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0042 NICKERSON DRIVE
I I �D�'rIE CanC '7"� �� _�� I �I � it THE The Town of Barnstable EARM� ARM$ Department of Health Safety and Environmental Services Jr, � ,► Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 � Building Commi: Fax: 508-790-6230 For office use only Permit no.�_ Date AFFIDAVIT HOME IWAOVEMENT 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: lee, Est. Cost 3Vv-0 Addre ss of Work:— Owner's Name �/�"�-� � Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Registration No. Dat Contractor Name nu Y - V �•I =• Tile C1,nu1tolrrvcult/t of Afassachusctty ;�! `i•�:,•i Dc partmctrt of lud"stria -4"c de"rS #J71C. l WOS11gatlonS 61111 11 axi ugtan Street Buxtuu.MaY.T 113111 Workers' Compensation Insurance ARdavit i-ii •in inf rm ititi' --'--• .�_ . . ._ ._r�_w�. ._..._ _.,.....�....r-----•----.""....—.---------- ��/L ca n• / l-c. � • C6hill if Q� I am a homeowner performing all wort: myself. I am a sole proprietor and have no one working_ in any capacity I am an eniplover providing workers compensation for m� employees wori:ing on this jo . cnm ,;,m• name —� �� S - 9dtlrrce• n.- Co hnne a• niir,•� ••3 � 3 0 incur-incr ro. — [1 I am a le so proprietor. meneral contractor. or homeo��ner(circle one) and have hired the contractors listed eio« the following workers' compensation polices mmirinv n:,tnc• ldrlrrcc� hnne a• cin•• incnrnnrr rn. _ __ __ `_—'`::r-.,�.�z . r.• _. cnm nnv natr,r� ;tdcl rice• ' hone it• rite oil •� Attach additional sheet if neersiar►'�—••• ''`' ""+� :•�„�;:•••��• Faiiurt to secure rtn•cra- as regutreti under Section_.A of;1tGL ISZ can lead to the tmposttion of enmtnai penalties of a tine up to S1S0U.UL unc can'i cure covernt a>'�ccit as civil penalties in the form of a STOP NVORI:ORDER and a rifle of Sloo.00 a day against me. I undetstar, cd to the 011icc of Investigations of the DIA for coverage verification. copy*of this atatcmcnt ma.' be furnard I do herehv rrif•it filer file pains elfaltics jperlurr that tlfe information provided above is true atfd carreeL Date Sianaturc Phone>r Print name ntiicial ttxe oni� do nut,•rite in this area to be completed by city or town oiTiciai permitilicense> fntluildinc Department cin or tell n• Qt hoard -iccnsing Q�tittttnen'�Oltcc ✓ .... ,. a ;� ..�..... F i ��» � :Y°, r.F�4. P,' �h �� d 1 v' � f e a _ "�.e` .1,�A Y)y S '.'�• �, >J e .. ,i•y e,..,iri P *� t t .tl HOME ^IMPROVEMENT CO NTRACT < Board fo ;`Eui,.lding Regulations a n.d Stan d�a a:}r{d1 2 s Ashbu Roone tO Place m1301 a.Boston 'Massachusetts 02108 ,i•Lk,r G r�,e��a,a,��. ,ret t, , r;a, �ysr r ' t:.y. .:: „. .. e r r a:�. � d �• r' .e t i;scat r�°��� td N.° 1 7 '< #, 5 # HOME IMPROV , d. EMENT CONTRACTOR ' 'S 7 s YY i r r a. n -� Registration 112536r _ . . Oil - i -- --- =-- TYPe p ; r ;F, Expiration~ 04/06/99 {y a. BA see �e d e' F „�,6 'F ,"t�} 'e 2rp. -,Y 4r t K `�` .p ,i✓��0 G1r[;Ihp�((� ,W�i.���/ d.B�d _ a -HOME IMPROVEMENT a w CONTRACTOR "FRASER ,CO'NSTRUCTION r' ' " ; „''" f Registration ,112536 y 'DEAN C 1 y1; _ M . „ERASER r .: X t r Type De ,. -t7l` TARRAGON CIR at 04/06I99,r k r x- COTUIT MA,,02635 r $ R ) Gay J t` 1 t .0 § �.K �... ; e.1�ys d.41.� J G „. Fk> k' .n •` 14 LFRAS e ER CONSTRUCTION; UCTION W fp C• FRASER Y , , a- , J nnMwls7Rnroaa 1 TARRAGON CIR :,r .., ., . ,� ,COTUIT MA 02635 Wn neering Dept.(3rd floor) Map , Parcel Q�Z +r Permit# _ A� • House# 2 17—if• Date Issued 91 Board of Health(3rd floor)(8:15 -9:30/1:00-4 30) Fee A:25160 0" C Conservation Office.(4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) oFTHE, Definitive Plan d by Planning Board 19, • BARNSTABLE, MASS. �lED MAC p`� - TOWN OF BARNSTABLE Building Permit Application P 'ect Street ess T A)/('n� Village Owner 40Ln 6-e—dC P15Ci0Yl Address Telephone Permit Request - First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing . New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) " ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name Caa/vN C EAQ to Aen4 Telephone Number P Address `-7/ 7¢}rzLx�ay\ C//Z License# �-t Home Improvement Contractor# Worker's Compensation#64e f,U S 5!2®`1 36 0/6 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO &4,--?46V74K_ SIGNATURE _ DATE S �6 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY - PERMIT NO. Zd,3 4 <a DATE ISSUED ' MAP/PARCEL NO. a ADDRESS VILLAGE OWNER o DATE OF INSPECTION: ' FOUNDATION FRAME "c x INSULATION p FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING e I i DATE CLOSED OUT ASSOCIATION PLAN NO. i 1 r Assessor's map and lot in-umber ......