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0032 PHEASANT HILL CIRCLE
i i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel- 062 0 Application # 15 b/ Health Division ®�� Date Issued Conservation Division T® Application Fee Planning Dept. ®P� ®�/� Permit Fee Date Definitive Plan Approved by Planning Board ���Q�� F Historic - OKH _ Preservation/ Hyannis Project Street Address Cx S a,,L4 Village ( 4t f,r 1 AA/ 0,4 r3 Owner �Ct.1Vr1 It"ae 491/ Address PktASST `( � Telephone 5-0 -�SU /5 Permit Request I_ I S a. /v 0 Kl c o ltl'C Square feet: 1 st floor: existin / to proposed 0 2nd floor: existing '.1*2 proposed q 3 Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 5 000 Construction Type �' Lot Size Grandfathered: ❑Yes LH No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure 3 S Historic House: ❑Yes U/No On Old King's Highway: ❑Yes Q9 No Basement Type: ZFull ❑ Crawl UValkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) 2D0 Number of Baths: Full: existing new Half: existing nn new Number of Bedrooms: 3 existing —new V Total Room Count (not including baths): existing _ new .� First Floor Room Count 2 Heat Type and Fuel: �as ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No . Fireplaces: Existing vl/k New 401— Existing wood/coal stove: ❑Yes ZNo Detached garage: ❑ existing ❑ new sizeWfCBool: ❑ existing ❑ new size Llx_�Barn: ❑ existing ❑ new size Attached garage: Q existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes Wr//No If yes, site plan review# Current Use Proposed Use -- APPLICANT INFORMATION--- - - - (BUILDER OR HOMEOWNER) Name Telephone Number -5_0 t _'450 9zo Address SA �l'lX S f ��( �//�. License# Home Improvement Contractor# Email ;Zy (� ya��n Cts Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 0 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. lWe Cornuzoinveatth of-V assachusetts. Dep arane rt o}`'.t'rrdsrsfrialAccideTairs ` 600 Washington Srtreet Boston,AL4 02111 y fvivtv.mass•gavfii'ia W-arkers' CQffipensation Insurance Affidavit.13 lderslC",bntractarsMect dcians/Phanhers Applicant Information Please.Print Le�t�xl Name CM6"V r 1 � /\ ► l NYC�liV Address: 3� Ph' wl -1 G` a 1 cityrfstatefzig �(�' , 1::: nf<•u soX-d Are you an employer?Check the appropriate bo= ' Type of project(r . erg a general contractor d I or an p �•� I_El I am a employer with ❑I 6. ❑New cons mction employees(fish andlor part-time)-* I1-ave hired.the sub-cont actors 7.❑ I am a sole p1:opaetor orpartner- listed on the attached sheet,. 7- ❑Rom.modeling These sub-con4ractors have ship and have no employees • $_,❑Demolition w g for is an c employees andhave wodmis' or1� Y d3`- 9. ❑B.uitdiag adidition INO scadous' camp.insu=' Ce comp-insuranm 10:❑Electrical r or addition r ed_ 5_ ❑ We:arc a corporation and its repairs 3_ ama lwmeowner doing all work officen have w=cised their ILQ Plumbiagrepairs or additions set£ o wofkets' •right of exemption per MGL m5' � '�°rP'- 12.0 Roafrepairs insurance regeired I 1 c.152,§1(41 aadwe have no employees.(No wo&ers' 13.❑'Other comp.ias=ce required.) •Any Rn icmtdst checla box#1 mua--t olsa iM c ut tILe sectiou belDw shaving ih&wo&eW compmmtiasspoT�cy iafncmaciaa Mmemaerswho submit dlis affidaiiu inciting they RM.daing shwa x sad emhim a•utsidecantrXters7'- submits newxmdavk indicaain;sacTi fCoutnuctorstba2checkthisboamustaitacheasaaddirinnals3ceetsl�naingthena�aaeofthesn'b-co�xscAns•andst�ewhether.arnatf6nse�titiesbaf~e emp9oyees.Ifthesubtaudractorshivp maplafee%lheymustpm-aetheir warkeo'romp.parky uuber_ I am an euipFaj r that;isprasadhW,workers'comperisrriian iiwirance-for ary*ampToyees $etoty is tfiepa£fq curd f gh site information. Insurance CompanyName: "FORIcy-or Self-irs.Zic_ RxpirationDate= Job Site Addmn: City/Stafalzp: Attach a copy of the workers'compensationpolicy-dedaration page(showing the policy number and expiration ffate). FaRnre to secure coverage as requireduuder Section 25A of MGL c.157 can lead to-the imposition of criminal penalties of a fine up to,$UOD.00 andlor one—yearimpriso—f as well as civil peualtie s in the form of a STOP WORK ORDERand a free of up to$250-00 a day against the violator. Be advised that a copy of this statement.may.be forwarded to the Office of Investigations of the DIA for insurance_coverage verification- Ida hereby cartrfy riaular tica r d riahwY ofperjuq diattl'te irr;f brmadms prm-i ed abmv is true midcaarrect Sinmture: Bate: sc-//� / Q mot/ Pfione it 0V r I saw Ofjzcial arse wdy. D47 itot tvrrte in tfris area,to be-coinpfeted by city artoiwta officurt 01i rorTown: Permit/License;9 Issuing kuthor€ty(circle one).: L Board-of Health I Building Department 3.Cityfrown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Othw Contact Person: Phone;#: luformatio)a and lastruefiOus ' ' Massacirmetts General Laws chapter 152 regtraes all employes to prav:E&Workers'compensation for their employees- PmMMtin this sty,an employee is defined as."_.everypersonin.fhescrvice of another undue any contract ofhb e, express or flied,oral or wiiffi -" arts association,co oration or other IC gal entity,or any tW or mare An etr�Iay r is defined as`pan.individ�p ersbrp, rP of the foregoing engaged in a Joint entXprise,and includmg the;legal represe ves of a deceased employer,or the rmti7 r or trustee of an indiyidaal,Parinersb x association or other Iegal entity,employing employees- However the owner of dWeIIu?ghonsehavmgnotmoreti�ffr=.apmImenfs and who residesf3ierem,orfhe occ¢pant oflhe- dwtU n g house of another who employs persons t0 do mai�an m,cons(racfian Ot repay wow on such dWeIling house or on the grounds or bmldmg apprafe Iherefo shallnotbmanse of such employmeutbe deemedto be an employer-" MGL chapter 152,§2 sues that 5C(6)also s every state or to ml licensing agency shaII ithb old$re issuance ar renewal of a lise or permit to operate a bnsmess or to construct bmldmgs in the comononwealth for any cen applicantwho has not prodaced acceptable evidence of cdmpr=mwia the msarance.mverageregah7ed_ AdditionaIly.MGL chapter 152,§25dM stains'W6 them thr,coffin qnWealth nor any of its political subdivisions shaI1 Mter min any contmd far the perfomauce 0fpublic wmkmtil acceptable evidence of comPHan=with the;,,mr-anc-6• rezDamrie ffr of this chaptnr have,beenpresenedto the confraciing.aatho,i(Yf AgpHcanis Phase:El o-o± the Worl=s'compensation affidavit completely,by checking the boxes Prat apply to your situation and,if necessary,supply sob-contractor(s)name(s), addresses)andphonenumber(s)alongwiththeir certificates)of ffimzance. LimitedLiabiility ComPames g.LC)or Limite .Liabr�ityParfnembips CLEF)wnno employees ot.aer than the members or partners,are not rega ed to cmy workers'compensation in:m m m If an LLC or LLP does have empIoyees,apolicyisregnired. Beabisedthatthisa$daykmaybesnbmittedtof3ieDepa mmtoflndusftial Accidents for confirmation of insurance coverage. Also he sure to sign and datethe zMazviti The affidavit should bwret:amed to$e city or town that the application for the permit or license is being reques[nd,not the D epartmeaf of Trr ,sft I,A_cdd=:[z- Shouldyou have,aay Taestions regmdmg the Iaw or ifyou are requaed to obtain a Workers' compensationpolicy,please call tire Department atthem=berli-stedbelow Self-insuredcoraPan�esshovldentertiieir self-msarmce license amber an the appropriate Ime. City or Town Officials t - Please be sore that time affidavit is co oplete andprin:ted IegibIy. The Department has provided a space at the bottom of the affidavit for you to till out is the,event tare Of oflnvesti gafrnns has to contact yoaregardmg the applicant. Please b e store to fill.in the perms t cease number which.Will be used as a reference number.In addition,an applicant that must sabm.L multple p emitllicease applications inany gr7en year,need only submit one affidavit Indirat;,,g cusent policy fi fo=ation CifnecesmY)and under`Tob 55te Ad-Tess"the applicant should Write"aII locations>n ( ' or .town)-"A copy of the-affidavitthathas beta officially stamped or madced bythe city or to-vm maybe provided to the ' Iicant as 'rooff that a vffid affidavit is on file for fd= 'pen ifs or Ilcemm Anew affidavit must be filledeach aPP P _ _ . Commerciale of dtD business or year.�i here a tame owner or citizen is obiammg a license or pef>a n relate any D.a dog license or permit to b=leaves eta.)said person is NOT reed to Mete this affidavit ( Theo$ceofInvesfigz innswouldh _toihankyoumadvanceforyourcooperdionandsbouldyonhaveanygaesiions, please do nothesjtE�to giy.us a ca 1. The Deparimemf's address,telephone and fax Iu er: , �aortttt�of Nah �s IIegartm�t c�lnd�ial Aacz��nt� ' Of of hVedfiafio-= Rwton�IJ4 02111 Ire , 617' -4900=t 4.06 car 1- 71vs'A& Fax9 617 727-7M Kevised424-07 W Vi =U-�IgglTIER. AWC Guide to Wood Construction in High Wind Areas:110 rnph Wind Zorze Massachusetts Checklist for Compliance (780 Glut 5301.2.1.1)1 Check 1.1 SCOPE Compliance WindSpeed(3-sec.gust)................................................................. .................................................110 mph WindExposure Category.................................................................. ...............................................:.............B 1..2.APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories <_2 stories Roof Pitch ..................................