HomeMy WebLinkAbout0060 ANGELA WAY f
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
'Nap 3� Parcel Permit#
Health Division 1 9?S'— f DJ 17�O i Date Issued
Conservation Division l S f��.'��/ Fee 4
Tax Collector b'n/0r ULI
SEPTIC SYSTEM 1 3T' EP
Treasurer fD 0 f INSTALLED IN COMPLIANCE
Planning Dept. VATH TITLE 5
Date Definitive Plan Approved by Planning Board ENVIRONMENTAL COME
Historic-OKH Preservation/Hyannis
Project Street Address (0 401 e
Village �S
Owner ) `"i 1 heJ Address (00 �,r' A
Telephone S 0 3 Z 3C
I
Permit Request O O / L 32-
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Square Jaet: 1st floor: existing proposed 2nd floor: existing proposed Total new
' Valuatior�QtV-d Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfatliered: ❑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 ,'rr new Half: existing new
Number of Bedrooms: existing "T 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
Name �Q J�"�' Telephone Number 3�° Z Y fro 2
Address License#
. ,( s , Z�'�%� Home Improvement Contractor# O�° e aw "e L
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
—�e.ar
SIGNATURE DATE 0- �� 0
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FOR OFFICIAL USE ONLY
f .
PERMIT NO. a.
DATE ISSUED
` MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION: ;r
.-FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
' PLUMBING: ROUGH FINAL
s GAS: ROUGH ; FINAL 4
FINAL BUILDING' _
a
DATE CLOSED OUT
ASSOCIATION PLAN NO. -
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The Commonwealth of Massachusetts
_� — _• Department of Industrial Accidents
600 Washington Street
Boston,Mass. 02111 -
+t Workers' Compensation insurance Affidavit
name: '�J Q'T• TO•%P J
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Fame to secUre coverage as required order Section 2SA of MQ.1S2 can bn+d to the impoaitlan
of a Hue up to S1,500.00 and/or
one yeM,}mprisomnent as wen as civa penaltlea in the form of a STOP WORE ORDER and a Aoa of 5100.00 a day against me: I understand that a
copy of this statement may be forwarded to the OlIIce of invati�eions of the DiA for eoveeage vesination.
I do hereby certify rutder pains ptataltiet of perjury t�dawn prow"above u&w td tv coned
Date Ib' -
Sigaaturr
Print nameMINE
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.
oindal use only do not write in this area to be completed by city or town otiidal
�e g (]Banding Aeparanent
dty or town• i QIdcensing Board
❑ e ecnnen's ofnee
❑checkif Immediate response is requited i ❑Health DeparbuEnt
Other
contact person:
phoned, _ ❑
(anti 9/93 PIA)
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 recerver 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 contrast for the performance of public work until
acceptable evidence of compliance with the insurance requuenizzts of this chapter have been presented to the
authority. -
Applicants
and
Please fill is the workers' compensation affidavit completely,by checking the.box that applies to yumr situation
supplying company names,address and phone numbers along with a certificate of insurance as all affidavits maybe
submitted to the Departnt=of Industrial Accidents for cxmfi au of insurance coverage. Also be sore to sign and
date the affidavit. The affidavit should be returned to the city or town t application for the permit or license is
hat the applica
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.
��i
City or Towns _..._. ._.
' has provided a space at the boffin of the
Please be sure that the affidavit is complete and printed legibly. The Department provi the It the please
affidavit for you to fill out in the event the Office of -has to contact you g
be sure to fill in the peimit/license number which will be used as a refcm=mimber. The affidavits may be retuned t^
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would bike to thank you in advance for you.cooPeradon 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
Olece of Investigations
600 Washington street
Boston,Ma. 02111
fax#: (617)727-7749
phone#: (617) 7274900 eat. 406, 409 or 375
°p THE
he Town of Barnstable
ikAR L& ' Regulatory Services
9`bA i 59' A``� Thomas F. Geiler, Director
jf0 MP'1 '
Building Division
Peter F. DiMatteo, Building.Commissioner
367 Main Street,Hyannis MA 02601
Fax:, 508-790-6230
Office: 508-862-4038
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: / M f ( , l -e J4 o Z..la�d
10B LOCATION: sitar village
number�
r 3 Z �S� �0 �
"HOMEOWNER": how phone# work phone#
name
CURRENT MAILING ADDRESS:
6-Ox
city/town
state rip code
ed
ing
The current exemption for"homeowners"wasextended to include own -occuvi___.,sofsixunitSor
vidual for a liclense,arov
less and to allow homeowners to engage an individual hire who does not possess
±e owner acts as su ervisoT.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on rlvhich 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 res onsible for all such work erformed under the building et�ttit.
(Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and
other applicable codes,bylaws,rules and regulations.
le
The undersigned"homeowner'certifies that he/she re and
that he/sheown of Bw ll obmply witnsaid
Department minimum inspection procedures and requi men
ts
procedures and re u• ments.
Signature o Homeo er
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 permit is required shall be exempt from the
The Code states that "Any homeowner Performing work for which a building p
provisions of this section(Section'109.1.1-Licensing of construction Supervisors):Provided that if the homeowner enrages a
person(s)for hire to do such work.that such Homeowner shall act as supervisor." the responsibilities of a supervisor(see
Many homeowners who use this exemption are unaware that they are assuming P
ness often results in
Appendix Q,Rules&Regulations for Licensing Construction supervisors.Sectiontttis lease,Dint Board cannot p lack of aware roceed against the
serious problems.particularly when the homeowner him unlicensedhome p responsible.
unlicensed person as it-would with a licensed Supervisor. The homeowner acting as Supervisor is
require.as part of the pernut
To ensure that the homeowner is fully aware of his/her responsibilities,many las age of this issue is a
application.that the homeowner certify that he/she understands the rese nsibilitie f s of a Sificavisor f. on t e yourcommunuy.
form currently used by several towns. You may care t amend and adopt
such aQ:FORMS:EXEMMN
a
_ Application to 2 0 0 1 19
elb Ring'o bgbwap Regional botoric Mi5tr%ct Cotntnittee
t In the Town of BarnstableARI STAS E, MASS.
'v
CERTIFICATE OF APPROPRIATEMESS All 8 42
Application is hereby made, with four complete sets; 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 CATEGORIES THAT APPLY:
1. Exterior building construction: ❑ New ❑ Addition ❑ Alteration
Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other
2. Exterior Painting: ❑
3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign
4. Structure: ®. Fence ❑ Wall ❑ Flagpole ❑ Other
TYPE OR PRINT LEGIBLY: DATE
ADDRESS OF PROPOSED WORK �'� ��ti$'y Wn LJ • 6 ` ASSESSOR'S 3
MAP NO.
OWNER �e -� ,.t'- �o.�.e�
ASSESSOR'S LOT NO.
HOME ADDRESS �� f'M�Q�a �, < <��•-�� a. °2��► TELEPHONE NO.
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any
public street or way. (Attach additional sheet if necessary.)
AGENT OR CONTRACTOR bs N %Al TELEPHONE NO.
ADDRESS l00 �^`jelti y" •� (�: .�s��- ��Ic bils(nd�
DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please
include locations of proposed signs.
crefe�
Signed
(�
�Rn P,If�Owner-Contractor-AgentE. 1�1 tt�i ,r i��
F_o.r_Gommittee.Use_O
DE Certificate is hereby Date 9 z6/17/
Approved/ ' nied
SEP 0 6 2001 C mmi a Members' Si natures. ~
TOWN OF BARNSZ BLE
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Eie Map Parcel 13 Permit#
` Pealth
House# e RJ.F ' Date Is ued
Board of (3rd floor)(8:15 -9:30/1:00- f- Z. LS- /Fee JJ
® Conservation Office(4th floor)(8:30-9:30/1:00-2:00)
® Planning Dept. (1st floor/School Admin. Bldg.) BE
Definitive Plan Approved by Planning Board i ITS o� �& 191=' 1� SYIN
ST , CE
✓�[ Lac, t_ aa�l AL WITH �BIX.
AND
TOWN OF BARNSTA ONME T Ns
Building Permit Application 7OwN RE
GU
Project tr ress ` &Z.4 0 / T'_4 1 v f
Village
Owner ,J e� e TO ,\e S Address f O. &t 7C 1 O S 6 a v.5 LW All o Z00
Telephone Z 3 Z
Permit Request 1 '
(57
First Floor I a� loor , tOfl a - square feet
Construction Type -�
Estimated Project Cost $
g n �pNV" �I
Zoning District R�� Flood Plain Water Protection
Lot Size , 0(o &(v*cJ Grandfathered ❑Yes ❑No
Dwelling Type: Single Family trl Two Family ❑ Multi-Family(#units)
Age of Existing Struct a Historic House El Yes 340 On Old King's Highway es ❑No
Basement Type: ull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) C5_ Basement Unfinished Area(sq.ft) U
Number of Baths: Full: Existing New 21 Half: Existing New /
No. of Bedrooms: Existing New
Total Room Count(not including baths): Existing New I First Floor Room Count I
Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other
Central Air W'�es ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes of o
Garage: ❑Detached(size) 11 \\ J Other Detached Structures: Zool(size)
(`Attached(size) ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
A Commercial ❑Yes I/N0 If yes, site plan review#
Current Use Proposed Use
Builder Information
I
Name ATelephone Number
Address License#
Home Improvement Contractor#
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE S 3� I 0
I LLOWING REASON(S)
-f�ilL�, •
e t ,
'7
FOR OFFICIAL USE ONLY
PERMIT NO. G,
_ Yr
D'ATE ISSUED
MAP/PARCEL NO.