�..u... ......�. .^�.... :.... �. C <p �� 7 G. �; I i SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Sewage :Permit number ........ .... ... ;... WITH ARTICLE II STATE ' - SANITARY CODE, AND TOWN o�t�ETo TOWN ,.. OF BARNSTABLB . , >c7 row •��` 3�. -r .r� �} � � `? Z EMUFSTdD11 i 131.111, DING INSPECTOR OD,o�i639•;\0� .� h APPLICATION, FOW PERMIT TO ....?...... .........:....... ............................ TYPE OF CONSTRUCTION ........ .p.t9; ..... ............................................................................................. TO THE INSPECTOR OF BUILDINGS: The undersigned /hereby applies for a permit according to the following information: Location7 ................ .............. .... .......... ............ ............................................... l� ProposedUse � .. .....................................................................................I......................... ....:.. . .. ...........:........................................................Zoning District ..... .......F......... .................................Fire District ....... Name of Owner 4.. ......... .. 4✓ ...:Address .... �................ ./ ...................... . . Name of Builder ..... .....Address ............. .... go. Name of Architect .....................I............................................ Address .................................................................................... Numberof Rooms ...................................................................Foundation .............................................................................. Exterior ...Roofing ................................................................................. .................................................................................... Interior, "`� Floors .......................................... ................................:................................................... ........................................... Heating .Plumbing Fireplace .....7777^..............:...................................................Approximate Cost . Q..�.. ............ ...... ... .................... Definitive Plan Approved by Planning Board ________________________________19________. Area . ....................... Diagram of Lot and Building with Dimensions Fee ........ SUBJECT TO APPROVAL OF BOARD OF HEALTH 2Ca�e • 104 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. I . Name . ...1.✓... 0.. ....... ........ Anderson,, Harold & Mary 18439 add deck to No .................. Permit-for...................................... single family dwe 11 ing ............................................................................... 42 X M Nickerson Road Location ................................................................. Cotuit ............................................................................... Harold & Mary Anderson Owner .................................................................. frame Type of Construction ........................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ..........June..8...................19 76 Date of Inspection ...... ..... .......................19 Date Completed .�......Gl..................19 PERMIT REFUSED ................................................................ 19 ............................................................................... ............... .................................... ............................................................................... ............................. .................................................. Approved ........................................... 19 ........ ............ ......................................................... ............................................................................... G Assessor's map and lot number . I* P.. .......... r AL y Sewage tPermit number 's«...-'`:-� ` `'�fTRETG TOWN OF BARNSTABLE •. LQ. O� •,.. ^of l • • Ii BAEJ5 LBLE; i "b 9 DUI:LDING INSPECTOR J ` APPLICATIONER IT TO ................................f} tT?