a b 6 C L Grandfathered: 0 Yes ❑ No If es, attach supporting � y documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family units) Age of Existing Structure 04 Y� Historic House: ❑Yes W No On Old King's Highway: ❑Yes 111 No Basement Type: ZFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existin new Half: existing new Number of Bedrooms: existing OZnew Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 2--Gas ❑ Oil ❑ Electric ❑ Other ~ Central Air: ❑Yes ff No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing �J new- size_ L-- Attached garage: existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: I , Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ -a Commercial ❑Yes ❑ No If yes, site plan review# ' rxr Current Use - Proposed'Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ' �� '� 0 Telephone Number l Address � �� ib�. JC License # 0561� / l� 0,_4 Home Improvement Contractor# .� Worker's Compensation # L/CC ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 11 ;�( lt01 r SIGNATURE DATE /� w .i '4 FOR OFFICIAL USE ONLY APPLICATION# — DATE ISSUED MAP/PARCEL NO. ` ADDRESS VILLAGE s OWNER DATE OF INSPECTION: Ns b�Na.l'K.u� s FOUNDATION P t� b FRAME yINSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL p FINAL BUILDING ilf-I 0 a/0foYggq,_ n af//!4/ 'Rmc-x Fab DATE CLOSED OUT ASSOCIATION PLAN NO. T Town of Barnstable Regulatory Services Thomas F. Geiler,Director Building Division ��lED Mho� Thomas Perry, CBO,Building Coimnnissioner 200 Main Street, Hyannis,MA 02601 www.town.barnst2ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW 2- oC 0 o 3 -7--6 Owner: SH�I Map/Parcel: d `0 Project Address �6 �0��� ��!Vr-- Builder: /C <- C, #91-roE CAfq-fC--r The following items were noted on reviewing: IIA-3 1 rd�b- t. .Ef -A t.C�`S i'Li� � Reviewed by: Date: Q:Forms:Plnrvw The Comrn:onweVlth of4assachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Ellectricians/Plumb ers Applicant Information lease Print Le 'bl uaI : IV l/�' vI NalnO (Business/Orgammization/Indivtd ) Address: 17 S4 City/State/Zip: Are u an employer? Check appropriate box: Type of project(required): 1. I am a employer with 4. I am a general contractor and I 6. ❑New construction employees(hill and/or part-time).* have hired the stab-contractors 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' 9 0 Building addition [No workers' comp.•mnnancc comp.insurance.# Ml,ilr ] 5. We area corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myselL[No workers' comp. right of exemption per MGL 12.[]Roof repairs incnranCC regirized]t c. 152, §1(4), and we have no 13.0 Other employees. [No workers' comp.insurance required.] *Any applicant that checks box#1 must also fin out the section below sbowing their workers'comnpcnsation poHcy information. t Hameowocn who submit this affidavit indicating they arc doing all work and then hire outside contractors must rubmmnt a new of davit indicating such. tcontractors that chock this box must attached an additional sheet showing the name of the sub-=tmactors and state wbcthcr or not those entities have employees. If the sub-confractors have emrr{rloycca,they must providb their workers'comp.poticy mmnbcr. I am an employer that is providing wo kers'compensation insurance for my employees. Below is the policy and jab site information. eW Insurance Company Name: Policy#or Self-ins. Lic.#: ell�7 Expiration Date: j� a Job Site Address: + City/StatelZip: Attach a copy of the workers' compensati 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 crimfi al penalties of a 5ne tip 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 thq violator. Be advised that a copy of this statnmerit may be forwarded to the Office of 1UVC9tigBtiMS of the DIA for insurance coverage verification. I do hereby certify under the sand s of perjury that the information provided above rs�tfrue and carrecl Si atiz<e: Date: ! — Phone#: Ofj-xW use only. Do not write in this area, tb be completed by city or town of xIaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Towu Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: Information and n5 me ion 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 thr 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 a.ny applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally, chapter hPter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall Ao 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(cs) and phone numbers) along with their certificates)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-inmranGe license number on the appropriate line. City or Towm Officials Please be sure that the affidavit is complete and printed legibly. The D eparfinent has provided a space at the bottom of the affidavit for you to fill out in time event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/Ecense 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 onr.