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Home My WebLink About0015 ANGELA WAY Ox�l' No.1=113 0RA MAM N USA ESSEM 0 Town of Barnstable ' Regulatory Services Richard V.Scali,Interim DirectorHAMSrADIX I►' MASS. Building Division 039. iOTEp .I� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Etc: 508-790-6230 PERMIT# ,Q/XJf�Q6 Y FEE: $ q SHED REGISTRATION '' RESIDENTIAL ONLY 200 square feet or less : W X(710- a 0,� Location o ed(address) Village McLria-Ofle, F - c �Uar� 0 -5q3 - yayq Property owner's name Telephone number ® G3 I b-1<- Size of Shed ICl 0 1�J Map/Parcel# Sign t e Date Hyannis Main Street Waterfront Historic District? N O Old King's Highway Historic District Commission jurisdiction? 1 (�-Kw- If P GQ over 120 square feet,you must file with Old King's Highway ��. G Conservation Commission(signature is requir Sign off hours for Conservation 8:00-9:30 3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. 'THIS FORM MUST BE ACCOMPANIED BY A } PLOT PLAN Q-forms-shedreg REV:110413 �oPy 215.00NZ ' 1 Lo ZZ 1.9f' 174.00 Q\� LOT 26 49920f S.F. 439.75 . :•:==Or' s ui. PLOT PLAN - LOT 26 �`': k 1 " ANGELA MA Y, BARNSTABL E,� MA SCALE 1° = 40' NOVEMBER 23, 1993. THE FOUNDA TION SHOWN ON THIS PLAN WAS LOCATED BY AN INSTRUMENT•SURMEY ON NOMEMBER 23, 1993 EAGLE SURVEYING 6:ENGINEERING, INC_' A EXISTS ON,51EGRO D a 441 ROUTE 130 SAl1/D<✓ICM �9A UN AS S a 'PROJECT NUMBER 93� 120 DATE PROFESSIONAL LAND/SURVEYOR. nSL �M1�f{•,�.r iR� _ti5$xM .,d. ?`1 THE ENTIRE LOCUS IS SHOWN IN ZONE C" ME R' iF% x �saE s' `j�tU� } # Y` 4�� r a'w ` .tSa ON FIRM PANEL 250001 0011 D. A a vw r Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Feed �3. ananrsMBM M^S&9 Thomas F. Geiler,Director 1639. `0g Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us 0ffice: 508-862-4038 Fax: 508-790-6230 EXPRESS PERIVIIT APPLICATION RESIDENTLA L ONLY Not Valid without Red X-Press Imprint Map/parcel Number 1 6 dress A Z5 .AL4�A.A le-, Residetnial Value of Wo Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address M kr\ P�-r\11 i L A'k) �A 5 LJAV Contractor's Name E I C AI COX U C— Telephone Number LI!21 Z Home Improvement Contractor License#(if applicable)_ r 25 r ` f ;Wor c*on Supervisor's License#(if applicable) L �J vckman's Compensation Insurance C MAY 312013 Check one: ❑ I am a sole proprietor ❑ I the Homeowner TOWN OF e have Worker's Compensation Insurance /QRNS�-ABl Insurance Company Name. / N% E �C Workman's Comp.Policy#��813 7 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) �Re-side #of doors;��Replacernent Windows/doors/sliders.U-Value 31 (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. / 1 SIGNATURE: Q:\WPFII.ES\FORMS\building permit forms\FMRP.SS.doc 04/08/2013 14:08 5088885184 BYRNE I PAGE 01/01 ACOR1 CERTIFICATE OF LIABILITY INSURANCE DATE(IYMDNYYY) 04/08/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EIMND OR ALTER THE COVERAGE AFFORDED BY THE POIICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S) AUTHOR12ED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to_ the certtficate holder In Ileu of such andorsement(s). PRODUCER CONTACT Applied Risk Xnuurauce Services, Inc. NAME: FAX 10825 Old Will Rd AICNe Ed: (817)234-4420 (AIC No); (877)234-4421 Omaha, HE 68154 E4WAIL ADDRESS: PRODUCER (877)234-4420 CUSTOMERID INSURER(S)AMORDINO OOVERAGE NAIL 0 INSURED MMERAA, ContihentAl Indemnity Co. 28256 ' Bruce Wilcox, LT+C rNSURER A: 2 Stonefield Dr INSURERC: East sandwich, MA 02537-1016 INsuRERa: CTL 1273 724987 INSURMI- �- INSURER F: COVERAGES CERTIFICATE NUMBER REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIoD INDICATED. NOTWITHSTANDING ANY REOUIREMI=NT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS - CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES- LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. ADO lNSR TYPE OF INSURANCE WSR NM POLICYNUMBER POLCYEFF POLICY EXP GENERAL LIASILfTY COMMERCIAL GENERAL U SIUTY ❑ CURRENO S AMA E TO REtdSED CLAIMS MADE❑OCCUR $ e e n $ PERSONAL&ADV INJUPt $ GENI AGGREGATE LIMMAPPLIESPER: GOREGA' 3 PO PRO $ LOC $ AUTOMOBILE LIABILITY COMBINED A►dYAUTO ❑II SINGLE LIMIT u $ ALL OWNED AUTOS BOINLY S SCHEDULEDAUTOS $ HIREDAUTOS PROPERTY DAMAGE eracocmit $ NON-OWNED AUTOS $ UMBRELLA LIAB OCCUR CH OCCURRENCE F](CESS UAB CLAIMS SMSMADE DEDUCTIBLE Q AGGREGATE $ RETENTION $ $ $ ANDEPWYERS LIABILITY ON X WCSTATU- OTH ANYPROPMETORIPARTNERNX TvE:YIN N EL EACH ACCIDENT $ 100,000 A OPFICERIMEMBEREXCLUDEDT N !A 4 b-8 4 3 7 6 3-01-0 2 l0/28/a012 10/28/2013 If yye� (Mandatoryin NH) • E.L.DISEASE•6A EMPLOYEE $ 100,000 If L PROVIbe SIONS NS wow n EL DISEASE•POLICYLiMR $ 500,000 0ESCrIPrTONOFOPEgAT10N8/LOCATIONS/VFF]ITCLES(AfFschAmrdlpl.Adpt(IOne meel�StlME flF,naasp $r4 xngy� CERTIFICATE HOLDER CANCELLATION Town of Barnot:abl.e SHOULDANYOFTHEABOVEDESCRIBEOPOLICIESBECANCELLED 200 Main Street BEFORE THE MMAMON DATE THEREOF,NOTiCEWlL SE DELIVERED Rtyannis, MA 02601 INACCORDANCEWITHTHE POLICY PROVISIONS. AUTHORZED REPRE38RATNE 1783118 ACORD 25(2009109) ®9988,2009 AIRNORD CORPORATION. All rights reserved ?die Comuromvealih of MassachuseflCs Department of Industrial-4ccdents Office of Investigations 600 Washington Street Boston,M4 92111 wr w.mass gov1dia Workers' Compensation Insurance Affidavit- Birilders/Contractors/E.le:c nc ms/Plumbers Aughcant Infot mailon Please Print Legib Name(BusimmCigamization/Individual) l)0 !e L6, 1 1 C'a X- U-C Address: S-�d� /E/EL City/State/zip:2-S 6 11LD e,01 `1 Phone#, - v e? l� . Are y pmcSn,employer?Check the appropriate bos,: Type of project(required): 1_9 I am a employer with 4. ❑ I am a general omtractor and I employees(full andlor part-time)-* have:hired the sub-contractors 6_ ❑lieu construction props paw_ lasted on the attached sheet 7_ �Remodeliag 2.❑ I am a sole etoi or ship and have no employees These sub-catstractors have 8_ Demolition. employees and have woidcess' 9_� ❑Building addition woticing for mein any capacity- comp-mcrraxeI a YOrlOtS'C0mP insurance 5. ❑ ate are a corporation and its 10.❑Electrical repairs or additions required.] I❑ I am a homeowner doing all work officers have exercised tiwir 1 l_❑Plumbing repairs or additions myself [No workers'comp- right of exemption per MGL 12❑Roof repairs insurance required.]r c. 152,§1(4),and we have no employees_(No workers' 13.0 Other camp.insaraam required.]. *Any appucarrt thzt cheds box#i.mast also all,out lice sectian below showing their voAers'compensation policy inforamEiaa. Y Homeowners who submit this affidavit indurating they use doing aR wo¢ir and then hue ouwde contradmrs'mast submit a new affidavit indicsting sack FContrsdors that check this boa mint attached an additional sheet shaming the usme of the sub-conhwiboss and stare whether or natilinse entities have employees. If the sub-contractors have employees,they,--st provide their taurkets'comp.policy number. �atn art stnplt►j�tir that ispr�vvi,Bng warirers'caatrpsrtsr:rian i�tsurartc$far rrty Bm�pl�y*ee.� B�Iaav is fhc�pa;�c��aril job site informaden. Insurance Company Name: Tr\ . n C Policy#or Self-ins.Lic.# �� 3—O ( " 0 Expiration Date: d job Site Address _ 5 .' 