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HomeMy WebLinkAbout0533 POPONESSETT ROAD 533 �.�pt F¢' / / TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION " Ma Parcel o�. f=J 6�T°IIP SYSTE E a > , P rmi # r p 114ST°ALLED IN COMP '. ,u Mae t �300. A- Health Division s a 3 9 \•,„ pp�� W�pITH TITLEuPiENTALu6 �. Date Is t i ENVIk Conservation 1DO Ad Division N v�� ���, H F E U L,XT36 X Tax Collector Treasurer a Planning Dept. Date Definitive Plan Approved by Planning Board r Historic,OKH Preservation/Hyannis Project Street Address 5 33 Poeo v655&l7 Village t�d'Z -1T; Owner QL-vF_ ca AIuo mv- icmFtgn Wpia., Wcr-Addr'ess �6-33 ' o ppoyCssiz rT' LSD, Telephone 30? 'fF $—a.& �- Permit Request RDP 6 O RR--Gi= P h/D TiqMi kq W ookr A D Di f 1 e>AJ f , Square feet: 1st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cost 3 A,000 Zoning District Flood Plain Groundwater Overlay Construction Type W gop PRAOIE— ' Lot Size — AQ1,E S pla Grandfathered: '❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family 0 Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes . 9 No On Old King's Highway: ❑Yes a No Basement Type: dFull ❑Crawl YWalkout O Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) __--- - Number of Baths: Full: existing / new ! Half:existing new Number of Bedrooms: existing l new 0 Total Room Count(not including baths):existing new First Floor Room Count S� Heat Type and Fuel: ❑Gas 40il ❑Electric ❑Other Central Air: ❑Yes No Fireplaces: Existing -a New Existing wood/coal stove: ❑Yes ®No Detached garage:❑existing ❑new size Pool:❑.existing ❑new size Barn:❑existing ❑new size Attached garage:9existing �new size Shed:Cl existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes - E(No If yes,site plan review# Current Use 5 iAAI,-- 64ine Proposed Use BUILDER INFORMATION Name ��y/�i2� �- 0 i,r'Pc/-' &-/F'r Telephone Number Address 0�R t/ a P,cvdi/assei L`` Rd License# d Tv�Z. Home Improvement Contractor# - Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO tio ;'l/ , t �l SIGNATURE /3 DATE MovZo7bef' 3.I ff9 FOR OFFICIAL-USE ONLY - ERMIT NO. 2,3 - i DATE ISSUED " MAP/PARCEL NO.�•y . - ADDRESS ' ^" ` VILLAGE ': i '., �" � • -• 's -~, -I ,. ,� - OWNER,• ' DATE OF INSPECTION: FOUNDATION r FRAME . INSULATION ✓�V1� U s —tea FIREPLACE ELECTRICAL: ROUGH FINAL a PLUMBING: ROUGH FINAL GAS: ROUGH FINAL :FINAL BUILDING - q-! Vt6i .. DATE CLOSED OUT ASSOCIATION PLAN NO. = Engineering Dept.(3rd floor) Map Parcel 46 ermit# House# ,e i�,�" �� Date Issued �— Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) Y y Fee �d P THB _ 19 BARNSTABLE, MASS. 1659. TOWN OF BARNSTABLE 'F" ''�� . Building Permit Application Project Street Address (Zap A Village Owner ��42 i2 - i'"i 1'�J 2 G Address �f3 3 �r- PO--i k Srg Z TT CoA-0 Telephone -Y 1°I N t 1'1/ `I- Permit Request CZE mc> 0Z L ✓a 'i C.4 f Al - A First Floor square feet Second Floor square feet Construction Type p Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family �, Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) R ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name c Telephone Number Y — Address 9U License# 0 �f 7 `,F�5 oZ� Home Improvement Contractor# 111li51 9� v Co 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 D RIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ;> df 2 —Z BUILDING PERMIT D NIED FOCTIHE I&OWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. r' DATE ISSUED MAP/PARCEL NO. ` ADDRESS r VILLAGE OWNER DATE OF INSPECTION: •- FOUNDATION FRAME ' INSULATION A FIREPLACE ELECTRICAL: ROUGH FINAL. PLUMBING: ROUGH FINAL a GAS: ROUGH FINAL) r FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. F .