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0125 PINEY ROAD
/_ ��, �� r.�-- �.c�� - " � , ... ...._ _ _ ��. t . _ LL �� E 1 � �' i� f I I n Commonwealth of Massachusetts Sheet Metal Permit Date: S Permit PERMIT . Estimated Job Cost: $ ap .0 Permit Fee: $ APR 0 9 2015 Plans Submitted:'' YES` NO - P Pans Reviewed: YES NO OWN pF BRRMSTJ Business License# S Applicant License Business Information: Property Owner/Job Location Information: Name: a�� t �leLAr:t� l CoN-f,,�, Pdame: / tvc .1�•�•/•�+ Street: �Za r)w... 1'h39 Street: i City/Town` City/Town: ./ ,4 /41- Telephone:�fn 7/= 7Z.?a Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES V'7—NO Staff Initial . J-1 M-1 unrestricted license ,7 Y7 Z, 4 J-2/M-2-restricted to dwellings 3-stories or less.and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family_��Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial 'Educational Institutional Other Square Footage: under 10,000 sq. ft. i`- over 10,000 sq. ft. 'Number of Stories: Sheet metal work to be completed: New Work: k-`� Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents' Air Balancing Provide detailed description of work to be done: INSURANCE COVERAGE: I I have a current liability insurance policy or its equivalent which.meets the requirements of M.G.L.Ch. 112 Yes o❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy �- Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 11.2 of the Massachusetts General Laws,and that my signature on this permit application waives this-.requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box ,.I hereby certify that all of the details and information I have submitted(or. ntered)'re9arding 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 r— Progress Inspections Date Comments Final Inspection Date Comments Type of License: By Master Title . ❑ Master-Restricted. Cityrrown ❑Joumeyperson Signature of Licensee' ° s Permit# - ❑Joumeyperson-Restricted License Number: Fee$ Ch eck at www.mass.gov/dpl Inspector Signature of Permit Approval T®w of Barnstable Regulatory Services NAM4 Thomas F.Geiler,Director 4 165 Building Division Tom Ferry,Building Commissioner 200 Main Street,Hyannis,MA 02601 f www.town.barnstable.ma.us Office: 508-862-4035 "Fax 508-740-6230 3 Property Owner Must Complete and. Sign This Section. If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit:. (Address of Job) **Pool fences and alarms are the responsibility of the applicant. pools are not to be filled before fence is installed and pools are not to be utilized until ail mat inspections are performed and accepted. lguature of Owmet ignature of Applicant Piit�t'Name Print Name �? Date Q:FoRMs:aWNERPEnffSS1oNPooLS Y7ie Commonwealth of Massachusetts • ' .Department of Industrial Accidents Office of Investigations . kip 600 Washington Street B iston,MA-02111 www.mass.govAUa Workers' Compensation Insurance Affidavit: Builders/ContrIactors/Electricians/Plumbers A licant Wormation Please.Print Le ibl Name(Business/Organizationgndividuat):. Q - , -Address: 7 Y YYI o4h 1,a CZO6 City/State/Zip: 2. C Phone.#: 6 —77 , 22.7 0 Are you an employer?Check the appropriate boa: ebf ect re wire d)-: �. I am a general contractor and I -,Type i•o' p I ( q 1. I am a employer with 3� ❑ * have hired the sub-contractors 6. ❑New construction . . employees(full and/or part-timel. __ . - 2.❑ I am a•sole proprietor or partner- listed on the*attached sheet 7. ❑Remodeling: and have n10 employees These sub-contractors have g �P ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Biii7dinig addition [No workers' comp.insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 'O.R IIectrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing r: airs of additions ep myself. [No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance iequired]t c. 152, §1(4), and we have no Y employees.[No workers' 13 jid Other_- If Y11 C comp.insurance required.] - 'Any applicant thatcb=ks box#1 Bust also fill out the section below showing their workers'compensation policy information- _ Homeowners who submit this affidavit indicating they arr doing all work and then hire outside contractors must submit a new affidavit iodic ih sveh. - :kContractors that check this box must attached an additional sheet showing the name of the sub-contractors raid state whether or not those entities have employees. If-the sub-conhaatora bave c aployees,they must provide their worimrs'comp.policy number. ram an employer that is providing workers)compensation insurance for my employees. -Below is the policy and job'site information. Insurance Company Name:)a r d I ns u nan L Policy#or Self--ins.Lic.#:_SAW Cam.' .(p ® I. Expiration Date: Job Site Address: City/State/Zip: ----------------- Attach a copy of the workers'compensation policy declaration page'(showing the policy number and expiration-date) Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties-of a, fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may forwarded to the Ofnce of- Investizations of the DIA far' ance covera e e ' cation I do hereby certify un the in d pend o per in rmation provided above is true and correct Si afore: Date: 2 ".� Phone# Officlal use only. Do teat write in this area,to be completed by city or town offclaG City or Town: ._ _ `- Permit/License# _- •Issuing Authority(circle one): =T 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: . i "-�-- f _ } �a 31QpHEASANTHiLL,(� �--'- F 4 k' CONIT M/L OZ635-2544-mac' r �' ti3 .rT .'_t �,$ Ji3E + r ,r. ��,,� f f ML iz�w� 'x s oo uaimn rter osmo9 r k iOMMONiN/.EALTH • • • OF MASSgCi-IUSET�S ': ;vf:C:OMMONWEALTH:OF MpSSACEiUSETfS s " }BQAR }� • • • • M EFTA L 4 k Y SHE! T SHE E�'M WORMERS � { WQRKERS ISSUES THE` z k; , � a i ti �� �FOLLOW.f 1_ ISSUES `TNE F.OLLOWSINO L<I CENSIw k {� f� ASAgUSINESS F n Q 4r AS A F1'ASTER UNftE�STR fTED F I E �3NRLD L HEBE `. � BQj% RT �3 a`I tif, Ss I QlrU$THC TRRtpI xC AL CpONrtTO' = DONALD L HEB ExRT -1 EL"C TRAC 372X&R,MQ : PHE>4SA.T HILtL G1R ' Cor�UtT MA::,02>63> : I I' � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' Map Parcel Application " Health Division Date Issued . -7 1 Conservation Division Application Fe Planning Dept. Permit Fee S2515.00 Date Definitive Plan,Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village V 1 Owner_.jO � � � i h�e_ � � U n C; I I Address �n Telephone 1 — Lf—L4 '0ti 6 6 Permit Request aa:ge�cl c-e!2 r_x0 S � aN--ff/)G S V-t, C6 t, a jn S f ti AN, / M / ► C,. ' d( 0 d(n) Square feet: 1 st floor: existing proposed 2nd floor: existing f10� proposed Total ne Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size ° S 7 Grandfathered: ❑Yes V No If yes, attach supporting documentation. Dwelling Type: Single Family' Two Family ❑ Multi-Famil y # units) Age of Existing Stru ure `1. e Historic House: ❑Yes l g 9 On Old King s Highway: ❑Yes o . Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.)� Basement Unfinished Area (sq.ft) Z- 1 Number of Baths: Full: existing_ new �_ Half: existing / new Number of Bedroomsruding existing new Total Room Count (noths): existingg ��new First Floor Room Count Heat Type and FF 1: Oil ❑ Electric ❑ Other Central Air: ®'Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: P g g s o e. ❑Yes /No Detac arage: ❑ existing ❑ new size ol: ❑ existing ❑ new size _ rn: O existing newer size_ Attached garage:Y existing ❑ new size _Shed: ®'existing ❑ new size _ Other:,� = ,- .. fo Zoning Board of Appea7No orization ❑ Appeal # Recorded ❑ ' Commercial ❑Yes If yes, site plan review # Current Use `a Proposed Use S APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ,� �`a //���6 r, /� Telephone Number 27 f 35 3 6�� Address Z� r u Cz --c: License # S�1 S- t Home Improvement Contractor# 5S Email `� rs r,°�� �"2 ® of o/ C-0- j Worker's Compensation # UCZ 315 3�7 F_ 0 QY ALL CONSTRUCTIODEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE " DATE �/ /� FOR OFFICIAL USE ONLY ti APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME (VjPm q30��� a INSULATION 7115 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Com wnweakh ofMassachusetts DepoftentofIn(uYft-hdAcdden[s Offcce of fizvesggafzons 600 WYashuzgton Street ' Boston,MA 02111 www.mass gov1&a Workers' Compensation Insurance AfUdavit:Btit-lders/Contractors/Elecfriciaus/Plmnbers Applicant Information Please Pr int b Name(Bnsincss/organi =7ndividQa : _ Address: Cie- LQ, Ci /State/Zip: �a a ,,�,3 (�Z,6 0 l Phone you an employer?Check a appropriate bore Type of project re 1 I a to er with 4- ❑.I am a general contractor and I Yp P J (required): Y 6. N const uciion loyees(M and/or part time).* have bored the sub-contractors 2, I am a sole proprietor or partner- listed on the afiached sheet 7. Remodeling ship and have no employees These sub-contractors have g, []Demolition working for me in any capacity, employees and have workers' con fimirance.t 9, ❑Bulling addition [No workers'comp.n,s•,-ance p. _ Te4°aed 1. 5. E] We are a corporation and its 10-❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Phmibing repairs or additions myself [No workers'comp. right of exemption per MGL 12 Roof insurance required.]t c.152, §1(4),and we have no employees.[No workers, 13.❑Offer camp-insurancerequued.] *Any applicant that chocks box 41 must also fill orb the section below showing the r workcs'compensation policy informabon- t Homeowners who submit this affidavit indicating they are doing aU wD&and then hire outside cantraetna must submit a new affidavit indicating such_ tContracmrs that.beck this box mnst attached m additional shcct showing the name of the sah-canhzctors m,d stain whctha or not thosc etities have employes, If the sib-contractors havo cmployccs,they roost provide rhea wmkcrs'eorop-policy mnnbcr. I am an employer that is pruykLAzg workers'con pensation insurance for my employees. Below is the policy and job site information. InsLu mce Company Name: Policy#or Self-ins.Lic. 3 /7 -Z 1� Q(J-3 Expiration Date: 6 / / Job Site Address: l/—)4- City/State/Zrp: 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$1,50.0.00 and/or one-year imprisonment as well as civil penalties in the fo>at of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification_ I do hereby certify under the pen Ides ofpmiiay that the fnform�don prow ded above is true and correct Si _ Date: : l Z. A� Phone F ficial use only. Do not write in this area,to be completed by city or town oSkiaL ty or Town: Permit/License# Issuing Authority.(circle one):_.. .. . .._ ...__ _ I,Board of Health 2.Building Department 3,City/Town Clerk 4,Me 6.Other ctrical Inspector S.Plrzmbing Inspector Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their eruployccs- PursuallttD this stye,an m ployee is defined as"...every person in the service of another under any contract of hue, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the - dweIling house of another who employs persons to do maintenance,constraciion or repair work on such dwelling house or oa the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall eater into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance. requirements of this chapter have been presented to the contracting authority:' Applicants Please fill out the worker'compensation affidavit completely,by checici g the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s) along with their certificates)of inarance. Lmlited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation inm=r-e. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation ofm�ce coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Deparbn.ent of Tsdustrial.Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-Tncr=ce license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the perma fi crose number which will be used as a reference number. In addition, an applicant that must submit multiple permitllicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all Iecations m (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture i_e. a do license or permit to bum leaves etc. said person is NOT to complete this affidavit ( g P . ) P required The Office of Investigations would like to than you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Ca=aave-ealth of Massachusetts Deparhnent of industrial Accidents Office of kvestigafiaw; 600 wawmpla Stze:(,t Bastes MA021if. Td.