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Home My WebLink About0104 CROCKER ROAD INISMEAD No. 53LOR UPC 12543 smead.com • Made in USA �ra6p o Cad vla�l� � Application to ® kittg'o Mablivap 3egiottal Jbiotoric ;Bia'trict Committee In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS 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 LJ Garage ❑ Commercial d Other 10 6 ,rdc 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign . ❑ Re ainting Existing Sign -= 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole Other p s TYPE OR PRINT LEGIBLY: DATE rn ADDRESS OF PROPOSED WORK It ^j,(1,f0CkCf�nc (��(�j ASSESSOR'S MAP NO& iU OWNER ddra- SJ in Cc�UU i ASSESSOR'S LOT NO. ZZ. HOME ADDRESS 169 (^,YocCj. TELEPHONE NO. "I3�jp FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) Jrun 06 I1Ja c ✓1• f 02,468 C u e- 12A W. MA Wit c + rM1r AGENT OR CONTRACTOR 'r TELEPHONE NO. -' ADDRESS DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. rx4"J ho4c /VW � Avd, oi t dr�bl�' 1,u�ndvw-te a Ye. tah•�c Led&f' ShsejLe-j P�4�rn 120 X L2 vhu�Ch e,��f.�� Y1r,> - WV &#-e r►'r, w[ "t ( LO IC Sc ii ns /Ind: pan ly nc�chtS �Crr ' hf whik I" Ywe- PIahS , 214X �Ll" -10 wy 'cal erX�4o�) hcxy� W11; Signed Owner-Contractor-Agent For Committee Use Only 22 �// 2 This Certificate is hereby Date�rye D F. FEB' EOVl5 nied 8 2006 Committee Members' Signatures: TOWN OF.6ARNSTABLE IL HISTOM PRESERVATION Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION !1 C(j r t IjV1if� �Q X1J L(, � SIDING TYPE��( P �� ►vac, COLOR CHIMNEY TYPE COLOR ROOF MATERIAL_TW CAynbn( _COLOR LULL ��"" ex'4(VJ PITCH ( •n (� CT r WINDOWS � l A!�A,),Cttj COLOR ( SIZE Z � f TRIM COLOR 0h 1k, ' D60RS oyrwt.^ ry COLORS SHUTTERS COLORS GUTTERS COLORS DECKS MATERIALS GARAGE DOORS ( ,( IM4 MtnA r' COLORS �jfpwYl �t�j IY't SKYLIGHTS SIZE COLORS SIGNS COLORS FEB 8 2006 FENCE COLOR TOWN OF g ERNSTABLE HISTORI i NOTES: � Pill out completely, including measurements and materials/colors to e �9TIQNth s form are required for submittal of an application, along with Pour copies of the plot plan, landscape plan and elevation plans, when applicable. S Revi Reviseedd 11/98 ' .. O oo wo= z e I J 1 ; 1 + ro yisT R�OpegR 1pp6 RFS��gTB�F ON N 4 .:�,►.. .per t� r.- , mF o �1 e N� Olt { JHH 1 9 LOU i t"t v o �� t� fi� � _. ys�R�pFBq 1��6 �p9F FRLAe�F gTj�N 1 � � T �t I k :i <k i h it it Jy Rrw. cl OEC �-Ea 82006 TOW H! 0 p8ARNSTgg� SERVq T/pN • - � � � a� � E s�y 74 A. �1'��' fir. ��v� , � . �.,�•'�� tl 1,�1• .. J'' _ A Nam, � i`-• -. .� M° - i- r{,r♦' Y 1 ' is a, . �! •... _,to ! � 4 ►AoNJ c `` � �� ; g!fi "�; •" �' �.A 'a CIF ±4 741 61 'i4. i ��t r • I Y FEB 2007 e� rlo N ST R��'RARNSTAB �SFRVAT�N ~ ~\ 2-500 GALLON 1 , IS MA D 1 LEACHING OMWERS \ Ed 1 M kL'r.. •h- .�?t•.h..�r..:::t.4,{n..,�'�`'icy;.,'Ys±%?71'�'�ii+dd�4'�/k�tin �eY•^�y7A"..Q� .F�4;d��s;w75�e�,ih�*'�.:_?S.-,.7Ft�..a..w.wLe.:s"ssircyn'MY- •hT`h�'','"...ir"-'iMh:3�;;9.m.a..n. ?