�+ . The Town of Barnstable �►xxsr�sc,E, 9e� , 39�- Depar`tment of Health Safety and Environmental Services A'Ev r�ne�" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no: Date i AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requireipents. Type of Work: Est.Cost Address of Work: Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby pply for a permit as the age of a wner: /�7 Date Contra or Name Registration No. OR Date Owner's Name ...r %. The Connnomi-calth of.1fassachusals •rt! -�--�fyw Department of Industrial Accidents 1 Y ` 0lficeollnyesll9atlons h(1(l If'asbitr�ion Strea (12111 Workers' Compensation Insurance Affidavit i li -in i rm i n'• P 1 R I NT c , nhone I am a homeowner performing all wort: myself. I am a sole proprietor and have no one working in any capacity Cj am an)plover providing workers' compensation for my employees working on this job. enntnanv name: •ttitlress• tin•• nhnnc tt• incnrincc co noiicv to IG I am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below who c � the following workers' compensation polices: cmmrl7ny nninc• �titirccc• cin•• nhnnc 0• nnlicv M inciir�ncc rn _ ._.. cmmnnm• nntnc• atltiresc- rity nhnnc Its neiic`• incur•tnce ce Attach addifo'n21sheetifneceisaryr• ..•�..'...±�' ir. ••... "".• '+"rv_�:�:�"t�yyt:�:`•::,w.;.� Failure to secure cuverace as required under Section 3A of I11GL ISI can lead to the imposition of criminal penalties of a line up to SIS00.00 andic une Fears' imprisonment as welt.is civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that cop)'of this statement may orwarded to the Olfce of lm•cstigations of the DIA for coverage verification. 1 do herebt•ccrtijt• t ' the pants and penalties ojpr ' that the information provided above is true it'cvrr, \ �� Si_aaturc Date Print name Phone>r "ofiicial use only do not write in this area to be completed by tiny or town official yin or town: permitflicense i# r—tBuilding Department E` ❑Licensing Board L E selectmen's Other t.. 0 check if iminediate response is required ❑ rr _ I: r�tt—uh 1)cnartmcnt F` Information and Instructions MassachUSettS General Laws chapter 152 section 25 requires all employers to provide workers' compensation employees. As quoted tom the "fa��". an eruptnree is defined as every person in the service of another under contract of hire, express or implied. oral or written. An emplurer is defined as an individual. partnership. association. corporation or other legal entitn', o,any two the forcuoin;, enga,ed in a joint enterprise,and including the legal representatives of a deceased employer, or receiver or trustee of an individual , partnership. association or other legal entity, employing; employees. Howl owner of a dwelling house flaying not more than three apartments and who resides therein. or the occupant of t dIwellin house of another who employs persons to do maintenance , construction or repair work on such dwell or on the `:rounds or building appurtenant thereto shall not because of such employment be deemed to be an-en MGL chapter 152 section 25 also states that eti•er,% state or local licensing agency shall withheld the issuanc renewal of a license or permit to operate a business or to construct buildings in the commonwealth for ar :111plicant who has not produced acceptable evidence of compliance with tite insurance coverage required Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contras: for the performance of public work until acceptable evidence of compliance with the insurance requirements of this ch been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situatioi supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. TIC affidavit should be returned to the cit}• or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have an. questions regarding the "taw" or if you are re to obtain a workers' compensation polic}•. please call the Department at the number listed below. City or ,towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bo: the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant be sure to fill in the permitilicense number which will be used as a reference number. The affidavits may be retr the Department by mail or FAX unless other arrangements have been made. T1ie Office of Investigations would like to thank you in advance for you cooperation and should you have any qt: please do not hesitate to ,ive us a c:.11. ►'•ar.a.�.._ ....�.�.