(Fig 2)........................................... 512:12 ........................................ MeanRoof Height ..............................................................(Fig 2)................................................._ft 5 33' BuildingWidth,W............................... . ...........................(Fig 3). ............................................. ft s 60, BuildingLength,L ..............................................................(Fig 3)...........................:....................._ft :5 80, Building Aspect Ratio(LN11) ....................::.........................(Fig 4).............:,.................................. 5 3:1 Nominal Height of Tallest Opening2 ...................................(Fig 4)................................................ s 6'8" 1.3 FRAMING CONNECTIONS General compliance with framing connections.... ..............(Table 2). ...................................... ................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................................................................................................. ConcreteMasonry................................................................... ................................................................ 2.2 ANCHORAGE TO FOUNDATION'.3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general ................................. ........(fable 4). ............... in. Bolt Spacing from endrjoint of plate ............................(Fig 5). ................................. in.5 6"—12" Bolt Embedment—concrete........................................(Fig 5)................................................._in.z 7" Bolt Embedment—masonry.........................................(Fig 5):.....,..................................... in.z 15" PlateWasher...............................................................(Fig 5)...............................................z 3"x 3"x 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55).................................... Maximum Floor Opening Dimension...................................(Fig 6)........:......................................... ft 512' 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)....................................................—ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)..................................................... ft 5 d Floor Bracing at Endwalls...................................................(Fig 9). .................................................. ....... Floor Sheathing Type ........................................................(per 780 CMR Chapter 55).................................... 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)...........................—ft 510' Non-Loadbearing walls.............................................. ..(Fig 10 and Table 5)..........................._ft 5 20' Wall Stud Spacing ........................................................(Fig 10 and Table 5)..................._in.5 24 o.c. Wall Story Offsets ........................................................(Figs 7&8)........................................... ft 5 d 4.2 :EXTERIOR WALLS' Wood Studs Loadbearing walls.........................................................(fable 5). .............................2x_ _ft_in. Non-Loadbearing walls................................................(fable 5). ............................2x_-_ft_in. Gable End Wall Bracing 1 Full Height Endwall Studs............................................(Fig 10)..........................:......................................... WSP Attic Floor Length...............................................(Fig 11)............................................... - ft zW/3 . Gypsum Ceiling Length(if WSP not used)..................(Fig 11)............................................_ft z 0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft. o.c. ..(Fig 11)..................:..ft......... ..:............................ or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 . spacing in end joist or truss bays Double Top Plate Splice Length .............................I.........................I(Fig 13 and Table 6)...................................... ft Splice Connection(no.of 16d common nails) .....:.......(Table 6).....:.................................................... AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1 Loadbearing Wall Connections Lateral(no. of 16d common nails)...............................(fables 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)................. ......... ft_in.511' SillPlate Spans ........................................................(Table 9).................................._ft_in.511' Full 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).................................._ft_in.512' SillPlate Spans...........................................................(Table 9). ................................—ft.—,in.512" Full Height Studs(no.of studs)....................................(Table 9)..........,............................................. Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W Nominal Height of Tallest OpeningZ ............................................................................. _5 618.. SheathingType.............................................(note 4)...................................................... Edge Nail Spacing.................................:.......(Table 10 or note 4 if less)....................... in. FieldNail Spacing.........................................(fable 10)................................................. in. Shear Connection(no.of 16d common nails)(Table 10)..................................................... _ Percent Full-Height Sheathing able 10 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Maximum Building Dimension,L Nominal Height of Tallest Opening2.........................................................................._5 6'8" SheathingType.............................................(note 4)...................................................... 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)........................................................ Percent Full-Height Sheathing.......................(Table 11)....................................................._% 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Wall Cladding Ratedfor Wind Speed?............................................................................................................................. 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................................................(fable 12).............................................U= plf Lateral.............................................(Table 12).............................................L= plf Shear..............................................(fable 12)..............................................S= 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 Connections at Non-Loadbearing Walls Proprietary Connectors Uplift.......................................... .....(Table 14)............................................U= lb. Lateral(no.of 16d common nails)...(Table 14).......................................L= lb. Roof Sheathing Type.............................................I.....(per 780 CMR Chapters 58 and 59) ............ RoofSheathing Thickness......................................................................................... in.z 7/16"WSP Roof Sheathing Fastening...........................................(fable 2).......................................................... . Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not 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: Comer Stud Hold Downs per Figure 18a and Figure 18b 2. 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, 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. f AWC Guide to Wood Construction in High Wind Areas:110 inph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: {. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment -WHEN THIS EDGE PESTS ON FRAAAING USES!NAU 11, li 11 Y II 1 rl 11 11 1 11 11 11 II It 11 1 • 11 11 11 r N 1-I 11 11 11 .[ 1 1 11 1 O 1 II Y 11 Ij•�' j O 11 . II F 1{ jl a0 I II tl W ,r 1 1 lY u 1 • 11 Z 11 1{ (� . II Q il It µj 1 • i > ii 11 _{ r it i-H_- DOUOW EDGE `-- WAILSPACM PANEt_ vy See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment r AWC Guide to Wood Construction in Sigh Wind Areas:110 inph Wind Zoi:e Massachusetts Checklist for Compliance(7so CmR 5301.2.1.1)1 a , t z w ; I FRAMING MEMBERS t E E!