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HomeMy WebLinkAbout0020 LOCUST STREET ko j NO. 752 1/3 ESSELTE 9 0% . r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ZI 3 Application# Health Division Conservation Division Permit# Tax Collector Date Issued ® Treasurer Application Fee Planning Dept. t Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address D,O 1—o c U S Village w vy: S Owner)'Y),r +rvAP Address go l.ncv SA- S+. 1-v 14wvv(S Telephone s�'o$?- 77 S- N16 5g Permit Request f of L Q i4vv / ,X (` /900o+►OW p3--40-t JZ ftt-1t- a-1� Th•F Square feet: 1 st floor:existing proposed 0 2nd floor:existing proposed Total new 69 0 F-v Zoning District Flood Plain Groundwater Overlay Project ValuationO,ocoo, Construction Type WDO0IF Lot Size 'RC* Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure (®�(`s Historic House: ❑Yes *No On Old King's Highway: ❑Yes (V No Basement Type: 0 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1,0q8 ,Number of Baths: Full:existing r new / Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing Ca 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 Q,i No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:Aexisting ❑new size -- Shed:❑existing ❑new size Other: a =4 Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ 6_1 00 Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use r-. BUILDER INFORMATION Cn i �- Name --�iEk��y ('=0'iX1 Telephone Number Address L w v\j L-w License# C,S rp O ci S 7 Cy—vu\\1P_ NMI` Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �r�y w5 I ✓�YS I-� b�ns��o•f� SIGNATURE DATE _0 p7 FOR OFFICIAL USE ONLY E PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS' i VILLAGE OWNER i Z 2 h DATE OF INSPECTION: FOUNDATION ®�C- -7 FRAME '_ �� - b `7 INSULATION Q[(L -6 7 ?' FIREPLACE L ELECTRICAL: ROUGH FINAL F PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations r - " ' 600 Washington Street Boston,MA 02111' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organiiatiow bdividual): Z �p&S C,,N ANQ Address: 1.v�9 City/State/ZipCevua-_.ruJ\i MPS t��r<,3Z Phone.#: 2 Are you an employer? Check the appropriate box: :Type of pioject(required)':.1.❑ I am a employer with 4. ElI am a general contractor and I employees(full and/or part tune), * , have hired the stub-contractors 6, ❑New construction . 2. I am a'sole.proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship.and have no employees These sub-contractors have g, ❑Demolition' '*orking for me m any capacity, employees and have workers' [No workers' comp,insurance comp, insurance t' 9, ❑Build ng addition required] 5. ❑ We area corporation and its 10.0•Electrical repairs or additions officers have exercised their'3.❑ I am a homeowner doing all-work • 11.El Plumbing repairs or additions • 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.] *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 must submit anew affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the pub-contractors and state whether or-not those entities have employees. If the sub-contractors bane employees,they must provide their workers'comp,polidy number. I am an employer.that is provi4hnrNorkers'compensation insurance for my employees. Below is.the policy and job site' information. Insurance Company Name: Policy#or Self-ins.Lic,#: 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 tip 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 bIA for insurance coverage verification I do hereby certify under the pains-and penalties of perjury that the information provided above is true and correct. Si tore: /yn ' Date: /I 7 ©7 Phone# Official 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#; IMUHRULIUIL UHU 1"nal uu.uum . 