1 l/ City/Stait /Zig: t1 S 1A (9 L Attach a copy of the workene compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$I,500_00 andfar one-year rmpnsanmeod;as as civil penalties in the farm of a STOP STORK ORDER and a fine of up to$250-00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage veri€cation_. ' 3 do hereby cerh;fy under theprmis anilvenafties ofperimy that the informaliun provided above is bars and correct �- Nlulw Date: Phone#, ©,ycial am only. Da not write in this area,to be completed by tatg or town o,ff`coal City or Town: Permi#llAcense# Fussing Authority(circle one): 1.Board.of Health -2.Budding Department 3.Cityfrown Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone 9- OF IHF lory BARNsrnsr E i 1639. ,0� Town of Barnstable ArED MAC a Regulatory Services Thomas F.Geiler,Director . Building Division Thomas Perry,CBO Building Commissioner 200 Main Street,' Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This.Section If Using A Builder as Owner of the subject property hereby authorize r✓LQ it) to act on my behalf, in all matters relative to work authorized by this building permit application for: wct (Adhressss of Job) Ape- i L - 7. 2- o 1 3 Signature of Owner Date Print Name If Property Owner is applying for permit, please complete the Homeowners License Exemption Form.on,the reverse side. Q:1WPFiLESTORMSUilding permit formslEXPRESS.doc �oF�tTot Town of Barnstable Regulatory Services BARNSTABLE, ' Thomas F. Geiler, Director MASS. 1639. o 3�a�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.m.a.us Office:. 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home'in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned "homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and.requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner perf6rming work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors),provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. . ' naurocn rcrcnn r„rc�i„dt,r;;,o nvrmir fnrmclFXPRESS_doc __ ' Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-014645 r BRUCE W.WI �OX: 2 STONEFIE -D DR East SandwiF)t MA 02537�"" n i ' rti4`n� Expiration > Commissioner 02/14/2014 I I • I 1 �e.tpa??vnzoazcuea�.,o� gp2c�c�e/Za:_; Office of.Consumer Affairs&&Business Regulation ! C ' ME"IMRROVEMENT.CONTRACTOR i_ •� UV— k. egIMraboM, .�175253 Type: piration:_�5/1-720:15n- 'Individual BRUCE W.WILCOX fir- "pz i BRUCt WILCOX ? 2 STONEFIELD DR. SANDWIGH,MA 02537 'Undersecretary ........... r:icense or registration valid for individul use only ..- .-,-before-the ex pi ration, .If.found;reCurn:to: i Office'of`Consumer'Affairs and`Busines"§Regulation_ 10 Park Plaza=Suite 5170 Boston,MA 02116 Not valid Without signature 1. i J TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map i3 Parcel 0 7< rOWN r T Permit# Health Division 1012, 10, is (off 2 Date Issued Conservation Division It I C)� j 1: a Application Fe¢e�, �. Tax Collector Permit Fee r7 e .15-0 �'�------ SEPTIC SYSTEM MUST BE Treasurer_ � �� Ci�ISPDi°d INSTALLED INCOMPLIANC- Planning Dept. TITLE 6 ENVIRONMENTAL CODE ANL Date Definitive Plan Approved by Planning Board TOW74 REGULA TIONS Historic-OKH Preservation/Hyannis m``sjer d.�� '�' `°' ""�^c�°�✓s. No neo bedtoems_ Project Street Address N Village r a Owner rloo ` Address Telephone /� Permit Request 7 J1� l I sAJ j -41 �d /��t.� ,%li /' [��'C�''• Square feet: 1st floor: existing proposed l,;� 2nd floor:existing — proposed Total new �26 Zoning District Flood Plain Groundwater Overlay Project Valuation O+ Gt/J Construction Type Qiv �c Lot Size ), 0,—tb 1" ! Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: Yes O No On Old King's Highway: �Kes ❑No Basement Type: ❑Full T rawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) /Z6 Number of Baths: Full: existing new Half: existing new ^ Number of Bedrooms: existing new Total Room Count(not including baths): existing new c�j��' First Floor Room Count Heat Type and Fuel: Y(Gas �O Oil ❑Electric ❑Other Central Air: Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: O Yes �No Detached garage:❑existing ❑new size — Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached ga rag eexisting ❑new size -YlI(Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ,EYNo If yes, site plan review# Current Use �. XProposed Use BUILDER INFORMATION Name 'r b -_k Telephone Number Address 10A License# �-� Home Improvement Contractor# Z�2 S' S 1 Worker's Compensation# 14/,�<' SoU 0��Zd l.u'a_ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 13 SIGNATURE DATE d s FOR OFFICIAL USE ONLY r PERMIT NO. " -DATE ISSUED ' MAP%PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 9Fap AmeG, FRAME AfRPI INSULATION FIREPLACE FIREPLACE ELECTRICAL: ROUGH FINAL 1 t PLUMBING: ROUGH FINAL � GAS: ROUGH FINAL . FINAL BUILDING `r DATE CLOSED OUT ASSOCIATION PLAN NO. i. The Commonwealth of Massachusetts _- - -- Department of Industrial Accidents - Off ,ff,oflQyestigadons - 600 Washington Street Boston,Mass. 02111 ' r 'Workers, Com ensation Insurance Affidavit / name: ovation: f� �f✓� ,JL,._/_ ci 'tS�' � �'"i7 - ❑ I am a homeowner perfo="ng all work myself ❑ I am a sole rietor and have no one worlds in ca achy ///// /////G////i/%/%////S//w////%/r//king nthis%//%%%%////%/%///%��/�%/O%%%///l////%/�/%%%//.r CO ensatdon for my. °3'e w :�w+;;o,{;4:•a': cRY Y�}yt?rti r�Y it :v:s'R : 'v c C�}c a:,�:^�workers' ..... ?a:++xLi^.{i!:}.`f}::; a:i?z? : :}:::;..>r4..n„ cKw. ^.oi 7,lvv f<,••i::c:- r,aµa ?}`u.. }f: r,•r. an em 1 ernnrOVldlIIgaw.., n?3?%i'?}:: i.; •:.a•, :rJ 7. b,. +a?� X t„ I am F. a•X •r.{sl-7M. 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KJ.• r.,f:�•Y•�'•?�•i$Fi�iO,tf,�ysw:•,;.�y`• :�:nrr: '•r::t. i r;:;.:•.�+f't%;':;. ,). . .a.•. :•.L C,•r,♦ n r.Jr. ,(n'��a, r•r . •,4S}vY•Y/ri'^,Y ii.,,r nY:.)*a'tiii.Y::�..>.:0.:4, ,,:•8rla??:•.y,•t}....vS}:.x:a,`t f,;»:: '^, rr :f r.c.:.,; ,.K ,f,2:,3f+..r+.RfiY:` Sfk•.a.. •;X{sr:,,r•.vr6:<°f;�i?.;':;�,Sr;,,'':•^7 i+y`.Y,i�ii••}ita,!'}''•'�••;Cl:?�•`:•r:"•,fv,::�•{rf:;txst;•.,•.yr.;,',nfr?�:;}v.,.;,:r{:Jr•`•;•:;.Yi:.}`•+' �! �K.• af.;.;}vif:$y.>}:tw.}:••! :;Y;$:;c?;.?tGr •r{S. ••::{S?'•frr:a::':!ii.y;>FF'!•..y.•y}it ::.;ish�ki}.',•'F{}}!h,;;,;1•w::itv}c•;}.{:+s:if':;i(r;•,••v"},:::a$2: nLLC'{��Y /"E;cNr?%'T`C• 'S£:�??e•.`.! G �.'o'• °• Ju.•i:y2 ¢ }r,•.ri•: X.Z. :.:�/ y:4.K:;;.:....G::£•,tq;, .YS,rr•;N:�Y,,,.Cw+,.•.,:..ri} :s,•..usFa•:'.!•i:. .:.•:x.• II]QiAYtCe:Co.'•)}w4. % ensilt3n of R$IIe¢p to S1,5Q0.00 Imd/or WE.ceder Section ZSA o f MGL 152 can lead to the imposrtinn of crisnirtslp gsdlm a to secm'e coverage as regtdzsd enaltia the form of a STOP WORK ORDER an'd a tine of 3100.00 a day against me. Im�er�d that a ene Yam'impti�°nmmt ~�as cj4 Pto the Me of Investlgatioas of the DIA for coverage veritic�n copy of this statement may be forward ' e and penalties ofpeJury tha the informa on provided above is trti and correct do hereby verb Date Sigaature - Phone ' 3�`7S Print name OMdal use only do not write in this area to be completed by city or town official. OB&ding Deparbtunt permttlicense# Oj icensing Board city or town: OSelmtmei Office ❑ che&if immediate mponse is required ❑HeslthDepartment '- []phone#; other contact person: OrIII d 9/93 PJA) Information and Instructions Massachusetts General Laws chapter�152 section 2e requires rs to ersonProvide in the serviceeof another under contract employees. As quoted for eir from the 'law", an employe every P of hire, express or implied, oral or written. An employer is defined as an individual, Iartnership, 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 appumnant 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 into any contract for the performan insurance coverage required. Additionally, e o public workuatil erthe commonwealth nor any of its political subdivisions acceptable evidence of compliance with the fi=rance requirements of this chapter have been presented to the contracting authority. Applicants ' compensation affidavit completely, by checking the box that applies to your situati� be nd ple ase fain the workers supplying company names, and phone numbers along with a certificate'of;nc„rance as all affidavits y 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. A:WNW 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 pemzit/license number which will be used as a reference number. The affidavits maybe retnzned t^ the Department by mail or FAX unless other arrangements have been made. i estigations would like to thank you in advance for you cooperation and should you have any questions The Office of Inv • j please do not hesitate to give us a call. �a The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents MCC of Investigations 600 Washington Street Boston, Ma. 02111 fax if: (617) 727-7749 nhone#: (617) 727-4900 ext. 406, 409 or 375 �ofIME, ti Town of Barnstable Regulatory Services t &URS IX, ' Thomas F.Geiler,Director MASS. 019. � Buildg in Division . Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. / Type.of Work: . ��/ Estimated Costl d Address of Work: Owner's Name: Date of Application: D 6 I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 OBuilding not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: `? D41A/ Contractor Name Registration No. OR Date Owner's Name i BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number.CS; 045416 - i 1 - 11-2 } - _ Expiresc.09/07/2004 d Tr.no: 941 :d. .. Restricted'!_00 MICHAEL T FITZPATRICK PO BOX 154 FORESTDALE, MA 02644 Administrator �� ✓fie ,°��wea�! d��,G�� _ r Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 129598. • Expiration: 10/01/20 03 Type: Private Corporation Fitzpatrick Home Building Co.Inc. Michael Fitzpatrick 8 Jan Selestion Dr. _ Sandwich, MA 02536 Administrator no CMR Appendix J Table J5.11b(continued) Prescriptive Packages for(Inc and Two4imily Residential Buildings Belted With Foaeil Fuel MAXIMUM MINIMUM Wall Flair Iiasemeas Slab 'Heating/Cooling Glazing Ceiling Perimeter Equipment Mcieney, Arcs'('/.) U-value, R-value R-values R-value, Wail Revalue* R-value, Package - 5701 to 6500 Hesting Degree Days° Normal 6 Q 12% 0.40 38 13 I9 10 6 Normal R 12% 0.52 30 19 19 10 6 85 AFUE S 12'/6 0.50 38 13 19 10 N/A Norrual T 15% 0.36 38 13 N/A 6 Normal U 15% 0.46 38 19 19 10 85 AFUE NIA V 15% 0.44 38 13 N/A 6 95 AFUE py 15% 0.52 30 19 19 10 Normal 13 25 NIA NIA X 18% 032 38 NIA Noai y t8% 0.42 38 19 N/A rm42.0 90 AFUE 13 l9 10 6 Z I S'/• 6 90 AFUE AA 18•/. 0 50 30 19 19 10 1. ADDRESS OF PROPERTY: J 2. SQUARE FOOTAGE OF AL L EXTERIOR WALLS: Lam! ' 3. SQUARE FOOTAGE OF ALL GLAZING: 4, %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q-- AA-see chart above): y NOTE: OTHER MORE INVOLVEDUS OR THIS INFORMATION'IDETERMINING ORGY REQUIREMENTS ARE AVAILABLE. ASK BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-t980303 a 780 CMR Appendix J Footnotes to Table J�.2.Ib: f the area of the glazing assemblies (including slidlass doors, skylights, and ' ' Glazing area is the ratio oing-g basement windows if located in walls that enclose conditioned space,but excluding opaque doors) to the gross wall .of the total glazing area may be excluded from the U-value requirement. area, expressed as a percentage. Up to 1% For example,3 ft'of decorative glass may be excluded from a building design with 300 ftl of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test°procedure, or taken from Table 11.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. The ceiUng.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation•thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 4 Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry, log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements. 4 The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mcer the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. ' d slabs.Add an additional R-2 for heated slabs. The R-vafue requirements are for unheate ' If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see-Table J5.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). A'7' I JON&JANEf COOK 15 ANGELA WAY WEST BARNSTABLE,MA 02n$ ----'` t 0 104. 4f , LOT 26 75 PLOT PLAN - LOT 26 ANGEL A WA Y, BARN. STABL F MA SCALE 1 = 40 , IVO VEMSER 23, 1993 .E,4.GLE SURVEYING G ENGINEERING, .IA(G. 441 ROUTE 130, SANDWICH MA PROJECT NUMBER 93-120 �./ Igo, v r r • P�DFTr+elo��. Town of Barnstable Regulatory Services vBHAM ARNSWM� Thomas F.Geiler,Director Jib Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder —, as Owner of the subject property.- hereby authorize `- 6 A ,to act on my behalf,. in all matters zelative to work authorized by this building permit application for: .,4Al e k- 11V4 >S (Address of Job) s' tote er at < Print Name - Q:FORMS:OWNBWERMLSSION lie oC RESIDENTIAL BUII,DING PERMIT FEES ES ' APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 F'EE VALUE WORKSHEET NEW L MG'SPACE / square feet x$96/sq.foot= > — plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= pl�from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft� >120 sf-500 sf t $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: x.0031= square feet x$96/sq.foot= STAND ALONE PERMITS x S30.00= Open Porch (number) x$30.00= Deck (number) x$25.00= FirepiacelChimney (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 S150.00 Relocation/Moving -3 S° (plus above if applicable) permit Fee ' Application to y PNS tP ASttP FPS OP pVttA NAP EpN � �StNPM r Old King's Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CA OR TEG ES THAT APPLY: 1. Exterior Building Construction: ❑ New Building Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ - 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign O 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other W (Please read other side for explanation and requirements). �� ) TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK 4 ASSESSORS MAP NO. ' OWNER d✓J �l�/LP_'Id <aLe ASSESSORS LOT NO. JR HOME ADDRESS ��r'.J A 4/A1/ TEL. N0. 21� IL FULL FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). e WAY OadAA) 2 (��lr- �� 7z AGENT OR CONTRACTOR < TEL. NO. —� r y �j •I ADDRESS /Q' 2 /-! -A 4 I �� 5't o (� /* e-72- ►( 7 r DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other siQ including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). Signed D n) r-Con ctor-Agent t s . ceiv�tp He. 2�� "' T ificate is hereby Date TOWN OF BARNSTABLE cA ,(.e Qi By IV Onn w—I n I'Mpr)PTANT• If f:nrtifirato is 7nnreweei —kinr4 In lhn In A v e--1 -.rind TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION P ii 2� �'ry7 t F' Map I J� Parcel 0 Permit# / c7 � s J Health Division Ol ` 161 a-- (�) Date Issued Conservation.Division . 1,03 � Application Fee �— Tax Collector Permit Fee �D Treasurers SEPTIC SYSTEM MUST EE INSTALLED IN COMPLIANCE- Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE ANC Historic-OKH - Preservation/Hyannis T01V14 REGULATIONS Project Street Address A -A Village Owner COC)K Address A^J 6-G7b4 WA 7 Telephone I -sog ' 502 Permit Request T_4S►AQ_A Mo^} D �� C,A-5w`212"'b /JP r X-3 fo/ Y Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation At 23 . r Construction Type Vr-4YL act 2 5 1, Lo-AL(_ Lot Size y9, qzo _ Grandfathered: 0 Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family O Two Family Cl Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: 0 Yes ❑No Basement Type: ❑Full 0 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: 0 Gas ❑Oil ❑ Electric 0 Other Central Air: O Yes ❑No Fireplaces: Existing New Existing wood/coal stove: O Yes 0 No Detached garage:Cl existing ❑new size Pool:O existing a ew size Ib x36 Barn:❑existing ❑new size Attached garage:D existing ❑new size Shed:O existing O new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded O Commercial O Yes ❑ No If yes, site plan review# Current Use Proposed Use ,II BUILDER INFORMATION Name_�^ '7�� 7 ®�� Telephone Number Address 43 N �'ouNiY /10� License# C?77 -715 9q �/�rv/Var��o2T;M� p26�g Home Improvement Contractor# Worker's Compensation# wzsyOI-3q!o l aLw ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO R)L Co SIGNATURE\ DATE f ZA_3 M FOR OFFICIAL USE ONLY PERMIT NO. ; DATE ISSUED MAP/PARCEL NO. v ADDRESS VILLAGE i OWNER i DATE OF INSPECTION: l FOUNDATION FRAME -� INSULATION s FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL' GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. '1 `� e _ The Commonwealth of Massachusetts - Department of Industrial Accidents -= - Office OffOYOS1198111705 _ 600 Washington Street Boston,Mass. 02111 ' Workers' Coensation Insurance Affidavit name 60 K location. city shone# ❑ I am a homeowner performing all work myself. ❑ I am a sole netor and have no one workin in ca act am an employer roviding workers' compensation for my employees working on this job. l n •+Yh:,y.Y>;{.Ya"4:•J:•-;?