� OWEDIAT£ i I i yg• h w STAGGERED v mn NAIL PAT TERN PMIELL PANE!EDGE DOUBLE NAIL EDGE SPACING DUAL Detail Vertical and Horizontal Nailing for Panel Attachment AWC Guide to Wood Construction in High Wind Areas:110 snph Wind Zone Massachusetts Checklist for Compliance(7so cmR 5301.2.1.1)1 FAQ*: WFCM Checklist Question: I understand if a new home is built in a town in a 110 mph wind zone then the American Forest and Paper Association (AF&PA) Wood Frame Construction Manual can be used to prescriptively design it. I also understand that in some cases the home can'be framed per the WFCM too mph Guide, if it meets certain requirements including but not limited to aspect ratio, roof height, number of stories, and exposure category (B). I have heard that Massachusetts has a "modified" checklist that can be used instead of the checklist at the end of the Guide. Is this true and what can you tell me about this "modified" checklist? Answer: You are correct on the items that you have noted. MA has modified the checklist in several important ways. The MA version allows a roof with a pitch up to and including 8 in 12 to not be "counted" as a story. Further it does not require steel hold downs and straps in many locations if full height sheathing is used as defined in the MA checklist. Further, if the building will have furring strips installed in the ceiling abutting the gable wall then 2 x 4s installed on top of the ceiling joists are not required. There are other changes as well that were not noted here. I The MA version of the checklist was formulated in recognition of the highly regarded framing methods used in MA for many years and wood framing that has been used in North Carolina over the past io to 15 years which has performed well in severe hurricane weather in that state. Answers to FAQs are opinions of the BBRS Staff and do not reflect official positions or code interpretations of the BBRS. I Town of Barnstable Regulatory Services oFt rgyy Richard V.Scali,Director Building Division * MAB Paul Roma,Building Commissioner MAM 1639., 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ko Please Print DATE: `l ( JOB LOCATION: rJ�. 1 S `�` C number ,r� street a. n / village ' "HOMEOWNER 1: \✓Gwrl L A(1 `K w V J c 0 6 —9180 �l 5�1�1/ name home phone# f work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building_permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requir me is and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot ' proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit fbrms\EXPRESS.doc 06/20/16 �IKE,�j Town of Barnstable . Regulatory Services ` Richard V.Scali,Director. 619. �`� Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maus Office: 508-862-4038 Fax: 508-790-6230 I Property Owner Must Complete and Sign This Section If Using A Builder I . , as Owner of the subject property hereby authorize to act on my beh4 in all matters relative to work authorized by this building permit application for: (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant ® Print Name Print Name Date QTORMS:OWNERPERMISSIONPOOLS r o- le -o� t 1 wUuU ` ►�aeL. AS _ W �S�— �1,� o c,Z -��� � �� k�,. �Z���^^- c�� � � �J``�� � � ��- �"�- �r � _ �-'1 � I J Z 6, 0/t> r. ko 0 R�x�l `�"L(-CL � 41 a ut Uu-�- �1� �.d door � � �''%� k k�� �- . �� � � �� �� � .1 `6� �S� ' � J /� � �- - � � F �,.� C � l '��,/� � s ��� . ` �W� ® ' • � k / ' � �,�' Q � � I �'' � , s� �- 1. O Town of Barnstable }�*_ Building Department - 200 Main Street '`' BARNSTABLE, • Hyannis, MA 02601 9 MASS q, (508) 1619. . 862-4038 RFD MA'S A . r ifiOccupancy Ce t catsf o Application Number: 201405257 CO Number: 20140159 Parcel ID: 002002002 CO Issue Date: 11126/14 Location: 32 PHEASANT HILL CIRCLE . Zoning Classification: RESIDENCE F DISTRICT Proposed Use: POTENTIALLY DEVELOPABLE LAND Village: COTUIT Gen Contractor: BAYSIDE BUILDING, INC Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: Building Department Signature Date Signed � I TOWN OF BARNSTABLE t � # Bu�ild � ng 201405257 BARNSTABLE, * Issue Date: 09/02/14 Permit 9 MASS. . Qpp 1639• ♦ Applicant: BAYSIDE BUILDING INC rF0 MAC A Permit Number: B 20142304 Proposed Use: POTENTIALLY DEVELOPABLE LAND Expiration Date: 03/02/15 Location 32 PHEASANT HILL CIRCLE Zoning District RF Permit Type: NEW SINGLE FAMILY HOME Map Parcel 002002002 Permit Fee$ 612.00 Contractor BAYSIDE BUILDING,INC. Village COTUIT App Fee, 100.00 License Num. 005645 Est Construciion Cost$ 120,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND TO CONSTRUCT A 3 BEDROOM,"2'BATH CAPE STYLE HOME WITH N THIS CARD MUST BE KEPT POSTED UNTIL FINAL ATTACHED 1 CAR GARAGE .4 INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: COTUIT EQUITABLE HOUSING LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: PO BOX 95 INSPECTION HAS BEEN MADE. CENTERVILLE,MA 02632 Application Entered by: JL Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT,10 OCCUPY ANY STREET ALLEY OR SmEWALK ORANY PART THEREOF EITHER. ORARILY� R E ,n.ENCROACHMENTS,ON,PUBLIC PROPERTY,NO SPECTFICALLY:PERMITTED UNDER THE BUiI DING CODE,MUST BE APPROVED,BY THE'JURISDICT[ON:.STREET ORS EY GRADES A WELL AS DEPTH AND LOCATION OF-PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT,OF PUBLIC WORKS THE ISSUANCE OF THIS PERMIT DOESNOT RELEASE THE APPLICANT FROM<THECONDITIONS OF-ANY APPLICABLE SUBDNISION RESTRICTIONS, z ° -;s m 6_ MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL•INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUsARANTY FUND(as set forth in MGL c.I42A). 4 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ' IJ G e�I 3 , 1 Heating Inspection Approvals Engineering Dept 4q Fire ate4� 2 B d o ea n CIA, /01/hy �.< �. � .`�; *5:�.� �'��{� '- P ,`� � i �2 � ENERGY STAR Qualified Homes, Version 3 (Rev. 05) Thermal Enclosure System Rater Checklist Home Address, - CiN Millet 6tdot* PAW Caftan VerMed` Vaud NM 3.1 Nals 3.1.1 Walls behind showers and tubs U C ! J 3 1 2 LValls behind f re�taCes U I:: U 3.1A Atticimee_wall& U L - 1 - - ......... ._......_.........................__._..................._..._._..........-....-- ---...---...- -...._......__...._.__.._....._ ...-........._._ 3 ^_ '.1.4 Skylight shall walls -- - U U V 3.1-5 Wall arJ,Mnlrg porch_root - --- -U tU U ] 3.1.6 Staircase wails ---` U U tX .J 3.1.7 Double wells U U 3.1.& Garage rim;band joist adjoiring conciticnac space J U `I Vic.__g All other exterior watls..._._. L--J--- __._..U-- - -i 3 Z Floors ...... .... .... 3 Z 1 FW above era - 3.2.2 Cantieverec Boor -`J U L 3.2.3 Ftoor above urconditiored basement or urocnditiored craMspacieJ U 1 U i 3.3 Celings .- 3 3.1 Dr c lin r sottrt ? unooncitioner attic U L• J Ee.-_g_._____---.._.._-. - i 3.3.2 All other oeilirgs _ U L i :J leas! Rim [S fur tSeading — - Co fir. ti'etl8ed WA� -- ---- - 5.1 Peneirations to uroonditiored space Bitty sealed WM sold blod needed and or flashirg as need and gaps sealed with caulk or loam _.... __._..__..................... _.._. 5 1.1 Duct,flue Shan ' 51 2 PIi,mNn p�irlg t U U � - U _ ._ . 51.3 Electrical winrg U U - rx U 5.1.4 Bethmom and kitchen exhat sl tans_ - -_� --- --- U U U j 5.1.6 Recessed lightirg fixtures ad)acent to uncordiboned space ICAT labeled and fully gesketed.Also.it in insulated ceiling voiriout Bflic above,ektenor surface Of 11XI re U U U i insulated to�R-10 in CZ 4 and higher 10 mirKnze cordereallort potential. 5.1.6 Light tubes adjacent to uroendibored space include lens separating 6noondflioned and Li U ! s oondiboned space and are full g@3kela0" i. .._LJ.....1...,..-_......._. 5.2 Cracks in the bulking ervelope fully sealer - 5.2.1 All sit plates adjaceri to conditioned space sealer to laundatiorl or sub-floor with caulk, tem.or equivalent material.Foam gasket also placer beneath sill plate 0 restirg atop ; U y U U concrete of masonry and adjecerl to conditioned space. i I 5.2.2 At lop of walls adjoining 6noontilaned spaces,contnums top plates or sealed bfod4ng usin caulk,to ,or equivalent material t 7 U U 5 2.3 Drywall sealed to lop plate at all uroondibored attic,'wail irlertaces using calk,foam. r / drywall achesive{bul not other constri.cllon adhesives),or egUvalent materal.Either ,1,; { apply sealant cirectry between drywall and top plate or to the seam between the two from s U i faA L t7 the attic above. i (- 5.2.4 Rough opening arourd-windows&exterior doors saaled_with caulk or Loam`' _ U U LJ j 5.2.5 Marriage joints between modclar home mocutes at al�derwr boundary oonaillons fully U —U U - sealed with gasket and loam 5.2.6 Ail seams between Structural Insulated Panels(SIPs)foamed and;or taped per ! U C] U manufacturers instructions 5.2.7 In mulliUmly baidirgs,the gap between the drywall shsfl wall(I.e.commor wail and the i U j U U I atn.clural tremirg bahveer Lnits fully sealed at all eiderlor boundaries _. .._.. . ....- :_._.__.....1.. -......... 5.3 OMer openings - 5.11 Doors ad acerl to Wteor ckWed ace a attics,garages,basement l or ambient 1 i space g•. 