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0851 CEDAR STREET
c G 4 OxfordNO. 152 1/3 ORA ESSELTE 10% m a n '`` �� � �- aG- �9 ���s� � ���y /�.z��99 � � �D` � a� �F j i { r �: • �I s .�L 4. ,L1.:_ W� '�� �E�.Anv._'--+rlst�g,vaa:'nr' r ..a^.u.'--�. _ ,_ _ _ _ _ _ - _ - �.>r tG� '1-. i Dv i - 1JJ , i 1 I TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 000 000 287 GEOBASE ID ADDRESS 851 CEDAR STREET_ PHONE WEST BARNSTABLE ZIP . - LOT LOT 2 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT PE IT TYPE BC0O1 TITLEIPTION ffiJigifATE 8y OCCUPAnff 1 CONTRACTORS: ARCHITECTS: Department of Regulatory Services TOTAL FEES: $25.00 i.. BOND $.00 CONSTRUCTION COSTS $.00 snMMISM MASS. 1639. FD MP'� BYINI� I IVISI�0Nl� DATE ISSUED 04/20/2005 EXPIRATION �DATE i s Department of Regulatory Services 4 i �BARNSTABLE, * � 039. BUILDING DIVISI 'N r BY �� ,� I THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN. CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. WORILeii I BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 del v'Od L Bpi. 1 �fr/� fryV f.0/A/ ©� I 2 f [[/n� .Q 41 3 rC 1 HEATING $PECTION APPRMALS ENG NE RING DEPARTMENT -` 2 q _ I ci vs BOARD OF HEALTH OTHER:Aes-y`C49A1_';?ybW k/Re 60Pr SITE PLAN REVIEW APPROVAL I I I i WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS AP 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. II 1 1 i � w I I I I I BU. ILDIING PERNi a p' fif 'v I I I � I Y TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 000 000 287 GEOBASE ID ADDRESS - 851 CEDAR STREET PHONE WEST BARNSTABLE ZIP - LOT LOT 2 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT PE T TYPE SC �� TITE#IPTION CfRTffICAT§ 0y O CUP E CONTRACTORS: Department of ARCHITECTS: P Regulatory.Services 'DOTAL FEES: - $25.00 BOND - $_00 CONSTRUCTION COSTS $.00 a +► BARNSTABLE, MASS. BU IN IVISION . . BY DATE ISSUED 04/20/2005 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE-APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL'AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR.ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLE- POST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 I 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT. 1 f' 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL a 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 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108-1904 (617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424 6/11/2008 Form of Notice of Casualty Loss to Building Under Mass.Gen.Laws,Ch.139,Sec.3B 1 i BARNSTABLE BUILDING COMMISSIONER 367 MAIN STREET 367 MAIN STREET HYANNIS MA 02601 Re: Insured: JEFFREY SOLLOWS Property Address: 851 CEDAR STREET,WEST BARNSTABLE,MA 02668 Policy Number: 1006651 Type Loss: Fire(including Fire caused by Lightning Date of Loss: 05/03/2008 Claim Number: 252487 Claim has been made involving loss,damage or destruction of the above captioned propert,which may either exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any notice under Massachusetts General Laws,Chapter 139,Section 3B is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured,location,policy number,date of loss and claim or file number. MPIUA Claims Division c .: ~> Ln CMA00021 tD 3= Q Lam" M .. a Cj� 1, { 1 f TOWN O STABLE BUI RMIT APPLICATION Map , e P cel ©©� 70 Z Permit'# 7C3 Cr ,Health Division `� OFBURP{S7Alie Issued �,� ✓� � 2OG� Q T %onservation Division J . .3 Ap lication F e 0, }-t7 g• �b Tax Collector � a a o� Ay RICA Permit Fee SEPTIC SYSTEM UST BE Treasurer D! 1S10 ! IN C0MPLIANC;FF 3� Planning Dept. NJL �IyITt;TITLE 5 Date De fi ' ' an Approved by Planning Board P\V sLc—�'W D - cN=ONMENTAL COD:A'*. TOWS 4 REGlIU.Tlc.:3 Historic-OKH Preservation/Hyannis ,_& Aklo s, tlS�aO , .I �'M Project Street Address iw\�ry Celar 6-wee_-r— 3arlt /G Village k3ce)Y-AsLa b l e— Owneraf e,66"i_Y >�5 � N/Y ,,,'z-Address moo) Telephone 5 05 — 3 7yr`��� n_P:9—7707 — 9�v��� (�J Permit Request f' O G O,U 5 j*r U L°- a (o t/'mD A4 %rya E_ Ctwit � U / Square feet: t st floor: existing proposed 2nd floor: existing proposed J l 7 Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ' dConstruction Type c, Lot Size 3 , b 3 Grandfathered: V(es ❑ 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 es XINO Basement Type:Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Z 3 3 Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new _ Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: >(Gas O Oil ❑Electric ❑Other Central Air:)<Yes ❑ No Fireplaces: Existing New�_ Existing wood/coal stove: ❑Yes ,4No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:0 existing ❑new size Attached garage:❑existingAnew size 916S\cShed:❑existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial ❑Yes XNo If yes, site plan review# _ Current Use_z/4n�ARW9!� o Y Proposed Use k I BUILDER INFORMATION Name • r^ tZ & D 15 T Telephone Number Address,//00 �oy4. 1 License# Qf Z1/ 3U �h lJ9l'�Y`LI;//c - / � q 2 Z.3 � Home Improvement Contractor# Worker's Compensation#wl�7613�X91X7y�/��� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 920/"n t-' SIGNATURE DATE /�./a FOR OFFICIAL USE ONLY e PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ,��"p 9 k /d ZO— FRAME INSULATION ' t FIREPLACE ELECTRICAL: ROUGH FINAL 1 PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING � ®csL DATE_CLOSED OUT - ASSOCIATION PLAN NO_ r RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE $50.00 New Buildings,Additions $25.00 Alterations/Renovations Building Permit Amendment• $25.00 FEE VALUE WORKSHEET NEyy LIMG'SPACE square feet x$96/sq-foot= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.f t� >120 sf-500 sf $35.00 ' >500 sf-750 sf 50.00 >750 sf-1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building pit x,0031= square feet x$96/sq.foot= STAND ALONE PERMITS y� �-. x$30.00= V Open Porch (number) x$30.00= . Deck (number) . Fireplace/ChimueY (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 00 ' Relocation/Moviug $150. 3 Z (plus above if applicable) Permit Fee pmjcost r The Town of Barnstable BAR„� Department of Health Safety and Environmental Services ' Building Division 367 Main Street,Hyannis,MA 02601 508.862-4038 508-790.6230 PLAN REVIEW Owner: If-F/`&2/ Map/Parcel: Project Address: Qe-0-6/2 ST Builder: _ F12,iyle� CryPR�'/3 The following items were noted on reviewing: S��r,"//'rJ 3 Y Pe2M.'r Reviewed by: Date: The Comrruinihieaith'of Mi ssachusetts Department of Industrial Accidents 60q Washington Street _ Boston,Mass. . 02111 Workers'.C m ensation.Insurance Affidavit-General BusinessXXXZMA es g2'IIe: �,� `ram ♦^ � � (v(�" '� 0 1 Ii •• 's ��i •� .� jam' 5 L• / zi ;Q hone/# state• site locatio2i full address Restaurani/Bai/EatYngEstablishment work []Retail❑ i ain.a sole prc p)4etor and have no one ' $asi I.. ...Type; ' []Office�]Sales(including Real•Estate,Antos etc.). worlang in any capacity' , ' I am an em to er with •' etn to ees full& art time . ❑Other Y /%%%%//////%/ ��i,'�l///y � � %%%///////%%%% r on this job.. t /%/ /% c�mvensation for myemployees wo. , g 9 ; z aIIl �•ployer prOvldin"g viorker5 �„ Y 1�').:{; .:.:r` .:tt' t' •l d� '.t:tt7j�•.t• .�'1 "t•. .S: ,.t. :r•f.: fdt�!'({"'` r ft::�,It,.. �i!•r t•"! ��dt` :. .t . .•::. •� i,,,tiN,.j t{'{%.1'•• '� •ti, .,�i-.T:i �:r •';J:' .,'f••• �� CODl 8n IIIlet �' it• .xi.' t,• �: t j.t •v;1:J'•,r. .• �., ,l t ;' ,`f .I'�i•. t7'r':t:i: •, yr, y•, '.�` .kt• - i�. • •'�i.�:R;'.: �l'' •. ,Y .i• t '1J •, ', :- a� 'r t•t•. :v�1�+5'-t:t"2r�:;t .f=R•'.:i�.'•�'t.( t,t r,. ;o.• •.• "2'..f .I ' .�. �r' • s.3 "A 1:::1 +F..•:': ..5';• :r. S•. ;. t,•tt..:. 3 ; r �5. �:r�j (t. {•.::�' ;.a'�i t.;." J1di�y ii' •` •at• t•. r• V. t•t••'♦7 '•t:j:.•".t.;l'•r''i�^t••S;lt,f1•• '•S:�I.n+'' •5�~'.'t '}'1 l;tlal•CBSS � '• ,�. t. r,• .rt•.'�ti:. i.,tL••:•t�i+..)•'i�''•" t.{'. :t .: ti.. :;. �j• '...+•' •r7•'•�"dig J' :rtt y 1 ... • 5t -� ��"Ki;��•:'V'S'F_?:;•'-i• a. 'k\�1 t1i• :ti4i••' ,' 't� _ ,t .'i �'• " .t :t•.y ci• "r .^`••• " Stt� �t i' ,3 't . {:•'. ^,.'