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0711 PITCHER'S WAY
-- - _- , ACTIVE, 6 Town of Barnstable Permit I , p Fxpires 6 mo hs aom issa ate Regulatory Services Fee i MUMSrnai.E, « 9� , 9. � Richard V.Scali,Director QED MA'I A Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Map/parcel Number I , l Not Valid without Red X-Press Imprint Property Address 711 Pitchers way [g Residential Value of Work$ 9,840.00 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Anthony J. Rich 711 Pitchers way Hyannis, MA 02601 Contractor's Name Anatoli Sivitski Telephone Number 617-710-1001 Home Improvement Contractor License#(if applicable) 168043 Email: capecodinc@gmail.com Construction Supervisor's License#(if applicable) CSSL-106040 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner U'— U I have Worker's Compensation Insurance ro OCT 05 �I Insurance Company Name �"t�C��l.G` 141AOp Ly Workman's Comp.Policy# .e� !�/�t �973 1VSTABC, Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) [ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to S&J Exco ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. � SIGNATURE: �/�o X_ C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOlDHR\EXPRESS.doc Revised 040215 oFIKE • BARMABLE, • t ,� Town of Barnstable MA'S A Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, Anthony J. Rich ,as Owner of the subject property hereby authorize Anatoli Sivitsky to act on my behalf, in all matters relative to work authorized by this building permit application for: 711 Pitcher's way Hyannis, MA 02601 (Address of Job) 3 - Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppData\Loca]\Microsoft\Windows\Tempormy Intemet Files\Content.Outlook\2PIOIDHR\EXPRESS.doe Revised 040215 The Cornmommalth ofMassachusem Depm*nent of Indtcstrial Accidents Office of Investigations ' 600 Washington,Shwet Boston,MA 02111 www rnass;gouldia Workers'Compensation Insurance Affidavit:Builders/Conta acbo lectrieianslPhtmbers Applicant Information Please Print 1* ibbr Name(Business✓Organ�aalh&vidn o- Anatoli Sivitski Address: 222 Buck Island Rd 6-8 City/StatrjZ : W.Yarmouth, MA 02673 Phone* 617-710-1001 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employes with 3 4. CR I am s-general contractor and i 6- ❑New construction employees(fall and/or per)-- have hired the sub-coaoactors 2.❑ I am a sole proprietor or partner listed an the attached sheet T ❑Remodeling shy and have no employees Theme sub-contractors have 8. ❑Demolition 1 worlsug for me ine any capacity. �°7es and have waders' i 9. ❑Building adcktion. [No workers'comp.insurance. comp:insurance. IQ.Q Electricalor additions -] 5. ❑ We are a corporation and its repairs 3. I am a homeowner officers have exercised their ❑ doing all work il.❑Plumbing repairs or additions myself[No workers'comp. 2of ea ti a per M ao l2.❑Itoof repairs insurance required.] l( 1we employees-[No worm' 13.54 Other Roofing comp.insurance required.] 'Aayapg"tauttho checks box K1 tzmst also fill ow tbe:set*=below showing*&wodceis'compensation policy intimate®. Htr�scvnems who submit Pots af6dsvit iat r MS they are&M9 DU wo&and 4hen hire outside co=actors.mnst snbmit:a new affidavit indicating suds kbauactors fat cbeck this baK urns(attached an additional sheet showing the natae of the sub<oottactors and state whether at not dune entities have ezployees. If the sub<outsectors:bm employees,dhey most provide their woekets'comp.policy number. lam an employer deaf is pmid ng nrorkers'compensation insurance for m ongdoyees. Below is the polio axed job site information. Insurance.Company Name: Policy#of Self-ins.Lic.#: Expiration Date: Job Site Adds: City/StatdZip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and ezpiration date). Fare 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 S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a.STOP WORK ORDER and a Eire of up to$25000 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 insursnce coverage verifirat on. I doh card under the pains and alties o that in ormation ded abom.is true and correct �' PPy� � f � f P+� Si e: Gid y�' Date: Phone M 6C7- W 0 O,(j v al use only. Do not write in.this area,to be competed by city or town of ciaL City or Town: PermitaAcense Issuing Authority(circle one): 1.Board of Health 2.Budding Department 3.Cityffown Clerk 4.Electrical Inspector S.Plumbing Ingwtor 6.Other Contact Person: Phone#: f A. CORD E(EAM/DOM M CERTIFICATE OF LIABILITY`INSURANCE DAT05/02/2016 THIS:CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOMO NLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS 'CERTIFICATE.DOES NOT AFFIRMATIVELY OR.NEGATIVELY XT AMEND, EEND OR ALTER THE:COVERAGE AFFORDED.BY THE.POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE;A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORED REPRESENTATIVE OR PRODUCER,AND.`THE CERTIFICATE HOLDER, IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policyCO)must be endorsed: If SUBROGATION IS:WAIVED;subject to the terms and conditions of the policy,certain policies may,require:an endorsement: A,statement on this certificate does,not confer rights to the certificate holder in lieu of such endorsements). _ PRODUCER CONTACT Lev Dukhon ALD Insurance Agency Inc: PHONE .: (617)787-787Z FAX (617)`787-7876 60A Brighton Avenue_ No Allston,MA021U E-MAIL I6V aldinsurance.com ADDRESS:,- ......