•r.+r}:eo-Y:x{a}..YJY::y.}:at':l::td•:!�?,:f:;:^;}22%}.'.a!;:?;C\'t:+'>:?'{!;awf:+'•'��}��i}:##t � ... ......................�r........ ,rn•,n:,,vr•r•:::n,••n•.•r::.,.{..c•:J•+:{.-:YY::{.:;r.,}..;.}:4•..{.•..J:f}c•..x;%::,-:.,•:::%.. .. .}}}... .;�J,.;;, .S .}.. ..t4.. ...{..):•.:}r.{::.Th:}•!.Y.:r,.:a••x•Y;;:{o•.}:?•;:.:..r rF•:•::•:.:::n•:,,•:•�•{:?•:.:�}•,•:,•:n:{{t+•,.}..,,.}{l+:f•.•:?:::• ::n•:x{:{ny,:•:F:•Y^Yr::Fw::::::::•w:n{:�.::•J: a+r2v. +:•.v»v?::..v}:nv4:•`:v.v..,... +Y.;.;..v,..vvx• :'•4'•x:•}T:.•.v::::•...... .: ...L:..v:. :.\\.::..{......vv,.,. •.vv•:.,:. ...x................:... h..:+rrY ..f .Y.v r ......}.nvvv.. .......,.. 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Fai}are to secure coverage as regained ender Section 35A of MGL 152 can lead to the imposition of ca�afnal penalties of a Sue np to S1,500.00 and/or one years'imprisonment as well asdull penalti in the form of a STOP WORK ORDER and a tine o[5100.00 a day against me: I understand that a copy of this statement may be forward a ffice of Invesiigatiom of the DIA for coverage veritleatlon. I do hereby certify under the p nalties of perjury that the information provided above is trap and corned Signature /^ Date - Print name Phone# official we only do not write in this area to be completed by city or town official city or town: Permit/license# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office _ ❑Health,Depaatment contact person: phone#; ❑Other, Ovi"srns Pia) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contrkct of hire, express or implied, oral or written. i 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,neitherthe commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, 'address and phone numbers along with a certificate-of insurance as all affidavits maybe for confirmation of insurance coverage. Also be sure to sign and submitted to the Department of Industrial Accidents 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. FEES City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitllicense number which will be used as a reference number. The affidavits maybe retnrhR'io 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 Investlgatlons 600'Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 . °FIHEr Town of Barnstable Regulatory Services Haxr?sz'ABM q' Thomas F.Geiler,Director 9�A i639 �,�0 I fo 59,,E Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date Z b 3 b 3 AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, , improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: 5 JAM M=-ri OOL Estimated Cost 23 Address of Work: Owner's Name: Date of Application: /2 03 JO 3 I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law []Job Under$1,000 Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: 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 a ply or a permit as the agent of the owner: /� 03 03 2 IS 32 y7 Date Contractor Name Registration No. OR Date Owner's Name Qlomis:homeaffidav °elm Town of Barnstable Regulatory Services s � Thomas F.Geller,Director s639 �0 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-W-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder r ...;.as..0uinex..of the-subject property .-........_... .: ") �'� (. . hereby authorize to,act on my.behalf,. in all matters relative to work authorized-by this building.pesmit-application for: (Address of Job) 2 03Zj 3 Signature of et Date Cook Print Name , 0:F0RMS:0WNERPERMISSI0N TM SwimCleap � . s a o seoae QUAD - CLUSTERTM CARTRIDGE FILTERS 0 Hayward SwimClear TM cartridge filters establish new horizons in high rniu performance and operating convenience. 'to° Utilizing a cluster of four reusable A'_ polyester cartridge elements,they provide a choice of 200,300,400 and �► NVY W. ' now 500 ft.2 of heavy duty dirt- MERE �] - ` holding capacity and extra long filter cycles—proven to handle an entire ° season without cleaning. SwimClear filter tanks are now molded ,I from new and stronger PermaGlass XL TM, t an improved glass reinforced copolymer, �nl I o l " S providing the ultimate in P p�hilly strength,durability,and long life for even the 6� w toughest applications and '50 environmental conditions. For crystal clear water and easy { maintenance,step up to SwimClear. i You and your family will be glad you did —all season long. ` p 13 C5020 SwimClear""500 ft'large-capacity cartridge filter ► for crystal clear water with minimal care. E3 Innovative Automatic Air Relief purges any entrapped air during filter operation. Featuring Q e PermaGlass;=�=" Filter Tank Material HAYWARD® America's *1 Pool Water Systems SwimClearTM Quad - CIusterTM Cartridge Filters , Innovative Automatic Air Relief purges any entrapped air during filter operation. i' Non-Corrosive Top Closure Plate prevents elements from lifting and allowing unfiltered water to by-pass back to pool or spa during operation. i Quad-Cluster"I Cartridge Elements provide 200,300,400 or 500 ft.?of filter area and extra dirt-holding capacity for long filter cycles.Precision-engineered extruded ' core provides extra strength and superior flow. Self Aligned Tank Top and Bottom make access to servicing Quad-Cluster cartridge ` elements fast and simple. Heavy-Duty Tamper-Proof One-Piece Clamp sec urelyfastens tanktop 1 and bottom together and allows quick access to all internal components without disturbing piping or connections. Improved High-Strength Filter Tank molded from new and stronger PermaGlass XL" materialforextradurabiIityfordependable,corrosion-freeperformance. M C Uniform Low ProfileTank Base Design makes removal of cartridge elements fast and sim le. P Full Size IT'Integral Drain provides fast,100%clean out and easier flushing of tank. � Noryl®Bulkhead Fittings for extra strength and heat resistance. Union Coupling Connection provides plumbing options of I W or2"piping.2"internal piping for maximum flow performance. �^ . xn- r FILTER TYPE: Quad-Cluster cartridge elements: 200,300,400 and 500 ft2 total(18.6,27.9,37.2,and 46.5 m2). FILTER TANK: Injection molded PermaGlass XUm FILTER ELEMENTS: Reinforced Polyester PERFORMANCE RANGE: Y2 to 3 HP(30 to 120 GPM) I 10.37 to 2.24 KW(114 to 454 LPM) DIMENSIONS: C2020—32"H x 23"W(81 cm x 58 cm) FullyAutomatic Air Relief with double seal C3020—34"H x 23"W(87 cm x 58 cm) eliminates the need to manually ventfiltertank C4020—40"H x 23"W(102 cm x 58 cm) NSF® after system start-up and prevents backdraining C5020—46"H x 23"W(107 cm x 58 cm) during pump shut-down. NSF is a registered trademark of the National Sanitation Foundation. PerformanceData Effective Design Turnover Model Filtration Area Flow Rate' Gallons Kilo Liters Number ft.? m' GPM LPM 8 Hr. 10 Hr. 8 Hr. 10 Hr. C2020 200 18.6 75 284 36,000 45,000 136 170 C3020 300 27.9 112 424 53,760 67,200 204 255 C4020 400 37.2 150* 568 72,000 90,000 273 341 C5020 500 46.5 150* 568 72,000 90,000 273 341 Removable Clamp Tool makes tightening and Based on NSF recommended flow rate for commercial at.375 GPM/ft, loosening of clamp quick and simple,providing *Determined b um size and piping system hydraulics. 