�r...► ..��...�+..n..•ra+►r.�.w�-a��..iw.���rww�w�.�w .. .. r.r... � •.. .. _ � :' .T•�/�A7 The Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigaiions 600 Washington Street Boston.Ma. 02111 `f"m4- ems^ wgg""�#�_�, k �V W T 'All*99t �Kw }(L\:3 .r✓1b8 TOMIf�MO �G�i/fZQd� ldP,llb ,r x r ° HONE-INPROVENENT CONTRACTOR Registration '111696 'rTypeiNDIVIDUAI r io ¢ .01/27/99 -Z .- n. : ;3 .,. �Ezpirat �- �^ � v h ICHARD J'10Y3� Box 25/ 90 MORTON RD D ATHAN NA 02659 ' '+gx ADMINISTRATOR ' s �1lr� na+n i..ro F i e �3Ft¢}y�T4 c,i`F�•�� .'�,j � :. Pt-.�a wi�'�,`�e�r��[��'M�4��,�`` '�'e' :€- �e '-✓;� {-� -ice, ✓fie Urairvrreorzcuea�i'o�✓l'�aaaae/uaet2�a�'v � ` Restricted To, 1G DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVI-SORTL-ICENSE 00 - None Nusber �. Expires � 1_ 1G - 1 2 Fazily Hones Restricted to, 1G RICHARD J ROY :z7 ¢ag1n1smcui1.aat f ".PO"BOJ! 25 ( =chasA48 Slate lvelloled,4 F r s�rsaf3�rovecetfoe S CHATHAM, NA 02659 <`��� The Commonwealth of Massachusetts 'Q- • ' Department of Industrial Accidents tyce ofh►esdooffeos - 600 Washington Street - .'- G Boston,Mass. 02111 Workers' Compensation Insurance Affidavit �����ffff����00���/O�/O/0����0���//O/�0 O name- - / /C'O,cp .�9- /—/G '- S�F- / � ' �location: . � � e % 1;7 ' city © T> Z- . /%' O'I'?1�-9.5- phone# ';�,-'—Dlz�l/ll?- ❑ I am a homeowner performing all work myself. ty . '///❑///% %%%///% %%/%%%//netor%%%%%% %/��%/%%/e no one r%%%%/O/ %%////%/%/%%%%/%/////%%%%%%//G/////%%/%%%%%/J/%%%%%%/////G////%////////O/%%%%///%////////O//O///Ii, ❑ I am an employer providing workers' compensation for my employees_working,on this job. :::::::.:::.::.:::::::::::::::::::::::: CODipBcdY a .:>:;;:::::. .. .:::..:... ...... :''::: .......................................................................................:..:..:: :::W...%::.:::::::.::::::::::: .::::::::::.::::•:::::::::::::.::::::.::::............ SiIl3resk.. ..::: .::.... _... :::.. . .:.:.:::...... »::.;....::.: . - .................. ..................................... Qt:" y: '': tip::;::::;;::':<:': r 2:::':::::: ::::":::::. ':: .:.'>:.:::;;:: >-;:--:-;:-;::-.. YS...:. ..... .:....:>::•;::;:.:;;:-i:...:.:.IIItOIIG .. . lnSlll'ance- :';: ::' ... . : olhev#. ;...'::;.....- 1. / y,:: .;..::. �� 14 I am a sole proprietor, general contractor, homeowner circle one)and have hired the contractors listed below who have the following workers' compensation polices: '::::::i::::i:::::::':%:::::;;i:;:::;:::: ::::;:.::::'::::::>i'`::.>:::ii;::i::::::::::i:::::::.:......::..... ::.....>... :W.::i:::..:j:::..-:..>::::.;: W. ii ..:.:.::::.:.:.::... ::::. .::...tp. ..:.v.... .: .:...:. ..:.:.::: { comnanv:name:;. ;..::'t�' ' : :: �' .:: iA: t t W. "ii::i:::::::;t:;;ii:i:#.i.:::::i::i':.}...... ::: ::::{ .:.*-*i:ii`j:::;:::i''i''' •i?i?::`:::::i}i::ii"'.....?:+$$i:>ii::i::::iii::;is ii::W. ::?:;::iy<$$ji::? W. 'i::::ii:::i'•.-:.':iii`:i::::i:iX.:::`i:?3:i:{::::>.:i}'r?::i?iiii: iCfii}i?'r::ii'iiYii: iiiij;:jjjj;:y v.:: ?:�:::.::iiii,�i::;>;:.: :•::: ;i:.i::.::::::::::^:iiiJ:vi'::<:iY:::- :i?iii':::•. :.: .i!:' ......:.:i' .. :is ii:;•i-.: :�iiii::ti:i'+:: address... 1� . , ` ?.iY... ::i;:::::::::i :;;%:::;::r::::":::i::::'i•:;:::;;"—::::::;.:%.<::::::.....:::r':;: :;: :;:isY;:::::i:::.:%":::r:::i:::;::::;::;::::::::;::::::;:::::<:::03::::;;:::ri:::t::<::;;:::::::i:::;:; ::;:::;:';::;::;:i::::;;:>::2::::;::%;;:-::;:::ii':`::::::;:i: ::$%:::::;:::::;::.........................i.. ::..... '":r::i::ii:ist::::;`::::::2::::::::::::::::i ::;=:;::::::;;:::::rr:.`;:::::::::::%::::`::::::::'•::::;:::=::::i:: %: ::3::::;:;: ::;: :: ::::::;:%„%:::: 0.: ::::r::is;::;::: ;:�.5::.....::::' :: :•:a:• ............. .......::::::::::.::::::•::::::::::..�iii,:...........W:•:::::::::•::::•:::::::. .....................:.......... ..................... <-:: :::.:::::9001 ON. .:.:. ::: :...::;'. .;.::: :.: :.:::,: <;:<::: ::::>;:::::::::::;;>::::::<:>:;::«::::::>:::::::::: all #. . ........We. .i..................... : :::;::::::'::::<>::::>::::«<:>:;:::<,;:.:%::.ii.iii:::.::::;.i:.:;.i:%:;.:.::.i:i:.:.: :.:i::.ii..i::.::.: ... ......:..:..................................................: :camosnv>name:>:::>«::>:.......