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HomeMy WebLinkAbout0230 HORSESHOE LANE � � ��� . , � _ _ . � o . :.. . . . : _ _ , : o �. � . . � - it .. ,. . k � .. d ,5. .. .. ., .. 0 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map '2,0`7 'Parcel _';07' 010 Permit# 8 2 Health Division 9"—/ '5 L m Date Issued "J - a+ Conservation Division Application Fee Tax Collector Permit Fee Urt Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address �� o SC3Ae,r Village C ' Owner 12 = dG S Address GlrL� Telephone 21 - !� �J g Permit Request Square feet: 1st floor:existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay .Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. 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 Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name �� � ^ i ����l�dl�� Telephone Number (�W 0 ) 7 -3 W9 Address [dS' WKC—& oG 7� License# d 5f&33 Home Improvement Contractor# Worker's Compensation# 14JC 607 (p 35-�f(Jy ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN'TO96 Is owl- C SIGNATURE DATE 3 3 D I FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAPr/PARCEL NO. t _ ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE " ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. . . The Common>weafth of Massachusetts '. Department of Industrial Accidents' 660r Washington Street _ Boston,Mass. 02111 Workers'..Com ensation.Insurance Affidavit-General Businesses address: � >' - - • state:� . "/ 2a �• have# 3 �7U i work site location fall address �� air/Eatkkg -aJvi _ shment il I am•a sole proprietor and have no ont; B�zsiness Type:` 0 Reta ❑Sa1 �including Red Estate,Antos etc-)' �:vorldng in any capacity. l O Q C ❑I am an em to er with ' ern 1 ees full&' art time: ❑Other %/ %%//%/ /%%%y�///�%%/%%/% %%%�/Arkin. on this job.. . am anployer providing v,<orkers cdmpensation for my emP y g ,• n4 come e: BnVnem I r ri 's •a•i •'y 5' •t ,r .{'^ •',;�. � .. IS J. i i., r -.' ,� /' a ., v .d..•.�. ,i'' ':K'f:a5+'r •2:.t}, :y.~:,�l,el',.,•1•�t, .. >idi3r'eBsi' ' �• : { , : • ''• •+. '�•' 't•`' •{•'•',{+e5.• �'••4i li'•r-'a:+ .,, '•i,. .:\':.Sr.T•; - ..'1 •k'i v'T�tS�::.�r;4.�' i '.1,. '••j, .!... •J ••s..''\t••r l i dl' '�;:. IJi t . a.: .r•.. /� i� !„�tTf- , r s. •t. t`•5^ _;" 'i\?'.i'.i i sqr::• ' '; %ibr`�.•'{,�,., •(+•a r.•'r .F'�r•-V+' iiisiir""ailce. If c$:w' :±'��7 `;' • 'T am a sole proprietor and-have hired the independent contractors listed below•who have the following workers' •• . compensation polices: •. ''f�,y.,. .e r i :}:'r •y.'..i�i..ay:+'' 'xd:t 4.ab�,}'n �l; •.�:. •s ' •:,:ia. Sme.. .s•:<. •t •+'• ,i, ':P.•rt,:i'I•% ::-.'Yi..r•'•r.f'� ::nil: CUn] 8II 'II :',•'•. r•. ,r.. ^t:..r;a';.{� :,, •k^•,:••r• ':�?';'• • iy•r'(. 24:.5:'i:ir1'.Y+i�:'�• .a• I.e:f� \fti .;:r;.r ,..•a'r eddLES9:. ',� _ .t.' •,�v� 'l' �!"'..: •1 .I.` •t.t::1.•' •tr 1::5. -'t'• ,• Ci• aN •., �. ,'.- -'.•"iJ;��•:tS;'i4 :e{3.;i;:• ••.;+ y, .i :'`` 'i•r ,r' t.'. 'S• try•:1� ;5,, 'r" r.' "e:.s :af,°,� "}`• , P:r} '3" `..,,45, .!::.. ''i•+' '{°..�i: -,,.r .• . .. •;is �, A�}r'iS:t0., ,.v.i.'•1ti.•:'a�4 N i;,.,` 1'� .Y:. •.r:' •0 IC ' f.}r.Y'i;.:SY.'• ''•' 1 ` '•���/ ZllsurSnce'co. ii:i` .1 •i: •,.J t .t.Z{C^•�•. .. rR+: 'li•{'.: ::+ FIRIEWMANW11111141111 ;�i'j•J•'1' '.{? 1:.;,• �:t:•• ie'''• t' •rt• '••R.•+,igt.,r•}.' .t„ r;t':'i..J�><yr � i '.n�.'' ,}:, '! �,T- +a�' � •'r:+f„%:Y�`'•1. '.t.�'�•:. .}rye it �: ..t a.�. .1:. . '.is•••.!} •'{Y.•'t 3r2.Cr '•l'1.�'•• V�.::,:[ :;'� �•Y .�Y.•..tra:...:.' n. coID gri. name.• ddre'ss's � ' ' . . • a , .+ fi4 4,a4..r .r.:. '`i;i Y�' ••s'i i:. �:Y,i i!'..;,iyl4,cr'' •+ ,,t:..t :,\: • _ liorie #'s ' L•i-x: '•{, a: {{ r}„..\, 1 Iy '1i'tp:F':' :;r,i'�,.•"•' .'tf' is •� ••, •/•::;;• .� :)r.• .i,.s' Cti' i},:":w.�.;' -•OZ1C:•:ft a•� •r` .:i. t�.t. gisuranceAv ' l•1•'r;;••::is T::':.;•.:' 'V...•' :. ��� Failure 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 ORDBR and a fine of$100.00 a day against me, I understand that K copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification I do hereb rtif under the pains an enal ofties erjury that the information provided above is fru and car; Date Signature ( �-, ., Phone# �� ��S �✓70'.