. .1•.. i�• %1 • ':t, •,1�:•.1'��:r t••'`;+• •,(,' •'t ..A1,,•,. '1 ;; �' V:. 'r.h t•J.i,'4•,`4.;�•: L:' `a.`•k:',.. '' Ol1C. .#'' i ,.v.•%K�,••�' n.: "I• ..1:^ 'fit.t,p,. 'p: :'ti'I:% . .'-•: .:..••.,::• •�/. MiTT Or1CerS' ietor and'have hired the independent contractors listed below•who have the following vaensaon p : comp•.�t: �SD�1 !''•`:t•<. ` a' • i i ..ta' .1;' .��t.ff;'"•• �•.•I r;. ;.P.•rr��,:-.�.:t C1. •r 1 co D 'r'•:•�:tn-••lt��..r•r•,;*v.1'•_��=t:n�::�. t ti ��•.a•y.�p��:'..' •,-y-t ,Sit ":••Yii? �?f 1 �.�^"t+�� •: ''��• r: .•�.t,• S.)t.' •.t.'' eaazes • :+ ' y t;F;. •': .•`•! :':tyb l " t . t ty�:p ,1 •,•t~ `• •t ^Y:a t ,'��t .g'i �• �'',S:t.! •rti'' 6i !• r• `bane ff:.•'t'�i•• �! ` " ." •. f•�:,':f ``''Vtf• •• t e�" ,t.. t t. ..t r,:bi.S'L::: M4•'•.'t:'< ::1:•:t'��S^ J:h:•t..•••. ;' /{r3z t� �•{ 5 r 510 f ,/�y,� C1 vtt:t: si tiF�+:'Y•+ •':• co. Fir Mwt frisurance t, ti.ii ti ';t: • • ::a ' J { :t:tlGt:•a'''• .: .N r• ',1 i•I•:;•:.�• / t. :`r,;•;•,t ;,•.•,.: '•.:ii^' I '' t r.• Y' .i �:1't• ' ,i••;;°f.�:w. ti� .v'a i.•.!':.t•,'. ,• ,• c .:�'r•S' iI!'•ti•y`.^ ...v' ••+''- ,(rr'�t`•:""t o•i:•i r,• •'tf •I' ',t.�':t�^•, .�ila '•:Y{: ....t>y. '" 77 '' •'t•i,r•t::::Sf .:•:,y..C:= t' 'rl•;:`•t,. 4,:•:,r. ::` t+•. •y;•� ''.,4�r... t"• '•� �..coi ry t;- •t r ^.r=•••it'.•' Yiiaaie:H;' ,.•. :r - t. i t n . . •• edtireSS: • '� t• n�`.r ..' •,„y . .'. t,' .r�fl�, •.t.J+ •}.t.•a .•}: , t. 't• ' t~ r.'/::t•••r• ♦ ..• + j .r �'G,. `. • ++i:.tt: .. .....•. . S ` • no�q CI+' �t .;I .. '� i' •.fir •' •-,t.<k: •J f.Sl••�'i'�" •i•. �t ri Ji:l�(. ♦j' .••T:ry':6• •,:S s••.. fit,':.`�"t,�,•,� ':�}�; t .t, •• •• � •ram L',p.it;+•`.', 1 '• •PJ. •L •:.� •• �•;3' t: �� t� }t,', ''.•dy. ••'ri..i:.:�';r.•:., t :t?:,. r',1r .tt t^ .t..t' ..• „,.. .i`,t t''l;�f�rt.: :t,i°- •t?' :i•i:t ,L �f i '•1:�7.,•:.`^f`.,�:,�y.'h,' r..•,;:r .,y;.t. ;�,:;:t`i,,'.' iti:':�: ;` J.}.'.S`j'".S' -'0'i1C. r: .t:'R':� •, r. 'G'':'^ .. •• ��� insi2ran ll sition of adi Failureeupto$1,500.00an or ffim to secure coverage as requ ed enalties in the fdYm der Section 25A of of a STOP WORK ORDER and a fine of�0.0 a day agaies of inst - I understand that sL one years'imprisonment as Well r tigation of copy of this statement maybe forwarded to the Office of Inves the DIAfor coverage verii-icatlon n er the pain nd pe alt s o perjury that the information provided above is Prue and Co I do hereby cr )� Date /) / Si�.ature � �t ., ' hone#s����� ��''��•C y , i CI Print name official use only do not write in this area to be completcd by city or town oMcW permittliceuse# ❑Building Department city or town: OLicening Board ❑Selectmen's Office []checkif immediate response is required []Health Department , phone#; []Other contact person: �3 (revved Sept 20 3) Information'and Instructions. Massachusetts Gerferal Laws'chf Ater 152 section?5 requires all employers to provi��Qvorkexs' compensation fir their. employees: As quoted'from the `lsw., an employee is.defined as every person m the service of another under any contract of hire; express or implied; oral or written, er is defined as an mdMdual,partnership, association, corporation or other legal entity, or any two or mere of An employ the foregoing engaged•iu ajoint enterprise, and including the legal representatives of a deceased,employer, or the receiver or artnershi association or other legal entity, emplo*g employees. 'Howevei.the owner of a trustee of an individual,p Px dwelling house dying.-nonnore than three apartments and-who resides therein, or the,occupark bf theAwelling house bf another �,�,ho loyspersons to do.maintenance, construction or repair work on such dwelling house'csr on the grounds or -buildingerrant thereto shall not because of such a#loyment.be'deenid to be ari m3oployerr app ' IvIGL chapter 152 section 25 also'states thafavery state'or local licensing-agency shall withhold the Issuance dr renewal of a license or pet St to operate a business or to construct buildings in the.commonwealth for any applicant who has not produced acceptable�evidence'of•complian6e with the insurance coverage reilrilired.' Additionally;neither'the' coimmonwealth nor.any.of its political subdivisions shall enter into any contract for the performance of public work u4' acceptable evidence of compliaride with the insurance requirements of this chapter have been presented to the contracting authority. _ Applicants Please t}remarkers'•eonp msafm affdavit completely,by checking the box that applies to your sitdation.. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department'of Industrial A60dents•for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returnedto the city or town that the application for the pem3it or license is being requested, not the peparhnent o�Tndustrial Accidents. 'Should you have any questions regardmg the•"law"or if you are ed to obtain a workers'•cornpensationpplicy,please call the Department at the number listed below- requir , . /02 City or Towns . Please be sure that the affidavit is ebnzplete andprinted legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in-the event the Office of Investigations has to contact you regarding the applicant Please be sure to fillin the perrrnt/license number ' ch be used as a reference number. The.affidavits may.be•returned tQ. mail 'FAXunless other•'an-angernmtshavebeen made. -' the D ep artment bye: or . .. The Office of Investigations would h'lce to thank y'ou is advance for you cooperation and should you have airy(uestions, please do nothesitate to give us a caIl. MEN The Department's address,telephone and fax number: r The Commonwealth Of Massachusetts Department.of-Industrial Accidents . �tf{ce to la�esti�tana . 600 Washington Street ' Boston,Ma. 02111 fax#: (617)727-7749 i .rr. ii-drn ryftm.Ar%r%A __t IAA.0 f C(farOACS4dT-eovxmll1 {dRII �AiIdIlS�1�� ' g�arlpKv�F'aekxS ' mmhiUtri ,g�tan%/cooling Pt Ti'iAXfirtllM Roar Dmcmpa S ew Trqu3pmcns Efftcia�c}� Syd1 gyaluar 6laiin� C{Ia�S ceiling � tl'valu �' � R�v� `yalut� �r A. • presage +S1Q1 to 6Sa4 HcctiA�I3egm Dx�' 6 Naca�f 13 I9 10 Numtsi Ig ag 10 6 15 AFM 13 Ig 10 �A Normal A t7'/• Q,SO 3E 13 21 N!A 6 ?iamsal I5T/. Q38 31 Ig 19 10 15.�FUE T ISY. 0.45 38 19 35 NIA WA • 11 AMU IS'h 0.44 35 15 19 IQ 6 X0011 Y 0,52 30 NIA NIA Nomml151/1 r , 11'/4 03Z 13 19 NIA N/6A 40 AFUE X Is% 0.42 3 13 19 10 6 90.AM Y 11% 0.47, 3 19 19 10 1 x I VA 0.50 10 AA , 1 ADDRESS OF PROPERTY: 00 )� gQVARE FOOTAGE OF ALL E R XTERio ,Z. WALLS. ��a � � 3, SQUARE FOOTAGE OF ALL GLAZIl;G; d/ , 4, e a GLAZING AREA #3 DNIDED r gE,I,ECT PACKAGE �'(0 '"see chart' abOYE); I 5 ORE yOLYM METHODS OF DFTERMINItqd ZjZgdY gg,Q EMENTS �Q'I ; OTRM TIo�I- '. ARE AVAILABLE, ASKUS FORTHI5IIIFO B�,DI11O�gpgCTOR ApPROV A.L: . yE5' q•forrn,•�}80303e � . .`..,,.I ✓�ie ZOonvrreorrureattic o�✓G"luJ.3ac%udeQd ' BOARD OF BUILDING REGULATIONS • (License: CONSTRUCTION SUPERVISOR Number: CS 012430 Birthdate: 06/16/1940 Expires: 06/16/2004 Tr.no: 25823 Restricted: 00 FRANK G CAPRA 40 COPPER LNe y CENTERVILLE, MA 02632 Administrator 00-35,000 d enclosed space (MGL C.112 S.60L) 1A-Masonry only 1G-1&2 Family Homes Failure to possess a current edition of the Massachusetts Slate Building Code is cause for revocation of this license. DIG SAFE CALL CENTER: (888)344-7233 *1 -r' n o SDI° n 6 f r � n e'y e 9 n G Western Surety Company r n u e n o 3r o LICENSE AND PERMIT BOND For County,City,Town or Village Only-Not Valid for Bonds Required by the State.Not Valid for Contract, ; Performance,Maintenance,Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. u � KNOW ALL PERSONS BY THESE PRESENTS: BOND No.L&P- 43249720 s That we 'Te -e iL i m e Sc 1 bw S 4• of the T_QAJ►^ of 1111 sue' ld�- 4fs�J,n —, State of %'1')GSs u G�a c�� , as Principal, n and WESTERN SURETY COMPANY, a corporation duly licensed to do surety business in the State of 't , as Surety, are held and firmly bound unto the ]-/�� � of R /,r l yl S 12�h1-_ , State of ma SSq CA i c t/J.