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, oral or written." An employer is defined as "an individual,partnership,association, corporation or other legal entity,or any two or more of the g �a foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the g g . association or other legal entity,e to employees. However the receiver or trustee•of an individual,partnership,a g employing 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, §25C(6)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 pro.duced-acceptable evidence of compliance with the insurance coverage required." . AdditionaIly,MGL ehapter».152,§25C(7)states"Nejther the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public•.workuntii acceptable evidene6•of•compliarice yyiththm insurance- requirements of this chapter have been presented'to the contracting authority.' Applicants , Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-conti•actor(s)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no-employees other than the members'or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have Be advised that this affidavit may be submitted to the Department of Industrial employees, a policy is required. y P Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are requirea to obtain a workers! compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate-line. City or Towli Officials Please be sure that the affidavit is complete-and printed legibly. The Department has provided a space at the bottom of the-affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pemutllicense number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all•locations iu (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to btim leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have-any questions, please do not hesitate to give us a call. The Department's address,telephone•andfax number:. o CQMM0UWWth of Mmactus-tts DQputmont of lnftstdal Accidents 4ffie€Of JUVOWg UMS 60Q W gtoii Stet Boston, 02111- Tf,-L 617.727 400 oxt 406 or 1' 7-MAS.SAFE Foe##617-727-7749 Revised 11-22-06 WWW.mgov/din 1VYrJ.1 VJ. 1J"AJLOLCLLYA%, :W •®* Regulatory Services • s�MASS, . Thomas T.Geiler,Director Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.,barnstable.ma.us fice: 508-8624039 Fax: 508-190-6230 Permit no. Date AFFIDAVIT HOME UYIPROVEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION MGL c. 142Arequires 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=its.or to structures which'are adj acent to \ such residence or building be done by registered contractors,with certain exceptions,along Rzth other requirements. m R© o®o -- Type of Work Estimated Cost T_ Address of Work:a0G�s`'�`+' Owner's Name:Itil C V`S' m Date of Application: — )cc ©7 I hereby certify that Registration is not required for the following reason(s): OWork excluded by law [•Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: Oy4r11�RS pULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR,APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTYFUND UNDERIYIGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: --d`7 Zvi �e-1°17 Date Contractor Signature. RegistrationNo. OR Date Owner's Signature Q wpfiles.fnrms:homeafFidxv Rev: 06060b P�ot►+e,oyMo Town'of Barnstable Regulatory Services BAXNSTABLFE ' Thomas F. Geiler,Director MASS 9�p�fD MA-.► Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 5.08-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Ow net 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 Owner ate r 1 Print Name Q:F0RMS:0W1,ERPERMISSI0N ' a i 7- /5z, h a a h CL I certify that this property is located CERTIFIED PLOT PLAN in flood hazard Zone C (outside the 500 . year flood) as identified by the Depart- �r�NsT E ArJNiS� LOCATION ment of Housing and Urban Developent (HUD) . . ....... .....� ... .!` .. .. . ... Av z /98C :>?'s.•_..:1. SCALE . �. ...Z... .... .DATE Date G i T:j:, ,ti; ctt. .,,. PLAN REFERENCE . 