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 fi l=c 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 fo any business or commercial venture (ie. a dog license or permit to burs 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, tcicphone•and fax number. Tht✓Commonwealth of Masachusetts Department of Industrial Accidents Office of Investigations 600 Washington street Boston, MA 02111 Ted. # 617-727-490.0 ext 406 or 1-S77-MASSAFB Fax# 617-727-7749 ised 11-22-06 WWW.maSS.gov/dia ATVC Giiide to l-Vood Construction in,High Wind Areas: 110 rriph Wind Zone Massachusetts Checklist for Colnpjiance (7s0 CNIR5301:2.1.1)' Check Compliance 1.1 SCOPE = WindSpeed (3-sec. gust).................................................................. ................................................ 110 mph WindExposure Category............................................ ...................... ........................................ ....:...............B Wind Exposure Category.......'......;.Engineering Required For Entire Project .......................................0 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories, 5 2 stories RoofPitch ....................:.........:............................................(Fig 2) ...........................................� ft 2 Mean Roof Height .....................................................:........(Fig 2).:...........,................................... ft 5 33 BuildingWidth,W .....^......................................................:..(Fig 3).............I......:.....:....................... 75 ft 5 80 BuildingLength, L ..............................................................(Fig.3)........................................ .. oft 5 80' Building Aspect Ratio (L/W) .......:.................................... (Fig 4)...............,................................. .Ate<3:1 Nominpl Height of Tallest Openingz ...................................(Fig 4)................................................ 5 6'8" 1.3 FRAMING CONNECTIONS General compliance with framing connections.:..................(Table 2)..........(J '".............................................. 2.1 FOUNDATION Foundation Walls meetingrequirements of 780.CMR 5404.1 Concrete.............................................................................................................................. ConcreteMasonry .............. ...................................... :..:........................................................... 2.2 ANCHORAGE TO FOUNDATION1'3. 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as.an alternative in concrete only Bolt Spacing—general ..........................................(Table 4)......................................I........ / in. Bolt Spacing from end/joint of plate.............................(Fig 5)..................:.................. in.5 6"-12" Bolt Embedment—concrete.........................I................(Fig 5)......".................................... in. >7" Bolt Embedment—masonry....:....................................(Fig 5)............ ............................... in.>_ 15" —V' (Fig 5 > Plate Washer...................................................:............( 9 ).............................................. 3"x3"x1W 3.1 FLOORS Floor framing member spans checked ................:..............(per 780 CMR Chapter 55)............................<..... Maximum Floor Opening Dimension...................... • (Fig 6)..................................................:_ft—12' _ Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)....................................... ✓ Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7)...................... 5 Maximum Cantilevered Floor Joists Supporting Loadbearing Walls-or Shearwall................(Fig 8)...................................................._ft <d FloorBracing at Endwalls.............................................................................. (Fig 9).............................................................. .... Floor Sheathing Type ........................................................ 780 CMR Chapter 55)............I.........vDa ...... Floor Sheathing Thickness ...........................................:.....(per 780 CMR Chapter 55)........................ in. Floor Sheathing Fastening................................................ :(Table 2)..' d nails at,�in edge/ in field 4.1 WALLS Wall Height Loadbearing walls..........:..........................:.........:........(Fig 10 and Table 5)..........................7 10' Non-Loadbearing walls................................................(Fig 10 and Table 5)........................... ft 5 20' Wall Stud Spacing .............................:..........................(Fig 10 and Table 5)...................j_�_in. <—24"o.c. WallStory Offsets ........................................ ...............(Figs 7&8)......................:....................f :5 d 4.2 EXTERIOR WALLS' Wood Studs " Loadbearing walls....................................:...................(Table-).......,......................_2x_- ft >*i in. Non-Loadbearing walls ..:..............................................