_... ...... ....... . JKSUREi(si AFFORDING COVERAGE .... ..NAIC 0 wsuRER A;:'ATIANTIC CHARTER INSURANCE COMPANY 44326 .INSURED Belcape Construction LLC .INSURERB'AM15UARD-INSURANCE'COMPANY - 42 WOODBURY AVE Hyannis,MA02601 INSURER INSURER D.:: ..... . INSURER E-: - .. ..... ..INSURER F-E COVERAGES CERTIFICATENUMBER. . . REVISION NUMBER: . THIS.IS TO CERTIFY THAT THE POLICIES OF-INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED AM NED ABOVEr FOR THE POLICYgPERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH:RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR.MAY PERTAIN, THE'INSURANCE AFFORDED BY THE POLICIES,DESCRIBED HEREIN IS SUBJECT ALL THE TERMS, _ ; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR. - ADD SUER - POLCY EFF":- POLICY EXP _.. LTR .TYPE OF INSURANCE POLICY NUMBER - MMIDD ' MWD LIMITS A COMMERCIAL GENERAL LIABILITY. L143004009-1 01/14/2016 1/14/2017 1;000 000 EACHOCCURRENCE S CLAIMS-MADE ❑OCCUR PR IS S Ea mm 0' .. MED EXP'(A..:oneOsman) S: �5,000. - 'PERSONAL:&ADVINJURY .S. 1,000,000 GEN'L AGGREGATE LIMIT APPLIES.PER. - GENERAL AGGREGATE' 5: :POLICY 0 JRECT FLOC 'P ROD UCTS-COMPIOPAGG. 5 1,000,000. - OTHER: AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT5. � Ea..accident ANY AUTO _. _ ...., - - BODILY INJURY{Per,person) S' ALL OWNED SCHEDULED BODILY INJURY Peraccident S 'AUTOS AUTOS .- (.. J NON-OWNED' PROPERTY DAMAGE HIRED AUTOS .AUTOS:. Per-acGdent, S: UMBRELLALIAe . .. OCCUR . . . �. - EACH OCCURRENCE S_ .. ... -. EXCESS LIAR CLAIMS-MADE:: AGGREGATE S DEO RETENTIONS. :S- B woRKERs'COMFENsanolu P2WC64Q737 10/29/2015 10/29/2016 PER oTH AND EMPLOYERS'LIABILITY S7A7UtE ER ANY OROPRIETORIPARTNER%EXE CUT IVE.: Y/N EL:EACHAOCIDENi S. ... 1;��Q,UUD OFFICER/MEMBER EXCLUDED? �N.{A E. - (Mandatory In NH) - :.- EiL•<DISEASE-EA EMPLOYEE..;S ..Jr,000000 . It yyes,'describe under •- _ - ` DESCRIPTION OF OPERATIONS Wow SEASE--:POLICYr LIMIT '$. t000.000 - DESCRIPr ok OF OPERATIONS/LOCATIONS/VEHICLES.(ACORD'I di Additional Remarks Sehadule;ilrey be attic had U more space is repUU�l)'. - CERTIFICATE HOLDER CANCELLATION- . SHOULD ANY OF.THE ABOVE DESCRIBED POLICIES BE:CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERm 1PI ACCORDANCE_WITH THE POLICY PROVISIONS. iAUTHOR2EDREPRESENTA7IVE 01988-2014 ACORD CORPORATION. All rights reserved.. t ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD { J E i Kom Office of Consumer Affairs and Business Regulation 10'Park Plaza- Suite 5170 Boston,Massachusetts 02116 Home Improvement Cdritraetor`Registration _ = Registration: 168043 Type:. Corporation Expiration: 12R/2016 Tr# 260419 CAPE COD HOME`IMPROVEMENT;�L C . ANATOLI SIVITSKI 27 MILL POND RD WEST YARMOUTH, MA 02673 Update Address and return card.Mark reason for change SCA 1 0 20M-0511r (� Address Renewal ❑ Employment E] Lost Card: &21e t(lonr��zaazeoeull�o��licoartc/c�eelld- Office otConsumerAttairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date.-If found return to: . eglstration: 168043 Type: Office of Consumer Affairs and Business Regulation Expiration 12/7/201.6 Corporation t0 Park Plaza-Se 51'70 } N ,_ Boston,MA 02 Y CAPE COD HOME IMtPROVEME_NT L'LC. F" ANATOLI SIVITSKI �'V 27 MILL POND RD WEST YARMOUTH;MA 02673 Undersecretary No valid wit signature nt of ubl c -S' t Ssa e, s tme h useft Dep r B ut - d* R "l ing oqu a tons and Stand Bo-a- Tid bf va Oi -0' Jill n �c !�Jicense., -,T IBM- rd, A, 3,11,'l.;-, 7, wo Ae� E i, 3y � r` ti 0 tn"l s S o' - i TO4N OF BARNSTABLE BUILDING PERMIT APPLICATION o M ,Map � � Parcel Permit# / S Healthbivision D1 7 D 3 76'-A Date Issued Conservation Division r,5 SL7 ®3 Application Fee Tax Collector Permit Fee Y S. ?� Treasurer SEPTIC SYSTEM ���UCT C:: INSTALLED IN CON IPLIANC Planning Dept. WITH TITLE g Date Definitive Plan Approved by Planning Board EwRwRENTAL CODE ANG TOWN REGULATIONS IONS Historic-OKH Preservation/Hyannis Su-(Lom Project Street Address V/1 IWal er Village Ups)A!Ss Owner 0.4I /?!C 4 oN . Address �30,#e Telephone -608® 779 a 1,9®q Permit Request l0 X Af U,U �'r�s,�ed -SuAi 3born, — Relooye ECIsT,Ayq zo X t2 ])�-ck_ Square feet: 1st,floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Z30u Th\_ Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)/ Age of Existing Structure 2� f Historic House: ❑Yes 21q-o On Old King's Highway: ❑Yes @-M-00" Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas O Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:O existing ❑new size Pool: ❑existing ❑new size Barn:O existing ❑new size Attached garage:❑existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use — --- - Proposed Use µ ~� BUILDER INFORMATION Name S*iAeu Al, /Ce?,4Fe©,V Telephone Number -T08_ 3-7fl-9 4/6 Address X/l Acd 7 W .2)w- 1%V, N License# D56 7®Z Home Improvement Contractor# Worker's Compensation# & —95V 7509 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 1✓i��/yJOP/ SIGNATURE DATE 3_ �d�3 v cr ` FOR OFFICIAL USE ONLY ' PERMiT NO. ' } DATE ISSUED i MAP-/PARCEL NO. - ADDRESS VILLAGE OWNER r DATE OF INSPECTION: FOUNDATIONj�f FRAME DES�'�s� CC) /z t • �, INSULATION f FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH E _ -- FINAL • - r_ GAS: ROUGH FINAL FINAL BUILDING ,(� +' ,iVI-' ; 3 DATE CLOSED OUT ` ASSOCIATION PLAN NO. r .. 