164; .. . . . . Lo73 . . / Z Reg. tii`ids Survey'o: . i CERTIFY THAT THE �.;77NG M DLi/�7L/NG I certify to its title insurance company SHOWN ON THIS PLAN IS LOCATED ON THE GROUND . that there are no visible encroachments AS SHOWN HEREON. or easements except as shown and that this plan was prepared under my immediate supervision. DATE 4-7",e&A/CL E. /`�/7G,c,/Eu ETUX " �?7T/p�✓�x REGISTERED LAND SURVEYOR REScheck Software Version 4.0.1 Compliance Certificate Project Title: Master bathroom addition Report Date:01/17/07 Data filename:C:\Program Files\Check\REScheck\Mitchell.rck Energy Code: Massachusetts Energy Code Location: Barnstable,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 30/a Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor. 20 Locust street Jeffrey Conrad Jeffrey Conrad Hyannis,MA 02601 Conrad Remodeling Conrad Remodeling 535 Phinney's Lane 535 Phinney's Lane Centerville,MA 02632 Centerville,MA 02632 508-280-8978 508-280-8978 Ceiling 1:Flat Ceiling or Scissor Truss: 69 30.0 0.0 2 Wall 1:Wood Frame,16"o.c.: 125 13.0 0.0 10 Window 1:Vinyl Frame:Double Pane with Low-E: 4 0.360 1 Basement Wall 1:Masonry Block with Empty Cells: 94 0.0 6.5 8 Wall height:4.0' Depth below grade:4.0' Insulation depth:4.0' Floor 1:All-Wood Joist/Truss:Over Unconditioned Space: 69 19.0 0.0 3 Boiler 1:Other(Except Gas-Fired Steam):80 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 Massachusetts Energy Code requirements in REScheck Version 4.0.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. 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 gre ter than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. � <'Pr/ m•t�®l�lr^y�1� IGfJYV��toc cad 1-1-7--0 7 Nam a Date Master bathroom addition Page 1 of 1 REScheck Software Version 4.0.1 Inspection Checklist Date:01/16/07 Air Leakage: l7 Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. Ll When installed in the building envelope,recessed lighting fixtures#rneet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 Us)air movement from the the conditioned space to the ceiling cavity.The lighting fixture has been tested at 75 PA or 1.57 Ibs/ft2 pressure difference and shall be labeled. Vapor Retarder: Installed on the warn-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: Materials and equipment are identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the insulation. Duct Insulation: Lj Ducts are insulated per Table J4.4.7.1. Duct Construction: All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,are sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions.Mesh tape may be omitted where gaps are less than 1/8 inch.Duct tape is not permitted. Lj The HVAC system provides a means for balancing air and water systems. Temperature Controls: Li Thermostats exist 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 is provided. Heating and Cooling Equipment Sizing: Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: Lj Circulating hot water pipes are insulated to the levels in Table 1. Swimming Pools:. Lj All heated swimming pools have an on/off heater switch and a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps have a time clock. Heating and Cooling Piping Insulation: Lj HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. Page 2 of 3 Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature("F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2.Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range("F) 2"Runouts 1"and Less 1.25"to 2.0" .2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) Page 3 of 3 M f0 �' r�ra t/VftG�f/t� UILDING,REG�UL"AT� 10 OFw�r � Lcense} NMI STWEIR �3Numbe': CAS : �© 985�7k ... • � � t€ � �Apr �y 2�>{r2'"a�' Tr mo; �1.7�4y4s1y n estr t 0' f J� �NITiE IhL ;�i1�1� - a Board of I3ailding Regul tsns i nd S ap.lards }iQME Itdl OVEMENT CON;Ti?AGTOR r�Cenra�Reinode4�• ,� � G�v' ERU�L A 026,32 . nn'� tr for registrateen Voea for sndl�ed I,isr o� ' �� 6cforeth�expr`auon date if found rr�ern to, Board c,f BiA ding Regulations and 5tai darda':Ea., J' 8y''` 4 - d ,r atGMtthoutswollAwfe 7 y. . F * TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Y) Permit# dr7 I (5--d3 Health Division �� Date Issued Conservation Division 2- Z, b3 Application Fee �j . Tax Collector_ Permit Fee Treasurer Planning Dept. Am=MUST OBTAIN A SEWER CONNLDate Definitive Plan Approved by Planning Board 04Da'1�0� 10 Historic-OKH Preservation/Hyannis Project Street Address C �L� _ � e � U7`-" r---- Village `YV W C Owner mC +vv1 t(-S M,:)-cY\-e.