9 9 tJ 0 [; conditiors gaskelec or made st.bstanDally air-tight i 5.3.2 Attic access panels and drop•dawr stairs equippee*11h a durable 2 R-10 instlated corer that is gaskeled(i.e.,nol caulked}to produce continuous air seal vtten ompent is not U i U U - acGessirg the attic" i j 5.3:3 Whole-house fans equipper with a durable 2 R-1 D irsidated 0over that is gasketed and i m fJ C1 either installed on the Ouse Mcl of rn c icaity operated` Rater Nee. )J tJQ 1� rS Gi Rater Pre-Drywall Inspection Date: JyRater initiats: AV Rater Name. �T/� Rater First Irspection Dale. Rater Initials: Builder Empbyee: Build&Inspection Dale: Builder Initials:-,•._•�•__ l • a. Home EnergyRating Certificate Registry ID 7932839°' g Rating Number Pheasant Hilt 32 Certified Energy Rater Bruce Torrey 32 Pheasant Hitt Circle Rating Date November 2014 / Cotuit,'MA Rating Ordered For Bayside Buitding,lnc Estimated'Annbal Energy Cost: Use MMBtu Cost Percent 5 Stars Plus Heating 27.6 $86 7% Confirmed HERS Index: 60 Cooling 0 $0 0% Hot Water 4.1 $241 18% Lights/Appliances 16.1 $949 72% General [Information Photovoltaics -0.0 $-0 -0% Conditioned Area 1355 sq. ft. House Type Single-family detached Service Charges $37 3% Conditioned Volume 10735 cubic ft. Foundation Unconditioned basement Total 49.9 $1313 100% Bedrooms 2 Criteria: : McCllaniCdl_ Syst6ms Features This home meets or exceeds the minimum criteria for the following: Heating: Fuel-fired air distribution, Natural gas, 95.0 AFUE. 2009 International Energy Conservation Code Water Heating: Heat pump, Electric, 2.35 EF, 50.0 Gal. 2012 International Energy Conservation Code Duct Leakage to Outside 53.00 CFM25. Ventilation System Exhaust Only: 62 cfm, 6.0 watts. Programmable Thermostat Heat=Yes; Cool=Yes Building_ She l Features Ceiling Flat R-49.0 Stab None Seated Attic NA Exposed Floor R-30.0 Vaulted Ceiling R-36.0 Window Type U-Value: 0.300, SHGC: 0.310 Above Grade Watts R-20.0 Infiltration Rate Htg: 491 Clg: 491 CFM50 Energy Raters of Massachusetts INC Foundation Watts R-0.0 Method Blower door test 2 Woodtawn St Lilg hts and Appliance Features Amesbury Ma,01913 . 508-833-3100 Percent Interior Lighting 90.00 Range/Oven Fuet Electric info@energycodehelp.com Percent Garage Lighting 100.00 Clothes Dryer Fuel Electric Refrigerator (kWh/yr) 691.00 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.00 Ceiling Fan (cfm/Watt) 0.00 �< Certified Energy Rater: REM/Rate- Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, boulaer, cotoraao. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. f Air Leakage g Property Organization HERS Bayside Building,inc Home Energy Raters LLC. Confirmed 32 Pheasant Hitt Circle 888-503-2233 November 2014 Cotuit, MA Bruce Torrey Rater ID:7773906 Weather:Barnstable,MA Builder Pheasant Hill 32 Bayside Building,Inc Pheasant Hill 32.btg Whole House Infiltration Blower Door Test Heating Cooling Natural ACH 0.16 0.12 ACH 50 Pascals 2.74 2.74 CFM 025 Pascals 313 313 CFM @i 50 Pascals 491 491 Eff. Leakage Area (sq.in) 27.0 27.0 Specific.Leakage.Area 0.00014 0.00014 ELA/100 sf shell (sq.in) 0.80 0.8b Duct Leakage Leakage to Outside Units 1st duct CFM @ 25 Pascals 53 CFM25 /CFMfan 0.0245 CFM25 /CFA 0.0391 CFM per Std 152 N/A CFM per Std 152 / CFA N/A CFM 50 Pascals 83 Eff. Leakage Area(sq.in) 4.57 Thermal Efficiency N/A Total Duct Leakage Units CFM25/CFA Total Duct Leakage 0.0391 i Ventilation Mechanical Exhaust Only Sensible Recovery Eff. Total Recovery Eff. (%) 0.0 Rate (cfm) 62 Hours/Day 14.0 Fan Watts 6.0 Cooling Ventilation Natural Ventilation ASHRAE 62:2 2010 Ventilation Requirements For this home to comply with ASHRAE Standard 62.2-2010 Ventilation and Acceptable Indoor Air Quality in Low-Rise Residential Buildings, a minimum of 36 cfm of mechanical ventilation must be provided continuously, 24 hours per day. Alternatively, an intermittently operating mechanical ventilation system may be used if the ventilation rate is adjusted accordingly. For example, a 72 cfm mechanical ventilation system would need to operate 12 hours per day, as long as the system operates to provide required average ventilation once each hour. REM/Rate- Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. L —TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel PpplicoabonVO5� 5 Health Division Date Issued �\ ConservationDivision MApplication Fee l� Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address 3�Z-- 1-V"j::�,ay,4- 'At O Village q Owner M614slin, Address Pf� dX 6� . CP,��Vl Telephone Ss- 1 - 0 0 Permit Request �J ✓tw1 Square feet: 1st floor: existing proposed 2nd floor: existing�Tpropo.sed L Total new �� Zoning District Flood Plain Groundwater Overlay Project Valuation QM Construction Type 4 .Lot Size�T�'y Grandfathered: ❑Yes �LNo If yes, attach supporting documentation. Dwelling Type: Single Family .J4 Two Family ❑ Multi-Family(# units) Age of Existing Structure C0 - Historic House: ❑Yes &No On Old King's Highway: ❑Yes q No Basement Type: R Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) �e Number of Baths: Full: existing new Z_ Half: existing new _ Number of Bedrooms: existing 3 new Total Room Count (not including baths): existing new First Floor m Coin ZZ Heat Type and Fuel: A Gas ❑ Oil ❑ Electric ❑ Other :i � T'< Central Air: ❑Yes 0 No Fireplaces: Existing New Existing woo•/coal stoke: es ONo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: existing 0 n size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: _ T Zoning Board of Appeals Authorization ❑ ,Appeal # Recorded ❑ Commercial ❑Yes W(No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Zf�-av _ Telephone Number Address e0 `d-oX Jr_ �� r License # Home Improvement Contractor# Email i J4u-t 1d • Cold Worker's Compensation # ALL CONSTRUCTION D IS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE I DATE '61 t 11q iy FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED 5 i MAP/PARCEL NO. to 1� ADDRESS VILLAGE OWNER .i DATE OF INSPECTION: FOUNDATION C 2'25I1 y P/Lo� S�Na� W��� s (3�® �1`/ow FRAME o ly INSULATIONK Ip loduliq FIREPLACE .t ELECTRICAL: ROUGH FINAL { PLUMBING: ROUGH FINAL `5 GAS: ROUGH FINAL f F NAL BUILDING U DATE. CLOSED OUT I'' AS-OZ 1ATION PLAN NO. f Departr�,en of Industrial Accidents = - Office of InvestigatEows ' 60 Mashingtorz S&eet Boston,MA 02111 wK'm mass gov/dia Workers' Compensation Iusurance AffldaN it: Buiiders/Contractors/Electricians/Plnmbers Applicant Information Please Print Lezibly Name (Busiaess/Orgmizalion/Inditiadual): r3 6 Address: ZINC City/Stkte/Zgp: f�R VULIF IV"4 O'Of 3 Phone-; Are you an employer?Check the-ipprdpriatVi Type of project(required): 1.El am a employer with 4. am a general contractor and I 6. VNew construction . employees(full and/or part time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the atta.6hed sheet 1 7• ❑Remodeling ship and haveho employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [90 workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I ain a homeowner doing all vmrk; right of exemption per MGL 11.❑ Plumbing repairs or additions myself [No workers' comp. c. 152, §1(4),and we have no 12:❑Roof repairs insurance required.]T employees.-[No workers' 11M Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: t Homeowners who.submit this affidavit indicating they are doing all work and then hire outside rontractdrs must submit a new affidavit indicating such tContractoss that check this box must attached an additional'sheet showing the name of the sub-contractors and their workers'comp.policy information. I ward art employer that is providing,workers'compensation insurance for•my errrplcryees. Below is the.policy and jab site nfoMadam ; Insurance Company Name: - `�•°� • Co . Policy#or Self-ins.Lie.#:_ (� ?j�0 �p _ _ Expiration Date:_^/�� 115 . Job Site,Address: ,)� � ✓``¢- L(� l S City/State/Zip: /rnfi Attach a copy Of the workers' compensation policy declaration page(showing the policy number and expiration date). Failuie to secure coverage as required under Section 25A of MGL c. 152 can lc�.d to the imposition•of.cruninal penalties of a flue up to$1,500.00 and/or one-year finprisomnent as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day.against t?le violator. B6 advised that a copy of this statement maybe forRTarded to-the Office of Investigations.of the DIA for insurance coverage verification. I do Hereby cer d under the pains and perralt ies o f per jury that the irrfor•rrzatiaTi pr on,ided aboi,e is true arrd correct Si�ature: Date: Phone#: ' `DO-6 - Official use only. Do not wr•r a in this area,to be completed by city or f6wn dff dial City or Town: PerlrritlLicense Issuing Authority (circle one): 1.Board of Health 2.Building Department 3. City/Tooma Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Corst<ct Person: Phone#: Subcontractors Insurance 2012 1 GL°Policy.: GL Policy WC Policy WC:Pohcy P Sub Contractor ;;<, Effective Date Ex iration Effective Date Expiration: ' All Cape Garage Door 508-398-2757 06/01/04 10/07/12 06/01/04 12/01/14 Baxter Nye Engineering&Surveying: 508-771-7622 08/11/05 09/29/12 08/20/04 11/20/14 Campbell,William. 