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Imtderstand a ails statement may w ll as ded to the Office of Investigations of the DIA for coverage verificatio copy n. ea j do hereby certify the pains and penalties of perjury that the information provided above is trap and correct Date 110 61 - . Signature Print name �-�e vac/ oe O,cJ Phone# official u4G only do not write in this area to be completed by city or town official peradttlicense# ❑Building Departn ent City or town: ❑Licensing Board [:3selectnnen't Office chnkif u=edtate response is required ❑Health Department contact person phone#; ❑Other -- t Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or'renewal of a license or permit to operate a business or to construct.buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be 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 1equired to obtain,a workers' compensation policy,please mill 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 Pernutllrcense number which will be used as a reference number. The affidavits may be retained t^ the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. Please do not hesitate to give us a call. The Depart ment's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of lavestloatlons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 °FSNE,o Town of Barnstable Regulatory Services M � BnxlVSTABLE, ' Thomas F.Geiler,Director 9 MASS g 1 39. 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: Id X/1 "30,1 Room Estimated Cost 15, 000 Address of Work: Owner's Name: Date of Application: Al 3 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permnitt as the agent of the owner: �,5 fe Ile 4 le Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav r RESIDENTIAL BUILDING PERMIT ' 'ES APPLICATION FEE New Buildings,Additions $50.0 0 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSI3EET ,W LIMG'SPACE ._j2_j9 square feet x$96/sq.foot= 11520. x.0031= ° plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE fo a square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.1� . >120 sf-500 sf $ 5 .00 ' >500 sf-750 sf .00 75 >750 sf-1000 sf .00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new bu0ding permit: x.0031= square feet x$961sq.foot= STAND ALONE PERMITS __x$30.00= Open Porch (number) x$30.00= Deck (number) Fireplace/Chimney ,x$25.00= (numb01) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee no CMK AppaxUx J Table JS.LIb(continued) Prescriptive Packages for One and Two-Family Residential Buildings Heated with FoaafI Fuels MAXIMUM MINIMUM Wall Floor $aseaaaat Slab •Heating/Cooling Glazing Glaring Ceiling Perimeter Equipment Efficiency Area'(•/.) U-value= R values R-value' R-valuer Wall Pt R-values R-values Package 5701 to 6500 Heating Degree Days° Norcral I2'/. 0.40 38 13 I9 10 6 Q 6 Normal R 12% 0.52 30 I9 19 10 6 85 AFUE S 12•/. 0.30 38 13 19 10 N/A Normal T IS'/. 0.36 38 13 �A 6 Normal U 15% 0.46 38 19 19 10 N/A 85 AFUE V 15% 0.44 38 13 25 N/A 6 85 AFUE w 15% 0.52 30 19 19 10 NIA Normal X 18% 0.32 38 13 25 N/A N/A Normal y 18% 0.42 38 19 25 N/A Z IS'/. 0.42 38 13 19 10 6 90 AFUE 90AFUE Ap 18•/. 0.50 30 19 19 IO 6 1. ADD RESS OF PROPERTY: `ll jam""fir 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INV ASK US OR THIS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-580303a 780 CMR Appendix J Footnotes to Table J8.2.1b: a Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors) to the gross wall area, expressed as a percentage. Ug to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 fl of decorative glass may be excluded from a building design with 300 fl of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table 11.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation•thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry, log)wall constructions,but do not apply to metal-frame construction. 5 The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements. 11 The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mceE the same R-value requirement as above-grade walls. Windows and sliding glass doors of-conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R=2 for heated slabs. ' If the building utilizes elettric resistance heating use compliance approach 3;4, or 5., If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see-Table 15.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the#manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table 71,.5.3b: If a,door=coYntiEi[g, s:andxan agg=egateJUAiluekrating for that 4door,is.not.available, include the glass area of the door with your windows and use the opaque door'U-val'ue'to determine#.cornpltanC of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0,35). c)If a ceiling,wall, floor,basement wall,slab-edge, or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). Al °FTFIE Tp Town of Barnstable ti Regulatory Services 9 B i E'$ Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder subject bj as Owner of the su ro e . l p P rtY. hereby authorize f-- Ml to act on my behalf,, in all matters relative to work authorized by this building pe=ait application for: Address of Job) r Signature of Own r Date do'&/ YC4 Print Name Q:FORMS:0VINERPEPIMSION �I�GLc �Annl��! - �� ��>✓v aoAA 1V LAO /� Cad 1>✓�( LOW a Itt o ,C �� 3,4 o G.P.v. � T 1G �1 lnr 1iC _ �30 . (SU %• QS- 56.Rt7. _ AyL.4 PoS DL PIT SSE loco G,ot_.. [yFtc/ALL A�- L 112o F. I G.P.D. S� COI A l- �'=%SIGF 1 ■ 4Z5 'TbTQ L �t�,dl�.tf FLvw * 330 61P�• �l /� �ucol�i"Iu�J 2titlu• olz �- At AN G\r p CS chi_ F11C1IAIID r A. �I✓ ,�u .ICI r C'.AY. r �j �f• r ^' �����ERA � � 1 f�(110 a•O O I � Tor P'w a •I C,6.o opjpe + b 4 p1pt, htS1 IW.± GAL. l�G•� r I 21�z I NV. -A N K r -/ - --- 1 o00 9 5.9 Iwo. I►N• { t ;J� `- (S'AI_. ` V,/IT-0 P0 CEV-T P I aUD P L.©T PL..A l-j ' F1'oT-- It LOCATIO" Ql,ei r fJ 0 rc-IL p-L[�•t,1 ��F E RE►mil�.E. I GVIZZ"II= �( TF-lAT" T{-�C- �ou�1�A'r1oIJ 5t-lc�.v►J � l�t�l�l Gc �PL�(c W ►T" TOG 511)E* L1►�E=s Lp.