Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0035 COUNTRY CLUB DRIVE
A IPO Th"of 1 too. .allow EMS uggza appos 1 MINN A-Mot NEW 0, Mill 1 MIME tie IONE Emilio MIN mill Ilive X AMR Res I. .......4�A 1,"o lost .... ........ !let"oil I ;INS A Town of Barnstable 1 Building wsrxuu IPost,Th+s Card So That rt�sV+sibl"e,From the Street Approved Plans Must beRetamed onJob and this Catd Must beKept v M iPosteil21 Until Final Inspection Has Been Made g ° z 9 . g , i rub° Where a,Certificate of Occupancy is Re, wired;such Buildin shall Not�be OceupEied�until�aFinal Inspection hasbeeri made"� Perm ..-,sb.. a$.�°� wa.;��_ �,,..__�.,,-, �.�,.�.✓,,.•� a..ur.,aa,�:, .�..�...r,�..,.,.�",..±�, q,.. m. �-:',c ... »�.,�-.,�.>s�;,�c.`.,:'z,. .�.,,'-w;,a.. Permit NO. B-19-3263 Applicant Name: JASON LAFONTAINE Approvals Date Issued: 11/21/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 05/21/2020 Foundation: Location: 35 COUNTRY CLUB DRIVE, BARNSTABLE Map/Lot: 350-045 Zoning District: RF-2 Sheathing: Owner on Record: GARRAHAN,ANN M Contractor Narrre ,:, :JASON LaFONTAINE Framing: 1 Address: 32 TOWER HILL ROAD Contractor License.....CS-108750 2 OSTERVILLE, MA 02655 "Est Protect Cost: $0.00 Chimney: Description: RMOEVE EXISTING WINDOW AND COVER OVER(NO; ,66: $85.00 REPLACEMENT)-REMOVE AND LOWER OVER,WINDO,N.QW FRONT Insulation: Fee Paid:` $85.00 OF DWELLING AND COVER WITH SAME TONGUE&GROOVE BOARD Final: THAT IS EXISTING ' D,ate ; 11/21/2019 REMOVE CONCRETE SLAB BY FRONT ENTRYWAY AND BUILD18'X4'; � ' Plumbing/Gas DECK CONSING OF 2X6 P.T. FRAM, 2 4' DEEP FQW NGS AND1LIGHT'�� �O GRAY COMPOSITIE DECKING. FRAMING TO BE CENTER Rough Plumbing: Building Official Project Review Req: Final Plumbing: 3, V This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six-m nths after%issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the�approved construction clocume6&forWhkh this permit has been granted. All construction,alterations and changes of use of any building and structures"shall be in compliance with the local zonih'd by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street dr road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. "y Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and F+re Qfficials are prov+ded�on this•permit. Service: Minimum of Five Call Inspections Required for All Construction Work: y ' 1.Foundation or Footing •^„ u V � Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: ';Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 'al 71 Application Number........ .. ..-. ............................. ELAWMABLE, MASS. Permit Fee.......................... ...........Mer Fee........................ 163 TotalFee Paid............................................................... ...... TO" OF BARNSTABLE Permit Approval by... On...C.�'.a P BUILDING PERMIT map.......3.sn..................Parcel...........O..q...................... APPLICATION Section 1 — Owner's information and Project Location Project Address '35 6AA14� ac� AIK Village 4:�4'MMwO Owners Name. Pe,1Yd5 'Owners Legal Address /j4k City, State zi,3 eln�3 7 7 E-mail 1111A Owners Cell#K FSection 2 —Use of Structure Use Group E] Commercial Structure over 35 p)0 cubicifeet ❑ Commercial Structure under 35. 0*0 cubicfeel Single Two Family Dwelling Section 3 — Type of Permit ❑ New Construction E] Move/Relocate E] Accessory Structure El Change of use El Demo/(entire structure) El Finish Basement El Family/Amnesty El Fire Alarm Rebuild Deck Apartment El Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar Renovation ❑ Pool D Insulation Other—Spec' kpnt- 1 wvp,#� t zAa-11 � Section 4 - Work Description M 4144 Jy 6e� o Je ^bi 10, T. tv T.s.qt midstpul- ivivmlR vti lGt o�, •' , �q 324� Application Number.................................................... Section 5—Detail Cost of Proposed Construction —Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing *3 Total#Of Bedrooms (proposed) -3 110 MPH Wind Zone Compliance Method 0 MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney . ❑ Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal El Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: ' b��f�bs pu^+� I am using a crane ❑ Yes No r Section 7—Flood Zone Flood Zone Designation a Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) a Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No 6 Last updated: 11/15/2018 i 1 Application Number........................................... Section 9- Construction Supervisor / ' 0-ol rvG- 1307 Name �Gr�� (R�� Telephone Number Address ZL m� �� � � City 1 14,1 State A Zip CA""4 CA-d License Number 4�'S`1 w6_ License Type G5 L Expiration Date t h al z/ Contractors Email jttiFrh el;', Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Buil ' g Code. I understand the construction inspection procedures,specific inspections and documentation require 7 and the To of Barnstable.Attach a copy of your license. ' Signature Date Section 10—Home Improvement Contractor Name_ �`�f�► /A, i 2i - Telephone Number Address ZZ ►n Wt1-'ttt A(( City A too,��� State - Zip Registration Number Expiration Date /2//3 41 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State BuildAdtahTown Coe. I understand the construction inspection procedures,specific inspections and documentation req ' b 780 f Barnstable.Attach a copy of your H.I.C... J Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number —' Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signatures Date APPLICANT SIGNATURE Signature Date /a Print Name ,_���n. L� ����,� Telephone Number E-mail permit to: �z5 �Ag/—Oil, C, P,-7 Last updated: 11/15/2018 Section 12 —Department Sign-Offs c j i Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ a For commercial work,please take your plans directly to the fire department for approval, Section 13 — Owner's Authorization j , l yY!n g 4vh , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: -. (Address of job) Signature of O r, date Print Name IJ 1 i . 