508-790-3517. 08/26/04 08/26/12 07/13/04 10/13/14 Cape Cod Marble&Granite. `508-771-2900 07/01/05 . 07/01/13 08/16/05 11/13/14 . Cape Concrete Forms 508-922-1910 06/05/07 09/29/12 12/07/07 11/13/14 Carpet Barn Inc 508-548-1443. 01/01/06 05/01/13 01/01/05 09/20/14 . Chaves,Robert 508-362-9929 08/13/04 08/13/12 12/17/04 11/13/14 Christopher Costa&Associates,Inc. : 01/22/08 08/27/12 . 02/06/07 12/13/14 Coy's Brook,Inc 508-394-8442 04/24/04 04/24/13 09/21/04 12/13/14 Davids Building&Remodel 508-428-3214 01/01/07 01/01/13 06/14/04 12/01/14 Hill Construction 508-888-8154 04/29/07 04/29/12 .08/14/04 10/13/14 Jeffrey Lauder 508-221-1046 12/09/06 04/05/12 DBA-N/A 09/20/14 Kitchen Appliance Mart .: 508-771-2221 08/12/04 . 08/12/12 01/01/05 12/01/14 . MAP Insulation 508-888-3599 10/01/07 10/01/12 10/01/07 10/13/14 Northern Sealcoating 508-398-9474 10/01/07 10/01/12 04/01/07 12/01/14 Pastore Excavation Inc. 06/05/08 06/05/12 10/12/08 11/13/14 . .. Wood Floor Specialists 508-888-3958 02/03/08 02/03/13 02/03/08 12/01/14 i 1 AWC Guide'to Wood Construction in High WindArMs:110 mph Wind Zone Massachusetts, Checklist for Compliance (780,CMR 5301.2.1.1)' LOT 2 PHEASANT MODEL COTUIT MEADOWS Q Check 1.1 SCOPE Compliance WindSpeed(3-sec.gust)...........:................................................ . .. ...................................................110 mph Wind Exposure Category.............................. ...... ........................... ........................................ .....................B 1.2 APPLICABILITY Number of-Stories(a roof which exceeds 8 in 12 slope shall.be considered a story) 2 stories :52stories : RoofPitch ...*.......................................................................(Fig 2) ..................................................12 12:12 .Mean Roof Height ................... ....................................................(Fig 2).... ...............................................16 ft :5 33' BuildingWidth,W .................................................... .........(Fig 3)...................................................24 It <80' BuildingLength, L ..................... ................................ (Fig 3)........................ ..........................48 ft :5 80' Building Aspect Ratio(L/W) .................. ..... ...... .........(Fig 4).... .........2.0 :5 3:1 Nominal:Height of Tallest Ope'ning2 .................................. .........(Fig 4)............ ................................6'.8":5 6'8" 1.3 FRAMING CONNECTIONS General com pliance with framing connections'...:.................(Table 2),....:.:.......................... ................................ 2.1 FOUNDATION Foundation Walls meeting require.me6ts of 780 CIVIR 5404.1 Concrete......... Q. ................................................................ ......... ..................... ............ ConcreteMasonry....................................... ............................ ................................................................ N/A 2.2 ANCHORAGE TO FOUNDATION'..3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechahical Anchors as.an alternative in concrete only: .... Bolt Spacing—general ..........................................(Table 4):........... ................................... 28 in. Bolt Spacing from en&joint of plate ............................(Fig 5).........................................12 in. :5 6" 12' Bolt Embedment—concrete..... (Fig 5)............................ ...... ..............7 in. 7' Bolt Embedment—masonry................ (Fig 5).........:.......................-..... in.>_15" N/A Plate Washer.. :...... ..... .........(Fig 5)........... ..................... ............ .......... ...... x 3"x Y", 3.1 FLOORS Floor framing member spans checked ........ ......................(per 780.CMR Chapter 55)......... Q. .................... Maximum Floor Opening Dimension......... .........(Fig 6);... 7....................................... ft:5 12' N/A Full Height Wall Studs at Floor Openings less than 2'from'Exterior Wall(Fig ... . .............................. N/A Maximum Floor Joist Setbacks Supporting Loadbearing Walls or S6earwall.:... .......(Fig 7).....:....:.:...:.....................,....:::,.:.:._ft :5 d N/Al Maximum Cantilevered Floor Joists Supporting Loadbearing Walls.or Shearwall...... .........(Fig 8)....................... ................. ft N/A FloorBracing at Endwalls...............................................:...(Fig 9).................................................................... . Floor Sheathing Type ............................... .................(per 780 CIVIR Chapter 55)........... .................... Floor Sheathing Thickness ......................... ....... .........(per 780 CIVIR*Chapter 55)......... ...3/4 in. ........... :t Floor Sheathing'Fastening....... .................(Table 2)...........8 d nails-a 6 in edge 12 in field 4.1 WALLS Wall Height Loadbearing walls.................................... ................. ...(Fig 10 and Table 5)...... .........................8 ft :5 10, ......................... Non-Loadbearing walls .................(Fig 10 and Table 5).............................18ft :5 20' Wall Stud Spacing ..............(Fig 10 and Table 5)................... :24 in.::5 24"o.c. ........................................... Wall Sto, ry.O. ff.se.ts ............... ......... ........ .......:..(Figs 7&8)............... ............................ ft :5 d N/A AWC Guide to Wood Construction in High WindAreas:110 mph:Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)1 4.2 EXTERIOR WALLS3 Wood Studs Loadbearing walls...,.... ........................ ( ) ..24-8 ft 0 in. Table b ........................... .. Q Non=Loadbearin walls ............. Table 5 .......2x6-18 ft 0 in: Gable End Wall Bracing' Full Height Endwall Studs..................... .................(Fig 10).. ......... ......... Q WSP Attic Floor Length.......................... g (Fig 11)... ft>W/3 N/A Gypsum Ceiling Length(if WSP not used) ........ ....... .(Fig 11)............... .. ............26 ft>_0:9W Q and 2 x 4 Continuous:Lateral:Brace @ 6 ft. o.c. :. (Fig 1:1).............. N/A or 1 x 3 ceiling furring strips @ 16",spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays Q :Double Top Plate Splice.Length ....................:...............................:.:.(Fig,13 and Table 6 Splice Connection.(no.of 16d common nails)............:.(Table 6) ......6 Q . Loadbearing Wall Connections Lateral(n.o. of 16d common nails ......... ......... .......,(Tables 7).................., , .... . ..........2 Q Non-Loadbearing Wall Connections . Lateral(no. of 16d:common nails)................................(Table 8).,.... .....: 3 Q, .................... Load Bearing Wall Openings(record largest opening but check all openings.for compliance to Table 9) Header Spans ............................. 9) Sill Plate Spans ..................... :::.: ..: ........................:.._(Table 9)............. :::...:. ....:.........3 ft 0 in. 511' : Q Full Height Studs (no:.of studs)........... .................(Table 9) ................................ .............3 Non-Load Bearing Wall:Openings(record largest opening but check all openings for compliance to Table 9) Header Spans............. 8 ft 0 in. <_12' Q P (Table 9)...................:...... Sill Plate Sans.............:. Table 9 .................. ft_in. <—12" N/A (Table 9) Full Height Studs(no:of studs)............. 3 Q Exterior Wall Sheathing to Resist Uplift and Shear Simultaneouslya I Minimurn.Building Dimension,W :. Nominal,He.ightof Tallest Opening2 .....s... '- "........... .......:. 6 8 <6,8,, Q Sheathing Type....................... ;.;,..........(note 4).; ................................. ............WSP Eda Nail Spacing..-.:..:.:,..:........ . 9 (Table 10 or note 4 if less)........................ ....:3 in . Field Nail Spacing....... (Table 10)........... .12 in, : Q Shear Connection (no. of 16d common nails)(Table 10).................................... 4 Q . Percent Full-Height Sheathing................... (Table 10) ................................. ......:....71% Q 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)........ Q Maximum Building:Dimension,'L Nominal Height of Tallest Openrng?;. ........................:..:..:.:,:..................... ........:6.'-8"5 6'8" Q SheathingType YP (note 4)............... WSP Edge Nail Spacing.....:............ ............ .........(Table 11 or note 4 if less)..............................3 in: [� Field Nail Spacing................... .....;,:.........(Table 11) ..... ..:.................... ... ...12 in. Q Shear Connection.(no:of 16d common nails)(Table 11) ......... ..................4 Q Percent Full-Height Sheathing. ........... .........(Table 11)........... ...... ..................... .:..24% . Q '5%Additional Sheathing.for Wall with Opening>6'8 (Design Concepts)::........:............ N/A: Will Cladding Rated for:Wind Speed?............:............ Q AWC Guide to Wood Construction in High Wind Areas: 110 mph,Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)1 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS.Website) Q Roof Overhang ....... ...... .......................... (Figure 19)...............2/3 ft<_smaller of 2'or L/3 Q Truss or Rafter.Connections at Loadbearing Walls Proprietary Connectors uplift ...(Table 12 ...... ... p )........... U=236 plf Q Lateral ....:... ...................... .........(Table 12)........... plf Shear...............................................(Table 12) ....:.............................. .....,...S=77 plf Q. Ridge Strap Connections, if collar.ties not used per page 21... (Table 13)......::..:.....................T= p.lf N/A Gable Rake Outlooker.......................................... ..... ... (Figure 20).............. ft<_smaller of 2'or L/2 N/A Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift..................... .........(Table 14)......;............................. . U= lb. N/A Lateral(no: of 16d common nails)...(Table 14).................... ...............L= lb. N/A Roof Sheathing Type.. .............................................(per,780 CMR Chapters.58 and 59) ....... .... Q Roof Sheathing Thickness.................... . .............................5/8 in.:>_7/16"WSP Q Roof:Sheathing Fastening...,.;.. (Table 2) LOT 2 COTU,IT M'1,EADOWS IMEETS THE CHECKLIST IN ITS ENTIRETY,THEREFORE THE FOLLOWING NOTE APPLIES Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,;to comply with the requirements of 780 CMR 5301.2.1.1 Iten.1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM.1:10 mph Guide, a. Steel Straps per Figure 5 - b. 20 Gage Straps per Figure 11..- c. Uplift Straps.per.Figure14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b 2. 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. 3. :The bottom sill plate in exterior walls'shall.be:a minimum 2 in. nominal thickness pressure treated#2-grade. 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing:requirements b. Wood Structural Panels shall be minimum thickness of 7/16"'and be installed as follows: ;. i. :.Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels.shall be attached to bottom plates and top member of the.double top,plate.. iv. On two story construction upper panels shall be attached to the top member of the upper double top late.and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist P 1 P PP P and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of 8d staggered at 3 inches on center.per figures below: Vertical and Horizontal.Nailing for Panel Attachment I AWC Guide to Wood Construction in High Wind Areas: I10 mph :Wind Zone Massachusetts Checklist for. Compliance (780 CMR 5301.2.1.1)' �ING� AT6bc 11 1 11 II r OU EDGE II F u 1i a J I 11 t4AIE_SPACING i PANEi_ � 1 v See Detail on Next Page .: Vertical and Horizontal Nailing far Panel Attachment " AWC Guide to Wood Construction in High Wind Areas: 110 mph.Wind Zone Massachusetts: Checklist for Compliance(7so cMR 5301.2.1.1)1 Mac w � , n r i FRATyIla ME�IIBERS i I I .. EDGE RdTERMFQIATE ,. . , Z sra " �r STAGGERED NAIL PATTERN 9 PANEL PAW-EDGE DOU6LE NAIL EDGE SPACING DUAL Detail. Vertical and Hotizontal:Nailing. for.Panel Attachment 9)U Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor + i License: CS-005645 F '° i T Is BRIAN T DACEY - PO BOX 95 i CENTERVILLE CIA 02 i Expiration F Commissioner 04/19/2016 •t 1 yX 1 tiaIKEri Town of Barnstable Regulatory Services Thomas F,� �,�• �, .G e'filer,Director . Building Division Ton Perry, Building Commissioner 200 Main Street, Hyannis,-MA 02601 www.town.barnstabk.ma.us Office: 508-862-4038 Fax: 50E-790-6230 Property Ovme' r Must Complete and Sign This Section if Using ABuildder I, �*4 ds Owner of the subject property hereby authorize t" _ v\C_ to act on my behalf, in all matters relative to.work authorized bytU building permit application for; (Address of Job) (�Sina/ of Owner Date Print Name Q TOP-MS:OWNERPERA4ISS10N . Registry ID Home Energy Rati ng Certificate Rating Number Certified.Energy Rater. Bruce Torrey Lot Z Rating Date 08/05/2014 Cotuit, MA Rating Ordered For Bayside Building,Inc _. stimated'Annual=Energy.Cost _. Use MMBtu Percent 5 Stars Plus Heating 34.5 7% Projected Rating HERS Index: 64 'Cooling 2.2 9% Hot Water 4.9 21% Projected Rating: Based on Plans - Field:Confirmation:Required. Lights/Appliances, 14.6 61% General Information 14 k Photovoltaics 70.0 -0% Conditioned Area 1355 so. ft. House Type Single-family detached Service Charges .: . 3% Conditioned Volume 10735 cubic ft. Foundation: Unconditioned basement Total 56:2 100% Bedrooms 2. : :Criteria Mechankal;Systems Features ..This home meets or exceeds the minimum criteria for.the following: Heating: Fuel-fired air distribution, Natural gas, 95:0.AFUE. 2009 International Energy Conservation Code Water Heating: Heat_pump, Electric, 2.35 EF,:50.0 Gal. 2012 International Energy Conservation Code Cooling:. Air conditioner, Electric, 13.0.SEER. Duct Leakage to Outside 6.9.00 CFM25: Ventilation System Exhaust Only: 80 cfm,6:Owatts. Programmable Thermostat Heat=Yes; Cool=Yes Bu:iiding Shell Features Ceiling Flat R-49.0 Slab None Sealed Attic NA Exposed Floor R-30.0: Vaulted.Ceiling R736.0 Window Type U.Value: 0.300, SHGC: 0.300 Above Grade Walls R-21.0 Infiltration Rate Htg: 3.00 Clg 3.00 ACH50. Home Energy Raters LLC Foundation Walls R=0.0 Method Blower door test PO Box 989._. Sandwich MA 02563 Lights and Appliance Features 508-833-3100 Percent Interior Lighting: 90.00. Range/Oven Fuel. Electric. Percent Garage Lighting 100.00. Clothes Dryer Fuel Electric info@energycodehelp:com Refrigerator(kWh/yr) 691.00 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.46 Ceiling Fan (cfm/Watt) 0.00 The Home Energy Rating Standard Disclosure for this home is available from the rating provider.. REM/Rate- Residential Energy Analysis and Rating Software v14.4.1 This information does not constitute any warranty of energy cost or savings. ©19854014 Architectural Energy Corporation, Boulder, Colorado: r-. Project Address: Pheasent Modle — Lot 2 Insulation • Unfinished Basement - ceilings Install R30 Fiberglass Batts - must be in contact with sub-floor • Exterior walls - Install High Density R 21 Fiberglass Batts Flat ceilings Install minimum R-49 Loose blown fiberglass or cellulose. • Vaults/ Sloped ceilings/ roofline — fill rafter depth to capacity with spray foam DO NOT use any:type of"Batt"insulation on any ceiling assembly constructed using "strapping" Thermal Bypass/ Air.sealing Issues. : - Tubs/ shower. units on outside walls. - Install insulation and an air barrier on the wall prior to installing the shower unit. Air barrier can be house wrap, or rigid insulation, or spray foam. • Basement & attic access Door to basement must be weather-stripped Install:air tight door at base of bulkhead stairs - Attic access panel must be insulated and weather-stripped. • Air sealing In the 2012 IECC code you must achieve a challenging 3 air changes per hour or less. Aggressive air sealing is required.. Spray on gasket systems ( like Energy Complete http://www.ocenergyooMplete.com/ ) are highly - recommended): Mechanical runs/ chases and penetrations into unconditioned Spaces,.attics, and/or kneewalls must be sealed Caulk all bottom plates of exterior walls kneewalls and garage walls • Caulk all top plates of interior walls to unconditioned attics • Duct Boots must be:sealed to subfloor and ceiling board t= Mechanicals • Furnaces must be minimum . 95% AFUE • AC condenser must be at least SEER 13 (with a TXV valve) • Total condenser size(s) must not exceed Manual J Calculations HVAC representative must sign Manual J Calculations Affidavit supplied by Rater • 2012 IECC code requires the aggressive goal of no more than 4% total duct leakage. This will require aggressive duct'sealing and early testing. We also recommend keeping ducts inside the thermal envelope where possible. o All .ducts sealed and tested. Supply ducts in attic must be R-8 • DHW Hot Water must have an Energy Factor (EF) of 2.3 Hybrid Hot water heater Programmable thermostats (at least. one per dwelling) are required Mandatory . Mechanical Ventilation - One fan in the home has to be an Energy Star rated fan:and needs to be controlled by a 24-hour programmable control. Typical strategies. Include - 1. Panasonic FV-05=11VKS1 with a built in 24 hour timer. (if the fan does not come with 24 hour programmable timer built in you need to install one. ) 2, Fan Tech FR 125 duel ducted exhaust fan, controlled by a 24 hour timer. Mandatory Lighting 80%-100% of each home's lighting needs to be energy efficient. To help make this happen the.program will supply:a free unlimited supply of LED/CFL energy savings bulbs. As your project moves forward we will help. you place the order for the most - appropriate style bulbs: Mandatory Appliances Refrigerator and dishwasher must be Energy Star labeled I L K!1 S_P -2 t.0 1-1: CG V N U li. w ®a ®®®® $ S OKE DETECTORS REVIEWED p FRONT ELEVATION m TT SCALE: I/4" 1'-C° m M A. E BUILDING DEPT DATE FIRE DEPARTMENT DATE - - - BOTH SIGNATURES ARE REQUIRED FOR PERMITTING N 3 O M 0 Z C4 Q O # W � lu E Q O E) J Ov 1 SF-!EET ~ REAR ELEVATION ` SCALE: 114° - I'-O° .JOB: 1416 DRAWN BY: qq DATE: B/II/K UN CQ zap . r. U m � g ri 0 W LEFT ELEVATION SCALE. /4- . 