>:::>::::«:>:>:::<:.>.;>::>:>::::>::>::::::;.:::;;:;»:::::;;::. .. _. .... -. ad -- % i;..... , - � � I . .. . ...... . I . 22M"' dress• >-;:.':.;:::;:.::.::: ....................:......: :.;:.;:i:.ii: ;:::::::.::::::::::::.:............:;>; ..:::::: ii'.: ........::.::-:::; ...... :::::..:....:.... ....... .:.. clNw ... .............. r <s...... :::::::•:::::.::.::............... .......................:.:......... ... .::..: :::.::. ::....:;ii:- �....:..,:. ... .......... ........ ........ ... ............. nranreco.:::::: .... _....... .. ,i':, ;,.::....:-::::.i,;;:.::.;>;;::;;;;.:;,:, od;::a. :.,.d:::>: - - - �/ Funw a to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify wider the pains and penalties of perjury that the information provided above is trw.and correct Signature Date _ - Print name Phone# Official use only do not write in this area to be completed by city or town ofildal city or town: permMeense# ❑Building Department • ❑Licensing Board ❑checkif immediate response is required ❑Selechnen's Office ❑Health Department contact person: phone#, ❑Other (Javieed 9/95 PJA) Information and Instructions r Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. �However the owner of a . dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Deparmieat at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottem 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 Oii&dlicemse number which will be used as a reference number. The affidavits may be rehinmed to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts _Department of Industrial Accidents Office d Ineadvatl0n= 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 NTheTown ot arnstalile Department of Health Safety and Environmental Services rfo ' Building Division 367,Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: A 00 67/4R-RG-E Q/y/7 1400I �TfeV-;AM&,*,Estimated Cost Oocr Address of Work: .533 Pe'ad E S 5 E T T RD .- C0 71/1f Zli Owner's Name: 01 ik mica ANO ERSo Al-- Ii WHAZO 13• P1�RCr-- S�- Date of Application: Mou_ _ ,14?9 I hereby certify that: Registration is nut required for the following reason(s): Work excluded by law E31ob Under S1,000 Building not owner-occupied gOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN-PERMIT OR DEALING WrM UNREGISTERED CONTRACTORS FOR APPLICABLE HOME HUROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. ha't,"e- � mOR ll3 � ' s� /2- ate Owner's Name q:forms:Affidav ti I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 I I I I I Checked by/Date I I I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other—(Non-Electric Resistance) DATE: 11-4-1999 DATE OF PLANS: 9-10-99 TITLE: New Addition with Garage Under PROJECT INFORMATION: Richard Perce 533 Pomponessett Road Cotuit.Ma. 02635 COMPANY INFORMATION: ` Peacock & Crosby Builders P.O. Box 151 Osterville Ma. 02655 y NOTES: MaCheck by Cape Cod Insulation INC. # 1099 COMPLIANCE: PASSES Required UA = 108 Your Home = 102 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 484 3,0.0 0.0 17 WALLS: Wood Frame, 16" O.C. 391 13.0 0.0 32 GLAZING: Windows or Doors 77 0.330, 25 DOORS 20 0.220 4 a FLOORS: Over Unconditioned Space 484 19.0, 0.0 23 HVAC EQUIPMENT: Furnace, 85.7 AFUE ---------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 1250 of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date f MAScheck INSPECTION CHECKLIST 'Massachusetts Energy Code MAScheck Software Version 2.01 New Addition with Garage Under DATE: 11-4-1999 Bldg. 1 Dept. 1 Use I I CEILINGS: [ ] I 1. R-30 I Comments/Location I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-13 I Comments/Location I I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.33 I For windows without labeled U-values, describe features:, I # Panes Frame Type Thermal Break? [ ) Yes [ ] No Comments/Location I I DOORS: [ ] I 1. U-value: 0.22 I Comments/Location I FLOORS: [ l I 1. Over Unconditioned Space, R-19 I Comments/Location I HVAC EQUIPMENT: [ ] I 1. Furnace, 85.7 AFUE or higher I Make and Model Number I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: Y I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. 