-/ S , as Obligee, in the (Valid^only when a County,City,Town or Village is named as Obligee) amount of V���'�� -(,(-� d DOLLARS($ �o�d• 11 y ), (NOT VALID FOR• ORE THAN$25,000) lawful money of the United States,to be paid to the Obligee,for which payment well and truly to be made, we bind ourselves and our legal representatives, firmly by these presents. THE CONDITIO OF�IBIS OBLIGATION IS SUCH, That whereas, the Principal has been licensed 6( by the Obligee. NQrWi HfE,f FORE, if the Principal shall faithfully perform the duties and comply with the laws and ordi- na 0�s(nel t rl��ffli amendments),pertaining to the license or permit,then this obligation to be void,otherwise to rem 'rful foee'� effect for a periodAommencing on the day of Qn2A1"er�hg on�h'e day of A hf)�,unless renewed by continuation certificate. - Nis bond be-t7irmmated at any time by the Surety upon sending notice in writing by First Class U.S.Mail 0)le Obligee and tb7tt�i•`e Principal at the address last known to the Surety,and at the expiration of thirty-five(35) d7ays`&offijthAfhQitigjpf notice or as soon thereafter as permitted by applicable law, whichever is later, this bond sh' oji r•.mlat�:ai d.t" lie Surety shall be relieved from any liability for any subsequent acts or omissions of the Pr ieg4rdlegs of the number of years this bond shall continue in force,the number of claims made against this bond;-1-Vt 4 number of premiums which shall be payable or paid,the Surety's total limit of liability shall not be cumulative from year to year or period to period, and in no event shall the Surety's total liability for all claims exceed the amount set forth above. Any revision of the bond amount shall not be cumulative. Dated this 13 day,of I ) r Princi a0. rincipal Counter 'gned (where required) WESTER U R E T Y M P A N Y BY BY Reside t Agent Senior V ce President ACKNOWLEDGMENT OF SURETY o STATE OF SOUTH DAKOTA (Corporate Officer) COUNTY OF MINNEHAHA }ss On this /?2 day of 1 I , o/100 ,before me,the undersigned officer,personally y appeared Paul T. Bruflat ,who acknowledged himself to be the aforesaid officer of WESTERN SURETY COMPANY, a corporation,and that he as such officer,being authorized so to do,executed the foregoing instru- ment for the purpose therein contained,by signing the name of the corporation by himself as such officer. ; G IN WITNESS WHEREOF, I have hereunto set my hand and official seal. ; G s D. KRELL 8 cFAL NOTARY PUBLIC SEAL a SOUTH DAKOTA Notary Public, South Dakota c My Commission Expires November 30,2006 Western Surety Company• 101 S. Phillips Ave. ' Form 849A—9-2002 Sioux Falls, SD 57104. 1-605-336-0850 , r , U o ACKNOWLEDGMENT OF PRINCIPAL F _ e (Individual or Partners) STATE OF r J F ss J COUNTY OF c e F e e On this day of ,before me personally appeared e F , J F e c ° e F e c F e r J } F J known to me to be the individual described in and who executed the foregoing instrument and u v e acknowledged to me that—he_executed the same. y F My commission expires _ i ` Notary Public ACKNOWLEDGMENT OF PRINCIPAL (Corporate.Officer) ' STATE OF ss COUNTY OF � r P On this day of ;before me, 3 ;= personally appeared ,who acknowledged himself/herself to be the of , a corporation, and that he/she as such officer being authorized so to do, executed the foregoing instrument for the pur poses therein contained by signing the name of the corporation by himself/herself as such officer. ` My commission expires Notary Public r . c F n F r j r P, F c r n a CD v p z C1e F � FNyy c LV 4-3 C e (41 r a Cd NN J + p O ,� Fi e F�1 FI J F �.y O O e,, J ie i' F i w Affidavit of Su st tia-inancia! Interest 1 of 2.01 G els�� G� l id'K5 , can oath depose and state as fo ows: applicant for a building permit for the property ocated at Map , Parcel 1. lam a n P P -s o�_ The a is address of the property 603 00 /, �..� ' 2. 1 have % legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above. 3. Within in the last twelve months from today's date, which is , L , the following individuals or entities have had a 1% or greater legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: Name Address l3c��ws� f 4. Within the last twelve months, from today's date, which is , 1 have had :a 1% or greater legal or equitable interest in the following properties which have been the subject of a building permit application: Map/Parcel .Address 5. Within this calendar year, I have submitted building permit applications for property in which I have a 1% or greater legal or equitable interest. g. Within the last ten days, I have submitted - building permit applications for property in which I have a 1% or greater legal or equitable interest. 7. Within this month, I have submitted—building permit applications for property in which I have a 1% legal or equitable interest. g. Within this month, I have received —building permits for property in which I have a 1% legal or equitable interest. Signed under the pains and penalties of perju ,.this i 3 day of I , 200,4/ 2001-oo5olaffin nn r)TTERYIAFFIDAVIT i Town of Barnstable hP Of T}iE T�'V�.o Regulatory Services s $, ST.0Lc,�* Thomas F.Geiler,Director ��pTec 9. Building Division Tom Perry, Building Commissioner 200 Main Street, Hy=is,MA 02601 Fax: 508 790-6230 oface: 508-862-4038 Property Owner Must Complete and Sign This Section. If Using A Builder .... hexeb authorize . :� ��`'�• .. . . .to:act on rny..behalf,. in all inattexs relative to work authori ed-by this building, for: (Address of Job) , ex Date Print Name F E3k- 18179 Ps 166 07658 02-02-2004 a1 12 a 19P QUITCLAIM DEED We,Leif Bottcher of 825 Cedar Street,West Barnstable,Brad Blackwood of 10 Brownell Circle,Worcester,MA and Lauri Blackwood n/k/a Lauri Lupoli of 53 Capsetrano Drive, Ormond Beach,FL as tenants in common for consideration paid and in full consideration of One Hundred Sixty Two Thousand Five Hundred and 00/100($162,500.00)grant to Jeffrey Sollows and Kimberly Sollows,husband and wife as tenants by the entirety of 8 Capes Trails,Barnstable,Massachusetts A certain parcel of land in Barnstable,being a tract of woodland situated in the Town of Barnstable,Barnstable County,Massachusetts,near the westerly boundary of said town, rectangular in shape and bounded and described follows: NORTHEASTERLY;by an ancient.way was(450 feet more or less) NORTHWESTELRY by woodlands now or formerly owned by Robert Fratus(300 feet more or less) SOUTHWESTERLY by woodlands owned by Frederick L.Hills(430 feet more or less) SOUTHEASTERLY by land owned by Douglas Lebel et al(540 feet more or less) Containing 3.76 acres more or less. es This conveyance is made intending to convey that parcel of land which reference for description may be further made as parcel#8-1 as shown on the Town of Barnstable Assessor's Map#88 For reference to title see deed from Frederick G.Hills.to Lawrence Hills and Holly Hills dated May 19, 1976 recorded in Barnstable County Registry of Deeds in Book 2340, Page209. Also see deed recorded in Book 9885, Page 141 . Witness our hands and seals this/ day of November,2003. MASSACHUSETTS STATE EXCI TAX BARNSTABLE COUNTY REGISTRR OF DEEDS Date: 02-02-2004 8 121'19oe CM: 996 Docts 7658 Fee: $555.75 Cons: $162400.00 . B Blackwood BARNSTABLE COUNTY EXCISE TAX A BARNSTABLE COUNTY.REGISTRY OF DEEDS Date: 02-02-2004 8 12:19PM / Ctl:: 996 Doc:: 7658 ��L„�,; -►v�.,L a. Fee: $370.50 Cons= t1b2400.00 Lauri Blackwood n/k/a Lauri Lupoli i Bk 18179 Pg 167 #7658 STATE OF FLORIDA va\" i00.. SS. November (9 ,2003 Then personally appeared the above named Lauri Blackwood n/k/a Lauri Lupoli and acknowledged the foregoing instrument to be her free act and deed before me * IlBgtDAU�L MY CO�lSS�N 0 CC998406 �.,E�1RES:fetin�ary�� �t�� eo�mlmutaomyweoovemnAea - — Notary Public My Commission expires: a 0 05 COMMONWEALTH OF MASSACHUSETTS WORCESTER,SS. November 25 ,2003 Then personally appeared the above named Brad Blackwood and acknowledged the foregoing instrument to be.his free act and deed before me Michael N. Abodeely, Jr. Notary Public My Commission expires: 8/27/2010 COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,SS November,9.f ,2003 Then personally appeared the above named Leif Bottcher and acknowledged the foregoing instrument to be his free act and deed before me XA Notary Public Il1c#?