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TOWN OF BARNSTABLE BUILDING•PERMIT APPLICATION
Map , St Parcel IWO. C) Permit# ,A5,,6V 30
Health Division f Date Issued
Conservation Division Fee
;IPTIC SYSTEM MUST BE
Tax Collector ;' ;�= l-3TAL°ED IN COMPLIANCE
Treasurer J/k 4) WITH TITLE S
r-ENVIRONMENTAL CODE AND
Planning Dept. TOWN REGULATIONS
Date Definitive Plan Approved by Planning Board .
Historic-OKH• Preservation/Hyannis '
Project Street Address 0 W� �"V-4u r Rod
Village O
Owner Co WCA Address iO%J VVI i ZYJ
-
Telephone 3-01 L4 10 qQ Z S
Permit Request COAS+r ��/dJICCG roots ✓� hi-sevw ,
Square feet: 1st floor: existing L7a proposed 2nd floor: existing I proposed Total new
Valuation Zoning District Flood Plain Groundwater Overlay
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 Q� Historic House: ❑Yes .,Q:Vo On Old King's Highway: ❑Yes No
Basement Type: ❑ Full ❑Crawl Z4alkout ❑Other
Basement Finished Area(sq.ft.) S % Basement Unfinished Area.(sq.ft) G
Number of Baths: Full: existing 3 new t Half:existing new 0
Number of Bedrooms: existing new a
Total Room Count(not including baths): existing new�� First Floor Room Count
Heat Type and Fuel: LYGas ❑Oil ❑ Electric ❑Other
Central Air: , Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ._L�No
Detached garageAexisting ❑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 o If yes, site plan review#
Current Use & - Proposed Use tw•t�k u- �'►��`�`�` Uv'•le^�.A
i BUILDER INFO.RMATIDN ( /
CCU�S�"t-Ad L Telephone Number '��� �7/0 �
,al:p,ho.! e Null('vuI
Address _��1,1 waJ l8i License
Home ImproHIVIVvement Contractor# �3 -33
ol
Worker's Compensation#n o w
ALL CQ.NSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Ke-cove-� P �ouf�
DATE _ O U -
�. FOR OFFICIAL USE ONLY . t
PERMIT NO. _
DATE ISSUED
MAP;/PARCEL NO.
ADDRESS' . VILLAGE
OWNER
` aFr
DATE.OF INSPECTION ,. '
FOUNDATION -
FRAME
INSULATIONS
FIREPLACE t ,
ELECTRICAL: ROUGH FINAL y
PLUMBING: ROUGH FINAL
•
GAS: ROUGH FINAL
}FINAL BUILDING
DATE CLOSED OUTj 6
't—•
cv
ASSOCIATION PLAN NOO S
J
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1contact person: phone N;
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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 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
with the insurance of this chapter have been prese
nted to the contracting
acceptable evidence of compliance �
cePtab
authority.
..,y
Applicants
ensatian affidavit completely,by checking the box that applies to your situation and
,. Please fill in the workers' comp.
,p,x address and phone numbers along with a certificate of insurance as all affidavits may be
supplying company names,
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 retuned 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.
{
,.i
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 Offim of In mstigatiions has to contact you regarding the applicant.:,Please
be sure to fill in the piii i Icense number which will be used as a referance number. The affidavits may be returned 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.
r
The Department's address,telephone and fax number. _
The Commonwealth Of Massachusetts
Department of Industrial Accidents
e o estl atlons
Olflc t IW o
600 Washington Street
Boston,Ma. 02111
fax*: (617) 727-7749
phone#: (617) 7274900 eat, 406, 409 or 375
o '
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f
NONE INPROVEMENT CONTRACTOR
Registration: 103635
Expiration: 1/l/02
Type: Individual
ROBERT G. IABONISI
Robert Iadonisi
If tal 7 Millwood ray
ADMINISTRATOR E. Sandnich Mil 02537
Imo---. -' ..__.-, �--c•~----.��_..�_
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• iI�/ate iJ6m�nonlaea�i o�!�aoac�tuQeQG � '
BOARD OF BUILDING REGULATIONS
icense: CONSTRUCTION SUPERVISOR
Number..C-S 028811
Birthdate: 05/10/1957
Expires 05/10/2002 Tr.no: 21730
Restricted To^�00
ROBERT G IADONISI J,
7 HILLWOOD WAY '"" . : .
EAST SANDWICH, MA 62537 Administrator !�
: . The Town of Barnstable
639 ,m$ Regulatory Services
i .