(Table 5)..............................2x_- 7 ft in. Gable End Wall Bracing' 10 6`7 Full Height Endwall Studs..........................................:.(Fig 10)..................................................7 ..... WSP Attic Floor Length...................................I..........::.(Fig 11)...................I......................... ft>W/3 C Gypsum Ceiling Length if WSP hot used ................7.:(Fig 11 ft>_0.9W and 2.x 4 Continuous Lateral Brace @ 6.ft. o.c. .. (Fig 11)............................:.................. ............. or 1 x 3 ceiling,furring strips @ 16'spacing min.with 2 x 4 blocking @ 4 ft.,spacing in end joist.or truss bays :`!/ Double Top Plate Splice Length .....................................1..................(Fig 13 and Table 6)...........:........�,.. D ft� Splice Connection (no. of 16d common nails)..............(Table 6)..........................::.....a11...5. ...... .... �q �� �' ���e , '54& A FT C Guide to Wood Coustrr-rction in Hi qh 144'nd Areas: 110 mph.P I d Zo e Massachusetts Cheddist for Compliance (780 C11411 s301.2.1.1)' Loadbearing Wall Connections Lateral (no. of 16d common nails)................................(Tables 7)..................................................... Non-Loadbearing Wall Connections Lateral (no.of 16d common nails)................................(Table 8)....................................................... Load Bearing Wall Openings (record.largest opening but check all openings for compliance to Table 9) Header Spans (Table 9).................................. in.s 11' Sill Plate Spans ......................................:.................(Table 9).................................. ft in.5 1' _ffFull Height Studs (no. of studs)....................................(Table 9)............................,......................... . Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans......:......................................................(Table 9).................................. IVI in.s 12' Sill Plate Spans.............t.............................................(Table 9).................................. ft in.s 2" 600, Full Height Studs (no. of studs)....................................(Table 9)............:.......................................... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously'4 Minimum Building Dimension,W Nominal Height of Tallest OpeningZ ..................................................... / .............��<6'8" Sheathing Type..............................................(note 4)....:............. "" .. �.w. ......... Edge Nail Spacing................:........................(Table 10 or note 4 if less)........................ in. 3 Field Nail Spacing..........................................(Table 10)...............................I......... in Shear Connection (no.of 16d common nails)(Table 10).................................... .. Percent Full-Height Sheathing Table 10 ................................................... % 5%Additional Sheathing for Wall with Opening> 6'8"(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest Opening2................................................ 7`6'8" Sheathing Type..............................................(note 4)............-........... Y...... Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................in. Field Nail Spacing.......................................:..(Table 11)....................................... �in. Shear Connection (no.of 16d common nails)(Table 11).................I......: ....: .:... ....... . Percent Full-Height Sheathing.......................(Table 11).......:............... °/ 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).................... Wall Cladding f k_Q �{ Ratedfor Wind Speed?.............................................................. .....................`..........`.-............. ... !� y 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool, see BBRS Website) Roof Overhang ...................................................(Figure 19) ............._ft s smaller of 2' or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)......:.................I...................U�3 plf Lateral ...........................:.................(Table 12)............................................ L=_jjk plf Shear...............................................(Table 12).......:....................................S=-ZL plf Ridge'Strap Connections, if collar ties not used per page 21... (Table 13)...............................T= plf Gable Rake Outlooker............................. (Figure 20 _ft s smaller of 2' or U2 Truss or Rafter Connection's at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)........................ — Lateral(no. of 16d common nails)...(Table 14).......................................L= . 'Ib. Roof Sheathing Type.......:........:..................................(per 780 CMR Chapters 58 an 9) ............ Roof Sheathing Thickness.....................................:..... ............................................. in.2:7/16"WSP Roof Sheathing Fastening............................................