• rc i
ADDRESS ` VILLAGE �
OWNER s3
1
DATE OF.INSPECTION:
FOUNDATION
FRAME } 7SY
INSULATION
FIREPLACE
ELECTRICAL: ' ROUGH FINAL `
PLUMBING: ROUGH ;: FINAL ,
GAS: ROU GGI FINAL ;
= R1 OX -
FINAL BUILDING i.- n
0®
DATE CLOSED OUSTS
�m n Oct N ,
ASSOCIATION PLAT IOA
r_,:�i.:^ The Commonwealth of Massachusetts
n.4 _ - Department of Industrial Accidents
' = Office offnrestigations
-_ 600 Washington Street
+` Boston,Mass. 02111
Workers' Com ensation Insurance Affidavit
l p__es
name: ( e _ J 1 ,
/location: 1- 'KJ 0 N W
At k4 phone#
❑ I am a homeowner performing all work myself.
❑ I am a sole ro rietor and have no one workin in anv capacity
/////%000N%/NNE/A %%%%/%/////%%%/////////////O%%%%
❑ I am an employer providing workers' compensation for my employees working on this job.
company name
address _
city: phone#:
insurance co. olicv#
am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who
have
{ the following workers' compensation polices:
companvname-
f C8�""^'"'3"U✓S ��o4ty �e�k��l�
address:
/fin ?Q
�( ci kL V i V` (.3 �- hone# J(1
insurance co olicv# W 4-7
IFF %%//////NNERi
tt
company name:
address:
cites. phone#:
` a ::. S
l� insnrance co. . �0 olic # W
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$1,500.00 and/or
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 certify under the pains and penalties of perjury that the information provided above is true and
>>corr dG.� j.
Signature Date,/
Print name �T, b h Phone#
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 ❑Selectmen's Offlce
❑Health Departinent
contact person: phone#; ❑Other
(mired 9/91 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 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.
000�0/� �///%0110001.
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 l as to contact you regarding the applicant. Please
be sure to fill'in the peiaiit/license number which will be used as a reference number. The affidavits may be reiurn lio
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
offlce of Invesugationa
600 Washington Street y,
Boston;Ma. 02111
fax#: (617) 727-7749 -
phone#: (617) 727-4900 ext. 406, 409 or 375
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please print
DATE 3 b
JOB. LOCATION I w `� v"'S
Number treet address Section of town
i"HOMEOWNER" �� J Q _ �o��S S0� 3�) G 3� 2 -' 737 Z
Name Home phone Work phone .
PRESENT MAILING ADDRESS
70S ,,•
2- S S�)
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 such homeowners to engage an in-
dividual for hire who does not possess a license, provided that the owner
acts as supervisor.
DEFINITION OF HOMEOWNER:
Persons) who owns a parcel of land on which he/she resides or intends to re-
side, 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 Officia:
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 Stat
Building Code and other applicable codes, by-laws, 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 rocedures and requirements.
HOMEOWNER'S SIGNATURE/
APPROVAL OF BUILDING OFFICIAL
Note: Three family dwellings 35, 000 cubic feet, or larger, will be required
to comply with State Building Code Section 127. 0, Construction 'Control.
HOME OWNER'S EXEMPTION
The code state that: "Any Home Owner performing 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
Home Owner engages a person (s) for hire to do such work,, that such Home Owne:
shall act as supervisor. "
Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor (see Appendix Q, Rules and Regulations
for licensing Construction Supervisors, Section 2. 15) . This lack of awarene_
often results in serious problems, particularly when the Home Owner hires
unlicensed persons. In this case our Board cannot proceed against the
inlicensed person as it would with licensed Supervisor. The Home "Owner ,actir.
as supervisor is ultimately responsible.