-��".i":�:•��^-uJr ....:f: 1500 GALLON y' SEPTIC,.TANK ' EXISt4A* TANK \� \ BY.CORNER BULKikAO .97.09 jmo JS•7 i FOSEDfoo i, ALL I NO \ (P�✓ 1�► - '�I l` Ex l ST 11 8 O18 ) TOF nor 99 56. 398- S. F. ` r l l .l U'EL L ` -w \ � SIDE�4LK OAD 44 "1 .... " r —.usp tr ..ii.e,y k.+uMF-+••.� i z w. +./ .• .Y . i ! � 7 a Uj ca co �! m n } s ! � t I Double-Hung Windows Technical Data Unit Performance Data i. >Thermalt ri � �y�`Sotmd Performance` Solar Heat Gam Center of Gla� Yisfhit; Transmtsslon, Type of Glass U Factor' CotTfficleitt' U-Factor,,L:Transmdtance' '"Y Class F #D al Paneriflanceip 32 3 0 33 �0 ' �@�t ��R�"'' em-�M-611`Pane3�•I sittattn Htgh PerforfiahcpS'un, ow E� 0:34 0.24 0.30 40% 30 Od81 PanelnsUletg� ' f Igh Rerfottnarme5un fmv t rt4s 0.34 0.24 0.30 40% 30 <emp@retl;DU�I,.RBne•Jnsuafin .a��' Q$nr1�S=1Noti wrgnf"'Picture WinUo �� i�y 7��h�'°rr�5� Fj y�r i iiY `s� a r Thermal 1 t ` Sound 'Perfortnance Solar Heat;6am Center of GI Vist6le Transtntssfon: Type of Glass f U Eactor'� CeeffiDleltt' a ,3U=Factor Transmlttaoce' Class �.. ' gh-Pet#� �a� �- t fD�u�a'`t Mill sU�ng} { `' 030 i' ,t 033 x x r028� �> 72% y t�30 {'1k0 nce'° W-E t r 4 pe .221 t Pasulah'e 030n0.33 :'026 �12% ; 30 )B1et0lapdeuR inw 0.32 0,24 0.30 39% �.�`,30 j f anrk Sun 1 J 39% 0.32 0.24 0.30 30 Xem6ua1 P4ng'Inu�at�� , 40Q Sete§Woottwri �zTlterma � cP k �` •�, a rz Sound x, 5 Perfort�lanceSolar�Heat Gains Cetdergof Gla �' VtsibleTransmisslon Type of GlassU facjor � Coefftcterttt sU'Factor'Transmittance' „�Classl t High�er?orm5nce"law ' „ -Ra -ROy °IYijftNnytsutatl0 x "030 za 035 �xt f� '028 a73%' '`� 30 T'em erBdDieaPanelnsUlating 3030 "�f� 035 ry028,st� � r73% 9D>c=;_ .: D �x ante Suo�gg� 0.32 0.26 0.30 40% 30 j(a{ e(nsul�ahng n 1iigN�erf4mtence Sun"4aw ¢� 0.32 0.26 0.30 40% 30 Te ere0'tlftel-pane sole `Sc_L' "High-Performance"(HP Low-E)and"High-Performance Sun"Low-E(HP Sun)are Andersen trademarks for"Low-E"glass. Based on NFRC testing/simulation conditions using Windows 4.1 and NFRC validated spectral data.07 outside temperature, 70°F inside temperature and a 15 mph wind. 1 U-Factor is a measure of the heat loss through the glass in BTU/hr deg.F sq.ft. 2 Solar Heat Gain Coefficient(SHGC)defines the fraction of solar radiation admitted through the glass both directly transmitted and absorbed and subsequently released inward.The lower the value,the less heat is transmitted through the glass. 3 Visible Transmittance(VT)measures how much light comes through the glass.The higher the value,from 0 to 1,the more daylight the glass lets in. Visible Transmittance is measured over the 380 to 760 nanometer potion of the solar spectrum. DP upgrade option available.Contact your Andersen dealer for availability and other details. Au o m„ LM °c �y z I -Ahidersea Table of Basic Unit Sizes Scale 1/8"=P-O'(1:96) Unit Dimension 11-95/8 2'-1 5/s 2'-5 5/8' 2'-7 5/s" 2'-9 5/8" 2'41 5/e" T-I 5/s" 3'-5 5/8' 3'-9 5/8" CUStOM Sizing makes the -.i." 6 (549) (651) 752) 803) (854) (905) 956) (1057) (1159) Woodwright-double-hung M N 'MOM. 1140W, N -1-�;� window ;4 7777777== ighiciodfilng ideal for window R MWK & 9611 replacement and renovation. Unobstructed Glass" 15 5/8" 195/8, 233 5/8' 25 5/8" 27 5/e" 29 5/s' 315/8' 35 5/8".. 