\\ Address D,0 ©e-o S Telephone 0 - `7-7 y% 44(Se Permit Request ac)` 0\ \ to 7( E1+m,-1_y 9,00^-n 4 9,� 1�oow\/G1 o5-e_t Square feet: 1st floor: existing I caa o proposed a5`t6 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation LNE 15 O® Construction Type W po0 n z. Lot Size /D C9&0 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family QQ Two Family ❑ Multi-Family(#units) Age of Existing Structure it's Historic House: ❑Yes X No On Old King's Highway: ❑Yes A No Basement Type: )(Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) — Basement Unfinished Area(sq.ft) /,000 Number of Baths: Full: existing new Half:existing - new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas WOil ❑ Electric ❑Other Central Air: ❑Yes t No Fireplaces: Existing t New Existing wood/coal stove: ❑Yes 4 No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:#existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name.ZE&&� I'y) OMC A)D Telephone Number Sbo-- ,95 7 9?_ Address ( 3 �h ILW T$ L W License# C S 0 ca r ' Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO k))WM60* AWt;,q-U r s � Y\) SIGNATURE DATE 2 ,F FOR OFFICIAL USE ONLY t PERMIT NO. DATE ISSUED MAP/PARCEL NO. a ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION .9 Al ,� y/7�®J? O Af FRAME .6f/Q/ri S�!/O .? INSULATION 9/NB v FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH ` n FINAL' GAS: ROUGH ; FINAL FINAL BUILDING cs DATE CLOSED OUT t; ASSOC-tATION PLAN,NO. Ll ,� 7 t 4-4 Cow C ry 'r r c ' r e t KK. 7-11 'rc, Co r✓ �i? q c- i o/,z / Cl Or ? '2,j s v 0 0 s �c s 4 w a 6i x.r �'O •" y P r-`�••" ,.r .s.. - , ^`�''-ya.y � rs`�... ;; d is- _ L7 :�A � fa �^.,. y} ..�....i ...ri�_e�, •�✓[.. �C��. _ _ ...>++.:.ra.r�,. ..'.l.� c.. ....+'.S�SCl�.�`,r�s.. ... .. x �;; yy�. �;� ` � �r% �' t � �} k(y,F'f'k�"`�j +� ���^3td � r+ rjye Ac s�,�, 3� ,�- � �.t . ! , • � � � rlF�#j , Al i • b ,m n The Commonwealth of Massachusetts Department of Industrial Accidents Office offnyestfooffaas _ t 600 Washington Street Boston,Mass. 02111 —�'�`�� Workers' Com ensation Insurance Affidavit name -•� ����-� � rJ 1�`1�^'�!�'� location Jt'�J J �Y� r�1 W�- S I"rrj' ci ❑ I am a homeowner performing all work myself ($ I am a sole r rietor and have no one workin in ca achy n din workers' co ensation for mry employees working on this job.;:J:•;}:.}}}y}yy2.:•;t:;:> YY>.;v>:+FY; f:>:;: :r>::::�;: .:�:;>'>::: anem 1 er rovi g mP...........................::.t::::::•::.:::::.::.::::::.!..:tt.}::>;:.;:}�:.:•:�::t>:>::<>;::::::;.:::<::..t......:..;...}.. ...... ......... ......r..........M. ........ .......... ...........:.v............::••.................-:::?•:.:.t.v:•.v::::::.•;••:�,:•:::•}}i:•:.v:v•:::::r::::::.+t {:tt•.r....nv:}:J-;?�:t..v::{n C..;....}%:�:iji'r,: ...... ...... ......... ........... .n.....................•v:•,.•:::: .?•.v:,:�.r.........:•:v:::.:v::::.v;.......: r.{...::x:::x::.•:}::....r.... 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I do hereby certify under the pains and pen of p 'ury that the infornsatiorc provided about is trtu and carted signature /.03 Print name S`�A Phone# SO 9 2 ® S offidal we only do not write in this area to be completed by city or town oMdal city or town: perntit/license# ❑Building Department ClUcensing Board nse is required ❑Selechnen's Office ❑rhrek�$nmedtate ropo q _ ❑Health Department ' phone ❑Other contact person: #; omr d 9195 F] Information and Instructions r Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the `law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants i Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be :R. sugp Y p Y submitted to the Department of Industrial Accidents for confirmation of inanran_ce coverage. Also be sure to sign and �k date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the 'law'or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitllicense number which will be used as a reference number. The affidavits may be retumed'tn the Department by mail or FAX unless other arrangements have been made, you in advance for you cooperation and should you have any questions. The Office of Investigations would Like to thank y please do not hesitate to give us a call. ON The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Invest1gauOns 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 °F1 1WE r Town of Barnstable Regulatory Services * SA MASS.LE, Thomas F.Geiler,Director 9 MASS. $ � i6 •p 39• A� Building Division n Ma. g Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must.Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to,,4orWAori d bythis building permit application for(address of job) Signature of O#er Date Print Name I °FtME Tp�� Town of Barnstable Regulatory Services BARMSTABLE, " Thomas F.Geiler,Director 9 MASS. �plE1 MAC� Building Division Tom Perry,Building Commissioner 200 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:W Doo i P^V1nC_ Estimated Cost:2,q 5 0 0 Address of Work: c�.® �.©e_,0-3-+- ��' ���,4ww� Owner's Name:Jnir Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 QBuilding 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 owner: - Date Contractor Name Registration No. OR Date Owner's Name I RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE 0 New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 0-o square feet x$96/sq.foot=off % x.0031= plus from below(if applicable) ALTERATIONSIRENOVATIONS OF EXISTING SPACE square feet x W/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft >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 projcost Permit Number MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release 1 a Checked By/Date TITLE:Mitchell Family Room CITY:Barnstable STATE:Massachusetts HDD:6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE:02/24/03 DATE OF PLANS:02/15/03 PROJECT INFORMATION: Family Room 20 Loucst Street Hyannis,Ma. COMPANY INFORMATION: Jeffrey M.Conrad Conrad Remodeling Centerville,Ma. 508 280 8978 COMPLIANCE:Passes Maximum UA= 103 Your Home=93. 9.7%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling l:Cathedral Ceiling(no attic) 280 30.0 0.0 10 Wall 1:Wood Frame, 16"o.c. 552 13.0 0.0 38 Window 1:Vinyl Frame,Double Pane with Low-E 49 0.037 2 Door 1:Solid 19 0.350 7 Door 2: Solid 19 0.350 7 Basement Wall 2: Solid Concrete or Masonry, 8.0'ht/7.0'bg/8.0'insul 238 0.0 8.0 17 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 256 19.0 0.0 12 Boiler 1: ,80 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 Massachusetts Energy Code requirements in MECcheck Version 3.2 Release la. { 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 '® b MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE:02/24/03 TITLE:Mitchell Family Room Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Cathedral.Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] ( 1. Wall 1:Wood Frame, 16"o.c.,R213.0 cavity insulation Comments: Basement Walls: [ ] 1. Basement Wall 2: Solid Concrete or Masonry,8.0'ht/7.0'bg/8.0'insul, R-8.0 continuous insulation Comments: Windows: [ ] 1. Window 1:Vinyl Frame,Double Pane with Low-E,U-factor:0.037 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ %]No Comments: Doors: [ '] 1. Door 1: Solid,U-factor:0.350 Comments: [ ] 2. Door 2: Solid,U-factor:0.350 Comments: Floors: [ ] 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation Comments: � I Heating and Cooling Equipment: [ ] 1. Boiler 1: ,80 AFUE or higher Make and Model Number Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfin(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture I 4 { shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. { 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 and glazing U-values must be clearly marked on the building plans or specifications. Duct Insulation: [ ] { Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] { All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed { using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] { 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. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table'1. 'T { Swimming Pools: [ ] All heated swimming pools must have an on/off heater"switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. { Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120°F or chilled fluids below 55°F must be insulated to the levels in Table 2. i Table 1: Minimum Insulation Thickness or Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Op to 1" Up to 1.25" IS'to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) t /9.4'f i . 9 , h � ° a - 0 I certify that this property is located CERTIFIED PLOT PLAN in flood hazard Zone C (outside the 500 . year flood) as identified by the Depart- LOCATION ment of Housing and Urban Developent (HUD) . SCALE . � � .�.... DATE. !9&C Z/ Date �G Z/ /1BC PLAN REFERENCE Q�7!S/G IoTS -07 IPA/ Reg. I ar�df,,Survey'o:•.= 1 CERTIFY THAT THE . ... . I certify to its title insurance company SHOWN ON THIS PLAN 1S LOCATED ON THE GROUND that there are no visible encroachments AS SHOWN HEREON. or easements except as shown and that this plan was prepared under my immediate supervision. DATE REGISTERED LAND SURVEYOR Board of io�4!ing Rc�tions and Sta.ia." HOME I�LRk.j41 CONTRACTOR. ra1r_ 2CO3 Conrad Remodels 3 Jefrrey_,Conrad 7� ��; _ A �10;Lzcust St t , Hyanmiss MA 02601 A tdstr trr J. ✓� -V/O�YI/IY/.O�ItIIICCLUI/2 4�✓UCQQ6L�UQEGa6 BOARD OF BUILDING REGULATION ` License ONSTRUCTION SUPERVISOR Numbe 009857 Blfth i-tv 3la 6 - d �03. Tr.nor 13275 +� JEFFREY M GOw 1.0 LOCUST ST � - HYANNIS, MA 0260i Ad'dnmrstrator , .r A=309-113 J O SF,PH D. DA LU Z �—---------- - --- - �—� Building Commissioner fELOPHONE: 775.1 120EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 April 28, 1989 Mr. Laurence E. Mitchell 20 Locust Street Hyannis, MA 02601 RE: A=309-113 Lot #6, Chestn t Street, yHyannis, Dear Mr. Mitchell: Lot #6 shown on Assessor's map 309-113 and located on Chestnut Street, Hyannis, contains 4,791 square feet. This lot does not meet any criteira as a buildable lot under any conditions, including Board of Appeals. Peace, Joseph D. DaLuz Building Commissioner JDD/gr PROPERTY ADDRESS - +-�- ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED CLASSSTATE I pCS NBHD P R ID NTI KEY NO. 0011, CHESTNUT STREET 07 RB 400 07HY 03/17/89 1301 00 638C R309 113- 223877 —1-AND, FEATURES DESCRIPTION AU.IUSTMENT FACTORS M I T C H E L L L A U R E N C E E Lantl Brn)a l,: s,ec D,•»e„a,on v UNIT ADJ'D.UNIT qC RE S/UNITS VALUE Deacryaion MAP eD. FF Da nn/Ac,es LOC./YR.SPEC.CLASS ADJ. CONE). P PRICE PRICE q, AND 1 35,000 CARDS IN ACCOUNT — L 13 1VAC_ SIT 1 X -11 =100 490 64999.99 318499_96 .11 35000 14DL LOT 6 01 OF (�,1 A NPL CHESTNUT STREET HY N #S1 02/80 14 500035000 V MARKET 11300 D NRR 0295 0050 �•s INCOME p USE t AD1 AFFRAISED VALL!.E D 1-ka 4�J A 35P000 A U PARCEL SUMMARY T S LAND 35000 A BLDGS T O-IMPS M TOTAL 35000 F E N CNST E N DEED REFERENCE Type DATE Recorpea PRIOR YEAR -VALUE A T Book Page Ina,. Mo Y, D Sales Price LAND 35000 T S 4442/2431 VIG3/85 N 61000 BLOCS U 3236/22. :00/00 TOTAL 35000 R E BUILDING PERMIT S` Number Date Type Amount LAND LAND-ADJ INCOME S£ SP-BLDS FEATURES BLD-ADJS UNITS 35000 Const. Total Vear Built Norm. Obsv. Class Units Unils Base Rale Adj.Rate gttual Elf, ABe Depr. Coo, CND. Loc. ^h R.G. Rep1.Coal New Atll_Repl.Value Stories Height Rooms etl Rms Baths p Fix. Partywell Fac, 0 Description Rate Sguere Feel Rapl.Cost MKT.INDEX: IMP.By/DATE: / SCALE: ELEMENTS CODE CONSTRUCTION DETAIL S ----------------- -------------------------- R U -=-----------=- -- ---------------------- \ C T U ----------- --- --- --------------------- R --------------- --- ---------------------- A LD --------------- --- ---------------------- E Total Areas Aux- B.S._ E BUILDING DIMENSIONS --------------- -I I -- --_------------------- L NEIGH8bRH0ODL 638C I{YANNfS LAND TOTAL MARKET PARCEL 35000 