To ensure that the Home Owner is fully aware of his/Fier responsibilities,, mar.
communities require, as part of the permit application, that the Home Owner
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 to amend and adopt such a form/certification for use in your community.
MAScheck COMPLIANCE REPORT
Massachusetts Energy Code Permit #
MAScheck Software Version 2.0
Checked by/Date
CITY: Hyannis
STATE: Massachusetts
HDD: 5973
CONSTRUCTION TYPE: 1 or 2 family, detached
HEATING SYSTEM TYPE: Other (Non-Electric Resistance)
DATE: 3-31-1998
DATE OF PLANS:
TITLE:
COMPLIANCE: PASSES
Required UA = 596
Your Home = 460
Area or Insul Sheath Glazing/Door
Perimeter R-Value R-Value U=Value UA
-------------------------------------------------------------------------------
CEILINGS 1344 38.0 0.0 40
WALLS: Wood Frame, 16" O.C. 3636 15.0 3.0 243
GLAZING: Windows or Doors 248 6.400 99
DOORS 40 0.350 14
FLOORS: Over Unconditioned Space 1344 19.0 1 64
COMPLIANCE STATEMENT: The proposed building design represented in these
documents is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building
has been designed to meet the requirements of the Massachusetts Energy Code.
The heating load for this building, and the cooling load if appropriate
has been determined using the applicable Standard Design Conditions found
in the Code. The HVAC equipment selected to heat or cool the building
shall be no greater than 125% of the design load as specified in
sections 780CMR 1310 and J4 .4.
Builder/Designer Date
I
MAScheck INSPECTION CHECKLIST
Massachusetts Energy Code
MAScheck Software Version 2 .0
DATE: 3-31-1998
Bldg.
Dept.
Use
CEILINGS:
[ l 1. R-38
Comments/Location
WALLS:
[ ] 1. Wood Frame, 16" O.C. , R-15 + R-3
Comments/Location
WINDOWS AND GLASS DOORS:
[ ] 1. U-value: 0.40
For windows without labeled U-values, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments/Location
DOORS:
[ ] 1. U-value: 0.35
Comments/Location
FLOORS:
[ ] 1. Over Unconditioned Space, R-19
Comments/Location
AIR LEAKAGE:
[ ] Joints, penetrations, and all other such openings in the building
envelope that are sources of air leakage must be sealed. Recessed
lights must be type IC rated and installed with no penetrations
or installed inside an appropriate air-tight assembly with a 0.5"
clearance from combustible materials and 3" clearance from insulation.
VAPOR RETARDER:
[ ] Required on the warm-in-winter side of all non-vented framed
ceilings, walls, and floors.
• I
MATERIALS IDENTIFICATION:
[ ] Materials and equipment must be identified so that compliance can
be determined. Manufacturer manuals for all installed heating
and cooling equipment and service water heating equipment must be
provided. Insulation R-values and glazing U-values must be clearly
marked on the building plans or specifications.
DUCT INSULATION:
[ ] Ducts in unconditioned spaces must be insulated to R-5.
Ducts outside the building must be insulated to R-8.0.
DUCT CONSTRUCTION:
[ ] All ducts must be sealed with mastic and fibrous backing tape.
Pressure-sensitive tape may be used for fibrous ducts. The HVAC
system must provide a means for balancing air and water systems.
TEMPERATURE CONTROLS:
[ ] Thermostats are required for each separate HVAC system. A manual
or automatic means to partially restrict or shut off the heating
and/or cooling input to each zone or floor shall be provided.
HVAC EQUIPMENT SIZING:
[ ] Rated output capacity of the heating/cooling system is
not greater than 125% of the design load as specified
in sections 780CMR 1310 and J4.4.
MISC REQUIREMENTS:
[ ] Refer to 780 CMR, Appendix J for requirements relating to swimming
pools, HVAC piping conveying fluids above 120 F or chilled fluids
below 55 F, and circulating hot water systems.
----NOTES TO FIELD (Building Department Use Only)-------------------------
_ Application to -
Old Kings Highway Regional Historic District Committee -
_.. in-the.-Town of Barnstable for a
CERTI FICATE OF APPROPRIATENESS
Application is hereby-made, iri-trip licate, 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 CATEGORIES THAT.APPLY:
1. Exterior Building Corist�uctiiin New Buillddin� ❑ Addition "`'-�j]" Alteration
Indicate type of building: (House _-:_LJ Garage' -❑ Commercial ❑-Other
2. 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). p
TYPE OR PRINT LEGIBLY DATE " A 0
w S�414 2
- - ADDRESS OF PROPOSED WORK { ' t ASSESSORS MAP NO.