#617 727-4900 Qj t 406 or I--977-MASSAFE Fax#617-727-7749 Revised 4-24-07 WWiv mas,_gavf dia 4 REScheck Software*Version 4.6.0 Compliance Certificate Project New Attic Room Energy Code: 2012 IECC Location: Cotuit, Massachusetts Construction Type: Single-family " Project Type: Alteration Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 125 Piney Point Mass Building Cotuit, MA 02635 24 St:Francis Cir. Hyannis, MA 02601 'Compliance: Passes Compliance: 0.0%Better Than Code Maximum UA: 118 Your UA: 218 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Cavity Cont. Glazing Assembly or R-Value R-Value or Door UA Perimeter U-Factor Ceiling 1: Flat Ceiling or Scissor Truss 732 38.0 0.0 0.030 22 Ceiling 2: Cathedral Ceiling 558 30.0 0.0 0.034 19 Wall 1: Wood Frame, 16"o.c. 1,130 15.0 5.0 0.053 56 Window 1:Vinyl Frame:Double Pane with Low-E 35 0.290 10 J Door 1: Solid 40 0.270 11 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 2012 IECC requirements in REScheck Version 4.6.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: New Attic Room Report date: 04/04/15 Data filename: \\bruins4\PROFILES\clegere\My Documents\Documents\REScheck\#11491 Ma. Bldg.rck Page 1 of 8 REScheck Software Version 4.6.0 Inspection Checklist Energy Code: 2012 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. section ` ' Plans Verified Field'Verified # Pre-inspection/Plan Review Value Value = Complies? Comments/Assumptions' & Req.ID n 103.1, ',Construction drawings and w ° `" ❑Complies 103.2 "documentation demonstrate ❑Does Not [PR1]1 energy code compliance for the 4 building envelope. � � � � - . • ❑Not Observable ; v ❑Not Applicable t +� 4 s -+''T`4 103.1, ;Construction drawings and ; x =, ❑Complies 103.2, documentation demonstrate ;. _ ^ ❑Does Not 403.7 energy code compliance for a [PR3]1 ;lighting and mechanical systems. v -; - ❑Not Observable ; I:Systems serving multiple � ° .�_ � ❑Not Applicable ;dwelling units must demonstrate * . ;compliance with the IECC iCommercial Provisions. 302.1,, Heating and cooling equipment is; Heating: ; Heating: :[]Complies 403.6 $sized per ACCA Manual 5 based Btu/hr Btu/hr ;❑Does Not [PR2]2 lon loads calculated per ACCA Cooling: Cooling: ;❑Not Observable Manual J or other methods Btu/hr Btu/hr ICPNot Applicable approved by the code official. pp cable i Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New Attic Room Report date: 04/04/15 Data filename: \\bruins4\PR0FILES\clegere\My Documents\Documents\REScheck\#11491 Ma. Bldg.rck Page 2 of 8 2012 IECC Foundation Inspection Complies? Comments/Assumptions 303.2.1 �A protective covering is installed to ;❑Complies [FO11]2 protect exposed exterior insulation ❑Does Not and extends a minimum of 6 in. below ; 0 grade. :❑Not Observable :❑Not Applicable j 403.8 snow-and ice-melting system controls;❑Complies [FO12]2 ]installed. ;❑Does Not OJ j ;❑Not Observable j❑Not Applicable Additional Comments/Assumptions: 1 IHigh Impact(Tier 1) 2 Medium Impact(Tier 2) 13 ILow Impact(Tier 3) Project Title: New Attic Room Report date: 04/04/15 ' Data filename: \\bruins4\PROFILES\clegere\My Documents\Documents\REScheck\#11491 Ma. Bldg.rck Page 3 of 8 section Plans Verified Field Verified # Framing/Rough-in Inspection Value _ Value "' Complies? Comments/Assumptions & Req.ID 402.1.1, Door U-factor. ; U- ; U- ;❑Complies ;See the Envelope Assemblies :table for values. 402.3.4 � ;❑Does Not , [FR1]1 ;❑Not Observable ❑Not Applicable 402.1.1, ;Glazing U-factor(area-weighted U- U- ;❑Complies ;See the Envelope Assemblies ❑ 402.3.1, .average). ; Does Not ;table for values. 402.3.3, 402.3.6, UNot Observable 402.5 : ❑Not Applicable [FR2]1 303.1.3 ;U-factors of fenestration products z, go#j 4, a ❑Complies [FR4]1 ,are determined in accordance i. ❑Does Not :with the NFRC test procedure or e, ;taken from the default table. ❑Not Observable I ' n ❑Not Applicable 402.4.1.1 ;Air barrier and thermal barrier 0 A _ I, :�- Z 41.1❑Complies [FR23]1 "installed per manufacturer's ;u t _ ❑Does Not instructions. , - µ ❑Not Observable .: 1[3Not Applicable ; 402.4.3 'Fenestration that is not site built - - ❑Complies [FR20]1 its listed and labeled as meeting - 4 ❑Does Not AAMA/WDMA/CSA101/I.S.2/A440 -„ 1 or has infiltration rates per NFRC �. ❑Not Observable I 1400 that do not exceed code , �,. -_ ❑Not Applicable limits. _ w f 402.4.4 IC-rated recessed lighting fixtures ` ❑Complies [FR16]2 „sealed at housing/interior finish = ❑Does Not #and labeled to indicate<2.0 cfm s ?leakage at 75 Pa. ❑Not Observable , ,t "o t 0 ❑Not Applicable 403.2.1 ;Supply ducts in attics are ; R- R- ;❑Complies [FR12]1 'insulated to ?R-8.All other ducts R R_ ❑Does Not in lJ unconditioned spaces or '❑Not Observable outside the building envelope are, insulated to >_R-6. I ;❑Not Applicable j 403.2.2 ;AII joints and seams of air ducts, w 1' m ❑Complies [FR13]1 :air handlers, and filter boxes are "' 'u ' ❑Does Not sealed. U ❑Not Observable 1 4 ❑Not Applicable 403.2.3 I Building cavities are not used as ❑Complies ; [FR15]3 ducts or plenums. ❑Does Not ❑Not Observable • : ❑Not Applicable 403.3 ' HVAC piping conveying fluids J R- R- ;❑Complies [FR17]2` above 105°F or chilled fluids :❑Does Not J' below 55°F are insulated to>_R- 3 ; ;❑Not Observable ; ❑Not Applicable 403.3.1 Protection of insulation on HVAC ,;_ a 4 ❑Complies [FR24]1 piping. S�• • __ _ ❑Does Not ❑Not Observable ' ❑Not Applicable 403.4:2 r Hot water pipes are insulated to R _ R- ;❑Complies [FR18]2 ?R-3. ❑Does Not tJ° ;❑Not Observable ` ;❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New Attic Room Report date: 04/04/15 Data filename: \\bruins4\PR0FILES\clegere\My Documents\Documents\REScheck\#11491 Ma. Bldg.rck Page 4 of 8 Section Plans Verified Field Verified # Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions & Req.ID 403.5 Automatic or gravity dampers are " f '= `zW, Wr wr❑Complies [FR19]2 installed on all outdoor air ❑Does Not intakes and exhausts. v U ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) t:2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New Attic Room Report date: 04/04/15 Data filename: \\bruins4\PR0FILES\clegere\My Documents\Documents\REScheck\#11491 Ma. Bldg.rck Page 5 of 8 section _ Plans Verified Field Verified # Insulation Inspection ;. Complies?3 Comments/Assumptions & Req.ID Value' 303.1 All installed insulation is labeled - ❑Complies [IN13]2 or the installed R-values ❑Does Not provided. _ U ❑Not Observable _ fix. P „ _ O ❑Not Applicable 402.1.1, ;Wall insulation R-value. If this is a: R- R- ❑Complies ;See the Envelope Assemblies 402.2.5, :mass wall with at least 1/2 of the ❑ Wood ;❑ Wood ;❑Does Not :table for values. 