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HomeMy WebLinkAbout0249 WHEELER ROAD s U I ��.—tip _... .� � .��_... � - - � - .. __ .�.�.._e..,,•ems-- _ .� ....,,-.�,..-- .. .�..� _�.y�./".. I^. �^�'+^�.`�. ..��+ j..r..�.� .�.. r�l FRIEDLINE&CARTER�D LTSTI'VI`E44TMe. 436 Main Street,1F1.994 o " 38 Hyannis, Massachuse'tfs 0� 01'�� �0- 6 Tel. (508) 771-3232 FAX (508) 790-2344 ' TO: (,Building Commissioner or Inspector of Buildings ( ) Board of Health or Board of Selectmen ( ) Fire Department TOWN OF BARNSTABLE TOWN HALL HYANNIS,,MA RE: Insured: THE DEIRDRE A SAUERBREY TRUST , Property Address: 249 Wheeler Rd I Marstons Mills, MA 02648 Policy Number: 10444286 l ` Type of Loss: Water i Date of Loss: 4/13/2019 File#: 131228 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under;MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail. J. COHEN F Adjuster 4/16/2019 1 f l Z�2-i?1oJ_ oFt Town of Barnstable *Permit# 5??2-2-6 Expires 6 months from issue date BARNSrAB E, - Regulatory Services Fee ��.o o v M"S& Thomas F.Geller Director i639, ,m , p�EDru't�' Building Division Tom Perry, Building Commissioner X-PRESS PERMIT 200 Main Street, Hyannis,MA 02601 office: 508-862-4038 UtC 16 2005 Fax:' 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENT BARNSTABLE Not Valid without Red%Press Imprint Map/parcel Number Q a 00 rl , P perry Address AA q W h�E— ,v'��`-�` t MA�J�S Residential Value of Work a i Owner's Name&Address U I l 16L Ed 6QUA ,L0 6W , a &- fza,�_ 1 Contractor's Name 'V •� chMLC u'f I d_1r IYIC elephoneNumber_ T Home Improvement Contractor License#(if applicable) I A d & Q 9 Construction Supervisor's License#(if applicable) 0() 6 a57 4rkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [9-1 have Worker's Compensation Insurance � Insurance Company Name r C-G - . workman's Comp.Policy# 5_6 00 .6 '1 a 0 t Roo 5~ Permit Request(check box) 2"Re-roof(stripping old shingles) All construction debris will be taken to A aca ❑Re-roof(not stripping. Going over existing layers of roof) [J ft�e-side ❑ Replacement Windows. U-Value (mum•44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,Le.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. me Improvement Contractors License is required. Signature Q:Forms:expmtrg Revise053003 DEC- 16-2005 09 :20 AM WILLIAM SALVERBREY 508 420 8174 P. 01 12/17'2725 11:3S S®8',754909 HCaa PACE a2 Town of Barnstable Regulatory 8ervim . • B T'�omw7�e l�s,�L�ctas • Bull&ng DtyWn Teal Perry, Fp W&g Cc=nd mw 200 Maly 84t*A Nyaaah,KA OUC1. 1 pgg�� SOS-B6ti:4p38 Fax: 908•700430 Property•ownex Must Complete and Sign This Seadon ' If Using A Builder • I WI LV IA-m A. SAUE+tBRF,, �4s ..:..:�►9 Oacxlss of t�le.sub1ect�zv�e1 ,• :uccp aub$osire E.T, JArit�,i ego? to°act nti my.laeFsalf,. i.alI saws+W&ewG to work suesai3zc&k tku'e b�diding•pelzdk ap�Oltcat(oa ioz» .2.y9 W09911M 'ROAD, M4111ro., I GO$, AA OI�46 . (;A.ddzeea a£Jab • ' , i •&+�Fstmt�f Owaa�— Date • 14, .S4uR1T04-Y ?y, M �atNarne ' I p � 7-4e Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement_Cantractor Registration — Registration: 110609 Type: Private Corporation Expiration: 11/3/2006 E J JAXTIMER, BUILDER, INC. ERNEST JAXTIMER d 48 ROSARY LN j HYANNIS, MA 02601 =1 Update Address and return card.Mark reason for change. BPS-CAI as 50M-"04-GIO1216 Address E] Renewal Ej Employment Ej Lost Card BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR ; Number:�CSi� 003251 13irth�te—O,Ti1.4/�956 r Expires 011t4�200,6 Tr.no: 13327 „ReA 00 E ERNEST J JAXTIMER _ 48 ROSARY LANE HYANNIS, MA 02601? '6. Administrator DEC-12-2005. 10 :36 'AM WILLIAM SAUEREREY 508 420 8174 P. 01 12/12/2085 11:33 5087754909 PAGE 02 Town of Barnstable RegWatory Services Thomas F;Ga4wro hiaetor DuildLug Division T=Fw7i Shcikq c� 200 VA95 ftftt Hyde.MA MOI COGIN Pax; 508-790-E80 Property-Ownex Must Complete and Sign This Seodon If'Usizg AI Bunder V✓iL%.Iara r+, JCgualtBRt,t� :�a,- ➢ .Ot�suleie.�Fdtc.2ubJeapsope't - •-.•_...__.' 9.• . • . Iw 1 O , .2iq AatltoY c_ E,X TAY a,f .m;act on=7..behilf'.. all pg=a x4tIve to Work 2'utholizeA;h7 this binding.pe i t appl{cat ' oz; 2*19 WJOULta 'R,,Ag, Aid, MA b26V (,Addzeaa of Jab) II 8�ce of Owner Bale ��rqa /7. •�nV8R0A�Y, J� • �ssat Nam TOWN OF BARNSTABLE BUILDING'PERMIT APPLICATION Map C Parcel (009 Permit# Health Division �G 3 —©toq, �� �-3 Date Issued _Y4Z 1bZ1 Conservation Division q `f Application Fee Tax Collector Permit Fee Treasurer SEPTIC SY`7 EM MUST BE Planning Dept. INSIALLEI:; ,,� i u:;, . (P,iaNCE WITH TITLE '; Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AN Historic-OKH Preservation/Hyannis TOWN REGULATIONS o� Project Street Addressr�- Village Owner W 1 iol"L S&Utrbreq Address d� H.e�(�f� ky l Telephone Permit Request C,6n 5b(, c. /3OyC 3-,6 6a n Square feet: 1st floor: existing proposed 8g 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation A g, 3a6 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No 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: ❑Ga s as ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing Xnew size.�ePool:❑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 l ,r Name J -JAy-((Yr tek, �U( -DEEI/KiL.Telephone Number �C� 1-772 • Tr I I Address rl D 5arq License# on 3 2�1 R-MCkn n ( S , ma in&o i Home Improvement Contractor# 110 �D v Cl Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 5 . SIGNATURE DATE 31777 FOR OFFICIAL USE ONLY r 4 PERMIT NO. DATE ISSUED MAP/PARCEL NO. ; ADDRESS � ! � VILLAGE r _ K OWNER rt _ DATE OF INSPECTION: 71 r ,f FOUNDATION FRAME . INSULATION SC -S�45iti G,uri.LS 6r'�i C.el1�»� � NO ='NSK i'► $,U� F�SfZ"T�QW,S e('Y o FIREPLACE -- ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL rri i GAS: ROUGH 5 _ FINAL- ; _ FINAL BUILDING .® _ C s� DATE CLOSED OU I ' ASSOCIATION PLANiNO. t S i m a i Dd ...i,' \`` % \ •� Pr�osnd r2• \'\� %� a N. OD CD Ir Let"* � \ \ / tin Lt `s • t� 005. (0 \ i, d i �D caldh L i G / In d t t J \ i N H •i ,t 3 JO'S�tf ioID � Sketch PI On Proposed Goro e 1 yR%�o © Showing Prop 9 t CB/dh a CapeSury pa Q 7 Parker Rood m Osterville mA 02655 m (5d/)aZl}•]99�(5pp1a2V-J495.rw �/' -P(,v N c�pe�r..9c�ccodnet wide" I tAO M 05 yD 15 20 _ 30 QO FEET m a i 0 C562_191 3c)/nrr/o3 z ;r °pZME 1p�, Town of Barnstable Regulatory Services ' BARNSTABLE,ASS.Mass. Thomas F.Geiler,Director MASS. p.�p�0� 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. ehn.5 fyu -�— Type of Work: :✓"C-C G�o& Estimated Cost 2g�'J�Q Address of Work: d� W� � ��G(.(�l R&l y Ott' rV 1.(5 Owner's Name: rw Date of Application: 15 I o 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 pe s the agent of the owner: ti y F,.J.Jaxfihrnt.r 1100 Date Contractor Name Registration No. OR Date Owner's Name Q:for ms:homeaffidav RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $ 50.00 Alterations/Renovations $ 50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) Q Q I L 9 S square feet x$32/sq.ft.=AjaxO x.0041= 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.0041= 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 Rev:063004 0 G� Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement::Contractor Registration Registration: 110609 Type: Private Corporation U �" W Expiration: 11/3/2006 E J JAXTIMER, BUILDER, INC. ERNEST JAXTIMER. 'a 48 ROSARY LN w" HYANNIS, MA 02601 Y : Update Address and return card.Mark reason for change. BPS-CA1 0 50M-(W04-G101216 Address Renewal Employment Lost Card BOARD OF BUILDING REGULATIONS - 'Lice rise CONSTRUCTION-SUPERVISOR r Number {CS 003251 Birthc#a ' ? EzplresQ6 Tr..no: 13327 ^I Rested 00 5 ERNEST J JAXTNVfEER�—� � 48 ROSARY HYANNIS; MA 02601'"� rator Administ NOV-03-2004 02 :58 PM WILLIAM SAUERBREY 508 420 8174 P. 01 �vvi rJM 7VJ`J PAGE K i TOWR of Bormstable t Regulatory Services IF CeOw, BullftV Division Tone PaW, 3ttlldle8 Conte 301 Main Btu ,AdA 0260, I ' www.tow0,b ,p�,yi 0l�ce: 509462.4038 'Peg, $08.790.030 Pigperty Owner mtot COmpiete and Sign 'TWs. Section If Using A Builder j i Willlam A. Saiaerbreys Jr. a Owner of the prape"y berrbyauthori= E J• 'JAxtimer, Builder niybehalf� to on is all aoatters mLhve to-wrk:mAjwrizcd tjis b>�jo { �' permit 3ppicstian or: log Wheeler. Road , karstons Mills, MA 02648 1 ' (pddrrae Mob) ) 11/03/04 0saam of V"n" William A. Saue.rh'rey, Jr. Paint I i i j • r=::_--=_---- The Commonwealth of Massachusetts Department of Industrial Accidents Office 81/naest6gaffam 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit ✓ name: G . J �J �,�T� �(�, �lil-(.�E�, � �C, . location: city (4 V A C 1� l S �Z 0 phone# ❑ 1 am a'homeowner performing all work myself. ❑ I am a sole r rietor and have no one working in any capacity %%%%% %%%%%%%%%%%%%%%%%%���//O�%%%%/%%%%/O%%//%%%%%%%%O///%%/%/%/%%%/O%%%%%%%%/%%%%%%%%%%/O�%%/%%�%%%%%%%%%�%%%i I am an employer providing workers' compensation for my employees working on this job. comaany name.. :.: ;.;• :: CJ t (:: .s .. ... :•. .. 1 �. .. ,.. 11(( : :;:.: . !/�/ phone#: Cab insurance co E _ olicv# ❑ I am a sole proprietor, general contractor; or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: v:name: comoan address. .... :....:.:.:.:: city _ ..... <>:`OIIG'V.#i: Insurance co:: ::..:.... .......... ;:.;:.:::.;::. "carn any n amen.? Xw Q .. . ... ..... address: ..::.....:::. one crty:. . fnsuran %/ Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of$100.00 a day.against me. I understand that a copy of this statement may b forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby eerd the pains and penalties of perjury that the information provided above is true and correct Signature Date Print name �� Phone# G official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectrnen's Office ❑Health Department contact person: phone#; ❑Other (revised 9/95 PIA) 11,123/2004 11:23 5087754909 PAGE 02 St"itI. S?I Yo LL Plait Number G3-006 c2qq k)kj¢-&t iQtj &I S Yvtt c.,c_.S Saltbox 3 Buy Garage r^` 34, x 26' h-ice Code: FLAN Garage overall dimensions are 34' v/ide�26 dee vi , •> ` 1 , ti th eats VOrage in the rear for wood or eLlUipmen.t my RAMt Ceiling is 8'-8" in Mont area , 510ping to 6' in sturdge:section. Over Head Doors are 9' ,vide by 7' high. (,Rt � �`�� Garage floor to tap o.t'rid�e, overall )teigitit !'rice Cd.ete: G To order construction plans ple<kst� see: (jrdeEk 1n or�llatioti... . r.more infonnation.see: flee con t(' Smi !iF - �M._� FJ S :_.._ w,T.. ,.�_ ,gip•��r�c:June-26 2t142 �_--_-_�._,w._...:...........,..... ' yi,l I'aia a.,q MIn.. ;•Pc pis:' . lt�•ti�tiv.cadsmi.th..corr�lgarage,_pla.ns sit(tE,a>>: .�;ara�;�:5�g3-11Or,.lirn:, ��9/9/03 .a 03/23/2005 10:34 5087754909 r'AGc 02 ;��� REFERENCES: Ass E_ssors Mop: 82. parcel: 7 plan 8cok 109/b9 0 �.` ` ZONE:R "= rj /�' SiCe: 15' Pear: 15' / ^)! g6 fir`�Y. . Ee)at)ng a •7.T�l:f'' �C�NT ''ft�lYrx.. .• `.D�J�� Q NOW Concrete y���' Foundoflon e i1•yVll'y,. , i O .00 10 tdNN tdot� P PO l certify that the new 'cundotion a9&ka1e� shbwn:•herepn*.conforms to the �1s! setback-requirements of the Z.onirig;.By{aws'o/ the town PLO?'PLAN e t ys �r.:�+• of flarnsfoble. IN BARNSUBLEj D to (Marston stills) r '� `fr':�? 