� 'Print name official use only do not write in this area to be completed by city or town official permit/itcense# []Building Department city or town: ❑Licensing Board ❑Selectmen's Office [�che,kif immediate response is required []Health Department , #; ' contact person: phone ❑Other Oe ed scc 2003) Information and Instructions Massachusetts General Laws cb�pter�152 section 25,requires all employers to provide workers' compensatidn for'their. employees.. As quoted-from the lam, an employee is.defined as every person in the service of another under any contract of hue;express or implied; oral or written. artriers , association, corporation or other legal entity, or'any two or mgre of An employer is defined as an individu4p hip rep 'resentatives of a deceased,employer,er, or the receiver or foregoing engaged in a.joint enterprise;and including the legal, ,emp oy the g � trustee of an individual,partnership,.association or other legal entity, employing employees. 'Howevei.the owner of a dwelling house ha=Lg.•not•more than three apartments and-who resides therein, or the:occupant bf the:dwelling house bf- another who emplbyspsb to clo,maintenance, construction or repair work on such dwelling house or on the grounds or urtenant thereto shall not because of such employment.be deemed to be an employer. :., building.x!P . . . • . MGL chapter 152 section 25 also'states thaf every state or lbcal licensing-agency shall idthhold:the issuance dr 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;ncith&'the' coi nmonwealth nor.any.of its political subdivisions shall enter into any contract for the perfmm3ance of public work unto ' 'deuce of compliance with e insurance requirements of this chapter have been presented to the contracting . acceptable evi authori ty.. , Applicants Please fr11 iII the workers' eoupensation affidavit completely,by checking the box that applies to your situation., Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of industrial Ai confirmation of insurance coverage. Alsobe sure to sign and date the - affidavit. The affidavit should be returmd to the city or town that the application for the penrrit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the•`°law`'or if'you are artinent at the number listedbelow. required to obtain a:workers: �compensationpohcy,please call the Dep , City or Towns . Please be sure that the affidavit is cbmplete andprinted 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 per1nit1HCense number which will be used as a reference number. The.affidavits may be.returned to, the Department b ,mail or FAX unless othei''ariangements have been made. The Office of Investigations would like to thank ybu in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. ess,telephone and fax number: The Deparfznent's addr . ' The Commonwealth Of Massachusetts- Department.of Industrial Accidents DID"of WeNwatwns 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 L...... 4. f4lrn P71)P7_Aonn a.Pf. d09 r np QriFt�gpa�dix� Txbie Xs•1,1b(caattazt4 gest�3 with gvsxFt P'ueli pies erlp {eye F'arksgca far aaa sad Trio-F'xm�Y daatisl Snildiaip hfIMM� �� Hcstiti6/CcsalinB� MAX hitfM CCifing WdI Floor & eat T�uigmant clan di,Ldn Crlaz'sng R-Yxluet R-vafua{ R-yxlues -yuluer R•yylu°t p�sge )tat to 6500 Hestia&Dcgm nxrr' 6 Naraysl 13 I 10 Natsnul 1zy, 0.4A 3$ 19 19 IO 6 15 AFL18 am 30 14 10 t3crrnal ITT also 33 13 25 NIA 6A Natmai .� Isvit Q.38 38 19 19 10 NIA AM AMISY. 0.#6 13 35 NIA 15 AM Y31 is'ri o,44 30 19 19 IO �t1A t;otrtsat IS�I+ O.iZ 7S NIA rlamt�I 0.3Z 31 f3 NIA 19 N/A QO AF(!H X Igy o,42 33 13 19 I0 6 g0.1�F(T 1gY� 0.42 1� 19 19 S0 IS'f� O.sO 2 3d toil :I 1. ADDRESS OF PROPER-Ty" , SQU ARE FOOTAGER OF ALL FXTEtO WALLS: 2, t3ARE FOOTAGE OF ALL GLAZING" 3. 