2°piping°s recommended for flow rates equal to or greater than easy access to filter internals. YP P PP 9 Y Y PP 9 q 90 GPM(341 LPM). Hayward doesn't recommend flow rates above 150 GPM. 0 HAYWAR 64C Americas *I Pool Water Systems SwcoI 1-888-HAYWARD www.haywardnet.com ©2001 Hayward Pool Products,Inc. ACXW,- CERTIFICATE OF LIABILITY INSURANCE IDATE(MM/DD/YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE McShea Insurance Agency, Inc. ND OR 749 Main Street, Suite#H ALTER T H THE COVERAGE AFFORDED BYYIS CERTIFICATE DOES TTHE POLICESEBELOW. Osterville, Ma. 02655 08=A2 _ INSURERS AFFORDING COVERAGE INSURED Anchor Design & Pool, Inc. INSURER A: a-r—tf-o-r—d In*-u. a.>ce Company INSURER B: C-QnaeTQe Ins-ura_nCe Comapny 143 Upper County Road INSURER C: S_s-eX ZnsuraD-c-e--C-pmp-a-ny Dennisport, MA- 02639 INSURER0: A$-$-Q-c-i-at -d—Ernp1.oy_ers—I n s—Co. INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE(MM/DDfYYl DATE IMM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 00 COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) S CLAIMS MADE OCCUR A MED EXP(Any one person! S 00 08UENnS9399 04/24/03 04/24/04 PERSONAL&ADVINJURY S 0 0_0�049 GENERAL AGGREGATE S 0 0 0 -0 0 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S 2 POLICY JE O Lac +-0 0 -.-QSZ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT(Ea accident) 11, 000, 000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY(Per (Per person) B HIRED AUTOS V S 7 6 4 2-6 0 7/11/0 2 0 7/11/0 3 BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ Q QQ�QQ Q OCCUR CLAIMS MADE AGGREGATE S 00 Q� XCA4961 04/09/03 04/09/04 $ �-s C DEDUCTIBLE $ RETENTION $ 10 ,000 S WORKERS COMPENSATION AND wC STATTH- EMPLOYERS'LIABILITY TORY LIMITS ER WCC5001391012003 04/09/03 04/09/04 E.L.EACH ACCIDENT T E.L.DISEASE-EA EMPLOYEE_UD0�Q Q Q OTHER E.L.DISEASE-POLICY LIMIT $ i DESCRIPTION OF OPERATIONS/LOCATIONSfVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL " DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25-S(7/97) ©ACORD CORPORATION 1988 N5 OF fn4,y Structural Design AnprovPd only when installed In �.' >/ TI�tOIllOTIIY SG strict Accordanca w in _ q YipIKER p ianufaciurer'r Insuuction! CIVIL r.1 T.walker. P.E. r I No. 31376 p ` G! Er 4'3' COPING LAYOUT 1"x I'-JJS'CORNER 7* a 8 sz 6'. I 1 ~4 �u 4'3' 36�6 PANEL LAYOUT at�tue�i>!Fa �6' 81 �/ 8 II• I yI 7� f� X=BRACE •� • 6 - 6 . DEIA0.A scam to m s+aa wm a antat Pool Pcoi . Area Capacity It"wv-fo ,,aam." . . - tam ,In...au mw werLu'r, .. .. .. 566 l�,000 m sa•FL Gallons, 000/ EDITION POOLS USTRATNE PURPOSES ONLY THIS BROCHURE IS FOR ILL ,a•rta.tr `"" t>n:erin its ^ne'I—Inanry."'"aher 16' X 36' GRECIAN Ttte maradatlt+er make ady tM dearer ydfd the contractor to DI•astomer r morn tetra vrwu represemataw).stalenIenb,a Cortoacts made by ye at�uhbb It+e deafer andlor Il+e oontrac• regvdbV any materials produced by Dte you, ban tndettenda^t conextor"rot an Id o^fY•The dealer or convector who seta amed�ituseated are wpoetian and eaoty r tortot turuva m"tem uiat -- agertt a emobye•d o+•manuhckrer.TTe consouctkrt �� and/or methods d mrutrucf+on. _ - R C w..mst++a 3/jr.t as eat 1991 ojr�rorma,ofe,d�„y„e,,Tneremayeeseatonalpr air�r SCALE: NONE HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building ^"g.=~"" ^"" ^`......^ Registration: 132475 One Ashburton Place Rm 1301 Expiration: z/��0U5 ' � Boston, ydx.02m8 Typo: Individual � -TIMOTHY TIMOTHY RICE 1J8Lumuen Mill Rd. Cen�mme.*mozh»z - w.t^�Adnimovtsignature � � | | � ' | � l � .. � � | / � ` � N � N - Ife (Kinrri,rnoniunii�/�. ��,. �.rd:�rrcI(Ne/6 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 077899 Expires: 08/28/2004 Tr.no: 77899 Restricted To: 00 TIMOTHY P RICE 197 B RT 6Ao-`' ! " ' DENNIS, MA 02638 Administrator i i E _ ! 215. D0 0 g � rnr L bo , 5 oti� LOT 2b 49920f S. F . 439. 75 PLOT PLAN - LOT 26 ANGEL A WA Y, BARNSTABL E, MA SCALE I " = 40 ' NO MEMBER 23, 1993 EAGLE SURVEYING S ENGINEERING, INC. 441 ROUTE 130, SANDWICH, MA PROJECT NUMBER 93-120 Coop _� � � , 1 Imo• ,. I i-D % LP 32'. I } 1 i 1 I r S�r7 00 E E —ZeVF V9U� t1R I I I �j;15'S�N� 4\oJ lie- r i Application to ®lb Ring's *igbtuap Regional fgiotDrit 30l$tritt Committee In the Town of Barnstable CD CERTIFICATE OF APPROPRIATENESS W o ppiication is hereby made, with four complete sets,for the issuance of a Certificate of Appropriateness under Section cl-) of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on pl"ns, W rawings, or photographs accompanying this application for. �y �D :HECK CATEGORIES THAT APPLY: I7 w . Exterior building construction: ❑ New ❑ Addition ❑ Alteration w Indicate type of building: ❑ House ❑ Garage ❑ Commercial El Other .` Exterior Painting: ❑ Signs or Billbtoard�s ❑ New Sign ❑ Existing Sign ElRepainting Existing Sign Structure: LkFence El Wall El Flagpole ❑ Other YPE OR PRINT LEGIBLY: DATE Y �� CD DDRESS OF PROPOSED WORK 1� /'�LG'�� ',c'Y ASSESSOR'S MAP NO. 3k 3 ►WNER_`��rV� �5 `� ASSESSOR'S LOT NO. TOME ADDRESS 5 TELEPHONE N�J'o`Cl'�Cc�.� �a' 'ULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any ,ublic street or way. (Attach additional sheet if necessary.) AGENT OR CONTRACTOR TELEPHONE NQS 13 � \DDRESS )ESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please nclude locations of proposed signs. �`v `` o sc 4`I�' b�Q ` �vvv� mac_.-%,�n two' o � `t' 1F, UA'- ` W i5- a, Signed (Al O e -Contrac - gent For Committeq,,0se Only This Certificate is hereby Date :• r, ! Approved/ enied r7J C:3 Committee a Si na es: .. T TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map el Permit# " 'q 3 Health Division 0 Date Issued , _ 1 - 7 'Conservation Division r 2— tit , Fee 7 �10 Tax Collector SEPTIC.SYSTEM MUST BE INSTALLED IN COMPLIANCE Treasurer /% �� ` `� �- %:� �o''r�. WITH TITLE Planning Dept. ENVIRONMENTAL CODE AND TOWN REGULATIONS Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address :ATlot �,��Q / , Village li✓ �er�t s-ro L, >> Owner : ; /'oar k _ Address�� Q�e% 1A)Al2 Telephone 3 �SUa Permit Request o -I-rJs rl� 1`e � ` ,1 Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cog GL 0- Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size G . 9 rib Grandfathered: 0 Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family Two Family 0 Multi-Family(#units) Age of Existing Structure A) Historic House: ❑Yes �No On Old King's Highway: .0Yes ❑No Basement Type: dFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new _ First Floor Room Count Heat Type and Fuel: Gas ❑Oil 0 Electric ❑Other Central Air: 0 Yes g"No Fireplaces: Existing New. Existing wood/coal stove: O Yes 0 No Detached garageisting ❑new size Pool:O existing 0 new size Barn:0 existing 0 new size Attached garage existing ❑new size Shed:0 existing 0 new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded 0 Commercial ❑Yes 0 If yes,site plan review# Current Use fc I/ pI, jL Proposed Use BUILDER INFORMATION Name ' z G o`c s /1 c. Telephone Number . 3a7 S Address S License# AL. S44 Ga Home Improvement Contractor# `a 9 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0.✓1 c� SIGNATURE DATE a/Y Xq 'w c. FOR OFFICIAL USE ONLY _ f � v r ' PERMIT NO. '• - ' DATE ISSUED MAP/PARCEL-NO.' ' ADDRESS VILLAGE ' OWNER I i ' s DATE OF INSPECTION: s FOUNDATION s . FRAME INSULATION - - FIREPLACE ELECTRICAL: ROUGI+ FINAL PLUMBING: ROUGH: C. �^ FINAL GAS: ROUGHI y 4,: ' FINAL FINAL BUILDING f . , • � If VI J� • • • 1 DATE CLOSED•OUT j ASSOCIATIONYLAN NOs.'' M 0 • • is I �:: li lrr6 r.ro c(Dr+ cm+ewr:lw � \^.. '7;a".