39 5/s' 3 _(_ _!�. - — ___ - Virtually any size you need 97). 498) _T752) �803) (905) .(1006) 600) (651) (702) M between the smallest and — zn, 4 9 largest on these charts can "' `" "�� ® ®09 03 FBI ® FMI 0 � ® be made— down to WDiH118210 WDH20210 WDH24210 WDH26210 WDH28210 WOH210210 WIDH30210 WDH34210 WON38210 1/8"increments. ........ .... Eq 77R WDHI832 WON2032 PH2 WDH2632 WOH2832 WOH21032 WON3032 WDH3432 WDH3a32 Cc"?P F $ rT CI) V) FJ F I available for them heights WOH1836 WDH203 WDH24 D 2636 WOH2836 WDH21036 WDH3036 WDH3436 WDH3836 and all widths 5 C ; E via 10 WDH28310 WDR210310'2" 'H30310 - WDH34310, WOH38310 cn WDHI842 WDH204 �WIDH2442' WDH2642 WOH2842 WON21042 WDh3642' WMl WDH3842 ZI OP D' DHI846 WDH2046 WDH2446 WOH2646 WDH2846 WDIH121046 WDH3046# WOH3446* WOH3846# 9 U� CD WOH18410 WOH20410 WDH24410 WDH26410 WIDH28410 WDH210410# WOH30410o WON34410# WOH38410# R zC > C4 uu 4M WDH1852'WDH2052 WOH2452 WDH2652 WDH28524 WDH210524 WDH30524 WOH3452# WDH3852* E 7,M, 7 0, !P LO NH WON1856 WDH2056 WOM2456 WOH2656 WOH2856 WDH21056 WDH3056# WOH3456# WDH3856# 'is for singlUnobstructed glass height e sash onllr. These units meet or exceed ° �{-r, r 2 t ® ® ® the following dimensions: Clear Openable area of 5.7 00 sQ.ft.,Clear Openable width of 20'and Clear Openable LLMI height of 24' LLLL] LLLLIJ a WDH18510 WDH10510 WOH24510*WOR265104 WDH285104 WDH210510* WOH305104 WDH34510# WDH385104 "Unit Dimension lways rya? it h rx is refers to outside f _T -I! P rame to W z� ® ® frame dimension. _AJ • Dimensions in parentheses are in millimeters. M TM • When ordering,be sure to specify color desired: FM I I I I White,Sandtone,Terrat or Forest Green.. WDH1862 WDH2062 WDH2462# WON2662# WDH28620 WDH210624 WDH3062 4 WDH34624 WDH38624 1 - O CO•CC � V O Q UB a� i y \NOOI_)WRtGHT"' Double-Hung Windows Table-of Basic Transom Unit Sizes Scale 1/8"=IA"(1:96) Unit Dimension 11-95/8 2'-15/8 2'-5 5/8" T-9 6/8' T-1 51s' T-5 51s' T-9 5/8' Custom Sizing makes the Woodwright" (651) (-752) (854)— '--(9-55) (1057) (1159) transom window ideal for window .1=101/a 2'm2'Roup 2k replacement and renovation.Virtually v 15�5/8' 195/8- 315/8' 35 5/8' 395/8 any size you need between the smallest Unobstructed Glass _ 235/8' 275/8' and largest on these charts can be made (397) (498) (600) _(702) (803) (905) (1006) down to 1/8"increments. o —1 _0 _0 F=00 FM F= F= F= 0 WrR2010 WTR2410 WTR2810 WrR3010 WrR3410 WTR3810 Use the Woodwright transom MFOMI FMM - window joining kit to join Woodwright - FOB] FO "1815 015 WM2415 WrR2815 WrR3015, WM3415 WM3815 double-hung windows to Woodwright FMI FEM transom windows. E FOE] M WTR1817 WTR2017 WTR2417 WTR2817 WTR3017 WTR3417 WM3817 FOII