1 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the . I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I I VAPOR RETARDER: [ ) I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can ' 1 be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. I DUCT INSULATION: [ j I Ducts shall be insulated per Table J4.4.7.1. I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or! I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: ( ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. I [ ] I SWIMMING POOLS: I All heated swimming pools must have an on/off heater switch and I require a cover unless over 200 of the heating energy is from non-depletable sources. Pool pumps require a time clock. I [ ] I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilled fluids " I below 55 F must be insulated to the following levels (in.) : I , I PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) - 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0A 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 [ ] I CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.): I - I PIPE SIZES (in.) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 I - 1.0 1.5 2.0 - I 140-160 0.5', 0.5 1.0 1.5" j 10'0-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- a c b , 3 ��� �,� ESTIMATED PROJECT COST WORKSHEET Value LIVING SPACE 2 square feet X$55/sq.foot GARAGE(UNFINISHED) y Z . square feet X$25/sq. foot r - PORCH square feet X.$20/sq. foot DECK square feet`X$15/sq. foot OTHER > square feet X$.?/sq.)foot= Total Estimated Project Cost I (.) g990915b � ..: ,. .'•.• :. .. .. � ., � .. � ., .. �'yktie�. 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GtA .G:/TE pTr/F,C C't k Y `��li . : Via OvnavA,:(. �,• --- 4br • Z2 tr i J� j d St r.}L S r r a� ipie rye+i:iti Mw f' .. i'.P.:-.'� .;. .,,:. .•: ".. .;.:'. :'.:� } .'.,:�. � �l-.:. v i uJE 7x��,. IEd - ,1.. 4 :�;..>*. .n•.•.,:•• .,'L... ... � .... , S;l.i'1. t.r ,�.F -/, '�.S{7 ;w � .Y'r ,",, �� � 40 .�Ft. _ `'A• -�?• LOT 79 0 © �6� LOT78 1 o' 6 ' ,10�393 \ o 0 0 c, N rno \ \ tt LOT 76 LOT 77 \�' leg 46 :=: ---_- ::-__:_ LOT 83 03 SHED C ti LOT 84 I o . cr o. , oo LOT 85 \ NOTE AN INSTRUMENT SURVEY SUITABLE FOR RECORDING A NEWER PLAN IS RECOMMENDED lan RES. ZONE,- "RF" This MORTGAGE INSPECTION Bank iUseoOnly FLOOD ZONE' "C" E C S NCFSN MEASUR AfENTS ON THIS PLANS SHOULD 9 VERIFIED 9Y N INSTRUMENT SURVEY. p REGISTRY OWNER: CARRY F- & RUTH A PIERCE" DEED REF 76,Z],?3, — BUYER: __QLI y�RYGl A SS Bc RIC%YABW 11LLVNG/'T DATE: �1�9_ — — — PLAN REF: 19 143 SCALE:1' = _60_' FT. I HEREBY CERTIFY TO L7.T_E_ MY QCK____________ �NOF YANKEE SURVEY -----THAT THE BUILDING ' SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS IPAUL tics'; CONSULTANTS SHOWN AND THAT ITS POSITION DOES _ CONI.ORkI k . 40L3 (SUI'I'I I) TO THE ZONING LAW SETBACK REQUIREMENTS Oh '(HE � L v'a TOWN OF _ B.APNS_T_�IBLL ___ ___ _—AND THAT ;"a4 INDUSTRY ROAD IT DOES_ NOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED_Zo�2�9_2 __ TEL: 428-0055 .L unit — a e 250001-0021—D FAX: 420-5553 — __ _ _ THIS PLAN NOT MADE FROM AN INSTRUMENT SURVEY PL.- ________ NOT TO BE USED FOR FENCES, BUILDING PERM}TS, ETC. _ ?6836 CC,MI STANDARD LEGEND NOTE:not'all symbols will appear on a map MAP 7 tZC" GOLF COURSE FAIRWAY 13 EDGE OF DECIDUOUS TREES + #620 EDGE OF BRUSH "- ORCHARD OR NURSERY i V-V- -V EDGE OF CONIFEROUS TREES yr MARSH AREA MAP 19 -- -•— EDGE OF WATER 4 - 1 _ #485 -- DIRT ROAD DRIVEWAY PARKING LOT PAVED ROAD --- - DRAINAGE DITCH - -- PATH/TRAIL 62 PARCEL LINE # 533 ` MnPno E— MAPS 21 oE PARCEL NUMBER < - HOUSE NUMBER A T MAP 6 �� 2 FOOT CONTOUR LINE 29 ' r s ,; }0 10 FOOT CONTOUR LINE #640 ' ,,a.9 SPOT ELEVATION coo STONE WALL O3 MAP 6 -X-X- FENCE Y�5 65 e e RETAININGWALL #272 +-+-i i . RAIL ROAD TRACK STONE JETTY SWIMMING POOL