1 j Last updated: 11/15/2018 AQN The Commonwealth of Massachusetts Department of IndustrWAccldents Office of Investigations 600 Washington St'eet � t Boston,MA 02111 www.mass govIft Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plunibers' Applicant Information Please Print Legibly Name (Business/Organi2ation/Individual): Address: k4 Am vt—1 4 Akds //,f44 City/State/Zip: &AVf4114A102T40 Phone M &01 Are you an employer?4theck the appropri to box: Type of project(required): 1,❑ I am a employer with- 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.,® I am a sole proprietor or partner- wed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for mein anY capacity.acitY• employees and have workers' t 9. ❑Building addition [No workers'comp.insurance comp.insurance.: r ed 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions ] officers have exercised their 11. Plumb' repairs or additions 3.❑ I am a homeowner doing all work ❑ � P • myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t C. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.M Expiration Date: Job Site Address: City/StaWzip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi der and penalties of perjury that the information provided abov is true and correct Signafore: ` Date: D Phone#: OjjScial use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i� Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,o or written." An employer is defin as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engag in a joint enterprise,and including the legalTgwhIh es of a deceased employer,or the receiver or trustee of an dividual,partnership,association or other l employing employees. However the owner of a dwelling ho having not more than three apartments ans therein,or the occupant of the dwelling house of another ho employs persons to do maintenance,c or repair work on such dwelling house or on the grormds or burl ' apprutenant thereto shall not because oloyment be deemed to be an employer." MGL chapter 152,§25C(� o states that"every state or local licecy shall withhold the issuance or renewal of a license or perm' to operate a business or to construs in the commonwealth for any applicant who has not produc acceptable evidence of complian insurance coverage required"Additionally,MGL chapter 152, 5C(7)states"Neither the common any of its political subdivisions shall enter into any contract for the p ance of public work until le evidence of compliance with the insurance requirements of this chapter have presented to the contracting ority." Applicants Please fill out the workers' compensatio affidavit completely, checking the boxes that apply to your situation and,if necessary,supply sub-contractors)nam ,address(es)and p ne number(s)along with their certificate(s)of insurance. Limited Liability Companies(L C)or Limited Li ility Partnerships(LLP)with no employees other than the members or partners,are not required to workers'comp 'on insurance. )fan LLC or LLP does have employees,a policy is required. Be advised this affida ' may be submitted to the Department of Industrial Accidents for confirmation of insurance cov e. Also b re to sign and date the affidavit. The affidavit should be retuned to the city or town that the applica I for the p or license is being requested,not the Department of Industrial Accidents. Should you have any qu ns re the law or if you are required to obtain a workers' compensation policy,please call the Department the ber listed below. Self-insured companies should enter their self-insurance license number on the City or Town Officials Please be sure that the affidavit is complete and prin egrbly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the O Investigations has to contact you regarding the applicant. Please be sure to fill in the permit(license number ch be used as a reference number. In addition,an applicant that must submit multiple permit(license applicatio in an given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job S Addre "the applicant should write"all locations in (city or town)."A copy of the affidavit that has been offi ally stamp or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file r future p its or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtainin: a license or it not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.) aid person is N T required to complete this affidavit. The Office of Investigations would like to you in advance r your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax umber: The mmQnwealth of usetts eat of In ccideuts Office of Iavesttiga ear 600 Washington t Banton,MA 021.11 Tel.