Thomas F. Geiler, Director
Building Division
Elbert Ulshoeffer, Building Commissioner
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements.
Type of Work: Estimated Cost 2 d
Address of Work: 17 by� k-yn l- fez/' k
Owner's Name: F, vwy � S
Date of Application: S Z
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 apply for a permit as the agent of the w er:
Date Contr for Name Registration No.
OR
Jhs-12 'v-4
Date Owner's Name
q:fomis:Affidav
I
MAScheck COMPLIANCE REPORT
Massachusetts Energy Code Permit #
MAScheck Software Version 2 .0
Checked by/Date
CITY: Hyannis
STATE: Massachusetts
HDD: 5973
CONSTRUCTION TYPE: 1 or 2 family, detached
HEATING SYSTEM TYPE: Other (Non-Electric Resistance)
DATE: 11-15-2000
DATE OF PLANS : 11/00
TITLE: Edwards Basement
PROJECT INFORMATION:
173 Whitmar Road
Cotuit, MA
COMPANY INFORMATION:
I .B. I . Construction Co
Sandwich, Mass
COMPLIANCE: PASSES
Required UA = 265
Your Home = 241
Area or Insul Sheath Glazing/Door
Perimeter R-Value R-Value U-Value UA
-------------------------------------------------------------------------------
CEILINGS 990 38 .0 0 . 0 30
WALLS : Wood Frame, 16" O.C. 120 15 .0 3 .0 8
WALLS: Concrete 872 15 . 0 3 .0 56
GLAZING: Windows or Doors 44 0 .400 18
SLAB FLOORS : Unheated, 0 .0" insul . 124 0 . 0 129
-------------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design represented in these
documents 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
MAScheck INSPECTION CHECKLIST
Massachusetts Energy Code
MAScheck Software Version 2 .0
Edwards Basement
DATE: 11-15-2000
Bldg.
Dept.
Use
CEILINGS:
[ ] 1 . R-38
Comments/Location
WALLS :
[ ] 1. Wood Frame, 16" O.C. , R-15 + R-3
Comments/Location
[ ] 2 . Concrete, R-15 + R-3
Comments/Location
WINDOWS AND GLASS DOORS:
[ ] 1. U-value: 0 .40
For windows without labeled U-values, describe features :
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments/Location
SLAB-ON-GRADE FLOORS :
[ ] 1 . Unheated, 0 . 0" insul . , R-0
Comments/Location
Slab insulation to extend down from the top of the slab to at
least 0" OR down to at least the bottom of the slab then
horizontally for a total distance of 011 .
AIR LEAKAGE:
[ ] Joints, penetrations, and all other such openings in the building
envelope that are sources of air leakage must be sealed. Recessed
lights must be type IC rated and installed with no penetrations
or installed inside an appropriate air-tight assembly with a 0 .511
clearance from combustible materials and 3" clearance from insulation.
VAPOR RETARDER!
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CONCRETE SLAB
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The Town of Barnstable
BAR SS. E.
ASS. Department of Health Safety and Environmental Services
7 MASS.
i639' �0
rE0 Mpy� Building Division
367 Main Street,Hyannis, MA 02601 ,
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Correction Notice
Type of Inspection � /I 1�- - ` l4,SOl:� �� 041
�,
Location t73 Wh1`, Yn Permit Number (7 _7(p
Owner Builder
One notice to remain on job site, one notice on file in Building Department.