402.2.E ;wall insulation on the wall ❑ Mass ❑ Mass :❑Not Observable [IN3]1 ;exterior,the exterior insulation ; U requirement applies(FR10). ;❑ Steel ❑ Steel :❑Not Applicable I 303.2 Mall insulation is installed per 4 4v. , , ❑Complies ; [IN4]1 :manufacturer's instructions. ❑Does Not j -]Not Observable _ s - ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 11,2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New Attic Room Report date: 04/04/15 Data filename: \\bruins4\PR0FILES\clegere\My Documents\Documents\REScheck\#11491 Ma. Bldg.rck Page 6 of 8 Section Plans Verif ed. Field Verified .. " .. # Final Inspection Provisions Complies? Comments/Assumptions & Req.ID = Value Value 402.1.1, ;Ceiling insulation R-value. R.- R- ;❑Complies ;See the Envelope Assemblies 402.2.1, ;table for values. ❑ Wood ,❑ \Noo�j j❑Does Not , 402.2.2, ❑ Steel ❑ Stee 402.2.6 :[-]Not Observable [Fill' ❑Not Applicable 303.1.1.1,;Ceiling insulation installed per - "' m "' ❑Complies 303.2 !manufacturer's instructions. 4 ❑Does Not [FI211 Blown insulation marked every y 300 ft2. - a _ ❑Not Observable ; ❑Not Applicable'cable 402.2.3 Vented attics with air permeable 3" - ❑Complies [F122]2 insulation include baffle adjacent ❑Does Not to soffit and eave vents that ❑Not Observable extends over insulation. = ❑Not Applicable 402.2.4 ;Attic access hatch and door R-c R- ❑Complies [FI311 insulation >_R-value of the :❑Does Not adjacent assembly. ❑Not Observable ❑Not Applicable 402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50 = A'CH 50= ;❑Complies [FI17]1 each in Climate Zones 1-2, and j❑Does Not i<=3 ach in Climate Zones 3-8. ❑Not Observable ❑Not Applicable 403.2.2 ;Duct tightness test result of<=4 ; cfm/loc cfrr,i100 ❑Complies [FI4]1 Icfm/100 ft2 across the system or ft2 ft-2 :❑Does Not <=3 cfm/100 ft2 without air handler @ 25 Pa. For rough-in ❑Not Observable , ;tests,verification may need to ;❑Not Applicable ; occur during Framing Inspection. 403.2.2.1 Air handler leakage designated1IN 4❑Complies [F124]1 i by manufacturer at<=2%of ❑Does Not ;design airflow, , a []Not Observable , - ❑Not Applicable 403 1.1 Programmable thermostats ' _ ❑Complies [FI9]2 p installed on forced air furnaces. ;* ❑Does Not t ® ` - [:]Not Observable qw q❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies` [FI10]2 _Ion heat pumps. ❑Does Not V ❑Not Observable °lam ❑Not Applicable 403.4.1 Circulating service hot water _ ❑Complies ; [FI11]2 systems have automatic or ❑Does Not accessible manual controls. ' - - ❑Not Observable ❑Not Applicable _. :,. _ 403.5.1 All mechanical ventilation system x ❑Complies [F125]z fans not part of tested and listed •_ ❑Does Not )HVAC equipment meet efficacy - ,, f," and air flow limits. _ ❑Not Observable _ ,_ _ ❑Not Applicable 404.1 ;75%of lamps in permanent �' ❑Complies ; [FI611 Mixtures or 75%of permanent ❑Does Not ;fixtures have high efficacy lamps. Does not apply to low-voltage ( ❑Nat Observable ;lighting. '` ❑Not Applicable i 1 High Impact(Tier 1) 1,2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: New Attic Room Report date: 04/04/15 Data filename: \\bruins4\PR0FILES\clegere\My Doc umentskDocumerts\REScheck\#11491 Ma. Bldg.rck Page 7 of 8 section j _ plans Verified Field Verified # Final Inspection Provisions , ' Complies? Comments/Assumptions & Re .lD - F '- Value Value - 404.1.1 {Fuel gas lighting systems have _ ` " " ❑Complies ; [FI23]3 :no continuous pilot light. DDoes Not 3 r ❑Not Observable ❑Not Applicable a 401.3 Compliance certificate posted. `` ❑Complies ; [F17]2 _uV A- ❑Does Not []Not Observable ❑Not Applicable 303.3 ;Manufacturer manuals for ❑Complies ; [F118]3 mechanical and water heating f• `' `'"` ❑Does Not J systems have been provided. �a '4 Ada' [-]Not Observable { -4 _ - ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New Attic Room Report date: 04/04/15 Data filename: \\bruins4\PROFILES\clegere\My Documents\Documents\REScheck\#11491 Ma. Bldg.rck Page 8 of 8 f No2012 IECC Energy t Efficiency Certificate Insulation Rating R-Value Above-Grade Wall 20.00 Below-Grade Wall 0.00 Floor 0.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): Door Rating U-Factor SHGC Window 0.29 Door 0.27 CoolingHeating & Heating System: Cooling System: Water Heater: Name: Date: Comments 3 jauoisslww00 } g4 • �:':9�OZfbOlZO .�'y�'�.""'�.� fit', ' 10910 Vw SINNi s, SIJN -# su F — sp asselN F". NX r - jadb e, Cde License or registration valid for individul use only Office,of Consumer Affairs&Busi ess Regulation ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 158588 Type: Office of Consumer Affairs_ and Business Regulation °xpiration: 2/11l201.6: Partnership 10 Park Plaza-Suite 5170' Boston,MA 02116 MASS UILDING SYSTEMS , STEPHEN BOBOLA` 24 ST.FARNCIS CIRCLE � � HYANNIS,MA 02601 Undersecretary Not valid without signature AG�� DATE(MMtDD/MY) CERTIFICATE OF LIABILITY INSURANCE F6130/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING iNSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER BRYDEN&SULLIVAN INS NAME: T 88 FALMOUTH RD PHONE FAX HYANNIS, MA 02601 E-MAILc No. ti y;._, arc.No► ADDRESS: INSURE S AFFORDING COVERAGE NAIC 0 NSURERA: Libertv Mutual Fire Insurance 23035 INSURED INSURER a: MASS BUILDING SYSTEMS LLC 24 ST FRANCIS CIRCLE NSURERC: HYANNIS MA 02601 NSURERD: INSURER E: SU E COVERAGES CERTIFICATE NUMBER: 20737496 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1LTR TYPE OF INSURANCE INSD POLICY NUMBER MM DLSUBR ID Y EFF MWOPOLIC�Y LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PANYf= $ --- MED EXP(Anyone Person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ POLICY❑JPECT LOG PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ e accident I ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPSRdTYDAMAGE $ HIRED AUTOS AUTOS Par $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION $ A WORKERS COMPENSATION WC2-31 S-317211-044 6.1712014 6/7/2015 'STATUTE OT AND EMPLOYERS'LIABILITY _ ANY PROPRiETORIPARTNERIEXE(ArrNE Y� NIA E.L.EACH ACCIDENT $ 500000 OFFICERJMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500000 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 i DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 1111,Additional Remarks Schedule,may be attached if more space is required), Workers compensation insurance coverage applies only to the workers Compensation laws of the state of MA. This certificate Cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE TO MAIN ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN 200 ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS MA 02601 AUTHORIZED REPRESENTATIVE �. 