'v;rafess)onai Land Surveyar Dbte . MASS `R S: narE: 231DEC104 SCALE:1"=50' Th.s foundation shown was located on the ground conventional survey methods on 21/OEC/04. t PREPARED FOR: " 2.) .The,property inforTig6on• showr);..h.ereorn was Wliliam.A Sauerbrey,Jr a. com.-plied from'ovollabts:'rocoid:'.Jnformatlon• and 249 Whor Road not re6r&506-t• on ootcrai :nn'.1Me'ground survey. Marstons Mills/vi MA 02648 r' r 3. .his /an is not for recordin, and is nct r S•'i 5: . t. ) P 4 :'1tEPAkED BY i apeSury to.be used for construction layout or deed C ti descripon purposes. • :�' 7 Parker Road Osterville MA 02655 owc C562_1pp #t LD BY.' RRL/WHK (508) 420-3994 / 470-3995foK 03/23/2005 10:34 5097754909 PAGE 0'1 I j I Fax Transmittal Cover Sheet Date: --------------------- :g3l_-----� ______--- _-______--- .- «_ oJ '�o -. - --------------- --- ---gaozsh,6_� t e ---_--M----------- - �Yl A t neon: - �° =--- ------------------------------------------ From:---- w-----�___.e._,._�_..____-__�.----e�_ ---- Meessage: _------_--a_----------------.--- jq c -- ----._-- ---_ ---- s __�� lls 0 0 Number.of pages .including cower:---------- ------------------- ( Please call as soon as possible if all pages are not received.) Fax number: 508-775-4909 48 .R.osary i ane, flYattnis, Mass. 0?60'1 508.771.4498 Q 508.778,491 TOWN OF BARNSTABLE BUILDING PERMIT Department of PARCEL ID 082 007 GEOBASE ID 4274 Regulatory Services ADDRESS 249 WHEELER ROAD ' MARSTONS MILLS O ' - LOT BLOCK LO 'I DBA DEVELOPMENT 0 + BMWSPABLE, • PERMIT 74983 DESCRIPTION FINISH -ABOVE GARAGE-N � ,M PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONY CONTRACTORS: DAVID SAURO BUI DINT DIV, SI9N ARCHITECTS: BY TOTAL FEES: $101. 19 r ; BOND $.00 CONSTRUCTION COSTS $24,576.00 I 434 RESID ADD/ALT/CONY 1 PRIVATE PROPERTY ' I i i i i i DATE ISSUED 02/27/2004 EXPIRATION DATE i i i i i - i i i I i Town of Barnstable r • Regulatory Services r • BARNSfAB1E, MASS. Thomas F.Geiler,Director .t63q �0 'OIE1639 & Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 April 2, 2004 i Davenport Building Company 20 North Main Street S. Yarmouth, MA 02664 Re: Bond release for 249 Wheeler Road, Marstons Mills, MA To Whom It May Concern: Please be advised that an occupancy permit has been issued for the above referenced property. The Town of Barnstable has no further interest in any bond posted against damage that might be done to the roadway during construction on this property. SincereLy� i Sheri Theroux Division Assistant I q/forros/bondre12 I :! A TOWN OF BARNSTABLE13,0,1 ' Y CERTIFICATE OF OCCUPANCY PARCEL ID 082 007 GEOBASE ID 4274 ADDRESS 249 WHEELER ROAD PHONE MARSTONS MILLS ZIP - LOT BLOCK LOT\,SIZE i DBA DEVELOPMENT \DISTRICT CO PERMIT 74973 DESCRIPTION. SINGLE FAM W/ATT GARAGE PERMIT TYPE BTCOO TITLE TEMP. OCCUPANCY PERMIT CONTRACTORS: ` DAVID SAURO Department Of ARCHITECTS: Regulatory Services TOTAL FEES: I BOND $.00 p4r .CONSTRUCTION COSTS $.00 -756 CERTIFICATE OF OCCUPANCY 1 PRIVATE * ■AENTSTABLE, Mass. 039. ED MA'S BUILEIV DM i I BY DATE ISSUED 02/26/2004 EXPIRATION DATE VOO V ' I . TOWN OF BARNST ABLE �;� / CERTIFICATE OF OCCUPANCY LOB' 3/7/o`1 PARCEL ID 062 007 GEOBASE ID 4274 ADDRESS 249 WHEELER ROAD PHONE MARSTONS MILLS ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 74973 DESCRIPTION SINGLE FAM W/ATT GARAGE PERMIT TYPE BTC00 TITLE TEMP. OCCUPANCY PERMIT CONTRACTORS: DAVID SAURO Department of I, ARCHITECTS: Regulatory Services I TOTAL FEES: I BOND $.00 pptME CONSTRUCTION COSTS $.00 ' 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE n LE, MAW i639• 1 1 QED MP'�A 1 BUIL ING DIVISION .: BY DATE ISSUED 02/26/2004 EXPIRATION DATE 7Fj THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. ' MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND I. FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. i 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS , • IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS I 1 } 1 1 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL i WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDING PERMIT 0TV3 Co TOWN OF BARNSTABLE `7- 'BUILDING- PERMIT * , - PARCEL ID 082` 007 GEOBASE -ID 4274 ADDRESS 249 WHEELER ROAD ( PHONE MARSTONS •MILLS ZIP LOT V BLOCK' LOT .SIZE DBA DEVELOPMENT "DISTRICT CO �( t 1(C} PERMIT 69851 .DESCRIPTION DEMO/REBUILD THREE BEDROOM ' W/GARN PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT , CONTRACTORS: DAVID SAURO Department Of ARCHITECTS: Regulatory Services , TOTAL FEES: $1, 135.35 BOND $.00 pk tME CONSTRUCTION COSTS $350,112.00 101 SINGLE FAM HOME DETACHED 1 PRIVATE € 0 * BARNSTABLF4 MASS- 039. BUILDING DIVISION '- BY DATE` ISSUED 07/01/2003 EXPIRATION DATE (7% THIS'PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 8�l`5 of o �i1/�/�°� D G�• ��1 /'c3 sa rJL) t�/�iD c- i�-ram I 2 C11 3 3 o U 2 �.�� 2 / Af I I 3 1 14 ATING INSPECTION APPROVALS ENGINEERING DEPARTMENT . I rovR 4 I 2 �, Il�-/B�' Lf'�r�„� / D OF HE xbz� I OTHER: SITE PLAN REVIEW APPROVAL ff a4"I A_ LA616, 14-e A/ O WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. I I I I i I . i • i I I i i I � I I I i I I _ I I I I I I I , I I I I I I I I I I I I I I I I I I I I I , I A I I I I I I I I A • I i Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program W230669 Transmittal No. Chapter 91 Waterways License Application -310 CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment G. Municipal Zoning Certificate Williama & Deidre Sauerbrey Name of Applicant 249 Wheeler Road Mystic Lake Barnstable Project street address Waterway (Marstons Mills) Description of use or change in use: To construct and maintain a seasonal pier and ramp for recreational boating use. To be completed by municipal clerk or appropriate municipal official: "I hereby certify that the project described above and more fully detailed in the applicant's waterways license application and plans is not in violation of local zoning ordinances and bylaws." Pnnted Name of Municipal Official Date r oGtc/trr ja/Ot8arnstable ature of Municipal Officia Title City/Town r CH91App.doc•Rev.6/06 Page 6 of 13 SULLIVAN ENGINEERING INC. 7 PARKER ROADIP O BOX 659 OSTERVILLE, MA 02655 Peter Sullivan P. E. Mass Registration No. 29733 peter@suilivanengin.com phone 508-428-3344 fax 508-428-3115 July 2, 2008 Thomas Perry Building Commissioner Town of Barnstable 200 Main Street Hyannis, MA 02601 RE: Chapter 91 License Application 249 Wheeler Road, Marston Mills Dear Mr. Perry, Please find enclosed a Municipal Zoning Certificate along with a copy of pages 1-5 of the Department of Environmental Protection Waterways license application and plans for the above referenced project. Would you please review the application, and sign the Municipal Zoning Certificate and return it to me in the enclosed self addressed stamped envelope. Thank you for your assistance in this matter. If you have any questions,please contact the office. Very truly yours, Paula Sullivan Sullivan Engineering Inc. Cc: William&Deirdre Sauerbrey Attachments Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program W230669 Transmittal No. Chapter 91 Waterways License Application -310 CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment Important: Application lication Information Check one When filling out PP ) forms on the computer,use NOTE: For Chapter 91 Simplified License application form and information see the Self Licensing only the tab key Package for BRP WW06. to move your cursor-do not Name(Complete Application Sections) Check One Fee Application# use the return key. WATER-DEPENDENT- VU —U General (A-H) ® Residential with <4 units $175.00 BRP WW01a ❑ Other $270.00 BRP WW01 b � ❑ Extended Term $2730.00 BRP WW01c Forassistance ......-.._.._.._.._.._.._.._.._.._.._..-.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._..-.--.._.._.._.._..-..-..-..-........ in completing this Amendment(A-H) ❑ Residential with <4 units $85.00 BRP WW03a application,please — see the "Instructions". ❑ Other $105.00 BRP WW03b NONWATER-DEPENDENT- Full(A-H) ❑ Residential with <4 units $545.00 BRP WW15a ❑ Other $1635.00 BRP WW15b ❑ Extended Term $2730.00 BRP WW15c Partial (A-H) ❑ Residential with <4 units $545.00 BRP WW14a ❑ Other $1635.00 BRP WW14b ❑ Extended Term $2730.00 BRP WW14c Municipal Harbor Plan (A-H) ❑ Residential with <4 units $545.00 BRP WW16a ❑ Other $1635.00 BRP WW16b ❑ Extended Term $2730.00 BRP WW16c Joint MEPA/EIR(A-H) ❑ Residential with <4 units $545.00 BRP WW17a ❑ Other $1635.00 BRP WW17b ❑ Extended Term $2730.00 BRP WW17c Amendment(A-H) ❑ Residential with <4 units $435.00 BRP WW03c ❑ Other $815.00 BRP WW03d ❑ Extended Term $1090.00 BRP WW036 CH91App.doc-Rev.6/06 Page 1 of 13 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program w23o669 Transmittal No. Chapter 91 Waterways License Application -310 CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment B. Applicant Information Proposed Project/Use Information 1. Applicant: �.- ..e-..-' 1,,,,�...,,.,,,__..wt.,4,,,,�,....,,� VViiliam,A, Jr: &Deirdre A Sauerbrey, Name E-mail Address 299�Wheeler.Road Mailing Address Note:Please refer ? to the"Instructions" Ma�stons Mills Mq 0264$' Cityfrown State Zip Code S68-428-7742F 71 Telephone Number Fax Number I 2. Authorized Agent(if any): Sullivan Englneering:l c 1 .,. 7f Name E-mail Address 17 Parker Road/P O,Box_.659j Mailing Address _ Ost v_1I$ MA 02655; Cityrrown State Zip Code 508428-3344 5A8:_428 3fl'5 Telephone Number Fax Number C. Proposed Project/Use Information 1. Property Information (all information must be provided): Fa-Re _ Owner Name(if different from applicant) Map 6Q Parcel,Od!7 41 40'39" 70 24'45" Tax Assessor's Map and Parcel Numbers Latitude Longitude 27-§- a le �;Roa MA !)264:8 Street Address and Cityrrown State Zip Code 2. Registered Land ❑ Yes ® No 3. Name of the water body where the project site is located: Mystic Lake 4. Description of the water body in which the project site is located (check all that apply): Type Nature Designation ❑ Nontidal river/stream ® Natural ❑Area of Critical Environmental Concern ❑ Flowed tidelands ❑ Enlarged/dammed ❑ Designated Port Area ❑ Filled tidelands ❑ Uncertain ❑ ocean Sanctuary ®Great Pond ❑ Uncertain ❑ Uncertain CH91App.doc•Rev.6/06 Page 2 of 13 I Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program w23osss Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No. Water-Dependent, Nonwater-Dependent,Amendment C. Proposed Project/Use Information (cont.) Select use(s)from Project Type Table 5. Proposed Use/Activity description on pg.2 of the "Instructions" To construct and maintain a seasonal pier and ramp in Mystic Lake for recreational boating use. 6. What is the estimated total cost of proposed work(including materials& labor)? $15,000.00 7. List the name&complete mailing address of each abutter(attach additional sheets, if necessary). An abutter is defined as the owner of land that shares a common boundary with the project site, as well as the owner of land that lies within 50'across a waterbody from the project. Peter R & Betsy J Smith 259 Wheeler Road, Marstons Mills, MA 02648 Name Address Ronald M & Ruth G 235 Wheeler Road, Marstons Mills, MA 02648 Deyoung Address Name Address D. Project' Plans 1. 