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X-PRESS PERMIT Town of Barnstable *Permit# - /S— •
5 Expires 6 mo the from issue dtde
Regulatory Services Fee
TOWN OF BARNSTABLE Thomas F.Geiler,Director
Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
TOWN OF BARN6 lhltsLL www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number `/ I 6-5 S.4 1 e
PropertyAddress � i L d 061
�B.esidential Value of Work "j 72t Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address th ne (;;- 1?I
02-
Contractor's Name /tic461(
//' Telephone Number SO0 c ?0,0£53
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
0Workman's Compensation Insurance
Check one:
el&I am a sole proprietor
❑ I am the Homeowner
0 I have Worker's Compensation Insur ce •
Insurance Company Name 7-4C 1^�zi45-62-4 "0,6.�
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box) •
/
/
d' u�h !
°q:8e-roof(stripping old shingles) All construction debris will be taken to 13Y...54-
❑Re-roof(not stripping. Going over 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 department regulations,i.e.Historic,Conservation,etc.
***Note: Property er ram s' Property Owner Letter of Permission.
e o m tractors License is required.
/Th •
SIGNATURE:
Q:Fotms:expmtrg
Revise071405 0 N ,61 K )
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' ikelfr-A 1 04: -)S ,-‘..3 Gallagher Roofing & Siding
tlirittoN. ttl‘ :
jitillig e. ,vA "We appreciateio ycoourporr abusiness.tiond
Proposal "
Yarmouth Port MA 02675
(508) 362-0265
°Clic Tk,
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Prop ub oosal S mitted t n Work to be performed at
Name nes j it71 r---6,Tir Kt vi/ej
&CZ:1:e_
Street a Street cca.A.-t,c. '
City) State / c City State
Date ‘1" Phone 36,2 /6,/7
We hereby propose Ifurnish all 92e materials and perform all the labor necepary for tlnromftletior of i i
(.511/4r-lp 4-06117441 rirolk- (4-At eri- &ct deg.).. Pl3kta (AA th /...apodkivuik 30siaVes
7-1-71 IOC r;tmexi ifii ikt. hoad ov• -Ciick TNT 041()-44-, CPA1-4/[‘ ;wja if tweL/
AIR et MAII WM EMIR.1.15R I.I Ign IM I I I rAliti r 14 A- 11 0 a- 16,0 Alin.
/3-fixt4# fr DI 4-cl /lc Vf-1,1 fir dr/euf ,Lci 0.-,-4-e ...,1 Avhff
re: tperA. V4 et-cfraf• t. J/apphi Wijefraid i.LIJei .4121.0 etiAl rtieS A kYel
friv4 ixte coif ,tvf A041/...# 4/4, a.,, i-, in,i-0/
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/0 tem( wetAiircoi Tet(Ptil 4.0,1, 6 6--.14,,L, Roirij • .
3-0 dear ittavvv-ari Ov•- :.s..ki,lie, i‘j ai-Lkeii-.Z.-etC,
All Material is guaranteed to be as specified,and the above work to be performed in accordance with the chas• and
specifications submitted for above work and completed in a substantial workmanlike manner for the sum of S?r324.9rollars.
With payments made as follows:4r ati..-/
3000/ a clue. gr-s41040-ast 4'/. Wite 720.04.
CovimiovL oat% iddi f.ke /6/kNi4er A eater ..e
Acceptance of Proposal
The above prices,specifications and conditions are satisfactory and are hereby accepted. You are auth • to do the work as
spedfied.Payment will be made as outlined abov„he • , A
Accepted Ant (k& a 111/a Signature . •
Date - 1 0 .--- Sign =.1*.,,,I
1 •
1 .
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 3 ..r/ Parcel 3 V Permit#
Health Division - -----.0 P �— �' �-- i_ n Date Issued (0
Conservation Division 10 01 2001 I Fee 7. 3 �p 1
(� ,_kLi
Tax Collect ;��� �`k 47eI11.L) lb- 0 , /1 2J iy /' i '
Treasurer ,) a
(41 - . SYSTEM MUST ,30,
INSTALLED IN COLp
Planning Dept. WITH TITLE 6
Date Definitive Plan Approved by Planning Board
ENVIRONMENTAL C ::::,'.:
(9-
Historic-OKH Preservation/Hyannis
Project Street Address Z$ /e'yve4.
Village G l C
Owner eG't t'r C v/�7-l� Address Z S /2V4981t. 6-Pr Cl/ W/704-c-)to
Telephone 3 G Z- - Y 60
Permit Request /Op ferGe '® L e,)o 01,64/2 Pyle- 8.1 /z '^
Art) C t.i).<Fr
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed / Yo Total new
Valuation r e7 Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family 0 Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes "No On Old King's Highway: C9'Yes ❑ No
Basement Type: 0 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 rA7 new /0,
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑Gas 0 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: 0 existing ❑new size Shed:O existing ❑new size Other:
•
Zoning Board of Appeals Authorization ❑ Appeal# Recorded 0
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name f c C1 GZ,•9X4 Telephone Number 3‘ Z- ye.Y V
Address •l�DD
o. ' -? .3 License# C 5 0/S zfJ V
Aluil'V,77a', . c'Z,'10 Home Improvement Contractor# /0 66' 7 5
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO t79/ -4cx)ilf
SIGNATURE C%d C-.1 DATE fe7 - f "-0
..r
FOR OFFICIAL USE ONLY
€ ...