'A_- Liberty Mutual Fire Insurance cQ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks crf ACORD CERT NO.: 20737496 CLIENT CODE: 1611154 Didi Dangas 6/30/2014 2:49:11 Phi (EDT) Page 1 of 1 Town of Barnstable ` .� Regulatory Services * saxNSTasti� + ' Mass $, Richard V.Scali,Director 4� 1e39. Building Division Tom Perry,Building Commissioner __... ._ ...._.___.........____..._.__....-__.. 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I hn G --�� , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized bythis 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 Inspqcpons are performed and accepted. - ignature of Owner, tore of Applicant Print Name Print Name D Q TORMS:O WNERPERMISSIONPOOLS Town of Barnstable , Regulatory Services of-ME Toiy,� Richard V.Scali,Director Building Division Tom Perry,Building Commissioner sa ,a� 200 Main Street; Hyannis,MA 02601 CEO MA'S A www town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION- number street village "HOMEOWNER": name home phone# 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 requirements 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,RuIes &ReguIations for Licensing Construction Supervisors,Section 2.1S) 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 of this issue is a form currently used by several towns. You may care t amend and ado fpt such a form/certification for use in your community. Q.\WPFIL HS\FORMS\building permit fonns\EXPRESSADC Revised 061313 11 S,S 1 L c I �re...v..nw..e...-�_.. —...rr.._..+�. �.�. v •.`.+...�....... ..r.. .. d.'..L .......n...—L .. — ..w f..... -.. .. Y . � .................m._.»...n...m-mac. ....�r...a.....�.w... , Ili ..«.. ..�XC,.17 1.14� �nw+..+•�l.._`..:rt�,a.r✓��xvgr �.n.r �S�R°� � _��. �����ksrw ry .yyt. � , ---- __ irk .,.. .. - •:4..ate.;��. .I' ' 1' I.,.i iv �i..i••+ ytiy fit• j. ' 4 ;k. 13. .I: L - . _ a r�f....ia'.1:r'.tN•t.{—i-'<i:;r_.:•�•:.. •,�'.rl..;..�I�Z�.hP��•tL:.'L�:+.a'JIt�i1����=�.�:. . tcvHT �E VAT)or-! pf nya I IV - j2 -� _ _ .t ,.�F._� _ .is' •1/�.r.-t-+.:i:-�,. , ?. .! �,�•r�.;•,_i•to ti. f.,'`�;r;• - - .. ::tom. pp -Y":�'•-4a :j�1�• r. rx c i' i/. - 1 -1 - 1: :x ��s T-7 .1?.'. x�.•.'.'c •+fi�rr .. .. ...•:^3'�'�'e4�at`�P,�•.� 1 �Y7.t4 fix'-'fit•, AM Fd '. r•.{ LY. i f ..` r'ri,; .�ir1+J •,j`F� .}..a, }��•°,'� .5 ,. - 1•a — .I �fa.7r .�Y ,2., .� ,,nF f ,` .t3.> •./ ��'.1'_ f� ....f.7. -ri.'J�r�4'rie._a.::e:... .� -�r'rt:.� �.f,.i ���.��.�i^:,,.�L���.. 4�h.�_ - -TAT V2- :17 ,,r +,+ t r + -.f•.,kr +y aa+ ''f t p .�tl n J .j r '..�'-. 1. ,3�..� �� ?Lr� �„� . - t .s,� ♦ 1 .Ai- .. �Y a �r'Y r� _ s ._. t. . ;¢Sri .dti. .. 3'r'.'J'�,.'r•` ��+�d�a,:,s:.,:�.s.=' - f y cwPro �61- 4 r - 1 Iro NT �E vAra4 'L L • - r nl•a , • a , BdA!a r v h. � �'' � .• {, ., ,`.�� 5T7 tit' � i' � �': n _ .l ' � a r �F f FL, �.• off S�Qj �(WOot� 105� Cow - 2xu'c fv"oo to GoNT Ye-*� wor w �R SoFfT} poiloe. 'k- otmo .: _ � .-•'� - �`� . �i1hF�W 'f 7i'�0' of i ,' �. s w"ou-o ?.r►o"'I `-71 tij�OS t y •''• �, _ "� '. •�IW F .v "� �- 7�� �*.1�9•'4Pr� � � i�1Zl 44 W� ' ttNiF{,. '• rA9f11� GoNa �, htspM�tT: Wh'i� paoFir•tre 1� ; _ - - D.H,8"f�Ei°x yip'MwE.lbhw:kilo• • �. �I - ` DN ��hPl+orEO.ro p MtW' f►r/- / :eOi (� _ p. 3& Fw�o 4TI, 4 • 'W10C OE.V Su1k-voN C7 P• ° t!o� 5��� ". ,���� �_ \. - -" i'� - y 5'4 0•.4' Nt�a+tsA- -_-t==--fit � �• Ll �J4 i-F- t _ C lo'•o a'.o 6.Ci to /. 9SC Is-to ASSESSORS` LOT 83 200. 00 N85 52'00"E i c FO UNDATION p 46.0' o = 17.0' O� 1.0' � �. FOOTING "'FOOTING o `� . 12.0' � z 38.7' 8.4 24.0'• ASSESSORS LOT 82 6.2' 23.0` 200. N85 52'QO,,E, 00 y ASSESSORS LOT-81' - . ASSESSORS 'LOT-126 FLOOD ZONE "c"_ FO UNDA TION CERTIFICA TION RES ZONE- "RF" TOWN.-COTUIT SCALE 1 "=30' PL.REF-319 64Y ELEV NSA .I CERTIFY THAT THE ABOVE YANKEE,SUR VEY CONSULTANTS FO UNDATION IS.`L0CA TED ON P 0. BOX 265 THE GROUND AS .SHOWN, AND- % OF ' IT'S POSITION_�O�S'_____ �� Pit ���•, - UNIT 1, 40B INDUSTRY ROAD CONFORM -TO THE ZONING LAW MARSTONS MILLS, MASS. 02648 TEL: 428—0055 SETBACK REQUIREMENTS OF FAX 420—5553 BARNSTABLE_- '��cisY ®'4! IAK�' JOB PA UL A. MERITHEW DATE 11124 198 NUMBER 51533FND Town of Barnstable Regulatory Services cFTME Thomas F.Geiler,Director Building Division v Knee. Tom Perry,Building Commissioner Tfny Aim 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax- 508-790-6230 Approv : Fee: Permit#: ��� HOME OCCUPATION REGISTRATION Date: 192E Z z®bS Name: �'D/(//�G /�O y,J�1 �/ Phone#: Address: ptme V Village:��� Name of Business: �L�l� ` �/'A-5M613 Type of Business: 1-74-1/y/F-99=. i 2 Map/Lot: OZ oOC—Z INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes.- • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,.or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pickup truck not to exceed one ton capacity,and one trailer not to exceed'20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Cus m Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned, read an agree with the ab ve res 'ctions for my home occupation I am registering. Applicant- - Date: w o D S Homeoc.doc Rev.5/30/03 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1 FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: ' Fill in please: / APPLICANT'S YOUR NAME: DoAotLD A, i OLIAttU�c(� 7r7 BUSINESS YOUR OM�ADDRESS: 0 8o)C -!goo rods 3�51�(3�� Coi L VIA.- TELEPHONE # Home Telephone Number -�F ZTS'- 535 8 NAME OF NEW BUSINESS TYPE OF BUSINESS K& ;re , 6 IS THIS A HOME OCCUPATION? YES. NO Have you been.given approvaffrom the building division? YES NO ADDRESS OF BUSINESS !zs i do __10 MAP/.PARCEL NUMBER �Z 0d�Z When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd.&Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO NER'S OFFICE This inc ivi ual his n�infor !!Zny pe=it requirements that pertain to this type of business. ti-- Author' ed S tui COMMENTS 1 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) r This individual has been informed of the licensing requirements that pertain to this type of business. _ Authorized Signature* COMMENTS: TOWN OF BARNSTABLE CERTIFICATE OF.,_OCCUPANCY PARCEL ID 020 062 GEOBASE. ID 852 -ADDRESS, 125 PINEY ROAD PHONE COTUIT ZIP - LOT BLOCK LOT SIZE ' DBA DEVELOPMENT DISTRICT CT PERMIT 39131 DESCRIPTION SINGLE FAMILY DWELLING (BLDG PERMIT #34644) PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND .00 1w CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE P"w E__ ; * BARN3TABLE, • 1M4AS& �039. A�O� Fp HIS � BUILDIN DIVISIO BY44 - DATE ISSUED- OS/-15/1999-- --EXI?I RATION--DATE.. TOWN QF .� IZNSTABI�E � }. + PARCEL ID 020 082 UFOI3ASE,< Ij 85 ADDRHS0) 125 PINEY ROAD :y PHONE 1:;0�.'UIT ZIP LOT BLOCK J40T SIZE DBA 4 DEVELOPMENTIB RI t T .r PERMIT 34644 DESCRIM7ION 2100 8Q., FT/A'I~T 2 CAR`(SEW 9€3' 714) PERMIT. TYPE BU1 ,#) TITLE NEW RESIMNTIAL 13LDG Pt'T , CONTRACTORS: PROPERTY OWNER Department of Health Safety ARCHITECTS:- � ' y � and. Environmental Services TOTAL FEE$- , 620.00 THE BOND. $ $.OO COMEMMUCTYON COSTS A2001000.00 � �► B T NODE FAM HO 9 DETACHED I P.R SATE P I,�;)'? * BARNSTABLF, • MAS& i639.10 BUIL INQ DIVISION BY DATE -I .SUED 11/09/I:9 I8 EXPIRATWN D.ATvve THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS Y+ PERMIT DOES NOT.:RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE S_UBDIVISION.RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED !� FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE, REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND M FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. CH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. - • • - � • 114=117; • BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 IJ L Lot ' 9,� 1 ,�,d121rA w1Z 2 2 3 1 HEATING INSPECTION APPROVALS GINEERIN EPAR MEN 2 ` - BOARD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. . i t - • 1 I q �s i1r- �` Engineering-,Dept'.(3rd floor) Map ` , © Parcel ." $�._ Permit#- Q 4-4, House# /Z,3 D Issued oard of Lth(3rdfl6or)(8:15 -'9:30/1:00-4:30) -. P O onservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept. 1st floor School Admin. Bldg.). I-/~ / E • " Definitive Plan Approved by Planning Board TOWN OF.,BARNSTABLE, Building�Permit Application Project Str"eet Address Village 1,1aia I �.. Owner 0 H-t O ' Address /l -Telephone a Permit Request q ' itlEcy - 1 First Floor Z 1 l to square feet Second Floor square feet Construction Type Estimated Project Cost $ oZ 00 Q�© Zoning District Flood Plain Water Protection Lot Size L� -z Grandfathered *Yes ❑No Dwelling Type: Single Family . Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes V!kNo On Old King's Highway ❑Yes )j:CNo Basement Type: .Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) `2,`00 Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New 6F First Floor Room Count Heat Type and Fuel: 016as ❑Oil ❑Electric ❑Other Central Air ❑Yes 0190. Fireplaces:Existing Ne 2, Existing wood/coal stove ❑Yes U40 Garage: ❑Detached(size) Other Det ed Structures: ❑Pool(size) O-Attached(size) 52-E tZ Lut ❑Barn(size) ❑None r0 C ❑Shed(size) Gas E P' ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name aq Telephone Numbe Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE^ / DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) • l Cv FOR OFFICIAL USE ONLY y PERMIT NO. DATE ISSUED — MAP/PARCEL NO: ADDRESS 1 VILLAGE' OWNER DATE OF INSPECTION: 1 ' FOUNDATION' FRAME '.; 4 • - — ! INSULATION � _ .�_ . � � . • � — _ ... s _ _} + FIREPLACE ELECTRICAL:' ROUGH FINAL -- ' , PLUMBING: " ROUGH FINAL GAS: { * ,ROUGH FINAL FINAL BUILDINGr+ DATE CLOSED OUT ! } ASSOCIATION PLAN NO. = + �O 111 : . The Town of Barnstable = snRNsrnBte, • 'M ���' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner PLAN REVIEW Owner: 9� 0C i Map/Parcel: 2'd Project Address: ��"I RD, Builder: W The following items were noted on reviewing: r o 0tJ Ory s IJ o v ? (2,Z Please call 508 862-4038 for re-inspection. my �trspe¢ted by: �L Date: q:building:forms:review ZME The Town of Barnstable BAMSTA 9MAS& Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner PLAN REVIEW ` Owner: 20�!J�tTo '` Map/Parcel: J Project Address: � �,� 7 Builder: Q �� ThelblloW rig items,were noted on reviewing: R c3 yr/ +�-f (5y T r e Please call 508 862-4038 for re-inspection. ,4nspect-d by: r ZU ts . Date: q:building:forms:review MAM 1"9.6 The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 a Building Commissioner March 16, 1998 Attorney Elizabeth Lynch 702 Putnam Avenue Cotuit, MA 02635 RE: Buildability of 126 Piney Road, Cotuit (020/082) Dear Ms. Lynch, ° Thank you for submitting the necessary documentation for the above lot. The informaiion has been reviewed and it was found that the contiguous lots (Assessors parcels 83,93-2, 129, 126 and 81) were held in separate ownership at the time of the zoning change to 1 acre (3/29/73) therefore parcel 82, 126 Piney Road, Cotuit is deemed buildable as a pre-existing, non conforming lot. Should you have any questions,please feel free to call. Respectfully, Ralph Crossen Building Commissioner 7' Jf /.. '•� `�, t f j,. t iS. :�T�,�Y ..f.i��'• .3�. :?�•- t s• 'FFi-�. - .tt+ .. f.fit' , - _ s .. • .ti= .4,�.�.aim j,n-f:•,✓�' .�.y t ,ii , .�Y• .v I. ��' � :iu` T �~ t .t1a:.? �! �. R t •' '�l f �Y: .y:. ..,1•{:i ��.J.�. .,. �u.. - :'l--":... .. .. -. - ...•"av:,:....0 _. .v�'.� .._ ._+ _ ='..,w t..��:``{:..t.Ons:.�+: -.r•.. ...:w .•yy:'r..•&i-a!�` .:llr_.. .. .r..•.._.� lt .►e�S:._� c is ��; t 26 el 'ry ".C'"'is r.i. .. _ — � �. � � — •• s' — — +. i Icv NT �E VATlot-1 Pik 'Sf �taJ •i � Ywi i - Aj— • _ LV1, r {hY/�V.�T.?'I�D.�?. ~ .. .+ L. �.4y.+ 1, •+. r., i{•�R� t_yY�`{�x•.% - C+ �.r.iT—..��� __+_t _ i •. +mow • '. .. ..l• I ♦ t * - .(.1J< y� Z �jr� i ifs t. tih•, r•. ,;. . .,.. t+' .. •� `.,��� ,- :.r`.±s ,3-. .. �+:.��'t_. .. -^d ate....- ,. ._ .,... . off rl/v (v(WOOV r 1O'd jv''o.c, % �„ /bxu�C Iv°OG I o LoNT Je 44QPH wor 1►4 i� �FfT• pVOJIt�Q. �kg nta0 Tr It - 41 17, 0 WIT v. 3 _ T�' ,r �,• r k , LsqrZ A Selo_ T.10la. ' ',tea i, 1Y;"GC11f� `,�1rt•14� Air I ��: *' paoFtrffo : !I ON 8"fxr�i° '14MWE GbMw..kT(o. i 13 Ld I K J6 W 5 - D�Gob,P?GrEO rop.J�tFli� - w/_�'j •-:'�� >�.� - (� = D. 3(o -., PF EC;n r4 Lo z s 3/�, 1!fl, CEO! !tif6 3S'r �a y �.4o �2 (, �tNe .1 Y o4 ul C.1 11�1-�� �U{'• 4 . . 