(Table 2)..................... ........�..,.,C�......... Dotes: This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of following metal straps and hold downs are not 780 CMR 5301.2.1.1 Item 1. If the checklist is met m its entirety then the foli i g p required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b Exception: Opening heights of up to 8 ft. shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. ,, N� *'-:f.X .C,:},e.•+ �i,.: � afr t ,' ' '� r -r h ..! _ "7 yt' 1' J K,, W�34-.;� r 4•' 17. r:y;F•* y Sz C,T7 r. x'L' f`tT-'( ,4 t';Yr..t` f ,y;M'`.`.' r'F7 ifi s..� r:'4 V , � �e t f 3'. r�,.��,� �'" 'L�.f�� `4r''�. C-C � - � s -A'i ,ii,-+ .zd'} 'n �p k,•'}u' ` !t +' y ""hr. - q n I l a !" r s`d`'u'h i+ t`f•`r rJ•♦ .*, '?, C ..it .3I +-itfk"ky ,t3..s'N. +YC�4. r,'t YJ[., i +� a r 'z '' 'G r X3 gnu',. - t's-. yr . i-br ria �_.,,r c,rt I, i 3.*e': 1, ia�.7-k, < 'iW { y. ?�-5 r «i L`F .� N .yr, >f w•'.0 3 x iw+ y,,fi s �(. 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'" �� 7 s ' -� i r r t a rt. 74?�.,,.Y, ,F v, ..dr it .. p. ..1.1 " .. , • ht rrysr u -..%1z ,4 r -z. r DEC-20-2007(THU) 14: 14' MALCOIM & PARSONS INSURANCE (FAX) 17813441425 P. 00i/1008 AC®RD, CERTIFICATE OF LIABILITY INSURANCE °ATg(MMi°°YYYY) 12/20/2007 PROouCER (781)344'-3200 FAX (7 B1)344-1425 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Malcolm & Parsons Ins. Agcy. ,Inc. ONLYAND.CONFERS NO RIGHTS UPON THE CERTIFICATE 6 Freeman St. HOLDER,THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES. P.O. Box 527 Stoughton, .MA 02072 INSURERS AFFORDING COVERAGE I NAIL# INS uneo Michael De uga INSURER.k Associated- Emloyers Insurance DBA: Village Craft Building.&Remodeling INSU.RERB: 568 Santuit Road wsuReFc: '� I ------- Cotuit, MA 02635 INSURER ----"'�—'-`--- INSURER E: - I COVERAGES TH-POLICIES OF INSURANCE LISTED BELOW HA\°BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REOUIREMENT,TERM OR CONDITION OF AN1 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY TH:POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS.EXCLUSIONS AND CONDITIONS 0=SUCH POLICIES.AGGREGATE LIMITS SHOWN I;I ..Y HAVE 3EEN REDUCED BY PAID CLAIMS. ItISR CO'r TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS _ GENERAL LIABiL:TY EA0 OCZURRENCE 5 COMMERCIAL GENERAL LABI'_ITY - - _ DANA.3E TO RENTED S j PRRf.AIccC;fin�rrre��i I -�CLAIMS MADE C�OCC'JF, N1ED EXP{An;one Gerson; ; —� PERSONAL&ADV INJURY- S -- __ GENERAL AGGREGATE 5 GENLAGG9EGA7E LIMI-APPLIES PER PF:CDJCTS.:^plAwpP AGG S - PRO v i �POLICY!�.E'.I � LCC AUTOMOBILE LIABILITY COtdP.INE;SW al.E LibilT AN/AUTO .(Ea acaden0 ALL OWNED µUTOS - - I BGDILY INJURY _ - SGHEOULEEDN.TOS (Per person) j HIRE]A.U-'CS . - BODLY INJURY N0`-0VVNEO AUTOS 'Per acc tlent! PROPERTY C'AIAAGE I (Per aoo bent) . GARAGE LIABILITY ` AUTO ONLY-EA ACCIDENT S ANY AUTO - .. — ---- - - OTtic-R THAN EA ACC S- ---,-'- .. A,.:D0`ILY! AGO - EXCESSTUMBRE"LIABILITY EACH OGCL1RR=NCE 5 I OCCUP, CLAIMS MADE ACCREGA7-E DEDUCTBL`e ---- ---- I RETENI'DII S ----------•- --------' S WORKERS COMPENSATION AND W:C500611401-2007 12/23/2007 12/23/2008 ' VrC5ATu �'.17H- i EMPLOYERS'LIABILITY A ,A.h�PRGPRIETGFUFARTFlEPL'=XECUTJYE E.L.EACI-ACC CENT S 100 OOO j 0F,,ERIVEN1EER EXCLUDED? f yes As 6r 6-d- E.L.DGEASE,EA EMPLO'!E F 5 100,000 -ECIAL PROVISIONS Ly'us• E L.DLiF.ASE-OCLICY LW!!T 5 S00,00 OTHER i I OESCRI TION QF OPERATIONS I LOCATIONS 1 VEHICLES 1 EXC LUSiONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS - es r� . CERTIFICATE HOLDER �, CANCELLATION SHOULD ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE —� EXPIRATION DATE THEREOF.THE ISSUING INSURER',VILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE OEPTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL INIP03E NO OBLIGATION OR LIABILITY Insured's Copy OF AN�KIVD'JPONTHE INSURER.ITS.A3ENTSORREPRF-SEN TAT IVES. Evidence of Insurance AUTHORIZED REPRESENTATIVE Irving Parsons ACORD 26(2001108) QACORD CORPORATION iSSS s - U,ILQ��IG,R��ULATIONS ipe4e,mIQN RUCTION:SUPERVISOR` ' ` ,NumberS� 050234 62 Tr no. 29204 Res. c a b r MICHAEL DE, a 568 SANTUIT RD �� _ nw P, COTUIT, MA 02635 Cotnmissloher H �y� it �ryTQ�IfiRF1i�rTQi2 .b vu Ex iratioh Eiz J AGE CRAFT 1J L NAG& (juga #a ,MODELING f 1 �� -Jun 16 2WO.14:15:41 17202661363 -> l9err i 11 Lynch Page 8,83 Tbwlft of I3a rnstable. i Regulatory Services .yam' Tlwtnu X Ovaer,Director Building Division Toro Ferry, BUIWn9 Cnrnreioner 200 Main at r'zt, HyMMIS,MA 02601 myyr.tawn.barnetav7E,rnx.ua dmee: 508-8 62-403 8 Past. SOB-790-6230 Property Owner Must Complete and Sign This Section if using A"Bonder 771 __ _.►as Owur of the eub}cct proPe:ty is a!I caratters rtlative to•v'ork_____ to act on my br.�;alf, authorized by:b(a b'?" ' " pxwt application for: dresffi oab w: -_.01 I3a.•c�'— T(f�cr5f �"2z..vw.� .,.