%G )!P h94 d P1<<� My Commission expires: BARNSTABLE REGISTRY OF DEEDS Bk 18179 Ps168 67659 02-02-2004 B 12e19P S. QUITCLAIM DEED I,JEFFREY A. SOLLOWS and KRABERLY A.SOLLOWS,with a mailing address of both of 8 Capes Trail,West Barnstable,Massachusetts,for nominal consideration paid,grants to LEIF BOTTCHER,Individually,of 825 Cedar Street,West Barnstable,MA 02668,,with Quitclaim.Covenants,the land, A certain parcel of land with buildings thereon situated in West Barnstable in the County of Barnstable and said Commonwealth of Massachusetts,bounded and described as follows: Being a portion of LOT 1,now shown on a plan dated December 17,2003 drawn by Hood Survey Group,LLC*recorded with Barnstable County Registry of Deeds as shown at Plan Book 588,Page 45, This area of detail being shown as South of the center of the Ancient Way including all improvements,but not including any portion of Lot 2 as shown on said plan. Subject to and to with the benefit of all rights, rights of way, easements, appurtenances, reservations and restrictions of.record and especially subject to and with the benefit of any and all rights of way over the streets and ways as shown on the above plan for all purposes for which said streets and ways are commonly used in the Town of Barnstable. For title,see a deed recorded herewith Property address: LOT 2 Cedar Street,West Barnstable,MA MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Dubai 02-02-2004 Q 12s19ae Ct1C: 997 Doc`.: 7659 Fees s.00 Cons: $1.00 BARNSTABLE COUNTY EXCISE TAX 64RNSTABLE COUNTY REGISTRY OF DEEDS Cuba: .02-02-2004 3 12:19ae �. Ctlo: 997 . Doct: 7659 Fee: $.00 Cons: $1.00 Bk 18179 Pg 169 #7659 nd -v WPfNESS the hand and seal of the undersigned this day of February, 2004. . SOLLOWS KDOERLY A.S LLOWS COMMONWEALTH OF MASSACHUSETTS Barnstable,ss. February o2 2004 Then personally appeared the above-named JEFFREY A. SOLLOWS and KMSERLY A.SOLLOWS,personally known unto me to be duly authorized and acknowledged the foregoing instrument to be their free act and deed,before me ►►►++�► l .! 1. b •%y1. o ax Public • b •�sr�;, � My Commission Expires tl°' _ - Ac fate ox, MqN \\\ \� Mervefthmd h7esWIows JeftylBotte wr to SoAows Cedar&metOeed Sollows to Boucher.doc BARNSTABLE REGISTRY OF DEEDS Bin 18179 P s 17.0 :67660 ,. 02 2�-2004 al 12 a 190 1 , QUITCLAIM DEED I,LEIF BOTTCHER,with a mailing address 825 Cedar Street,West Barnstable, MA 02668,for nominal consideration paid,grants to JEFFREY A. SOLLOWS and K%4BERLY A.SOLLOWS,Husband and Wife as Tenants by the Entirety both of 8 Capes Trail,West Barnstable,Massachusetts,with Quitclaim Covenants,the land, A certain parcel of land with buildings thereon situated in West Barnstable in the County of Barnstable and said Commonwealth of Massachusetts,bounded and described as follows: j Being a portion of LOT 2,as shown on a plan recorded formerly shown as the Lot 1 on a plan dated January 18, 1977 and recorded in Plan Book 309,Page 86 with Barnstable County Registry of Deeds on a plan dated December 17,2003 drawn by Hood Survey Group,LLC recorded with Barnstable County Registry of Deeds as shown at Plan Book 588,Page 45. This parcel is shown as the Northwest portion of a lot containing 1.76 acres as shown on a plan recorded in Barnstable County Registry of Deeds as Plan 309,Page 86. The grantor reserves exclusive right to use that portion of the land as shown on the shaded area of the Easement Plan attached hereto and made a part hereof as EXHIBIT"A". Subject to and to with the benefit of all rights, rights of way, easements, appurtenances, reservations and restrictions of record and especially subject to and with the benefit of any and all rights of way.over the streets and ways as shown on the above plan for all purposes for which said streets and ways are commonly used in the Town of Yarmouth. For title,see a deed recorded herewith. Property address: LOT 2,Cedar Street,West Barnstable,MA ,I Bk 18179 Pg 171 #7660 • ti 2004. WITNESS the hand and seal of the undersigned this day of February, T COMMONWEALTH OF MASSACHUSETTS Barnstable,ss. February ,2004 Then personally appeared the above-named LEIF BOTTCHER,personally known unto me to be duly authorized and acknowledged the foregoing instrument to be his free act and deed,before,me, Notary Public Ale#^rrL 4/. o 4y My Commission Expires: &7 a�iu .i v. BARNSSTTAABLLE COUNTYTREGISTRY OFXDEEDS Dates 02-02-2004 8 12e19ae . Cti#: "a Doc#: 7660 Feel t.00 Cons: $1.00 1 A BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 02-02-2004 a 12:199n Ctl#: 99B Dac#: 7660 Feet 4.00 Cans: $1.00 I "Sel"Mhared fltesft bws Je8'reylB.O&,her to So1bwS CedSr&Mtl0eed bott r ctk h setNws 2n(idec 01/20/1995 16:09 915067906230 PAGE 02 f 04 MAR e I Pry 3: 44 40 , fiCati to _ tt✓ i YL LAB » t �� r E0 Ring �tabbw `�In.1ha�TQwn.of BarnstableL JA d 29 FvN 3: 1 3- CERTIFtCATE OF APPROPRIATENESS Application is hereby made,with four cornptate-seta;for-the-issuance of a-Cerhlcate-of-ARPropdatenesa..under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1673, for proposed work as described below and on plans, drawings,or photographs accompanying this application-for.. CHECK CATEGORIES THAT APPLYt.... 1. Exterior building construction: WNew-- Q Addition 0 Alteration Indicate type of builtg: ❑ House ❑ Garage ❑ Commercial Other 2. Exterior Painting: ? 3. Signs or sulboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑Other �l L�� � aDA TE TYPE-OR-PRINT LIIGIELYt /'e �c�' IFT ADDRESS OF PROPOSED-WORK.1,CO3* Z P�� ASSESSOR'S MAP NO. , �,ar-r"p =t --L1b3 OWNER "ASSESSOR'S LOT NO HOME.ADDRESS ZOf C+PCf7i fxf �A TELEPHONE NO. PULL NAMES AND ADDRESSES O ASDTTTING OWN S, rit udln ose of adjacent property owners across any public street or way. (Attach additional sheet if-necftsary.)- AGENT OR CONTRACTOR /� Ql �/ ��s TELEPHONE NO. ADDRESS_ ZO/ DESCRIPTION OF PROPOSED.WORK: Give particutan-ot-wodc-tQ be.dnne..including..materials to be used. Please Include locations of proposed signs. c5 j,A Tie-, , xeily, was N e- o e-5 . Signed on cto Agen ForConsmltiss Use OnIY- ( 1 V TThis.Certificate is hereby Date . • Ap'rov O on d Corn ers'Signatures: ixL 01/20/1995 16:09 915087906230 PAGE 03 Town of Rirnstable `/AN old Kiag'r Highway Historic District Committee rows ?9 SPEC SHHET FODIMTION_ 3TAI2+IL�..TXgS GV � �i l�P�'Ir d�' COLOR C�I17L.1`.xPE fU�I G(� _COLOR plTC4__ �aartDo�s e.s r�G✓` TRIM COLOR /��../ key VOOR ' COLORS COLORS.GUTTzR8—'tL"'4 ,(J �f COLORS A✓"wte%y� POI' �Le.i¢"C tzq,//S-#` DECKS •� G MATERIALS GARAGE DOOttRv !� . � COLORS SIZE COLORS SIGNS CE}LORS- FENCS COTjOR_ X L. pill out casWlatelq, iaaludips maasuceeente and materials/colour to be used. €sex copies of this loam are reglred for auhacittel of an applicstioa, along with Your copies of th& Plot plan, landecapo plan and elavatiom plans. wbw applicable. SPECBRT Revised 11/99 nJ R-10i4: S o TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 000 &�:8 7 z Map 0 16 rr P,,arcel:s 00 0 0 00 t / Permit# Health Division 1O o�Ly l� Date Issued1,01131a Conservation Division r J s 64, / Application Fee Tax Collector Permit Fee (6 0 • O O Treasurer Planning Dept. INS Date Definitive Plan Approved by Planning Board ENVIRONNi&j': Historic-OKH Preservation/Hyannis TOWN REGULA Project Street Address S 7rzc e 1 61�t 1-, " Village U/rz-S`- 13A(uuSrA-ALr Owner 3_6 hr"V 5o uow S Address ?5'1 Cf DA/L 57yzef/z r Telephone 50$ Z8 0 —77-7 0 Permit Request To Cod`ST2i/C7 ,&Q N Cr✓LD OIV d S w 1$44 n, Irv4 Po© 5r7 rx /- SNAP&-0 -f-2 x 20 X 3 0 Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 231 o o o Construction Type Lot Size /53,lsgV 51C. Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: 0 Yes ❑No Detached garage:Cl existing ❑new size Pool:❑existing O new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded O _ _.Commercial._O.Yes _❑ No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name S-rr,;gvu 5;'Aw,�+ Telephone Number *57— 7 go v Address -f-3,5' 40,44U017- License# / 30 (o fA5-r F,41_A-cUsr-1. AAA o2s3 (� Home Improvement Contractor# 3 6 6 G Worker's Compensation# 8,3Oq 22-7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO F-A!XkDLA,-N 5--i0e2@ t�.�-t IoST�z2 SIGNATURE DATE !D -Co-0 4-- r ... FOR OFFICIAL USE ONLY li PERMIT NO. DATE ISSUED a MAP/PARCEL NO. . ADDRESS VILLAGE I OWNER DATE OF INSPECTION: FOUNDATION d D h FRAME INSULATION FIREPLACE L ELECTRICAL: ROUGH _ FINAL a g PLUMBING: ROUGH t o FINAL GAS: ROUGH FINAL ' - srt FINAL BUILDING -V 7 DATE CLOSED OUT 4 ASSO�CI'ATION PLAN NO. t r =_ The Commnvnwealth of Massachusetts . — Department of Industrial Accidents 600'Washington Street Boston,Mass. 02111. WorkersI Com ensation.Insurance Affidavit-General Businesses / �� �ia'l••$'4°.-+r�'��i+�i;;,'.'a:i'•.'�5'e:s�,p°.• • :•TF°r-^'q:�r"c.•..•-' '• .4. ..y .... ^� -�— .:�:h,�cis �•• � ,,�-!Ci �D•O L �_�r,�• .�{/1.O V ��Fo 21), �G�D 1.�--�� ame 3 W.4ci t/o I T w address: 1 _ _ L✓YM1 i 14 01 l� state: !� zi Q�S 3 6 hone# +57-7eo o work site locatif»7 full address : V J 1 C&04a 5fnr a I am•a sole�iroprietor and have no one Business Type: []Retail❑'Restaurant%BaAating*Establishment working in any capacity0 Office El Sales(includmg•Rea1 Estate, Autos etc.) ❑I am an err to er with etri to ees(full& art time . ❑ Other ��/%G�%%%//�i.. /%/%/%% %%%% I am an�ployer providing wrkers' comufmsation for my employees working on this job. ,> ,i:tr •',ii•t',,,}:4' '!•: '•; '.;S•, :,` }•' ::;:;:`1;r;' •.�;`,:.,{.,�yr.it '.::' ';•.:�, •{,' . COlII'8Ii••iiflmE.: { iff- r rj r'• ,•.•{•� , .. •t1[=:a.i• .i,y�. ;i: .p. •'.: ;• address •� i�`� 't `t . t S ,t + 1 'r :.1,:, r�• :1r:;: .a•• •r '"�i '"i ��,4i•' ..:.,�. .;..:.��•4/, -i`��� yr { , :i. 'i�,q-�/ a llr �-• '�!// °, (/fir' Dhotis.#: .:' a .:. 'i• !� a` '•.,: ` 1 it .t-J, {• 7 ,l•. t• .,• / f� r� •�•s ��.��1 :'s.,' //.,'��,', +.��,4� ,:�•�� ate/.,'•:: :r•; f��Nd• •!�.'�,�Z...�:'�!.••�:<:•,�:y••a�!'4',�•u.•k:G�G.+:. u�C.'•#'• n�.::ask•'" - , esurance.6 drs'` •••'• s • I am a sole proprietor anryrd have hired the independent contractors listed below who leave the following workers' .compensation polices: ti 1 t'�.f: i:S.^•7•..>' - ,`:'.t-• :4''' �'i r.. � -a ,i s �4:'i .:,..::li;� :.rx.�` 'r..4 r•.,�,f. 1;• i' cr)IDiraIl IISIISQ C a ' S a• .•r.ti:.aYy::1'-' K. °:` ^; :, •:nf'. j;,l'..�• •.[:. :u7T:'i:'.il•^•:C1:.',�. '�:y�' '•''•:•si '�a:i .« . r '•t-:, _ �'';� 'y'y •'...i.t't SJ, ........ . `'!••', ' 1. :Lit'' .� 1 I - •q:•' -'1.. ..n •:• -77 ^:i: •t j, 'M:• :•Ch.ti•Yi•,i� •`j Ord:.,:• {. 't',.:i 1 '.1: . •'t:'i:: ;+`•;,i�' `r•�•�• ''i .t �:`�': '•! ,� `r.(.'t'v:'N'. v;.'.!.• 'z�'.:,•`t;> >';'r }:• -c''�:. Folio a#'• .t.)r:2',-.'::}:' "(`'i.at iusu-ranceTo. '1,L•J.t`: v.,; i•r S,' '•r, _ .J,?;, .a.:i:. ..r. I �''.c• oom ari. nande:'+.r• •.2� '�� "f. •. • :••L.: . .t i r' a <�;; • - , 4i r address: ' � .. r .r y .•4... .ti_ _ i'�'i'1.:t. : � S' :�•'. 1 iT•LL<.•' .. .{ •i. r'... IIOIIe# CI ,,. _ ,•,_ •.i•y ,;cy •.'f.�.. •rA? �.�, •i•• >:•.'+'.:a,i.'.._I.' ':''.��Sti,�. +-t:••• ._: :<:-•�'.:{.•'" 'i ,i,• . ,,. '(.,i p'.' �;.i'`� :. ':i. i, -r ' ., '. :.L•• '�•t'Ofi.Fr,K.• :•r �G. •„ .r�: ':., -!' •,'f,,,rL'1': :,1: i':•, •:•��•r :iit• :a'•.;ij.i' �:'•'•'rIS��S''.1.A" -0.11CYi�i• .•r' i�.`•.. �;,',. + 5sunInce1cb:( - Failure to secure coverage a9 required under Section 25A of MGL 152 can lead to the imposition of crimfnalpenalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties�n the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that ri copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify u er he pains and p Wolfe s of perjury that the inform aiioti provided above is%�and coaf�/J Date T Signature Phone Print name - J official use only do not write in this area to be completed by city or town omeW ci or town: permit/license it ding Department . ty ❑Licensing Board ❑-check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; Other _ + (sewed Seat 2003) I ' I Information and Instructions. 1 ers to provide workers' compensation for'their. Massachusetts General Laws chapter 152 section 25.requires all amp oy p , 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 irrrphed; oral or written. association, corporation or other legal entity, or any two or more of An employer is defined as an individual,partnership, the foregoing engaged in a•joint enterprise, and including the legal representatives of a deceased,employer, or the receiver or association or other legal entity, employing employees. *However the owner of a trustee of an individual,-partnership,. dwelling house having'not'tnore than three apaztrnents and-who resides therein, or the.occupant of the dwelling house of another who employspersbris to do.maintenance, construction or repair work on such dwelling house or on the grounds or b g appurtenant thereto shall not because of such.paployment.be deemed to be:an employer.... MGL chapter 152 section 25 also'staies 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.commonweaIth for any applicant who has not produced acceptable evidence of•compliance with the insurance coverage required. A3ditionally,neither the corrrmonwealth nor.any.of its political subdivisions shall enter into any contract for the performance of public work until able evidence of compliance with t�e insurance requirements.of this chapter have been presented to the contracting . accept authority. l Applicants Please fill in .the workers' compensation affidavit completely,by checking the box that applies to your situation . Please supply company Hanle, 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. - lso'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 Depiitment.of ludustrial Accidents. Should you have any questions regar#. 'the•"law" or if you are required to obtain.a workers'.compensation_policy,please call the Department at the number'l sted..below. VIA City or Towns . Please be sure that the affidavit is ebmplete..andprinted legibly, The Department has provided a space at the bottom of the affidavit for you to fill out in the event*the Office of Investigations has to contact you regarding the applicant Please be sure to fain the perrrntllicens.e number.which will be used as a reference number. The.affidavits may.be.returned to the Departmentby. or FAX unless other'arrangements have been mad�. d h�ce to thank you in advance.for you cooperation and should you have any questions, ' The Office of Investigations woul please do not hesitate to give us a•call.- --------------------------- / The Department's address,telephone and-fax iiumb.er: , The Commonwealth Of Massachusetts• Department of Industrial Accidents - tit�ce of 1�esti�3ens ' 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext..406` Oct 02 04 04:36p 00000000000 00000000000 p• 1 Town of Barmstable . . , . Regulatory Services mM 7ttiomas F.Geer,Airecter Ewa Bmlding Division Tom Ferry, Bnildft Como kdoner 200 Win Street, Hyawu.,MA 02601 Office: 508-%2-4038 Fax: 508-790.6230 Pioperty Owner Must Complete and Sign TWs Section If Using A Builder Z• ,as Owner of the subject property by rite 'TN 6 S wim m,NG �Oo 1- Sl��-G/!o 0/0 to act on nW behalf, in all matters re]A a to work authorized by this bu iWi%pewit applica i n for(address of job) J a � iao�, Datc rl-7 Print 0TORMSZWNERPEWUSON N32020'5811E 13.G3' O NO n cL n N •�S �,2G.„ SQL/,, �O S S 38°S 19 29 gpO T I, 3?fig 2 N �� °�^ F •33 SSA°� °O � S 00 IV i N5G020'3G"W ` 27.57' �g \ gg Y � g�g3°p 68, 31 0 s6' O� 1O 01 N59° c�� o /7/40'l2„w 160 cy GAR. •.a /p 0j, 9'5' S6'Yti E 1S .NDATI 2�G.0 N� L-S►}APE.D Poa4 �n� r .tot. O^� //nj� . � NS T 2 S° 53,G98 ± 5F "' .53± ACRES lhq, 4r) SELF•rLAMCA 4,) CHI VAJa .4.