35000 AREA 2325 VARIANCE +0 +0 STANDARD 20 TOPOGRAPHY 1 "LEVEL * TOPOGRAPHY . * UTILITIES 1 ALL'PUSLIC * UTILITIES * UTILITIES ST FEATURE 1 PAVED * ST:FEATURE * ST .FEATURE * ST_ COND. * TRAFFIC 2 MEDIUM DWELL LOC. 4 NEAR WATER * LOCATION * AMENITIES * AMENITIES * NUISANCES NUISANCES r 'ROPERTY ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CTATE I PCS I NB HD PARCEL KEY NO. LANO/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS R 223886 Lentl ey/Data size Dimen��on LOC./V R.SPED CLASS ADJ. COND. YPE PRICE ADJ'D.UNIT ACRES/UNITS VALUE Descripton M I T C H E L L. L A U R E N C E E M A P- UNIT 1� CD. FF-De n/Acres #LAN D 1 .3 5,0 0 0 CARDS IN ACCOUNT — L 10 18LDG_SIT. 1 X _11 =10 490 64999.9 318499_9 .11 35000 #BLDG(S)-CARD-1: 1 62.000 01 Op G1 4 BATHS 1_0 U X C= 100 t 3500.0 3500_0 1.00 3500 B #HN 20 V FIREPLACE U X C= 100 3500.0 3500_0 1.00 3500 B. #SN LOCUST STREET HYANNIS MARKET 60100 #DL LOT 7 INCOME A #S1 02/80 21 $00035000 I. USE D #RR 0295 0035 0908 0085 APPRAISED VALUE N u A 970000 r U PARCEL SUMMARY LAND 35000 N T BLDGS . 62000 M 0-IMPS = E TOTAL 97000 • N N CNST 4 T - DEED REFERENCE Type DATE O Pace died P R I O R. YEA R VALUE r s Book Page Ins,' MO. yr.O Sales Price LAND 35000 4442/243 I:G3/85 N 61000 BLDGS 62000 3236/221 100/CO TOTAL 97000 E S BUILDING PERMIT Numb¢r Dale Type Ampunl LAND LAND-ADJ INC ME SE SP-BLDS FEATURE BLD-ADJ UNITS 35000 7000 Class Const. Tp,al Base Rate Atl Rate Year Built lJorm. Obsv. Units Units I. Actual EII. Age Depr. Cpntl. CND. Loc. 9b R.G. Repl.Cost New Atll.Repl.Value $tones Meignt Rooms etl Rms.Batas p Fin. Partywall Fac. 01C 000 100 100 61.25 61.25 40 75 13 92 . 100 92.5 67020 62000 1_0 5 1 1_0 4.0 Description Rate Square Feet Repl.Cosl MKT:INDEX. 1 G G IMP.BY/DATE: M L 1 2/87 SCALE: 1/0 0.7 3 ELEMENTS CODE CONSTRUCTION DETAIL 'g SAS 100 61_25 832 50960 LIVING-AREA 832 SINGLE FAMILY. DWELLING CNST GP:00 T FMP 50 5.00 200 1000 *------20------* STYLE 0 RANCH R FOP' 35 21.44 80 1715 *---14---* 0'FMP -------------------0�- • DESIGN ADJMT Q FFG 37 22-66 2 80 6345 ! FFG 10 10 --------------- - -----—------------ U EXTER_WALLS 0 ALUM/VINYL 6_ HEAT/AC TYPE 0 OIL-HOT WATER 0. T *---10--*--10--*---"38------------* . INTER.FINISH 0 DRYWALL-----------6. ----- - - ---- --- ------------------- U 0 $ FOP 8 ! INTER.LAYOUT 1 AVER_/NORMAL 0= R ! ------- --- -------------- --- - INTER_OUALTY O SAME AS EXTER. 0_ A ! 14-710--16 ! FLOOR ST11U[T 0 WO JOIST%BEAM O_ L W! ! ! ! FLOOR COVER 0 CARPET & HOWD 0.E Total Are.. qpa 560 ease= 832 ' r ------- ----- - - ---------------------- BASE 24 ROOF TYPE 01GABLE-ASPH S_H 0. T BUILDING DIMENSIONS 1 4---* ___________ _ _ * ' ELECTRICAL 01AVERAGE 0. A SAS W28 N08 W10 N16 -FMP E10 N10 *--10-_* ----- --- - --- -- FOUNOATICN 0 CONCRETE BLOCK 99. W20 S10 E10 .. FOP W10 FFG N06 ---'---- —- --- ---------------------- f W14 S20 E14 N14 __ FOP S08 E10 ------- - --- O -_---__ L 8 ! NEIGHBORHOOD 638C HYANNIS NOS _. BAS E38 S24 LAND TOTAL MARKET *---------28--------X PARCEL 35000 97000 AREA 2325 VARIANCE +0 +4072 STANDARD 20 S TOPOGRAPHY 1 LEVEL * TOPOGRAPHY * UTILITIES 2 PUB WATER * UTILITIES 4 GAS * UTILITIES 6 SEPTIC ST FEATURE 1 PAVED * ST FEATURE * ST FEATURE * ST_ COND. * TRAFFIC 1 LIGHT DWELL LOC. 2 MIDDLE * LOCATION * AMENITIES * AMENITIES NUISANCES * NUISANCES J� I * 4 t' t 2. VlNYI t _. .... _. _. .10_Locust Street_.._- —__ - ---- -- - _ Hyannis MA 02601.-- - - - _ ----- - -- _ i,T..S AS' ! �! �eljo�, 3'iz53 34 It53 ---------..-----_.____.�._.__.S_CRL-�._.1�._._� .._�__�E_.. _._.,,___....__. ......_.._......._...__....._-..._. __-.__.. _._.._�-_..___....._._.. _-_..__ __.__._..__---_..-_.._.-..__.___-.._ _.__.M.F�+EYE-RS.....{-V1►T.��..�!.!_E�._.�.-__._.____....�.,._.__ -- --- --------- ----- ---- _ ---- _ - -------I n I nr us:-Street---: _ _ Hyannis MA 02601 �. DG E v'Nr 1 t i f. 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N��1 J , , , p�CLo SGoo— If f v , i i V y , ,ra r 1 Fez , / N `o w SRO Sip t 11-6 FAw�. ► i�l� s - --- -- - =------- - - - _ _