The following items need correcting:
A) ba �-v0 im v m4-- A � u-s i d e ,
Please call: 508-862-4038 for re-inspection.
Inspected by
Date 12
TOWN OF BARNSTABLE
CERTIFICATE OF OCCUPANCY
PARCEL ID 056 070 GEOBASE ID 35726
ADDRESS 173 WHITMAR ROAD PHONE
COTUIT ZIP -
LOT 32 BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT CT
PERMIT 48689 DESCRIPTION
PERMIT TYPE BC00 TITLE CERTIFICATE OF-OCCUPANCY
CONTRACTORS: Department of Health, Safety ,
ARCHITECTS: andoEnvironmental Services
TOTAL FEES:
BOND $.00 Ox THE
CONSTRUCTION COSTS $.00
756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P.("'.
* STABLE, ±►, t
MASS.
�Fp �
MI►�
BUILDING DIVI. ,9N
BY
DATE ISSUED 09/15/2000. EXPIRATION DATE
�r
s: _ Department of Health, Safet,
and Environmental Services
. 'BARN9TABLE.
MA83`
ED Mlr►l A
BUILDING'DIVISION J
BY _
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
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION 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 MECH-
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS.
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
4.FINAL INSPECTION BEFORE OCCUPANCY.
BUILDING INSPECTION APPROVALS PLUMBING IN PECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
pjell t"Oe4Alwe j� 1 d` 11
z �
2 2 '/ ) e 2 p
' / t
3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
A) OAI
2(0 OF E +LT
OTHER: U. SITE PLAN REVIEW APPROVAL -"
G
WORK SHALL NOT PROCEED UN IL 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.
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map C-) (o Parcel d '7 O Permit# 9
Health Division 01 9—911 Date Iss ed
Conservation Division tz �6 °� Fee
Tax Collector
Treasurer
Planning'Dept. /�� <irf2,,..�rf d� �s .I-��� v� ��r"P1rGy��e SEPTICSYSTEMMiJSTSE
r INSTALLED IN COMPLIANCE
Date Definitive Plan Approv d by Plannin Board '�/ 0 / D WrrH TITLE 5
Historic-OKH Preservation/Hyannis ENVIRONMENTAL CODE AND
TO
WN.REGULATIONS
Zat 4 t
Project Street Address W h 1"1L Mar P'd f
(-
Village A" -}•t +-7
Owner 1—�Wl ya, Address
i
Telephone "I S-
Permit Request -T o �Q Al C& S\ 1 1ptJ S+ 1 P k v.
Square feet: lst'floor: existing proposed 5S 2nd floor: existing proposed Total new ?
Estimated Project Cost 11 D000 Zoning District Flood Plain Groundwater Overlay
Construction Type W Ood Frame
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: Cl Yes d(No
Basement Type: ❑Full ❑Crawl ,f Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) L/ S
Number of Baths: Full: existing new Half:existing new
Number of Bedrooms: existing new S
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: C4as ❑Oil Cl Electric ❑Other
Central Air: Ves ❑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 �w size 21 M 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
pp �-99 y/4 Z
Name �., 3•,.� �(�S�c�.ilC�1cJ^ Telephone Number
Address 1 UJCJ WW License# .�—
�t�. � Home Improvement Contractor#
:(Cb;:deft- - e wz ` y 6 Worker's Compensation# V w�G'ori l r:?aoo
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE�? 1,V
ey
<�� ®-
,r •� FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED Z6.
MAP/PARCEL NO. r
!i
ADDRESS VILLAGE
OWNER
~.
DATE OF INSPECTION
;t FOUNDATION
f FRAME
INSULATION n !�
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH 3 ='._ `* FINAL -;
GAS: ROUGH . ' FINAL
IS
' FINAL BUILDING , >" m IZ f
wf µ
DATE CLOSED OUT 0
,K ".'
' ASSOCIATION PLAN NO.'` CO
jF 1
I
t
a
8
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R
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C R.