FBI FER FEOI FEM IM c4 WTR18111 WTR20111 WM24111 WTR281 11 WrR301 11 WTR34111 =WM381 11 Eq Mal C4 C4 F] FMO FOMI M WTR1a21 WTR2021 WTR2421 WTR2821 WTR3021 WrR3421 WTR3821 FM _6 WTR1823 WTR2023 WIR2423 WTR2823 WM3023 WTR3423 WTR3823 10 01 FOD FEM WrR1827 WTR2027 WM2427 WTR2827 WFR3027 WM3427 WTR3827 1 0 CII Go 1 0 FBI nu on WrRI831 WrR2031 WrR2431 WrR12831 WTR3031 WTR3431 WTR3831 1-5/16'(33) 4-1/2'(114) E Unit Dimension 3'-11 5/w" 4'-3 S/W 4'41 She 5'-7 5/ie' 6'-3 Via" (1202) _(_1303) (1710) (1913) • 2-9/16-(65) :;Rough OpeningR, M-4, V 0 I Unobstructed Glass 41 1/4' 45 1/4", 53 1/4" 61 1/4' 69 1/4" , Transov' (1048) 1 1 1149) 1 1 (1353) (1556) 1 1 —(1-745) 9 WTR31010 WM4210 WrR41010 WTR5610 WTR6210 = 2.9/16-(65) S V16'(2)2-5/81(67) Double-Hung Picture Window — Upper Sash 2-1/4'(57) V_ Lower Sash • TT 1-7/8' 11-7/8' 3' -ai (48) Clear Opg.Width 1/4 1-3/4'(44) (48) (76) Glass Width 1/4' Unit Dim.Width (6) Unit Dim.Width cn S 2-3/8- ch 1/16-(2) :1/2 Overall Rough Opening Width Sill 15_7 Picture Window Detail Transom Detail O 2 , i oo ❑ oo -;Wpi z I � --F m r m • D Im O Im hi I r m O z DECE #V E FEB 8 2006 SCALE 1/13% I,-O„ H OWN 0 BARNST 1,,,1L April 25,2005 PROPOSED TWO STORY AND GARAGE � FFF ADD�ITTOI,�S MW DESIGN FOR THE SIVIFT FAMILY. 104 C::ROC!KER RD. W. BARN. 02668 (508) 398 2359' mwdesi n2scomcast.net nrcA-11zNcs I OF 6 9 i O � 0 as z m r - m D O D xl m 0 01 rK M. DEc L FE[ . 8 �000 � 1' N�8��R OFBARNST /cPRESERVABp� SCALE I/8"•I'-0" I>n'rL April25,2005 PROPOSED TWO STORY AND GARAGE ADDITIONS MW DESIGN nRAIV BY MARK IVII LLUMS (508) 398 2359 nR.kwv>\cn 2 OF (o FOR THE SIVIFT FAMILY. 104 C:ROC'KER RD.I IV. BARN. 02608 mwdeei9 n2ecomcaet.net I 24'-0 m z � E D A Z X X X A Z m O p a O p p D n N 1 11 n N O w ID T O p A 0 D m 0 Z O O p m N _ X -- O A X X — X X X X C O O 3'-L)" p� A X X In A A N U) 3'4• • 9 LIM • ii . 12.-4" 4'0„ ' • b IIX �11 im pii C1 D -0 10'$" z � b r j 2 0„ n ° z � D l -y� T 3 n m 0 _ O z p p_ D O � 1 p V n n z n m T b m z b z n r m in p D 8'-10" 4-0" l7 z G� n _ T ob in s mm 03 r0 D m 22'-0" E r EXISTING MD CHANGES) N = m d p ms rr m OA Az mp DE cE FL 2006 SCALE V8".r-0" HIS Topic PRESERTABLE 1).\'1'L April 25,2005 PROPOSED TWO STORY AND GARAGE ADDITIONS MW DESIGN J)K--%AVN BY ALARM WILL1.1DlS FOR THE SWIFT FAMILY. 104 ( RO(:'KER RD. «'. BARN. 02668 (508) 398 2:359 3_QF 6 mwdesl n2scomcast.net nrtnn-Is\c# 9 i 24--0" A W 0 0 0 w 0 - D N n 0 D Z -------------------------------" m -------------------------------- � b r - - 0 b O � - A L-- r D Z i I I b r -n r W b ---------- - - -----a -------- --- g1Ll,^.EILIN�M�!a4tf tl A 5-6 2-O O . 3 � 8 r b Z _ Q A a, W DOWN m O 9'-0'. 6'-0.. 22'0" A 0 O 3 EXISTING MO CHANGES) 2l'-0f E 60 E r TOWN OFBgRNST ` HISTORIC PRE D AB( " E SCALE 1/6".1'-0" SEI j/AT,l()y D.VrL Apr1125,2005 PROPOSED TIA'O STORY AND GARAGE ADDITIONS MW DESIGN DRA%'1N BY MARE%V11AAAMS FOR THE SIVIFT FAMILY. 