MAP 6 PORCH/DECK 30 CI BUILDING/STRUCTURE # 10 MAP 6 - - DOCK/PIER/JETTY 64 #294 Q HYDRANT MAP 6 e VALVE O MANHOLE 63 o POST OFP RAG POLE T O W N O F B A R N S T A B k 1 6 E 0 O R A N 1 C I N F O R M A T I O N S Y S T E M,,S U N I T v SIGN �B STORM DRAIN N PRINTED SULE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines am only graphic representations DATA SOURCES:Plonimetda(man-made features)were interpreted from 1995 aerial pta"rophs by The Jame 1"-100'scote mop and may NOT meet of property boundaries.They are not true huotiork and W.Sewall Company.Topography and vegetation were interpreted from 1989li%W photngrophs by GEOD 0 UTHJIY POLE ❑ TOWER "' ° 0 40 80 National Map Accuracy Standards at this do not re resent actual relationships to"'`" P physical obleds Corporation. Planimehi4 topopmPhy,and vegetation were mapped to met No�pal Mop Acanory Standards � LIGHT POLE O ELECTRIC BOX ° 1 INCH=80 FEET* enlarged sca a on the map. at a socle of 1"=100'.Parcel lines were digNmed from 1999 Town of Barnstable Assessors tax maps \Bam\srtemaps\Pub1ic\m6p62.dgn Aug.20, 1999 10:42:09 The Town of Barnstable Department of Health Safety and Environmental Services Building Division BAMSTABM ' 367 Main Street,Hyannis MA 02601 MAS . 9� 1639. �erED�,I p Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION ��// Please Print DATE: Re e• Z, l qq9 JOB LOCATION: 3 e ati gss,g i 'o Cn ry Lt 111A. number n street y� n village "•HOMEOWNER": /T lL' i��� /J. 1-"S CE S� r1/�'A9,dk 464:7.,!FAng4V name home phone# work phone# CURRENT MAILING ADDRESS: �Q 0,1 `7. 420&,?" M.#. a a�3 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 requ' ments. 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. QTORMS:EXEMPT Assessor's office (1st floor): ODD f?W E TO Assessor's map and lot number ........... .... e�Q..° �o f Board'of Hea►th`(3rd floor): Ta k [ Sewage Permit, number ®K �: M . .......... Z BARIISTADLE, i :.` . Engineering Department (3rd floor): ,j-/� �,� �� SEPTIC SYSTEM IM(!$ rb 9- e� House }number?............................. '�?;. ........ e° A UR : S . Definitive Plan rApproved by Planning Board __ -------------------------19 _ _____ . w APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. -only 6 TI �.E TOWN OF BARNS c TI vqi :# BUILDINGJHSPECTOR rr APPLICATION FOR PERMIT: TO .... .V.i .. . .. .. `',.a.�..�..� :.......'S.'7 r—� ,. '.. ........ ................ TYPE OF CONSTRUCTION . O. .... ...... ... .... � .....---- ..19-- --c TO2 THE INSPECTOR OF BUILDINGS: R The undersigned hereby applies for a permit according to the following information: Q S r u /Location . ........... © P7 � L .... ... . ,. .. S: ......... . ........ . ....._... .......... ................ Proposed Use .......................... q.:�1. p`''....... ..... � ..�...,..... . ..::.... :..: . ... Zoning -District ....................................... .........Fire District C.?.�..G....:,�. Name of Owner ................... . .........Addr-ess ......... S +� [� Name of Builder ....�.J..<..�...'.. ....�.. . .. �..... .....: ....:..,.Address ..........4'L�.ak�.G.'r,`... i,�%.!�.r.t`.al...°.................`..'....... IUpVName of Architect .........._....... .. ...:.... ......:..Address ......... Number of'Rooms .... .......found_anon ° "� -� `..... . . ...... ............... ..... ........................... Exterior ...U.d.. .................... ...:..... . ....... .... is ail /J t f _ 4 Roofing .. .......................... Floors ................................ ............ ....... ......Interior ....:. o a Heating g . .t...Plumbin ........ Fireplace :.......................... .................... .................... .......:.Approximate Cost .... .. ......... .. 7°...°.r.. .... Area f.. ..N S/....:S.�t.:..!..l. Diagram of Lot and Building with Dimensions Fee :. �V ........._./.......................... -� / r —� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all .the Rules and Regulations of the Town of Barnstable regarding the above construction. aName ................:...... . ...................:..................;................. Construction Supervisor's License ...........4......................... PIERCE, GARY F. No '.