#617-727-4900 ext 406 or 1-8 MASSAFB Revised 4-24-07 Fax#617-727-7749 Wvw:maw.gov/dia I Office of Consumer Affairs&Business Regulation s , j.: HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE Individual before the expiration date. if found return to: Registry ion Expiration Office of Consumer Affairs and Business Regulation 18}081 12/13/2019 10 Park Plaza-Suite 5170 9 ,JASON LAFON iA'NE x � Boston;MA 02116 JASON LAFONTAINE /``, 76 TUPPER ROAD SANDWICH,MA 02563'` 1�%fldersecretaryAIN116t a+alid wit t signature I . i 't Massachusetts Commonwealthpivision of Professional Licensur Board of Building Regulations and Standards . §�. rvisor Const;140 11 `i empires:0111012021 CS-108750 le. JASON TAIN PA ¢ LAFON 22 MINUMENTN3 , PLYMOUTH MK . commissioner Town of Barnstable 1i11C1111g NAAN$CABLG Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept . i - Posted Until Final Inspection Has Been Made. er It > � Wher6a.Certificate-of Occupancy is Required,such Building shall Not be Occupied until a`Final Inspection has-been made., Permit No. B-19-3209 Applicant Name: Approvals Date Issued: 10/04/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 04/04/2020 Foundation: Location: 35 COUNTRY CLUB DRIVE, BARNSTABLE Map/Lot: 350-045 Zoning District: RF-2 Sheathing: Owner on Record: GARRAHAN,ANN M Contractor Name Framing: 1 Address: 32 TOWER HILL ROAD Contractor-License 2 OSTERVILLE, MA 02655 1 _ Est. Project Cost: $50,000.00 Permit Fee: Chimney: Description: STRIP& RESIDE 3 SQUARE WHITE CEDAR SHNGLES ON REAR&SIDE $30500 � . OF HOME-DEMO & REMODEL 1ST FLOOR MASTER BATHROOM 3 Insulation: � . Fee Paid:' $305.00 (18'X4') DEMO KITCHEN/SHEETROCK/INSULATION AND CONSTRUCT Date: 10/4/2019 Final: NEW KITCHEN IN SAME FOOTPRINT AS OLD KI ITCH EN y''y Project Review Req: Interior work only Plumbing/Gas Rough Plumbing: N, Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afte"Ossuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public,inspection for the entire duration of the Final Gas: work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1, Service: 1.Foundation or Footing 2.Sheathing Inspection T Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department ' All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: OF S3LOO I Application Number....... ................................................. • BAWMABUE, MASIL Permit Fee.......................................Other Fee,............... 039. TotalFee Paid...........I......... .......................................... ...... TOWN OF BARNSTABLE Permit Approval by....U..D................On. BUILDING PERMIT 11*5;0 S_ I Map........................................Parcel.................................... ........ APPLICATION Section 1 — Owner's information and Project Location Project Address. 3s_ 60044!2t (fI4 DC,ve Village Owners- Name Pe5',,5 �ak Owners Legal Address VC City State 114A zip Owners Cell# E-mail, Section,2 —.,Use of StrUcture Use Group-. F1 Commercial Structure over 35,000 cubiqfieet ❑ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3 - Type of Permit F-1 New Construction F1 Move/Relocate [:] Accessory Structure EJ Change of use 0 Demo/(entire structure) El Finish Basement El Family/Amnesty El Fire Alain Apartment El Spfinkle*;ystem Rebuild EK Deck Do M Fj Addition E] Retaining wall ❑ Solar 0 _n 21 Insulation M Renovation El Pool > -3 Other-Specify Cn rn Section 4 - Work Descri#tion r M �clp 3 51,beft- 4 4r- uAV, s A"!? �I -e- + 5,'4- ef 4 Aoki ,�, M af�-w + fL(-wioa 54 -plar- &Aepr, 4.q4,-0*r%V Wi CPO=* Z(� ev. At7 T.s;qt iinflmted- 11/1 5nn1 R Application Number.................................................... Section 5— Detail of U Cost of Proposed Construction Sq uare Footage e of Pro' P � q g Project Age of Structure t y 6� 00 Dig Safe Number J # Of Bedrooms,Existing Total#Of Bedrooms (proposed) 3 F 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist Design Section 6—Project Specifics ® Wiring ❑ Oil Tank Storage ❑ Smoke Detectors Plumbing ❑ Gas ❑ Fire Suppression ® Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply © Public ❑ Private Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ® Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes © No Section 7—Flood Zone Flood Zone Designation ZO)%t C Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) 1 Setbacks Front Yard Required Proposed Rear Yard Required r Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 Application Number........................................... Section 9- Construction Supervisor Name Ja5z,ti Telephone Number ( ` �r�G�134 Address as A*4uPte44 /oo►� 12-4h City 6AA4) State Zip 6Z3�a License Number C S- 10 8 So License Type !