104 CROCKER RD. «'. BARN. 02668 (508) 393 2359 mwdesi n29comcast,net nrzn"-l;\ca 4 O 6 9 r�h v -n m c� E 2XI2 RIDGE/CONT, VENT W o O ASPHALT SHINGLES TO MATCH EXISTING n I� G 1/2"C.D.X. PLYWOOD H = z 4 0 6 O ALUM. DRIP EDGE ^ --- -- -- - -- IX6 FACIA �u W IX6 SOFFIT CONT. VENT E IX6 FRIEZE tiq n 2X6 HEADERS �p PROP, VENT ON SLOPED CEILINGS a 6"RIGID INSUL. IN DORMER CEILING . EM a I/2"G.D.X. PLYWOOD19 LN R13 INS, IN EXTERIOR WALLS rxloRm,E 4•�` � G� ��/ v�l M-/ CC�1 / W ENG,RIM BOARD r•^-.� c[W DN RAFfERb —� If T/8"T.J,I, JOISTS a 1'-0" O.G. FIN,FLOORING TO LINE OF '" +x.BEAM.o+'c'o.c. oR ax."I.' FII v.'LVL eEAn I XII MEAGER WITH EXISTING. ADJUST STUD D.C. O vEr.BOXED OUT our wNoows HEIGHT AS NEEDED. W.G. SHINGLES ® LL �O IX6 CORNER BCS. (MATGHEXISTING) q(O JACKS 2X4..TUDEJil TYPAR NOUSEWRAP A DROP T.O.F. 10"TO CREATE 1��11 M _-FIOORINO uElauv naN uou.E -_ _ STEP DOWN CS" MAX.) 'V F!.•� P.T. 2X6 SILL ------ ----- 2XIOe 16" O.G. R30 INS, , 3/2XI2 BEAM SILL SEAL GRADE VARIES ;• 3 1/2" LALLY COL.,ON �• ;• 2'-6"X 2'-6"X 1'-0"CONC PADS I/2"DIAM. ANCHOR BOLTS a 6'-0"O.C. EXISTING ,. BITUMINOUS COATING BELOW GRADE :? W . •� "�.. 8"GONG.WALL ON 16"X 8" FTC, MINIMUM 4'-0"BELOW GRACE FAMILY / MASTER BEDROOM / BREEZEWAY SECTION Q " x _ row "2X6 9 16O.G, o w 5 N w FLOOR HEIGHT TO ✓ 2XI06 I6 G.G. _ - l PARRALAn OR LVL BE.d MATGN MASTER BEDROOM h+i O n a E 3 Vf LALLT COL..ON I r •.. 7'�•x 7'.&�t I'-0 CONC.GONG.PADS GRADE VARIES,ALL FOUNDATION.HEIGHTS f ••• •• AND OFFSETS TO BE SITE VERIFIED h VI 8"CONC. WALL ILITH LnLL FOOTING O 4'-0"BELOW GRADE O O ry .^ GARAGE SECTION m a W -1 24'-0" N i � N - ' D — � = b oA � O m f1 D :R O ND _ N , 0 b z a O D o A = Z : i O m I> L• ---• •--- - ' N-n m A i A r D �z Z A m i r �( v' ___ -_--.---------------------- ---- ----------------------- ---_ b 1 N b i im , m i ,� io �3. ; , o 0 0 o m s b o w CRAWLSPACE WIN CCNC. DUST CAP - N ; ' 61 -4 ------------------------------------------------------------ --------------------------------------- I i 8'4 ------------------ ------------------ ------------------------------------------------------------------------ I i i i ' , I a 2Y-O" Ivi r i FEB r; � 1 f �JLrt7 SCALE 1/8"=1-0" HSo�NOFPir SARNST April 25,2005 T' DESIGN PROPOSED TWO STORY AND GARAGE ADDITIONS BY MARH WILLIAMS FOR THE SIVIFT FAMILY. 104 CROCKER RD. «'. BARN. 02668 (508) 398 2359 DRAT-,-Itpp 6 OF 6 mwdeslgn2scomcast•met x =k''- {� l i.�� -' � I 1 �, i t 1 1 i Town of Barnstable _ Regulatory Services / Thomas F.Geller,Directoz .e Building Division 3` P }rr TomFerry,Building Conualssiouer 200 Main&seet,Hyannis,MA 02601 Office: 508-962-4038 Fax: 508-790-6230 REQUEST FOR ELECTRICAL INSPECTION t0U5 IEa.Ecz°>icaL PERMIT>v-vMEiR (Fermi:required in order to process inspection] . Today'sDaw �?u"a� _ Requested Date of Inspection ��'- a�3-Q 7 I, AogA u�SfhsG Sl 'WC-, __hereby request au inspection under Massachusetts Ceuerel ( ieccr6an) .Law chapter 143,section 3L and 237 CMR 4.02(3). The.installatioo wL'1'be ready for inspection at _ 61111 (Property Locati ) Type of Inspeotiou requested: [] Temporary Swvl.oe ❑ Service Re-inspection. ❑ Excavation ® Rough Re-inspectim, ❑ Service Iaspection ❑ Find Re-inspection LA ;io�gis; ectioE for_y ��io�� !