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�f I ®�p U NO. 152 1/3 ORA ESSELTE 10% o G �� ' v���i}�� _ _ _ +� I i � F i Application number........ .. ./.... ............... Of 11tE t f A CFee ...... .......... . D............ : MP SAMSTASM M,S• Building Inspectors Initials........... ................ '639. A JUN 212019 oMP� Date Issued................ .`2l` .�1............................. Map/Parcel..................5........................................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: , ROOF/SIDING/WINDOW S/DOORS/TENTS/STOVES/WEATHERIZATION t . PROPERTY INFORMATION Address of Project: 10 C t AR K f f✓•-ee'f' 1k1 • R."%A RAJ J I-A9 1,c NUMBER STREET VILLAGE Owner's Name: "Z'1 C.U a rtn Q 5S-e-A) Phone Number . Ce 11, •fJ y- f I rl Email Address: G S&� e 'V��ra Zaa°•AQf Cell Phone Number Project cost$ tf1 000. Uv Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize L•A C zz,, W o N-c ea/o%Ie-m eW �G to make application for a building permit in accordance with 780 CMR Owner Signature: S e P A tm c k e d Date: TYPE OF WORK W 111 p o ut J C1 0 o f M 4 I/ / k /3oq�� Ez/windows /��v-D-e&, fv ,1 y.oa J-e/ief- 6- 24 uLP4Iv.�Siding (no header change)#_, 0 Insulation/Weatherization El Doors(no header change)# Commercial Doors require an inspector's review ED Roof(not applying more than 1 layer of shingles) Construction Debris will be going to N 4 lu 'WA t I•e- C ,4AI)UJ i'J k j ///- CONTRACTOR'S INFORMATION Contractor's name (' Al IZ PeJz2J --A, a Home Improvement Contractors Registration (if applicable)# 10 01 qO (attach copy) Construction Supervisor's License# C 5 67V4 yo <U) (attach copy) Email of Contractor G,on j t'. cAli Z?/ 11 epy-o- ioAl Phone number Sow �a11 9rlY, ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides. No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X Z_ X Additional'tent dimensions c be attached on a separat iece of paper. Purpose of Event Check one:this event is a: Xbe n- rofit event Check one: Food served Ye Flame Spread Sheet of eached.Provide a site plan with the location (s) of each tent If food is being served atyin a Health Departi;n nt approval between the hours of8:00am-9:30amor3:3e ial event y require Fire Department approval. * OOD/COAL/PELL STOVES Manufacturer# Model/I.D. Fuel Type ?esting Offsets from combustibles: frontack left side right side HOM OWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilit' and the rules and regulations for Licensed Construction Supervisor in accordance th 780 C the Massachusetts State Building Code. I understand the construction inspec on procedures,spgcitic inspections and documentation required by 780 CMR and the Town f Barnstable. Signature Date APPLICANT'S SIGNATURE G /L G�t/J�H�' /0� Date Sign ;� �/ G C A > > -z t4 atxf e T ri t7 voUeei All permit applications are subject to a building official's approval prior to issuance. Page 7 of 7 Capizzi Home Improvement Inc. Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT UWE, iC�li� ®SSel'! OWN THE PROPERTY LOCATED AT J /V ���`� IN MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDIN ODE. 01 SIGNATURE OF OWNER: X/l (1, � OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'SADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit,MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: , r•. Massachusetts Department of Public Safety Board of Building Regulations and Standards 77 License:CS-074640 rvisor IN- Censtructiori Su"pe a M GARY GUSTAFSON v ,$SHORT WAY �j`• ,� SANDWICH MA 02608 I I. Expiration: h j 11I2812018 0Commissio er �� 15 Registration valid for Individual use only AH " ��'Al expiration date. If found return to:elation C W,%o f�onaumor a ra Bus(ne gA OR before the MOMS Ih9pROVEMENT COPfi Office of Consumer Affairs and Business Reg TYPE:,Suuolement,Card One Ashburton place-Su 01301 1 08I�020 Boston,MA 02108. P• CAPIZZ1 HOME IMPROVEMENT,INC. Q GARY GUSTAFSON 0 valid Without signature �y $ 164s NEWTON RD. Undersecretary b t� COTUIT,MA 02635 p ,i r f Ago CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 12/14/2018 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, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTANAME: Rogers and Gray Processing ROGERS & GRAY INSURANCE AGENCY INC PHON o t, 508)398-7980 FAX No: E-MAIL ADDRESS: mail@rogersgray.com 434 ROUTE 134 INSURERS AFFORDING COVERAGE NAIC If SOUTH DENNIS MA 02660 INSURERA: AMGUARD INSURANCE CO 42390 INSURED INSURER B: CAPIZZI HOME IMPROVEMENT INC INSURERC: INSURER D: 1645 NEWTOWN ROAD INSURER E: COTUIT MA 02635 INSURER F: COVERAGES CERTIFICATE NUMBER: 348068 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 REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I EXP LTRR TYPE OF INSURANCE ADDL SUER POLICYNUMBER MM/DDPOLICY/Y POLICY EFF WVQ YYY MMIDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR AMA O REN D PREMISES Ea occurrence $ MED EXP Any one person $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PO-JET LOC PRODUCTS-COMP/OPAGG $ OTHER: I S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE S AUTOS Per accident $ UMBRELLA LIAR OCCUR EACHOCCURRENCE $ EXCESS LIAR HCLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X PER STATUTE EORH AND EMPLOYERS'LIABILITY ANYPROPRIErOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 1,000,000 A OFFICERIMEMBEREXCLUDED? N/A NIA NIA R2WC921272 12/25/2018 12/25/2019 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If as,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwdtworkers-compensationAnvestigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601-0000 Daniel M.Cro ey,CPCU,Vice President—Residual Market—WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/individual): CAPIZZI HOME IMPROVEMENT Address: 1645 NEWTOWN ROAD City/State/Zip: COTUIT MA 02635 Phone#: 508-428-9518 Are you an employer?Check the appropriate box: Type of project(required): 1. ✓ I am a employer with 40+ 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. Demolition workingfor me in an capacity. employees and have workers' y p �'• 9. Building addition [No workers' comp. insurance comp. msurance.t required.] 5. We are a corporation and its 10. Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13. V6ther 'VIA 141 jpp comp. insurance required.] J>D!u j1p itt, •Any applicant that checks box##1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: AMGUARD INSURANCE COMPANY Policy#or Self-ins. i.