$i hCO 4560 cLOSIM& . eWK f'iE ,E. 43 6 (0 4 AEt E I HEREBY CERTIFY TO THE BEST OF MY PROFESSIONAL KNOWLEDGE, INFORMATION, AND BELIEF, THAT THE GRAPHIC SCALE FOUNDATION 15 LOCATED ON THE GROUND A5 SHOWN O' 50' 100' 200' HEREON, AND CONFORMS TO THE HORIZONTAL SETBACK REQUIREMENTS OF THE TOWN OF BARN5TABLE ZONING BY-LAW. PLS ZZ.JU�.10¢ ( IN FEET) I" = 100' RICHARD OOD, PL5 DATE FOUNDATION CERTIFICATION JOB No.: 031G9 DATE: 2 1 JUN04 IN WEST 13ARN5TABLE, MA MA55ACHU5ETT5 SCALE: I" = 100' PREPARED FOR JEFFREY 50LLOW5 H5G HOOD 5URVEY GROUP, LLC} LAND SURVEYORS - MAPPERS - CON5ULTANT5 18 Old Kmcg's Highway - P.O. Box 231 - 5andwich, MA 025G3 Ph: (505) 888-10.90 Fax: (508) 888-7890 7.ZJ4 at 40 Z'lT ' ming ppa& E. af ,,Iu W DEEP Q v oA-e,-_. : 8 1 4r. , TM: Tm 63 IV it 4r r RC Re NW1 6 LEW' lAm: tit n -.,�. a T t•_� •�. I L � 'C .t tj Y Ll _ .t t• 4. �I t :k y rf Q . •✓ .� "r TM a PpomGpid VERTICAL GRID D . E . FILTERS P Hayward Pro-GridTM is a high- performance filter series that provides 0 4 . superior water clarity,efficient flow and large cleaning capacity for pools of all types and sizes. Pro-Grid filter tanks are now molded 9 from new and stronger PermaGlass XLTm 9ffl an improved glass reinforced copolymer, P jl providing the ultimate in strength, } durability,and long life. n�ril lit'ji/ Pro-Grid filters also -° *11*0�1 combine high technology features with a "'service-ease design for dependable operation and • low maintenance. Pro-Grid filters are also available with (s the unique SP0740DE Selecta-Flo control valve,the only filter control valve designed specificallyfor D.E.filters. For the quality conscious pool owner, 1 Pro-Grid filters are an unparalleled I filtration value. ■DE7220 Pro-Gridlm72 ft.'Vertical Grid D.E.filter with optional SP0740DE Selecta-FloTm d 4-position control valve. Large capacity72ft!filter,made of durable > :a PermaGlassXL,can be used in both commercial and large residential -s applications for years of non-corrosive,trouble-free performance. �f Featuring PermaGlass is ► .`. Filter Tank Material i HAYWARD® - America's 91 Pool Water Systems Pro-GridTMvertical Grid D . E . Filters 0 Innovative Automatic Air Relief purges anytrapped air automatically during filter operation. — • r- Screenless Internal Air Relief provides continuous air venting and eliminates clogging. Improved High-Strength Filter Tank molded from new and stronger PermaGlass XL" material for extra durability for dependable,corrosion-free performance. High Impact Grid Elements designed for up-flow filtration and top-down backwashing for maximum efficiency. Self Aligned Tank Top and Bottom make access to servicing grid elements fast and simple. Heavy-Duty Tamper-Proof One-Piece Clamp securely fastens tank top and bottom togetherand allows quick access to all internal components without �¢ disturbing piping or connections. 6 Marked Short Elementand Manifold provide clearguidelines for re-assembly of grid elements during cleaning. E Inlet Diffuser Elbow distributes flow of incoming unfiltered water upward and evenly to all filter elements. Noryl®Bulkhead Fittings for extra strength and heat resistance. Full Size 1YIntegral Drain provides fast,100%clean out and easier flushing of tank. Union Locknuts make disassembly and reassembly of filterfrom piping fast and easy. Plumbing Versatility.Select from a wide variety of valve options for customized control of your filtration system,including Hayward's 2",2-position slide valve. FILTER TYPE: Vertical Grid Diatomite:24,36,48,60,72 ft2(2.2,3.3,4.4,5.5,6.6 ml). � FILTER TANK: Injection molded PermaGlass XLT°" ;;k' • FILTER ELEMENTS: Monofilament polypropylene cover fitted over 8 ctirved, high-impact grids CONTROL VALVE: ,1%z"or 2"6-Position Vari-Flo'"'2"4-Position Selecta-Floe' 2"2-Position slide valve.May also be plumbed singularly or in series with quick-connect union couplings(less valve). PERFORMANCE RANGE: %to 3 HP(30 to 120 GPM) _. DIMENSIONS: DE2420—32"H x 23"W(81 cm x 58 cm) Ful mates mane Air Relief with double seal DE3620—34"H x 23"W(87 cm x 58 cm) eliminates the need to manuallyventfiltertank (+[ after system start-up and prevents backdraining DE4820—40"H x 23"W(102 cm x 58 cm) �SF® during pump shut-down. DE6020—46"H x 23"W(107 cm x 58 cm) DE7220—52"H x 23"W(132 cm x 58 cm) Above dimensions are for filter only.Overall width with slide valve is 30'(76 cm); overall width with either 4-or 6-position multiport valve is 33'(83 cm) 'u Effective Design Turnover ;, Model Filtration Area Flow Rate* Gallons . Kilo Liters Number ft2 m2 GPM LPM 8 Hr. 10 Hr. -8 Hr. 10 Hr. DE2420 24 2.2 48 182 23,040 28,800 ,87 109 DE3620 36 3.3 72 272 34,560 43,200 131. " 164 a E4820 48 4.4 96 363 46,080 57,600 174 218 DE6020 60 5.5 120 454 57,600 72,000 218 273 DE7220 72 6.6 1 144 545 69,120 86,400 261 327 Removable ClampTool makes tightening and *Determined by pump size and piping system hydraulics. 2"piping is recommended for flow rates of 90 GPM(341 LPM) loosening of clamp quick and simple,providing or more. Flow rates above 120 GPM(454 LPM)are not usually required for residential pools. easy access t0 filter Internals. NSF is a registered trademark of the National Sanitation Foundation HAYWARD America's 91 Pool Water Systems 1-888-HAYWARD www.haywardnet.com ©2001 Hayward Pool Products,Inc. PG01 i - - '� 4a3e& v—. Board of Building Regula ions and Standards _ One Ashburton Place - Room'l301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 1306156 Type: DBA Expiration: 4/6/2006 The Swim Pool Spa Sale & Ser, MaketGrp Steven Senna P.O. Box 3612 E. Falmouth, MA 02536 Update Address and return card.Mark reason for Chang Address f 1 Renewal n Employment 11Lost Card :]LI\ Board of Building Regulations and Standards License or registration valid for individul use only 3�. HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: .l Board of Building Regulations and Standards Registration: 130666 One Ashburton Place Rm 1301 Expirdti0n:'4162006 Boston,Ma.02108 Type: DBA I The Swim Pool SpaSale&Ser,MaketGrp Steven Senna 435 W aquoit Uwy Jr7L• „s_ fa�� E.Falmouth,MA 02536 Administrator Not valid without signature i - Application to ®th Ring'# 319igbbiap 34%ional �NsStoric Miotritt Committee �J h In the Town of Barnstable �----- �� S E P 0 2 2004 " CERTIFICATE OF APPROPRIATENESS i TOE.:')n,-a,t'I; R_ 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 ElGarage El Commercial El Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure: X Fence ❑ Wall ❑ Flagpole ❑ Other TYPE OR PRINT LEGIBLY: DATE jj�'' ff D ADDRESS OF PROPOSED WORK �'Jr"/ � ��� �"�' ASESSOR Ss MAP I`JO. D�/J / J paftS v f-: 0 0 3 anC1 OWNER � Ly '/;� ASSESSORS LOT NO. 9100/ HOME�ADDRESS G ` �✓'/� G�/�S� rt c.�de PHONE NO. .Sl2� FULQNAMES 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 TELEPHONE NO. ,ADDRESS C. � *DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please Tinclude locations of proposed signs. cl- t-- w C:) Signed ne-Contractor-Agent For Committee Use Only �Ae ' OV'u r _ J �' This Certificate is hereby Date � Approved enied Com i ee tubers' Sig t res: ` i Town of Birnstable -- % Old King's Highway Historic District Committee i SPEC SHEET ,D E J y FOUNDATION I� ' Jtl' 02 2004 u �a SIDING TYPE •F01NN OF BARNSTABLE COLOR 141, TCRIC PRESERVATION CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH WINDOWS COLOR SIZE TRIM COLOR DOORS COLORS SHUTTERS — COLORS GUTTERS COLORS DECKS MATERIALS GARAGE DOORS COLORS ' SKYLIGHTS SIZE COLORS SIGNS COLORS FENCE k P T/ ��Wi'`O1J v�1 �X� COLOR I� /�, O NOTES: Fill out completleelyy,,_including measuresients and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. ' SPECSHT Revised 11198 L Jeffrey and Kimberly Sollows 201 Capes Trail West Barnstable, MA 02668 Old King's Highway Application Re: Application for Certificate of AppropFiateness for Map 88 parcel 8-001 List-of Abutters_. 