� Pnat�a� �foxMa:awrr��M�stoN . .. REScheck Software Version 4.1.3 Compliance Certificate Project Title: New Addition . Report Date:06/17/08 Data filename:Untitted.rck Energy Code: Massachusetts Energy Code Location: Cotuit,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 12% Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor: 36 Mooring Dr. Lionel Residence Village Craft Builders Cotuit,MA 02635 36 Mooring Dr 568 Santuit Rd. Cotuit,MA 0263.5 Cotuit,.MA 02635 Compliance�Passes Compliance:17.9%Better Than Code Maximum UA:112 Your UA:92 Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or D.. Perimeter U-Factor Ceiling 1:Flat Ceiling or Scissor Truss 450 30.0 0.0 16 Wall 1:Wood Frame, 16"o.c. 495 13.0 0.0 36 Window 1:Vinyl Frame:Double Pane with Low-E 59 0.320 19 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 450 19.0 0.0 21 Boiler 1:Other(Except Gas-Fired Steam)92 AFUE Compliance Statement. The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 4.1.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.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. Name-Title Signature Date Project Title: New Addition Report date: 06/17/08 Data filename: Untitled.rck Page 1 of 4 I ( MCIREScheck Software Version 4.1.3 Inspection - Checklist Date:06/17/08 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-36.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-13.0 cavity insulation Comments: Windows: ❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: ❑ Boiler 1:Other(Except Gas-Fired Steam):92 AFUE or higher Make and Model Number: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ When installed in the building envelope,recessed lighting fixtures#meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2• Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm.(0.944 Us)air movement from the the " conditioned space to the ceiling cavity.The lighting fixture has been tested at 75 PA or 1.57 Ibs/ft2 pressure difference and shall be labeled. Vapor Retarder: o Installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment are identified so that compliance can be determined. Cl Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values,glazing U-factors,and heating equipment efficiency are clearly marked on the building plans or specifications. ❑ Insulation is installed according to manufacturer's 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 are insulated per Table 6106.4.4.3. Duct Construction: , All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,are sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions.Mesh tape may be omitted where gaps are less than 1/8 inch.Duct tape is not permitted. Lj The HVAC system provides a means for balancing air and water systems. ` Project Title: New Addition Report date: 06/17/08. Data filename: Untitled.rck Page 2 of 4 Temperature Controls: 0 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. Heating and Cooling Equipment Sizing: , Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR Circulating Hot Water Systems: Circulating hot water pipes are insulated to the levels in Table 1. 4 Swimming Pools: Ll All heated swimming pools have an on/off heater switch and a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps have a time clock. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. Project Title: New Addition Report date: 06/17/08 Data filename: Untitled.rck Page 3 of 4 I Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Up to 1" Up to 1.25" 1,5"to 2.0" Over 2" Temperature(°F) •- 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 .0.5 0.5 -0.5 .1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(°F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below.40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) i R Project Title: New Addition Report date: 06/17/08 Data filename: Untitled.rck Page 4 of 4 nW r t M '' (ra.�•V.J T hl r xzo �- IL :} a w PLAFU S11- 01V" I ' L CAT UNDATION ION PIP y Uo yv y i�1 f�j.l.F C�.'1��."(L. c3 is`1, l) 0 �A l C1 r� _ �'►-� b ° Dim. p ° ; ,cam TI 'Y, I At T*HIS, F0UK0A ! LOD fl) �r P 1 { :�u .._(! ,.,a� ,n. y�+ ya.�.' y r+ TOWN yn�q a® 4 �)Y '1�p PINE �.�T,<6�J.7; i�Qt°Y 'Jro CJ ti+ a'B f8.h3'.3 i.�o 1 H1 i.OW 4g ��S �$ o ROBERT � El, L �`At D'.LOB' E .RAYMOND fl r' r No.21583 n tV.'+: iSti,l-t*'i 422 v!<MYRIP MUt err k I ., r ti.' rvtt. A'.Cif W!.••t}Nn } .w��..j'.iVl.,•..TYY.L'S"�-IY.+h..(•�.0 V;.p�.�ti.!•,11'MtiMVVl l.r.,.lN.RP'T:�vtFlwu!V,4w•.MOw,1 wI:NIMK :P.l.wt. F.ff , to Assessor's map and lot number. ..... .......................... UST °`� E ewage Permit number ....................'.....� .. :2 SEPTIC SYSN COMpLI e INSTALLED '�{'rLE 5 S BARNSTABLE, Housenumber ........................................................................ } WITH 639 \e�� ON MENTAL CODE L.ATIONS TOWN OF BARN 7MER BUILDING INSPECTOR APPLICATION FOR PERMIT TO v `.!... .. TYPE OF CONSTRUCTION a a k.t.. t Y, .............1.�$. `. l............................I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the f win rrrati n• Location ........ .. ... ..O.O .i. ... ...... iY .�. ....... .. ........ ...................................................................... ProposedUse ...... 1.