`. .....:c`?`:.^' .. FOR PERMIT ... .................................... . ..... ..... TYPE OF CONSTRUCTION ........ .41. ! ...................................................................................................... ✓1 fl f L ... ���;.►.....�.......�..............19. ( TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .........3�1.... ....► a.!...... ?!t............. ......`....... .d::..:....:'........ ................................... s ProposedUse ... .r. ........................................................................I......................... Zoning District ..... ... ....................... ..............................Fire District ...:... ................................................. .... ` { �P :: .� ".. Name of Owner .............. ........'...�,.,..... ..................Address .......................,.... Name of Builder ..cxr,.f.� �,.t14?•.�.t.;�t...E`� �� �, : '.....Address .............................................e.'*' .... .. ga ,P /r 'w 00 Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ....................................................Roofing ................................ .................................................................................... Floors ........................................................... .......................Interior ..................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost ...... .. ..:...r...u...6........................... Definitive Plan Approved by Planning Board•-------------------------- j 3 {a" 19- - - Area ...............................:.......: Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH R � 104 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. / Name „ .... .. ........::........::.. Anderson, Harold & Mary A=18-102 18439 add deck to No ................. Permit for .................... ............... single family dwelling . ........................:.................................... .................. Location ...........4.2...Nikkerson R ad .. . .................... .. ..................... Cotuit ....................................................... ....................... Harold' & Mar Anderson Owner ....................................... .......................... Type of Construction ........ fr me - ...... ............................. ................................................. .............................. Plot ............................ Lot .......... ..................... Permit Granted .....c........]MIR e..8............19 76 Date of Inspection ........... ........................19 Date Completed ............ ..................19 PERMIT EFUSED ........................... ............ ....................... 19 PE RMIT..R_M...I_T E ........... ..... ............. ... ... .................... .... ............ A4 F............ ...... ...... ......... .......... .. .... ........... .................... ............................................................................... Approved ................................................ 19 ................................ .............................................. ............... .......... ................................................. P & `_ Assessor's map_- and lot numE er. ....../.V. ....... ...... CJ C +J ^� —7.j t SEPTq,SYS.TM �. INSTALL N C IAP4 Sewage Permit number g ..... .. .... 1r�:�ITH Aft s C�.E' N' STATE �QyofzHEr. TOWN OF BA.RN ' 1 ". i HAWi7AMLE. 9� D pYa���� ' . BUILDING IN.SPECTOR. = APPLICATIONS FOR PERMIT TO .................................� !� ��. ..... �`v!. ' :................. k• , .. ... TYPE OF CONSTRUCTION ...... ....W................... RG -r.. ........................... ..........................J7— ..�! ....19.. .,' s TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......../' .�D4 Wd.9......4r.....[.. f... . . � i✓........... Q �Jf.. .......................................................... DProposed Use ,......./..✓/2f....................................................................................................................................................`..... Zoning District ................1�..�.....�..............................Fire District ............. . . ....................................... AA ` Name of Owner AWOR . ...... .......1.7�!Jr4 5.