�5-4 Expiration Date U 1��c� a ua I Contractors Email 7L,:9,5*h74,/L DG (-'p Cell # � d���S"�l3y 7 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation re q ' 711 d the Town of Barnstable.Attach a copy of your license. Signature - ' " Date Z l Section 10—Home Improvement Contractor Name ,�&OtC 74Y Zv� Telephone Number Address City State Zip Registration Number (Q q 09( Expiration Date 1 a/13 Liol i I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature , Date 7f Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date Zy / Print Name S�h Lf j�h �'r�� n� Telephone Number ��d�-���-)37 E-mail permit to: �L4n '�e �G ,� �,1, GG�► Last updated: 11/15/2018 i Section 12 —Department Sign-Offs j Health Department ❑ Zoning Board(if required) ,❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ . ' Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13 — Owner's Authorization I, an.1,S ar►-I n s-od as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: ClL14 I -'� (Address of job) .Signature of O date Print Name Last updated: 11/15/2018 FARRINGTON ` 35 COUNTY CLUB DR 215;" (ilJa fC 617.529.5836 MA ` 53." w ---- 30" - ---30"--f- 48 a" -___. 30".__4 24" ZrMERILLAT CLASSIC � 47 e" } 541° 74"- STD CONSTRUCTION RALSTON DOOR w/5-PC DRAWER FRONT j _ 27„ 78 u„ 1 0=" _ MAPLE-COTTON w/TUSCAN GLAZE-KITCHEN - - - "- e ' " �� MAPLE-GRAPHITE-ISLAND 8 FLOAT SHLEVES '� T FULL EXT,SOFT CLOSE DOVETAIL DRAWERS - -- - 50,0''- ^ ? 2" 36 - ;t 24 ;" 30" - 427"— 33is' SOFT CLOSE HINGES } + I I } i 1 N N._ a W3030B 4 W3030B a W303013 D BEAT: IBCD36D -4D2WT DISHW24 ESB30B BPPSQ/-2DBG N z N gU/�D/� 818R DT BPPS36-20 iI! cn cn G p 72 SE 2 P _ 7 2019 "'To tE A gRIV t STq t I ft f _ �0) 3{J N � MBA 3i21R1ST REF2.24.STEEL ; / of _. u' N_ WF30 � FLS38 1530 � T "I �-2724" � 11-21„1 24 ,= 21"_ l t _.. g0-°a" . �. __ - ...24" �. Ilk i - 737"" W . {t 15". �. -36"-- !15" s} L 011-_ All dimensions_size designations This is an original design and must Designed: 9/12/2019 given are subject to verification on not be released or copied unless Printed: 9/12/2019 job site and adjustment to fit job applicable fee has been paid or job conditions. 200 order placed. Kitchen 9.12.19 ARM All Drawing#: 1 JNo Scale. G � EX/s7'rNG DGvEt.L�.�G �g�� r' � I 17711 r I certify that this Pro �CSc° located in Flood Hazard ZonepCr(o is ut- side the 500 year flood) as identified by the Department of Housing and Urban Development (HUD) . Date .sue- �3 ♦y 4 CERTIFIED PLOT PLAN LOCATIONAk' B q�u�a) f SCALE , =-3'b' S Z3 DATE ,3 •/59G �I Reg. Land Surveyor7 PLAN REFERENCE AC-2m• G loT.OZ ZZ/ !T . . . . . . .. .. . .. .. . . . . . . . . . .. .. . I certify to its title insurance company that there are no visible encroachments I CERTIFY THAT THE or easements except as shown and that this DIki�GU•vG .• • • ' " SHOWN. THIS PLAN IS LOCATED ON THE G.R "OUND plan was prepared under my immediate AS SHOWN HEREON AND THAT IT CONFORMS TO THE supervision. SETBACK REOUIREMENTS OF THE TOWN OF •.. . . . .WHEN, CONSTRUCTED. PlAlle 1JGFi- L9 1A1" DATES f'.•1 REGISTERED LAND SURV R Disannroved M The Commonwealth of Massachusetts Department of IndustridAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia x" Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): �Q SU n Address: I04-1 t04 A City/State/Zip: Pl ► o���, /� d 23GV Phone Are you an employer?theck the appropriate box: Type of project(required): 1.❑ I am a employer with- 4. I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.0 1 am a sole proprietor or partner- listed on the attached sheet. 7. ®Remodeling ship and have no employees These sub-contractors have 8. Demolition working for mein any capacity. employees and have workers' 9. El Building addition [No workers' comp.insurance comp.insurance.: 5. We are a corporation and its 10.❑Electrical repairs or additions required.] ❑ officers have exercised their 11. Plumb' repairs or additions 3.❑ I am a homeowner doing all work � � myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance 1equired.1 t C. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors most submit a new affidavit indicating such. tContiactors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isprovhUng workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certl der pains and penalties of perjury that the information provide above is true and correct Signafore: Date: ` Phone#: f7� �6 )367 Offrcial use only. Do not write in this area,to be completed by city or town off iciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information- and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person hi the service of another under any contract of hire, express or implied,oral or written." An\§25 er is defined as"an individual,partnership,association,corporation or other entity,or any two or more of toing engaged in a joint enterprise,and including the legal representatives of deceased employer,or the recr of an individual,partnership,association or other legal entity,empI I. ' g employees. However the ow a house having not more than three apartments and who resides in,or the occupant of the dwhouse another who employs persons to do maintenance,construction repair work on such dwelling house or ogrounds building appurtenant thereto shall not because of such empl yment be deemed to be an employer." MGchapter 152,§25 also states that"every state or local licensing icy shaII withhold the issuance or renf a Incense or p it to operate a business or to construct b gangs in the commonwealth for any appt who Gas not pr ced acceptable evidence of compliance the insurance coverage required:'Adlly,MGL chapter 