� AWL-> �L'I t�,ACIC GG'u1QE,lztc�-Ij�i JF TN+� -To q P--� r � �pl.Jn Cover" I'La�J RLG1S rlaizED LAB-tC7_ iIJI`VG`�oIZ� T l 115 17 L_.A►-J l S I�I IJT GC7 uti� /'_,y.l 05?E2�/1L-.LG 0 ILC S'ir r• A. � --- - -------- - — _.............. --- - - - __ CERTIFICATE OF INSURANCE ISSUE DATE(MMIDD/YY) PRODUCER 7-22-03 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Ralph' Talanian Insurance Agency, Ltd. NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, 3 Union Street EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW S. Weymouth, MA 02190 COMPANIES AFFORDING COVERAGE I I� j COMPANY {CODE SUB-CODE LETTER A Phenix Mutual Fire Insurance CO. I INSURED COMPANY B LETTER Steven Lebaron COMPANY E 54 Trowbridge Path Road LETTER C W. Yarmouth, MA 02673-1528 COMPANv I LETTER D I COMPANY E LETTER COVERAGES I THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) ALL LIMITS IN THOUSANDS f GENERAL LIABILITY GENERAL AGGREGATE $ 2,000, IA XX COMMERCIAL GENERAL LIABILITY New 07/01/03 07/01/04 PRODUCTS-COMP/OPSAGGREGATE $ 1,000., CLAIMS MADE OCCUR. PERSONAL 6 ADVERTISING INJURY $ 1,000, OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ 1,000, i 1 FIRE DAMAGE(Any one fire) $ t,50 'MEDICAL EXPENSE(Any one person)'I$lnf_'3 5 j AUTOMOBILE LIABILITY ?i,f?,ii� t � r;, .i t i''i °;. �•C;r�•��:� i.:_7 - • � t.. . , t � G.OMBINED ci' � ANY AUTO SINGLE - $ t Ma 5 ALL.`OWNEO AUTOS i/ I f' �,�I( . . .. LIMIT BODILY • SCHEDULED AUTOS INJURY $ HIRED AUTOS (Per person) BODILY NON-OWNED AUTOS INJURY $ GARAGE LIABILITY (Per accident)� - PROPERTY $ DAMAGE EXCESS LIABILITY EACH AGGREGATE OCCURRENCE OTHER THAN UMBRELLA FORM ! I WORKER'S COMPENSATION STATUTORY AND $ (EACH ACCIDENT) EMPLOYERS'LIABILITY $ (DISEASE—POLICY LIMIT) OTHER $ (DISEASE—EACH EMPLOYEE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS CERTIFICATE HOLDER' _ _.__� ._�. _ __n.. _.__. .._...,-...:..._..._ v CANCELLATION _;,t , j; ,Tewn.,,o.f Barnstable SHOULD ANY OF THE ABOVE DESCRIBED"POLICIES BE CANCELLED BEFORE THE Building Dept. EXPIRATION DATE THEREOF, THE ISSUING -COMPANY WILL" ENDEAVOR TO Barnstable, MA 02630 MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REP TATIVE — — I CORD 25-S (3/88) 1rORD.CORPORATION 1988�. i ��'z=`�.�`$° ✓�ie �orivmo�uuP,�r,�I.�i a; F' BOARD OF BU,ILU IN G REGULATI®N8 f Leense CONSTRUCTION`SUPERVISOR I� An N,umber'CS 058307 1 d h ? Expires ,05/02/2004 Tr..no: 21686 Restncted.;00 - STEVEN M LEBAROWI 54 TROWBRIDGE PATH W YAR•MOUTH MA 02673 Administrator I' I ✓fze t�orvrraorzurecc�� o�:� zrsae�la � �\ „ .a Board of Building Regulations and Standards — HOMEIMPROVEMENT CONTRACTOR ? Registration 114630 k Expiration -10/0/2003A. 4. i TypSe Individuai a STEVEN M. LeBARON CONSTRU` I i 5 M- LeBARON` ! - 54 THROW BRIDGE RATH')—' � t } W YARMOUTH MA 02673 Adnunistra'[or d QUERY PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 01/10/02 PERMIT NUMBER 53428 PARCEL ID 271 182 71r1 PITCHER' S WAY PERMIT TYPE BREMOD RESIDENTIAL ALT/CONV DESCRIPTION ADD MAST.BATH/BDRM SEW. P•T#78-169 CONTRACTOR PERMIT FEE 134 . 52 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 434 GROUP TYPE 1 APPLICATION 05/18/2001 EXPIRATION VALUATION 35328 . 00 DATE ISSUED 05/18/2001 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P)REVIOUS/ (C) ONTRACTORS/ PR(0) PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E)XIT This value is not among the valid possibilities Existing House ° New Addition III 2x8 Rafters 12" x 48" Sono tubes Existing House 2x6 Ceiling Joists —1/2 cdx 151b velt ---- 3Tob roof Shingles 'tXb 1 lx8 m o 9 in 2x4walls 1/2 +� i/2 cdx 8 r-13 Ins. cedar shingles 7,0" New Mud Room 2x10 floor Joists _ 3/4 t&g Ply PLRNS FOR:Mr, & Mrs. Anthony Rich R-19 Insulation 711 Pitches Way j 12" x 48" Sono tubes Hyonn is, Mo. 02601 - SCRLE: 1 4 _12 APPROVED BY: DRFlVN BY:S.M.LEB STEVEN M. LEBARON DR7E: Dec. 4,2961 REVISED: DESIGNER PROPOSED:Mud Room Front Entronce YRRMOUTH,MASS, 394-8146 000100A .r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION \V L"Jj Map 2�` ) Parcel ! O Z �L�--- 5 2001 Permit# _�3 /�' Health Division "� V �� p ��;� :� -Date Issued law I Conservation Division 50 b6o s Fee �1 e) Jr-2— Tax Collector � � a � ����''��' CART i�tlST dBTAIO Treasurer Planning Dept. `VI H TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOWN R GULATIO S Historic-OKH Preservation/Hyannis /= C Project Street Address 711 2Rc —w1 49 Village �G�P N�(S Owner !o cc/ Address A 1C//P,es ll/ 4 Telephone Permit Request s - Az';o7 Z422/ A D�,a Square feet: 1st floor: existing R&O proposed I/�`�`2nd floor: existing proposed Total new �%S Valuation 33; a�. Zoning District Flood Plain Groundwater Overlay Construction Type 92&V Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family W--1—Two Family ❑ Multi-Family(#units) Age of Existing Structure 3D Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: ud'Frull ❑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 l Total Room Count(not including baths): existing new�_ First Floor Room Count Heat Type and Fuel: ❑Gas W�ilil ❑ Electric ❑Other Central Air: ❑Yes Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use 3/44e 1�Gei/' Proposed Use ME_ BUILDER INFORMATION Name �� /�1. l2l)le,0 J G00 a ti Telephone Number Address 5V If—bocx Meld qe ?4:-14 License# 058 3d7 /&1 04*0-3 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1,WDu m � SIGNATURE DATE � t r FOR OFFICIAL USE ONLY ' PERMIT NO. - t DATE ISSUED ' MAP/PARCEL NO. ADDRESS — VILLAGE OWNER f DATE OF INSPECTION': FOUNDATION _ 2 iLt� �j0 c907'(.