�1a�0.�t®Re-iaaeg�cti�o Fe +l ❑ Ftnal Inspection for ❑ Other Owner or tenant � t Licons®e s rxana®,addrwa, and phone k,�-� / r' i U -y 3 a-3`i5�1 License number At y y�y z. Ucensee's Signature 2'bsssec.,tioa to be completedbpBarxwmbteInspector of iwres Inspeotion date ❑Appzcved []Not Approved 'lies work was not approved for violation of the following Articles and Sections of the MA Electrical Code: Q:WPF,,1es.-famu:electregaest Uvc102604 T 'd SLOSZCts80S JNI1U311 1b0dH31M8d ib =1. L002 62 .add (�,�ti�� ►�lam-��-- U�, �oC�il-2 ., � �/a v , �� (.� �v ®wn of Barnstatle �pEZHE�� Regulatory Services Thomas F.Gefler,Director 263 Building Division Tom Perrh Building Commissioner 200 Main Street,Hyannis,MA 02601 office: 508-862-4038 Fax: 5,08-790=6230 REQUEST FOR ELECTRICAL INSPECTION ELECTRICAL PERMIT NUMBER VC c f (Permit required in order to process inspection) co co Today's Date !)' Requested Date of Inspection C ez i I hereby►request an inspection under Massachusetts' . General (Electrlcisn� Law chapter 143, section 3L and 237 CMR 4.02(3). The installation will be ready for inspection at_ �. C r o ou,e C j cc , (Property Location) Type of inspection requested: ❑ Temporary Service , ❑ Service Re-inspection ❑ Excavation ❑ Rough Re-inspection Y Service Inspection ❑ Final Re-inspection ❑ Rough Inspection for -Qj Sao V" ($50.00 Re-inspection Fee) ❑ • Final Inspection for IV D k S ❑ Other Owner or ten --aR0 RP6 6 Ce < Licensee's name, address, and phone License number licensee's Signature YWs section to be completed hrBe instable Inspector of Wires Inspection date ❑Approved []Not Approved This work was not approved for violation of the following Articles and Sections of the MA Electrical Code: itaFR-23-2007 08:46 NORTHERN h-iEP,ITAGE 15097754610 P.07.i01 l,l VVU SPA �gb��a,saag�� Regulatory Serviees ' Thomas P.Geller,Director sdM ' Building Division � Tom Perry,Autlding Commissioner 200 Mein 5tieet,Hyannis,MA 02601 ._ Fax: 508-190-6230 pftica; 508-862-4038 MQUEST F® ELEC�I� I1vSRECT�O ELECTRICAL PRPJVW NL�'�IBE 021 P- (Parmit required in order to rocess ection). . Todry s.Dat �7 ? Requested Date of Lupe'etion —hereby request an inspection •,-under Mass :setts Generftl (Elecirlc{an) Law chapte.143,section 3L and 237 CMR 4•02(3)• / The installation wW be ready for inspadi=at (property Location) Type; of inspection requested; lenporary Service ❑ Service Re-inspection t Roug>s Re-inspection Excavation. Service Inspection [] Final Re-Lispectian u Ralagh Is':s�peetion for ---- Fee) (� Final Inspeedort far^•___ .ra❑ Other /j�" ' b r texiant v .1 CA c,Cwaer c�. `Lioensrre name,address,and phone Ch En y �)�icerLe'numbe�.