1 have attached plans for my project in accordance with the instructions contained in (check one): ® Appendix A(License plan) ❑ Appendix B(Permit plan) 2. Other State and Local Approvals/Certifications ❑401 Water Quality Certificate Date of Issuance ®Wetlands SE3-4256 Fite Number ❑ Jurisdictional Determination JD- File Number ❑ MEPA File Number ❑ EOEA Secretary Certificate Date ❑ 21 E Waste Site Cleanup RTN Number CH91App.doc-Rev.6/06 Page 3 of 13 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program W230669 Transmittal No. Chapter. 91 Waterways License Application -310 CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment E. Certification All applicants, property owners and authorized agents must sign this page. All future application correspondence may be signed by the authorized agent alone. "I hereby make application for a permit or license to authorize the activities I have described herein. Upon my signature, I agree to allow the duly authorized representatives of the Massachusetts Department of Environmental Protection and the Massachusetts Coastal Zone Management Program to enter upon the premises of the project site at reasonable times for the purpose of inspection." "I hereby certify that the information submitted in this application is true and accurate to the best of my knowledge." Applicant's signature Date Property Owners signature(if different than applicant) Date 11 E-SICC.") - 1-02 � �O Agents signature(if applicable) Date CH91App.doc•Rev.6/06 Page 4 of 13 : Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program W230669 Transmittal No. Chapter 91 Waterways License Application -310 CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment F. Waterways Dredging Addendum 1. Provide a description of the dredging projectA P 9 9 ❑ Maintenance Dredging (include last dredge date& permit no.) ❑ Improvement Dredging Purpose of Dredging 2. What is the volume(cubic yards)of material to be dredged? 3. What method will be used to dredge? ❑ Hydraulic ❑ Mechanical ❑ Other 4. Describe disposal method and provide disposal location (include separate disposal site location map) 5. Provide copy of grain size analysis. If grain size is compatible for beach nourishment purposes, the Department recommends that the dredged material be used as beach nourishment for public beaches. Note: In the event beach nourishment is proposed for private property, pursuant to 310 CMR 9.40(4)(a)1, public access easements below the existing high water mark shall be secured by applicant and submitted to the Department. CH91App.doc•Rev.6/06 Page 5 of 13 i i . s B000320 PAGE 266 i 1 - t 723'76 QUITCLAIM DEED 4� Ethel W. Bell, of 18B Maple Terrace, Attleboro, Bristol r ! County, Massachusetts, for consideration Y � paid, and in full consideration of $1.00 grant to June A. Langille of 3611 Huntingridge Road, High Point, NC, Robert H. Cooke of 147 Anawan Road, North Attleborough, Bristol C BuzzardsBay, M and A, asjointGeorge tenants Cooke, notras tenants inocommon _ with Quitclaim Covenants i a parcel of land, with the buildings and improvements thereon, in that part of the Town of Barnstable, Barnstable County, Massachusetts, called Marstons Mills and being part of the land shown on plan entitled, "Plan of Land at Marstons Mills in the Town of Barnstable, Scale 100 feet to an inch, October 7, 1947,. x T. H. Stegmaier, C.E., Middleboro, Mass.1,, which plan is duly recorded in the Barnstable County Deeds. The said parcel of land herein conveyed is bounded as follows: is y;r Southeasterly by the northwesterly side line of a way 20 feet wide, 100 feet; southwesterly by land now or formerly of Cordon W. Johnson, et ux, 330 feet more or less; westerly by North 8i:.. Cotuit Pond as far as private ownership extends, 176 feet; northeasterly by land now or formerly of Helen W. MacLellan and !: Wilfrid Wheeler, Jr., 440 feet more or less, containing by estimation 1.15 acres more or less; said premises herein conveyed beirg the northeas terly portion rtion of land Calby deed of Wilfrid Wheeler, Jr., Trust a conveyed id Johnso MacLellan, duly recorded in Barnstable County Deeds. There is conveyed as appurtenant to the above-described parcel of land a right of way for all purposes for which a right of way \ y Jj is or may customarily be used along said 20 feet way extended to Race Lane. Said right of way is to be used for the usual purpose 'j of travel, and in addition, for the installation, maintenance, A repair and replacement of utilities u::ed or to be usod on the �• above-described premises. These rights are to be used in common with others now or hereafter to be granted similar rights in said ~ Way• a: This conveyance is subject to restrictions of record in so far as the same may be in force and applicable. t The grantor, Ethel W. Bell, reserves for herself a life estate !! in the demised premises. T ROBERT C. BLise For title reference, see deed dated July 7, 1948 and recorded in p' AnoIIN[r AT LAW said Registry in Book 722 at Pages 393 - 394. }}6,1 •.�MOYMT MOI(iT AlT­.. MA 01 T11 P aft: .a .......... Location 2 4 1) r i,cyj(:, -1j,-:;Con :j: '.A :7'/ hana an(I or w. IN C; Then cerscnaliy apceared the jcknowiedaed the f0r42%goinq to bc C a ry P:,b t. RCr:E?T C. SLISS VOTARY PUBLIC =XIAISSiON EXPMES it ROBERT C. OLISS -0-gy LAW 1 NOTES: RACE FOR PROPERTY LINE INFORMATION SEE BOOK 18254 PAGE 294 IN THE 44NF BARNSTABLE COUNTY REGISTRY OF DEEDS. t/ FOR PROPOSED PIER SEE SE3-4256. MyST/D SOUNDINGS BASED ON USGS QUAD MAP LAKE ELEVATION= 44'± LAKE LAKE e MYSTIC v f A GR£AT POND) �+ V� ui \O 0 � PROPOSED t Q PIER aRAMP LOCUS PLAN LEVEL ELEV 44 SCALE:1:25,000 SANDWICH QUAD. LAKE I i i EXISTING STAIRS OVERALL SITE PLAN SCALE: I"=60' AZ O N. O p 0 30 60 120ft. h OQ h, M kk h . , ,3 .4�v �3 ca 1.EXISTING °j �0 N 2 i DWELLING Ok��Ovv I pwC) EXISTING DRIVEWAY �t� of PETER SULLIVAN �00, No. 29733 '� 011ri1 �o 0 PLANS ACCOMPANYING PETITION OF SHEET I of 2 WI LLIAM A. AUERBREY,JR . 249 WHE LER ROAD MARSTONS ILLS , MASS. FOR CONSTRUdTI N a MAINTAINING A SEAS9 4AL PIER. COPY IN MYSTIC LAKE JUNE9 , 2008 SULLIVAN D GINEERING INC. OSTER-V LLE ,MASS. I \ \ / FL \ \ \ \ <�\ \ \ \ \ 1 \ \ \ 9°\ \ 9\ \ \ ON \ � o \ \ \ w PLAN VIEW \ SCALE: I = 30' 10 30 60ft. 1 � OF \ o \ w �t I ��+ PETER , SULLIVAN No.29733 O . 58' PIER 1I'RAMP 501' FROM LAKE CONTROL DATUM ' EXISTING EL.49.5 (USGS QUAD) LANDING EL.44.0 EL.40.5 ;. .. .. EXISTING, 19. BANK :. PERMANENT GRADE SAND -No SHEET 2 of 2 CONCRETE VEGETATION SAUERBREY FOOTINGS(TYP.) PIER PROFILE MARSTONS MILLS MASS. SCALE I11 201 SULLIVAN ENGINEERING INC. OSTERVILLE,MASS. JUNE9, 2008 0 10 20 40 ft. p� I � 0� -T V V 0 ' �t 9 24 Ac�es' > Wil#id Wheeler,Jin ��. do blWen W.A�'vieor? ou PLAN OR 14ND At MARSTONS MIL' LS IN THE TOWN Oh 8AR/VSTAAPLC-. Scale /00 fief' la an inch.* - . fiber 7. $47. T 9'�oFlkjo�;ro Was. 0 6O, k MIOOL E Gorutr- P mo .� a EY*"P. sem.s I C rr "VemO— ��G 1jlc�,� TOWN OF BARNSTABLE BUILDING PERMIT APPLI' TIO'N. DEMO -stro" / 3 Map Parcel T06yP! OF SARNSTAE�Emit# (r,9 851 Health Division 2� �� I R Issued 7// 03 s J / 4 00 Conservation Division �c d2 Noce �� i Application Fee Tax Collector aoc) _ b __ Permit Fee 1085, 3S Treasurer QIVI !0N Planning Dept. �,;;,;n',F,��J 1:1 COom;?LIANC Date Definitive Plan Approved by P ning Board / �/ s 3 ` SS _ �'" °I T,-` 5 I40 2-a a.� a ILL e w o --- C AE�L Historic-OKH Preservation/Hyannis 61-6-64 kcGULAMNS Project Street Address aY,5� 4v!eeeez Vic/. Village Owner �}11�N�o-ems �egU�y Address a20 / 04X/9 Telephone �'�� ' 3-519 - c9e; g3 Permit Request see Square feet: 1 st floor: existing proposed U D 2nd floor: existing proposed //?9- Total new 3,Z-3 Zoning District Flood Plain Z&A✓G 6 O�-� Groundwater Overlay C Project Valuation YQQ_,, Coo Construction Typee Lot Size � � ��G' Grandfathered: ErYes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 12r' Two Family ❑ Multi-Family(#units) Age of Existing Structure 7o Historic House: ❑Yes 12r�o On Old King's Highway: ❑Yes LrNo Basement Type: jUrfull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) a, 0 VO Number of Baths: Full: existing new o), Half:existing new 6? Number of Bedrooms: existing new 3 Total Room Count(not including baths): existing new�_ First Floor Room Count Heat Type and Fuel: lZ Gas ❑Oil ❑Electric ❑Other Central Air: 112r�es ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing �ew size Shed:Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use e ���y BUILDER INFORMATION Name�cJ�vE•v pv2,� L�y�t 2�ii�a� ee. Telephone Number 6S- 3F9 -dd l3 I Address ad /UQe�� �"U S� License# eS C�7,-) olC Ca Home Improvement Contractor# Worker's Compensation# 8'1 96Oa SV i ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE ��"�role 3 FOR OFFICIAL USE ONLY PERMIT NO. SATE ISSUED - i MAP/PARCEL NO. ADDRESS" VILLAGE OWNER - DATE OF INSPECTION: ' (/ ' FOUNDATION Al"t �lb} Q C FRAME INSULATION -a FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL-BUILDING 1 2-20'b 4 7$ _ s o ' DATE CLOSED OUT A F: ASSOCIATION PLAN NO k � y 1 ` Affidavit of Substantial Financial Interest of on oath depose and state as follows: 1. 1 am an applicant for a building permit for the property located at Map �'a , Parcel 7 The address of the property is � - /Yf 2. 1 have L6'0 % legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above. 3. Within in the last twelve months from today's date, which is , the following individuals or entities have had a 1% or greater legal or equitable interest in the real property which'is the subject of the building permit application which is identified in paragraph 1 above: Name Address 4. Within the last twelve months, from today's date, which is , I have had a 1% or greater legal or equitable interest in the following properties which have been the subject of a building permit application: Map/Parcel Address 5. Within this calendar year, I have submitted Q_ building permit applications for property in which I have a 1% or greater legal or equitable interest. 6. Within the last ten days, I have submitted ® building permit applications for property in which I have a 1% or greater legal or equitable interest. 7. Within this month, I have submitted () building permit applications for property in which I have a 1% legal or equitable interest. 8. Within this month, I have received 0 building permits for property in which I have a 1% legal or equitable interest. Signed under the pains and penalties of erjury, this _ day of 1200 ._ 2001-0050/affin 1 Q/LOTTERY/AFFIDAVIT oF(HEfp The Town of Barnstable BARNSTABLE. ' Department of Health Safety and Environmental Services 9 MASS. 0a f679. �0 pfEDMP�p Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection r rel M-e Location `I f l���<e 1 P Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need.correcting: d A l � �l 6C y, e re VLJay i G lor J / L U I ��' / •'(' ��(�C I l �"1 2�Fe�eft q 160-f Cn /GG I o J 4; yo3y Please call: 508-862-4948-for re-inspection. Inspected by4111 . Date /b)z I i t ;BOARD OF'BUILDING REGULATIONS µ License: CONSTRUCTION SUPERVISOR "s Numbe'r-GCS 072866 '. Hirthdate 05/06/1951 Expires 05/06/2005 Tr.