-32043 "Permit for ..Build Garden Shed' Accessory to Dwelling.......... 1 G �. onessett Road....location ..:..533..........Po.....P.P................................ ' ......................o.tui..................................... ......... Owner ...........Gar.X...F Pierce..... ........... - r ` . . Type of Construction' rame .......................................... �Y f ......i.................. .............. Plot .....r..................... tot" I Permit Granted .....JulY...5.r...........'.......19 88 .....1.19 e Date of Inspection : S i'. p ......... _ r .Date Complet�ed ...:.. .. ...... ...... .19 , • • T rn f to •t a+ s �.ary .4 ...r:_.,.- r..::.r•,..h ;.n•.e. z•}•r- L.•1�.,;".,� t���w„ ,a� ,� _.e,.� ii�'�'� aG:....«:k"'.�s+�._�'k.Cti, ir�tt;:. ..%%»' �..iT. _ � x :s� , Assessor's office (1st floor): Assessor's map and lot number THE To Board of Health (3rd floor): /+�� PEA CI+l�� �G.� (� ,,,� --I'af�( QN`�� Sewage Permit number ............�-............................................ - Z SAMSTABLE, S Engineering Department (3rd floor): , ' MAI House number .......................... �T.:...... ........� ........ a \0� VAY Definitive Plan Approved by Planning Board ________________________________19______ , APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO %P.AA q'd+�•.A f 1J S �. TYPE OF CONSTRUCTION .................. ... ..............................................:. Co .......................... .."---.......---..19.--. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: c 4 n F Location .........S.J.�I ...............v'...P.PO?J..!�..�.5..4`•...1..�...............!`...C? A..®..:............�0..%..!.....!.T...................... ProposedUse .............................q.!N.A.0.f.e" ..............!;P..' E 11................................................................................... Zoning District .......................... ....!........................................Fire District ......................�0 ............................................... Nome of Owner ....... .....`„....... C. .......Address ....%6,9 3........P0 PPo,0k cs.x..%..%........�.< eA O Name of Builder .....0-1.4.7................................................... .......................Address �? .t.A.faF... .!f?.T.>~. ..............�.A ....... Name of Architect Q V z................................Address ........... Number of Rooms ..................................................................Foundation ................... .4a ✓• C40 Exley for A......... ...........................`��5,U.C?..... Roof ng ............ Floors ............................................—0.................................Interior ...............................W.0 O Q .......................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................Approximate Cost . 7e 0 J ............................................. ............................ Area Diagram of Lot and Building with Dimensions �' Fee ,1 ti OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............... ...................................................... Construction Supervisor's License .................................... PIERCE, GARY F. , A=006-062 No ..32043 permit for ....Build. . ....Garden. . . Shed . .. .... .... .. .. Accessory to Dwelling ................... Location ...,533 Popponessett Road Cotuit .....................................................................I......... Owner ......Gary F. Pierce .................................... Type of Construction Frame ............. .......................... ............................................................................... F Plot ............................ Lot ................................ Permit Granted ...........J.11l.y...5.............19 88 Date of Inspection .............................:......19 Date Completed ......................................19