54 h. % GLAZING AREA(#3 DNIDED BY 42): 51 SLrI,ECT PACKAGE(Q~ 'see chart abava); GY REQ�MEMS OTHERM ORE,�IOLVED METHODS OF DETEnUN G ENER oT1;; ARE AVAILABLE. Ag1{US FORTHIS.mO t p,ULDYNG INSYgCTOR APPROVAL; N0, YES' q,fa�s.�$0303s , F ,E r Town of Barnstable �* Regulatory Services apRxSTAEtE,$! Thomas F.Geller,Director 9g ia3 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 permit no. Date • AFFIDAVIT HOME WROVEMENT 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 Estimated cost.- ost U Address of Work: Owner's N lcation: 9' 04 Date of Appi 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 TEEIR O PERMIT Il14PROYEMENT WUORRKKDO�NOT HAVE CONTRACTORS FOR APPLICAB ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERMY I hereby apply foi a permit as the agent of the owner: 3 Contractor N e RegistrationNo. D OR Date Owner's Name f Town of Barnstable flF•ctte ro�� Regulatory Services s�xg Thomas F.Gefler,Director - �pT�? �• Bonding Division Tom Perry, Building Commissioner 200 Main,street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section ' If Using A Builder .;.as.Owner..of the.subject property- - - - . .... hexebp uthorize �. .. � d .. . . .to:act on tny..behalf,. .• .. a _ utters relative to v�ork authoiizeel hp this bus'lding-permt application for: (Address of Job) Date S4=tae of Owner Print Natn.e Ire &11,l 111 Q ROARp OF BUIL®'INGG REGULATIONS 3' ion,se CON-tTRUCTION SUPERVISOR. t Wumber \ 048338' F n is Exp� s 1/ 120> Tr.no; 14887 1 mg Am IVIICHAEL J DANGER� �` 105 HORSESHOE;LAI�E�- CENTERVILLE, MA 020 Administrator ✓1. V�ammwn�uea a� eaaaluc 4 Board oUBuilding Regufatias and Standards HOME IMPROVEME ONTRACTOR Registratloffi' 7.12977` 15 ha n Type tncf�vIdual; MICHAEL J DANGE�O I MICHAEL DANGEV. lO 105 HORSESHOE CENTERVILLE;MA 02632 Admmistra.or, TOWN OF BARNSTABLE BUILDING PERMIT'APPLICATION' Map O Parcel / Permit# -�:?n Cf MU MA►Pi �iAJ C® Jos Health Division ,c- .sae Date Issued Conservation Division Fee ); 7 D Tax Collector Treasurer Planning Dept. - Date Definitive Plan Approved by Planning Board /Vr Historic-OKH ' Preservation/Hyannis Project Street Add ss � Village _ 164 ° Owner (GAL Ala f,i /4-d n-m_S ' "" � Address � • Telephone -771- Permit Request ��1rl C✓c 1� Q!Z } e a� r✓�ci �PX/!o Li vlti5 2ar,M f, Square feet: 1 st floor:existing proposed - 2nd floor: existing proposed Total new Estimated Project Cost /-J, ✓y 0 Zoning District e Flood Plain Groundwater Overlay Construction Type 4it1d Lot Size Y Grandfathered: O Yes d ❑No If yes, attach supporting documentation. Dwelling Type: Single Family @f Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: El Yes Cl No . Basement Type: f2Full ❑Crawl ❑Walkout ❑Other ' Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing Oh new Half:existing new Number of Bedrooms: existing= new Total Room Count(not including baths): existing p new First Floor Room Count Heat Type'and Fuel: tff/G as ❑Oil ❑Electric ❑Other Central Air: U/Yes ❑No Fireplaces: Existing h k New Existing wood/coal stove: ❑Yes ulo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing,❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes U No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name A U L�)164 fld Telephone Number S ? - '75-" 37D k Address/�.� f(✓Oned Q—, hlI, License# P Y�l �3 3 Home Improvement Contractor# //2-f 7 7 31 a' Worker's`Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �j *tXZ 1 /d A44 SIGNATURE DATE FOR OFFICIAL USE ONLY - `- PERMIT NO. J "' v3 r) , DATE ISSUED , .1 MAP/PARCEC NO: 1 -1 A ADDRESS 4 VILLAGE ' OWNER r DATE OF INSPECTION: PW FOUNDATION - wo " ' FRAME INSULATION FIREPLACE - '4t ' 1 - r" ELECTRICAL: ROUGH FINAL w PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t f • - ' - i •.S I I FINAL BUILDING ' ' DATE CLOSED!OUT ' ASSOCIATION'PLAN NO. ; , s i • Y The Commonwealth of Massachusetts �_ =_ • =1_a _ _ D Department of Industrial Accidents Office opinyestigations l - s 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit ` J . name: �Ly location: oZ 3(J V 'f S-e Txl —� ��• city f—em kz" Alt phone# 7ZS 37(�X CIA am a homeowner performing all work myself. 