88-7-10 Peter&Kristen Nugnes 805 Cedar Street a W.Barnstable, MA 02668 88-7-11 Agostino,&Jane Ruggiero 11.Peter Blossom Lane West Bwmstablc,.MA 02668 88-7-9 Virginia Theodorou 35 Peter RIn �!' T Q. 2 .004 U ��. � iS S E P 2 West Banwable,MA 02668 6= 88-7-8 William&Adrienne Spellacy f ' G',� �'d 51 Peter Blossom Lane West Barnstable,MA 02668 88-7-7 Larry Strait 10 Desires Lane West Barnstable, MA 02668 88-3 Leif Boacher 825 Cedar Street West Barnstable,MA 02668 88-4-W2 Robert Stuart 816 Cedar_.Street West Barnstable,MA 02668 88-4-01 Peter&.Judith Embor- 832 Cedar Street West Barnstable,_MA 02668 88-4- Paul R O'Connell 3rd Trustee PO Box 611 West Bar=able,_Ma 02668 i • Vl/GV/1JJ:J 10.YJ PAGE 04 ;z i i Page 2—Cedar Street Abutters—cont. 88-2 Paul&Kim Roderick 15 Abegale Snow Road West Barnstable,MA 02668 88-2-001 Markwood Corporation # �l . 501 88-2-002 Mr.&Mrs. Steve Brennan 45 Abegale Snow Road West Barnstable,MA 02668 88-8-002 Joseph&Janet Kennedy 40 Desires Lane West Barnstable,:MA 02668 88-8-03 David&Sue DeRosier 43 Desires Lane West Barnstable,MA 02668 89-8-04 Sean&Kathryn Leaver 39 Desires Lanes West Barnstable,MA 02668 88-8-05 Peter&Carrie Nicholson 33 Desires.Lane West Barnstable, MA. 02668 88-8-6 Paul&Jean Boucher 4862 Bentwood Way Granite Bay,.CA 95678 88-8-7 Lila tk Bill Woods 210 Capes Frail West Barnstable,MA 02668 88-8-8 Rick&Debbie Pimmto 211 Capes Trail West Barnstable,MA 02668 f 1 s } ' ESIDENTIAL ®RNAMENTAI. IRON FENCE SYSTEMS �I i a�+ I 's �i IN PT NSW ,k 1 a.S. .. ( .. t55`�i w.. ^+C•. •�•��1RI��t"' '`�.�Y7F. 7� V�..� � J �^%fit � '1 r!., v! � �i'T•�t � A':vy IMS r E r ss I 1 r .,psi--a Si^1=3'J�:? �• � � i � ;�";•1 ro TH NMI* NF ,mod In �. � N ('.L? � Y.Ft' '�" � � ti,,,�j„,j�' 3�1�:� ��[�+"•�''t B• ^9� t '"Ur�'�u �fre ��iiH}�r.� 4r. ytl.('^41 � 3'' ~ 7 F. ••� s � �F tH�•' "L1 N�a••i .6.�. �y�2g +..-Y� t:l Li j�.�j�f�'��,f{y,,` •'�'r��r'c"� r�t eF'1��'y n-- ..^t• ar r�s4r "`'.k�� `� �{ .. w �p4 ��•y { F+�J'1 t .� r }��•F }rS,. 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'n �}'3i1 i6C''� «2fr��+ xt. ryyStisS}9�Yr Tvr..}kF,77, r ?x ,y9ti '`� I,C,Y'4:"yam. •�: u1..,5: 4�t.t �y7��rtttiG ga NL:1.+.. 'Y+�'j• ,�'y+lt' >ti SYS`i/t.i fi �•SFi1]L•ry cWLr; ii y� {}:L , t� ll:.��. •"=f+y- 'hf �Lsp ''� •"". ~•.1w� -'.`�!i""�tr��',. ''' r�'�.rj=+\i. .+''�1-� +F' v,1�'.t. `t,,' '.a.. � . 'Rt T.. j{; `,V`. f t•?��.• < ,)t` ,.# 'i�#�k•+� � -�"�i' ( -`��"j�,�iu!,x,>i�,, y� '�"1 {{µ(y, "v +•�..s+,��{i�j^-] 5`==� ry�'+,� o �... jt{ � re''kLr"£. :12: .1.L1,M.Y ;:f�i.d!3 . ,Yt''" c�, �j?v�-.'. d.� f<�n'.: ,�nx-'�' T-a '�r`-C4).��. V�1.1�'}s y •',r:}.p1. N32020'58"E ��� " C `l` U �S 13.G 3' is i w �o S E P Q. 2 2004 TG- Qb Pls- 0) 17 1� O sg/° Sc? 8°S6 \93 29 ROo Co o apt /0 SOS N i N5G°20'3G"W 27.57' I o ° / O n Sty 1,3o o 68 `�3 °° „ O 6�5•, G(i °(�f C) S' ?j„ � CD 41 '��p- NS90 lr� �098` ,3 /;�'/ GAR. /O p9 915, 56,E EXI5TING FOUNDATION 2S6o\X cy`L LOT 2 / o ASS04 , 153,G98 ± 5F �2� w 3.53± ACRES 40 I HEREBY CERTIFY TO THE BE5T OF MY PROFE5510NAL KNOWLEDGE, INFORMATION, AND BELIEF, THAT THE GRAPHIC SCALE FOUNDATION 15 LOCATED ON-THE GROUND A5 SHOWN HEREON, AND CONFORM5 TO THE HORIZONTAL SETBACK 0' 50' 100' 200' REQUIREMENTS OF THE TOWN OF BARN5TA51-E ZONING BY-LAW. A4.11�. PU5 Z-L ju OA-- ( IN FEET) I" = 100' RICHARD OOD, PL5 DATE FOUNDATION CERTIFICATION JOB No.: 031G9 IN DATE: 2 1 JUN04 WEST BARNYABLE, MA MA55ACH U5ETT5 SCALE: I" = 100' PREPARED FOR JEFFREY 50LLOW5 H5 G HOOD SURVEY GROUP, LLC' LAND 5URVEYOR5 - MAPPERS - CONSULTANTS 18 Old Kin6j'5 Highway - P.O. Box 23 1 - 5andw,ch, MA 025G3 Ph: (508) 888-1090 Fax: (505) 888-7590 I -no C ■■■'■■■ '■■■._ ■■■ _ ■■ ■■■ ■■ l■■■ ■■■. ■■■,■■■' III son ■■■ _ ;■■■!o on ■■■ ■■ a MEN � o !■■■'� �'■■■ ■■■. � ■■■ ■■■ '■■■ ■■■ on ONE ■■ '■■■ ■■■'R o ■■■ ■■■ i INN ■■■ ■■ ■■ ■■■ - _ ■■■ _ _■o■ e = ■■� _ ■■■ _ ■■■ = ■■■ a ■■■ in toll loss,mom inns NEW in, in = ■■■ ■■■ _ '■■■ '■■■ '■■■ = _ ■■■ ■■■'N i 1 Sol Il L ■■■ ... REHM 1 ' ' I � ®�® � - r Li ® 01100 ® ® ® n ® A 0000 M0 ® ® <�®m ® , 1H 0 m �� o® �R 0 o � ® ® a R ' dR a i . q PROJECT, SOLLOWS RESIDENCE JEFF SOLLOWS 1600 FA-MOUTH ROAD SUITE 25 o ELEVATIONS CEr*TMWLLE, MAO2632 2'-0' Z'-o' 201-0' 61-0 G'-W IP-o' . e'-d d-0' 8'-w 4'-0' 5'-0' 3,..o 2w 24" z" Q l6 = y 1S s FFppii D - Q +� e a II � II II I 1 ^ • W I I w � a Yf0 K "'i► ' i - q —u W 4-G. I I D Z d gg o � a 3 I r - 10 ♦ n �1 J I I 4'-4. tq D I I A 1 � • I i VA I � � Z' s (a)11?#W L.K."m I (4)Is'WL W" I (Z)tl 7/N WL OR - 7W 0.0.D= r,R D.N,0= r,lv OM,ooae 4 _ 4E'-W PROJECT, .. z SOLI.OWS RESIDENCE 1600 FALMOUTH ROAD, SUM 25 o U PLAN CENTER U-F, MA 02632 I2'-a . 4M6 aw • A . 1 2� Y a a Q $ 4 N " ---------------- MAT I I I IV-to, i I j T --------------- • V � I I ,f„ '" I I I - e N ` z e D s //H] + e 12 A i r Q q -MC Z1 � e z B'-4 a b'-�)n fil H IP 11 € M U W M ————————————— ———---——— —— — _ s_ , W Ir-Io' MZ OIrIZ II'-Z' b'-IO' 6'-10' W-Zr V-0' [ zz 4&-0' . i 44§6§FF yy - I PROJECT, ^�+ z 901_1-OW9 RESIDENCE JEFF SOLLOWS ' m 1600 FALMOUTH ROAD SUITE 25 w . ` PLAN GENTERMLLE, MA 02632 . 36�-a I I ---------------- L----- , I --- -------J L-----� I � i I 13'-�• 17,-�• I i � I I ' � I = ------ --- --� , 1--------------------i 1 II 7/6"I-.JM - I I 41I ' I I 1'La• 1a'-6• I I 17'6• �- ad 1 I , I ,aid , i �Z�-yy q q�y��� I L � � r`/ ~ I C � I �a.-a• L7 R L_ _J O - s I 4 Zrt D I I (1 IN I-solar I a lie•I-i"Ir I I Z , I •110041 I •wo c. t I I r 1 r-------- - -- ----------------� I I , IL 1 I � I 19'-W A'-A' I I I -------------------- I I I _ I I I I I I L------------ --� L------------ ----- I _---_----- - - -----_---- I � " 7-a Q'-6' '.(.• 9'-6• '4W W-6' oll. 13'-hr 777��I -�' 13'-Ia 48'-a pD PROJECT, Z SOLLOWS RESIDENCE JEFF SOLLOWS w 1000 FALMOUTH ROAD. SUITE 25 11 0711110 PLAN CENTSULLF, MA 02632 a 28'-0' 3•'d• 6.4 3'-d 42'-p' tr-4' 12'-0' 9'-6' 34'-S' s'-4' 74 QQ v� S7 E GC- ,U�i9ms ------------ eel ------'- ,Vi OF4 9 47r�.4 P.T.POST rxv.rQrw EODT��ao+ae ————— �� RLES•F y �. o FEWORE ;► (� STF?M- URAL -------- I iL -------------- ------------- -- - \\ --°' ----------------------------------- ---1 v��' ————L—————————————————————— --Jls)nve'wLLcnErJ ---------------------- -- --------------------� r m i I FULL BASEMEWr I I' I p I � i----- --------------------J j LU re'-o' T-8' M'-e' I r------------------------ I � V 1 I I �- I �--N� L --Mb"WMEL GIRT wms STEM GIRT Wm"STSL GIRT J S V4 SO . BTFA �LW N Ir SLAD UNDERWARM HALLS 1*mer-� E SIDE O°STAIRS te vu Tyr. I L �� -- -- GARAQ �cacmemIr cauaE Eaa I -------- — L -- . T1iIIIjIIIII . 1IIIIIIIIII . _aQ 9 -- ----------J iv }�4 >� L----------------� L_1—�=�— —j --- ------I I I I COVERED PORC{1 L--------------� j I I I Q � I 1 V z tu ;�° ; ;�° ; ;�° , ------------ -r-------------- ----------------� ,------------- T�aa CJRDoe------�_--------------�„ I I Q 4x4 P.T.Eder I 1 I I N 4:ALv. lAl=ANOIOR I I �` TYP. I I a jL———————— ---------------J Q --------------------------- O sa'-W 2A'-4' SHEET FOUNDATION ..PLAN SCALE+ VA' - 11-0' A 5 J05. ' 0301 DRAWN BY: KW DATE:. 12/I5/03 .,i Y 3 A r It PEI m (P m o n Z a. N bbo PROJECT m Z SOL.LOWS RESIDENCE JEFF SOLLOWS N o 1600 P="Ol.1'PH ROAD, SUITE 25 PLAN GENTEWIL.LF, MA 02632 /R, LI/1s F7 �d/�T S O1n� L1 A ��►�,�V OF yjgs�� CHARLES F. yG o 1L� �)P.T.a�w GIRT' O FEWORE m► l� STRUCTURAL -ter 1 I I NO.34359 P.T. 2x o'e a 0 A L 16'0. �►`S� ENG\����• N n iv fl • a . a LL II 715 1-J019T's 0 11.0.1. Q U :r (4)tl T WL4 rsI aT a 11 7/0 'I-JOIST's @ I 'O. . GARAGE n 4 aaimum FLA OR • V V II T/O''LVL w ----- —7 7 _ V —— — — Z . W "o 0 P T. 2xeb a j6'C.c. ►a- W • d (L J ' J O FIRST FLOOR FRAM IN9L PLAN SCALE. 1/4' • 1''-0' SHEET A 7 JOB: 0301 DRAWN BY. KW DATE: 12/18/03 L VZ 5 F 2 r/oisrs ,,A2?-dc� - �W\ OF Mgssq CHARLES F. �yU, i o FEWORE I 4 STRUCTURAL NO.34359 �A`piss//ST HIV C TAPERED 2r12 a• MOO. LVL tl Cy R4'1 Jaw L.VL. R•I�MJt: \J O n 7M VL'. \n7L 1 a m o to II 7/8' I-XIST's @ IVO.C. ILH W L L BEAAV P16 4 LL 12•-a 0)tt WW 1.VL'. u� II 7/8' I-XIST's @ 16'O.C. n n1 n I n 1' r O II 7/8' I-xisrs @ 16'O.C. V W Q N F LU O J Zr,Q Z> C3R FRAJ"1INNG'PLAN -3 24'-4' SWEET AB- JOB: 0301 DRAWN BYE KW IDATE-MM12/18Y031< /-27 ay ►kjj�AAAAA ��►`P�TN OF CHARLES F. tiN r o FEWORE ► U STRUCTURAL s e-o NO.34359 ���,s® ONALE �►V, n O .1 2xi0 RAFTERS @ I6'O.G. �pp N1LJ1 RIDGE RIDGE RIDGE I J � t%),u I-VL,& . w V � W -z 2. RAFTERS @ 16'O.C. W Q. ��. Lu W Z Q 3 �� � 0. 