1 , LL c I. � ! - Ate.._• r s • _p. .p, sj!p'� TK✓ 1 1 of—\� _.. _. I'�''Gn + 5LU ,'4o *r AF- 21; �. T G•y� i 5%10 lof•oo I d'_o' / U.0 N-V'.. i Y-� A'•�0__� �..-----�-- •L1490.fG IraVo.. :�_S. 111•�.• 41,Q• 3 • e BARNSTABLE 1 COTUIT ASSESSORS LOT 83 I EXISTING ASPHALT \DRIVE 4o�$ • ` _ SCHOOL S2 200, 00' 1 — 1 1 . . N85 5200"L ��i LOCu K yw COTUIT BAY a \ ASSESSORS LOT 82 a 1 o \\ AREA= 25,000 + SF 'LOCUS MAP o p \ \ 46,0' p 97.6 cr 5.0' / o TP 1 oy o � O 17.0 i�/ / � ASSESSORS MAR- 20 w o �11.0' I 11.0 �28. 7' _ 1.0' b / o PLAN REF. 319/64 I I � FLOOD ZONE RES. ZONE o HO USE PROPOSED w I WI —+- W I SETBACKS: 30-15-15 EL = 102 13B.5' I 011.3 I I 15' GARAGE o � � Q I.'i I I TP2 '935 �\ LJ �\ Ll 'PROPOSED. 11 BENCHMARK 'PK- NAIL- EL = 98.5 VENT 23,0/ � 10 00 CLAMSH V WAYLDRI II SITE AND SEPTIC PLAN J�_r ------------ �1 PRO✓ECTLOCATION V / v PINEY ROAD - LOT 82 z4zO COTUIT A(A. �y 02635 4 APPLICANT.• O — "�' 200 00' SSESSORS LOT 81 DONALD A. BO)WrON, ✓R N85 52 00 ` �r YANKEE SURVEY CONSUL TANTS ", - ASSESSORS LOT 126 P.O. BOX 265 a4�� PAUL �' UNIT 1, 408 INDUSTRY ROAD A. MARSTONS MILLS, MA. 02648 �I to.ERi.HEIN s� PH(508)428-0055 — FAX(508)420-5553 �k•`OFC.rgrF= +s SCALE.- 1" = 20 DATE.' 11104198 REV. REV.. JOB NO. I SHEET 1 OF 0 EL.= 102'_ TOP OF FOUNDATION F_ 20' MIN. 10 MIN CONCRETE COVERS 4'SCHEDULE 40 P.V.C. MIN. PI7C•H 1/6 PER FT. - 2"LAYER OF 1/6•_1/2• VENT - CONCRETE COVER • WASHED STONE s.M i • —7 i. . . . i i . i . . . i EL=99.5 = EL—100.5 .. 4•CAST IRON PIPE - • •'� i EQUAL1 MINIMUM . E (ORPI7 I/4 PER FT. - 'CLEAN SAND 9„ MIN. INVERT 1 FLOW LINE _ EL=96.5 . ` l 10,. 14• o 0 MIN. --2.0• CAS INVERT N6 SUM LEVEL - o og o INVERT BAFFLE EL.=97.75' INVERT INVERT EL.= 98.0 EL._ 97 25_ EL.=97_0 - oe8 o i '5.0 (ro BE PLACED ON FIR„BASE) DISTRIBUTION MECHANICALLY COMPACTED OR B'OF S7VNE BOX __1SQQ__GALLONS TO BE WATER TESTED 11' X 38' TRENCH FORMATION > h SEPTIC TANK IF MORE THAN ONE OUTLET N PLACE ON 6"STONE Y/4 7T1 1-1/2• SOIL ABSORPTION If'AED STONE PROFILE OF SYSTEM (SAS) SEWAGE , DISPOSAL ' SYSTEM B07FOM"OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV.=_B7.75 NOT TO SCALE NO OBSERVED WATER TABLE (03126198) ELEV.=8_7.75_ OBSERVATION HOLE I ELEV=_100.5 PERCOLATION RATE <5 _ MIN./ INCH AT _,?�'- INCHES OBSERVATION HOLE 2 ELEV. DEPTH HORIZ TEXTURE COLOR MOTT OTHER DEPTH HORIZ TEXTURE COLOR MOTT OTHER' 0"-8" A SANDY LOAM 10YR511 0"_8" ' A' SANDY-LOAM 10YR511 ' 8"-38" B LOAMY SAND IOYR618 8"-38" B LOAMY SAND IO R618 GENERAL NOTES 38"-144 Cl MEDIUM SAND 10YR614 PERC 38"-144 CI MEDIUM SAND IOYR614 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN OF _BARNBTAQLE--__ RULES AND NO WATER ENCOUNTERED NO WATER ENCOUNTERED REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO SOIL TEST SOIL TEST WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12" DATE OF SOIL TEST 3126198 SOIL TEST DONE BY BRUCE G. MURPHY, RS. 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITNESSED BY- JERRY DUNNING, B.O.H WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN DESIGN CAL CULA TIONS.' 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. P # 9126 NUMBER OF BEDROOMS . . . . . . . 3 4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL GARBAGE DISPOSAL . . . . . NO BE MORTERED IN PLACE. TOTAL ESTIMATED FLOW GAL/DAY 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH ( I70__GAL/BR/DAY x 3--- BR) 330 DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO TOP LOAD REQUIRED SEPTIC TANK CAPACITY 1500 GAL OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 5 INFILTRATORS WITH STONE SOIL CLASSIFICATION . . . . . . . 1 6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR 11' X 38' DESIGN PERCOLATION RATE 5 MIN./IN. IS TO CALL "DIG— SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS 74 GAL/DAY/S.F. PRIOR TO COMMENCING WORK ON SITE. EFFLUENT LOADING RATE . 7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS LEACHING CAPACITY (AREA X RATE) 369 GAL/DAY SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. RESERVE LEACHING CAPACITY . . . 369 GAL/DAY I 8) PARCEL IS IN FLOOD ZONE___'C"_____. (38 X 11 X.74)+(38+38+11+11 X.833 X,74) i 9) LOT IS SHOWN ON ASSESSORS MAP _20— AS PARCEL SHEET 2 OF 2 JOB NUMBER___51533_____ . The Commonwealth of Massachusetts --- = j Department o De art Industrial Accidents P office ollmmes9989oos 600 Washington Street -..-. � Boston,Mass. 02111 Workers' Compensation Insurance Affidavit i ]� name: I✓o &( 2 • . location 2 6 @ *e. � . - city co U 4hone# 5 Z&-''�j�,';S ❑ I am a homeowner performing all work myself. ty . ❑ I am an employer providing workers' compensation for my employees working on this job. :::;>: :+i:i8 :?%name �i ;i;a; E`::>? i'i -i iiiii i� > '? > i i!_' �i>i i'i�iii i?` ' < �i}i ii' M ' ` %'` i%'s2 i i i t i}.,.-Mi± 2-,-_, i, soma nv >::.::. ` dress. . ::} >::«;..:'.:; : :::::.:;.;:.;'.: .......... ; `h :usurance.ca li .. am a sole proprietor,general contracto(!�7 wner cle one)and have hired the contrad1ba listed below who ,•,.1 the following wtn3cers'..compensation policM.es:::...:.:::::::::::::::::::.:::::::.:: ..::::::::::::::::.:.::::::..:::.:.....:::.::.::.::::::._:::.:::::::::::::::::::::::._::.::::.:::::.,.,-::..::::::::.:. 0 >:<< < > .> .:.::::::::.::::.:..:... com an :.name. :: .... , I �R ::..::: .::. :::.:::: ..:: :.:: : . .. :............................. . : .. .:;:: ::.;::::;:.::.;:.:.'.;:.::..::::.:::. :...... :::: ::;:". <«><': ::.:.:.........:...:.. ...: :: ::.:.r:>;:.: . :::::.;:.;;:.;;>;:;.:.;:;;.;:.;... :::..:...... . :.::::::.:::::::::.::::: :::::.:::::.:::::::.::::::.:::,:::::::::::::::::::::::::::::.::..:::::::::.::.:::::.::.:::::.::.:.:.. ........ ... .:'.::.iiii .. ..... ::: :::::::::::::::::::::::::::::::::::::•:::..y:•i:.i'::.is3'.i;:::.;;.y:.�:::::::.�:::::.�::::::::::::::::::::::.�i:!�::•}}::::.�::._:::::n:•l.:?........... .:::. •.�.�::::::::• :. ... .. 1.,1 address.. .. :.. ::.... »::.:.. ::.:::::. :::.:. ::::...:.:. .: ... 