` OWNER �� Il', ohP,S,.:,:.r.=_ _: _. _ -- _.;. :- .ti:. ASSESSORS LOT NO.
HOME ADDRESS f.b, QDJ�."7 t`430
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
_-_.., _' ��.ar — _ , ----
_- .suF!}`.'L"M '.yW-1 "r._.;:,,i!•4.luhm w-'wa.......-.-". _li`.:.:_ .-...,,.
street or way.—(Attach additio -nal°sheet-if•necessy). - ----- - -- --- ---
4a���� DI344
�w. l�e� 9 �`•lo� CIu� �,,;�t �f o;.,i� ue�pt, Q.
AGENT OR .CONTRACTOR l� �W00� C�SO�',A 185 'TEL. NO. 8 33
ADDRESS USZ.Z4� U"ti 'yl�
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).
• C��� iJZ4kAj�— Signed
" ��� 0'" er-Contractor-Agent
Space below line for Committee use.
r--ReeeWed by-H.D.C.
a� - -�
='Date. -- lRe Certificate is hereby 9 0,V Date
TimeJAN 7, �CQS� F
Approved ❑ IMPORTANT: If Certificate is approved, approval is subject to the 1 day appeal period
provided in the Act.
Disapproved ❑ C�
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TOWN OF BARNSTABLE ZONING ��1Q
ZONE RF
SETBACKS
FRONT - 30'
SIDE - 15' l CERTIFY THAT TO THE BEST OF MY PROFESSIONAL
REAR - I5' KNOWLEDGE. INFORMATION AND BELIEF THE, DWELLING
SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS
PROPERTY LINES SHOWN HEREON OF THE ZONING BY-LAW FOR THE RF DISTRICT.
WERE COMPILED FROM AVAILABLE
I
PLANS OF RECORD AND DO NOT I1,N QF l9gs
REPRESENT AN ACTUAL SURVEY
ON THE GROUND. • ', ` A
'� FRANK
THE DWELLING DEPICTED ON THIS N0.29869
'', ��
PLAN WAS LOCATED ON THE GROUND �,�: , 9FG►S1E� JQ PLOT PLAN
BY SURVEY ON APR. I3. 1998 AND ��1�� 1����` - IN
S SHOWN AS OF THE DATE �` G �
Ex/srs A `� BARNSTABLE. MA.
OF LOCATION.
SCALE: 1 '-40' APR. l3. 1998
THIS PLAN /S FOR PLOT PLAN
PURPOSES ONLY AND NOT FOR EAGLE SURVEYING , INC
RECORD/NG. DEED DESCR/P T/ONS 923 Rout. 6A
OR ESTABLISHING PROPERTY LINES. Yarmouthport. M. 02675
(308) 302-8132
(506) 432-6=
THIS PLAN /S VOID /F NOT
STAMPED AND S/GNED I RED. 0 20 40 80 PROJECT NO. 97-340
TOWN OF RNSTAB E, MASSACF
ASSE33ORS M03
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tt v so
L•;.':.'��.:.-.; ,�::i- RAAM3TA�.E BOARD Of A33i330R3
AVIS AIRMAP INC. L� p1-19t-a� `\ yc �. r• ,/ ..
1 YA33AOI 1416T3 CONNECTICU
•
TOWN OF BARNSTABLE
TEMPORARY OCCUPANCY PERMIT
( PARCEL ID 133 071 GEOBASE ID 31985
ADDRESS 60 ANGELA WAY PHONE
W BARNSTABLE ZIP -
LOT 30 BLOCK . LOT SIZE.
DBA DEVELOPMENT r DISTRICT WE
PERMIT '' 33057 DESCRIPTION 30 TEMPORARY OCCUPANCY
PERMIT TYPE 'BTCOO TITLE TEMP. OCCUPANCY PERMIT
CONTRACTORS: Department of Health, Safety
ARCHITECTS:
and Environmental Services
TOTAL FEES: I
BOND $.00 O�
CONSTRUCTION COSTS $.00
C d r,f
756 _ CERTIFICATE OF OCCUPANCY 1 PRIVATE P � BARN3TABLE, *
MAS&
039.
BUILDI IDIV IO .
BY
DATE ISSUED 09/01/1998 EXPIRATION DATE 10/01/1998
-
1 �
Department of Health, Safety
and Environmental Services
--Air INE
BARNSTABLE, •
MASS.