&...Address ..!✓f. e 4�✓......f!.�i�l.... ®�4J.1 Name of Builder ...A.. . 5.. .... '�`�'N£ ......,L!'C....Address1. ��C ... ...Q�S/C�c1y!! 14� ............... ... > J Name of Architect ..................../Va'v�r...........................Address ....................��....................................................... Number of Rooms ............../...................:..............................Foundation .....1.:G2f✓!'Gf .................. Exterior ..........M.C.........S...�.��l...�o..,�.........................Roofing ........... .1.6.......................................................... Floors l�-/N �� 1.0�1�/O�.r......:.......................................Interior ..........1.:.u. !�................................ .1p......../ . ............................................... Heating /..V..r.l..f..i...Ct..........................................Plumbing .............. 'N .................................................. ................ Fireplace ....................�'.!..�.....................................:.............Approximate Cost ..................ice 5� .................................. Definitive Plan Approved by Planning Board ---------------_---------------19-------- . Area ......./ .... ..5 !......... Diagram of Lot and Building with Dimensions Fee Z ° � SUBJECT TO APPROVAL OF BOARD OF HEALTH .Ak !3` r �F q,r I hereby agree to conform to all the Rules and Regulations of the T4ofjBarnstable r rdin the above construction. Name ... ... ..... ...... .?.. ®.................... .. Anderson, Harold E. 17691 add to single No Permit for _ family dwelling .................................... ............ ............................................................... .. Location Nickerson Road . ..........................................`............. ' Co to i ............................ ... ..................................... 4 n Owner Harold E. Anderson........... 7 -, ./ !� frame Type of,Construction ' Plot ............................ Lot ................................ May 13 ^ 75 --• r4 r Permit Granted ........................................19 Date of Inspection .� ��7,... ��0.... 19 Date Completed 7.. 9 t i PERMIT REFUSED Ole ...................... ` .... ....w.. ....... , 14 _ ....................... . ............................... .................. ........................................................... Approved .:.....................................:........ 19 ............................................................................... ..................... ..................................................... k Assessor's map. and fot';numer ...... .. ...L .. ....... Sewage Permit number 1 .... ... ...... .. .......... � �QOFT"E.T°�o TOWN OF BARNSTABLE "Z BAR33 LBLE, i 1639.�M BUILDING INSPECTOR O� Ay p' APPLICATION FOR PERMIT TO .......... ....`'.............«X.L.� ..`.�?......... /^!lNc, A/r'f'i i TYPE OF CONSTRUCTION .......... k:?? .... -'" ?• .? . .......................................................................... _ ..........................:�.....&....19.. ?3 TO THE INSPECTOR OF BUILDINGS: The undersigne�dj hereby applies for a permit according to"yethe following information: Location ........ ........... .)...... C� r !f,+................................................................................................. ProposedUse .......... �........� ............................................................................................,......................... Zoning District ................ .. ............................................Fire District ............1 .-,(✓,&. ................ ....................... Name of Owner fGt7�L?....... ......f'/NG!.t?/2n ....Address f��fCS,Cr�! /i CSC t,b�ta�.ys.....� �. ,A —.�.. Address ! .............. Name of Builder ..4r C S f / ,cljl,rtiy./ ['r� p`� �d � �✓` v� ' Nameof Architect .................... o/+•.r�..-............................Address .................................................................................... Number of Rooms Foundation ..... �.................................................... 1.. ?r�/lcr✓��' - C. ''tt tt ! Exterior .........!Nn�.......:"�.........�...�..:�..........................Roofing .:......... ?f..�.................: 4//v 6� Qe4xka�� .Interior .......... ..