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I understand that a copy of this statement may be forwarded to the Office of Inv ns of the DIA for coverage verincation. I do hereby certify th p p . of er. that the injormadon provided above is&w.and correct Signature Date /z �l F _ Print name y-L 0 ,,,,� Phane# L � '�� ofndal we only do not write in this area to be completed by city or town official . city or town: perndt4iceme# nBaOding Department (]Licensing Board ❑cheekitlnunediate response is required ❑Selec6nen's Office 11 ❑Health Depattinent contact person: phone#; _ (]Other oriaW 9/95 PJA) r tNe The Town of Barnstable oF • '0'�.o Department of Health Safety and Environmental Services Building Division BAMSTAIMASS . ' 367 Main Street,Hyannis MA 02601 H . � 059. �0�' �ED MA'1 A Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: I/ S2 k e- JOB LOCATION: Z do _Pz111ga /1 7 X number street village "HOMEOWNER": Q&&l so.w( (7 -SSS-2 6D8' 73Z— 013s name n / home phone 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 Kermit. (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 r tj;' ements and that he/she will comply with said procedures and requir ents 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 of 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. QTORMSIXEMPT MCURAppwdki ' �TabG dSZIh(eoatmaad) pmeriptive Faeicagn for Oae and Two•Familr Ruidmdd Baildlnp Hated with road Fade MAXIMUM MU MUM cmucing Glazing Ceiling Wail Floor nSlab �8���g Arm'('K) U-value R-valu; R velum` R-vaiu�, Pia �P== EMa=p� ltrvaluad s7oi to 6500 Hadaa Degeee Dan' , Q 12% 040 38 13 19 10 6 Notnml R 12`% 032 30 19 19 10 6 Normal S I2DA OSO 38 13 19 l0 6 85 AFUE T 13% 0.36 '38 13, 25 WA WA 'Nomml U 15% 146 3E 19 - 19 10 6 Normal Y I�yi i7.4+i 3'e 13 �i ivA v:: !S A..Fl7E W 15% 0M 30 19 19 10 . 6 83 AFUE X IS•/. 0.32 38 13 ZS WA WA Normal Y 18•/. Q42 38 19 25 WA ' WA Normal Z 18% 6.42 38 13 ' 19 10 6 1 90 AFUE AA Iv/. OSO 30 19 1 19 10 1 6 1 90AFC 1. ADDRESS OF PROPERTY: Z& /D "e-4A 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 2- 1 19 3. SQUARE FOOTAGE OF ALL GLAZING: Z 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q—AA-see chart above): r NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. 1 i BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table.15.2.1b: ` Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors,. skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. 'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken.,from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation 'may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between .&-- - --�•---d---"on of the.:.Cr me eonditionea space auu Me vci,uia►a PUS-"' Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall. For example,an R-19 requirement could be met EITHER by R 19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door""U=value requirement described in Note b. 'The R-value requirements:are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must by tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 TOWN OF BARNSTABLE Building Department- Foundation Permit Date u - 9 - qT Name Of,**% A �. Location 12 ,5_�InO&IMI � Insp. of Bldgs. ?E �U4 e. -ear ' �1 A L — .-e4tc�_--- < A 2. tFs.S' _... "9 I Double Hung Test Results NFRC Rated Product Total.Unit U-Factor Total Unit R-Factor Sound Description Glazing Primed Si-Res./Non Res. Primed Size:R.JNon Res NW WDA Transmission AL Clad Size: Shading Rel.Heat Air I.S.Test Class ResJNon Res. AL Clad Size ReA,oa Res Coeffecient Gain Infiltration Level Primed/Clad (1) (2) (3) (4) Double Hun Window 5o/s0 (s) 167 (7) g 3/4"Insulating �� zoo/2.M zoo/zoo 90 187 0.10 DP30 28/27 with Combo Storm .3(1/320 3 33/3.33 32/32 3.12/3.12 3/4"HiPro4"(Low-E') .35�� 194/3.12 '47 97 0.70 DP30 27/32 with Combo Storm 22J22 2'863.0.3454/C54 3/4"Ins'ul.Div.Lire ��� z.oe/2oa 1.92/1.92 n.a. n.a. , 0.10 DP30 na./na. 3/4"H]Pm4T"Div.Lire �!� 294/3.m 27sl2.94 n.a. n.a. 0.10 DP30 na./n.a. (7.) Total Unit U-Factors for Vetter"products were obtained using NFRC approved computer simulation programs frame 4.0 by Enermodal Engineering,and Window 4.1 by Lawrence Berkeley National Laboratories,following the NFRC 100 Procedure for Determining Fenestration Product Thermal Properties.Sizes for Res./Non Res.are predetermined by the NFRC for each product. (2) R-Factors are calculated from the NFRC U-Factors 1/U. (3J Shading Coefficient values for Vetter'°products listed are obtained from the computer simulation program Window 41 Glazing Library.(4.) Relative Heat Gain values listed were obtained from the computer simulation program Window 4.1 Glazing Library.(Btu/hr/tt') (5.) Air infiltration rates are cfm/ft.sash crack for windows and cfrn/R=for doors from reports of test performed by Lndependent test laboratories.Greatest tested value shown between primed and clad product types. (6.) NW WDA I.S.test levels are from tests perforated by independent testing laboratories.DP test levels=I.S.2-93(Windows).Grade test levels=I.S.3-88(Sliding Doors)or I.S. 8-88(Swinging Doors). (7.) Sound Transmission Class(STC)values from reports of tests by independent test laboratories per ASTM E 90.Numerically higher ratings indicate improved sound deadening. ma.=not available at time of publication. NFRC=National Fenestration Rating Council. - NWWDA=National Wood Window and Door Association. Double A11ung Window .egress Data SASfIOPG.WIDTH 1-8 2-0 2-4 2-8 3-0 3 4 3.8 Due to variation of local code requirements for egress windows, GLASS W7171'H windows am listed by glass size with clear opening width and height, 76" 20" 24" �" 32" 36" 40" sill height above floor,and square footage of clearopening.Always refer CLEAR OPC.WIDTH 177/8" ZI 7/8" 25 7/8" 29 7/8" 33 7 8" toyourlocalcodesforexactegressspecificationsandrequirements. / 377/8" 477/8 SQUARE FEET OF CLEAR OPENING DHl 52 7/4'" 2-6 12" 12" _ 7.82 2.16 _ _ _ 481/4- 2-10 14" 14'" 1.74 213 252 -_ 2.90 3.29 3.68 4.07 44 1/4" 3-2 16" 16" 1.99 243 361/4" x 3-10 20„ 2.88 3.32 3.76 4.21 4.65 20" 2.98 3,04 3.59 4.15 4.70 5.26 5.82 321/4" rS 4-2 t~ O 00 x 22" Z 22" 2.73 3.34 3.95 4.56 5.18 5.79 6.40 w 281/4" O 46 m 24" w x Z x q 24" 2.98 3.65 4.31 4.98 5.70 6.31 6.98 a 20 1/4" w 5-2 y O F- Oo G y �„ 3.48 4.25 5.03 5.81 6S9 7.36 Q 161/4" x 5-6 U 30" Ri 8.74 30" 3.72 4.56 5.39 6.22 7.06 7.89 8.72 * 751/4" 5-6C 24/36" U 24^ 2.98 3.65 4.31 4.98 5.70 6.31 121/4" 6.98 5-10 32" 32' 3.97 4.86 5.75 6 64 7.53 8.42 931 81/4" 6.2 34„ 5.76 6.71 7.05 8.00 8.94 9.89 41/4'" 36^ 36'" 4.47 5.47 6.47 7.47 8.47 9.47 10.47 * Sill height above floor is based upon 6'-101/2"header height above the subfloor.