(FND)
N
Y N
LOT 33
ASSESSORS LOT 69 5'
P
29.0
64 2'
II �z 16.0
II O W
II '
4.0 '3� C.B.
(FND)
LOT
32
` ASSESSORS LOT 70 is 4.0
AREA=43557f SQ. FT.
\\�
24 8' N 14.9'5.3' (FND)
�0.3'
,
LOT
31
ASSESSORS LOT 71
(FND) 2�
FLOOD ZONE "C"_ FO UNDA TION. CERTIFICATION RES ZONE. "RF"
TOWN. COTUIT SCALE:1 "=40' PL.REF- 406178 ELEV N/A'
I CERTIFY THAT THE ABOVE a YANKEE SURVEY CONSULTANTS
FOUNDATION IS LOCATED ON °��A� °��ss. ay
THE GROUND AS SHOWN, AND �� q�y'1- P. 0. BOX 265
ULk r; UNIT 1, 40B INDUSTRY ROAD
IT'S POSITION—DOEbS" MERMiEW MA
RSTONS MILLS, MASS. 0264 8
CONFORM TO THE ZONING LA W auto.Me TEL: 428—0055
SETBACK REQUIREMENTS OF
FAX 420-5553
_ BARIITABLE
PA UL A. MERITHEW DATE 3�7-1 0 NUMBER 51396FND
1he LommOnweuulz
_; _ ==.•� Department of Industrial Accidents
Office 011AUVOS SMlons
600 Washington Street ;
_ Boston,Mass. 02111
Workers Compensation Insurance Affidavit
wxgz
name 'L� /ru rhfl ly
e C �
location: /4
AA gA.
city 5 hone#
❑ I am,.homeowner performing all work myself.
❑ I am a sole rietor and have no one worlds in any capacity
an era lover providingworkers' compensation for my employees working on this job.
❑ Iam p ve
Com any name: __
address.
ctty: hone#:
:. . ;
oil y#:
tl'ainnce co.' ,: ;:: _. _.. :..
177
a sole proprietor eneral contracto, or}homeowner(circle one)and have klired the contractors listed below who
� '
thefollowing workers' compensation polices:
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c env name: .
address
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:,..:. ....J.i::: ..:..... .. ..::. .. $one ...
City'. :'
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gaiinre to secure coverage as rsgnired raider section 25A of MGL 152 can lead to the imp---- n of etitninai penalties of a fine up to S1,500.00 and/or
u�yam,i,nprisonment as weII as civfi 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 Otfice otInvestigations of the DIA for coverage verification
1 do hereh certify under the pains and penalties of perjury that the information provided above is.tru,-and correct
. ; Date
Signature ''
Print name J Phone#�T�/D 2
official use only do not write in this area to be completed by city or town official
City or town: permit/license f! ❑Building Department
❑Licensing Board
❑checkif immediate response is required ❑Selectmen',Officen
❑Health Department
contact person:
phone#., - ❑Other.
(rzw 9/95 PIA)
ESTIMATED PROJECT COST WORKSHEET
Value
LIVING SPACE 43 6'46 square feet X $55/sq. foot 715 - Viz' 0,0
GARAGE (UNFINISHED) L16. square feet X$25/sq. foot= �I
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 J
vq
g990915b
ESTIMA TED PROJECT COST WORKSHEET
Value
LIVING SPACE square feet X$55/sq. foot.=
GARAGE (UNFINISHED) square feet X $25/sq. foot=
PORCH square feet X $20/sq. foot
DECK square feet X $15/sq. foot
OTHER square feet X $??/sq. foot=
Total Estimated Project Cost
1 ,
For Office Use Only
lnclusionary Affordable Housing Fee
Residential Commercial"
Property Owner's Name �&Zx4r
Project Location /23 Z12a61t�_ Z:A
y* O, , _
Project Value Permit Number
**Existing Sq. Ft. **Proposed New Sq. Ft. LU�
Fee $ &el- e o
IAHFORM 1/3/00
t
ESTIMATED PROJECT COST WORKSHEET
Value
LIVING SPACE square feet X$55/sq. foot= 7.5'3 0 0-0
GARAGE (UNFINISHED) square feet X$25/sq. foot
s
PORCH square feet X$20/sq. foot
DECK square feet X$15/sq. foot Lt ;?Or ' v
OTHER square feet X$??/sq. foot
3 0
Total Estimated Project Cost ,
For Office Use Only
Inclusionary Affordable Housing Fee
Residential Commercial**
4'
Property Owner's Name 6
',*-Project Location �' ��4��, z � -6Z:ez.