•�� mr ro rwn . ^ I l.•.w as�•ka M1TH330 YY.Tf1uCr ( � x grad u t w wd�' --r— -anrwo maw t / 4 uYn To r•muT(D 3t�� i D Y�Su • .M 1YT(L M.TUG :�:• • p EXISTING �' ` � rVT'lWY1MW � Y 11rYtfD T04iM � , aaw SI PATIO. K.�ii.cs(rrT W. r.r(u..YDYW rum ;" t' •`Bb I kI i IOfD i 1.:•^T�I(I•T I�Mm �ISM W.W WY.m :•F;,• I •♦yr y�,Yp � � �i.l�,•� I.T Vl I •tYD - M✓•vf•o�y IS _µy.wJn IIIMID T..• K•T .YJIp uapwr •yy.D•T urnw 5 S 7 (}1 II �rt.M KYDMD rwM�rr(D w OtN.. D•�"� A. '.i I � pYV.J1Hf W.OgrTt.yy b' •••iID01'aIWhW �C�' �a {.�y •'?�_-_._.___.__�p.-_,.-_ �l'�iY� sw.mr(P•' 1�444.1YY�.: �:,,..-t.�. ,-n5.r'�y� FLOOR PLAN • GRO55 SECTION '��5'� �1 ' io''miTuo�v mO1.n.i w �t � � ,�` �• "�.�. • w•uo c�•w oc I � 'r�,;; •"* o•ovw roan r.nrvw � �� - .•raluiD, r �' , ao.wc mca mn .,a � • 4 f r.—, I• wiw hang�[ra_l 11 t {� �A �•I�!�I r.+ cj., f FOUNDATION PLAN FRAf'IING Na h.. .. � � ..... .. .... . }•d•... ., fPS,i.....�-. �..iev.,.. .. .. . ...�,. ... .• ,.-, .,. .. .. r . .. 0.11'.."�.M>ia. �ifi1�....� �T7f&JC7ir•:�i9 . >i.: ;Y.•C'."6!Jsi't;% .r. #:, .'�' i�"^ { �l'.,��;:!�tJ� :L'?{'t' '.}:'rr' x�'!^ 'r k ui! "}., i:R! S• ! !?% .1';` .F'�11 , 1°" {y.a.. �. :a� } :.4. r! �.. ...r..,. '.!, .I>+,•. )::�.. a'y<+r .i ' i•.:.�,.y\'�•. �1�y^y.nti�T!., .�rpyrT 7 ty1J(y. •.r ':�:;�:'. ;4 F r' -':v, •:T:k.': :F.% ��« �Y TI:.•. � 'Ff �� i, .\•ion•.:+.•^✓. V;SC•V+�.£'. q�� J.:.. �K;,:�.:,:+..`• 771-777 i .. - � ' � � •� � 1,�:);i i� ZAl. Y 1 IRA I' �� ` E-' t tY•?,. 4}fy .�r`i`i ,Yd��"?�� ,� ❑U i ° t� r1�4• cww.0 ro r �• � .y REAg ELEyAT10N ''� , 77 34 c, .. .. ... .. t .. .. .! �. .. .. ....:.: .� .,. . ., t. .ii=:iQ4,.h.'J"Y•:!:�� i::::C�1?'1003t�'�7 I � BAlit.'8lA8rS � Department of Health Safety and Environmental Services se19. .e Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Cressen Fax: 508-790-6230 Building Commiss!one 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 twits or to sttuctures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: .S CG r<44& Estimated Cost-4ze61 el Address of Work: c Owner's Name: t o Date of Application: �4 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law C]Job Under$1,000 Building not owner-occupied 0Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MOROVE ENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of th wner. Date Contractor a Registration No. OR Date Owner's Name q*m s:Affidav l f t 9/6 i�amrrea�uueai a��,k,ac�Zu,e DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE �� Nu®ber Expires: t- Restticted`To 00 . x � NICNAEL T FI.TIPATRICK PO BOX 154 FORESTOALE, MA 02644 i egistration: 129598 Expiration: 10/1/01 Type: Private Corporatio Fitzpatrick Home Building Michael Fitzpatrick 8 Jan Selestion Dr. pyp0'�Yq,�ygY�•"lC h ADMINISTRATOR MA 02536 • b • ' iFi, The Commonwealth of Massachusetts Department of Industrial Accidents 07ce 0119yest/gatlons 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit location- city ,5i _/�Crn S /�lrt ;hone" 3d�� I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. QI m a n v n a address 1,54 city r�17/�/ % Of V"T-7 phone t# insurance c vL li . I am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' comoensation polices: company name: - address: city phone.• insurance co nolicv 4 comninv name: addre city: nhone=: insurance co nolicv 07. 17 7Attich a .. .. _...e.. :r .1��.'�•'�.^-.''_:::tea.—�`...:'_'u:�.�.-«.-._ _ dditio riel sheet 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 -ell as civil penalties in the form of a STOP N•ORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be for'^arded to the Office of Investigations of the DIA for coverage verification. 1 do herebt•certifi•u er a ins and alties of perjury that the information provided above is true and corn ci. Signature ;-749�5� Date `� Print name IL Phone ,official use only do not rite in this area to be completed by tiny or town official cin or torn: permit/license if r (Building Department OLicensing Board O check if immediate response is required OSelectmen's Office r Health Department @t hone#: r 10ther contact person: P i (— J;n'PI.{I 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. "�i-- .. !".......:..r..+Cl• _ moo:2 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 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. s __ a_ 1 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 to give us a call. The Department's address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Iffice of Investigations . 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 ESTIMATED PROJECT COST WORKSHEET Value LIVING SPACE square feet X$55/sq. foot= GARAGE (UNFINISHED) square feet X $25/sq. foot= square feet X $20/sq. foot= PORCH DECK square feet X $15/sq. foot= OTHER square feet X$??/sq• foot= Total Estimated Project Cost S 0 C/ g990915b 999 280 Appli do to Old Kings Highway Regi al istoric District Committee in the To n of arnstable for a CERTIFICATE O APPROPRIATENESS Application Is hereby made, iri triplicate. for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470. Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGO ES THAT APPLY: 1. Exterior Building Construction: ❑ New Building Addition ❑ AlteratioA Indicate type of building: 9 House ❑ Garage ❑ Commercial- ❑ Otherg CeeJ� �� 6nJ I Exterior Painting: ❑ 3. Signs.or Billboards: New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE�� S ADDRESS OF PROPOSED WORKS n ' ASSESSORS MAP NO. OWNER n G©©1` ASSESSORS LOT NO. HOME:ADDRESS ��—(- '02l �/�ps�cs (.,/�('( TEL NO. FULL•NAMES.AND ADDRESSES.OF ABUTTING OWNEhS.' Include name of adjacent property owners across any public street or way: (A4tach:adtiiitionel sheet if.necessary). a` AGENT OR CONTRACTOR �/ 2 r�G TEL NO. 5�—,ogd ,3P75 ADDRESS PC). k&x 1 S r(J ,q RIo,,,4d �tt'�h�AS , Oa&y1{ DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No.8,other side),including materials to be used, if specifications do not accompany plans. In the case of signs,give locations of existing signs and proposed locations of new signs. (Attach additional sheet,if necessary). Of Signed er- tracto►-Agent Space below line for Committee use. PiVPfI he Certificate is hereby Date ! Tiw _ ` 4 'T Approved ❑ IMPORTANT: I Certificate is approved,approval Is subject to the 10 day appeal period 10/21/1999 15: 54 5083623820 JANET COOK 00 0 r • � lay. LOT 26 ' �r qq9. 76 PLOT PLAN LOT 26 ANGELA WAY, BARWSTABLE, MA WY5WFR 2.J 1993 EABI-E SURVEYING 6 ENGINEERINS,NC. 441 ROUTE t30, SANDNICH, MA PAazcr NU7 sq 93--spa AssessAs offical0 st Floor): s ;-�1' P -7 jl 1/k_. _ Assessor's map and lot number/" 3 — C s � `Y\ � Ej Conservation(4th Floor): STA 01D Board Health(3rd floor). /7�r rj /i O WITH Sewagea Permit number o *6 0• d° Engineering Department(3rd floor): �� rQ�/N (/ AL House number Definitive Plan Approved by Planning Board Cf�. 7- 19 g ATSQN.� APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO J�ULLAD TYPE OF CONSTRUCTION !