� v� G c i r FRAME `✓ ' s INSULATION to A,(FIREPLACE ELECTRICAL: ROU_GH4,- "�• - FINAL' PLUMBING: ROUGH r FINAL ' GAS: ROUGH - FINAL k FINAL BUILDING tV � sib ` f..� •� - ` , • S DATE CLOSED OUT ASSOCIATION PLAN NO. r1 _ , l klll l' f Appittcant'.- -Rick localaom of-pcvperty: Tf a N n is VO a 6016 2 1 32 --� E IV0.311 r2 ° dwet�rr t lwv v (.Woo* . . 129. 32 •Lot- 4- 5 Lo1i 26 T ref 79013 Mood pant: 250001 00Q-9 C, hood zone `A OF 4 PAUL SN hereby CIe/rtlfy rttlCxtt�Us trioC't9Qge &ispectl"on wcrs.:prvpareal�-{br GROVER H 'Price &'J 4ye rs,-P.G. k Sal ens Tive, ✓ ortgage, Urporatioq/ , Na 31311 ate ct%x 44 showry hereon,does not,{aU, in a special TEMA 4100d �o T/t R. •hazm-dl mcc with an eWective daze of s-;9-r�s and, rthe loca�t"orL of j 4" t w dwelling o(oeg-�.wr ormrCO the local wrung 6y-laws utie eGt' at the tt nw oFconstruction witty respect to horisontat dtmen/siona� scale: 1°._ 40 . setback. requlr1e rents or is ex-nWrfrnm vtola.twn. mf:¢ reenurl -' Date: 11 . 26 .97 VotLory under A(ass. &nerat laws Chapter4o A Secftbry 7. File No. 97.4fSo8 PLEASE NOTE: The structures as shown on this plot plan are approximate only. An actual survey is necessary for a precise determination of the building location and encroachments, if any exist, either way across property lines. This plan must not be used for recording purposes or for use in preparing deed descriptions and must not be used for variance or building plan purposes. This plan must not be used to locate property lines. Verification of building locations, property line dimensions, fences or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what is shown hereon. Please note that this is "NOT A BOUNDARY SURVEY" and is "FOR MORTGAGE PURPOSES ONLY". W COLONIAL LAND SURVEYING COMPANY, INC. U Q a 269 Hanover Street - Hanover, Mass. 02339 - Phone: 781-826-7186 - Fax: 781-826-4823 _ I' 1 � ,.,,� �► Regulatory to Services , Thomas F. Geiler,Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street.Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 , Permit no. Date AHMAVLT HOME IMPROVEMENT CONTRACTOR O A�ppL�ICATION SUPPLEMENT TO PERMIT ons.=ovation.repair.modernization.conversion, • - MQ.c. 142A requires that the-reconstruction.alterati -existing owner-occupied improvement,removal.demolition.or consnvcxion of as addition to eery Pm building containing at least one but not more than four dwelling twits or to structures which are adjacent to such residence or building be done by registered contractors.with certain exceptions.along with other requirements- of Type of Work: -' /jbu ��00/0t /�it�/�.PoD/j1 Cost Address of Work Owner's Name: Il ff 1/``d Date of Application• /� A .D I hereby ctifY that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1.000 Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: GISTERID OWNERS PULLING�OC.A�BLEP�MEO�p�VEMENT WORK DO NOT HAVE CONTRACTORS FOR APPLI FUND UNDER MGL c.14ZA. ACCESS TO THE ARBITRATION PROGRAM OR GUI SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. DateContractor Name Registration No. OR Dace Owner's Name q:fb=:Afr1d2v =r Department of Industrial Accidents -..� ,� -- •- , _� : � 011lce ol/pnest/gatloos _ - 600 Washington Street ..... Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: -2 , location TC�/P.f'S ci hone# 77& � ❑ I anY a homeowner performing all work mgselL ❑ I am a sole oprietor and have no one woddn in any ataty V11 mg =MWEEM lover rovidin workers' compensation for my tmiployees worlanS on this job. am an m an .................. .:........................ "ildte •<�'s ................ 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':::Wv:i'-.:W}}>i:::.�.�i:::::::::.:...................... ......................::::::'+•:vr::i4:v':•}Y•:;h::w::w:::.v::ry}}}•'r,'•$+v:4}} .::::....:.}}:v.}:•}Y{}%j{;:}};:::;;:•}xy}}x:::r••{:: ..............::..::.::v::n..,..........-:r::...................-................v :.. ....v...xv-.....}. ......{..vv•{tif.. };•W...n............... :............. v................:....................•r:.w::::•.• ..:}}.U:.ro+1::Y•.: .$..:.?::.v...N:..v,.......:...,.: ....,..:..:::... - II b >: t .............. ov of a�minel of a hoe up to S1,500.00 and/or Faitme to seem;cm'era;e as required m�der Section 25A otMGI.14 can lead to the pip o�yam,tmpriso�eot as weII as civil penaitb's In the form ota STOP WORK ORDER and a fine of 5100.00 a day afabut me. I understmd thAt a copy of this statement may be forwarded to the Once of Investtidiom of the DIA for coverace won, I do hereby certify under the Ptmu and penalties ofPfflWY that the information Provided above it truce and coned signature � Pate 15 Av Dl Print name sv PCi� l�nr� �e ��U Phone# SDA-3 9V4/sue oincial we only do not write in this area to be completed by city or town official petmit/1(wu Dee� • �BttUdin; P'� �u city or town: ��Lic" 'Board (]Selectmen's Office ❑checicif immediate response is required OHeaith Department ne#, - ❑Other contact person: ormed 9195 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contra 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 o: the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receive: t stee 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 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 rene, of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who h 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 Please fill is the workers' compensation affidavit completely,by checking the box that applies to your situation and w supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be f submitted to the Departracut of h dusUW Accidents for cation 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 yo- are required to obtain a wadmrs' ca®pensatioa 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 th 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 peimit/licease number which will be used as a reference number. The affidavits may be returned io the Department bymail or FAX unless other arraagem have been made. The Office of Investigations would Idle to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a rail. The Department's address,telephone and fax n Caber. The Commonwealth Of Massachusetts Department of Industrial Accidents Olflce of Initesduallons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 r.1 I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 3 I I I I I Checked by/Date I I I TITLE: Bedroom Addition CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 5-9-2001 DATE OF PLANS: 5/7/01 PROJECT INFORMATION: Anthony Rich 711 Pitchers Way Hyannis, MA 01601 COMPANY INFORMATION: S.M. LaBaron Construction 54 Towbridge Path W. Yarmouth, MA 02673 COMPLIANCE: Passes I Maximum UA = 76 Your Home = 65 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 384 30.0 0.0 13 WALLS: Wood Frame, 16" O.C. 364 13.0 0.0 30 GLAZING: Windows or Doors 12 0.300 4 GLAZING: Windows or Doors 1 0.320 0 FLOORS: Over Unconditioned Space 384 19.0 0.0 18 ------------------------------------------------------------------------------- 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. [ ] 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 and glazing U-values must be clearly I marked on the building plans or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: [ ] 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 780CMR 1310 and J4.4. I I SWIMMING POOLS: [ l I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I HVAC PIPING INSULATION: [ l I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : I 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 I CIRCULATING HOT WATER SYSTEMS: [ l I Insulate circulating hot water pipes to the following levels (in.) : I PIPE SIZES (in.) 1: NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS TITLE: Bedroom Addition MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 DATE: 5-9-2001 Bldg. l Dept. l Use I I I CEILINGS: [ ] I 1. R-30 I Comments/Location I I WALLS: [ ] I 1. Wood Frame, 16" O.C. , R-13 I Comments/Location I I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.3 I For windows without labeled U-values, describe features: i # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location [ J I 2. U-value: 0.32 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I I FLOORS: [ J I 1. Over Unconditioned Space, R-19 I Comments/Location I I AIR LEAKAGE: [ ] 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 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 ceili'ng 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: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: I HEATED WATER TEMP (F) : RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0+" 1 170-180 0.5 1 1.0 1.5 2.0 1 140-160 0.5 1 0.5 1.0 1.5 1 100-130 0.5 1 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- BOARD OF BUIL-,D ING REGULATIONS' License CONSTRUCTION SUPERVISOR Num;be CS . 058307 Expires OSfOZ2 02 Tr. ne: 21923 Restricted To',. 00 STEVEN:M LEBA ROW" . ,- 54 TROWBRIDGE PATH 0.6 ! W Y:ARMOUTH, MA 02673 Administrator r HOYtE l� ROVENENT CONIRACIOR h, .`� Re9tst abort I.1:4630.. ._ 14. Ezpiraito�� 10/1�01 ��� Type Iodiutd.ti.al ST�VfN h le6sR0� COHS,TRUC i • " STEVEH LeBRROH` Goa T';� 54 THRO,bBRIOGE PA1H �o.rnwis73arOr� ; � YRRflOUTH MR 0261'3 3 I L I TY I N S U R.A N C PRODUCER Phil Richard Associatesnau THIS CERTIF1111 -7Tr—EiMED AS A MATTER 0-F—INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 94 High st, HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Danvars, MA 01923 ALTER THE COVERAGE- AFFORDED BY THE POLICIES BELOW, 9:978-774-4338 P-978-777-8,93o INSURERS AFFORDING COVERAGE INSURED STEvEN LEBARON I iNS'JREqA- MARYLA-1,M CASUALTY 54 TROWBRjr)GE INSURE PATH ROAD INSURER C WEST YARMOUTH NiA 02673-1528 INSURER D: INSURER E, COVERAGES THE POLICIES OF INSURANCE LiSTFD B�.LOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT 08 OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ISSUBJECT TO ALI.THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED By PAID CLAIMS, LTR' TYPE OF INq!JRAMrF POLICY NUMBER POIJGY EFFECTIVE POLIQYEXil-J�� Tl ON nATF!(u==1 DAIE GENERAL LIABILIT-f IMMII)n LIMITS A EACH OCCURRENCE i COM.-'AERC!AL GENERALBCP 30015409 $ Imo—; I- IT- 09/30/2000 09/�0/2()01 1011 00 FIRE CAMAGE(Any 300,00 C'-A IM,';MAD OCCUR 1 PAEO EXP(Anyone pe PERSONAL&ADV INJURY GENtL AGGREGATE Lfi'AiT APPLIES PER; ::QE�NERAL AG-IREGATC S 2 0 oo, POLIC PAODUC7S-CQjVp!OpA(�G 2,000,001 Y D- AU OMONLE LIABILITY Lj!ANY AUTO rOMOINED SINGLE LIMIT ALL OWNED AUTOS SCHEDULED AUTOS BODILY!NJURY (Per pemn) HIRED AUTOS NO.11-0',IINZO AUTOS I BODILY INJURY PROPE RTY -�2 (Per acc!deW 13 GARAQ!LIABILITY L j j AUTO ONLY-CA ACCIDENT,ANY AUTO IL OTHER THAN-t EA ACC Is Z. I AU-0 ONLY; EXCESS LIABILITY AGG 13 CH OCCURRENCE CLAIMS MADEEAuH OCCUR AGGREGATE jS EMOEOIJCT�C�E RETENTION Is I WORKERS COMPENSATION AND m;5 ATU OTH.PIVIPLOYERS'LIAOILiTY TORv-1� MITS CA Br I IWC:50283103 11/01/2000 1 11/01/-2C,ol I.L,EACH ACCIDENT is 100,00C E.L.DISEASE-EA Etyl LOyEqs 500100C OTHER E.L.DISEASE-POLICY LIMIT is 10Q,00 C jj DESCRIPTION OF OPERAIONSILOGA TIONSifVFHICLE51-XCLUSIONS ADDED BY ENDORHIMINT/SPECIAL PROVISIONS CARPENTRY CERTIFICATE HOLDER ADDITION ER LETTER: CANCELLATION $MOULD ANY OF THE ABOVE 0 MOUL' E:3CRI8F0 POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INI5URER WILL ENDEAVOR TO MAIL 030 DAYS WRIT-ruj:, NOTICE TO THE CFR7;FICATV,HOLDER NAMED TO THE LEFT,EIV ILURE TO DO 30 SHALL IMPOO NO OBLIGATION OR LIAHI LIT-YOFANYKIN0UpOI` HE SuR I R;ITS AGENTS OR. nIPRESENTATIVES, AUTHORIZEDREPRtSE-NTAn ACORD 26-S(7/97) ORPORATION 1988 i ESTINA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= (above average construction) 36 6 square feet X$96/sq. foot (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X.