Project Value eel Permit Number
"Existing Sq. Ft. "Proposed New Sq.Ft. /U '
U
Fee$ 3ZlUZI, vy
�
DEPARTMENT 0` PUBLIC SpF i'r
CONSTRU.C;TiCN 'iOYER��I.•aR _�CENSE
�,' �5—'� '9288i�. •23;a4/2dp� -?�:
' Y`
_ =.Rest.rted "as 88
JOSEPN J BAKUNRS .
� 30K-1243 9 NE�ritr 'R
DENNISPORT, MR M39
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MAScheck COMPLIANCE REPORT
Massachusetts Energy Code Permit #
MAScheck Software Version 2 .0
Checked by/Date
CITY: Hyannis
STATE: Massachusetts
HDD: 5973
CONSTRUCTION TYPE: 1 or 2 family, detached
HEATING SYSTEM TYPE: Other (Non-Electric Resistance)
DATE: 1-27-2000
DATE OF PLANS: 1/27
TITLE: Edwards Residence
PROJECT INFORMATION:
� _32 -Whitm�ar_ Rbad
Cotuit,Massf
COMPANY INFORMATION:
I .B. I . Construction
P.O. Box 1243
Dennisport, MA
COMPLIANCE;^r-PASSES:: '
Required UA 9"
Your Home = 836
Area or Insul Sheath Glazing/Door
Perimeter R-Value R-Value U-Value UA
-------------------------------------------------------------------------------
CEILINGS 1934 38 .0 0 .0 58
WALLS : Wood Frame, 16" O.C. 3933 13 .0 3 . 0 280
GLAZING: Windows or Doors 532 0 .400 213
FLOORS : Over Unconditioned Space 1934 19.0 92
BSMT: 8 . 0 ' ht/7 .0 ' bg/2 . 0 ' insul . 1704 10 . 0 193
HVAC EFFICIENCY: Furnace, 92 .0 AFUE
--------------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design represented in these
documents 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 125W of the design load as specified in
sections 780CMR 1310 and J4 .4 .
Builder/Designer Date
MAScheck INSPECTION CHECKLIST
Massachusetts Energy Code
MAScheck Software Version 2 .0
Y Edwards Residence
DATE: 1-27-2000
Bldg.
Dept .
Use
CEILINGS :
[ ] 1 . R-38
Comments/Location
WALLS:
[ ] 1 . Wood Frame, 16" O.C. , R-13 + R-3
Comments/Location
WINDOWS AND GLASS DOORS :
[ ] 1. U-value: 0 .40
For windows without labeled U-values, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments/Location
FLOORS:
[ ] 1 . Over Unconditioned Space, R-19
Comments/Location
BASEMENT WALLS :
[ ] 1 . 8 .0 ' ht/7 . 0 ' bg/2 .0 ' insul . , R-10
Comments/Location
HVAC EQUIPMENT EFFICIENCY:
[ ] 1 . Furnace, 92 . 0 AFUE or higher
Make and Model Number
THERMOSTATS :
[ ] Adjustable thermostats required for each HVAC system.
AIR LEAKAGE:
[ ] Joints, penetrations, and all other such openings in the building
envelope that are sources of air leakage must be sealed. Recessed
lights must be type IC rated and installed with no penetrations
or installed inside an appropriate air-tight assembly with a 0 .5"
clearance from combustible materials and 31 clearance from insulation.