1 §25C('n states"Neither the wmmon nor any of its political subdivisions shall ent any contract for the p rmance of public.work until le evidence of compliance with the insurance reqents of this chapter have presented to the coninacting�authority." Applicants Please fill out the workers' compensation davit comp] ,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),a ss(es) phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC) L' Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry—or 'compensation insurance. If an LLC or LLP does have employees,a policy is:required. Be•advised that this davit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. o e sure to sign and date the affidavit. The affidavit should be returned to the city or town that the applicatio or the p or license is being requested,not the Department of Industrial Accidents, Should you have any qu ors regar ' the law or if you are required to obtain a workers' compensation policy,please call the Depart m at the number ' below. Self-insured companies should enter their self-insurance license number on the appr line. City or Town Officials Please be sure dud the affidavit is comp and printed legibly. The Dep ent has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations to contact you regarding the applicant. Please be sure to fill in the permitllic a number which will be used as a ref ce number. In addition,an applicant that must submit multiple permit/li a applications in any given year,need o submit one affidavit indicating current policy information(if necessary) d under"Job Site Address"the applicant sho write"all locations in (city or town)"A copy of the affidavit t has been officially stamped or marked by the ci or town may be provided to the applicant as proof that a valid davit is on file for future permits or licenses. A ne ffidavit must be filled out each year.Where a home owner o citizen is obtaining a license or permit not related to any iness or commercial venture (i.e.a dog license or permit o burn leaves etc.)said person is NOT required to complete affidavit. The Office of Investigati would like to thank you in advance for your cooperation and s uld you have any questions, please do not hesitate to 've us a call. The Department's addre ,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents O► e of Investigations 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877-MASSAM Revised 4-24-07 Fax##617-727-7749 www:m►ass.gav/dia . Application number Fee ..................... �.U.,�.? ......................... MAM AUG 2 1 2019 Building Inspectors Initials- . .............................. s65 T I. Date Issued...... ..[.2....!...1.......... �f. .....Map/Parcel,....... y............................... ............ TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: 3 5 C-A*, ''Cl v� 9r ve- NUMBER, 'STREET VILLAGE Owner's Name: ►J A;S 40- Phone Number fSA2 20 C-Ac��j I e Email Address: Cell Phone Number 6 0 5a 9 ` 5 936 Project cost$ 1 5) 06 Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize Iq Sd ti rU h 4 q,ri e, to make application for a building pe 't in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK ❑ Siding Windows (no header change)# 15 ❑ Insulation/Weatherization ® Doors(no header change)# I Commercial Doors require an inspector's review ❑ Roof(not applying more than 1 layer of shingles) Construction Debris will be going to YG✓�MOv+; OiS f6f-.1 / &4 (r►^� �.y►-r7 CONTRACTOR'S INFORMATION Contractor's name J q Sd h I0 h+a.-n t ,Home Improvement Contractors Registration(if applicable)# U (attach copy) P g PQP Construction Supervisor's License# C S _ D8750 (attach copy) Email of Contractor -Lu Fn 4q-h 2 X f Phone number(of SV,1397 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. J APPLICATION NUMBER............................................................ y� *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 201bs. or>Yes No , if yes, a gas permit is required. Natural,.Gas Yes- No , if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date r APPLICANT'S SIGNATURE Signature Date All permit 4plications are subject to a building.official's approval prior to issuance. 1HE_ Application Number..........$.J.. ... ....By........................... '**.`snxtvsrnB i ..: . MA$$. � Permit Fee......... . .. .. . ......Other Fee.. . .... .. .... t6 9. TotalFee Paid.......... ... ..... .... .......... ...... ................... ...... TOWN OF BARNSTABLE r ( Permit Approval by.;.U•... .................On.....G.....5�.�. .4 BUILDING PERMIT APPLICATIONL Map....... U..............Parcel.......Q... ...b................... Section 1 — Owners Information and Project Location Project Address 4' Village - Owners Name a.roa o ,o Owners Legal Address %L-r u ( l u b k a y City �� v4-LVL�f,u<o/ State X Zip 0 G 3 �7 At Owners Cell # $!3'2,5-- 8 3 9 E=mail a"4 Section 2; Structural Use Single/Two-Family Dwelling Commercial Structure over 3},000 cubic few ❑ Commercial Structure under 35,000 cubic feet . �? Section 3 —Type of Permit is 3V. ❑ New Construction [] Move/Relocate ❑ Accessory Structure Change of ❑ Demo/ entire structure) ) ❑ Finish Basement ❑ Pool ❑ Fire Alarm Rebuild ❑ Deck ❑ Solar Sprinkler System ❑ Addition ❑ Retaining wall insulation ❑ Renovation Other—Specify Section 4—Detail Cost of Proposed Construction �Z-,3 V7 0 Square Footage of Project. Age of Structure Dig Safe Number #Of Bedrooms Existing Total #Of Bedrooms.