1 am a sole proprietor and have no one ivorkin in any capacity ❑ I am an employer providing workers' compensation for my employees working on this job. comnnnv name:; address: _ city: phone#: s insurance cn. nolim# e ❑ I am a sole proprietor, general'contractor, or homeowner(circle one)and have hired the contractors Iisted below who have the folloning~corkers' compensation polices: company name: . .. ..:;:>:.;:.:.:::... address: l�� Y,S�,g d 4, dtv: -Al-f, hone#1 7 Ste.' ;:` .... ... :.. .. insurnnce cn. �'! �z nohcv# :... camnanv name: ....... address. city. ... phone# .. iruprancc co. :<<;:.. ::` oii. # > x %G/%%/%%///%//%/%��//////�%%%% / / // / / / /// . %G///%% Failure to secure coverage as required under Section 2SA of MGL 152 can lead to the imposition of criminal penalties of a tine up to S 1300.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tune of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Ounce of Investigations of the DIA for coverage verification. 1 do hereby cerrifj,under the p ' and penalties of perjury that the information provided above is trues and correct 01 Signature�A iAwr,)Ie 4� Date 294/2.& h , Print name l G 01 f t- V, f//U Phone# 775-- 3 V official use only do not write in this area to be completed by city or town official city or town: permittlicense# L[8) BuildingJ check if immediate mponse is required contact person: phone#; (m%uw 9,95 PIA) Information and Instructions 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 come= 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 receive: ;- 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 renews: 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 in_uraz ce 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 ficmance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns 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 permit/license number which will be used as a reference number. The affidavits may be retuned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would Like to thank you is 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 Ofllce of Investleatlons 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat 406, 409 or 375 �szw� The Town of Barnstable 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 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:Ko' -N, a a-1 i-k rx I P)l� d�i�i Estimated Cost 13,JUA - l 1,ADD,� Address of Work: 230 t h me S k a k ei . a,v I r y 1, Owner's Name: rl ? fT a WVV1,S Date of Application: Ck Igq I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under S1,000 Building not owner-occupied [30wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. off W AM& 1 7 Date Contractor Narnq Registration No. OR Date Owner's Name q:forms:Affidav M CUR Appends J Table J5=b(contused) Prescriptive Packages for ane and Two.Family Reideadal Buildlap Aeated with Fmd Fuch MAXIMUM MINIMUM (hazing Glazing Ceiling Nall Floor Basement Slab Heating/Cooling Afea'('A) U-value= It value' R value' R values wall Pedmew Equipmrm Effiaeary' Page R value` R valud 5701 to 6500 Hating Degree Days' Q 12% 0.40 38 13 19 10 6 Now R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 WA WA Normal U 15% 0.46 38 19 19 l0 6 Normal V 15% 0.44 38 13 25 WA WA 83 AFUE w 15% 0.52 30 19 1 19 1 10 6 85 AFUE X 12% 0.32 38 13 25 WA WA Normal Y 18% 0.42 38 19 25 WA WA Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: a '�J s�Sk 44-. �n 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: at/ 3. SQUARE FOOTAGE OF ALL GLAZING: S� 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK-US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table J5.2.1b: 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 W 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 the conditioned space and the ventilated portion of the roof. •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 R49 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 be 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 a r I 1` I � I I I �• a � I , ii O v r r r r r r , 1:5 O � r r ' • ._..