-no: 10655 + ; Restricted .00 DAVID`A: SAURO i 10, TERN;LANE I , CENTERVILLE, MA 02632 Adinnistator G1Gi l �G/G� The Commonwealth of Massachusetts — — Department of Industrial Accidents Office oflnyestloatloos _ 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit i location: �'� '/l/��f�i /��`h'ti s7'�. • Citys0 ' �/)i?/'��i t/�"� /�'� O� hone# �j 6 4 1396! % 3 ❑ I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one wor. 1/ ca achy Lr I am a.n....e..m..P...1..i. +t e r.,.n.r..o..0 nn..d....i>..........4.r..v.......:..:.:...:n.............y........:......................:..:..............t..i:..:o..?.;n{....>..i..:f..;.:o..}.:t.rL...::mr•..;..}..yt.n..<.:em:..rr..i.:p..±.:..;l.:.o.}:yi.i:.::.e?r::..e}.:i..:s.:.f.,:w.:..}..:o..:.r,...k.f.:..:.i.:n.n:..::..:..g.,..r.....;.v o...:.n}.:.:f:;.t..}h.i:..ii.::s.,.:;.:j:+.r.v..o:...:.::b:...r:.:::.}:::::...}::;x.:n.x:}<.:::..? >:>;:::.•i:ri :{:}V:ngworkers' co mpensa :•'1.J2}:.vr ti:+v•$:'x:�•.} .:iG Jr.t .............:r:.... .r,.::.:....v. .rr.v:.!!,.......r.:v:f•. ...........:v......... ....:.. .......v.....,.....:... .. r..r. .. ....:n... .. .,... .:....... :.:. ..... ..... ......v:K+!: w:..v :••.:?;•}}:xx.}}::n-•.w:wnV..;.}.:r}::?�.•}n•:;{ .nn. ....... .......ryn t.... .... ....:... ......+::... .. ..nn:+•::?•::::•.::.:. ..G:•i:}:}:4:'{`.r',n:J.>:4i;.:::•!>•.'?;E::'�-"��'?::Sy;:?.:>,.'r\,`:• .+::.......:•v... .........:::......... ...,n•xr .,. ..:.{::.,...............v•.......: }:..:}:v.... ..}it v..n. .wnv: .:.+ !:w�vn...:::.•....... r?•:{•:w...... ..A.fn..\. .F..f�.••:{�:;i';:;>:i:...x..v v.r:.........::::.v• ..}.:}i:+iiiii:vi.:...n.... 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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 S 1 ` Please fill in the workers compensation affidavit completely,by checking the box that applies to your situation and supplyingcom any names, address and phone numbers along with a certificate of insurance as all affidavits may be F. p 'r.'. submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign an 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 member listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space b ttome f the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. be sure to fill in the piiia icense number which will be used as a reference number. The affidavits may be retumed'to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. Please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 r w 1 , o Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoBware Version 3.5 Release 1 Data filename:C:\Program Files\Check\REScheck\#3415.rck TITLE:New Custom Home CITY:Marstons Mills STATE:Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) DATE:02/26/03 DATE OF PLANS:02-15-2003 PROJECT INFORMATION: 249 Wheeler Road Marstons Mills,Ma. 02648 COMPANY INFORMATION: Davenport Building Company 20 North Main Street South Yarmouth,Ma. 02664 NOTES: MaCheck by Cape Cod Insulation INC. #3415 COMPLIANCE:Passes Maximum UA=578 Your Home UA=481 16.8%Better Than Code(UA) Gross Glazing Area or Cavity Cont, or Door Perimeter R-Value R=Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1274 38.0 0.0 37 Skylight 1:Wood Frame:Double Pane with Low-E 41 0.460 19 Ceiling 2:Cathedral Ceiling(no attic) 848 30.0 0.0 29 Wall 1:Wood Frame, 16"o.c. 2856 21.0 0.0 132 Window 1: Wood Frame-Double Pane with Low-E 281 0.340 96 Door 1:Glass 160 0.320 51 Door 2:Solid 20 0.180 4 Door 3: Solid 20 0.380 8 Door 4:Glass 38 0.220 8 Door 5: Solid 20 0.260 5 t Floor 1: All-Wood Joist/Truss:Over Uncoriditioned Space 2088 21.0 0.0 92 Furnace 1:Forced Hot Air,87.2 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 REScheckVersion 3.5 Release 1 (formerly MECchec4 and to comply with the mandatory requirements listed in the REScheckInspection 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 greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date REScheck Inspection Checklist Massachusetts Energy Code REScheckSoftware Version 3.5 Release 1 DATE:02/26/03 TITLE:New Custom Home Bldg. fit• I Use I I Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: [ ) I 2. Ceiling 2: Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: I Above-Grade Walls: Wall 1: Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: Windows: [ ] I 1. Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ )Yes[ ]No Comments: I Skylights: [ ] I 1. Skylight 1:Wood Frame:Double Pane with Low-E,U-factor:0.460 For skylights without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ )No Comments: I Doors: [ ] I 1. Door 1:Glass,U-factor:0.320 Comments: [ ] I 2. Door 2: Solid,U-factor: 0.180 Comments: [ ] I 3. Door 3: Solid,U-factor:0.380 Comments: [ ] I 4. Door 4:Glass,U-factor:0.220 Comments: [ ] I 5. Door 5: Solid,U-factor:0.260 Comments: I Floors: [ ] I 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-21.0 cavity insulation Comments: I Heating and Cooling Equipment: [ ] I 1. Furnace 1: Forced Hot Air,87.2 AFUE or higher Make and Model Number I Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed.. [ ] I When 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. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 I L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. I I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I I Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating I equipment must be provided. [ ] I Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on I the building plans or specifications. I Duct Insulation: [ ] I Ducts shall be insulated per Table MAT 1. I I Duct Construction: [ ] I All accessible joints,seams,and connections of supply and return ductwork located outside I conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed I using mastic and fibrous backing tape installed according to the manufacturer's installation I instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ J I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I 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. I I Heating and Cooling Equipment Sizing: [ ] I Rated output capacity of the heating/cooling system is not greater than 125%of the design load as I specified in Sections 780CMR 1310 and AA Circulating Hot Water Systems: [ J I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% I of the heating energy is from non-depletable sources. Pool pumps require a time clock. I I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120 T or chilled fluids below 55 T must be insulated to the I levels in Table 2. i Table 1: Minimum Insulation Thickness for Circulating Hot Rater Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts 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" 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) is ok- Bl�fa� Bottom of Slope of Lake High Water Mark / ®® REFERENCES:. �qj Assessors Map: 82 1 Parcel: 7 Plan Book 109/69 0 Q ZONE:RF �o Setbacks: Fron t: 30' /off/ Side: 15' / Rear: 15' Edge of Lake(1114103) / 2� El.=44't From USGS Ovad Map b a t.. !!OveeNg f / :.`Loeatfa2 t 5 � z / / },i • t 2° sue` 0 N oncrete 9 , Foundatio # 249 IF r °9e vl� O� 2 B T 6, r A 9 162.2' o. 0000 000d R' fko 4Wo`l� P(Wote 0 �ZH OF ,� �� C N IF GOde I certify that the foundation `�� porf"o 31� ROARD ,� shown hereon conforms to the V ' 0y A. R, J k 11 2 LHEUREIiX setback requirements of the e #34312 Zoning Bylaws of the town PLOT PLAN of Barnstable. IN BARNS TABLE rofessional Land Surveyor fXate 9 . (Marstons Mills) NOTES: MASS, 1.) The foundation shown was located on th DATE: 181AUG103 SCALE: 1"=50'e ground o 25 50 75 100 FEET by conventional survey methods on or between August 4 and August 13, 2003. PREPARED FOR: 2.) The property information shown hereon was Davenport Building Company compiled from available record information and 20 North Main Street does not, represent an actual on the ground survey. So Yarmouth MA 02664 3.) This plan is not for recording and is not PREPARED BY: to be used for construction layout or deed CapeSury description purposes. 7 Parker Road Osterville MA 02655 DWG #: C562_1pp FIELD BY. MDH/WHK (508) 420-3994 / 420-3995fax R ~ Bk 17169 F's272 -Nmr,74887 .. 06-27-20 t3 a 03 : 591:, Tu'7il S} 8AIRl?S TAKE ;'��rJ CLERK' 21903 JU14 30 All S: 53 �''�°639.,16�� Town of Barnstable �DIVISiON Zoning Board of Appeals Decision and Notice Davenport Realty Trust Appeal 2003-67-Special Permit-Section 4-4.3(2)& MGL Chapter 40A,Section 6,Findings Demolition and reconstruction of a single-family dwelling on a non-conforming lot Summary: Granted with Conditions Petitioner: Davenport Realty Trust Property Address:. 249 Wheeler Road,Marstons Mills,MA Assessor's Map/Parcel: Map 082,Parcel 007 Zoning: Residential F,Resource Protection and Groundwater Protection Districts Background &Review: The property at issue is a 1.15-acre parcel developed with a one-story, two-bedroom single-family dwelling of 818 sq.ft. of living area. In addition to the dwelling there is also a 480 sq:ft. detached garage. According to the Assessor's records the structure dated to 1946. The existing structures are dilapidated and present a safety issue. The lot fronts on to Wheeler Road and has water frontage on Mystic Lake. Although the lot meets the one-acre minimum lot size of the Residence F Zoning District,it does not meet the Minimum Lot Frontage of 150 feet. The frontage is only 100 feet. In addition, the lot does not meet today's Two-Acre Minimum lot area imposed in the Resource Protection Overlay District regulation in October of 2000. The applicant has presented two appeals before the Board. • Appeal 2003-066 is an application for an appeal of an administrative official's decision questioning the need for the relief. • Appeal 2003-067 is relief of a special permit pursuant to Section 4-4.3(2) Nonconforming Building or Structures Used as Single and Two Family Residence and findings pursuant to MGL Chapter 40A, Section 6,to permit demolition and reconstruction of a single-familydwelling on a non-conforming lot. This decision deals with Appeal 2003-067,the request for finding under MGL Chapter 40A,Section 6 to permit the demolition and reconstruction of the single-family dwelling on the non-conforming lot. Procedural&Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on April 08, 2003. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened May 07,2003 and continued to May 21,2003. At that May 215t hearing, the Board found that the subject lot was non-conforming and therefore subject to the requirement of the "Dugas Case" for a finding under MGL Chapter 40A, Section 6 for demolition and reconstruction. It also found to grant the request for the demolition and reconstruction as requested in Appeal r 2003-067. Board Members deciding this appeal were; Gail Nightingale, Ron S. Jansson, Richard L. Boy, Randolph Childs and Chairman Daniel M. Creedon. Attorney Paul R. Tardif represented the appeal before the Board. At the initial opening,the Board concentrated upon the first appeal dealing with the question of whether relief was needed — Appeal 2003-66, Appeal of the Building Commissioner. The appeals were continued to May 21, 2003. At that hearing, the Board upheld the Building Commissioner and then proceeded to hear the merits of this application. Mr. Tardif explained the proposal and noted the existing structures are in dilapidated condition and that the improvements would be a benefit to the site. He explained that the plan presented for the proposed dwelling located the building in complete conformance with the required setbacks for the district and 100 feet from any wetlands, outside of the jurisdiction of the Conservation Commission. The new dwelling would be a three-bedroom, 1-3/4-story, single-family dwelling of 3,238 sq.ft. of finished living area, a two-car garage of 617 sq.ft. and a 420 sq.ft. unfinished storage area located above the garage area. A 235 sq.ft.deck is also being proposed on the first floor level. The lot coverage by all structures, including the deck and attached garage is only 6.22%. The proposed on-site septic system conforms to Title 5 requirements and to the Groundwater Protection Overlay District"330 Rule!' Public comment was requested and no one spoke in favor or in opposition to the request. Findings of Fact: At the hearing of May07,2003,the Board unanimously made the following findings of fact: 1. Davenport Realty Trust has applied for Special Permit pursuant to Section 4-4.3(2) Nonconforming Building or Structures Used as Single and Two Family Residence and findings pursuant to MGL Chapter 40A,Section 6,to permit the demolition of an existing single-family residence on a non-conforming lot with respect to the Resource Protection Overlay District requirements and the construction of a new single- family dwelling in compliance with required setbacks. The subject property is shown on Assessor's Map 082 as Parcel 007 and addressed as 249 Wheeler Road,Marstons Mills,MA in a Residential F Zoning District. 2. Plans presented for the new dwelling show a three bedroom, 1-3/4-story,single-family dwelling of 3,238 sq. ft. of finished living area,a two-car garage of 617 sq. ft. and a 420 sq. ft.unfinished storage area located above the garage area. A 235 sq.ft. deck is also being proposed on the first floor level. 3. Although the structure may appear in plan as a substantial footprint,the lot coverage by all structures, including the deck and attached garage is only 6.22%. 4. The proposed on-site septic system appears to conform to Title 5 requirements and to the Groundwater Protection Overlay District"330 Rule." 5. The new dwelling is a"reconstruction" as that term is used in the"second except" clause of the first sentence of MGL Ch.40A,Section 6. The proposed new dwelling does not intensify the alleged nonconformity. 6. The proposed new dwelling would not be substantially more detrimental to the neighborhood than the former dwelling. 2 i w to errs the Decision: lot. • rant the appeal d on the finding le family dwelling on an undersized non-conforming Base d s of fact, a motion was duly made and seconded to shah] conform to the demolition and reconstruction with expansion of a sing on shall eliminate all structure nonconf omznues and the new building The reconstructi conditions: required setbacks and is subject to the following own on a plan entitled"Proposed Site Msite i s Mills,Mass.," dated January 22,2003 and prepared by Sullivan 1, The dwelling shall be located and site improved as shown Improvements 249 Wheeler Road e for Engineering, Inc. and CapeSurv. resented to the Board enoe�eth Sadler, JrPdated shall be built in conformance to Plans Mills, MA" as drawn by 2. The dwelling Company 249 Wheeler Road Mars elevations arid Sheets A200& Davenport Building 2/15/03,and consisting of four sheets. Sheets A500 and A501 showing proposed A300 showing proposed floor plans. )resented in the structure shall be limited in that it shall not exceed t (inclusive hat area re the area above the garage) 3; The principal resented to the Board as being 3,658 sq.ft. of total living area plans and p a two-car garage of 617 sq.ft.and a 235 sq.ft.deck. only,it shall not be used as living space. 4. The proposed area located-above the garage shall be for storagement areas shall not be finished as livable 5. The total number of bedrooms shall not exceed three. The base area for sleeping purposes. all comply with Health Division regulations without variance and shall 6. Demolition and reconstruction shall P comply with all building codes. The vote was as follows: on Richard L.Boy,Randolph Childs and Daniel M-C reedon AyE; Gail Nightingale,Ron S.Janss NAY: None Ordered: This decision must be recorded at the Registry of Deeds Special Permit 2003-067 is granted with conditions. in effect. The relief authorized by this decision must be exercised in one year. for it to be Section 17, within twenty(20) f thus decision, if any, shall be made pursuant to MGL Chapter 40A, Appeals o decision. A copy of which must be filed in the office of the Town Clerk - days of this de days after the date of the filnrng � job . Date Signed hereby certify that 4arueLl M C reedon,Chairman Bamstable County,Massachusetts, Y Linda Hutchenrider, Clerk of the Town of Barnstable, filed this decision and that no appeal of,the I� Board of Appeals twenty(20) days have elapsed since the ZTo g Clerk decision has been filed in the office o ain d nalties of perjury. . 4 _ 94p U under P da o Signed and sealed this inda Hutchenrider,Town Clerk • 3 Proof of Publication .:W:V`u4'.(bTC 'i I:II�:�fA'- ?!l,N!(I:j jljp aMJ;t!1:r!<;?'C '�, .%�'�{il�:r.�:rr;.;,• LEGAL TICES •:F�•C,'r:,:i- "•%:�,Qij;N:rt ni pgA4., rfy •�.,vlr.4W4%17..yhw•d•:..,n?7•...+;o'�t"=.`;%DIY':Apt :'\4"Ja1,".:Y(fi:i.r?•,t;r?u;a-4` VIIN,OK t3A f1�t;1'AB4�tIONJNG p6ARD OK APPEALS, f Nd'(IC� pifBLiC�tEAti`1�NiGyUI��1�R YNt:�`ONING bFI�D1�tC i �, r5r.',tr Fii4`.t f.,is It I�b ct ,tY1NT �' �Rol., �;F�,+�r d :r ,p ettpereons�t teri stet!In 6i'u Wei liyt�� ink 80��1 of`A� is�i'ric�grS�cti�1(�R Chepe�4d ��thepeib!; w of a�oFritb"tvtelth of of if, t(sly s, 'eyndrnenE heratb vt�'�hemW ttollfi�tl+dt,°rt r , �>n i� � y'��yy��t /13d PN`t18i it,r�,t,,�. ��ntil'i)tl tt r t ltirl,, Appel ,Kt)�dJ� g3klk I✓} e As Aerie has¢liptled FoF �amty Apertnlant Sppclef perrniE iri'dc��'dkl�tt`y�4�5fthS�cti 3N i(3)(b) I Chi e¢tfineted f3o0 Vft *6p tftwh N' t thready exl6tg�lllt)1�1�d Illn�,1 he l a`roperty t 'sl5'oaht oA:gss�ssb}'$Map 24x j Pit'' l"I)6 addressed ab 2fJ,1 k�iid t tysrtnla MA�n a Resldentla(� bhing t7(etdt t u;i e usah Caugiaan has Appfle�fq�a$p�dlal��rmtE,pur�luantyto Secdbne�k1 � and�n�� ° I c�g�sofy ses Speplal oertnit Fteq r'd (he applicant�es rpguestgd a sp !e� ertYt I fill" can tt'ucUbpall400�p e'pler. .Ipl'a tlottoherhd a' .t •uaea I or ribrl►riotorl�ed�yetemr$fr ?h$suti)ect ple�ldt Is e�owrl$n Assn or` r r a ;t�7 a'Y ��c��ao�so ,ipncf01800?;Thepr{Oclpalreaidentlall0}4eshawtlGnAt38sor's $pi6 �s pert Oil OQ7 add Acldr�sse a�e�Lfartl Line Centerville,MA �hep�bp�rty Oil bet ldentlai D zoning blsErSct 8t 0Pt1A Y,,�tis,itt?e�ei)�,i� n IT S,v4t n, A 1 tLlppaali.... Ra t�t?s�cede has epptied forSpecta)Perfilt findi. pursuant Ib MG) chapter 4d/�„Spcttbr) perrtutythe{derrw(luc i of ap e>tigtl J fit,"�!e tar , tes��ON;, �+�art ulsd6t¢l�ed,�oh" ronFarirti{Vg lot end cdrlsctlon of a nQ�sln Ie M►I dwall(rS thbbm I�ncd Jdrth u d Q � Y 8 F" 1, PIS", f�1� ie s g asagbt s M�p399; del"68 bona 01edr�Ted 4 Paft r e �v)(�1rt a1� t�enitlIJon��1 ${y+cJtckv KI '�V .1t+`Fti ' qif­'.!"�','�:'.-: tlH. gGGG"`.••eck _ , IAuc I�fer3ufi ` tp r3y1�`t;�} , M �g "�09 '' Oft; 44 Vhpel tfi ' 1 f��gg�"{N -��`�,at r�r�� �(.�r,� � 3�.�;,'. ��,��[f r��F��y f(n 1• y `� ,l�t��',' �' i#t 'kf' u is,yt� +r¢ r�k'l�'� t���(q., s �� •'".',��,fy� rr ✓ �, OV, o W R�afty';< u eft a*�� pl„ y03 Q3 y � 1'�r.yt►� g��r�(+��I 1 ILpnt Ualf (Lu' i,' .,u}�,tl Lft.-AlyV °y �..Etl N .'' � 81n Y�I wJarrll IP �w Td� I r,h!p7..'iyl .Y ® ZtJI 0 F•L+E �'` t;s �Y. t `. wt p�, tyj7l'� °;/ pal tl' �t�yi��aa1)) ����':??•''1.t;yk��'';f r�•�.e;r� .L ♦1..., �) t.{' 1 U0IP88��.�11�� �4t A����tl�I� � .:•4,:r.• "` g{J16 C ��j1r " s�4 fy } # 1�'ip �y�titti nIiwS i :• s 01 Y"" `HI '�381nStrhr Wq 7 s c s 1 xi, {�,C�' r = (• k ,,�'Jt � '�a. 'l{{�f�. ilt;�� idP'�7.y„''�,�jj��fr tt'te n af'i`1� �.r�8nl�tttvt rv�P�PrQt�; a i lWAV65 ' N (5S �p p� N ,Gfieittrl oj� g'1' 1 r, ,}��, Ark FxM"y� �ifi7tYyu ,rrw" K1�NX vp ' � s�6��It-19 'i tx 't�l ''��' it,p����ryv'•['� l•w g t�, -,/s+ ht i�n� 11 'y �,'� lrr�.Am �7 . ,fit.ci}.oxf?T„i/'1�.�«.'+,$rt!��Rei,!•.anFr:.k4rtr;;�'�5ti^K N�.tr`{t:1, 3G`',td v'�i4x tr i;1a.:,,ru'p�x'ti r:�L..v.,l.,::tc.n..., r.. .... k . Parcels within 300' of Map 082 Parcel 007 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters. The requestor of this list is responsible for ensuring the correct notification of abutters. Owner and address data taken from Assessor's database November 2002. Mappar Ownerl Owner2 Address 1 Address 2 City State Zip Country 082005 IFERRARO,JOSEPH P&BRENDA C rii-1995 FERRARO FAMILY TRUST 1211 WHEELER I MARSTONS MILLS MA 02648 JUSA / TRS RD y 082006 SMITH,PETER R&BETSY J 259 WHEELER MARSTONS MILLS MA 102648 USA RD 082007 BELL,ETHEL W& LANGILLE,JA&COOKE,RH&GE 12 HEMLOCK 0 ATTLEBORO MA 02760 USA / WAY 1082008 IDEYOUNG,RONALD M&RUTH G 235 WHEELER MARSTONS MILLS IMA 02648 IRD a 082001001 jWMC MORTGAGE CORP 6320 CANOGA WOODLAND HILLS . CA 191367 AVE 082012 LENK,EDWARD C 1325 GRANT SA MONICA CA 90405 JUSA STREET 082013 GODS,A JAY&PAMELA J 3 RUTH ST AMSTERDAM ry 12010 USA / t 0 1082014 rAULT,-ALPHEGE T&VMAN F VTVIAN'S REAL ESTATE INC 627 S MAIN ST CENTERVII_LE IMA 102632 1082022 PITA,PAUL F&DENISE F 199 WHEELER MARSTONS MILLS IMA 02648 JUSA IRD Tuesday,April 15,2003 Page l of 1 i RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE r'J 1 L square feet x$96/sq.foot= 3 I70A x.0031= 985.3$ plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) 'GARAGES(attached&detached) .614+381 square feet x$32/sq.ft. x.0031= 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 ids . projcost �p tHE 1p�ti The Town of Barnstable - BARNSTABLE. Department of Health Safety and Environmental Services 9 MASS. 0p s6}9• �0 prEo Mpg Building Division 200 Main Street,Hyannis, MA 02601 (f� Office: 508-862-4038 - Fax: 508-790-6230 \� V Inspection Correction Notice Type of Inspection ST Location (,e, -RA Mxl\ .Permit Number &9 8 S Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: D J71 nsU 16 kA LUeA2Y- 'l"Asz. 1� rJ�cSeVy�e V1� 2 � � i Please call: 508-862-4 8 for re-ins ect' n. Inspected by Date 2-26 -D 4- w aFtME The Town of Barnstable P� BARNSTABLE. DepartmentMASS a of Health Safety and Environmental Serv ices 94, 679• `00 PfFOMA'�� Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 i Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: \ �- ' ' C3) t a Please call: 508-862-41M-8 for re-inspection. Inspected by �--- U Date 1 ZS D y °FT�Er�ti The Town of Barnstable 9AR :E MASS.. Department of Health Safety and Environmental Services 9 MASS. Oo Mpi Building Division 200 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location P-g q (J)'•rye o le r V n;, Permit Number (9 9 8 5 I Owner Builder \ One notice to remain on job site, one notice on file in Building Department. The following items need correcting: 1 Please call: 508-862-4038 for re-inspection. Inspected by \/ �qAo'-'U pir Date �� 2G� - � - ij­�-B-25-2003 11:18 ATTY JOHN