#: - �'_ � ' 1 aL-1'Z Expiration Date: 12/25/2019 Job Site Address: .;JO nA�l�t'_ Ci /State/Zip Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby c �ff'y der the pains and penald perjury that the information provided above is true and correct Signature: Date:05/22/1 Phone#: 508-648-0269 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Assessor's map and llotnumber ..Els I �� ` ALL PN C ,UST Wiry gTICL� C1MP(IANC Sewaa .Permit number v f�......:................:............... i SANIT I1 STATE g ARY REGULATIOCODE AND .TOWIV THE TO�♦ �'®e .S�TOWN OF BARNS i I9BBSTABLE, (/ 9 "�` i63q. BUILDING. INSPECTOR . 00 \0� WE APPLICATION. FOR PERMIT TO ..>�rJh1S '....�1.?+,L L. ..... 1• .....l.l..fl.�LJ1L. ............•••. TYPE OF CONSTRUCTIONiQ.p ...... fi ....................... ...................arr.. 1.........19.7..7.. TO THE INSPECTOR OF BUILDINGS: AThe undersigned hereby applies for a permit according to the following information: Loc tion ... .5 ..�t— L�l.�l�Q.L ....1 .��.. �f�.. ......... ProposedUse ? i ...................................................................................................................................... Zoning District .............................................................Fire District .................. U.� /�1�11._.....� j.L. AKkPD.........Address ...MQ.w �5....�.fslk e,lC�.. .•.�. �'lA� Name of Owner ryrye�. . r l 1 i Name of Builder l`-Lr-, i- .C�J.).kt-.•.Address :1.... rs�kl. Name of Architect ' SA3aG Ihc.....Address D!'1!1 Number of Rooms Q •.........................................Foundation ......... ......................................... ............. Exterior Y� �C ... .L�. ... 1:. �.�. .........Roofing ... -{ ....... .C'C.�.> }.t. ........ Floors ;. i�.. .•••{•••�.I.� ...............................Interior ..... ............................................... Heating �!C -�/ `... . .... �g ... ........................•.........................�........ .......Plumbin // . Fireplace ......T�.�............................................................Approximate Cost ......Cc�:rd� Q.0 .........:.......................... Definitive Plan Approved by Planning Board -------------------_-----------19________. Area Diagram of Lot and Building with Dimensions ••••,•••,•,.......... SUBJECT TO APPROVAL OF BOARD OF HEALTH C9 0 N 4 2,2.7�ts�• j r irll ^ a I hereby agree to conform to all the Rules and Regulations of the Town of or tabl reg in t e above construction. Name ... . . .... ....... `1 • Reiland, Mr. A Mrs. William No Al §8 l Permit for ....Dtaellin i ..............................Single..Fam lx.................... Location . ... ena .$tm..&..KAtt1ehole _ D T) nn Sf ../ada:.......41n.:/dWxutautle................ - Owner ...11411UM.. PALAAd............ ! i ? Type of Construction ......Wood..F.rame.............. j t ...............................................:... , Plot ............................ Lot ..........40................. r Permit Granted ..... .,��ber....7.... 19 77 _ Date of Inspection ..................19 Date Completed �i;1..7� `.............19 �f PERMIT REFUSED r• ........................ ......... 19 :N .... ......... ................................................... p ............................................................................... f ....................... .................. Approved ............................................................................... ; Assessor's map and lot number Sewage Permit number .......................................................... °'ET"Er°�° TOWN OF BARNSTABLE •» 339HH4TADLE, i 1639. pY •5b BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ............................................................................:................................................ TYPE OF CONSTRUCTION ..................................................................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............................................................................................................................... ....................................................... ProposedUse ............................................................................................................................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. Nameof Owner .......... ...........................................................Address .......".........::.................................................................. • Name of Builder ....................................................................Address ................................. Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing ...................... ...............................Interior .................... Floors ....:........................................................... ....................................................... Heating ..............................................................:...................Plumbing .................................................................................. Fireplace ...................................................................Approximate. Cost .................................. ................................................ Definitive Plan Approved by Planning Board ________________________________19________ . Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................................................................. L— Reilando Mr. & Mrs. William No ....... Permit for ...DwelliPf................ ...............Single,... .. .... Family.................................... .. Location ..... ................................. Owner ...... Type of Construction .....W0.0.d..Frame............... ................................................................................ Plot ............................ Lot .......4.0................... Permit Granted ......Pqcember 7.......19 77 ...... ......... Date of Inspection ....................................19 Date Completed ...... ...............................19 PERMIT REFUSED ......................................... ................. 19 ................ ...... ................................................................................ ............................... ..... .. .... .... ..................... .......... .. . .. . ..... .... ...... ........... ............................ Approved ................................................. 19 ....................... ....................................................... ................ ............................ .................................. f Town of Barnstable- Planning Department a Old King's Highway Historic District Committee MEMORANDUM TO: Building Commissioner FROM: Gwendolyn Brown, OKH Secretary DATE : %;* sUBJ: Modification to Prior Approved' Plan A minor modification has been approved by the OKH Committee to a prior .approved plan for the applicant (s) named below. The modification is briefly summarized and I have attached backup material for your records.. Applicant (s). ah+�C�� Address .of proposed Work ,S�e �Q"/a- . Meeting. Date Approved by OKH �� y"7 Minor Modification c4a, re�a��, vct�/ �iorL Cap Chairman If you. should have any questions, please do not hesitate to contact me at ext.. 285 . MEMOB The Town of Barnstable BARNSTABU. ' Department of Health Safety and Environmental Services MASS. g i639- �0 'CFO N1A+� Building Division 367 Main Street, Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice 9F--0 Type of Inspection IM Location �/ �� �' ! Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: 6 )0 A �T1r u G-ru 1 rC..k ►�,�G�C. -ei r r Please call: 508-790-6227 for re-inspection. Inspected by , �al�,l�to Date Lq �' _ FJf 0/1- Ta e 1 cF S Engineering Dept. (3rd floor) Map d Parcel S Permit# 23 20 7— House# s�(� i= Date Issued Board of Health(3rd floor)(8:15 :9:30/1:00-4:30) 01 b Fee C� Conservation Office(4th floor)(8:30-9:30/1:00-2:00) EPTIC SYS M ST BE ALLED IN COMPLIANCE Planning Dept. (1st floor/School Admin. Bldg.) WITH TITL Definitive Plan Approved by Planning Board 19 ENVIRONMENTAL A -TOWN REGUL ' EO MAr a` TOWN OF BARNSTABLE Building Permit Application Project Street Address 510 Cedar Street �� Ley 4 40 Village W. Barnstable Owner Mr. & Mrs. William Reiland Address 510 Cedar Street, W.Barnstable Telephone Permit Request Kitchen, Master Bedroom, Exercise Pool - Addition First Floor 1244 sq.ft. square feet Second Floor square feet Construction Type Wood Residential Estimated Project Cost $ 341,000.00 Zoning District RF Flood Plain No Water Protection Lot Size 1.91 Acres Grandfathered ❑Yes ®No 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 0 Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing 3 New 1 Half: Existing New No. of Bedrooms: Existing 4 New 1 Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: M Gas ❑Oil ❑Electric ❑Other Hot Water Central Air ❑Yes ❑No Fireplaces: Existing 1 New Existing wood/coal stove ❑Yes ❑No r Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) 0 Attached(size) 2-car ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ®No If yes,site plan review# Current Use Residential Proposed Use Residential Builder Information Name E.J. Jaxtimer, Builder, Inc. Telephone Number 778-4911 Address 48 Rosary Lane License# 003251 Hyannis, MA Home Improvement Contractor# 110609 Worker's Compensation# WC97-695028 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 M mber's Dumpster SIGNATURE DATE 1/dq:7 BUILDING PERMWIJENIED FOR THE FOLLOWING REASON(S) g �• �.G f FOR OFFICIAL USE ONLY Y" PERMIT NO. Yi C/ — DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 2 FRAME L �l Pus ��� �IJCJ r INSULATION ✓ � �`b - l - l� �n � J / FIREPLACE ELECTRICAL: =ROUGH FINAL PLUMBING:; �> ROUGH FINAL c . i GAS: " ROUGH FINAL FINAL BUICDING'� DATE CLOSED OUT ASSOCIATION PLAN NO. 50E, -477 4G':.E' Hug. 10 19T7 07:51PH P1 11508)- ego-q,6S6 August 9, 1997 E. J. Jaxtimer, Builder, Inc. 48 Rosary Lane Hyannis, MA 02601 RE: Reiland Residence - Addition 510 Cedar Street West Barnstable, MA Dear Mr. Jaxtimer; On this date, I inspected the subject residence for the roof framing at the ridge of the addition. The nailing as performed exceeds the capacity as required by the Massachusetts State Building Code 6th Edition, Section 2305.2 and the related fastening schedule table 2305.2 . No additional rafter hangers are required. If you have any comments or questions, please do not nesir-ate Z-6 U041w1uL. we. OF Very truly yours R. Gregory ylo The Commonwealth of Massach usetts Depqhnlent of Industrial Accidents VffCb OflUM92MOBS 600 Washington Street MAP PARCEL Boston,Mass. 02111 'Workers'-Compensation Insurance Affidavit 11 193 &M 00 RX7 I rg E-J. Jaxtimer, Builder, Inc. name: location: 48 -Rosary Lane. city Hyanfiis, MA 02601 phone# (508)778-4911 E] I am a homeowner performing all work myself. E] 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. ......... -.-*-,:::,......... . ❑ I am a sole proprietor,general cc9+tractor,or hotneu=.�i e• ,cle.one)and have hired the contractors 1:;E',ed below who hav-- the folkiwing workers'.compens-.,--..'on polices: .... 77777777777 ct ........... .... ... ..... .. . .... . . .................... ..... . . ... ... ........... ........... s . .. . ..... .... . ............... .. ......n . . ........ . ................Po ... ........ ompativ gainei-, ........... ........... . ......... ....... ................ ... .. ...... .................... ............ ..... . ----- ..... ---------- ................................ ........................ ... ..... .......................... . ..... ...X., .......... ......... ..... .cit ...... ..... Failure to secure coverage as required under Section 25A of MGL 152 criminal penalties of a fine up to S1,5 one years'imprisonment as w 00.00 and/or' P WORK ORDER and a fine rs100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office or investigations of the DIA for coverage verification:' I do hereby certify u d repains and penalties of perjury that the information provided above is.1rue and correct. Signature- V Date Printna'me E-ey Jaxtimer, Builder, Inc. Phone# 778-4911 official use only do not write in this area to be completed by city or town official V. city or town: permit/license# Building Department 0 check if immediate response is required []Licensing Board []Selectmen's Office Build'ng Department c oLice �0,OSel,nsin Board c m n s 0 'Ce use 0' cit"'or town-- 4. e fin njt (n ech ck i Department me_ I 0 tL []Health Department contact person: phone N; 0 Other (m iscd 3/95 PIA) er S-1 k�`4�Ju: r T11E l� ' The Town ®f Barnstable - `0$ Department of Health Safety and Environmental Services r " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-622 7 Ralph Crossen Fax: 508 775= Building Commissioner For office use only I 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'arry pre ng 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. TypeofWork: - Addition Est. Cost $341,000.00 Address of Work: 510 Cedar Street W. Barnstable OazterName: William Reiland Date of Permit Application: 5/19/97 I herd certifv that: Registration is not required for the following reason(s): Work excluded by law Job under S 1,000 Building not owner-occupied Oeener pulling own permit Nntirr,is brrehv 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 hcrcb} apply for a pY. J. c agent of the o 5/19/97 Jaxtimer 110609 Date Contractor name Registration No. Date O«•ncr's name 40742 DEPARTMENT OF PUBLIC SAFETY 40742 ONE ASHBURTON PLACE , RM 1301 BOSTON , MA 02108-1618 <1 CONSTRUCTION SUPERVISOR LICENSE Number. Expires. Bi'rthd�a_te� -- __ FEB 1 2 1996 ` CS 003251 01/14/1998 01--f-4 Restricted To. 00 ERNEST J JAXTIMER D.e,tach bottom, fold sign on _,a._ 48 ROSARY LANE _ , ,�,-� -�,:;.