(LNG(,'. .. Floors ........................j.....F........................................................ ............................................... Heating /� l ...........................Plumbing /� 6 N.... .....................q.......:......................... .................................................................................. Fireplace ....................(!... ...................................................Approximate Cost .............................(S0.................................. Definitive Plan Approved by Planning Board ________________________________19________ . Area 16� `�/1..........q...��.1................... Diagram of Lot and Building with Dimensions Fee .'.f•.................. SUBJECT TO APPROVAL OF BOARD OF HEALTH G / F JAL,] �o �I ya' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...........................�. .............. -�`:......�... Anderson, Harold E. A=18-10 17691 add to single family dwelling Nickerson Road Cotuit Harold E. Anderson frame PERMIT REFUSED Approved os)qt�......// 7 .. 19 V...... ... .................. ^ -------'-------~-------^---' -------`----------------,.- �� THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) M A11 1 � C DATA i . • � LOT /03 I ?8,CO?r .5'r �)l,'O i ;$ l ti O • , ! SlOoy /�i'•llV3. t-IIJ:k FA- W/ 414 D :.ERT I'FY TO DUNN I NG, •FORIMAN K I RRANE, &,-TERRY;-,:NEW...BEDFORD �INSTI-TUTION lFOR SAVINGS, AND ITS TITLE INSURANCE COMPANY, THAT THERE ARE NO VISIBLE EHf-RO.ACHMENTS OR EASEMENTS EXCEPT A'� SHOWN . AND THAT THIS PLAN WAS PREPARED a . . . : _ .- :: ...JL.'►T:-0lJ--�—=T•H€--•D'rr'tt�-CMG- -r4�—S+t5�t1�'-..j.:� .,�.�—._ ...--- =---- - : ::OMPLIANCE WITH THE LOCAL . ZONING BY I1rTH RESPECT TO HORIZONTAL -,10!:11L •°PEOUIREMEN7C, DWELLING SHOWN_ HERE $ NOT FALL ""ETM i N A SPECIAL `i_(1l.'1 ,�. F-j 20td_ AS �� ( FERPEIR 11t • 'IEAED ON A MAP O • y NO. 2V DiTED L B' TiIE .a ; I '�:\ i'tco •� E Efi:Ai,T LOCATION OF Tor BUILDINGS �;i;GWN - :,,•"ram': :NO'' 'SE DETERM LNED 1''I THOU T AN ACCURATE '��. Lend SurveyoreY a .. Civil Enpineera } . ri�MctlT SUPVE.� - - ., 'LOT CONFIGURATION TAKEN FROhi '' . 172 Millivin -�SOR ' S NAPS . OF RECORD AND IS•; NOT A xefn ebfnra, P O2740 �SSAR I L1' ACCURATE , - 4i4Ai NOU : (11 lhe. de;:larations made above are on th- basis of my knowledge, information, ao-d belief as. the f mcrtyoyr. plot r!an !ap• Survay inspection made to kh� Der.+? :tz:--e y of ;;arc of regisi;ered land .rru! o c.racliina in Nassacnusetts. i?) Declaration• arc made to the above named client only as of this O) Tni: plan was not made for recording purpos:s, for use in preparing decal descriptions or for can- %tructions. (c) verifications of property line dinensiens,`building offsets, fences, or lot Configuration Imay arcomplished only an acr.u-ate inslru■-nt survey_ "-'-''°��RECEIVED TIME—" FEB. 7,m` 5t 20PM`--'--PRINT TIME-DEB. "7. St 21PM TOTAL P.02 S i-, l , _ �i S : 4.�• } �i.t v , art tr'�i�c��{ 3'y,�r.(,` `, ,'.� t 5 ' � 1 ps�t4 ... r� ,•' ,..5 1 {r_ ,C , sf rt�y Y 1,,/tt It.`� "i) atp� , r a..t p s p � 4 ♦, r�rt ta, S ' - r F '/i�d` vrf �r ,a;•r'r. f ,aj!ri a BOARD OF.BUILDING REGULATIONS ' License CONSTRUCTION SUPERVISOR 'a .Numbers __ 047420 Mrthd8te 946: •': Eicplias 1200f Tr.no: 8M 4 Cried To 1 G 1HOMAS'P DAMELIQ 68 DORY GRCLE MARSTONS(HILLS MA 02648 Administrator a ` p p 1 "li..f t f ? >> p. ,,•} l sft '/fp 1;�,/1,.,-r/r 1 ..�„✓S,ram <rc , s� .r tic + A S 0 S t1S' WA -8 h 1 p F p r, e s y. S .} SS 7(••yt S ? ! `t ` , r� p� tt +� r [� 'l Y assxsrnar� re Regulatory Services Eo ' Thomas F. Geiler,Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair.modernization,conversion. improvement,removal,demolition.or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work:-..,- QaZe571Z Estimated Cost Address of Work: Owner's Name: ler Date of Application: e',& I hereby certify that: Registration is not required for the following reason(s): []Work excluded by taw []Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I her apply for a permit as the agent of the er. X Date Contractor Name Registration No. OR Date Owner's Name q:fortm:Affidav i MASchec}, COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.01 Checked by/Date CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or, 