$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Value �l .00 3 j i Existing Deck 7+ 7'0" ors z z SMOKE DETECTORS O.K. BEDROOM 0 BATH D o Kitcken O V m W \ td N zARNSTA L UIWING DEPT. s N rr Match floor 6 (ST" �00 A., S o N Hardwood m _ OR UNDERLAYMENT II MASTER BEDROOM u ,a3ll - Existing m Livingroom SII 2842 New Addition 2 X 8 ROOF RAFTERS 1/2 CDX PLY ROOF 2x6 pt R 30 INSULATION S"DRIP EDGE IS lb VELT RSPHRLT SHINGLES 3 TAP 2x10 16"on center t l 2x12's \ t X 8 FRCIR '�' `1 X 6 SOFFIT JOVE. PINrZ 1 X 3 STRROCKFOND.BOLT/2 SHEETROCKVVRK RNO WHITE 1/2 COX WALL OVER 2 X 4 STUDS CEDAR SHINGLES 30001b.MIX m R I1 INSULATIO 2"DUST 9/8 CDX SUB FLOOR �— 2 X 10 60% I 2'0" I—� 2 X 6 AT PLATE ON Floor Frame Detail SILL SEAL R 19 INSULATION b 8"CONCRETE POUR DRA N BY: 3000 Ib.MIX S.M. LeBARON 2"dust Cover PLANS FOR: F%2'FOOTING Mr.& Mrs. Anthony Rich i VEN M. LeBARO 711 Pitches Way STE H ¢rinis,M.. 02601 DATE.' BuiLder/D.sriq scR�e 1/9„=1' arvnoreo en Aux Rr:S.M.LE6 1-508-394-8146 11T`Ap-t 2g20o1 REVL9ER STEVEN M. LeBARON 9 S4 Montague Dr PROPOSE Proposed on � D:Pro d 16'x24'Addition o f ' O 1Y. Yarmouth, Ma 0267.3 vx n Americo,Institade of Building Design Ir Assessor's, map and lot number ..........7.................. ........... $ Sewage Permit number ............................... °`7HE.r TOWN OF BARNSTABLE Z 9A]USTAHLL "b 9 BUILDING INSPECTOR 0 MAX o'' APPLICATION FOR PERMIT TO ....I:......................... ..................... ��....r7- .�....................................... TYPE OF CONSTRUCTION f C r'' r`........ �y`;?. ....................... 9.7� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: location ........................................'.. : ....................................................................................................................................... ProposedUse .... .......................................................................................................................................... Zoning District ........................................................................Fire District ......: ..... C ................................................. Nameof Owner ........ '............./. .....................................Address ........................... .............. ...................................... Name of Builder ...�....J...? Address Nameof Architect .':...'.:.�:. ...............................................Address .................................................................................... _7 -t Number of Rooms Foundation .... ���............�w......................................................P Exierior ...Roofing ;f / . F..j .............................. Floors f :t..:............................................................Interior r. .... .........:..!........................................................ Heating ' .............................Plumbing .................................................................................. Fireplace +" �............................................................Approximate Cost ��� ...................... ........................:............................................. Definitive Plan Approved by Planning Board __________________________------� Area O .. 9-------. .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ti E 0 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................................................................. • 9 Capewide Development AA2-f-1-=4/ o�� a�Or� No --. ---.. Permit for -----------.. a ^ l f �l dwelling ___���..e_ anz ..uvve___....____.. Location ........7ll...Utche.r.s...W.ay_____ . ......................... s.................................... ' ide � ,,- of Construction ...... Plot .. --rt�- - Granted ' --^- ' InspectionDate of ^~'~ Completed PERMIT REFUSED lV -. . ----- �� � -'---- ~-` ^^^~'---'-^-'-^-' �h.-. -----....-------- -------'-'-`-'-'-^^^^--^-'^^---^^ ' Approved � ---------------- lg -------'-------'''-^^'--------' ---------------------''^^'^'-^' � .t �� --7� Asses or-� ma and lot numfy r .......�.... p N a T Lg SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE -7 / ZiVITH ARTICLE Sewage Perm number L�P..C�.............................. :. I_E II STATE rr SANITARY CODE AND TOWN e�Py0f714Ero�°o TOWN O_ F. _,BA.RN9,T'.7U1E. i BARNSTAHLS, i " "6 9• BUILDING ^ INSPECTOR 0 MPY Ar• � C� � �'�APPLICATION FORPERMIT TQ ... .............. . .. .... . ..! ........................... ....... TYPE OF-CONSTRUCTION ?:?. ',�........ .............................. .. ............ .... ' ...... .........................19. ¢.. TO THE INSPECTOR OF BUILDINGS: p ' f � The undersigned hereby app �Ior permit according to the following information: 1 Location ... ,�7.'C.!'�.er'�...