CRENEY 15083621125 P.02 I QUITCLAIM DEED We, JUKE A. LANGILLE of Plainville, Norfolk County, Massachusetts, N RoBzRT H. COOK£ of Naples, Florida and GEORGE E. COOKS, JR. of a Plymouth, Plymouth County, Massachusetts, for consideration paid and in full consideration of Three Hundred •., s Twenty-Five Thousand Dollars ($325,000.00) , grant to DEWITT P. DAVENPORT and JOHN C. DAVENPORT, Trustees of 1 ;, Davenport Realty Trust, under Declaration of Trust dated June 9, 0 4 1956 and recorded with Barnstable County Registry of Deeds at Book z a 945, Page 7, 0 0 N dA with QUITCLAIM COVENANTS, a parcel of land, with the buildings and improvements thereon, in b that part, of the Town of Barnstable, Barnstable County, d Massachusetts, called Marstons Mills and being part of the land shown on plan entitled, "Plan of Land at Marstons Mills in the Town of Barnstable, Scale 100 feet to an inch, October 7, 1947, T.H. Stegmaier, C..E. , Middleboro, Mass." which -plan is duly recorded in the Barnstable County Deeds. The said parcel of land herein conveyed is bounded as follows: Southeasterly by the northwesterly side line of a way 20 feet wide, a 100 feet; southwesterly by land now or formerly or Gordon W. Johnson, et ux, 330 feet more or less; westerly by North Cotuit a Pond as far as private ownership extends, 176 feet; northeasterly by land now or formerly of Helen W. MacLellan and Wilfrid Wheeler, Jr. , 440 feet more or less, containing by estimation 1.15 acres more or less; said premises herein conveyed being the northeasterly 6 --r portion of land conveyed to said Johnson by deed of Wilfrid Wheeler, Jr. , Trustee, and Helen W. MacLellan, duly recorded in a Barnstable County Deeds. � 0 There is conveyed as appurtenant to the above-described parcel of N land a right of way for all purposes for which a right of way is or may customarily be used along said 20 feet way extended to Race Lane. Said right of way is to be used for the usual purpose of a travel, and in addition, for the installation, maintenance, repair and replacement of utilities used or to be used on the above- described premises. These rights are to be used in common with , others now or hereafter to be granted similar rights in said Way. a This conveyance is subject to restrictions of records in so far as the same may be in force and applicable. For our title see deed of Ethel W. Bell dated November 13, 1992 and recorded with Barnstable County Registry of Deeds at Book 8320, Page 266. -'EB-25-2003 11:18 ATTY JOHN CRENEY 15083621125 P.03 WITNESS our hands and seals this day of 2002. C�-LJME �,. A. LANGIL ROSERT H. COOKE EORG C , . COMMONWEALTH OF MASSACHUSETTS S� S S A7: 2002 Then personally appeared the above-named GEORGE E. COOKE, JR. and acknowledged the foregoing instrument to be his free act and deed, before me, *4 GJ Notary Pu is My commission expires:,, 1_ % COMMONWEALTH SFRE OF MA.S5ACHUSETrS COUNTY OF Bristol. Then personally appeared the above-named JUNE A. -LAN and acknowledged the foregoing instrument to is ac d deed, before me, ` Notary Public C.9L1$$�� My commission a Anlr ruBw x ION EXPIRES IW07/g STATE OFRon- COUNTY O'F__Cp 111 / Then personally appeared the above-named ROBERT E. COOKE and acknowledged the foregoing instrument to be his free act and deed,. before me, (:1 Bruce Siper =� Wes# cc" E*M o ary Publkc bruMc11,2005 My commission expires: TOTRL P.03 Gee N eco 401,56 7P_t_M/+ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map'-" O Parcel Permit# �D Health Division Date Issued �� /°3 ' �5'I�`"��tiree f1 Conservation Division I�Ji`� QJ� P � �1 pY �/ 1,oBlSe�46,tck PZ!, Application Fee �r9Kk pD Tax Collector �iFlDo'Z �2 k — L — (p/6.3 Q Permit Fee �- Treasurer Oki — A)L-- 3 1�C-xy/A�11,163 c 9 �-i°.� �� Q O . Planning Dept. Date Definitive Plan Approved by Planning Board i 'I Historic- V l la Preservation/Hyannis Project Street Address (,,)k o e Villager Owner Address Telephone Permit Request _.2)t!?1nv Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new _ Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl Cl 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 ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size ' Attached garage:❑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 Telephone Numbers Address License# J�, (� Home Improvement Contractor# Worker's Compensation# 411 e S'/96acl,'-6/ ALL CONSTRUCTI� N DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I ' SIGNATURE i/ G DATE G23 6r r t, ;. FOR OFFICIAL USE ONLY PI!f MIT NO. DATE'-ISSUED � MAP/PARCEL NO. ADDRESS _-" - VILLAGE , OWNER - • ' DATE OF INSPECTION: FOUNDATION- FRAME f INSULATION FIREPLACE ! -' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 4 GAS: ROUGH FINAL i FINAL BUILDING 1 r� DATE CLOSED OUT ASSOCIATION PLAN NO. } i i i Mar-O'6-03 02 :22P Ostevville Water Opt 508 428 3508 P.02 Centerville-Osterville-Marstons Mills Water Department P.U.BOX 369- 1138 MAIN STREET ()STERVILLE,MASSACHUSETTS 02655 OFFICU 01' WATER DonRn of wnrGR r-OMMIssIUN1:R5 DEPT. W/ArER SUPFRINTUNDEN'r TONS I'LL.No 508-42M-b6')1 FAX No.50K-429 350R March 6, 2003 Town of Barnstable Building Dept. 367 Main Street Hyannis,.MA 02601 Re: June Langille 249 Whucler Road Marstons Mills, MA Gentlemen: This letter is in regard to the property mentiuncd above. We do not.Service this property address. It is Our understanding the contractor plans to demolish this home. I f you have any questions,please call Our office at 508 428-6691. Very truly yours, raig CrockLT Superintendent cc: David Sauro CC/jw MARS 06-2003 THU 01 :47 PM KEYSPAN ENERGY DELIVERY FAX NO, 5087607611 P. 02 KeySpan Energy Delivery Epunioy NI;°Voy 127 Whites Pall) Soulh Yannoulll,MassiOhusetts 02664 Mr. David Sauro March 6, 2003 re: 249 Wheeler Rd.,Marstons Mills, MA To Whom It May Concern, 'Phis letter is to confirm that there are no underground natural gas facilities to the above properly. This was confirmed by our representative March 6, 2003. T can be reached directly at 508-760-7503 should there be any further questions. Sincerely, Sally SinVir Field Operations i I 03/05/2003 WED 13:09 FAX 11002/002 NSTAR EL EC rR/C March 5,2003 June A.Langille 12 Hemlock Way North Attleboro,MA 02760 Re:249 Wheeler Road, Marstons Mills,MA Dear Ms.Langille: The purpose of this letter is to confirm that the electric service and meter for the address referenced above have been disconnected and removed. Please feel free to call me at 781-441- 3365 if you have any questions. Sincerely, Nancy L.Allen "Mid-Account Executive Property Location: 249 WHEELER ROAD MAP ID: 082/007/// Vision ID: 4967 Other ID: Bldg#: 1 Card 1 of 1 Print Date:03/06/2003 09:05 T "T-.,ROAD LOCA I CURRENT ASSESStYlE. _ � ,M, ., ,.,CURRENT OWNER..., . �_T,OPO,,.�, <_UTILITIES S._R /_._,- T.,ONO ,� :, �. 5 r.' NT ELL,ETHEL W& 4 Gas E xcel View Description Code Appraised Value Assessed Value ANGILLE,JA&COOKE,RH&GE 5 Well 1 aved lE ake/Pond Frog RES LAND 1010 155,600 155,600 801 2 HEMLOCK WAY Public Wate ESIDNTL 1010 45,400 45,400 O ATTLEBORO,MA 02760 . � ESIDNTL 1010 4,100 4,100 Barnstable 2003,'tYlAl SUP,P -MENTAL.D.4 TA, ccount# 42741 Plan Ref. Tax Dist. 300 Land Ct# er.Prop. #SR Life Estate VISION ' DL 1 Notes: DL 2 GISID: 4967 Totall 205,100 205,100 n... , .>", .. 4 .. P.S K. .1 3 Y :: 1. wrna.T ...:� »$T=:1 :. !., rt...�Y9 Kn. ,v, Y. .. h a _ __� ._>1 3.w.. ,3 ! 3 va..3�:, 3,. d: S... ,:,'s 3= ..�..i..... ..l. > _:: '.vs. ,... 4. .,yr �: :. ,v =4.x y r.::' �i ...r :, '� 3�. ...T.,. Y d �. �..r:�,x�_:,,�>. ERSIIIP = BK"1!OL/PAGE�,SALE�D.A:TE� /,u,.v/r,:>.Sf1LEP:..RICE![!C;��,,�:,� W. "�PREf!lOUSASSESSMENTS� KISTORY r, m..���. .,.";,K;.RECORD,,,01�,OWN—_ -�:�,�», :,,,,�,_ �_n,,__ ems._ ��», :�. ELL,ETHEL W& 8320/266 11/15/1992 U I 1 A Yr. Code Assessed Value Yr. Code Assessed Value Yr. Code Assessed Value ELL,ETHEL W 8320/265 11/15/1992 U I 1 A 2002 1010 155,600 2001 1010 155,600 2000 1010 139,506 ELL,ALBERT L DTH CERT, 8320/265 Q 0 2002 1010 45,400 001 1010 45,400 2000 1010 34,400 ELL,ALBERT L&ETHEL W 722/393 Q' 0 2002 1010 4,100 001 1010 4,100 2000 1010 6,100 Total: 205,100 Total: 205 100 Total: 180 000 EJfCEMPTIONS ..,. ., 4. . r_.. ;,r,lOTHER 9SSESStYIENTS� .,, This signature acknowledges a visit by a Data Collector or Assessor Year TypelDescription Amount Code Description Number-. Amount Comm.Int. .-f1P R 9ISEDY9LUEySUMMARY ', , .Oil, Appraised Bldg.Value(Card) 43,500 Appraised XF(B)Value(Bldg) 1,900 Total: Appraised OB(L)Value(Bldg) 4,100 » ter_ 3 ,y , r r, j ', , Appraisede(Bldg) 5,60 M u ��r >�1, �, »:, ,N„O,T..ES �.:;; ., .. r. , ,,� n,�: . ,, Special L Value Land Value 15 0 HOUSE NEEDS EXTENSIVE Spe and REPAIRS Total Appraised Card Value 205,100 Total Appraised Parcel Value 205,100 Valuation Method: Cost/Market Valuation et Total Appraised Parcel Value 205,100 ,-.._, ._ a-.-�' m,:...�::.r.._.� 5•";x: .:5'._ .,.E .....,s.., r :.. ...q' ,..,e.:.:"w.....,;., `- W: 3,;.: ,�+-..r..,r...•...:_. r NOVr .. _. ,� - , M r,.: ..>BUILDWG PERMLTtRECO,RD,,, :;,: : ,.,:. ate „-'P .::: :_.::..t �� ISIT/,CMANGE;HISTORI' r Permit ID Issue Date Type Description Amount Insp.Date %Comp. Date Comp. Comments Date ID Cd. Purpose/Result 9/21/1999 MF 00 eas/Listed N Mom:, .. - ._"F l.x... ... , .:. !. .:: ... .. :<:,_ .. .:.r� Ir 7 �• ,� `3 :4`v<:i. .al=.... _ '� _ _� �� _ B# Use Code Description Zone I D Frontaize Depth Units Unit Price I Factor SL C.Factor Nbad. Adj. Notes-AdYS ecial Pricin . Adj. Unit Price Land Value 1 1010 Single Fam RF 3 1 1.00 AC 100,000.00 1.00 5 1.00 18WA 0.75 PCL(1.,U15)Notes:WATERF 150,000 1 1010, Single Fam RF 3 0.15 AC 77,400.00 1.00 5 2.00 18WA 0.75 PCL(Ull)Notes:RESIDUAL 5,600 Total Card L'and-Unitsi 1.15 AC Parcel Total Land Area: 1.15 ACi Total Land Valu 155,600 Property Location: 249 WHEELER ROAD MAP ID: 082/007/// Vision ID:4967 Otlzer ID: Bldg#: 1 Card 1 of 1 Print Date: 03/06/2003 09 14- CONSTRUGTIONDETAIL :' ;SKETCH s�3y a Element, Cd. ICh.I Description Commercial Data Elements Style/Type 1 Ranch Element Cd. lCh. Description Model 1 Residential Heat&AC Grade - Average Grade Frame Type BAS 31 14 Baths/Plumbing FOP 8 Stories 1 1 Story Occupancy 0Ceiling/Wall ooms/Prtns Exterior Wall 1 14 Vood Shingle /o Common Wall 2 Wall Height 12 1216 1 Roof Structure 03 able/Hip Roof Cover 03 sph/F GIs/Cmp CONDO/MOBILE HOME DATA " 8 Interior Wall 1 05 Drywall lement Code Description actor 2 12 10 14 nterior Floor 1 12 Hardwood Complex Op 1 2 5 inyl/Asphalt FloorAdj Unit Location 36 eating Fuel 3 Gas 3 Heating Type 4 Hot Air Number of Units 12 3 C Type H None Number of Levels /o Ownership - - Bedrooms 2 2 Bedrooms 12 Bathrooms 1 Bathroom COST/MfIRICETYf1L_UA.TION.,..:w, 10 1 Full nadj.Base Rate 60.00 otal Rooms Rooms Size Adj.Factor 1.40398 Bath Type Grade(Q)Index 0.89 Kitchen Style Adj.Base Rate 74.97 Bldg.Value New 63,050 Year Built 1946 ff.Year Built (P)1964 rml Physcl Dep 36 uncnlObslne 0 W, MI...... Econ Obslnc 0 —Spec[.Cond.Code da 1010 Single Fam 100 Specl Cond% 5 Overall%Cond. 69 eprec.Bldg Value Al cnn IWA OUTBUILDING'&3YARD�ITEMS(L)/XF BUILDING EXTR 9 FEA7 URES(B 3 »rxHr 'ws.