� •back, and laminate license card. . HYANNIS , MA 02601 = ;Keep top for receipt and change -of address notification. � ✓fie �o�nan,anufea� a��/l�aau�P,�a � . . � . HOME IMPROVEMENT CONTRACTORS REGISTRATION I Board of Building•'Regulations and -Standards One Ashburton Place - Room 1301 Boston , Massachusetts 02108 I HOME IMPROVEMENT CONTRACTOR -L------------------ m ! t I ----------------�, Registration 110609 Expiration 11/03/98 I 07 �«/of�✓t�,ou,�a Type - PRIVATE CORPORATION I I HOME IMPROVEMENT CONTRACTOR Registration 110609 E J JAXTIMER , BUILDER , INC G Type - PRIVATE CORPORATION ERNEST J . JAXTIMER Expiration 11/03/98 48 ROSARY LN I ii HYANNIS MA 02601 I E J JAXTIMER, BUILDER, INC. � � NN ST J. JAXTIMER ADMINISTRATOR ° ROSARY LN { I HYANNIS MA 02601 1 -- _-'-. ._ .....-- _ -. ._.. -•_-- ACCESS COVER (WATEKnOHT) To (122.- 12." r2, MINIMUM .75. OF COVER OVER PRECAST {///��� IN Ir OF FIN. GRADE _ 17' 2x SLOPE REWIRED OVER rso.v (D ) RUN PIPE l£V, FOR FIRST 2' Zr OJ6°-G-6.k, ca p PROPOSED 15 00 (J h1 r C SEPTIC TANK (H I19IV TANK I?� IIP 91 • A.. .. ..... - (Js SLAPS 6 CRUSHED STONE OR MECHANICAL, •• J- DEPTH OF FLOW `� - ��''(•" Ir( ODJP�-°'--1.1�.iJ % c . � COMPACTION. (15.221 (2)) TEE SIZES: INLET DEPTH (O• (-x SLOPE) (->< SLOPE) OUTLET DEPTH - �- FOUNDATION SEPTIC TANK —7 D' BOX LEACH FACIUT \ ` 7,. I \/ r Ito 10 it It 10, on It to cr .0:� too.s' 1 >,' PERC. RATE _ -- 61 N .a f I.J CLASS _ SOILS P# 00-10 II" •ac = � 0' 0' J LOCATION MAP --1' I (5 ^ - — ASSESSORS MAP PARCEL t 1 S.� FLOOD ZONE Li 1.T✓DaH I 1o4.r S/,� II jL ii S BUILDING ZONE: r--r-r4 I IOQ/S G 1 I I ���� a 5 SETBACKS: FRONT - co 5 + SIDE - /,/ I o Yz '4!4 ,G�.." REAR ^'An � �+•A•:. PLAN REFERENCE: � ISIo 115 I. 4[ -14 3 2..SY NOTES: µ o w.tT�.c ta.1►�v >. 1. DATUM IS I Ifs /v). .. p,or� INS ��1 h:'c:.: �.a . ✓' / 2. MUNICIPAL WATER IS a0 n/al Ae :PTIC DESIGN: (c�tecE olsPos� Is �oT Awot,l�✓/ ) T :SIGN FLOW: 5 BEDROOMS uLe GPD) = SLIPGPD 3. MINIMUM PIPE PITCH TO BE 1/8- PER FOOT. SE A'!L�GPD DESIGN FLOW 4. DESIGN LOADING FOR ALL-PRECAST UNITS TO BE AASHO-HL_ 5. PIPE JOINTS TO BE MADE WATERTIGHT. :PTIC TANK: GPD LLeQ GALLONS 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. 3E A �1P GALLON SEPTIC TANK ENVIRONMENTAL CODE TITLE V. 'ACHING: 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE USED FOR LOT LINE STAKING. IDES: (14 = 74.1 GPD 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4' PVC. )TTOM• 5v 7; x y.;3 ( T-F ) _ O S GPO _ 9. COMPONENTS NOT TO BE BACKFILLEO OR CONCEALED WITHOUT )TAL IG'' S.F. GPO INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. jo.l� 10. EXISTING tEau1 p,f to /.c pr oal Gbl)< �E' If Ih rp%f71 Pi:.CG 'TO fir_,ge;_,f %/I✓'( l•of'�'il /Ei 11' FSF;•p�.1 oRa✓�. lip o- 1f�.� of hKh i EN. I G SITE AND SEWAGE PLAN OF E�16c�ti1raiP' TO I.Jh��GT Fat 9.'.�T�-;�-% �jpl✓-� a'`4�U�vr'r ol.l OiY C'7CL0•y1T,0,.1 � J10 G�Oo IN THE TOWN OF: BOARD Ol 1DLLTH APPROVED DATE MA PREPARED FOR: W I L v I h0 0 F*A SCALE: I = '50 DATE: RE✓. t.1Al2 L 4 Z z, 1551 down . cape engineering, inc. �1N 0!YU': CIVIL ENGINEERS s" a�`�N of ,� RECEIVED s H. \'•�. oa AME H r\ APR " LAND SURVEYORS s o.,a,_,, _ ,v o•,�,�, 2 1997 PHONE 508-362-4541. s 0 26:L4 cw FAX 508-362-9880 0 + :;' rio.wlLn� z ARCHITECTURAL UtSiUN NC. 939 main st. yarmouth,ma JALA /s DATE II j �D D� II 1 11 mIr 0 � 1tlt 5i I A C D A.3 p` - I I I CONC. EQ IP. PAD I I 1 -AC COND LASER EL. 124'-5 1/ 3' DIAM. ORRUG. GALV. AREAWAY EXHAU FROM I 1 MAST EZ BATH � I BP r----- ------ ----- L --- --- - ------ - -- - - � � i I EL. IIG'-O• Q i O /' 3°2XI0 P.T. I AC UNIT SUMP i �• EL. 128'-O'TOP OF*SLAR _ EL. 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J i?I::ti•i?:'.;•iSii;•i?ir '.�:iiii{ii•?::':ii'ii:'i:Ci ir:}i:C.i gG' O.C. ::•:'t':':•::'::':::'::•:•:::_:�::::_':is:':::::':::::•:•:::::'::: ::':': I BRACED LATERALLY ::.x�:::::c:}�-iii:•}isi?isii?ii:i;};?'i?ii?iiiiii:�}i?iii:iii:�iii�4 C B A b Ab A.b A S :ic�:icF.ic:i:•i:fic: y u!, /..''r:•: }ii'is�' .?i?iri?isii'::i':::�c:6:i$is:•:i?}:cri';•.•.•:i.:':i•:i•:•i •::i:•:•??:iF:is ii:{•??:•: Date ��'��'7/iiiiiis?:i•kii?iiii;}isi•::I':::•::i::.i::i•ii:::•i:i}i:::c:$ii:if•:?i:�i};i:•:f•:?i:Fii7ili:�''. :';i/�/iiii!•is ci:':::i}i?::?::•r?:?:?rir:::•ii};i:•::::iii•:ii?:i•:•:•...........•;....... }i....ii:i� 1Y-r . •;ii:ii?i:•iii•:is4:4::::iir:•:is ii:r:is4ri:ri:i}:ic:r:$:'i:�r:�i:li:ii:i{tiii_i'i:iiF?i:•ii::r.::.... \ 20'-3' Scale 3Y-Y Dale Drawn Y .,i.i, }I Job. � 'i?c:` ii:-ii?: 1:�iii•::ii:•:•i::ci::•iii:::i5? o No f. A 71r.G .....:..... BASE ..ii��/�?.rl ?:'•: ?: } ??} NORTH r i PLAN it i::4i:*ii:i i ii:*:*:"""i"*......i.. •,., _. � r r q , ..RAFTERSE r `t 12 12 12 12 12 9� 91 �9 �9 91 af6d ;Xt VERT.TlG TC 3M 'X ARDS'fo1'M H, LIGI s ING \AID SITTING 5 12y 9`I44; 1 2820 I I &V$P,ACE Fh. I i i I 20�IIy:-y—•—•—'— I L----- GALVANIZED I--I AREAWAY x � I EAA T.F"L0F a y. f ---------------------- L----------------------------------- i SECTION SITTING AREA SECTIO B I RIDGE BEAN { 912 I�9 t 2XI0 RAFTERS • IL' O.C. DBL. 2X8 HEADER ------------- BRE FAST 6 � Al 'LOOR _ _ %. T 9 r7p ------------------------ 3 • 2XIO i I I � i I FBI—.—._ i i I � � I i i I \ 2XIO RAFTERS 2X8 RIDGE \ / IC" O.C. BOARD EXHAUST FOR 2XIO RAFTERS ° 2XG FALSE ROOF FAN BEHIND IL' O.C. RAFTERS 3'XS' CORIAN 12 9 I19 I19 1 9 9 LIGHT COVE I9 I 19 A.L MASTER ,Xe* WOOD \ LIGHT COVE ; BATH o C.T. ryIRRO MIRROR 1\ ) MASTER BEDROOM COVERS CLOSET / / BR. DYER WALKWAI OYE z At CONC. SLAB T.O.S. EL.- 124'-3' I 1 1 3 ° 2XI0 I ` ' I I I _I � 3 A.L A j I 1 1 B SECTION MASTER BEDROOM SECTION CLOSET/MASTER BATH ........................................................... .......................................................... ........................................................... .......................................................... .......................................................... ......................................................... .......................................................... ......................................................... ......................................................... EF� .......................................... "SIX VV$30LX ..... ...... c�. i lulu w riHZ) I CK t:5t: t<UV1') �„1SECTION" �' CLOSET/MASTER BATH i EEJ .......................... . ............................................... VV530LX VV VI L'RADIUS (TYPY i. FWG I �11-4] ?CtS:Tllif . .:.:::::::'::?:: :: : Fes.: ................ C.r ................... < V cs _ C25 L ........................................................................... IST FLOOR ................................................................................................................................................... --------- ---------------- ---------------------- ............................................................................ ------_._._._._- ---- I ........................................................................... EL. 124'-9 I/4* - FWG 4048 i L'XL' ENCASED WOOD i POSTS TO MATCH SIDING TYP. PROVIDE SIMP50N CRAWL,SPACE ............................................ APS4 POST BASE —'—'—'—'— LI ' 1 . i r #BSMT 1FLOOR"''�`'� i r- ------L---------------------- ------------------------------------� • = .. �'- _ =-r PARTIAL '-SOUTH ELEVATION ................. ... IXL TlG ......................::....... :i::::..... ... :::.: :•:;;•::•:::::::;;;:;•::•:::.. • sxL L• O.C. I :::F::::::::::::::::::•::.::::::::::::::::::::::::•:::::::::::::�::::•::::•::::::•::.•::::::•::::::.:::: •:::::•::::......::::::•:::::::•::::::::::::::�:•:::•:::::•:::::•::.:::.:::.. 2XE • IL' O.C. x:::::.::::::: ::::::::::::::::::•:::::::.::::::::................:...............................:................................................................ 2XIO • IL O.C. ........................... n Ea.._ .�.. .......................... 9 LIKED L.C.0 r:C....:i:.....4i?..ii.....is F:�iiiiiiic�siri:ii:i�?:i:c��v}'�i:.. ...:.... LIKED PLANTER FAMILYFL. n R . POOL — — — — — — _ , UNIT ELEV. 2 4 �:::�:::::::•::�: u►uT AREA •:••:. :::::: :::•.� ::•M-m:::::•:::::::::::•:::::. .: a ::.:..........::•:::........::•:......::•:::.......,.... A L :AXIS.�"tK.. ..... A�SEV K I / 1S T FLOOR _ 24' 91/4'i:'i:•ii':•�i..::.,:,`: ii:..............iiiici:i iiiiii::i.__: Fi:iscg;;:i::i.::i:?:ii4:?iii?:�6}::f•:}i:.......:mm 2XL P.T. ... Er^'NG ::•.............................. ............................. .... 2XL P.T. ::::::•::•::::::::::::•::.::::::•. :::::::::::::::::•i:::•::::: :•::::• BSMT. FLOOR • —. • IL O.C. —•— — I O. —L C E 120'-II'L. .......... —POOL CRAWL SPACE PROTECT BEARING SOIL UNDER EXISTING FOOTING L' SLAB WITH ONE LAYER LXL 4/4 UrXF SECTION FAMILY ZOOM AND POOL AREA - �..' $X4 BRACES VERT. t HORIZ. ON DIFF. SIDES OF EXIST RAFTER. SPIKE EA 5 CONNECTION W/ I :•::�:: :E:xf..: �K:::.:::::::::•::•:::::::•::� .::::•.... ......:::::::::.................................. ::: :::: :::::::::.:::::::::::::::::::::::::::::::::::::...:.............. 5.....: ..::::::•.::::::•::::. :: ..... ........................... :.. .... ................................................................................ s xl IL O.C. - --- 0 12 9r I :::::34. T:tN` : :....::: :: :? :::::.::::::•::::::::::::::•::•::::::::::: :: ::::::::::::•:::::::::::.::.::.:...................... E 5 Ca ....... .....�...:: :. ... .. 1'-1 i/2' �FAFIIL R n FL —,_._.—._._._. _.—.—.—._.—.—.� "�:i..�w;•:•i:w.w:r:�:�vww:•i:wvwvv:... DEE ELE U NIT POOL L a AREA FL IT O S OR EL 11 3 1X10 P.T. • IL' O.C. B SnT. FLOOR_ POOL CRAWL SPACE_ ...... POOL IT-l' PROTECT BEARING SOIL 1 UNDER EXISTING FOOTING L' SLAB WITH ONE LAYER LXL 4/4 WWF B SECTION a STAIRS t POOL AREA :,o, SECTION a�1: AMILY �RO0M A�ND�l: OO�LA�R�A IXG TOO G i .................................... US .............. ::.::::::::::::::::.:::::::::::::.:....:::::::.. . ................................: ::::.. .. ... ..... :....................................................... ..................::.......... . ......•::::::•::::.:.::::::::::::::::::::::::•::::.::.::::::::::::•:::::::::::::::::.::.......................................... . :............................................................................................. 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I ..:::�.:.;�:�A::i::::•::;: XF T< .:'':i: ':..:.:.':.' :..::.:::. ..' ...::.::.::'. :: ...................................................................................... :::...........:•:::;•:::;•;:;•::;;•:;;;;•;:•::::;:•::•:::•:;:•:;::::::....:::::: :::::::::::::::::•::::::::::::::::..... :::..:::......::......•..:..........::.. ......-.....::.....:..........:..........::. .... .. ............................................................... s•::::::;;•:•:: :::::::�::•::: �::::•....*::::::;:;;;:" �:::::::: ::;;,=",;, .".". :::;•:::::::::: :::::::::.::: .....:::.::::::.:::;•::**...:•::.::::::•: ::::::::::...:................................................::...........:. ......::.:::::::.. ........:::::. :::::::•::::::•:::•:::::::::................ ...........:::::::::::::::::::::::::. a t�Ca :::::::::::: : :::::•::: :::•:;•::•::•::•... :;•:•:•:;;;;•:•;: ::.....:.:.:::•:::•:: .:::.::.:::::::::.:;:::.::::::::::::•:;•:•::::::::•: POOL .:•...:::....... •.•:.:•::.::::::::::::::::::::::K4TGH .N.........................................:..:............:. AREA EA _._._.J5 LE4Q4R_ EL. 124- 1/ '9 4 ............................................................................................. ....................................... ....................................... c e XIO P T I 2 G O.C. ......•:::::....:::.......::•::::::::::...::•::•:::::.........:::... :::.,...,...::::•::::...::::::.::::.............. X.tS.T..........::.....,•::...,•::.::::...,........:.............::: ::.....-..........::..........::;:;;.-.......•........:....::•:;:;;:;;:;•:•: ................................... ::::•::::.::::::::::::::•:::::•::::..G.........�U.. 5PA E .0.................::::..::.::::•::::•::::::::::.:::.•... ............................................................... BSn T FLO OR R P L 4 RAWL P II _. C S A._. CE ...................................................................................................................... PROTECT BEARING SOIL EL. 119._9. ' 1 UNDER EXISTING FOOTING � _ C' SLAB WITH ONE v i/ - � - -LAYER GXG 4/4 WWF —_ ,, i -:.I • �'a ° 3 Z 1n a RTIAL . EAST :PLZEV ,;TI, N: - ,RESECTION _;. 5 FAMILY P:OOM t POOL Ai�EI I µA r. ;�,7,,. �' J Y 't'� 4rr� 4�� '...a� ..,7 �7�2£r c,i �'3. .-,.:;�'L Y'k,..x,A - .e ' r - �.,.�:. S .Z..rtF a i T J" rob ?'r A•T`E ..+, r. _ .5,... - L .,a�G3 R - __ _ .:v a.--^Yk s•�#:. �.r _. 1 x ar .,�.,.�-y_ L..,s... ��� s/\� ♦ 1� /%r � ram►:� '...,-- —r- r' .