039.
BUILDING,DIVISION
BY.
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 FROMTHE 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 APPROVED PLANS MUST BE RETAINED ON JOB AND
FOR ALL CONSTRUCTION WORK:1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE
PERMITS ARE REQUIRED
2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU FOR
- ELECTRICAL,PLUMBING AND M FOR
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS.
CH-
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
4.FINAL INSPECTION BEFORE OCCUPANCY.
VISIBLEPOST THIS:N CARD SO IT IS
BUILD INSPE APP ALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
' iQG. oar w.-r cavoisa
2 2 2
3 10 � 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
2 Qf 19" BOA OF HEA TH
O' HER:1!�� L W\ , SITE PLAN REVIEW APPROVAL
t,vz Fa?z
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
� I
TOWN OF BARNSTABLE I
'CERTIFICATE OF OCCUPANCY i
i
i
PARCEL ID 183 071 GEOBASE ID 31985
ADDRESS 60 ANGELA WAY PHONE
W BARNSTABLE ZIP -
LOT 30 BLOCK LOT SIZE _
DBA DEVELOPMENT DISTRICT WB
PERMIT 33057 , DESCRIPTION
PERMIT TYPE BCOO ' TITLE CERTIFICATE OF OCCUPANCY
CONTRACTORS: Department of Health, Safety
ARCHITECTS: and Environmental Services
TOTAL FEES:-
BOND `` $,00 ��� '
( CONSTRUCTION COSTS -$.00
756- -_ CERTIFICATE OF OCCUPANCY 1 PRIVATE P, 0 +
* BARNSTABLE, •
MASS.
z639. A`0�
Fp�l
(BUIL 1, G DLV SiON
BY
DATE ISSUED 09/01/1998 EXPIRATION DATE
09/13/1996 20:40 508-375-1002 JEFFREY A JONES PAVE 01
rM
TOWN OF URNSTARL9
TEMPORARY OCCUPANCY PERMIT
PARCEL ID 133 071 GROBASE ID 31985
ADDRESS 80 ANGELA WAY PHONE
W BARNSTABLE ZIP -
LOT 30 BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT WB
. PERMIT 33057 DESCRIPTION 30 TEMPORARY OCCUPANCY
PERMIT TYPE BTCOO TITLE TEMP. OCCUPANCY PERMIT
CONMCMRS- De
ARCNiTECTs: partment of Health, Safety
TOTAL FEES: and Environments! Services
BOND •.00
CONSTRUCTION COSTS $.00
758 CERTIFpICATE OF OCCUPANCY 1 PRIVATE
flAitN�'ANZ.
MAN►
ib�q. 1►
BUILD IY O
BY
DATE ISSUED 09/01/1998 EXPIRATION DATE 10/01/1998
n..i civet, ., 4VC'IQ i+v n,uni w VWurI Arty ol-1,ML6ty VM stutw^LK UH ANY MAxi I►ItMCUF,EITHERTEMPORARILY OR PERMANENTLY.EN•..
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTEC UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS
PERMIT DOES NOT RELEASE THE APPI ICANT FROM THE CONDITION!!.OF ANY APPI ICABIA SUBDIVISION PIESTRICII-MS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOH ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOH AND WHEAR APPLICABLE. SEPARATE
I.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION ELECTRICAL PLUMBING AND M FOR
ECTPERMIT$ ARE REQUIRED
2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS B FOR
BEEN MADE.WHERE A CERTIMATE OF OCCU-
(READY TO LATH). PANCY IS REQUIRED,SUCH WILDING SMALL NOT BE EL EL CT INSTALLATIONS.
ECH-
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE,
0.FINAL INSPECTION BEFORE OCCUPANCY.
BUILD INSPE APPRWALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1
- I , �, � ' ��,. ,.��•Oar w�lrC�►i�s�r
1 2 ✓ / A�
3 I a� 1 EATING II�NSPECT,ON APPROVALS ENGINEERING DEPARTMENT
7` ov 2 Tr-r'k 8OARQ OF NEA TH
ffFl -
T L W\ , SITE P REVIEW APPROVAL
Q 11b !}Ly► �2>;
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK 18 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
Noo!!. via Id 0 ID
CNI Hal
/ l 1 /' \ ♦i/ _ .`/"\ \� \\ \`wed .y/7o�s , -yo1
I I
I / I
\/ \�\``�\`✓/I \\\ ♦ wo `� — — BCC' �,,♦ \\ I 1 / /! � lfa/8� ON-4 140/80
11
AVg
elY Y/, 1�q(� 9 \�A
.6 LU01
vAln
Oxd Half
,pe OIPEAT MARSHES
ACCESS COVERS MUST BE W/THIN 9' MINIMUM.