�, vn,xvavakv�°v. ,mazaeLev�,a73m�3.vaw,�^ ix�,..3,3�»S, Code Description LIB Units Unit Price Yr. DP Rt %Cnd m Apr. Value FPLI Fireplace B 1 3,000.00 1964 1 100 1,900 FGRIGarage-Poor L 480 18.00 1948 1 100 4,100 BUILDING SUB4RE9SUMM4RYSE,CTION �� _; ' Code I Description Livin Area Gross Area Ef ff Area Unit Cost Unde rec. Value BAS First Floor 818 818 818 74.97 61,325 FOP Open Porch 0 114 23 15.13 1,724 tl. ross ivlLeaseArea 818 932 841 Bld, Val: 63,050 a _ The Commonwealth of Massachusetts Department of Industrial Accidents Office of111YOS1192MONS 600 Washington Street Boston,Mass. 02111 Workers' Compensation.Insurance Affidavit a _— name: location City —X% - ?' '���G v7`� G �o�o y phone# ��•��� '���� [] I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an empl er providing workers' compensation for my employees working on this job. "F', „r:P:•'c AP"Sy Yi3S :eRS"'''dt. 7 -? .C fs+'h ,� C 1.,1P(,Nt ''.de^ +tt •L} .,_ E L"rRif t'..y 2+�.2rr(4ry1 C>a � x;G'r- 'k -y ,.¢il}'A n i -sue .�'t�'s�'s'° +R• >f", i �'stit rt, { - 3n x 6sYry r fay 5 s X r gu C� u(s�TT Yfi }�al� H < tr: 00. y�4i:.,x 3 ':. ,sF„a.C,�+'..> .. y i�s„*d;h'tw.rr u�.;.eY,y Sg-.",. f''"ry� y.tF krt M:L 'ae s42•'dtF!'S• kn t,..f t.yt Ala r !p ��; �'�'� r r.?rS,."L� c+x..+rf�'. k �4 a'4��rc �1,. C�f �.�` e.n"p•'�:�.�5 9y�;�i l t �.{�� BLit � t�b� YY�$�ra� 1 "f�_; Cky;<- r'i (�u���Ly i•� 7. 7!.N`.�.:.. ea ores$ a aalF&C •""�'• - .F �•' .+ hu •� r �A r � .t trr'F" � ��4K�'� r 9(-=d,%t�',aJ'r5.'a' ,w p 9;.:'C rZ�.' d 1j �.� �i r :(���� .tr G'�' .t`i a�, n..`�' •� u4p"�-,.L �.�''5:�+�'a fr'�_^r[i:s�r,,.n� riSF Y. "�' t��'t-f„�. h s . ti r r Sri Ys�`.� cZ�z kt r y� r L � r...{Y 3 wrar5` .` `4 «rrs�N$- s.�a»--rS,r. �K.a ��. �:w" . -vfi-a�'i^�z s',d '.�d`r'F:.:�('=�c•I "S�= �`yz � �`} ( �InSUranf.C;CO.: _. . _...: WARM I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices ` ._'7.3r•"'. ""'s 'Z..ra..�_ •+��..4' n "� i1i - �'�•t{i '�" ,t✓ a ;,J"Y ak+r x' _..f• .fir.C`.<� f ;�ak�•s�r4Y' .+1 ....ice''.. jg i ".-�•�s ��'�,!4z�ji2S<�"�'T:��_ 'Y' �y.�j,�i�_.'`�°••a��r'�`,r•3trr�.����„�,t. £ �t. 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"b,:7rm„+p c•_�2"v�ci F;=6.,. C4�,u�,�i"" •.��rr„l4'il?�.���`'"t�,n..�+�a;..+i �` ,:.F ; t s'?; a..c�?.lx,��r s. 01IC,,,#_.'�"_*s:i�w ,..srr'E'sf a.!'za� i.ik�_.a:�YS.W..�n.. _� ».i..s.r`'y._ y MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or Failure to secure coverage as required under Section 25A of one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby c i under the pains and pen tes of perjury that the information provided above is true and correct. Signatur 1 - Date Print name ' V�� �9 v G Phone# - ICT 92 9 official use only do not write in this area to be completed by city or town official city or town: permitflicense# MBuilding Department (-)Licensing Board []check if immediate response is required ❑Selectmen's Office Health Department contact person: phone#; nOther n (revised 9/95 PJA) 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 may be 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 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 permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate tb give us a call. ' a Elm The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406 ct kotl orw. 03 Tlo, DLaa pj�m.Y o`°G SMOKE DETECTORS O.K. a�xys`r�s�5 a5ydpog'•5 3 3 T LE BUILDING DEPT. --------------------------- 4 s0 to 7 e'm%,'-O'4oro+ubK/Pyicaha F F F i i � - pmradLonerahaJakP'ar♦� i Plow M.d.e•.,'•O'PavYadtowra+a . Faunda+ian•N a r m'•1•-O'con+iwaw. O • � \ / ` ` ` contraN FcoF"m,w/x.,4aYway. / r / v • I II II Pi�fco+a L - I I I I b Pevad contra+.daela Pier+ � I II m'-10 v/,' I m-109/,' m-109/,• m-r09/,' II I Q faunda+ion,a+o^rm'a 1•-O•caMinuw. I I I I II I � _-/ __ I O O J 11L co,waha FcoFm,w/x a,4ywp. I I I I ; - 4' wL� Drop r.o.r.>'-9' i II I _ II I O OroprOP.)'-9' � -y _� -I__ -- ------ ----------------- _.I _1._.L.!---"---.J. ----- --- ------ ------ I -------------- ------ - -------------------------1 I I I 1 I 1 I 1 � o r/x•m o.ncr.+✓.xw Laalnn Y I i I O � �•• 1 1 +o I 1 q'Pau'ad toKra+a sob � ,ah on r .v0•o o.ltra+.foohm+ O o I I '}� � Y"_I I w/PL,r,na,h andm nil, .Q v•Poa-adconcraFa Jab �'L ^PJY-,� ------------ PdyYpar e, I I �Napo; q/,• e'-O r/,' O 1I,' '-9 I e•-q 1/,' e'->1/,• e'-9 1/,• e'-q 1 I I - I I 1 � I I e'•e'-O'Pmtad LonLraha Found.+ion � I I I I�cowr.ha foohin,w/xv,4aywar• . _ __-,_. _1._. 1._. J. ------------ -_. ._— I I >-am•.Io•PnPrr. , ......... )•.m'.Io•Pnf,�r. I - I q .` - e'.e'-O'PairMco,ws+.founM+ion 1 I - .a+anl vgo'o n<r.+afooF' - I 1 ♦ saF an Im•a 1'-O'toMinuat,� I q.Lo �M I _...:_.'ry.i. 9 toneraha Foohin,w/xa,k•rway. I � I ..��.... _ v . ° I I 0 0 \° q'Pc+rad tancraha.tab a I I y C i � I �0 o•Pou-ad contra+a.W � � o� w/PA..r m..h.ndm nG. b 8 I I ...��..,O).g I 1 _ w/Pibarnu♦h and m nL � 1 barrier. I I -���U-y...-�. ' O I � Poy vwpor b.rriar. � o j� PaIY v,Pnr - I � •0 f' Q m �$ �!v(J� Pin foundnhion w/,aa. I I ___________________ ____g/e•v r0'rW.'pn,l I » - ,A ____________------------ I I• .u•--1 9/e•a 10'rabar pin. 1 ___________g __-� -- ; __________-_.� I ' ____________________________'. ________J _ u ID ---------_______ ____ ___________ _ d V I I I I + I ..C • I 9/e•a 10•rvJsar pw. I ,.o•-ra.>.>•. -o• 1 c ....d -_ , 1 O'->)/e' -1O• I I I I '.�r.+r.a.•.y r.,..�1 _ _ _-._k�. 1 I I e••e'-O•Poured toners+o foundahicn I j , $ ; ° j I tonrra+a fcaKn+w/zy,kyw.y. 1 r I ~_a. • I 11 r 1 1/e• � I P }.� I Ii�—vrop cpan'm+r x'edoa. { I I `' � I 1 I i 6 y S 3 I l__ _1 I S�s�i Fir E _ I II o r/!•m 6encrah./.heal i i 2��°u C INS . I � ed�n,akm 1• oo•aq I I � �s�3� p - I II eo aha fooiin�v I I 4� �Y � — fi d OC3_d�=n O I p �} .Y N+P 1 II I � 1 fifiE n�o c 1 ; oI l_____________ _____________ ______J DRAWING TYPE- e'v,'-O'Pwrad concrete Found,+.an PoundA+i on pjan .sF an I m'•1'-O'epn+mUou. I Contra+a Foohin�w/i a,kaywwy. FoLJNPA-F1oN PLAN SHEET NUMBER 1 m•-o• A 100 sS z r-m• z e•-o- I m•.o• + a g 3� J 3 I z'•a• er-m• L I m._m• e'-,• Q k6x�",g ow'��Pn� a p, po 30 � � a da d < 9 ` < Tt -44,kXfi4hF. I 104.i11n�4Naw SOT ``V\J ."Ime.nr e.4kl,. v.r 'Q + Arder.+rW PWG mOm p _ p�CAWFA4�P oOH 2 7'-�„X 7•-�.. -- -r--�---r -'--'-----------------'-- ; N Qo 0 •_pQ- ro.9n-.z rmI/wrz rwP-Glmog I/z 9dam• 4F..M<..f'r°en P44�P. �H LY.o;!�d f -Ib o +0 -\0- _ /} -a,"X 194" `1< ell,- OOH 0 9-9"X 19-4"dr. ..�0J F07 �p"a8(yti, 0 ...0 o u y� + C __________ q N x _r �n.:.._Qe. j .............. .•-e I/.- e,.,,/e•; '...,..=I .•-I e• ..,>/ >•-III,,. ...?L...__...;......y ------------- rha• e:g9 o.rw../z1•rr. I I - - ._o.'.. II a NI e4Ar-AGM u O iI I ul ��Iu� a rh.rn,.4erw z o T tr;r.w/I•rr. �1 I d �a g°ma 011a m� ��H p p 3�13 d: gn�i5l3�n � J' ------------- ' I m j l holiAloxmPo>}to baarinq �- 3 J o• °. i- 3. 3 L OPANING TYPE, Pirst Ploor o tb y C }8 v o d d PI��r PLOOF— PLAN Ilan 7C 79 SHEET NUMBER• ei-'• s� s< m•-9• s� l0'-9• °` e'-�' , s ,•-�• ,•-o• °L >•-4• s` 2040 hq.Ft.Living space s s , !0 1 7 yq.F}.Garage I'-5 O O 1/,' :'-m9/," Ig•-, I:,' e'-1 9/,' N•9' 4 9'•9' A m T'-m' I - L m) .•1+1f'l1 n Q ,77� '6 g S.x •s Y F _ a >a « F 4 4 , , L -_____ _::___:__ ::_"__________ ____ _:__:_-__:_ :__:__ 7 A � \F 7 0 P W T L - 19'-1"x 1 91-4" 17C17�OOH•1 a l5•-o^x 1 9'-4" _ a° --------------------------- / P moo.+'-I 7/Im'♦+'-b�:,. 1 S' e,., Y e 0 c • LOFT/%rul7r _-. •, .... _ 1 71 CE � ____i i cac",rma„ a I/:•I I - __ __i � JO •u 9 �Epy ^P b'Wn v.Al I 1 I I I I L= ---------------------------- +'M'ne•wAl y d I I I 1 ra pG�w - � L i o ---'---- e -~ _::"::._: 4 "--------------------------------------"'" p o C E ; ; ; ; p 1 1 I 6 i o Lc Y. I I I I p 1 I 1 1 j 10 41 31p�ooy Q I.E gl mgi-y3 � N j no-6 oo r I I Eb el m 3" , I 1 _ na�OEv N I I O I I pP c- f- 000: W J ' p `---•"'-'""' " Y 0 d DRAY'lING TYPE, p <" �;, _ yeaond Floor plan « F 1SvEGONr:;P FLOOD PLAN 1' « A9OO �aa�e: r �41t = r 1-olt 1 SHEET NUMBER' I z•-o• i � ' +•-o' I m•-o' +•-o• +•-o• m•-P I i4• ,••o• +•-e• t +'-O' 4'-9' 1 1 61 4Pq.P}".Living space m•-o• q 9 p Unfinished s-�oroge i m)�m' 1 Eons§ � Hill SoaJjigR ssgaa � � 1 a s sXQ% �;o Gonf imlou,ri*a van} Archi+aNurd a,phal+,hingl¢, � � - I Z•Pdt pwp¢r� q 1/Z"APA ra+ad sh¢a+hinq l.L 1 2 ..._...._. ..._.._. • V ..... ... 2 x0 Gdlwr t 'a.c. ia,e t!d M1`O ff. s"UNPINIr�Nevyf�AGe '�4 L s � 4 = Gon}inuou,Auminum drip adgc 9/4"APA rw+cd,Ub41a T.f A. } O°HA.Inxula+ion•F-90 Gor:+i:wous alumnum qu++ar 9.1 0 Plaor jai,+,e l!o"as. 1 2 x 1 0 Ploor JaiO4,0 1 41" Gon}inuau,aluminum,oFfi+ven+�- 1 xO•2 Pins+rim f+yp.l 2-2,1 0 window h¢aMr, 2/ 1 9/4"x9 1/2"LVL', w/riq'�Ifoam in.,ulw+ion. w/P�Igis{Foam in,ula+ion. W 1 Ox 12 g+sel bawm w/P.T.2x4-odor , W.G.ghingl¢,a ri"},w. wrwppad w/5/O"Typo"X"drywall •. ' _ ai/O"TYpc"X"fir¢coda Ty—km hou,awrap drywwll.on caBinq and walk I/2"APA rw+¢d shca+hinq 1 GAS GAF�AGe ..�.._�..i..._y....:.....c.. 7 1/2"m aJ}¢6 d/LOnKa+a LolUmn y 1/2"µO.In,Ula+ion•�Z 1 ,^ ... � 8 _$a 4"Pourad concrats,labw/Pibsrmsash In L' •�'•"m PT•2 x!o lyud,ill w/ anchor bol+,a 4'-O"oa.(}yp,l and 0mil.poly agar bwrr:sr,pnFch¢d+owwrd,Morro 13 O"x 4'-0"Pourad conKa}a faundw}ion ..._,..._•. R. ,at on 1 ee x I'conFinuou,contra+a foo}inq. m Y : LM ..._-_�.. A r--IUiLr�EN4 �:Ia6TION„A„ q��a Gale: ( /2 ( --O �gis'lH s�0 00° 36 L 4.F ma�a��,'"u"' � n�9Ir °IIz�-2.11 0+ �5tla'i� FFr lu O J u q DRAWING TYPIE�,� . SHEET NU V�M 0 nL oa "g ms- Gan}inuous ridge vsn} - _ � a® ��� ba pSg��@ Archi+ac+urwl asphal+shinglaa \ E s —Y x l 2 F A.banrd 1 ai•Pel+pwpar� t � � a $ § a I/2"APA rn+ad shea+hinq } ........... _...... 1 2 12 t r CV' O ID i I v A+ 1 1"FGI.InsUlw+ion-F�%O tiL �i Sxa Gailinq Joi>+se Im'o.t. rt�\ i _ V C"H.D.Insuln}ion•�-90!dopas 1 ', 0"H.D.InaNw+ion•�70(alopasl r / �— O W J s Nl� Propar vants e I ev 1"F-igid foam in>u4+ion—� Gon+inuou>aluminum drip adga `]` Q bon+inuous Auminum.lu}+ar x 1 O e aJinq jois+>®1 ee o.t. Gan+inuous aluminum s.FF+van+ 0 I xB•2 Pma+rim Oyp.) 2-Y..1 O Hsadara w/rigid fonm inauln}ion P 2-2.1 O Haadars w/rigid fonm in suln+ion F"ad radar clapboavd a 4"},w. I OL Y x 4 pswrinq wall Ir t IA�T p�p�oar� 1/2"APA rw+cd ah<a+hinq MAIS:fTEF-CDArH P m RT.2 xm Gap 2 xlo Wall s+Vase 1!o"o.c. "'_'P" 1 x4 P.T.2 x 2 bnli>+ars 03 ai 1/1"H•D.Insulw+'wn•,�1 I gimpsons LUt,2 1 O Hwngars e 1 el,o.t. ..-d..�.`..'x. %/4'APA ra+sd+./q.6iubFloar 'p _L. P.T.2x4-Ml—il in _ .•3.".,ry�. 2.I O Floor joia+>e I lo"o.t: 2.l 0 Floor jos+s e 1(d a.t. LT.t.i e lwd.•a r o•.4. o E P•T•t xm fluds8l w/y/B'x 1 O" I x l x•2 Pna Trim(pain}ad l 'i I/2"H.D.InsUln+ian•�Y I %- 1 %/4"x9 1/2"LVL'a glued and nwilad 1 4e o.4.>}aggorad 6. Al u z 2- 2x10W—A rsw/ri owm nswon FIT.4 x 4 hu or+ + q'df iUl +i PP Poa 4 o• .. _1.,._..........y g. mg ' $Y iJ lo FULL 6M.LAF— _.. __..a....l.. B"x B.'-O"Paurad contra+s fauadw}ion '1 w/nsphd+foundn}ion sealer aa}on I Go"x 1' Q con}inuous concra+s foo}inq. 3 + % 1/2"m g}acl/Contra}o column a � %"Poured contra+c slwb � f o b o g o� O ' w/Pbarmashm and to mB. �Sba�� s poly vapor bwrriar. %O"x%O"x I'Goncre+s fao}inq i himpsonm A6M4 4 pos+fao} q o�-•� N m4 S3F O _ d gs�Sq�Ga z o G �Ul�pit.