1-O• RIGHT ELEVATION O SCALE: I/4' � 1'-O° Q�/ w w Z M O \ d4 ' 2zids•16'O.C. R3B F.G.IN •NURRIUWE CLIP �I R30 F.G.INSUV r 3/B•ri_W SHEATHING/ - 2.9s 0 16 O.C\ FASTENETt9 AT ALL ASPHALT SHINGLES RAFTER/TOP PLATE JUNCTIONS TYP. ' I�O2•STRAPP NG RIGID WIND WSH BARRIER REQUIRED HALL SX�TH T EMERIOR EDGE OF EMERIOR WALL TOP PLATE 12 12� .. BLOCKING 4'-0'O.C. - ' TYP.EAVE9• 2z1d5 i 16'O.C. 2z10'9®16.O.C. BAY9N FFR�GABLE HASLTL izB FASCIA/1.4 SECOND i EI I R CONTINUOUS VENTING DRIP EDGE 13R� IYi STRAPPING 1.6 FRIEZE BD.W BED MOULDING q.T I 12'GTP.BO4RDm TM �- FOYER KITCHEN " O u� 2cG EXT.STt p •24'O.CJ .PLF TWOODD DDSHLEATl11NG/ (V Q O .SHINGLESTTVEK WRAP/ 4'-O• q'-O' I FINISH FLOOR # W p R30 FlBERGLA55 INSUL. h Q Woes I W O.C. >2z10'S 116'O.C. _ TYP_ W� 4-2 w �9-2z12 GIRT PT�IdS Y I6'O.C. 4z4�P.T.IPOST J B'z'F-q'CONCRETE 2B'O.C. GALV.METAL POST ANCHOR f- W AD DAMP PROOF BELAJ GRE 13R-� BASEMENT 1Y'90N0 TUBE'PIER TTP. O 10•z16'CONTINUOUS FOOTING q•T I/r LALLT V . NOTE: 3 I/2'CONCRETE SLAB LiS/B'ANCHOR BOLTS b MIL VAPLR BARRIER EMBEDDED 7' 12'-0' 12.-0• SPACED 28'O.C. 12' FROM CORNERS �y - WASHERS 3'x3'.1/4' oI 6' 2�-6• 16 .� SWEET .24'_Cl A 2 SECTION "A" JOB: 1416 SCALE: I/4' - I'-O' DRAwN BY: KW ' - - DATE: H/29/14 DATE: B/11/14 N 4a o° j 1 N 19'-O' ]'-9' 14'-5' W-10° 2'-0' f�/�I�1 IIIIrCl:ClC�iii111 Z s� a Q ...� w 001 Cb .. 344oM2B50 i 16 O.C. Q . - ABOVE RRfP. VINTL � CARPET 92'[60° (PULL D NI 1 im •1 L STAIR9 J _ C 26 _ 244DW2 GARAGE 2A m - c0,�77 12-�° . O _ B245T 4'CpKREfE SLAB 1/4°LVL ABODE FLUSH - PITCH O / CARPET v 25 � 244oM2B50 ZI CARPET SY°60' 2-4 UP 14' 2a 3 3 � O 0 na Z NARK WALL BRACI G _ LU a Ot- a � sl 2'1' 9'-0° 2'-6° 4'-0' 6'-O° 7'-0' T-0' 14--0' 14'_0' SHEET FIRST FLOOR PLAN f� SCALE: 1/4' - 1'-0" 14 ° JOB: 1416 DRAWN SY: KW DATE: 5/11/14 N , e Uo 34'-0' .. 8-0' lb'-4' 10'-8' �QJ* ,t q. rr u It m 5AT IQ � C- VINYL 7F _g• g_g• q_p? mW h IN Oi 7 h 4m� 4 �` •'! It D' DN. 78 7 T'tp BEDROOM BEDROOM = _ caper CARPET 0 14'-4° -8' - 16'-O' KNEE WALL KNEE WALL 3 O u w Q 14'-0' 34'-0' O u SWEET SECOND FLOOR PLAN SCALE: 1/4' - 1'-O° 14 J0B: W16 DRAWN BY; KW DATE: 8/11/14 43'-0' • W 4 0 34 O yyU�yl o 2-4° 3-4' r_____-__J _____-__`- • �I Z s .. 1 2-2x10 4x4 P.T.POST ----- i 10' METAL POST ANUIOR - . - .._ _... IN'SQlO TLBE'PIER TTP. U Ir. IBULKHEADI 15 � o I `1 •EXT. I I � 46'CONCRETE WALTPL I I ! a . u I vI w 1c'xlD•coNnNuws FOOTING T . I;'I BASEMENT - - I w yy I I CONCRETE SLAB VAPOR HARRIER I I �14�111�A O 3'-3' 3'-3' S'-II' 3'-II• I r ■/y�■ W '�' ?' GARAGE I I n' CONCRETE SLAB I SPLIT p I I PITCH TOWARD DOOR GIRT -I —_—} \ ♦.. fi t''.. Lao F' I;I L5� 3 I/Y DIA-STEEL CO LUPIw I-•=I I ,I ,�,I 130'x30'xl2'CONCRETE PAD l i I I • `m DROP WALL 10' I V I •DOOR I :.I I i- _J I B'x T-9•CONC.WALL a . I 16'x10'CONTINUOUS FOOTING TTP. i ----- - <. --- 3 -------------- Yt W Z Q IL J — •rsNOTE:aBr 2'-3° 9'-6• 2'-3' S/H'ANCHOR BOLTSO 34'-0" EMBEDDED 7° SPACED 23'O.C. V 12' FROM CORNERS WASHERS 3°i3'x1/4• SHEET JOB: 1416 DRAWN By: KW DATE: 3/2q/14 DATE: 8/11/14 ' 10/2012014 09:06 i Anderson 781-857-1000 Fax 781.857.1054 Insulation, Inc. www•andersoninsul.com 706 Brockton Ave PO Box 2003 Abington, MA 02351 Insulation certificate WORK AREA ITEM INSTALLED Polystyrene Vent @ Eve Accuvent Wind Block Eave Baffle Polystyrene Vent @ Slope Airmate Extruded Poly Foam.Vents Slope to Plate R-38 Icynene Open Cell Spray Foam Insulation LDC 70-9.51n Polystyrene Vent @ Eve Accuvent Wind Block Eave Baffle Blockers/Rim Joist R-20 Icynene Open Cell Spray Foam.Insulation LDC 70-Sin Blockers/Rim Joist R-20 Icynene Open Cell Spray Foam Insulation LDC 70 -Sin Slope to Kneewall R-38 Icynene Open Cell Spray Foam Insulation LDC 70-9.5in Kneewalls R-20 5 1/2 X 15 Kraft Faced Fiberglass Batts HD Kneewalls Tyvek House Wrap 9x100 Ceiling Behind Kneewall R-3010 X 16 Kraft Faced Fiberglass Batts Attic Walls R-20 51/2 X 15 Kraft Faced Fiberglass Batts HD Attic Walls Tyvek House Wrap 9x100 EXT. Walls 2x6 R-20 5 1/2 X 15 Unfaced Fiberglass Batts HD EXT. Walls 2x6 4 Mil Polyethelene Vapor Barrier Windows and Doors Foamed EZ Flo Min Expansion Foam Garage/House Wall R-20 5 1/2 X 15 Kraft Faced Fiberglass Batts HD Basement Stairway Walls R-20 5 1/2 X 15 Kraft Faced Fiberglass Batts HD Understalrs R-20 5 1/2 X 15 Kraft Faced Fiberglass Batts HD Main Ceiling R-38 Cellulose Open Blow Insulation Main Ceiling Insulation/Dense.Pack Support Netting-CJosed Mesh Basement Ceiling R-3010 X 16 Kraft Faced Fiberglass Batts Customer: Bayside Building, Inc. Job Number; 208521 Job Address 32 Pheasant Hill Circle-Cotult(Barnstable) Date Completed l�, �� Li n AL ;a �s LuUt-0 o?95 Couniriouovealth of Massachusetts � OD Sheet Metal Pen next l � Date: `1 Permit —1 o��� J Estimated Job Cost: S PERMIT Permit Fee: S �J�.Do Plans Submitted: YES NO ✓ SEP 1$ 2014 Plans Reviewed: YES NO ►� Business License F" ►(00 gAR � iA� �icen:se t Business Information: Property Owner/Job Location Information: Name:—Q. VErnc)n Loh) Name:Name: Co*Ll}" ,u,/kh(e 170U51 Street: Ci g �11 lei u n l G Street: c3a PAeaso Ili tre C City/To-wn: Telephone: 50 /q 5.— ' )00 Telephone: n I fl Photo T.D.required/ Copy of Photo I.D. attached: YES NO Staff Initial J-1 /ltiT-l-unrestricted license J-2 /M-2-restricted_to dwellings '-,-stories or less and commercial up to 10,000 sq.'f./2-stories or less Residential: 1-2 family V Multi-family Condo/Totivilhous:s Ocher Commercial: Office Retail Industrial Educational Institut_onal Other Square Footage: under 10,000 sq.ft. over 10,000 sq. f. Dumber of Stories: Sheet metal work to be completed: Neti3-Work: ►� Renovation: HVAC ✓ Metal'Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: LZ 4W INSURANCE COVERAGE: I have a current liability insurance policy or its equivalentwhich meets the requirements of M.G.L. Ch. 112 Yes No❑ I If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurancee-policy1 Other type of indemnity ❑ Bond ❑ i OWNER'S INSURANCE.WAIVER: I am aware thatthe licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. i Check One Only i Owner ❑ Agent ❑ I Signature of Owner or Owners Agent i s By checking this boxy,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Proaress inspections date. Corrimn.nts Final Inspection - - date - - - - - - - - - - - -Corrurient.s_ _ I Type of License: i By Master Tile ❑ M stir-Restricted �_ I ✓fv�1 l / I /1 CltjfTown ❑J`, a �Ur neyperson Signature of Licensee l Permit' ❑Journeyperson-Restricted License Number: [1�9 17 IF..ew I ❑ Check at ". rass.aoyld:)l ' I l Inspector Signature of Permit Approval i I I The Commonwealth of Massachusetts i T _ - Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluiribers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Vv', �/z Y2 n o n Q K,I e I e SA n)NA m 6 n t, y-- N e �- d- Address: Po R o x City/State/Zip: W , C. W .4 1. „-, Phone#: c g� Ll -1 I Go Are you an employer? Check the appropriate box: Type of project(required): I ] I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time). 6. �]New construction � have hired the sub-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 8. ❑ Demolition working for me in an capacity. employees and have workers' Y P ac Y• 9. ❑ Building addition [No workers' comp. insurance comp.insurance.. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] ' c. 152., §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. f� Insurance Company Name: A c-e- A rnt.,L I c 1 q)� \A * e, n L_ Co r" Policy#or Self-ins. Lic.#: — °i 9 �7 a L_ L!(I — /J Expiration Date: I 114 Job Site Address: VA ,�i o City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the viol r. vited that a copy of this statement may be forwarded to the Office of Investigations of the DIA for ins nG co v rification. I do hereby certify under t pain e s perjury that the information provided above is true and correct. Simatur . Date: Phone#: Ojjic•ial use only. Do not write in this area,to be completed by city or town official. Cite'or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Ri h tf-a,x NI-1 L0/4/2013 7 : 19:41 AM PAGE. 51/055 Fax Server AC& CERTIFICATE OF LIABILITY INSURANCE 1 0-04.2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIPIC.ATE 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 cerlificaie holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION ISWAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not carer rights to the certificate holder in lieu of such endorsement(s). PRODUCER COIITACT 4 Ab1E: ROG ERS&GRAY INS AGCY PHOi•IE PHR 434 ROUTE 134 SOUTH DENNIS,10A 02660 ennr F s• rtsuRERts>A.PPORDING ccveRACE ri,Ic s IIISURER A:ACE ANERICAN INSURANCE COMPANY INSURED INSURER 6: VV VERNON'Al HITELEY PLUKIBING& INSURERC: HEATING CO INC&CHATHAId SHEET NI ETAL INC uasUP.ER O: PO BOX 1266 INSURER E: WEST CHATHANI,MA 02669 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED N.AI,,IED ABOVE FOR. THE POLICY PERIOD INDICATED. NOTlNlTHSTANDII`JG ANY REQUIR&.4ENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VdITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR PRAY PEP,IAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERIMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMIT'S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIP,IS. nrI IADDLISUBri I POLICY EFF I POLICY EX? I LIMITS LV LTR T(PF OF WSUR-MCE lilSP. VPID ff POLICY HUM6ER (iti!,L'ODrYYYYI (MM;N.'Y•rYYI GENERAL LIABILITY EACH OCCURRENCE I S COMMERCIAL G ,IAL ENER-.L LIAEILITN DA•VAGE TO R=r:TEO IS I _ PREt.IIE-IE2c.ar.