� �_ _._ - _ _ Application to yy�P¢OEHN��E pi�5 Old Kings Highway Regional Historic District Commit. tee 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 CATEGORIES THAT APPLY: 1. Exterior Building Construction: [ New Building ❑ Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial aOther 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New VWall Existing sign ❑ Repainting existing sign 4. Structure: Q/Fence ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE 1 L 7 ADDRESS-OF PROPOSED WORK 5 (0 Cf-ClAYL S 1- W• 'bftW5TA43L6 ASSESSORS MAP NO. 12 9 OWNER Wr!2 F./i44A-14. ( -L( L-A100 ASSESSORS LOT NO. S� HOME ADDRESS C"013� Sl .• TEL. NO. 3(PZ- 45-773 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). AGE_N'T I R CONTRACTOR Pff(�c-I C ��J`( TEL. NO. �9 - (373 ADDRESS 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�tJSTa'�cJ S/�-6 Gvi 1/6-E-1-f 6kL- (.(Tv c10 S�J/�il�, Ta /L �/ iy i5 f/�/� a-vs� . Fi�l/ CUvsU jda'u� Gt/ 7W 6 S i a2 U�TUL �v CJP 7-0 6'///61; Co2vcnor-�F 7-0 6,6—j.eikTL/46O 17b .G.S-65- 3 am.6 S i 0 /f� GAIT/� 7'�ddd�Z_ /,/ GfiT= S� Signed ', 't`, � I Owner-Contract - t Space below line for Committee use. r:- Received by H.D.C. Date a Certificate is he eby Date i melUN �. Il AAW 8UV-j,: rA NS 8 �cQWoAd FYI OLD KINGS HI HWAY ' Approved ❑ IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period nrnvida.rf in tha'Ant Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION S L—Ae SIDING TYPE U„�i'U l l.��S10/NV -TO MATCH- COLOR 7b /`ftIV76-61 6pC157741& CHIMNEY TYPE AlojtJ COLOR ROOF MATERIAL /LI�9TC�k/ /S j)/I/[� COLOR 7b I-Ie7-C,�4 OCl577Z{J(� PITCH -/-D WINDOW SIZE TRIM COLOR DOORS V6�Ei/CA-c- 5 i,91V& -/v IiWi�y COLOR 7-0 SHUTTERS `(/fit// COLOR GUTTERS DECK (a qd O O GARAGE DOORS COLOR SIGNS COLORS FENCE U 6 �l ' 7j H C - H 5, Q)IJ& COLOR �D /''IA%Gf/ NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan, landscape plan and elevation plans, when applicable. Site plan should show all structures on the lot to scale. SPECSHT Katherine Reiland 510 Cedar St. W. Barnstable, MA Assessors Map #109 Lot #51 List of Abutters Old Kings Highway Regional Historic District Committee Certificate of Appropriateness Map No./Lot No. Name/Address 109/50 William Reiland 510 Cedar Street 109/61 Manuel & Olivia L. Da Costa 501 Cedar Street 109/62 William Brooks Smith, Jr. 515 Cedar Street 109/63 Edward S. & Carol J. Jay 531 Cedar Street 109/64 John C. Stephenson 551 Cedar Street 108/15 Amy Lindeman 475 Cedar Street 109/89 John D. & Debbie M. Bourque 468 Cedar Street 109/18 Gerald S. Garnick TR 484 Cedar Street 109/19 Michael J. & Area F. Prince 16 Kettlehole Road 109/29 Neal A. & Patrick K. Zall 15 Sheep Meadow Road 109/30 David j. & Barbara L. Kern 52 Kettlehole Road 109/49 John P. & Laurie J. Ellis 542 Cedar Street 109/52 Robert A. Houst TRS Lot #41 Kettlehole Rd. c/o Louis Taloumis TRS Dennisport, MA I iff I I I L ; I , -_3 N I � 1997 039 Old King's Highway Fegiorat Historic District Commitree in the Town of Barnstable for a CERTI FICATE OF APPROPRIATENESS Application Is hereby made, W triplicate, for the ;ssuancs of a Cert)ilcate of Appropriateness under Section 6 of Chapter 47� Acts and Resolves of Massachusetts, 1973. fcr proposed work as described below and on plans, drawings or photegra" accompanying this application for: CHECK CATEGOR ES THAT APPLYY' 1. Exterior Building Construction: ❑ New Building ( Addition i1d Alteration Indicate type of bui''d' g: Q�House ❑ Gar3ge ❑ Commercial ❑ Other 2 Exterior Painting: 3. Signs or Billboards: [] New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence CI wall ❑ Flagpole ❑ Other (Please read other side for axplanation and requirements). v TYPE OR PRINT LEG]SLY OATS 2-12-97 ADDRESS OF PROPOSED WORK 510 Cedar St. , W_ Barnstable ASSESSORS MAP NO. 109 OWNER Katherine W. Reiland ASSESSORS LOT NO. 51 HOMEADDRESS 510 Cedar Street, W. Barnstable TEL. No. 508-362-4573 FULL NAMES ANO ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any pubii,- street or way. (Attach additional sheet if neces.-pry). SEE ATTACHED LIST Mr. John Ingwersen AGENT Architectural Design Incorporated TEL. N0. 508-255-0606 ADDRESS 62 Route 6A, P.O.Box 186, Orleans,. MA 02653 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 proYosec locations of new signs. (Attach additional sheet, if necessary). Master Bedroom/Bathroom, -Breakfast Room,_and Excercise Pool Room addition. Signed Space below line for Committee use. John Ingwersen/Arc tectural Design Inc. ,, ecsaved by --.:D.C- 7n1 -0ate :.The Carttti5rte is hereby D e Approved ❑ tP.1PORTA� If Cartificate is approved, approval Is subject to the 10 day appeal period provided in the Act. 'Torn of Barnstable IL= Old Khig's Highway Historie District Committee , SPEC SHEET FOUNDATION Concrete SIDING TYPE Ver.ttdial-- siding to match exi sti neOLOR to match existing CHIMNEY TYPE Wood Siding COLOR to match existing ROOF MATERIAL to match existing COLOR to match existing PITCH to match existing 9: 12 Andersen casement, sand color WINDOW to match exi sti nq SIZE vari ous sizes, see drawings TRIM COLOR to match existing Peachtree "full glass DOORS Andersen Frenchwocd sliders COLOR sand to match existing SHUTTERS NA COLOR GUTTERS Wood to match existing. DECK NA GARAGE DOORS NA COLOR SIGNS NA COLORS i FENCE NA COLOR RMS1 Fill out completely. iucla3:;3 zaasuraments and _-ztarials/colara to Da used. "Inree copies of this form. aso racuired '.or autmictal of an application, el:.aq with chrea aopiea each of tha plot plan, r-�^�vex C�is landaeape plan cad alevat'_on plane, when applicable. P�`l'o�e21'�.tC a kd�`ngo�t;phe =c reified" except for { new homes. but should chow all structures on the 10C to SMSHT Katherine Reiland 510 Cedar St. W. Barnstable, MA Assessors Map #109 Lot #51 List of Abutters Old Kings Highway Regional Historic District Committee Certificate of Appropriateness Map No./Lot No. Name/Address 109/50 William Reiland 510 Cedar Street 109/61 Manuel & Olivia L. Da Costa 501 Cedar Street 109/62 William Brooks Smith, Jr. 515 Cedar Street 109/63 Edward S. & Carol J. Jay 531 Cedar Street 109/64 John C. Stephenson 551 Cedar Street 108/15 Amy Lindeman 475 Cedar Street 109/89 John D. & Debbie M. Bourque 468 Cedar Street 109/18 Gerald S. Garnick TR 484 Cedar Street 109/19 Michael J. & Area F. Prince 16 Kettlehole Road 109/29 Neal A. & Patrick K. Zall 15 Sheep Meadow Road 109/30 David j. & Barbara L. Kern 52 Kettlehole Road 109/49 John P. & Laurie J. Ellis 542 Cedar Street 109/52 Robert A. Houst TRS Lot #41 Kettlehole Rd. c/o Louis Taloumis TRS Dennisport, MA i r m � / •3 � t r o � 1 t de _ r �1 Y ww Q t' L'► � y m • � oar a�oa a♦r ♦v ♦s 1 o 11\� q+ 0 F HQ �` OL tj Boa ♦� eb \ y ol O u N ® pi so \ a p :D o• " �► t`r �! � LS Y' • D i �. •14. P P +�o; J o r rof J j ® , q r A : ©. C Y i O s— ® f6 •, O � 0 ® y �• ��� � � its` � • a ° 0 0 e' top 0 _ 4D g . Ir do 1 ` 40 r o y ro `f • '0 0 LOT 41, LOT 38A j \ \ � 2�g LOTS 39 &. 