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 1-5-1980 DATE OF PLANS: 2/19/01 TITLE: TOM DAMILLIO PROJECT INFORMATION: #42 NICKERSON ROAD COTUIT MA. COMPANY INFORMATION: M.A.P. INSULATION CO. r COMPLIANCE: PASSES Required UA = .568 Your Home = 496 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------ CEILINGS 620 38.0 0.0 19 CEILINGS 667 30.0 0.0 24 WALLS: Wood Frame, 16" O.C. 2751 13.0 0.0 226 GLAZING: Windows or Doors 527 0.320 169 GLAZING: Skylights 21 0.400 8 FLOORS: Over Unconditioned Space 396 30.0 0.0 13 FLOORS: Over Unconditioned Space 788 19.0 0.0 37 HVAC EQUIPMENT: Boiler, 90.0 A.FUE ------------------------------------------------------------------------------- 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 requiremencs of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HV'_C equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 78'OCMR 1310 and J4.4. Builder/Designer Date MAScheck INSPECTION CHECKLIST - Massachu3etts Energy Code MASchecj Soft•,kare Version 2.01 . TOM DAMILLIO DATE: 1-5-1980 Bldg. I • Dept. Use CEILINGS: [ ) 1. R-301 Comments/Location [ ) 2. R-3.0 -- — Comments/Location _ WALLS: ( ] 1. Wood Frame, 16" O.C. , R-13 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.32 For windows without labeled U-values, describe features: Panes Frame Type Thermal Break? [ ] Yes =[ ] No Comments/Location_ -- - SKYLIGHTS: [ ] 1. U-value: 0.4 For skylights without labeled U-values, describe features: s Panes Frame Type Thermal Break? ( ) Yes [ ) No Comments/Location- FLOORS: [ ] 1. Over Unconditioned Space, R-30 Comments/Location [ l 2. Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT: [ ] 1. Boiler, 90.0 AFUE or higher Make and Model Number ---- —_--- _ AIR LEA.K-AGE [ l Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in,accordance with Standard ASTM E 283, with no ' more than 2.0 cfm, (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. J ,MATERIALS IDENTIFICATION: [ l Materials and equipment must be identified so that compliance can �•, We determined. Manufacturer manuals for all installed heating , and oGoling equipment and service water heating equipment must be ' provided. Insulation R-values, glazing U-values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: [ J Ducts shall be insulated per Table J4.4.7 .1. DUCT CONSTRUCTION: [ ] All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing, air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: s [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. [ ] SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. [ ] HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in. ) : PIPE SIZES (in. ) HEATING SYSTEMS: _ TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2 .5-4 Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or . 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 ' [ ] I CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water -pipes to the following levels (in. ) : " PIPE SIZES (in. ) NON-CIRCULATING I CIRCUL=_TING M_:INS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" 10-1.25" 1.5-2.0" 2 0+" 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 ---.-NOTES TO FIELD (Building Department Use Only)----------------=----- -- .. r y . EST/MA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X�$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Value i-� _ ........ The Commonwealth of Massachusetts T` Department of Industrial Accidents 600 Washington Street Boston,Mass 02111 Workers' Co m ensation Insurance Affidavit name: location: city�ia, u� V shone# ❑ I am a homeowner performing all work myself» ❑ I am a sole�ro�netor and have no one worlds is aav acity i � ?w�i ❑ I am as employer providing workers' compensation for zay employees working oa thu 'ob. 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I understand that a copy of this 7cc7wd00Zdert y ed to the ORlce of Investigations of the DIA for coverage verification. I do hereby e p ' and ecalda of perjury that Me informa ion provi&d above is trru coned Signature C� Date Z "v Print name / ' J &01e- Pbnn # ofncial use only do not write in this area to be completed by city or town otIIdai City or town: perndocense f# QBuiiding Department Mieensia;Board ❑checkifimmediate response b required ❑Seleennen's OIDee ❑Health Department contact person: phone#; ❑01her_. (re—9/93-JA) - . - 1 1 . �l . . 