-..-.._.._.._.._. I VIj t j I ; S� rmn go I o T :. . e i t c-= rr Si T 04 41 �'s S %(o o1. ¢ p-. Z. ' hiL 4 P/ r — — G i Ii .. 31 ---------- T-T. ' f _. - --- - -Ci -t - - - - - - I Ll -1— _— — JIli . , I e .t - ,fi:. • sr.-+x. e. .� 1,r1Nt+M�I;°'..tvyq •,+..ter�c::.�...�,r .a.. ... �3 ,� SL,f I �i■ MONO M ME ■�■■I=iiuMOMMiiiM--lMMMmMMMMm No momm'MMMOMMEMEMEMOMME1 m so�MNMMMMM MEN m MONO MONEMENESOMEN so MESIMME �mm m MEMEMMEMENNEMEM I MEE MEMO 0 ME mmm ommommom IN 0 0 MEN EMS M �immmmm�mm Ml ME No 0 0, ME m so MEN mom IN ME mom ENE ME ME NE m mom NO so 0 No illmommom mom m I ME Elm mom 0 No MEMmmm MMEMMEM M ON ME N MIN ME MEN 0 MEN mom 0 MEMM No MENOMONEE ME 0 mom ME ME ME EMEMMINOMMEM NOME M ME 0 ME 0 so 0 ��lmm Ml MMEMSEEM 0 ME im MOM 00 Ml NONSENSE M NEE mom MOM MEMEMOMMEN ENE mom M MOMEMIME MEMENE �E� mom ME MMS MEMOMME mom MIN EN mom 0 ONO mmiimmmi mom OEM .rmmmm No NONE M MOM No m M MOM No ONEMENEMOM �ii��■ii �■�i�i=iii■=�iiNiiiiEMii�ii�suiii mom NON mi ME 0 rm poi■ ni�o�mmom iii siii�iMONOMER mm i■N i �iENO �■ mmm�immm i � ONi� iinii�nnmom m m ME ON �� 0 ME ME m ME ON MINEa ��■ n ONON mmml NON m ME 0 mom 0 ON on Ol MINE 0 ON NO mom mi OMEN SENSE iOSii■nON ONENESS on ONESSOME SEEN � . ■��� � ■mo o�■mNEM � ��� M ONE INo MOEN ONE I M NINE M MMISI No MEMI M 0 Mmmmm ME ,L, mri ISSIMMOMMIMMEMEM IN MMMIMMEMEME M SOME SOMME MEMO MEMO IN ME NOME Mom ME MONSOON Ems MOVE i 0 EMS' M ONO 0 IS INSM ME M I M No 0 IN WIN 0 M ME ME 0 MEMNON MENEM No No m SEEM M MEN rMEMIS 0 on M so 0 NOR So M IN MEN 0 IMEMMISIM ON SON ELI 0 so 0 MENEM 0 ME ME MENNEN IN So ME MEN IN IS MEMO No ME ON ESE so ENE 0 M MOEN 0 MENEM MEN m 0 ENE MEE so 0 MEMNON ON 0 ON M MEE SON ME M M M No MEE 21030 2544 2544 6867 2435 2844 2844 3030 00 00 N � 2466 2668 UP �QeQ}�' 9J.s ` HALL 26� 2566 2648 2648 N .LIVING PORCH N in 66 3066 2648 2648 BD /'►�� ossi �� 31056 r c 14' i � 2 , ' ✓� TOQ9JLllL0�2lIICQ.GI/L O�✓!/CQ4dQC/2u.:e�` DEPARTMENT OF PUBLIC SAFETY CONSTRUE .O,�.SUPERVISOR LICENSE Nuktisr _ Expires: Restricted is , 1G r w �,MICNAEL 1 9ANGEL0 105 HORS€SIRE"LANE CENTERVILLE, MA 02632 y GNOME IMPROVEMENRACTOR .Registraton41297yy ��• TypAAA IN iN eINDIVIDUAL' ' �fICHAEI 1111.DAN6W. t w AT MICHAEL f DANG D sce �c' 4Qi'HORSESHOE LN t e�ADMINISTsaaro.' °CENTERVILLE MA 02b32 .- x"L.?tie+you i �•-firmest I Assessor's map and lot number ....... ..`�� �'C .........t r *THE TO�� 9- 4 P Sewage Permit number ...:....................................:............... Z BJHB9TADLE, i House number rasa �O i639• `00 } O MAC a' TOWN OF BARNSTABLE . BUILDING INSPECTOR APPLICATION FOR PERMIT TO 5��V.4.*.t!Z...��x r c'�i,c.i! „ c.�e£,y F „a?�s /,,;;o TYPE OF CONSTRUCTIONS ... !�'F�'/ �' �.... ��: ..........19� .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... �? ........: ...._.:.....`.............. r....................t.,........................................................ Proposed Use ..�� ar'!', sv. .....--.S/.c{ L .. =.c�4? s.�. ................................................................................ ZoningDistrict ........................................................................Fire District ........................................................: —S �i�..`!.............. !: ......................Address .. 0 a7t!... .Sri, car7i!y�.. ?+ ..................... Name of Owner ...... ....... ...'(. Name of Builder -4., rl;.,r--4..... 1'1 , ' 1. .N..................Address ..Mx...1 1 — MAwcCTo-J:� ................. Nameof Architect ......N../. ..............................................Address .................................................................................... Numberof Rooms ...............� -.!.................................................Foundation ... U ...... Exterior �' '... :'. .c� ...........................Roofing ...... .......S,i1� 1GG;�-''a...................... Floors � �.....i�..4.LC.. '...r/....... K.eec•;7....................................Interior ........