6' OF FINISH GRADE 3' MAXIMUM COVER INVERT EL EVA T-1 ONS : DESIGN CR I TER I A :
FIRST 2' TO DESIGN FLOW:
47.0 INVERT AT BUILDING: 38.8 '
r N
BE LEVEL INVERT IN SEPTIC TANK: 38.3 4 BEDROOMS AT 110 G.P.D. PER
MIN 2" OF PEASTONE 38.25 BEDROOM EOUALS 440 G.P.D.
INVERT OUT SEPTIC TANK:
3/4' - 1 1/2 DIA, 37.67�• D/AM PE INVERT IN DIST. BOX.•
o
38 8 � 38.25 37 5 - WASHED STONE INVERT OUT D I ST. .BOX: 37.5 NO GARBAGE GRINDER
38 5 ~ 'RAFFL 37.67 35 5 ,'v 33.5 I NVER T IN L EACH CHAMBER: 35.5
BAFE SEPTIC TANK REQUIRED:.
LOCUS 3 OUTLET 3-500 GAL LEACHING CHAMBERS BOTTOM OF LEACH CHAMBER 33.5
D-BOX W/4' STONE AROUND. 12.8'X 33.5'X 2' ADJUSTED GROUND WATER: N/A 440 G.P.D. X 20OX - 680 GAL.
1500 GAL SEPTIC TANK PROVIDED: 1500 GAL.% MIN.
SEPTIC TANK 6' CRUSHED STONE BASE
OBSERVED GROUND WATER: N/A
BOTTOM OF TEST HOLE +2: 23. 1 SOIL ABSORPTION SYSTEM REQUIRED:
v
DESIGN PERC RATE ! 5 MIN/INCH
PROFILE : NOT -T0 SCALE s01L TEXTURAL CLASS - !
EFFLUENT LOADING RATE - 0.74 GPD/SF I
f� 440 GPD / 0.74 GPD/SF - 595 S.F. REOUIRED
zo ,
PROVIDED: 3-500 GAL LEACHING CHAMBERS
p
LOCUS MA ! i W/4' STONE AROUND. A-614 S.F.
P
GENERAL NO TES .: 0
1. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION EXI$TINO LEACH PITS SOIL TEST T P I T DA TA
OF THE SEWAGE DISPOSAL SYSTEM ONLY. INDICATES V INDICATESPERCOLATION =- OBSERVED
2. VERTICAL .DATUM IS ASSUMED. FOR BENCH MARKS
TEST - GROUNDWATER
SET, SEE SITE PLAN.
TP +1 TP +2
J. ALL CONSTRUCTION METHODS AND MATERIALS AND
MAINTENANCE OF THE SEPTIC SYSTEM SHALL 0' HORIZON TEXTURE COLOR 44.0 0' HORIZON TEXTURE COLOR34. I
CONFORM LOAMY IOYR
TO MASS. D.E.P. TITLE 5 AND LOCAL SAND 4/3
BOARD OF HEALTH REGULATIONS. 0 A
4-. .......................................... 39.7 I2- .......................................... 33. 1
4. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER B LOAMY IOYR E FINE IOYR
AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER SAND 5/8 SAND 7/1
THAN 3' IN DEPTH SHALL BE CAPABLE OF WITH- 30" .......................................... 37.5 I4' ....................I...................... 32.9
COMPACT IOYR COMPACT IOYR
C I _STANDING H-20 WHEEL LOADS. LOAMY 6/6 LOAMY SAND 6/8
°
5, ALL SEWER PIPE SHALL BE SCHEDULE 40 OR SAND AND 42' ...........'..... ........................ 30.6
�. . ''
APPROVED EOUAL. „ STONES C/ COMPACT IOYR
LOAMY SAND 7/8
6. SEPTIC TANK AND D-BOX SHALL BE REINFORCED 1 i CATCH WIN WIN AND ,STONES
PRECAST CONCRETE AND WATERTIGHT.
I 1 1
1 \
T \ •�
7. BEFORE CONSTRUCTION CALL 'D I G-SAFE". H/I'� FINE SAND 2.5Y
i , ; �, C2 AND STONE 6/3
-886-DIG-SAFE AND THE LOCAL WATER DEPT.