1 - . 1 . . • . . . - • • .1111, / .le all • 1 - I - 1 a . / I - 111 i.1 . . 1 to •Its 1 • . IIIIe . . . • �11 / / • - •11�• I of 91 • ee 1 • •M . •1 • •• • I a • • • " 'J: :111• • • • • Is • • • ' • 1 ' :n W- ' 411 11WOMI1 1 • 11 • 1 • 1 'X• - • -1/Ivle • • - �. �1 11• • • 1 • • 1 I• • • 1/ - / Ir •N • •II • • •N - 'Y. 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Thank:you Thomas Damelio r • ^ f -77 a' cv, r j - }} r x !! , `_ 1 , }� ► ---� � - � 1. � � - . t } ( M t 1. �i1-7 4 - ----- r--;— I ! t � 1 � C k r ._i F i *— — -- -- � - — r—_ -- �-- _t— —_ I _._ �_. �� — _—•.;—— a � I __, _.j—. ' 'vy ..r-+ - .. �:,F"..� .. .. -ry .•ry:!'1,ra,�w;.-.-...,�`.;`•++��",,,rx"a'.jk��,b-w.,,r'L"kc.:r re/`s--r•.�..r,.=ry:-tea�as.�'�+`�'Yr„�„"•r.i•F-t....,,..F„�•..:...� "++....-ra �F SHE Tp } ) : . : The Town of Barnstable r EARNSTABLK • ' Department of Health Safety and Environmental Services A,Ep " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building-Commiss�er PLAN REVIEW Owner: Map/Parcel: N. I / ` Project Address: y 2 ►IJj , y7sok Builder: The following items were noted on reviewing: SA+h rCCvy) c S CNJ cy w err oc I :S e eq ha " �? Al u Please call 508 862-4038 for re-inspection. Inspected by: Date: 3/* q:building:forms:review " { nwsll I , X tl FO AR ❑L! � �--I � c.a..to � R14uT C�EvnTIGN - A. Ell ..— .. c csw Y.o.i Ir) I lr1[la"-XI4l:ow LOv.T.JO[ r�= —ri"�-1-. TL.:1G1..:.: CII.� `•' _:lr�. L,.I Cif:; .—__.._. �V`I1V. w 3 ���---��� �tt���� LEFTFROIJ7 ELAg.E rjo lj'4 [ E.e.«.non hlJ ETE }. I . OTORS O.f - 0-1 lvwk ,f AF•'N il'ABLE BUILDING DEPT. . h[Ilmin.ry OUn[.nC•by0uu by ammi roi14 pN•u !nN..(uO tl 0.�)MY [ Y [ V. i r�. e Y fltClt - c v,* 1 v\ ♦.p opo! W, �. Or im id Mljw fl _ p - F «I neck .. u . ,;ten. •' I ( IC7 —'♦-1 I Yi6 1 ' ' ♦ / ''� � a I _ Ys'{O�I'1 far,<. Aw �S' id ` .a, - of ! e •'� S oY \>/I ! I -f _H i .. .FAVE ROOC PLnN d 'C33i1 _FLOO2.:PLAN r Y 6 '• hrllminrry pram anp Y—i pY dtp 1 5 in•;Lrf�I♦M'1 ru. on1Y Any a Ir r If Cn.1 is _ . A,_ S' - or 508-428-6191 .. at'.z•wi"4n[ONLRS ,�+•_ _ __i.�e¢¢GTi¢S ' - -i1 - - .w -f Y r esfomviin __.'.. .IV u esigns r _ j' FOUwr ATlOw PLAN ' r nrry atn..ot. plans and uyouu by cc o.n.m.me ..Of tm r n. b p mmt j TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 ' Parcel 2 Permit# Health Division �� ,� t�h� Date Issued G Conservation Division 'L Z�- Fee Tax Collector SEPTIC SYSTEM MUST BE Treasurer ��P�c�r G�(����-� -v � Z C INSTALLED IN COMPLIA NC a --� WITH TITLE 5 Planning Dept. VIR® ENTAL CODE A'N" Doi Date Definitive Plan Approved by Planning Board v" `�:'� ,,, W REC`W�t C,' Historic-OKH Preservation/Hyannis h�a /� Project Street Address �� e2sa 1l - /D2tJ-lt- Village i Owner Address Telephone Permit Request Y", SZ//U.cJ O fJ �!/�C /7OC1�f'. � i lei a✓ - /G i /J/ff02 R t 5�1e.,1 U//li�Bt/f 6`/�//1! Xe,,1, gw or 16 ,og4AG d xle, Square feet: 1st floor: existing proposed /moor`2nd floor:existing proposed ' eJ Total new CI-0 J Valuation D'� Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size -i�& D z s'� Grandfathered:• ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family B--'Two Family ❑ Multi-Family(#units) Age of Existing StructureCV3 _ �a y�r Historic House: ❑Yes A%o On Old King's Highway: 0 Yes z4TO_ C�Basement Type: Full 0 Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) G Basement Unfinished Area(sq.ft) Number of Baths: Full: existing / new / Half: existing U new 1) Number of Bedrooms: existing ---2 new 0 Total Room Count(not including baths): existing Z new First Floor Room Count S Heat Type and Fuel: UK,as ❑Oil ❑ Electric ❑Other Central Air: ❑Yes UWb Fireplaces: Existing New_� Existing wood/coal stove: ❑Yes Detached garage:0 existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:0 existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Lr _ Name Telephone Number © �5-d f - 7y0 - 3V Address : s /&)qz�1— License# Home Improvement Contractor# eF- 2J-c_ Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE c DATE 2 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS f VILLAGE OWNER - F Qa DATE OF INSPECTION FOUNDATION 99 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH_.; FINAL PLUMBING: ROUGH' �" �` FINAL u GAS: ROUGH�ti' ;,° _` FINAL 4 FINAL BUILDING '• DATE CLOSED OUT ASSOCIATION PLAN NO. t -