^ k{r l� 19 r , TO THE INSPECTOR OF BUILDINGS: l* The undo signed hereby applies fora permit according to the following information: V Location f 1 (11 1 " F y Proposed Use d Zoning District PF Fire Districtovfn r Name of Owner Address Name of Builder Address r Name of Architect Address Number of Rooms L,'� `I Foundation Exterior C- (�C/I� Roofing C. � S Floors Interior Heating ,� Plumbing ;27 Fireplace Cm ' Approximate Cost 1930 Area 'a3 /1 Di ram of Lot and Building/hDensions Fee ©i l' 46r L f eta Y . OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. I Name Construction Si ipervisor's License -7 1 "FERTY, KEVIN ' L4lo Permit For 112 Story Dwelling & ,Garage , •Single Family Dwelling 'Location 15 Angela Way West Barnstable a �_ ► _ I ''_�, ' Owner Kevin. Rafferty �; -� = r1; ' Y . Frame Type of Construction Plot Lot - _ �- �Tj - Permit Granted' January 17; , 19 94 `-- ' !? Date of Inspection: Frame 19 Insulation Fireplace k19� Date Completed `J 19SO in 20 TC itw --, Al . , � 71 ✓ \ 1 o CO MMONwF ALTH o-F MA SSACHUSET � —E� DErA c, OF INDUSTRIAL ACCIDENTS -L GOO WASHrNGTON STR]!tT : 13OSTON, MASSACHUSETTS 02111 fames camooes' Sc-�:ss,one WOE RS' COMPENSATION INSURANCE AFFIDAVIT (licrnscc/Pcrmiacc) bpti(� � �-�J► Vv teDito C With a principal place of business/residence at: (City/Bract/Zip) do hereby certify, under the pains and penalties of perjury, that: +am an employer providing the following workers' compcnsation coverage for my employees working on this Ylob. C oo q,'7 f2 a 8� Insurance Company Policy Numbcr j ) I am a sole proprietor and have no onc working for me. I am a sole propri or, cneral contractor r homeowner (circle one) and have hired the contractors listed below• .�•ho have the following w r crs' compcnsation insurancx policies: - . � s�i ��L9�t"1,�-� ( IL►�j��n'►rl�y:� Cr�C`o�151 an• Insurance Com lTolic,Nurnbc.• 1�amc of Contractor P f OMP . OAM elect4M 511 "a c 2mc of Contractor Insurance Company/Poiicy Numbucr 1A•amc of Contraaor Insurance Company/Policy Number Q -I am a homeowner performing all the work myself ROTE: Plc:sc be ar.arc tbat while hemcowncn wbo croploy persons to do raaintw=cc.coastructioo or tcpair%work on a d.Mclling of not more tba.n three units is wbich the bamcowacr also resides or on the grounds appurtcaaat tbcrcto arc not gcacra ) considered to be employers undcr the V✓orl;crs'Compcasa ' cc(GL C.152.sect. 1(5)).application by a borocowacr for a "eerie or permit r.:ny cvidcocc the Icgal sutus of cr-ploycr undcr the "orkcrs'Corapcasatioa Act. i unacrscanc that a copy of ties statement wilt ix forwudcd to 6c Dcpa:-.Went of Industrial Accidents'OFucc of lnsarancc for.covcratc %-crifceation and that failure to secure coverage:s required undcr Section 25A of MGL 152 ezn kad to the imposition oWminal pcnalucs consisting of a fsnc of up to S1500.00 ands/or imprisowncrit of up to onc year and civil penalties in the form of:Stop work Order and a fsnc of S 100.00 a day against mc. J'_�Signed this day of , 19 IJA nscc/Pcrmirtcc Licensor/Pcrmiaor _n .T� = v•+T�'4^•..,,.. `- '. '.:p.,v �.'s.."! - �_ r.. -.... �. .' ,+f.- r.... y�rt.�,T:i ;.-.._"..(.yn'_�;+Y+wn'aY41s.'1tw•h.'�Ry"r.�"vCi..+'t-*.T'✓•f-'f'."�:�-r....- .� ...4y •I AOleo - _ TOWN OF BARNSTABLE Permit No. .- R4 ...... .� BUILDING DEPARTMENT I """ TOWN OFFICE BUILDING Cash Yl 039 HYANNIS.MASS.02601 Bond i CERTIFICATE-OF USE AND OCCUPANCY Issued to Kevin Rafferty Address 15 Angela g Way, West Barnstable i USE GROUP FIRE GRADING OCCUPANCY LOAD I THIS PERMIT WILL NOT BE VALID, .AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. JUlK.1.5.r.... .. .... 1994............. ......... ................. . Buildin nspector ; r i i ..�°•� TOWN OF BARNSTABLE . BUILDING DEPARTMENT' »�T S TOWN OFFICE BUILDING rut HYANNIS, MASS. 02601 i MEMO TO: Town Clerk FROM: Building Department DATE: �1� An Occupancy Permit has been issued for the building authorized by BuildingPermit #.........c ��/l. ......._.........._..................................._...................... ............. issued to ..........I.....:�l% %r1._.../ I '.. . ................................. .......... Please release the performance bond. COMMONWEALTH ;'�EpbRTMEN?OF PUBLtC _."•�� OF t " -- �;aYr MA3SACFIUSE4T 14000MIIAONW S BOSMN, MA 022B5 TYI AVE. EXPi,AATION DATE �•I fi!$ �U.S T R•e �llri��V IS��? I. , ! CAUT1pH R 'a3 1JNS FFECTiVE DATE tis 9 w LIC-r1ri, ,{ f FOR PROTECTION.„ NST v � ,3t�tl; 93 u43.7�3. TyE PUT, RIGHT 7"HUmB ID �?•TFi 1' PRINT INAPPROPRIATE � �;�S . 1 �18(7�: � :: BOX ONU, EN�:E, �3.iJZZArtDS 3tFA�3 AY . MA `02532 � B +•.f�f0{�yJSi1N1.Q:'R q�(•� ; _ S17NG " BUST 1NCLOPE ORS j i ► �:�O.l m U )t PH prp . `HEIGHT: ••�T Y�LL1DU!1TY 3f�NLCI 9Y UCEfI?EE 0f"p OFFIr•�l1V I - •S7hLIPEp.-Q?.yOWTUR 7OF I.-COM"L a �J' j" t iNe H 4FA&7k �} aTMERS F@R.i)gilud Yp;Nf�.`Ci4Ci « EH'WNE7i N_` ..•AiC47 t - .. _�- EDIYJNSOL`dMAtlCy�:� ," f,. Crb.ENSEE _S I "y NNV.E:aJ GUIi'69TE 81GM i UNF er'C...n+:,�:'�. y: l ... •.�CMfII$$�Cf(E67c,��:.'t'. .. I ' I,1 ly'a I I THE FOLLOWING , IS/ARE THE BEST IMAGES FROM POOR. QUALITY ORIGINALS) m A DATA BUILDING PERMIT OF BARNSTABLE, MASSACHUSETTS DATE 19 PERMIT NO. _ APPLICANT ADDRES_ IN0.1 (STREET) CO`•T P'S LICEI:SEI PERMIT TO (_) STORY NUMBER OF (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) DWELLING UNITS AT (LOCATION) ' AN6EtA Way (J,),�Axc swur ZONING (NO.) (STREET) DISTRICT BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE.GROUP BASEMENT WALLS OR FOUNDATION REMARKS: kjL `RTy,f,Ktv'rYa �� S-':•—t '-I -- � Y .fir 4a . PRE .�;AP VIED�', . �F AREA OR _ , VOLUME ESTIMATED CO.= l + r ti *... .-.yu" Te (CUBIC/SOUARE FEET) ATOV�NO� .Vh \r` LE,, OWNER xt ector Pi rtbing � � - ADDRESS t THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET. ALLEY OR SID REOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALL W.ITTE1UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WF.L, 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 THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT PO:;TED UNTIL FINAL INSPECTIOt•! HAS �•�EN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPAoC" IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SL-CF. BUILDING SHALL NOT BF OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO 1h' IS V!S�_SLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING IN;?ECT"JN i ELECTRICAL INSPECTION APPROVALS z z 2 ��, 7 /y 14 7/rL1 gy xem 3 1 I �HEATING INSPECTION R AlS ENGE RING _PA M NT t i 2 BO D LTH OTHER 'C - C.' t- SITE PLAN REVIEW APPROVAL LI&'LAciic,-4 (,v 1 WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE ' TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. r Old King's Highway Regional Historic District Committee G in the Town of Bamstable•for a CERTIFICATE OF APPROPRIATENESS . Application is hereby made, in triplicate, for the issuance of.a Certificate of Appropriateness under Section 6 of Chapter 470. Acts and Resolves of Massachusetts, 1973. for proposed work as described below•and on plants, drawings.or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: )�New Building ❑ Addition ❑ Alteration. Indicate type of building: ❑ House qpq Garage 0 Comm4rt:iil ❑ Other. 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign Q Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE - CM * 1 .1 6�A�6( (5 ADDRESS OF PROPOSED WORK �/ ASSESSORS MAP NO. -33 OWNER �1� +c��'4-�t� �a� ��G' �1 ,ASSESSORSLOTNO:' HOME ADDRESS TeL- NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). AGENT OR CONTRACTOR EL-'NO.. ADDRESS DETAILED DESCRIPTION OF PROPOSED. WORK: Give all particulars of work to ba&Me(see No.8,other side►,.including materials to be used, if specifications do not accompany plans. In the case of.sighs.give locations of exulting:!2ns.and proposed locations of new signs. ( ttach additional sheet, if necessary). Signed ,�rtK�a pant space below line for Committee use. f%• I rtificate is hereby l Jv net@ 4A' ( i - 4 i003 - <✓ 1 B KRAM OC IMADRISlAM AY r AporoveCl ❑ IMPORTANT' If Certificate Is approved, approval Is subject to the 10 day appeal period provided In the Act. `—sapproved ❑ PE>\ w C EN TRA L: RA 1!_R'oA b 19o. 00 a o � O Oa LA 1Id �a I ell \ CP oA�� Jib y F< O I OL 'L9 pao ` I (P ~ 1d r a o i Oo Z ►y � y o a 1 \ - OI N O • r so •,9a, •o o !y 18•.a• i Itil Iti,jY rl 1'_I rIt iL.riT ------------------ i L r lI14 -----------------� I I I ,� I_...r �•. IL 1. 