(proposed) 110 MPH Wind Zone Compliance Method F� MA Checklist'❑ WFCM Checklist ❑ Design Last updated: 10/31/2017 Section 5 - Work Description a a t- e e Lcx.. P)ce-d Pay-j -e r J ! G- -5' tz of Le 6J'� k-ile eta- o r; >e4L>< Y*,Q 14etl �u r ,�`h-Gc � //�z b Loh fe 414,GY 6 �� coo v vas w �� 9 b e n� �4-r-t S c� �� 7 ,erg men e44 GLgs s e-�y,0 a►^ Section 6— Project Specifics C ❑ Wiring ❑ Oil-Tank Storage Smoke Detectors I ❑ ❑ Plumbing D/Gas ❑ Fire Suppression ❑ Heating System: ❑ Masonry Chimney i ❑ Add/relocate bedroom I Water Supply ❑ Public ❑ Private i Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway { Debris Disposal Facility_ aVed& ' i am using a crane ❑ Yes 19INo "VeY &A O27a0 Section 7— Flood Zone E Flood Zone Designation Within or adjacent to.a wetland, coastal bank? Y s ❑ No ❑ Section 8-Zoning infor ation Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? Yes ❑ No i i Last updated: 10/31/2017 I I ' Section 9- Construction Supervisor Name/coo krto,;/ Telephone Number 5 D --� �- -,7 o 0, Address yZ o fro v c City -ra 111t VnY' State Zip D 2'7 a-,I) License Number 1,43 / License Type Expiration Date Contractors Email !Ii 'l • as a tie, v►e Cell # 6d 17-�� _ �0 oZ I understand my responsibilities under the rules and regulations for Licensed Clonstruction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction hispection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10-Home Improvement Contractor Name h jam, d ' e-jj i 4 Telephone N ber Address-'/`D rho Ue S L. City /l 4'1)& S ate �1%I. Zip ©a.f?a-U Registration Number I?d 7 V7 Expiration Date l d L I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.LC... Signature Date Section 11 Home Owners License Exemption Home Owners Name: r^ vim. ,GLa-ln- Telephone Number 5 D F7-3-2S"- Cell or Work Nun iber I understand my responsibilities'under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction i spection procedures,specific inspections and documentation required by 780'CMR and the Town of Barnstable. Signature e 7 2 "O e4e OCI Date 1116-11 i APPLICANT SIGNATURE Signature Date 111r1l Print Name / i7 Telep one Number ( 1'-576-;1- 7 o n E-mail permit to �a 0 2 S Q.,v e e - Last updated: 10/31/2017 Section 12 —Department Sign-Offs Health Department Zoning Board(if required) Historic District ❑; Site Plan Review(if required) Fire Department ❑ Conservation 0: For commercial work,please take your plans directly to the fire departmentfor approval. Section 13 — Owner's Authorization I, as Owner of the subject property hereby authorize / evi�✓i to act on my behalf, in all matters relative to work authorized by this building pernift application for: ti � n, 'rag D 9 (Address of job) Signature of Owner date Print Name Last updated: 10/31/2017 1 I f I + 1 r RISE EiWaeering 5 Dtgibitt Avenue;S6tk' Yard,MA at" i G1SVEERIWG . .; 4 COX,IM M i' inb :�zas i�Aic'sr6si ,, ' `. ;. Two G=WACTMsftn6x ViFi ►tee :r CLcIgs s t oae AtR . CUMM iaotR i am&=WRW aa,csuo MINES i 35 Country Club Drive 35 Comfy Club Drive BEa+ seKr;argte.� t agieu+e�t+.arnr�,z+q, st+ ''. Cummaq dd,MA 02637 Ymmouth-Port,MA.02675 JOBIDWIRIMOM x+ Oveahmng located below'a hosted Boor yea,by*ift holes m the overhang from below. Holes MUed wig be piano PhW will be, sealed with cactior grade spackle and le8 asp rel vely s nditiori Fmisti said and tottbli-uppaiminglpaintiug vrtilt'tie the i ility. CRAWLSPACE'Pi"6. and materlaLs m install'(23ij",*,are feet of 2°,rigid tioard n th the togiiired 8re isimg�to't c creavlspaoe': s $963:90 perimeter wall up to the sill and.apbw the band joist !°• : . -.i.•':': YOUR INCENTIVE Em Awn: , RiSH Englae wt7!'apply all.appli te,eligible ntowetives a�you !bid oa$+the rI etuauat Coieiitiy,t diAle ; maesittes,the'Cspe E Compacx ofdere:7S'/o incx ntivc,not to classed$4,000 paaknd&ryM,and da kaentittre o 10% Sealing measures. 1ndrrED TIME SPECIAL INCENTIVE: 7W.Cape Light Comp,ad will waive the$4,000 4q*, vywds the work RM well Your cash by Z$0/oA all the ZR wO&outlined m this psopo l`This special'jn i e i9 avaih le to has owners o stgt their oe osal ' before Decem6ea 31,241 and submit To RISE bg lanvqr5'8;2018: .,,.... 777: .. .. ..:5 ;r. .. .. :..l,r.. I 1 °i. Total::.. .,$IjUl i r . . . : Program l+naentivw; : s;83o.32': .� . .. .•'��: C�toetieG�Total: • '$'f;416;T7 weAGMHBWMFMM -coraMEuaACMMMWMAtlovet t MftFORMSUMoF : . " One I h6usO d-Four Hundred Sbdm 77/100 Dotlars>F :,.;+ r:;, :,, . •': 51,4'16.�T WOrtFBlALaavecr u�avt rr�srroet Sao awroetesnoaMel0ww* uff=RWR%LOlson x as dr oxaor w+ngmanw�snr�aoa►��ex +�eraxrWPaaAa�wa.suaRAntiY�s:°rose#ra�. :ocxmlu.�+;nbm•dima►t�t. . . .: -, '. . X;L SYii ) tFi isNmiin0cowmayA veFWrOORAM BYURFN LViCYl6DWMUN 0MCFA $"am fkCEPFANCEGFCOMMACi,•.TBiABMPRMSPWFlCATXMA D, ARB. ...�r.30 CAM BAMFAMW;TOWAND"ARBMMMACCFiM.VCUARB TC:DDVML;WDRK. : As a iAAYM6NiH�LiTAflE%1a0UiC 'ABDYE i t - oFro , Town of Barnstable *Permit# k/ 9-o 91 0.