�.4........t `.0.RX`......................................................................................................................... n� Zoning District .....:.../ .. ................................................Fire District ...........1 ..4L..(!..`. ........:............................: 6 Name of Owner ..3 :. :Q.......1.\.1... !1�..4�..........Address ..... .1'... AA.1/..!7 .... r........................i.�... .....Name of Builder ..... ........`� .......................Address ...F.4......�.R..x:. Cl C ..f.....V L...1 O .......... Nameof Architect ..................................................................Address ............jj.��....cc...............9—.. ................................................ .........................Number of Rooms �..........................................Foundation ......!ti,l..l..Q...�.f ............................................ -t �' Exterior ....... ..................................Roofing ......... :...... ::. .t....................................... Floors ....................................................Interior .................................................... —- Heating ..................................................................................Plumbing ........ 2. ^..:' -................................................... Fire lace ........ (�` �!!•... C P .U.......` ....................................................Approximate. Cost ............. . ................... .............. Definitive Plan Approved by Planning Board ________________________________19________. Area ....... .��.1..................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH e" ,l OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam1,4:rhlall. ..... ................. Construction Supervisor's License .. ...�f. /...rGt............. XAZZO, THERESA 28482 Build Addition No . . ........... Permit for •.................................... Single Family Dwelling ............................. .......�U?............................ Location ....................... .......................................36 Moorig � ive Cotuit . ............................................................................... Owner .....Theresa Rizzo .... ........................................................ Type of Construction .....F:.r.ame.......................... ................................................................................ Plot ............................ Lot ................................. Permit -Granted October 4, ........................................19 85 sn Date of Inspection ....................................19 Date Completed ............. ..............19 ro % > qC �U � ; .. . . . r Assessor's map and lot number ......... x. cFTREto� l> /Sewage Permit numbers Z Z BAB39T"LE, i / House number ...:..................................................................... ro raea s p 1639. A '0T1r0IIAY A,. . TOWN OF BARNSTABLE BUILDING INSPECTOR . APPLICATION`FOR PERMIT TO .....: . ... ........................................................ TYPE OF CONSTRUCTION .... ..C ..l...�...�. . ..............1:. .. .... ... ?................................. :...... �12.y........................... TO THE INSPECTOR OF BUILDINGS: '"=rv ' ". The undersigned hereby applies for a permit according to the following informgtiorr€ C �r � r Location #�� ........................... a, v it 1 o- ProposedUse .... .4.Yi ' .1.�.5. .....<<....� L7.'C"......... . . ... ................A............................................� ..... ... A� Zoning District ..>:.....1 Fire District l f 1 Name;of Owner .....!. .. .. ........b�..�.!?.!?�.43..........Address ....dk:-?. ... ?.P.// 7✓ ... .� ..... Name of.. B udder ........ . ........ ..................... .Address .. .l Name of Architect ...............................................::............:......Address ................................... Number of Rooms ...........Foundation Exierio. i _ao..v ....Roofing '`�.'a �, � 1�,. .. ...................................... ...................... . ....................:. -.... ..... ..�?. 1!�."�: ............................ Interior Floors .. i . .. .. . ...........:..y. .. .. .Plumbin .......... ............ ........... �j Heating .........'.�........... ....... . ....... . ... ....... ... . g ..... ��,n. ... �. Fireplace ........ ti7`�`..:�:...... ............. . •,, ...Ap roximate. Cost `, v. .. 'o p ........ ...... .. Definitive Plan Approved by Planning Board ____________________'___________19 Area .......f l ...............,.... Diagram of Lot and Building with Dimensions Fee a....... ... :rr SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS a I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name i' '. F .� ' �.��: ir =�' f' Construction Supervisor's License ......... .............. RIZZO, THERESA A=24-101 l i • . . ...... No .28482 'ermit for ,,,,Build Addd.ition. . . Single Family Dwelling ................... Location .... 