40 83,173 s.f. \ \ \ \\ ( ) Gov /N�� \\ IN. 7-1 \ EXIST. DWELLING T.O.F.— 128.0 "r/ l l l j l I l / c.aBc,F rv. 077 A \ Jr c BENCHMARK: ———J �\\; <. : fi \ �,,�►'�f/// /// ///cV�� CTR OF C. BASIN a\ \ / \ \�` a ,l20- "*' / / / / /// /i • 8f►5�•�/ EL. = 100.48 (ASSMD. HYA. QUAD.) •\� �� `— � \4k\ \\ JOB 96-380 REILAND/INGWERSEN �,� \\ \ ► �` -" --' ;/,;' CO 510 CEDAR ST., WEST BARNSTABLE SCALE106- 1 = 30 JANUARY 2, 1997 v 0 / 30 0 30 60 90 Feet \ r ;. -� 4—-® \ off. 508-362-4541 \ fox 508-382-9880 down cape engineering, inc. 25.00 � CIVIL ENGINEERS LAND SURVEYORS \_ 939 main st. yarmouth, ma 02675 s _ S/�.t1 G.&A P -WED JAN 6 1997 /'i�jCrit rivll�;l. -- I . . 1R i . - t 1 ' , i BUILT IN STORAGE II�IN IIT NNUII� i WALK-IN CLOSET . ...................................................................... ............................................................ - — I I �II�IE1�I I ....... IIIII) MASTS l R BAT MASTER H �� BE OROOM O LI -� CEI N R A i G B E K I 1 LOW — .� ABINET 1 C S 1 1 I • O 1 .. 1 I 1 1 1 1 1 1 __�I L_ _ RID — ._._._. ._.—. K E L. G C • KT E AT L I CH N C HEDRA 1 . = 1 I I CEILIN G 1 I 1 =: 1 1 0 _: 1 1 1 O . 1 0 I 1 ee ISLA ND W/ L_ _I - ee' . ; :- .,.. .•........... c 0 — BRE • ,4KF •(• AST A E R A . I . .c ........ . Bo OKSHEL E V S I' 2'-8" ; ; E . ; ; B D ROO M . E D MOLIS AN F O E R H D REM OVE Y I M I E XISTIN DE G K 2 8 C .:. . I. S ELV H ES AN D OA C T 00 H KS OVER C ED Rf B K W LK C A WA Y FO E Y R . . . NOTE• .. FRAME F E OY R AN� E B DRO M D O FO ER 8" Y 2' DOOR W S / HEA ER D S TO 0 ." • .. .. . ALLOW F R F - i O UTURE 2' 10 DOOR L E �j �C OS T ' .f. .. •................ •(.4.I.� a . . . . . . . . . . . . . . . .. - - - - - - ,: c I CTURAL DESIG N . . . . . . . . . :: INCORPORATED .. . . . . . . . . . . . . . . . .. g 2Rt6 A Box 18 6 . . . . . . . . . . . . . . . :: O l a .. ................ ..... . . . . . _ r e ns MA 02653 508 255-06 6 1. 0 �. — R. • .. • _ • • • • • • . • ', ' 'k.- jai I i '{�(�� j1 - I :BET'15: i .. r�, / . . NEU1 POOL / : -- — — AREA _! : — ------- -- ----- 1, SWIMEX MODEL • i . 900S .� ............... ................................. ... �: i i `J I • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f i I . .. i DEM OLI SH AN D RE MOVE ; I EXISTIN G GREEN O H USE I - i Da to Revisio ns :;: . . ; :•: I S a c le 1 4" I 1' 0" i I I Dat e Fe brua r 13 1997 Y . I :1': Dr awn ERT I j y Job No 9622 i ., .................... .. ................................... . : : E .. 0 T G . FI RS T F LO 0 R j :r: P LAN . NORT H R e is tratio n i g i - c Architecture 1 Deei n Incor rate d 1997 6 Pc _._ OKHHDC SUBMISSION 2- 13- 97 . NOTE: HATCHED AREAS INDICATE EXISTING CONDITIONS. , — _ _ — _. --- — --- — _ IX6 VERT. Tl E G BDS TO MATH OAR C EXISTING .......... ............. .............................................................. ::, I�1[�OW::::::. ::. :::. T T.:.:.:................................. .............................................. i:r.:as :^:r::: ..::.r'.�::aa .:.L'.::: ::. ::.1:':::::::::'.I:::::'. .... I I I L----- IX6 VERT. TiG ........................... ... ..................... .............. ........... BOARDS TO MATCH EXISTING 5 C 35 ® IST FLOOR EL. 124 - d 3/4 t 1 I I I 1 1 I i I t 1 1 � I I . . ..... ....... .......... ........ .. .............................................................................................. .......... ........ .......... ....... .......... ....... 1 1 CRA WL SPACE FLOOR I ..................... .. ........................................................................................................................................................ EL. 120'—II" —- ---- 1 I r 1 URA ARCHITECTL DESIGN I I I I INCORPORATED 1 t 62 Rt 6 Box 186 I t 1 Orleans, MA 02653 t-MLBSMT. FLOOR I --J 255—0606 EL. 116'-4 1/2" I WEST ELEVATION ............ ............ RI N RIDGE VENT L IX VERT. Tt G ......................................................................................... ........................................................................................ :::::::::. :::::. ::::::::::::::::::::::.::::::::::::::::::.: :::.: . ::::::::::::. BOARDS TO MATCH C EXISTING VELUX VELUX VS30 VS301 Date Revisions RIDGE VENT E T ASP HALT ROOF H OD SHINGLES TO MATCH EXISTING C G Scale 1 4" 1' 0" Date February 13 1997 W Drawn ERT Job No 962 2 t NO RT &H WEST IX6 VERT. T tG IX6 VERT. Tt G R T BOARDS O MATCH C ....................................................................................................:.. .. . . .................................................................................................................................. ........................................... ......... ....... MATCH ................................................................................................................................. ................................. ......... .......... ...... BOARDS TO .................................................................................................................................. ........................................... ......... ....... EXISTING ELEVATIO S IS N EXISTING T CI5 Registration — . � . — . — . _ IST FLOOR • NORTH ELEVATION I OKHHDC SUBMISSION 2- 13- 97 't { I AC CONDENSER NOTES HATCHED AREAS INDICATE L�.�_ �_ _ I CONCR —1 ETE„ PAD_ . _ • — . _ _ . — — — _ ' �_�; CRAWL SPACE FLOOR �— T — ' — . — . — ' —1— c Architectural Design Incorporated IBB7 EL. 120'—II" EXISTING CONDITIONS. __ T I � 1 I 1 1 1 I I 1 I 1 I _ . — . — . _. . — . — . — . — — . _�___�_�.�.�_�.. _�_�_� . — — . BSMT., FLOOR ELo IhW-4 1/2' A* 2 ------------------------------ I I r I i IX6 VER T. T! G AR BO DS TO MAT CH EXI STIN G A P AL S H T ROOFS IN LE H S G TO MATCH EXISTIN G ...................................................................................................................................... ..................................... . ASPHALT R OOF S IN H LES �r: G T M T D A EXI CH STIN G . X6 VER T. T t G BOARD S TO MA TCH EXI T G1 O6 - - s IN G 2 8 WG1 06 2 8 C� •:� ST PLO OR — — — — — — .. EL. 12 — 1 4 6 3/ 9 1 .......... . ......................................................... . ......... . ......................................................... . ........ .. :.i: r:::::rr 1 .......... . ........................................................... ......... . ......................................................... . ........ .. .................. :: .......... . ........................................................ . ......... . ......................................................... . ........ .. --------- ----_ - -- — -- I EL - ____ 120 II" . . . ................................................... . .......... . ......................................................... . ....... .. . ................ . .......... . ........................................................... ......... . ......................................................... . ........ .. .................. ----------� ARCHITECTURAL DESIGN --- INCORP ORATED 62 Rt 6A Bo x 186 Orleans, MA 02653 . (508) 255-0606 SOUTH ELEV � TION - , . . ,, . 1: ... . Date Revisions Scale = - 1 4" 1' 0" Date b Fe ruar 13 997 Y . 1 IX6 V R t E T. T G ...... ........... ............ ........... ............................%..... .......................... ................... .................................................................................................. ........... .:•::::. :::::•::::::..... ,,.......•...... ............ ........................................•............%. ................. .,......... ........,:.. ............................ . . ...., D BOARDS TO MATCH ................... ...... ... ...::••..• raven ERT - EXISTI N G .�::: Job No 96 22 :.V::.'::.':: 7;.:' r f i { ti, ,1. i r e` s d 1 1 i -1° ll f 1' r r J SO UT 1 .� H & E AS ,z�68- E LEV ATIO NS IST F LOOK M ....•.................... rrrn .'............... ..................................................................................... ............................... ...................................................................................... ............................... .. ..................................................................................... ............................... .. F: I: *,::.,•:•: ::•:::i•::i•::::•: ::::•: :•: .:: .l:::•::•::::: :•:•:::::•:::•:•: ::•:::•::::::•:•:•:•::•i::•:::i•::::.:.: .::.,:.::::.:i:::::: : .....• ::•:•:: :::::: : :::a:: I �; ':1 :I I::•:•::::.:::•:•::.6....r:•::::.... •:::•:::•: ...•:::::.: •. ......:: :::::::::::ti::::::at::::.::.:::::: :::: ::ii:::::::::::::::: : :::: ::a: :::: :: :::: ::::: .... .. .... ... . . . .. . . ..................................................................................... ....... ......................... BSM L T. F OOR — — — — - ------ ---- ----- I - - — .. — . — . — . — . — . — . — . — . — . — . — . — . — . — . — . : � .....e.......................................................................... ....... ................ ................................................................................................................................................................ ...................................................................................... ....... ................ ............................................ L-----------------------------------------L-------------------- ::................................... EL. 120 -II ______________________________________L------i----_—___--I c AreMectural Design Incorporated IN5 - OKHHDC SUBMISSION 2- 13- 97 EA S T E L E * A T ( O � NOTE: HATCHED AREAS INDICATE EXISTING CONDITIONS. - - -- ___.----- .. _ ..R_,. . .....- ...v r ..,r_ ............ .. -. -__ - 1 i.r Vxr.w +.+aw+•_r ws—.a_ .•n..-. .. r.._.__.. - ' ti..--•:,.. .. . _ ♦ .r.r.r...au. M,.- +.n n Lr.1Mah.cM1w.l... W- --". ...._-u.. ... ......,. . .. .. -....r-. .,.._.e • ..o-. r .•++-.•v_w.r.... i rMnwr..u.r.rr...-.-.r.-..-.r. ! r.-.. ...nrr .r..r r. «.- ......_ ._ - • SEPTIC PROFILE TEST HOLE LOGS ' �� J T.O.F. AT EL j ! (INKIT TO SCALE) ACCESS CODER TO MRfNIN 9' OF FIN. GRADE ACCESS COVER (WATER'no 17 TO ENGINEER: n IN Or OF FIN. .GRADE l2Z -• 123� IZ. WINIMUW .75' OF COVER,OVER PRECAST ,/� t L I 2X SLOPE REQUIRED OVER Sl 3 tF i ,� ! �� 1/ fy ►,.�ra( ! :.:...)k' WITNESS: �. RUN PIPE LEVEL' j 120.0 (DQ„ ) FOR FIRST 2' ! /` 2 !(JoJh1.6.•►�•A+►t�(�Oia;ct;ct `i DATE: Z' �' • �"1 Y P�. ,� Tj PROPOSED 1 S oo P. CALL ON SEPTIC -� PERC. RATE LI N►u Io I 11 1 M o '. I 11 q I(r TANK (H___ . @ .!}L - - _- _ _ ,1! - II�AI�11 II �'1 I IH.b ►L✓ Y _ _:,_ 1 CLASS.-�� SOILS P# 010'l0 C , t ti X SLOPE) 6'�CRUSHED STONE OR MECFiM11CAl �, ^ •`'�� - '1'/y' (701 i��-�-�.1�3 rJ j r l --I } I s DEPTH OF FLOW _ COMPACTION•'(15.221 (2j) 1 / TEE SIZES: M G.X SLOPE) ( X SLOPE) ✓ -� { INLET DEPTH (� p 3 p OUTLET DEPTH �� , LOCATION. MAP i` �t� LEACHIN! ,J , d ASSESSORS MAP J 5 i FOUNpAT10N SEPTIC TANK D BOX "' '✓ PARCEL t FACILITY' 1 FL00D ZONE G ►.r�.oa►-i t v 4,e S/� BUILDING ZONE: 44 I�io ns \ r) jT �� 1 IDQJ.IJ- �•t.><ry�,,a5 SETBACKS: FRONT Lo } Iok� s c. SIDE — �� _ .^� I :Gz, REAR ` j GL � PLAN REFERENCE: i > 1 1 II � �. C( I J I NOTES: I E > \ ./ ]- 1 DATUM IS �/r/;_t�'`"'1' It1 ,i .-►I- Li "i, � til;�. TIC ,:FK�!C,�� ca,RBArE DISPOSER �•' Atrt 4 2. MUNICIPAL WATER IS ��I /' . ry u r -_- 4. DESIGN LOADING FOR ALL' PRECAST~UNiTS TO BE AASHO-H r • / 'N n ✓ `` ,• G ., -`'`�--- ;..-IL A rj:1s �GP DESIGN FL.UN 5. PIPE JOINTS TO BE MADE WATERTIGHT. I u A� �, � / ,� - F TIC TANK: '/ =� GPD - LLs� GALLONS i a , .. . . : ' t.- ! - (-—� Y 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCEWITH MA ► j �r+o p E�►,,T. ; ENVIRONMENTAL CODE TITLE V. ; %Of &V 1A �. E A �rt C GALLON SEPTIC TANK �, l av� 7. THIS PLAN IS FOR PROPOSEDWORK �'�. \ L��'" / 1_..•.CHlNG: . ONLY AND NOT TO BE •.USED FOR LOT LINE STAKING. J !)ES: -?�� ; _+ .''_1 (Z�) _ .., �-in.a -GPO- _ 8." PIPE FOR SEPTIC SYSTEM TO SCH. .40-e PVC. OT70M: (' �� x B.►:3 ( 'T-f. _ '�10 GPO 9. 'COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT I I \ ,�rQ• `, ,► . - u• f 'DTAl.: �� S.F. 5��r `i GPD INSPECTION , BY, BOARD OF. HEALTH AND PERMISSION OBTAINED !• / - i FROM BOARD OF HEALTH. ., V � '. '� I / / / � ._ '�._ ' . ` IJ�A�I 11 L's...i 1 rJ F -� cif^'�i i.'t ,�.1 L•y.� 11 ,� \ �•".,..� / (((/// I , 1 .,. 1 10. EXISTING �Eau1 'r rto as:; : i ! � � � i �••--- .•_._.____=1..G�1(: rti v D-..;� „ .. l � •r_I D wl� .�..v.-r: 1 P{ (�JC: �.�•►�(� S� • W, 1 lh IL1C,'(cL•� 10J t✓'� BCD-till r 11 / / l�JC':,�p►-I bF'iM`�r: I I1 p.��c✓L• GF �?YLi► �M. 1 P•• SITE AND SEWAGE PLAN OF 7. �� tiro `- o -fin l�.=� d-'� U i� a tii or- ............ , �[ �a--r I o►� IN THE TOWN OF: i Q / Bo / E �•�,-�Li .c>-toy cam-'_ I: ^� ! -_ PREPARED FOR: a / \j APPROVE RATE I vV IP M f`- LI �'a F-' Feet fSCALE:.'. 1 30 DATE: 2•. 1 °I c c Ts7i cap e engineering, inc. x„ Of . �! � �K of CIVIL ENGINEERS ° ARNE �� �tAl ! �=�r. �d H. �o�` ATONE H. �`�� RECF-1\1 LAND . 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