� Expires 6 months from Issue date ,,,MMZ40= : Regulatory Services Fee %63 `0� Thomas F.GeOer;Director Building Division Tom Perry, Building Commissioner 17 200 Main Street, Hyannis,MA 02601 mPR ._'.... a ^- tE"ni .. Office: 508-862-4038 Fax: 508-790-6230 AN 1 8 2005 EXPRESS PEPJffr APPLICATION - RESEDL Not Valid without 1te4f X-Press Imprint MI i- LJAKN 1 1Z LE [ap/parcel Number roperty Address - :1() &.4 1?,1/ CLIh Z�,1jer- R Value of Wofk Minimum fee of.$25.00 for wor under$6000.00 iwner's Name&Address *h va 6VAxt—., :ontractor's Name rL Telephone Number)d" 11-_79,/ [ome Improvement Contractor License#(if applicable) :onstruction Supervisor's License#(if applicable) 5��q ]Workmen's Compensation Insurance Check one: I am a sole proprietor am the Homeowner tj I have Worker's Compensation Insurance asurance Company Naiae Vorkman's Comp.Policy# ;opy of Insurance Compliance Certificate must be on file. 'ermit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to [r]R-roof(not stripping. Going over_L existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) •Where required: Issuance of this permit does not exempt compliance with other town depaztneat regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home ovement Contractors License is required. ;igaatureIr ZT0nns:expmtrg tevisc063004 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map .moo ParcelO "Lf S * Permit# Health Division � �✓ Date Issued Conservation Division 3 99 Fee gc3 07� Tax Collect �, i SEPTIC SYSTEM MUST BE Treasurer, s INSTALLED IN COMPLIANCE WITH TITLE 5 , Planning Dept. - _ w ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOW- 11„R ,GULAT t�Z ON, Historic-OKH Preservation/Hyannis C Project Street Address Village- Owner b't 41&/�/LGtil% Address -Telephone Z ` 1_2 5 9-6 ' Permit Request 47OD 17 >1/4P Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost 349, Zoning District Flood Plain Groundwater Overlay Construction Type 4LAe"®d r-i4,i077e- Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. • Dwelling Type: Single Family W Two Family ❑ Multi-Family(#units) Age of Existing Structure7..�_- 3 Historic House: ❑Yes ❑No On Old King's Highway: Yes ❑No Basement Type: aFull ❑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 batfis): 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 Cl new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ -Appeal# Recorded❑ . t Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name 116Pr;c ' G&2. �lir/Gl /�iJ Telephone Number Address 3 ZG 3 License# D Is /3/f/ 5 �/3LC' � OZl 3y Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOIV SIGNATURE 60 6; t DATE `�� 3 - FOR OFFICIAL USE ONLY A , PERMIT NO. DATE ISSUED - MAP/PARCEL NO. 'ADDRESS ` ' VILLAGE OWNER DATE OF INSPECTIOM, + r W FOUNDATION FRAME INSULATION FIREPLACE i ELECTRICAL: ROUGH - _ FINAL F PLUMBING: ROUGH -a FINAL - r •� GAS: ROUGH �z3 FINAL FINAL-BUILDING` DATE CLOSED OUT ASSOCIATION PLAN NO. z Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 r Ralph Cressen Fax: 508-790-6230 _ Building'Commissione: 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 io/- Address of Work: /i Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law C]Job Under$1,000 Building not owner-occupied E]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 owner. Date Contractor Name Registration No. OR Date Owner's Name q:fb ms:Affidav I I MAScheck COMPLIANCE REPORT I Massachusetts Energy Code Permit # i MkScheck Software Version 2.01 I I _ i I I Checked by/Date I I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 3-4-1999 DATE OF PLANS: 2-19-99 TITLE: Iic Farlin Addition PROJECT INFORMATION: add 17x18 family r0011t COMPLIANCE: PASSES Required UA = 87 Your Home = 84 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 306 30.0 0.0 11 ELLS: Wood Frame, 16" O.C. 397 11.0 0.0 35 GLAZING: Windows or Doors 67 0.3.50 23 FLOORS: Over Unconditioned Space 306 19.0 0.0 15 HVAC EQUIPMENT: Furnace, 84.0 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 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date I MAScheck INSPECTION CHECKLIST Massachusetts Energy Code NiAScheck Software Version 2.01 Mc Farlin Addition DATE: 3-4-1999 Bldg. 1 Dept. 1 Use I CEILINGS: [ ] I 1. R-30 I Comments/Location I I irALLS: [ ] I 1. Wood Frame, 16" O.C., R-11 I Comments/Location I I WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.35 1 For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I I FLOORS: [ ] I 1. Over Unconditioned Space, R-19 I Comments/Location I HVAC EQUIPMENT: [ j I 1. Furnace, 84.0 AFUE or higher Make and Model Number j I AIR LEA-AGE: [ ] 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: 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. I 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 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: [ 1 I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. i I MATERIALS IDENTIFICATION: [ j I Materials and equipment must be identified so that compliance can I 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 equipment efficiency must be clearly marked on the building plans I or specifications. I I DUCT INSULATION: [ ) I Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: [ l 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 I not greater than 125% of the design load as specified I in Sections 780CIR 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 20% of the heating energy is from I 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 PIPE SIZES (in. ) 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 1 Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 1 refrigerant below 40 1.0 1.0 1.5 1.5 [ ] I CIRCULATING HOT WHTER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.) : I I PIPE SIZES (in. ) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED TITER TEMP (F) : RUNOUTS 0-1" ( 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 1.0 1.5 2.0 I 140-160 0.5 ] 0.5 1.0 i.5 I 100-130 0.5 0.5 0.5 1.0 I ` ----NOTES TO FIELD (Building Department Use Only)------------------------- ` ti_ 17 0" i ♦ L'S17. tA;ILL frcevcx iZ IN .. 