4"V O N 2R-4' ROOF FRAMING- PLAN. sGAL& 1/4' SWEET Aq JOB: 0301. r DRAWN BY: .KW - DATE: 12/18/03 -90 106 JAY \ 1 1 .14T 1 rpol 14 M G � / r 94.9 94.9 ° air `Y 4 F.E=g 6 T.3i. i 1 of ,E Tdwn of Barnstable .•' R.egulatoxy Services i aaxtsT _ Thomas F.Geiler,Director Building Division • Tom Perry,Building Commissioner 200 Main street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 permit no. _ bats ' AFMAYIT ' • XOME VORO'YEI MNT CONTRACTOR LAW SUPPLEMENT TO PERMI'x APPLICATION MQL 0.142A requires that the"reconstruction,alterations,xenovation,repair,modernization,conversion, . pyement,removal,demolition,or construction of an additionto any pie-existing owner-occupied b g containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building b e done by registered contractors,with certain exceptions,along va other requ$aments, . Type of Work: 1NG62a�,v0 emu,ry+rH.N� /9a o �-- Estimated Cost 2-3,0 0 0 Address of Work; 85 I Gr-O,4/L 5-zl -k-T Owner's Name', Bate of Application:, I hereby certify that: Re#stration is not required far the following reasons): ' []Work excluded bylaw []7ab Vnder&l,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: • O•MRS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CoNrp, .CTORS FOR APPLICABX,E HOME IlaROYEINWT W.ORKD 0 NOT EVE . ACCESS TO THE AMITRATION PRO GRAM OR GUARANTY FUND UNDER MGL c.142A. bIGNBD UNDER PBNALTIES OF PERMY Thereby apply fo=ape 't as the agent of o or: Date Contractor Name Ite4istrationl�lo. OR Owner's Name i � 1 N32°2058"E 13.G3' N o N N �v � 8p• /4' E�� �/0�� 3,S jN O 3 g/o Ste, d°S6, \ `93 �'9 g0g 3S cy CO 1 �V- \/0225 3% uj (IV, i 1\15020'30W 27.57' I \ ^� \ Fgo 10 m �g3o0 Cd J�S S Gel 9 Oh f O 0, q) cU S, c'>, 3 (D o /0 98, 2tK3 GAR. /p d°0,9 _ EXISTING FOUNDATION 2S6 p,` tir I LOT ° ASS° 153 G98 ± 5F 3.53± ACRES h h/ o, 43 Co I HEREBY CERTIFY TO THE BEST OF MY PROFESSIONAL KNOWLEDGE, INFORMATION, AND BELIEF, THAT THE GRAPHIC SCALE FOUNDATION 15 LOCATED ON THE GROUND A5 5HOWN HEREON, AND CONFORMS TO THE HORIZONTAL SETBACK 0' S0' 100' 200' REQUIREMENTS OF THE TOWN OF BARN5TABLE ZONING BY-LAW. ( IN FEET) RICf1Ak 1100D, PLS - DATE I I _ FOUNDATION CERTIFICATION . JOB No.: 031G9 DATE: 2 1 JUN04 IN WEST BARN5TABLE, MA MA55ACHU5ETT5 5CALE: I" = 100' PREPARED FOR JEPPREY 50LLOW5 H5G HOOD SURVEY GROUP, LLC I LAND 5URVEYOR5 - MAPPERS - CONSULTANTS 18 Old Kings Highway - P.O. Box 23 1 - 5andwich, MA 025G3 -z2Sus.S Ph: (508) 888-1090 Fax: (508) 888-7890 l i LOCUS ROP05ED 12' WIDE DRIVEWAY ZO) i WF cF / / BUILDABLE N32°213.G3' � N32020154 E PORTION OF LOT 2 NON-BUILDABLE 'PORTION OF LOT 2 o C' N43027'54"E 1 to .I, 80.02' LOCUS MAP - 1"=1000' I / 0 003 ul b/ O N° 52.38' 5 � C— I m N N38-56 24"E I O � � / N -A Q�Oe / mUn U1 2 Fes• \ \ / _ \ \ �_ N N Nrn 10 / \ 121.21 �- / /` \� \\ NOTES: 7 ,c N C I . OWNER: JEFFREY 5OLLO'JVS KIMBERLY SOLLOWS. LOT 2 \% \ 4�6"" r y 8 CAPES TRAILS / I i \ II <u n BARNSTABLE, MA / 153,G38 ± 5F I / ' W K I cu z (TI 2. SURVEYOR:/ , \ OR. RICHARD J. HOOD, PL5 / 1 I 3.53± ACRES ^ I I \ N -� Q HOOD SURVEY GROUP, LLC II I \ \ ® \ 18 ROUTE GA tl 1 - III 025C-3 SHAPE FACTOR CALCULATION (FOR BUILDABLE AREA OF LOT 2 m/ J \ \ 3. DEED TO LOCUS IS RECORDED IN THE BARNSTABLE COUNTY (1491)(1491) 96� / O �z j I 70 m REGISTRY OF DEEDS AT BOOK 18179, PAGE I GG. 17. 1r1i129,783 19a/ / / / \� \ % 4. LOCUS IS ZONED RF, AND LIES WITHIN THE RESOURCE PROTECTION w OVERLAY DISTRICT. Z MIN. LOT SIZE = 2 ACRES Uri r 90�--� / z ' \ co `� MIN. FRONYAGE = 150' \ FRONT YARD SETBACK = 30' ° — 'COT I \ rn - ,� SIDE AND REAR YARD SET BACKS — 15' I+ I I HEREBY CERTIFY THAT, TO THE BEST OF MY KNOWLEDGE, U AND IN MY PROFESSIONAL OPINION, THE LOCATION OF THE _ Iv PROPOSED ADDITION, AS SHOWN HEREON, CONFORMS WITH — —'� \\ � U-' THE HORIZONTAL SETBACK REQUIREMENTS OF THE ZONING O BY LAW OF THE TOWN OF BARNSTABLE. RICHARD J D, PLS DATE J 2G.22' 205.80' 1 53G°3 '59"W 158.55' S3G�10'34"W l 103.GT S3G°10'37"W 232.02' SKETCH h LA N —� �— \ I s IN \ I GRAPHIC SCALE N�°/ 40' 0' 20' 40' 80, , ��= BARN STABLE, M A55 . PREPARED FOR � (IN FEET) or \ 1" = 40' 1 JEfEREY 5OLLOW5 S LVIT-)y. 1R. N; `r,.26575 q 4 SCALE: I" = 40' . IVAL 115G HOOD SURVEY GROUP, LLC DATE: 17FEB04 LAND' SURVEYORS - MAPPERS - CONSULTANTS JOB No.: 031 G9 I 18 Old Kmg'5 Highway, (Rte. GA) - Sandwich, MA 025G3 DRAWN: QH �' Ph: (508) 588-1000 Fax: (508) 888-7890 CHECK: r h k ' II III N n r D� r ��5 pco id I l / ED 12'WIDE DRIVEWAY w°f�ti°� TEST PIT PEIRC TEST / PROPOS `�, SINGLE FAMILY DWELLING W/ 5 BEDROOMS I�ILL /3 13.73 N32°,'�0'58"E NO GARBAGE DISPOSAL �� 32°20'54"E BUILDABLE ,I - - N AI q �I 3 DAILY FLOW I I X 3.6 0 G-55OG.P.D. EXISTING � . +e _ / ^PORTION OF T 2 SEPTIC TANK(VOL. E ' G ''� P !I � P-1 N oD) .!E ,I NON-BUILDABLE / GRADE { �q �� r^�„ I:P. I PORTION OF LOT 2 g3� _g�,� I l A T2 E_ L°A M -9C 3.°. 5 OJ GAL. AN 2 = I)) ��GALS ��` I,5 K O.K. 8N52" LwvlSANG Ctl>y LEACHING AREA(S.A.5.) � \ N43 27'54"E to USED I } O 6 a r, ►80.02' ; - 87.7 - 5 - 5'x B _.C_ � 5 I NL• e w YES EFFECTIVE DEPTH LOCUS ZL96+2 67xU.79 _ 181 r Ijv N vW t.'A 52.,;3 _ Q GZWELN38° 6;'4"ETOTAL TOTAL CAPACITY=643GALs.Ln cLp 3� l `9 l 0 Z ROP05E � \ DESIGN a.a± J \ - N Ln 2 STY. �/ 5 93.tt- M N o HZo a11ZO -%3.0 N WD. FR.% N 'A'^/ / \ LN4a L W L O (7 1 - J rn TESTED : /Z 1 Z N n3 \ N ,�o, L I �Sc�• ��-`� NOTES: LOT 2rn �, D \ A • T �o/ \ r 1 153,G98 -±- 5F r cow K 1 . DISPOSAL SYSTEM TO BE CONSTRUCTED IN STRICT ACCORDANCE WITH I w cn - w z COMMONWEALTH OF MASSACHUSETTS ENVIRONMENTAL CODE -TITL E V. I l- O 3.53 ACRES •T � V\ .1 _L�. -1 \ U1 N - � N I I / W L L 'J. \ r-x� �O - 2. ASSESSORS PARCEL NUMBER (APN) T � \ � J `s• —•— �"T' w�L� o � 3. CONTRACTOR TO CALL DIG-SAFE 72 HOURS PRIOR TO BEGINING j ( SHAPE FACTOR CALCULATION I I - / \ y rn CONSTRUCTION AND/OR EXCAVATIONG. I (FOR BUILDABLE AREA of LOT 2 \ ]p 5 NOT, IN ANY WAY, REPRESENT AN ACCURATE, INSTRUMENT SURVEY OF THE / (I49 I)(I 49 I) / 4. THIS PLAN DOE a 17 1 / 9 / o DTI PROPERTY, AND 15 NOT TO BE USED FOR ANY CONSTRUCTION, OTHER THAN THE ELEMENTS 129,783 / / u �� ,/ v \ \ 0 -0P THE SEPTIC SYSTEM AS SHOWN. THIS PLAN 15 NOT A RECORDABLE PLAN. 1i 5. BENCHMARK 15 BASED ON AN A55UMED DATUM 3-, AS SHOWN, UNLESS OTHERWISE SPECIFIED. �LV. 9 O v 1 G. 5UVREYOR: HOOD SURVEY GROUP, LLC - c W co P.O. BOX 23 ZOT \ ^' SANDWICH, MA 025G3 7. SURVE\/ DATA FRaly\ PLY\M 1>7E:PA-7 P�J 110 D SVRVEV A AMR 7 L_ FT Zo LLUWS_ 8. 1Vor W )`t-N7 iJ 1S0 . o. T ZIlUK 1NG WELLS o� W ETLANIDS. � -- J• 1'Y Ll'1 r',v� :i --� 7 _ ,,. Tvr. .ei::?al '�T1�.,'!j i.i" -..v-i > i.+. •.>-:i "�_ �'1 .�..o. N fo_ V S L N --za SEF-)i C 7A N IC vu iT 'A 1,�00 Gn"l C1\i 1 y. PUT°T"S n �� 6AS N IIA7 �LE 7r\Mr- DER TITLE �I o '—LO m� 7]_ V53E 5-5 'x& PC_ Ca)JC_ C.EY\CV\ C1-It\IMM�R5 w / 4.' o 3/� ' 7a I'/Z' DbVIILL \�06� — _ \ W KS11�D STONE ALL, I7.O\JKI L W i T)A 2" WASH1t_.L� ��1�57bNE 0�1 1 ti AI \ \ '� 26.22' \ — • 205.80 536°39' 9"W 158.55' 5360 10'34-WV 103.6T S36°10'37"W 232.02' f GRAPHIC SCALE N I so, 0' 25a 5 0' t D 0' 1 �z. III 1 (IN FEET) " LEGEND I - , FIRST FLOOR SITE PLAN 24 - PROPOSED CONTOUR EL. 9 7.a -� 10 EXISTING CONTOUR TOP OF WALL - - DRIVEWAY j EL. 96.o REMOVE �C�� _ FIRM ZONE MATERIAL V AROUND 16" FIN. GR. EL. 96'0 EXISTING G.R. EL.g T'•y 8g-O SYSTEM TO EL. 8T•7 Ip 2%SLOPE - i • S W/IN 6"OF,GRACCES .. . \� 9 MIN.COVER SITE AND SEPTIC DESIGN PLAN \//3D 2"PEASTONE E55 PORTS CC FHH,0TE5T °opo PREPARED FOR �\ lF FORLEVEL 2'LEVEL °bbwP� GAL 9a.Z " o-BOX J EFFREY SOLLOWS SEPTIC CON(H 2 q GA5BAFFLE AN 6"MIN. 0 4o Bb BD 89.0 $ �' ,8 cro �t °o os gb � 3/4"TO I 1/2"DOUBLE HEALTH AGENT APPROVAL DATE L a T Z C E rJ R . ON - �-6"CRUSHED STONE OR COMPACTED-p WASHED STONE I 0 MIN— - .� W E 5 I aAR N STAC3 LL- 5 MN , •. I e��ZHOPN,S 20'MIN. kp q 9c ADVANCED TECHNICAL SOLUTIONS DEPTH OF LIQUID 4 o HARRY tiG INLET TEE DEPTH - 10" N 0 BELOW I �I CONSULTING ENGINEERS OUTLET TEE DEPTH- 14" g 3.n ' LANE ,Y, M, 2657 L P.O. BOX 99 F �G .c PROFILE OF DISPOSAL SYSTEM E. SANDWICH, MA 02537 3C�M 0�'" F :a c'aNAL ENS'` DATE: SCALE: II ! ' ( DRAWING NOT TO SCALE ) RICHAP . HOOD, PLC H. EARLIA- Y, Jr., PI- I ,I I , I �