��'�:fa.�"�..� ......................... Heating ...< .�..................................................................Plumbing ............N0............................................................ Fireplace .... 1. ....................................................................Approximate Cost ..........1�t9 ........................................ Definitive Plan. Approved by Planning Board -------------------—-----------19--------. Area�.�.54. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH - i to I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .............. 4 T Adams, Sxu/oex �=2u/ � ^ . . . . , . . . No2i121--". �~kr~» for -- —��Qrefjaed-.Poccli-tu.. -- e _ Location 230..IiarmezJuo Type or Construction kqgs!-Frpa�............... ................................../......................................... � � P| � Permit Granted uo/a or m ' � PERM /TkR/EFUSED � UPEW lg ' ----' ` —'—..\-a....—' ............................................... ......................... ..................................................... . � —'—'~'--^^' --------^---^—'--~—' Y Approved � __.......................................... lA .-------------.---...----..--, . --------------'-----~^^^--^^^ | � | | Assessor's map and lot number ....... ............ T E rot Sewage Permit number ....... ..... .. .. ............................... .... DA"STABLE, House ......Hse number ................e.. ............................................ NAM A t6-59. MpY Ar, TOWN OF BARNSTABLE BUILDINGINSPECTOR r . APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION ....... . .......................................................... -/-ear ..........197 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... .....-..CE"O-JS.�.15 ........................................................ ProposedUse ... .........................................................I......................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner .47ybl.111.9-�.....RqA,4.".-e.....................Address ..................... Name of Builder 19-:H..................Address .......M.A.&CTO.-4.S. ..... ............ Nameof Architect ......NIA..............................................Address .................................................................................... Number of Rooms .................I.................................................Foundation ...Pc e y Exterior ... ...........................Roofing .....#1k... ...... ...................... Ce .............................................. Floors ..... ....................................Interior .........40 Heating ....i�A.l.................................................................Plumbing ...............*V.0............................................................. Fireplace .....N o.........................................................................Approximate Cost .......... ......................................................... Definitive Plan Approved by Planning Board -------------------------------19--------- Area' 67 .. ......... Diagram of Lot and Building with Dimensions Fee ........... .............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................ ' Adams, Sydney A=207-98 ' No for Re%Dodsx..................... ' ' � Location —'—'—~'---'~'^~^^---'--'--------- - ` O &dazoa Owner —.,�X����----------.----' . . Type of Construction ..j�Agd�.f�����-----.. ^ ----------------.----------. ' . . ^ Plot ---------. Lot ----------� . ( ' � Permit G,onx*6 ......Na%r,.b.Z................l9 70 Date of Inspection ........... ----.'l9 ^ ' [ate Completed ..' ���� - ----.��[^�..� l9 . . � ` - PERMIT REFUSED ' ^ ~ � . . lA ----... - ........................................................... '' —^--~—`^'—^''~~'---'~~----'---'-�r . --_.~.--..^.—.-.---..,--.—~.�—.—..--... ` -----.--....~—.----..---...----. ' ' ' ~ , _____--------.L—. lA ^ ` ---------------~...—,~--...--. . ' . . . ----^--------~^-----~^'~'--^'— � ^ . | 8�� O��� Aenp�3 oonspv. � /- -