6..Mooring..Drive Cotuit ............................................................................... Owner Theresa Rizzo ................................................. Type of Construction ......Frame......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ..........October 4, -19� 85 ...................... . Date of Inspection ............................. 'Date Completed ........................19 y= � 1 t . f E N�i"yr"`nd ��'� � �;4. � `' q-'b��.1"�`�"�v:'�•'v+�v'i�'�`^� e"� • ��}+�}�_ f `'?�$z'S'�+�..+t,'` T}a.{.f°�.".T�'A.�i• /. ,.-�.. `oF.NE► Town of;Barnstable 6ABNSTABL6: Regulatory„Service s 7 MASS...• � _._ _. .. _._..... -..... �p t6y9• Bullln Div.'ision. d rFo .� g, 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction,Notice Type of Inspection Location :16 *&V-Pz(&7t—b& (VZF 07 Permit Number Owner /� f `i2-O Builder V r LL) e- One notice to remain on.job site, one notice on file in Building Department. The following items need correcting; SM lf�.c, o ru . 7'e rI yiU - cALIU into CDV-Rt7c--rc &IJs t.J o s --da�f-tT N r s P 6-r- i o © °P osrN � N �r�c a�" a Please call: . 508-862-40�&for re-inspection. Inspected by Date C?/a 6 lb Asse ors map and lot num er ............................................ klpTIC SYSTEM M yTw Sewage Permit number �-Z INSTALLED IN CO ........................................................ WITH TITL e gT House number ...................... :6............... ENVIRONMENTAL TOWN REGULA Y�.0 TOWN OF BARN-STABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......�IrGU ....... TYPE OF CONSTRUCTION .........GAGL.l.................... . ............................................ .... .� ...<...rP...............I9A? TO THE INSPECTOR OF BUILDINGS: a The undersigned hereby applies for a permit according to the following information: Location ... .. Q�.......... ........ ..... ...... ....... .... .........0 . ......... ..................................................... ProposedUse ............ aele .................................•.................................................................................................... Zoning District ............... `..:...F.........................................Fire District ...........L .................................................... Name of Owner .................. / .... ��. r',lte � .G6�',�SAddress .................... ....j � `.. V Nameof Builder ... ..... .................................Address .................................................................................... .Name of Architect ..................................................................Address .................................................................................... Number of Rooms .........................................Foundation .... ......... ...................................... ! Exierior .Ge�/ � `...�% ..................Roofing Gam// Floors ....lh/ '!..... ....... ...... ............................................Interior ....... ... .. ............ Ahieatingl:/..G,! :..... .....:..............Plumbing ....................1�'t�-................................................... Fireplace .............. .. .p Approximate Cost ........ q .. ...........................................h Definitive Plan Approved by Planning Board _____ _______ __l 19 �. Area 11�� 's-0- ......` * Diagram of Lot and Building with Dimensio Fee �.. ... SUBJECT TO APPROVAL OF BOARD OF HEALTH 1/3 . �Ll yD I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re ding the above construction. Name ................... DENNIS STAR CONSTRUCTION to ...2 6.28 Permit for .,•One StorX ;,,.Single Family Dwelling..............• Location ..Lot,,.4.N 36 Mooring„Dr.••„ .................. .............................................. Owner .... Star Construction Frame t Type of Construction .......................................... '< r Plot ........................ Lot ................................ Permit Granted ......Octob,e- .r„3 Q........19 8.0 i Date of Inspection ....................................19 i 4 a , Date Completed ............... ... .. �.....19�'C� PERMIT REFUSED r" `................................................................ .19 i ji. y�ft.... . .......................................................... / i 1.. .. . ................................................... <p ............ _. r� ............................................e ..................................................................... —� .s Approved ....:........................................... 19 .. . ......................................................................... ............................................................................... Assessor's map and lot number ........... ....... /i' /......... CF THE t0 Sewage Permit number ...:r....`3.r..:�:.................................. d r> Z 33ARNSTSIILE. i 'House number ...................... .Z.�?.................................... ro raes � p t639. \00 OMAYA" TOWN OF BARNSTABLE w BUILDING INSPECTOR L APPLICATION FOR PERMIT TO ?66dd.......... TYPE OF CONSTRUCTION ......... {../....r.