1 `!il' i .a r L`r �I r �v Il I �ti�r t 4 • -Ir. Poor AsseMBLr-,n•cox 'r , i TI 7 11 r r'r I IELI OVI...Ie LB 12 i.11.i t.. L rl .I - i re1.r aoorlwG rAvea..Nd\ I. ("� I , ( .J I J c l r I I:..r T i t r. r r,, 1 -TT ri,� I r I Ec rBBre eea asNMGLes 1 ( t hJ I T J J 1 t✓. 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FRONT VIEN . •.•Ir" e:rw•bconcPruLLrM.e.a», •�� gDAM.Pbonan ———————————— .,. tea,r:t r•T.wNex PLooR RIN.5vaa.rub ih7, �rlr;'s$tl+d•'`7"2 MM1.raYBAaEP r Edge brq Nc GaNev t•^T-=sI•Tw4 L [TI il7T a I7'L<4t W«evWA t 7_TT,II.`LLi.l�]`,` t.4� t T. 1� i-.rr,•,+ �j.'�r•( .I SECTION-A CLOSET 14) �;-�� Li' rlL-r' r2, ��•� - 0�1 -I�55 - 1 7 4L'.r t �'rY T`•LC�41 r�,..}r� 1 T r&rl r C4Li -t, r� LL11LLJ�L.LJ SCALE '�li--''7' FOUNDATION PLANrli �IJrrc`[� 594 sq R r 1 LJ iC LT YT 7�1 u Jt ti Lr .t r 4y 5T r o r s rTiI' .J'' ®SCALE .. t,1� �II1f1711.��' L_l I`"'f`T' T til'�t�l?,I''.r.. .J,•'?'r�t1 �'��,U.11�'�J�'`'vr -`�.u,. 4 2,•-0• ._T:TL .! 17' (YI.r�.'JFT1T{7 1 >�i r�T7 r+ 1 tI i tlT L I, r TI Y��L- y 4 t L 18'-P a-0• l i.,1� rt,l,t,t1111�,(.1 I� �I F'.rTl,i,�i4J'1:�..1 I ref 11;!rI+II .I r l L - 1 'lJ. '11 �L I II J 1 ( ' r�Y 'L rt�l l`iil (L'lrl lr� �` ��r�r�JCL ill t•il I .�L'1?1u r 4. EXISTING MASTER BATH 17'•4"ri 9'V I 1 ec ERE T - r -----E� --,--, --- ---- 6 REAR V'IEN 5GALE: 114 , t105�— I TIIG W. Ib'OL i .. -----1'——— v—x-- — -9'-0" :I I I i 151vG .o• T - �� Boxlxr LNE III S/ J �iN lIN -1 I NEW MASTER GL05ETI , 1 IF ' [ I D•n•x IS 'r I I I M T 'G 05 T , At2 Gt. l 5 I I^ I I D Tx 3•-< EXISTING MASTER 5ORM m I JI I I � .i •.� I I ' --J ec 27'-0' I FLOOR FRAMING PLAN 50ALE: 1/4" = 1'-0" ROOF FRAMING PLAN 5GALE: 1/4" = 1'-0" FLOOR PLAN 594 sq ft ®SCALE .. DESIGNED FOR: JQNI(�QQK , PLANS 15 5rBAR N6 ILA NG-ANOTE:The purchaser of these plans Is responslble:for compllance.with alt STATE and LOCAL Building codes and ordinances. Neither WEST'BARNSTAetE,'MA ALLEN B.OSGOOD or participating Designers may be held resonslble for the use of these ALE: DATE: ALLEN B.05GOOD G.P.B.D AS SHOWN AUGUST-2003 drawings during construction. The purchaser is responsible to verify all elements of these pans for design, RESIDENTIAL DESIGNER accuracy and sizes,wQh their ,builder,prior to start of construction. NOTE PLANE,ARE PROTECTED BY COPYRIGHT a 2003 STOCK PL,:N5•CUSTOM HOMES.ADDITIONS wr RIGNT EGOS HISTORICAL REFRODUCTIONS ALLRi !S.M eRve0 DRAWING NO:. OF .rIANS W,T 'PO BOX,35 5/,40V IGM,MA 02569 PM 506.655AD9v USE OP TNeSEjIOVT I 01 ESE PROHIBITED - 215. 00 0 v ;3 104. 47C h0' ti Q• 0 174. 0 . Q' LOT 26 49920f S.F. `n 439. 79 i • =�, jam- .,..�.�;-F i PLOT PLAN - LOT 26 ANGELA WA Y, BARNSTABLE, MA - SCALE 1 u = 40 ' NOVEMSER 23, 1993 THE FOUNDA TION SHOWN ON THIS PLAN WAS L OCA TED BY AN INSTRUMENT SURMEY ON NOMEMBER 23, 1993 • ;; AND EXISTS ON E GROUND AS SHOWN. EAGLE SURVEYING�G ENGINEERING, INC. 44Y ROUTE '130, SANOfVICH, r PROJECT NUMBER 93 ~120 ; ; ` DA TE PROFESSIONAL . LAND&URllEYOR THE ENTIRE LOCUS IS SHOWN IN ZONE a .�,•� e- .i �a Y .�'.L s...x 4` •L.,. a2 �- .rs. R yi +t y• -�r .R;a 3,F. a�...., �. ♦` < '*+�' . &�. � �'t� .K..�, r .� s .f4 �T� � ,.� k�r'..x�X �t,� � yfC� r�M� �,„-r: r,'.,•r. ,� ;� :;. y :�� s�{ : ��;�;.; •I`�::' ON FIRM PANEL 250001 0011 D. ��,� tir" ', ��.Y �y�i�ir ,;�.�. :;Y,,'��,,•kJJY."� i....:Y`t��...,ro.r i,.- .,�� ...-� � ti Via. � .:�, g 4 r m n.,r+:1 f� �l,'.w 1e-�^ry "<:SY�:Fnr�� . f,"�.`` �,.�,. r �,'}n r- Y..� .�t.' v, "ri'..K sh 2}'Fr�, :u fF ir_ f.a��t'a" - C ,..,nE Yi� �� '�i�.k•f�-sr�y�-"` �:y. [ ��r,�. . �,C w�'ti',•_:'•�-'� i�'..�j.��e._�•�.� S �...'e prtft k�:��"a�a�..F3+� �t's�y�, �„yiLy:y�f�„, Ss„ rs.-;ti 1�7u �•`4t M.; i,,;cr"�.,�iC.V .�'.:.':#.k e^`;r r'�':� ;1"_'`'��. �f��{1�r f y� �~��' ++n�.JY4.tli1a�7w:,. r,y. .0 `w. T +�`,�WC'r�; .*..+iG.•T1.- S H.tw. �,�{•9� �d'3-"` Y �i.� A• �.....+ 1. h� �''��..TS}.`4.�Zi:..R,WF''?�4L. T•4 .NL�''�14•Ni�•+a�+o-+l ��{ '` �•4:�a.+•T+T.+'wT+� Yd'«'X:A�/�1"+ewer-rnM'a'+�M�nrwv.�.:.7+F'+wN+� +e ��''"4'L` t�v '4i►v'.*�k.iy ',�✓r�VED x }'�`'"";'""' ':u•.c � �`-`'w �`+•'� :r.:.+v<.s,,. !y"�.T'� ;�ag'':,"v,+��!'--�. a„e. '{*�•;�. -»�j��+`s�x��'�'7F k''u.,� '��ti:�*`1' 'i �.• ti.' !a r .M,7 � ds +�'f L.r,, .= a "(`.~��`. •,. t�� V' �� .•c $�Y ,. � a q i mS 3h.. �< �.a`l�S !.'.,",Y."A�.r��.<*i.:as�.i...a'_C'r.y...�?ti�L'kt_ �^'sr.� �'�F^�~��1i".yc,..._. '�' �� S7 ��. '.�._�.•K ,.. Yn^s�;�t`�y4'�:.^�'I° •:S'��iT:i.?-`h:R:.uCtj'i3 •;-:,,� i 1 GENERAL NOTES.' o P o SOIL TEST PIT DA TA Y J. THIS PLAN IS FOR THE DESIGN AND r T.P. -1 T.P. -2 i CONSTRUCTION OF THE SEWAGE DISPOSAL INVERT ELM TIONS. O U��Y� 0 N GRND. ELEV. 9 9.3 GRND. ELEV. ol FACILITY ONL Y. qr.. 0 �0 0•�0 G.W. ELEV. G.W. ELEV. INVERT AT BUILDING 2. ALL CONSTRUCTION METHODS AND MATERIALS INVERT IN AT SEPTIC TANK qCo,00 FOR THE SEPTIC SYSTEM SHALL CONFORM �b • TO MASS. D.E.0.E. TITLE 5 AND LOCAL INVERT OUT A T SEPTIC TANK 9 �5 9 ' ACCESS COVERS MUST BE AY THIN 12 OF FINISH GRADE. r. BOARD OF HEAL TH REGULA TIONS. INVERT IN AT DIST. BOX q 5, 5 5 ` /TSq. L 15.0 INDICATES 6 •�l p w/�c.F. E� °!5.0$ PERC. TEST Ma TILL 3. ALL SEPTIC SYSTEM COMPONENTS SUBJECT TO INVERT OUT AT DIST. BOX q 1 B - 9 5.38 H-2C� R ti SE.R VEHICLE LOADING (I.E. UNDER DRIYE.VAYS, ETC.) • MIN. 2 OF SHALL BE DESIGNED TO WITHSTAND H-20 LOADING. INVERT IN AI'C ►LIgY Ji/5BR ,0 _ Q V !/B 1/2 DIA. BOTTOM OF GA U rr- . Z'S d 4 MIN. h'ASHED STONE INDICA TES 4. ALL SEMER PIPE SHALL BE SCHEDULE 40 OR f LIQUID 5 OBSERVED APPROVED EQUAL. OBSERVED GROUNDYA TER N t7 N ti DEPTH �„� GROUNDI✓A TER C��'��`' C� ADJUSTED GROUNDWATER !C DIST. �W 3/4 -! 1/2 DIA. v ul@btu�1 MC>7turcl m1/ BOX M W MASHED STONE 5. BEFORE STARTING CONSTRUCTION CALL DIG SAFE }_--- 115500 GAL. � 1-800-322-4844 FOR LOCATION OF SEPTIC TANK S 2.CSO INDICATES UNDERGROUND UTILITIES. - � . , TEST PIT 6. DATUM IS ASSUMED ' l2 ' . ` �H-20 t'F �uR�ti� 7. THE CLIENT SHALL REMAIN RESPONSIBLE FOR. T11�1 N El.�$•30 OBTAINING ALL PERMITS, SPECIAL PERMITS, ��P�'R YARIANCES, ETC. FOR THIS PROJECT. GA�1Ll" 'Y�J _ 3 � F1', DATE.• q 'L 2 a 3 8 GPtI,LSc.� N1D,�'L��JbrC"i'uFZ�� 1� sLL. 2-O TEST BY. E�iGLE. SuRV1>J� =1.161►-► CCt►�� ►'-�G. �i£.. �R1' '�'O 4�� 'tNO�,y ` .. LOCJA 1?—t CL. „b, WITNESSED BY.' N1�GT,71 U N1 5 he 1,1`C7 PERC. RA TE Z- MIN./ IN. ROGER yG '� fir �/ i i�JL `� fit,. q , T 1 ^� w`T IS LOCD�'T�'� 1�, `'`1a'� U PAUL ::I 'r:_ 'SFib 1-10TIL o MICHNIEWICZ �] + ' /X No.30420 t f 10 ,'41 i J CJ G� G CIVIL . �'1 O►� DESIGN CRITERIA. ZO1•-ti _0N , t !"' / DESIGN FL Ohl' k l0>1 .,.- ( , _'r BEDR00M DWELL ING 0 J10 GALIDA Y PER BEDROOM F LOT DATE PR SSIONAL EN INEER. C. YYL) DA TE PR FES ONAL LAND SU t/ YOR EQUALS 550 GALS. PER DAY. 2 PRO? W e L'�- f SEPTIC TANK REQUIRED, TER M S"P'ER.1Dt.A GPD X 150,r - �2 S G 1.L. SEPTIC TAN( PROVIDED. _ _l 0 0 GAfL . 9 n 'F or t �, .,r% r%� F�� :ICI'% F,�r ��,p 4 - _ ---_ PERO. RA = AWVUh ,-IINCH � T.P. 2 Wes, u- _ .. L£.��'b-� �'j w w 2 99. ACT - � GALL DNS PER D.�'Y SIZE OF LEACHING Ff`CI!_I TY PROVIDED (S4 LL- 3 �'� WITH STONE T.P. - I� why i Ott SIDEI✓ALL Z 3 G S.F. ,t' •Z• ', = 5�~L GPD i 9B.3 �,�Ry�GE BOTTOrf ..-�o S.F. X 2 G GPD 1t 40- 40 v .. ,` 6 w"'L �, TOTALS q 9 S.F. 5�L GPD •`Q,� 9r ' BREAKOUT CAL CULA TIONS' SLOPE _/ X 150 ' 4 � 4 a o� Q 11000 pop REVISIONS.' ' . ti II�O NO. DA TE REVISION 1 �l� tiA V4Y_ 174. 00 , 1 �� . �- LOT 2 49920f S.F. �( AN.L 439. 75 YR.O Q• , WA,4 S L—OT - ° v��3'B�Cdh� ZCJ y•J •; E PLAN SHOWING THE DESIGN OF A PROPOSED ` LEGEND SUBSURFACE SEPTIC DISPOSAL SYSTEM LOT 26, ANGELA WAY, BARNSTABLE, MA pT)G `:� 50� = EXISTING CONTOUR LFLAC}� SCALE 1 " 40 ' SEPTEMBER 28, 1993 l = PROPOSED CONTOUR ' 50 = PROPOSED SPOT GRADE EAGLE 51JIMEYING C ENGINEERING, INC. 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