FOR LOCATION OF UNDERGROUND, UTILITIES. CATCH BAs l \ 1 ! 1 t I - 120' NO WATER 30.0 /32' NO WATER -
i
8. ALL UNSUITABLE MATERIAL !A 6 B HORIZONS. COMPACT
C LAYER) ENCOUNTERED BELOW THE INVERT OF THE TP +3 TP +4
LEACHING FACILITY TO BE REMOVED FOR A DISTANCE '° I I J / /- `�'
OF 5* AROUND AND REPLACED WITH SAND I N ACCORDANCE + 1 ► i I m j I / �,�' O. HOR/ZON TEXTURE COLOR 33.8 0' HORIZON TEXTURE COLOR 40.0
WITH TITLE S. \\\ 1 I s sils/ _ .�. Q LOAMY IOYR A LOAMY IOYR
l �6 - SAND SAND 4/3
9. NO DETERMINATION HAS BEEN MADEAS TO �b' R�PosEO /ELL 1 ! t4 / Bs�ii -- 8• 4/3... .............................
F 33, 1 6' 39.5
COMPLIANCE WITH DEED RESTRICTIONS OR ZONING �, I / I J j �! // __�� +WELL LOAMY IOYR
REGULATIONS. 1T SHALL REMAIN THE CLIENTSWELL 1 �. h / // / I // i �� - ce/DHFND B SAND 7/1 B SANDy_ 7/IR
- a I i ! / _
RESPONSIBILITY TO OBTAIN ALL PERMITS. SPEC/AL t o �� ._ t / i / ___ . - _ - - EL-st.ox - - _ - 4• 14 - 3/.8 24` ............. 38.0
PERM/TS. VARIANCES ETC, FOR THIS PROJECT.
CI FINE-MED 2.5Y CI FINE-MED 2.5Y
_µ` SAND AND 6/3 SAND AND 6/3
10. IT SHALL REMAIN THE CLIENT'S RESPONSIBILITY � If ll / / % / // / .�� --�~ �"-•tz �_ STONE STONE
/ / / i
TO HAVE THE-PROPOSED BUILDING FOUNDATION
DESIGNED TO ACCOUNT FOR THE EXISTING GRADE
AND SOIL CONDITIONS AT THE LOCATION OF THE 1 ;� I % j / //a / ,' / // / / / �-`�� ��� �♦� - 60'
i PROPOSED BUILDING.
LOT 30
46.008t S.F. "\�
TP •J NO WATER NO WATER
120' 23.8 126- 29.5
-34-r.- ��` �I \ CATCH BASIN
l / / l 1 J e I f / / / 1 \ ♦\ \ EL-JB.96
/ l 1 / I J I I I / \\ ♦\ �\ \ \\ DATE: OCTOBER 2. 1997
_36. TEST BY: STEPHEN HAAS
CB/DH FND I J I ! 1 J / f I \ .\ �\ \\ \\ �\ ♦ WITNESSED BY: GERRY DUNNING
Cs/DH FND SEPTfC TANK \.` �FSFR�_ • \\ �\ �\/ 1 PERC RATE: ! 4 MIN/INCH
EL•62.6J �- 8. Zi
I J 1c)t TP t r I ► I / \ ^ I 1 1 \
� x I I I J t \ aFp POSFO F �� \ \ \•� \ /� 1.�!/ 1 I 1 I I
1 1 ! 1 Tqc ROQv D °UA1. \ 'b \ '�. �'�,L 1 1 � I I
IDH FND
rwriw
SI
v,BY 6 ROCK S �
q, / CG`I FT O/A ROCK /� I �' .•` ¢! r �
S / T E P L A /�/ O � �
O � CATCH WIN ' --- ' -_�. ; 3 1
LOT 30 A /VGELA WAY . MAP / 33 . PARCEL 7 /
EX/STINO LEACH PITS ��.... -
��' SA R /V S TA R L. E . M
PREPARED FOR .
6 WELL
/V L. S
• t't• 1� : P O . BOX 70.5 . BARNS TABL E . MA 02630
SCAL E : / - 30 MARCH
„'_WELL � 7n
EAOL_ E SURVEY I NO 1 NC
923 Route 6A
• Yarmouthport , VA . 02675
i i< ( 508 ) 362-8 '1 32
( 508 ) 432-5333
0 15 30 60
JO N0: 97-340 t FIELD: TANS/CFt�' _.CALL:__-SAH/CF1S' _-CHECK:. CFN/ DR I'd: _.SAu - -