=r CLAIMS-1140E OCCU' MED EXP(Any nnc pcscc) I5 PERSONAL&Ar�V p1JURY S -E JEft4L AGGREGATE I S GE1141-GGRFGAT-=LI:IIi APPLIES PE=,: PRODUCTS.CO.M?;CP A SG IS Iy I FOLIPOLICYP I I Jc R OI- I I LOC SINGLE LIMIT S AU70;rk761LE LIABILITY i-��••:c'""cnt•' ANY AUTO ECOILY BJJURI'(Perpercn) Is ALL O',VNED SCHEDULED 6COILY INJURY(Pcfaa4den 1 IS AUTOS AUTOS NOiJ�';,;:VED PROFE4aTf D.' IAr,E IS (HIRE:U.-UT05 AUTOS IPcr rrci„ccU �Uii1BPNELI-A LIAR OCCUR EACH OCCURRENCE IS EXCESS LIA6 11.1 15-HAOE L—AGGFEG'T` S OED RETENTION$ IS WORKERS COMPENSATION X ','!l'STATU• OTH- AND EMPLOYERS'LIAE1UTY TC•RY LI?.IITS ER JAI I$500,000 ANYFP.O:'RIETOP.%Pr'rTNEPJEXECUiI'J= EL EACH EACH ACCIDENT OFFICE"ME,1,IaEP.EXCLUDED? 7 PI 6S62UB 10-01-2013 10-01-2014. [Mandator.,in r•IH( 9EI 12L66a E.L.DISEASE-EA E;,.4PLOYEE I$500,000 �It?rs,d:sc;it.:undcr E.L.C•IS r.SE•FOLICl'LIl,IIT $500,000 DESCRIPTION OF OPEFLITIONS be!rni DESCRIP T ION OF OPERATIONS I LOCATIONS I VEHICLES(Atlach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION TOV01 OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE 200 MAIN STREET CANCELLED BEFORE THE EXPIRATION DATE THEREOF, HYANNIS,IVIA 02601 NOTICE WILL BE DELIVERED IN ACCORDANCE INITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE G 1988-2010 ACORD COP,POP.ATION.All rights reserved. ACORD 2S(2016105) The ACORD name and logo are registered marks of ACORD i I n hum_ /g Rei Thmnas F. Gedc;,Lircc:Lc•?- -B ail din a Division Torn Pcrrf,. nilrli I C GMMjSS]GL:Cf- 201-D' a-ua SL-cct,Iivan7 iS 7vi'.02601 ,. tntrn.h_ro:;tabie.ma. 0 M cc: 50S-s02-40 2 Fw: SOS-790-6230 P.ropp-rL-y U;s:��er ltsi ;brr?PT��i aria. 57.Fn 'I' Ls Secti.on. vim"•fy ;-'[,{ �tr } C-'7D.':'L i1E Sll�jc'_Lta rp-,}y�_r 1,.1�.- �� ,�� to .i 1 aLl-{r 1, -�_l s ..c^ r,� f�o _. _3a P�a�f �lr 1p, _ (Ad q11 b Li.l L�14•.L�E r r• Tr f'r��c!Dne7 L1 ! xjer i.S :DPj n�T.77�JY zo,TT JI e . .. --tt�nPJ.e sercctmU).eLe 6C Honae"Yfr1.1�7.J L1(_�PSE El,F,!-, , p'd' .o11 .I o �_ 'alp !e .le-Vtj.]C s14d.L. Q:��a P:}:'S'G��'r i•i�.n r'�i;�,�::�i3!�'i�i Fold,Then Detach Along All Perforations ;COMMONWEALTH OF MASSACHUSETTS • -. _• . 1.1 e a BOARD SHEET METAL WORKERS '`. SM AS A BUSINESS ISSUES.THE.ABOVE LICENSE TO ' I TYPE ERIC T: WH:ITELEY W ;VERNO%N WHITE.LEY PLBG AIID 1�. _B 28' VIL'.LAGE LANDING - ' BOX<-4266 W CHATHAM MA'=02669 000 292629 1'6.0 12/22/14 292629' I Fold,.Then Detach Along All Perforations "J rye.COMMONWEALTH"�'.( F MASSAC'HUSETTS�. < 48�A�Q 4Y� � SHEET METAL WORKERS z x I SSUES THE t FOLLOWI NG `L'I CENSE ' AS At MASTER UNRESTRICTED p 1 f F- � �ERIC WEST CHATHAM4. M�A�ko2669. 02#8• �, ` } � k,,� �k2967 �02/28/l6 1;80512 r a ' as • � � :-;; r CHITSIETTS DRRRRER'S w r a `1� b LICENSE �sA _'h Ili k E END 4d NUMBER? Tt ; a NONE S7Q199211. 4 a 1811 MAINST / r W CHATHAM MA 02669 — 5 DD 07-09.2014 R607152009 I TempParcelEdit Page 1 of 1 T L k k S.0 'bwx@ � 164�91 F"F. �*,' mat Y 5 ✓WY�y ?'b�k _. Logged In As: Wednesday,January 16 2008 Frank Schlegel New Parcel Application Center Road System Reports Road System The record has been updated. New Parcel Detail New Mapparcel: 002 002 002 Street Number: 32 s Unit Dev Lot LOT 2 l Road Name: PHEASANT HILL CIRCLE a- T/R: �ro% Sec. Road: T/R Villlage: .107 - Cotuit s Part of M/P: MAP 002 PCL 002 ........ ............ __......_.__ Plan Ref: jPLBK 617/69-75 (APP 762) Date Added: 1/16/2008 2:12:53 PM _.................. ._. __.................. .._........................._.... Updated: 1/16/2008 2:12:53 PM Update" NMI qdd Another http://issgl2/Intranet/Propdata/TempParcelEdit.aspx?ID=466 1/16/2008 ,41/ VA� Foundation Certification in Barnstable, MA Prepared For : Lot 2 N #32 Pheasant Hill Circle Cotuit Meadows Subdivision of Barnstable Assessors Map: 002 Parcel: 02 Baxter Nye Engineering & Surveying Flood Zone X (unshaded) ® FIRM Community Panel No. 250001 0539 J OWNER: Cotuit Equitable Housing, LLC ® Deed Book 21804 Page 41 Registered .Professional OPEN SPACE: Cotuit Meadows Homeowner's Association, Inc. ® Deed Engineers and Land Surveyors Book 23161 Page 59 78 North Street, 3rd Floor Barnstable Zoning Board of Appeals No. 2005-082 ® Deed Book 21059 Hyannis, MA 02601 Page 158 Minor Modification No. 1-® Deed Book 22249 Page 282 Phone (508) 771-7502 Fax — (508)-771-7622 Job Number. 2005-214 Scale : 1" = 20' 8-21-14 M Co 0 • Q Z LOT 3 v T.O.F.=69.55 2.69, 42 . 22 T 1�� !! s o, o SEregck �V 2,0• EXl#32 ,7' !! 6 CO FpUNOq�aN ,� 4 / Q CA110 Z7 08/1 j0A LOT 2 •� 4 10,494f S.F. N 0:24f ACRESCo N � J ti of LOT 1 1° SereACk cl Nf N O I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING STRUCTURE SHOWN HEREON IS IN COMPLIANCE WITH FRONT, SIDE AND REAR SETBACK REQUIREMENTS (20'/10'/10') AS NOTED IN TOWN OF OF MA�� BARNSTABLE ZONING BOARD OF APPEAL No. 2005-082 (DB 21059 Pg 158) IS LOCATED IN RELATION TO cLP� qc PREIMETER MONUMENTS SHOWN PER EXHIBIT "A" (DB 21804 Pg' 45) AND IS NOT LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA. ® • MALLOt4 Cn THIS PAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. v Nio.48637 v Y (cgs Ss ��`� REGISTERED PROFESSIONAL LAND SURVEYOR - BAXTER NYE ENGINEERING & SURVEYING DATE GENERAL NOTES. 1. LOCUS PROPERTY IS SHOWN AS: ASSESSOR'S MAP 002 - PARCEL 02 2. SETBACKS: FRONT = 20' SIDE/REAR = 10' 3. UTILITY INFORMATION AS SHOWN ON PROPOSED SUBDIVISION CONSTRUCTION PLANS. 4. COMMUNITY PANEL NUMBER: 025551 0021 D THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE C. AREA OF MINIMAL FLOODING 5. ENVIRONMENTAL NOTES. SITE IS NOT WITHIN AN A.C.E C. (AREA OF CRITIC ENVIRONMENTAL. aMo CONCERN). SITE IS NOT WITHIN AN AREA OF ESTIMATED HABITAT OF RARE a WILDLIFE PER NHESP MAP OCTOBER 1, 2006 "ESTIMATED Z HABITATS OF RARE WILDLIFE" FOR USE WITH THE MA WETLANDS PROTECTION ACT REGULATIONS (310 CUR 10)." SITE DOES NOT CONTAIN A CERTIFIED VERNAL POOL PER NHESP UAP OCTOBER 1, 2006 "CERTIFIED VERNAL POOLS." � SITE IS NOT WITHIN A PRIORITY HABITAT PER NHESP MAP OCTOBER 1, 2006 TRIORITY KWATS OF RARE SPECIES" FOR SPECIES UNDER THE MASSACHUSETTS ENDANGERED SPECIES ACT, REGULATIONS (321 CURIO) SITE IS WITHIN A STATE APPROVED ZONE H GROUND WATER RECHARGE PROTECTION AREA LOT 108 VEGETATED 12" DEEP CONSTRUCTION NOTES: RAIN GARDEN (125 _� / ,' C.F. STORAGE) 1. ALL GENERAL NOTES ON SHEET C-2 FROM THE � SWIM 32 ' -� TOP-67.0/ i SUBDIVISION PLANS FOR COTUIT MEADOWS, DATED ~� INV OUT // BOTTOM-66.0 ,' 6/25/07, SHALL HEREBY APPLY TO THIS SITE PLAN. =55.91 S LOT 3 �' 2. ALL GRADING, DRAINAGE, AND UTILITY NOTES ON SHEET C-5 FROM ,,.S INV.-55.67 THE SUBDIVISION CONSTRUCTION PLANS FOR COTUIT MEADOWS, `� ELATED 6/25/07, SHALL HEREBY APPLY TO THIS SITE PLAN. 7 8 / r t s >>' 3. SEWER BUILDING CONNECTIONS. x ?r? - MIN. COVER SHALL LE 3 FT. 1 r?690 - SET CLEANOUTS AND MAINTAIN CLEARANCE FROM OTHER UTILITIES // ,` '` °� °SED �0 Rp , AS REQUIRED BY BARNSTABLE DPW. LOT 109 `'� /� 3s 8 AY t' - MINIMUM SEWER SERVICE CONNECTION SLOPE SHALL BE 2.tx. � t �0. a / �4" tegOe M Cy i se�gck f 2.0 �`r. 68,?e / ,,� �► , PROPOSED x,' Cotult Meadows Subdhdolon _ ' // �q� ST W o HOUSE a / 67.E / '4'' ti FF=70.0 J 4► 66.0 WA �.� Cotuit Barnstable, Massachusetts �� , .v�, S INV. 3 PREPARED FOR (M :)' " `�,69.0 COTUIT EQUITABLE HOUSING LLC .0. 0' X1?• LOT 2 x N Q ! Act* 10,494f S.F. P. O. Box 95 / '� m � C9 ,' ��°`'' 0.24f ACRES Z y Cen eMile, MA 02632 69.0 5��i 69.0 q MLE TATED 12" x x Site Plan � 6� RAIN (125 6�q 69.0 ,,` ,') R. G 69. x 69X �q� o/ Lot 2n 32 Pheasant Hill Circle SMH #33 ,f TOP-67.0/ 68. -_._ x ., k L� l INV IN-54.75 // i 66.0 BOTTOM-66.0 69.0 � NE INV OUT=54.65 ..'. '�.), x ...,,"'`'---...._.,.`"' �` 'LOT 1 AI 7�"`►-, �'� BAXM NYE ENGREERING & SURVEYING 6 '-64.82// PROVIDE (1) 6' DIA. x 6' DEEP LEACHING BASIN W/ 1' STONE ' SURROUNDING (OR ALTERNATE / f Engineers and Land Surveyors ,a OF nss9cy W G x 6g.25 EQUIVALENT VOLUME OF 289 CF) � 78 North Street,3rd Floor,Hyannis,MA 02601 o MATTHE� t � `r CONNECT ALL ROOF DOWNSPOUTS ' W. �+ TO LEACHING BASIN Phone-(508)771-7502 Fax-(508)771-7622 EDDY CIVIL No.43183 S /-- ,/ 20 0 20 40 �0 s I S T /J s� 5 SCALE IN FEET 1 j SCALE: 1 = 20 ALE: 08-11-14 REV. DATE. REMARKS LOT 2 N 0: 2005 2005-214 CIVIL DESIGN 2005-214PBLOTS.dw 2005-214