� yy�- ...... .......................................... ... ..... ..... ................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: - > Location ... ......... ! 'L ...... / .. �.. /' '.. ........�`G ................................... ProposedUse .......................................... ............................................................................... ZoningDistrict ............... ............Fire District..............•.......................... -4e-. �.................................................. Name of Owner ... /Yt/yu!7..... ...4g5a.4,Address .................... n `` ..................... +/ Name of Builder . !�,.•C�..."10. .....................Z.L..G..�.0...............Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... ;+ Number of Rooms ..................... .................................:.......Foundation .... G�f/ ...� 2'�.' . ..................................... Exterior ..................Roofin ....... f�..... ' '........... .... ........... ...... .... .................................. Floors ,.<.:.......,.........:.. ... � ..... .......................................Interior'' ........�....: .1(.... -�f i Heating ff Plumbing .................:.. ................................................ Fireplace ..............( .......�........................................Approximate Cost .......... .:.......................................... Definitive Plan Approved by Planning Board _____ 19 Area ...... .: .., f K :.................. it Diagram of Lot and Building with Dimension's Fee a.. � SUBJECT TO APPROVAL OF BOARD OF HEALTH • �D I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �-IName .:/1, {t, '• !. 1 :....... ............ DENNIS ",TAR CONSTRUCTION A/=1l24-101 a 3 No .22.62.8... Permit for .One...StoZ'y........... l 5in-gle--,Family, Dwelling Location Lot...#82 36 Mooring Dr. Cotuit ............................................................................... Owner ..Dennis Star Construction ............................................... Type of Construction „Frame .................................... ..................................... , Plot ............................ Lot J........................... oo-, ber 30, 80 ` Permit Granted ...... F............................19 Date of Inspection ....................................19 Date Completed ...................................... .f f /Ml.. EFUSED ......................... ....... 19 ..................... .................................. ....................... ....................................................... Approved ...............:................................ 19 ............................................................................... i n iOw R 'r'.'��, : �� _}''�' � � :�'�Ici {M� �. iK�lH 1`ij'(� •M`�7���,� YF /'a� }•' 6 i 'i' 1 ice+ 1 i� � A ,4",� l a� ♦ . t � 4 fh�'3 � Zr"'�f•atra7�f ` �i � s t ' k� �T"•' �M�}' a. �. ow z x a 1� 01T S Z ;ioo i i © ,jn t- Z Z IL t� � Z� r `SOr7 1775 _ �;l 1 2e A� r } PLANSHOWING +i t EO # LOCATION �w Tt O N .I OT U!TF. AfASSACHUSE T T S ' owwo BY `. SCALE = 1�=�5p' DATE sow REOWERED LA k i ''Ao, - M ti'y GE'RTIf r TMA" PHIS Fmmuar`tON IS LOCATE I^ ON WE LOT AS SHOJOW AND GOK ORMS TO THE TOM �,It OF �As OR BARNSTABLE ZONING RESULATIONIS REGARNKS ayG� o ROBERT. ;.,. SETRACKS R ST T LINES AIMD LOT LINES . u RAYL H Mo.21583 O ST O R.L. S. OA tE SuRV TOWN OF BARNSTABLE Permit No. -----------_----- 1 NA"IT L Building Inspector y! Cash ------------------------- OCCUPANCY PERMIT Bond ----_______---_-_______ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department 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. ...................................................... 19... . _ ................................................................_... ......._......._._.._.._.._._ Building Inspector E , 4 SMOKE DETECTORS VIEWED BARNSTABLE BUILDING DEPT. DATE FIRE DEPARTMENT DATE j BOTH SIGNATURES ARE REQUIRED,FOR PERMITTING „ eC �nnGIJ u _ ,n r.' 68 30 rl IMPORTANT — UPGRADE REQUIRED STATE BUILDING CODE REQUIRES THE UPGRADING OF i SMOKE DETECTORS FOR,THE ENTIRE DWELLING WHEN # �•g .�. r ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED j . NOTE: A SEPARATE PERMIT 1S REQUIRED FOR. THE E ENT TRIO L. INSTALLATION OF SMOKE DETECTORS THE.EIEC A ' -PERMIT SATISFY S R R M i PE T DOES NOT SATIS THIS EQtti 16 I��CAcGt M BON MONOXIDE ALARMS CAR UST BE INSTALLED PER ' 7 MASSACHUSETTS BUILDING CODE lf5c�ur;yrf Vol r/ ��p:�� - tee... a, •,5"F�Tc�.,.)L..�aJ A � „�..._y��,,,,��.. - .. SCALE: IG/.� I ' APBY•: r]r'tl Y+'� DRAWN 6Y La DATE: REVISm oor,' 5 0,/'� �D4;r'/ 5 �A I • ' , )' k 4 p V 8 n l^ iCli"��. W`ti - !)V•Gr .. DRAWING NUMB R I 1 L 7 ah l r'ell t 1 / y � wkG W v a , s f kkk• t� r y ' � s r � � , 1 s ' F , J z= t • C�( _a a. - r 4 ° A. t , sr a 4 e, s. r ' r a III f Off ��:,r Nit kiLJt^+iS?S (I�C t'�: fv [' { s r' 7� ( Z (GSI�ItJf p �J3�"1 W�(�� [/tj 1 �i Q 1 �Y: : SCALE ARYP :1/ � ��i+r�';�r'j�Tgj DRAWN BY' DATE' I f/'-V' �I. ice" I REVISED ' ORAWING.NUMBER