�..J. ��.......:.......................... ...................... ................................. ...... ......................... ProposedUse ...?e,5z-den.C.-k.......................................... .................................................................. .............. Zoning District .. ./!- .. .......... Fire District ....� tag.n.!!l.ls................................................. ll'LA � Qj G, Name of Owner .. /. ........ ...Address .:................ (r Nameof Builder Address .................. ........................................................ Nameof Architect a? ..� ............................................Address ..............:..................................................................... o �e� Number of Rooms ... ....................................................:.......Foundation .,.......cvncr e 4' Exterior ....................................Roofing .1-5P...la.14....................................................... Floors .i........................................................Interior ....,` .f 1 ..w.d..Y............:.:..................................... Heating ...F/H4!( ............................................................Plumbing .................................................................................. JV .. ............ ....Fireplace ..... ........... Approximate Cost .... ................... Definitive Plan Approved by Planning Board ---------------_---------------19_______. Area O �6 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH � 77,9•04 i 4 I hereby agree to conform to all the Rules and Regulations of the Town B nstcyble regarding the above construction. me ............ ..... .G.................................................... � ^ . `y � one Story � / ------------ -. . . . . ' . fsuo~1 � dwelling . �������'�--.^.���-------.—.—.--- _ ^ X . Lbcodon �—.�7ll..I^i.t.ch.era_Wa�'_____. [ .��------ ��—.--_-------.. - ' Llawe Owner —.-- _______ Tvpe of Construction ---..f�azue______' ' . ������������ --.----------'-------.-----^ \ Plot .-------,—.. Lot .—.--.��'�—.-- .. Permit Granted --- �� .. p.r..j. — �`..}�. .....19 /8 ^ Dote of |n ....... ---------.lA . ' Dote Completed `.......................................lV PERMIT �����0�' . ` `_..--.._—.^........—.—.i----- lV - . . � � —.. . ............. —. ......... —.— _—_.. _ .-----—_---. ---------------- jV Approved ' ` . ' --------------~..—...� .—.. .—.-- . . . - ---------------------~�....... o�"9 TOWN OF BARNSTABLB Permit No. ______20100 rJy e 1 s►ainn a Bilil(I3ilg Inspector Cash039. ?=_��ih9 0YL f aVAV OCCUPANCY PERMIT Bond _ "No building nor structure shall be erected, and no land; building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Llewellyn Realty Trust Address Hy is Wiring InspectorInspection date F�*. PlumbingInsp dtDr `p" \^ Inspection date Gas Inspector �`'j Inspection date ✓ Engineering Department Inspection date f; THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN, REQUIREMENTS. `�.. : .... ..............._, 19% .. j...../Building..Inspector _ __ ►.lo GArzgnG� GRi�.td�22. � , 1�tLY FLoW � itb K 3 + �3b G.pT7 .._. , _ :t 2op��. .. .� .rt.: � r ...: • Se3—Ti c -,-, >< = 330,E lSo % • 4-9 S 6.P.0 a , t T .YL4 U IBIS >CSA.L. PiT uSE. loco GAL. E �( -.WAL.L. AMEA = E50 S.t=. _ � •' S`�2G �_ � i. , �7S G-t?U. BC?T T. Tb'rA L- "P E616W = 42S G.t?l=> TbTo L r->,&t W F'L.ow 3W&RD. ` ' x � � I ys fir' Nd Pmoc,DL.e,T1oLj cze-r.e s s "�Li'l-m l W'otz .vW �s t J. # ✓ _ -it S i t t ' JPIT '. �H OF •a' RiCHARD �'- is x r N'�• A. �' a i o t' ' �I w .OAXTER /"'.,` t #' N 0 ti $1 cs NrL 21048 A 00 •�.•y � � 1� '� � aF. 4 , ! � � 1 f � r � 1 v 33 ; TesT 3 f 14 f.� Tor ;7"t, lOf7.0 ///�/ G 1 Ob0 IfJV �}� 1 , f t ` 5 %O t 6{ y 9G 1; .: x '#k '}, t t l' ,.J $ox q�.� sync :f Q j Fat i S 4 i t 1000 a s 4 y �' 1�11/ 111V GAL. G i l t LAN � e /■ � r ;I � t Snap 1�a/�.`1/Z i WAfu1BD t t i 7 J J?. � 1 �t�: P T P12oP: - . IZ� LOCATIotJ �.�.iplllJl�i tJ o 1,(/4 T'EtL L' .Ltp� AT 4 ! S • ,1 cGtZTIFq Tf-IA-r TNG- �VPQ-OATloO 54ao�u1�1 t Ptali lZSPGzetiaca %4Z- - 1 1TA WC u .. �L J Gc�PI..�(S W T � I D� LI �'� -j s Q>JD SETI>ACK ti'[-Q6lQEftitEuTc, of TNT � I ,-' L At�n Couer: h�a� 4 S g 3ol or RE G I S rc-:RED - ; �.A1.11,7, _aU2VcK®tZ� TH15 PL:AW . IS QOT 1csASE[�_v�-►�Ae.i j os'YE2v�4�G o �1,tASS. a !l�SI;'�:��Clai"�iuc��/c`� .,�•Y�ac--'�'U1='='S�T�,: SI�EGWLD'' -' ,, ' ._ rti � -. AP lk�br er_ uScD. T6 'Dc APPL.tGA.tiITV , J J C236 Cz35 New Three Season Room w unfinished Inside C M _ U ` ------------ ------- I new slider replace old 12'0" Text 11 sa' s ------------------------------- x m 12'0" Existing Deck 7 0„ cn13 26142 existing slider \J 2 X 8 ROOF RAFTERS Q" 1/2 COX PLY ROOF BEDROOMv�i BATH D m Kitcken I m 516 DRIP VELTEDG VELTOGE I EO ASPHALT SHINGLES 3 TAP W 1 X 8 FRCIR 1 X 8 SOFFIT N o i C4 m Tec 11 i Over 2x4 studs �♦ 04 Additions, Completed 2001 Match floor Hardwood " m o ii :r 5/8 COX SUB FLOOR 2 X 18 BOX 4x8 MASTER BEDROOM —6x6 post leg Existing di m R 19 INSULATION ;. 12"Sona Tubex 48 Livingro om ;; DQep 4"0'� y 2842 U xis zing ouse is e" DRAWN BY. Notes Remove existing 10x12 deck S.M. LeBARON add six 12" sona tubes PLANS FOA:Mr.& Mrs. Anthony Rich 2x10 floor joistes to snatch existing kitchen floor 711 Pitches Wa R-19 insulation in floor STEVEN M. LeBARO y 2x4 wales with tex 111 to match existing house Builder/Designer �.e 1/4"=1' �MBY: S.M.LEB H annis,Ma. 02601 DATE:July 21,2003 NJ4 -508-394-8146 ApH2 20,2001 STEVEN M. LeBRRON Montague Dr. PROPOSED:Proposed 16'x24' Addition W. Yarmouth, Ma. 02673 :