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PERMIT NO. -- .._.
•
'''$• DATE ISSUED • . , ,
1,- '2'
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MAP/PARCEL NO. I - ' ••.,
4
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ADDRESS t r - , • . VILLAGE
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OWNER V •••..
4' ' '
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DATE OF INSPECTION V
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FOUNDATION V : ......
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i. FRAME -
INSULATION
-. FIREPLACE
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ELECTRICAL: ROUGH FINAL
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PLUMBING: ROUGH FINAL '
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GAS: ROUGH FINAL
I' FINAL BUILDING , •
1— •
I-•'! . ., .
'e:
. DATE CLOSED OUT 1 -
ASSOCIATION PLAN NO. '
•
.,.. - ••
1
ice•
RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE
New Buildings,Additions $50.00
Alterations/Renovations $25.00
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
LIVING SPACE
square feet x$96/sq.foot= x.0031=
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
ta_ 3�
7 cf� square feet x$64/sq.foot= C00 x.0031=
plus from below(if applicable)
ACCESSORY STRUCTURE>120 sq.ftt
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf- 1000 sf 75.00
>1000 sf- 1500 sf 100.00
>1500 sf-Same as new building permit:
square feet x$96/sq.foot= x.0031=
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck x$30.00=
(number)
Fireplace/Chimney x$25.00=
(number)
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable) Permit Fee ,
87
projcost
OF THE 1p�
... The Town of Barnstable
9� �$ Regulatory Services •
ATeo;,,,toh Thomas F. Geiler, Director
Building Division
Peter F. DiMatteo, 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: /4®6 dO 6'- Estimated Cost -Z 6 -t —
2 lZyI'"t
Address of Work: ��.
Owner's Name: /`"� t Ch'4 C
Date of Application: /® • ��.
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
DJob Under$1,000
❑Building not owner-occupied
DOwner 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:
�62— i—Of `�`' / 7o' /`�
Date Contractor Name Registration No.
OR
Date Owner's Name
q:forms:Affidav:rev-070601
15'
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4'5"4 2'4"1
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MAScheck COMPLIANCE REPORT I I
Massachusetts Energy Code I Permit #
MAScheck 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: 10-8-2001
COMPLIANCE: PASSES
Required UA = 21
Your Home = 20
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
CEILINGS 150 30.0 0.0 5
WALLS: Wood Frame, 16" 0.C. 125 13.0 0.0 10
GLAZING: Windows or Doors 10 0.410 4
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 1 (...,31;/J4.11.1v,_,.....0000"Builder/Designer Date/a--
t
MAScheck INSPECTION CHECKLIST
Massachusetts Energy Code
MAScheck Software Version 2.01
DATE: 10-8-2001
Bldg.
Dept.
Use I
I CEILINGS:
E 3 I 1. R-30
I Comments/Location
I WALLS:
It ]I I 1. Wood Frame, 16" 0•C•, R-13
I Comments/Location
I WINDOWS AND GLASS DOORS:
IC 3 I 1. U-value: 0.41
I For windows without labeled U-values, describe features:
I # Panes Frame Type Thermal Break? IC 1 Yes IC 3 No
I Comments/Location
I AIR LEAKAGE:
It 3 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
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
I conditioned space to the ceiling cavity. The lighting fixture
I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure
I difference and shall be labeled.
I VAPOR RETARDER:
IL ]I I Required on the warm-in-winter side of all non-vented framed
I ceilings, walls, and floors.
I MATERIALS IDENTIFICATION:
E 1 I 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
I provided. Insulation R-values and glazing U-values must be clearly
I marked on the building plans or specifications.
I DUCT INSULATION:
E 1 I Ducts shall be insulated per Table J4.4.7.1•
I DUCT CONSTRUCTION:
E 1 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 whtre 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•
TEMPERATURE CONTROLS:
IE 3 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:
IE 3 I Rated output capacity of the heating/cooling system is
I not greater than 125% of the design load as specified
I in Sections 780CMR 1310 and J4.4-
I
IE 3 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-
( 3 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.)
I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4"
I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0
I Low temperature 120-200 0.5 1.0 1.0 1.5
I Steam condensate any 1.0 1.0 1.5 2.0
I COOLING SYSTEMS:
I Chilled water or 40-55 0.5 0.5 0.75 1.0
I refrigerant below 40 1.0 1.0 1.5 1.5
IE 3 I CIRCULATING HOT WATER SYSTEMS:
I Insulate circulating hot water pipes to the following levels (in.) :
PIPE SIZES (in.)
I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS
I HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+"
I 170-180 0.5 I 1.0 1.5 2.0
I 140-160 0.5 I 0.5 1.0 1.5
I 100-130 0.5 I 0.5 0.5 1.0
----NOTES TO FIELD (Building Department Use Only)
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