'FW7-D.WZIfYLC�,TpN t1p rCM V;ra.-ne5e w"x W yz"cctccrrr`5 -T sns !A:ao w/bm�c 2 Gom-f ' 1 i 1�iH�_orfrr's� �+/Gaf —?i-4 iiC,R4 e. � O OT 6:1 vent.lxc fke¢ Bct '.IG"OL qyr - ti W/LNtx�nLo'4 ZFnHac, 1� - I 3 i C I. O,yy O� � �IL,�Ot' i � '�I, ��: O'��. .GM''.L%1ST•'/ D� �.. � palyN [^' -) 3-2KIoP a� nfe' z •c1 •o o I L � .� •v f� ���is5qq�� •x:.lo"'o.. �F � � yc¢.`�tG OG,�lx4 SF4� _ _ '�ih•4•wc:Gbsf � .o � � - vuM.If .S7di GDNC•13f4 VV�'. .. ,Z;,>7,M�}t£-R'l1.IN5UL.-1/Z. OR COL. Ol Lta<��Yry rMc1c i• FIW.'f N"ruV It�f'fIN f1A.?O xu4N'Zi�ibw ' ' V.6KIFY?bF✓T fhN.FIt. rl iL144. Ela/1<� No7E% FIN RRS•v¢a,FY :/GghwL 5?e olE 3h b5n roear 1 a. Rrz- .�OI�sf6A'i Srts _ _ '8"FbIG fDN: ei w Lil•'fE N� fFliM' - - + 9oczN - .: .: cx RxY-..0 . '�OUtil�lli'riQh�t . �l„x.N TYPIGJ'.l. Gj•CGTION . f=L.c'�i4it�iN 'f�lafil9�NG� . IVI UI*!{!.'Tf0 :�'F?IiSN�'. m:wwoailYem. C� Lod- �Z7 � W r� E.Yisyi�G Dw�iuNG �3`� v #f e l I certify that this property is located in Flood Hazard Zone C (out- side the 500 year flood) as identified by the Department of Housing and Urban Development (HUD) . Date_.S&;p7' 2 CERTIFIED PLOT PLAN LOCATION rec��yMra�u��) SCALE . .� _30 .... DATE Reg. Land Surveyor PLAN REFERENCE B7!vG la7' 'Z� I certify, to its title insurance company that there are no visible encroachments I CERTIFY THAT THE !s'ri�!!�.. ! 'WNG , or easements except as shown and that this SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE plan was prepared under my immediate SETBACK REQUIREMENTS OF THE TOWN OF supervision. WHEN CONSTRUCTED, sue' Z DATE . 3 REGISTERED LAND SURV R o6TaEro�y� TOWN OF BAR.NSTABLE i • i BA"ST"LE, i �11N"&9 a• BUILDING INSPECTOR 'Fp ppY APPLICATION FOR PERMIT TO ��/ ....�..... Y..... .�?.'. a; ®J � /a.�� .. ..a.— ~ ............... .............:,..... :............................................ TYPE OF CONSTRUCTION ....`�..,�..�a �/ �� ��� TO THE`INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location y...... iC� . l�1�4�r�r�J.. ProposedUse ' '..................................... .J��....................................................................................................................................... i� ZoningDistrict ....... .........................................Fire District ............................................................ wiyliy...¢�FJa� ..................... ddress ..:'.........................�.....�.� ,�yJ✓�.......... Name of Owner ....... �g�3 �/9 T Nameof Builder . ... ............................................. Address .............................................. .......... ...................... Name of Architect �� .. .."�. . . .. ...... . Address ...�...�.✓...�.....�..`.....e,...%.-..�...T...... F...�.. ,..�Q...,. Number of Rooms ........6.)............... ..:..Foundation 6K 4r3��rr?Js .,z,` lk� �lL t Exierior ............................. ... �i✓ ... ....................................Roofing ...........��..............�........................................ Floors ... . ... .�./v .T�i.. ..........................Interior ...../2�:......DoeelACJ`c�4G.`'................................ / Heating �J............................................................Plumbing ... ....................... .................................... Fireplace ........................... Approximate Cost ................... ................................................. Difinitive Plan Approved by Planning Board �-�- - 19 lel ---- Diagram of Lot and Building with Dimensions' I ` I / f.0 i ,0 �4� © 24 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin the above construction. « � Name .. ........................................... .. ,. .......... - � Cummaquid, Realty Trust ooe � �o ..��y��— Panni� �or -----� .�z�.�--..single famil dwelling ` ' | (""aoibIo --------------------.------\ Location ..Drive ____.. _ ( --------- .'ww; ,nwaA4~ek.� � � Owner �z��at --------.^--------.----. � ' �ra�a Type of Construction -------------- ----.—.--------------------. . / Pk ��Plot ---------� Lot ---.''------ \ | November 22 68 ' } Permit Granted -------------]g Date of Inspection .................. --.l9 ' Dole Completed --����' ������--.]9 � ' ' 'Y ` ` / PER&&�' REFUSED ' lA 7 / .-------.--~---------- /. .-------------------------- � \ ' ^----'----------^----------' _ —.—~---------------.—.~—..--.. � ---------^—'—'`—'^^^--'^—''~----' _�- Approved ~--------------- lV ' . -----------------^^--^-----'' ! / ' ----^----------------'----^`' �~