VAPOR RETARDER:
[ ] Required on the warm-in-winter side of all non-vented framed
ceilings, walls, and floors .
MATERIALS IDENTIFICATION:
[ ] Materials and equipment must be identified so that compliance can
be determined. Manufacturer manuals for all installed heating
and cooling equipment and service water heating equipment must be
provided. Insulation R-values, glazing U-values, and heating
equipment efficiency must be clearly marked on the building plans
or specifications .
DUCT INSULATION:
[ ] Ducts in unconditioned spaces must be insulated to R-5 .
Ducts outside the building must be insulated to R-8 .0 .
DUCT CONSTRUCTION:
[ ] All ducts must be sealed with mastic and fibrous backing tape.
Pressure-sensitive tape may be used for fibrous ducts. The HVAC
system must provide a means for balancing air and water systems.
TEMPERATURE CONTROLS:
[ ] Thermostats are required for each separate HVAC system. A manual
or automatic means to partially restrict or shut off the heating
and/or cooling input to each zone or floor shall be provided.
HVAC EQUIPMENT SIZING:
[ ] Rated output capacity of the heating/cooling system is
not greater than 1250 of the design load as specified
in sections 780CMR 1310 and J4 .4.
MISC REQUIREMENTS:
[ ] Refer to 780 CMR, Appendix J for requirements relating to swimming
pools, HVAC piping conveying fluids above 120 F or chilled fluids
below 55 F, and circulating hot water systems.
----NOTES TO FIELD (Building Department Use Only) -------------------------
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�o\ �,, i, ` � ; � �� � _: �`� ASSESSORS MAP 56/LOT 70
HYDRANT I i 30.p + \ s1. mm PLAN REFERENCE 406/78
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2 �� \ OF LARK RE.. ZONE.• "RF
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\ AREA=4356.1t SQ. FT. \ i i4 u� 5o ir ,.
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' CPO \ LOY� a YANKEE SUR I/EY CONSUL TANTS
,'•; 31 - P.0. 'BOX. 265 '
O \ /;'r _ Zu ID '� ASSESS0145 LOT 71 UNIT 1, 408 .1N DUSTRY ROAD
MARSTONS M/LLS,, MA. 02648
PH.(508�428-0055, — FAX(508)420-5553
(FND) ca O
•,o, \J / 5 2. ` a;� ISCALE: l"=30' DA TE• ' 99/97
FND x\ o_\ /'' _ ., REV 9128199 1014199 REV 12/9/99 12/15/99
MMEIX 1/31/2000 JOB NO 51396B. SHEET I OF 2
REVISED.- 12128199
TOP OF FOUNDATION
20' MIN.
10 MIN. CONCRETE_CO VERS
4" SCHEDULE 40 P. VC
MIN. PITCH 1/8 PER FT
. � 2 LA YER OF
i4 118"-1/2,.
4 / ♦ . ♦ ♦ / / • • • / ♦ / / / / —T I CONCRETE COVER WASHED STONE
/ /. / , , / � / / EL " 91.0 .
B" MAX "
EL=89.5' 4" CAST IRON PIPE r w i .
(OR EQUAL MINIMUM _ t ,
PJ7L^H 1/4 PER FT CLEAN SAND 12
10 FLOW LINE S, r•> 1 _ 5,
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INVERT 110" 14". o00o O oo..00f
MIN_. _. •� o 00 0 0 0 0 0 0 0 0 0 o a
EL.= 88 0' - GAS INVERT. S LEVEL o ° o 0 0 .o 0 0 0 0 0 0 0 0 0000
------ BAFFLE` _ 87.50,`: 6. UM 00 0 o 0 0 0 0 CO0 0 0 0 °°
INVERT EL-_-- INVERT INVERT o 0 0 0 0
EL.= 87.00 EL.= 8_6_75 4, 4 E L.