�G GJ�G rIO}� I�GII DRAWING TYPE fatluildinq hat+ion"G" SHEET NUMBER A402 �E 6oF$L5 TE p Or� c'y`oho Gonfinuous ridge van}� • - m = @ -'�' Archi+aLFural asphd+shingles �_2 x 1 R F-idgc board I g•P¢I+papar Z7fi Ana�2S 5S7 p fll �`��oS•�c' 3a t 2 �� 2xda Gollx+iase 92"o.t. 2 xe,Fwf+¢rz e 1 0"o.L. 12 4 e< x f 2 xlo G¢Hinq jo'rs+s �r e �0 x 6" 1 2"F.G•InsUla+ion•�7 B Proper�an+s e t!o^a.c. � / 1 1"rigid fowm insula}ion ,O` V • 2 xB Geilinq jois+s e 1 Ga"o.c. 4-ol s'i 2-2xB Headers w/r' dfowm insula+ion ' .�'� 1/2"G oa ypsum brd ! i ( C 2 x 9 W.II suds e l!O"ob. ,a 9• o� d hT-UPY pEP�001�1€2 \ Q C ( p� '/''•�' Archi+eG#ural ws h 1+shin las v � s f B"H-17.Insulw+ion•�90(slopas) g•Pal}paper O 3, Prapar van}s® Ida"o.c. I/2"APA ra+ad } Al mh¢a+hinq ("rigid foam insula}ion 9/9"x91/1"LVL's 1x 12 Gan+inuoue wluminum drip edge^ glued and nailed 1 ro"a.c.s}aggered—\ ��.f}4s —�9•`l Prop¢r van}s e 1 Co"o.a \ Q \ 9/4"APA rwtad}.Oq.MubFloor e V N 1"rigid foam insula+ion Gon+inuoua aluminum qu}}ar 1 x!o G¢ilinq Jail}e 1 ep"o.a. Gvrwlwous aluminum soffit von+ I I I xB•2 Pine}rim(fypJ 2-2 x 1 O Haadars w/rigid foam insula+ion - rolmpsonm HUg 2 1 O Hangars I I el'H.O.Insuln+':on F�90 t/2"Gypsum board 2-ZxB Headers w/rigidfoam insula+ion dad cedar clapboard®4"+.w. i i � I 1 \ ! t - LNING1=0o1'•( I�-IrGI{EI�1 ; ;' m 4' 2 el W.11 b¢ ond 1/2"APA rwtad ahew+hinq - y 7 I ..--....•._:_...i._..i._:,. 'i i 2.4 Mloarmq wall 2 x!o Wall s+Uds e 1 ed'O.L. 1 I Q C ! m ��EAwPAyTi—�U-n P.T.2x 26,Ais+ars eg 1/2/4"APA rw+ad+.+ gULA—r himpson W-V 2 I O Hwngars e 1g' 9/4"APA ra+ad+.fq.hubfloor ,^P•T'.1.4 r1Ubrwll eIP.T.2,ef-luiillw/g/B"x 1O' P•T•2 x 1 O 1ois+s e 1 2•R pi—Trim(pain+ad I(#ypJ ' E9- 1 9/9"x9 I/2"WL's - 9- 1 9/4"x9 1/2"LV E2-2x10Hsadarsw/ i�idfawminsulw+ion + uglued and nailed 1 ro"o.L.s+wggerad glued and ndlad Ia_P.T.4 x 9 5uppor}post"Poured eoncw/wsphalF ¢wicr sa#on 1!d'x 1'4 '' Ty—ka Housawrap - Lan+inUWgLOnL1•a+b fOOf'In PULL GELLAF- } I q - 0 1/2"APA ro+eel slwa+hinq - ,A, 2 x&W all sfvds e 1 9"Poured concr¢}¢dab w/Pibarmaskra wnd m mil. I 9 0"x 9 0"x I'Goncra}¢tootin `> 1/2"H.O.Insulation• 2 1 e `a a s %O"x90"x 1'Goncra+e foo+inq PAY vapor barrier. ', y� \ x a h mpsonm ApC 4 4 post too+ S� N ...vim ...,a s - ..:r-a•.a -v.--•.ry _.� nt. es - - re; -- .e.. - •r.• - - a or a tNe a 41;-0"'o/B(typ.l `���4 5 c _ m.0 P.r•2 x!o e o� S - nch b I n Yoays moo d •""" / B^mx 4'-O"mono#Woo/f7igfooFa 0�9 � € z+ ' poVrad tancra}¢dock piers, cy,m i e 0 � • a�Oaa tu p I u o DRAWING TYPE. i� I�UILI71t�!� AEG r10N t� A� I � F�uildinq her.}ion"t3" SHEET NUMBER. A40 t a _ � W o o`5oy6�ea 3,• Q a` -SoEsg�3 \Y X 0 00 �z I f-I -----------------------------� I I ' ----------- + --------------------------------------- i 1- It ( i i jVA N -------'1------ --------------�____-______________-_-_____J I SIA to �oNT e�e,r�TloN } �..a_`.. .. a - nt I. V O xg nur —.._O . b UU, 00 ,'-k3.°o - - -- -- mi y 5 c tF- a --------------------------------- I u � II L--------------- --------------------------� I I 1 i I _-_________ ________L__J I II I _________ 'I I DRAWING TYPE: i L 1 I � i � FrrnF wnd LeF}ElsvnFione E i-eFT eL->r\1AT"IoN L---------------J GJe-,I e: I /4�� I :-OLL t SHEET NUMBER: A ri v lntlma-§ m' S3 3 67S �8�3��8F3 � Q 7 6 $m8� ® 7 U[j FMI -- -- -- -- -- w pl Eli rri li Is I Q 1 -- I I V /•. I Ll L1 I lyJ Ll Ll Ll L ` - ---- --- --- ----- __ - __ ______________________ ---------- ELEYp.TIOF.� _ _._..;.._,.. +. �......m.:.. ..v �,. J .L..�.�..d . � a ® ..'�.E.. a. Li Q 860I8§ 0 rlRo ° �P -- -- -- -- -- -- g c �i°�sE3� � I 1 I �N a,3N c I I I ' Om�S 'FC Z - 1 I an � nu u � 1 I -- — -- _______________________________________ J `A I I I ®J'�Gµ11T�&RyjyvAFiOn4 eo 'IN V P-tGNT ELt--VAT- :2N ii E_ ----------- SHEET NUMBER. / A anber a / REFERENCES: ASSESSORS REF. : oo _ ©a ��°° a it Plan Book 80/125 Map 82, Parcel 7 �.y� z; - ':�,,% / 100/69 B Bottom of Slope of n Lake High Water Mark / .. h/--. Seib°bk. ' S /Y OVERLAY DISTRICT: butters stairs GP - Groundwater Protection District / Lake •••• As Shown on Plan Entitled ..Revised Groundwater Protection f ~ _'Op Setback Overlay Districts - April, 1993 1 r /,� 65 FL OOD ZONE. 70 Zone B & C (see plan) Q H Community Panel No.#250001 0015 C LOCATION MAP: ,`Q O / / �// / // //// // / //j - 75= Au ust 19, 1985 Scale: 1" = 2000'f d 1 O / /y �/// //// / // / // //// //\/// /42 4:� V/ ZONE. RF Area (min.) 87,120 SF (RPOD) .c'�� Frontage min 150' Se 9 (min) fit III 11 11 1 1 11 1 I / \ \ x�o ���,> ` III 1 1 I 1 1 I I I I I I ' I I \ \ \. \ // ` Setbacks: • Front 30' 1 / 1 III I III I \ \ \ \ \. o c 111 1111 1 I1 � 1111 � 1111 \ \ \ \ \ \\ /o ; ,� P � Side 15' ' I Storage � , 1 1 � y Rear 15' / Bid. Approximate Existing Dwelling (by GIS) Area:/Conc. Block Stucturel$p II / \ I !L \ 46,480±SF 1.07±Ac Well Pump / / dal 1 / / to Lake High Water Mark S' I 0 G� Edge of Lake (1114103) / / / // // _ (1 I i.0� ` F O��P �\ I .• \ E1.=44 i From USGS Quad Mop \� CB/dhfn of kA ��,// / I I , I I ,/ �� t //O• \ Zone I \ \ Fr A \ \Ret. Wall I \ \\ / *lamp \ Abutter's Post � -\---�\\` `8�\ Well ' (0h / �0) �C8/dn fnd N\'fl \ \ Benchmark: s oti oo I I I I I I A\k, �' / \ \ \\ ? Top of CB/dh fnd L, \ 6o C I I 1 EI.=70.69' NGVD '29 \a4 ®t tic / P4 o \ \�P I I I I I /a I I f 0 1 87_ `` \ ( OOId Well cl I I (fined) \ 80, / `k C8/DH �I fnd d \ \ Iol r I 1 I v A 1 \ \ / I 79- � 6'./ I 9 a T ti 1 C Ste•• 1 \`:,\ I \ / // \` ` - O. S- ¢q, I /C.-O `p \ \ \ \1 �,` i -79- a \ \ \ 7 S \ Q� 2\ \ \ \\\ sC, / �r• \ 1 \ \ \ \ ` \ \ r. 0 2 \\ \\ 21 O \ \CP v \ \ 1 \ \\ \ \ \\ \ utility / Approximate \\ \ \\ \ Pole 1 \ 11 O Dwelling le g 1 Existin ` / \� \\ \ \ \ \ 11 \ 1 1 T f g (by GIS) 1 i51 111 \ 11 _ - { \°Id'. - \ \\ \ � \ 6• fZEGjt11RMLNT 11 \ 1 / / I .15 A.CVGS zr Abutter's O• I i � � / / 111 11 I I II I dh \ \ \ \ 1 \ \ I� I 1 CB/ well \ \ \ fn d � '00 at, \ 0�10U \ AO. Approximate \ \ \ \ \\ CB/dh _ \ o Existing \ \ \ \ fnd / \ < 1/2'0 Gaiv.Pipe For Fram Opening Above For M.H. Gorage Float Su Frame 8 Cover. (by GIS) OaLd Support ' y CP • P ` Pump Power S Float Control � � To D-Box Cables Installed in Accordance � ! \ �e�\ /�O, w1d e With Local Bldg.8 Elec.Codes. \ _ aJe 3' Edge r 4 0 From.Septic Precast Pump Tank.S ch.40 PVC Chamber 61 '6. 8'-0 DESIGN DATA Well Head Protection Zone: 330 Rine onW N�F e10 G°qe 'if'. a.:' e� ':';:';°. Single Family-3 Bedroom Utility Porn' P9'31 No Garbage Grinder Lot area = 1.15 AC ors+ Pole boy �2lG3 Daily Flow: 1100 3 = 330 gpd Allowable Flow Per Acre = 330gpd / 6k PLAN Septic Tank: 330 gpd x200%=660gpd Therefore 379.5 gpd allowed Use a 1500 Gallon Septic Tank. LEACHING AREA Three Bedroom Design Only From Sm Septic pticch Tank Grade PVC Finished 330 gpd/0.74=446 s.f.Required Sidewall:2(12'+36')2= 192 s.f. rirsAll's;,rr iu_' Bottom Area:12' x 36'= 432 s.f. � ;.sue ,>A os .9•� 624 s.f.Total Provided. Conduit Thru Chamber e. o LEACHING CHAMBER DESIGN For Power&Float GolvChain n All Pipes to be Schedule 40 PVC. Use 4 PLAN VIEW Emergency Storage Chain To D-Box 500 Gallon Leachin Chambers in a Volume 440 Gal Cables. o' Min.2'Cover 9 Inv.75.3 12 x 36 Washed Stone Field as Shown: Scale: I"= 20' Alarm on 73.6 , Mercury -r 2'0 Sch.40 PVC Pump on 73.I ry Float Threaded Pipe•' - Switchs-3 Req'd I/8"0 Weep Hole Abutter's Pump off 72.1 Check Valve NOTES Secure Pipe at Top a Gate Valve I. Water Supply For This Lot is a Private Well. Bottom of Chamber I• Bottom El. 71.4 I e' 2.Location of Utilities Shown on This Pion Are Approx. „r r-6"Washed At Least 72 Hours Prior to Any Excavation For This Stone Min. Project The Contractor Shall Make The Required e Notification to DIG SAFE-1-888-344-79233. D SECTION -� -- ------- ---- ---- _ ------ ------- -- '_' ,F•umptabeti2Hr'b _ _ ., •.... . ,.cy.iiio: ;`oSE;eureC+tiptoprioie - - '(1000 GALLON'-SEPTIC TANK) y- Permits From Town Agencies For Construction PUMP CHAMBER DETAIL Myers or Approved Equal. Defined by This Plan. Not to Scale 4.Install Risers as Required to Within 12"of Finished Grade. 5.All Structures Buried Four Feet(4) or More or Fleieh _Subject to Vehicular tobeH-20 Loading. Grade 6.Septic System to be Installed inAccordance With 310 CMR 15.00 Latest Revision And The Town of / 0 In Faller Barnstable Board of Health Regulatians. / 'Compacted FIII a M Fabrlo 7. All Piping to be Sch.40 PVC. No Stone - e'aCh 7L.,.m -II/b.r 3/4" 2"Double - - - - - Washed TH-l I-L. '79,6 -t-H-2 EL. -7,9 0 12'-0" `COARSE. SAND\AI/ORGANICS CoARs6' SANo \x//0\-RC-ANI45 3 1c�ItR 2-/1 CROSS SECTION OF CHAMBER s\LTY COA.r2sE sAnlo Y 1 A s1LTY coAc�s� SAT-AD ..NOT TO SCALE 1 A I O YR '3/li. 1 OYR 3/la - $ COARsc SA\rv0 12 $ C0A.C25 G_ SAND 78.5 Vent 2R.1 to YR N/� 28" I o YR.y/G F.G.79.0 FG.82.5 C�10vRSL sf.No c coAtzS� salvo �,.a. �� /8 ►o Y R GIS R� r E r:ta, `r C I2_o 'I - ToPEI.79.5 PERc.-oLA'T1oN TtsT 20 t�1 � `04, ; 76.5 Cl rss I t.n�TE R\AL , a`O' 'Ili `• �4� Wes 275.8 150OGallon 1000Go1. 78.9 78.7 Bot-EI. 76.5 p¢�T►-1 : ae'' y-? F �y 1' : `,, �' � Septic Chamber Tee or 1-�ssTHANI iMln> �►nlcN ti I �c � a� �� L•i U':,-s,X � i, �r fir' �b��R s 7 tJATE'• 01�1�./03 ✓v312 I !p SIJ�LIVA a't j 7• r V'0.297ms�P Baffle Bottom Test Hole El.69.5 ' t CIVIL„.::.. .,...: r,.....•..,:r•,.., ., , No Groundwater ENG. su�LIVAN LNGINGER\N�INc , 1. �7 �r .�i' I csr Bedding a5 W�TN�=BS : D. STF>NTONJ T.0.13.E B•O.N . `° ,•j. � Per Title 5 N R o GOUNIDVvA"rcti DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM Not to Scale Title: PREPARED BY, PREPARED FOR: Notes/Revision: CapeSurv o Sullivan En ineerin In �g g C. 1.) . The property line information shown was � PROPOSED SITE IMPROVEMENTS PO� Box 659 t 7 Parker Rood OaVenport Building Company compiled from available record information. (1) 249 WHEELER ROAD Osterville, MA 02655 Osterville MA 02655 20 North Main Street ^*(508)428-3 2.) The topographic information was obtained 344 (508)428-3115 fax (508)420-3994 (508)420-3995 fox Sor_.i th Yarmouth MA 02664 MARSTONS MILLS , MASS. PSullPEOaol.com copesurv@copecod.net from on on the ground survey performed on 14/JAN/03. 0 Draft: M.z:r>, Field: MDH/WHK 20 0 10 20 40 80 3.) The datum used is NGVD '29, a fixed mean ~' 'Date: Scale: Comp/Review: p5, Comp/Draft: MDH sea level datum. January 22, 2003 As Shown Pray. # 20059 Drawin # C562_1G1.awg - MA Will W 0 T •k yet►, / DDL +b,r, � z -• o' C 0 TU I T , f PON D V R- �• `( ' N� -- Johnson �.A �o " s Y \ej C 10 4 fog 82 ems; '�� �,• `r� ��� ,� `�� �• � :� : say t • 1t ... �.• ` •A ` ' e Ile/en W. Ilfac L e//an or 0 � ' " lot • o �, #40.t 13 / J e 10 0 'Z , t . w • Gicb � o 4 N o rR P•� b B WE. TF.;E UNDERSI.; �F D L,_'A.t ;1� OF SUI,VEY, � /D /'�' --C -AS APPR�°"JI: THISPLA1- fi�f) (1I11TIFY THAT iT _ ___ �`•� _ fb COKPLIES Wi i'ta ALL AP i.,CABLE LAWS He/en //. Mac I a//d n � �. AND Fi:.:GULAT10wS. A• y BOARD OF SURVE-Y.- -=/--= TOWN OF SAH►vSTABL ._ � • DATED aaar. it�..L•�...�._ � A Pi.A N of LAND AT MARS -roNs Mli. LS ., �•,. .y V _ - f'j l`..4u..0 .4d. .�' r, .J L. r n/ .:I.• f rr tip" Xj 46 A R NS TA B L E . CA 3 F Scale �o0 7%ef to an Inc a T.N.S!Fyn�r, Civil Fn aie+er; .Jan ua r` Z3 p /953. /KAdd/eboro , Maas. 4,an ons March /F, /053. �a c f/evReoons o f, wad o� 9t Way ' re ftmd Fo i• ossv nad b+se, shown *us : 40.3 ?h v �• ti - C�/rss beo�%�9s r osme wim Mom,on p/an of Rage Loan 6�► NeNe// B.,Si�oar Ni. 7, N 64 a J x .�• BARr8TA'. ,� 1 IMISTRY OF r DS V 464% 2L •w I zip. ,. .,H•L ..�f . s_ m R � CE L A E/9Z' L=yob!" _ *e 019 69