EL.=_87. 75
(4) 500 CAL LEACHING CHAMBERS
(70 BE PLACED ON FIRM BASE) DISTRIBUTION i
MECHANICALLY COMPACTED OR 6" OF S70NE BOX ` EL,=86 25' p
,• 150---GALLONS I10 BE WATER TESTED.x
12 8' X 25' TRENCH FVRMATION
SEPTIC TANK IF MORE THAN ONE OUTLET
PROFILE O F' PLACE ON 6" S719NE SOIL ABSORPTION
3/4" TO 1-1/2"
E �r
SEWAGE -. DISPOSAL.. : SYSTEM
DOUBLE WASH D STONE SYSTI.�M: (SAS>
NOT TO SCALE BOTTOM OF TEST HOLE OR USES PROBABLE WATER TABLE' ELEV 75 0'
NO OBSER VED WA TER TABLE(12/28/99) ELEV 75.o'__+__
" r . ' SOIL TEST SOIL TEST
DATE OF SOIL TEST
12119185 SOIL TEST DONE BY PETER SULLIVAN, (BAX7TsR & NYE) DATE OF SOIL :TEST l2/28/88 ' SOIL TEST- DONE BY BRUCE MURPHY
V M z
WITNESSED BY: JAMES CONLON EXCAVATOR "AL FULLER' `-WITNESSED.BY: JERRY DUNNING EXCAVATOR ACOMBER
P/ 5059
5
s P# 964
OBSERVATION HOLE 1 Y ELEV.= 94_0'_ OBSERVATION HOLE 2 ELEV.=�86
PERCOLATION RATE ___'.= MIN. PERCOLATION RATE _<2_ MIN.
DEPTH ORIZ TEXTURE COLOR OTT. OTHER DEPTH ORIZ TEXTURE COLOR OTT. OTHER
LOAM & SUBSOIL 4 0 -3" 0 ORGANIC
GENERAL NOTES 24"-126 COTUIT SAND PERC. 3"-6" A SANDY LOAM IOYR 5-
1 12"-36" B LOAMY SAND OYR 5-8
I) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P.
TITLE 5 AND THE TOWN OF _BAMNSL4BLE_-__ RULES AND 36"-132" C MEDIUM SAND IOYR 7 '
REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE.
2) ONE COVER ON SEPTIC.TANK SHALL BE BROUGHT TO
` WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12"
r 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF
WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN
r 10 FT OF DRIVES OR PARKING AREAS. H--20 LOADING SHALL .BE DESIGN CAL CULA TIONS:
i USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS.
4) ANY MASONARY UNITS USED TO BRING COVERS Y19 GRADE SHALL NUMBER OF BEDROOMS . . . . . . 5
BE MORTERED IN PLACE. GARBAGE DISPOSAL . . . . . . . . . NO
5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH TOTAL ESTIMATED FLOW
DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS To ( 110__CAL/BR/DAY x 5___ BR) 550 GALIDAY
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. «REQUIRED SEPTIC TANK CAPACITY 1500 GAL
6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR INSTALL SOIL CLASSIFICATION . 1
!S TO CALL "DIG- SAFE" R ION SITE
AT LEAST 72 HOURS 4 500 GAL. LEACHING f CHAMBERS •DESIGN PERCOLATION RATE . . . . . < 2 MIN. IN.
PRIOR 7b COMMENCING WORK ON SITE. -( � i? � /
7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS WITH 4' STONE ALL AROUND EFFLUENT LOADING RATE . . . . . . =74 GAL/DAY/S.F.
SITE CONDITIONS PRIOR 7b COMMENCING WORK ON SITE. 12.8' X 42' LEACHING CAPACITY (AREA X RATE) 560 GAL/DAY
8) PARCEL IS IN FLOOD ZONE-__C" 'RESERVE LEACHING CAPACITY . . . 560
9) LOT IS SHOWN ON ASSESSORS MAP _�S_ AS PARCEL =(42 x 12.8 x.74)+(42f42f12.6+12.8 x.74 x 2)B B
GAL DA Y
' SHEET 2 OF 2 JO NUM ER---5_1_a&-