�1. Licensee's Sign e _ I7ris secfian to be e ample ted by far a lnspeet r of Tres []Approved EINOtApproved Inspection date This work was not approved for violation of the following Articles and Sections of tfio MA Electncal Code: Q;WpFiias:farrts:lec�'equest • Rev:i026Q4 TOTAL P.01 V, � v D 70�0 fl�0 Town of Barnstable *Permit# —A4* Expires ti months tom' e date , �� Regulatory Services Fee �g Mass. Thomas F.Geiler,Director X® PERMIT Building Division Tom Perry,CBO, Building Commissioner APR 0 2 2007 200 Main Street,Hyannis,MA 02601 =n`pAI- p�NSTABLE www.town.barnstable.ma.us Ot3iLk %gE2�ffl Fax: 508-790-6230 EXPRESS PERNHT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 1 OZZ Property Address �L� df eG !' /`Ct�(� �Cl'' ►'P ,� L)26( a e Residential Value of Work • - inim//um fee of$25.00 for work under$6000.00 Owner's Name&Address �hr/4blr Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ram sole proprietor the Homeowner e Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. r a Permit Request(check box) Xr, ❑ Re-roof(stripping old shingles) All construction debris will be taken to f J ❑Re-roof(not stripping. Going over existing layers of roof) 77 �/Replacement side 1 Windows. U-Value U,3 V (maximum.44) - +' *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Co ervation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contr ors License is required. SIGNATURE: 77 Q:Forms:expmtrg Revise071405 As 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 / L Please Print Legibly Name(Business/Organization/lndividual): oha4okl!f A Address: I City/State/Zip: �J2 � � � Pone#: 5^�� 36Z ` 136 6 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers'comp.insurance S. ❑ We are a corporation and its equired.] officers have exercised their 10.0 Electrical repairs or additions 3.E I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees. [No workers' comp. insurance required.] 13.[�Other `!///t i *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. =Contractors that check this box must attached an additional sheet showing the name of the subcontractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/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 certi u der the ains and pe aloes perjury that the information provided above is true and correct Signature* Date: 1 12 Phone#: �J 3�z —i 5ae�o 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#: oFt�r� Town of Barnstable Regulatory Services i BMWgrABLE. : Thomas F.Geiler,Director i` : a.0� Building Division �A�FD MA't Tom Perry,Building Commissioner i 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print J-41 DATE: ) u ! — /� /� JOB LOCATION: ID I (U6/C� /�C A t umber street village / "HOMEOWNER":�11r! -1 ��(/ ` U 1v Z — L U 1�-3Z 5-7 YJ S 1J / name /I r home phone# work phone# CURRENT MAILING ADDRESS: l/l./t city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance-with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minim inspection procedures and requirements and that he/she will comply with said procedures and req ' e ents. r �ip&re of Homeowner I Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control.. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner.shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt INN .e TOWN OF BARNSTABLE Permit No. -------- 1 Building Inspector�� ...A Cash -- -- DNA,(,,� OCCUPANCY PERMIT Bond _ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ................................................1 19......__ ....................................... ........................................................._......_._ Building Inspector i K. J L� i � � m � J a . tk to 0 o- p - N pCot ro Q • :z J Q tH OFCA MA,r 3 >g* e O 43'r Np SURV� s4• 3Q+ 4$'± . �5�' FQ_a►..rrA6S A= 13F. 13 � ��•q4" 40.E , 15' Se.�S.8 NAl I D2oA o . CERTIFIED PLOT PLAN NEW CONSTRUCTION ONLY TOP OF FOUNDATION IS 1.2 FEET IN �ww LOW POINT OF ADJACENT ROAD. SCALE, /" 5d DATE= JA I o5,1?l LD EDGE ENGINEERING CO-INCJ I CERTIFY THAT THE Fou► b-A-rio.l -� CLIENT SHOWN ON THIS PLAN IS LOCATED EOISTERED REGISTERED JOB NO. 1�4 ON THE GROUND AS INDICATED AND CIVIL I LAND �� CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR DR.BY' OF BARNSTAB , M S. 712 MAIN STREET CH.By, H YA N R I S, MASS. SHEET L OF 1 DATE E LAND SURVEYOR Assessor's map and lot number .................... Ae.4 ..... ...................... � � , -� �• �oF rot THE �.J r n ♦ Sewage Permit number ....[:?..�...��.V..........................: 2 �� [lflU ST SEPn �A 1 =,' �A�� °q'BARNSTADLE, i House number. ...........111,t�...................................................3,- Ii�1STA+I.LED�16� CC�1.i, MABa ' VVITH,TITLE 5 °°'°�toypYa�e�° TOWN. OF BARN" -., ,TeQ � BUILDING [NS;PECTO-R sv� . APPLICATION FOR PERMIT TO ..........ATE �I1............................. .. ...:..........�� ............................................. TYPE OF CONSTRUCTION .......5'QUS Q. . ..................................................... ............................ tec. 16.>198 .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .............L.Ot..#.99...-OC.ker..Road.....W...Barnstahle,...jga.................................................................. Proposed Use ..........P_Y']II13T�j..�eSa.1�811C�.................. Zoning District ...W!�...Bar4$.t U,e;.................................Fire District W.....Bar.Y2S table..................................... Name of Owner ......g:e...D,4xUanl....................................Address ......1-641..Dlai d!.....E....Detm1.S:�...Za..,.......... Name of Builder' .8 •...Agywood/W.,...Par,,Y A1A......Address ...P..R-S-0X...3.0.8...WA4U0it,---Ma.---02.5.36 Name of Architect ....K.r....Wi.s. ............................................Address ...1.31...Palmer......'aZIri41 th—,...ga--....02.540 Number of Rooms 7j...............................................Foundation ........%:eJ11QXJti.' AL1.T. S ,............... Exieriopedar Wood S;himi.@ ..(...W �.t,. ....).............Roofing ........ �e.da.2 -Sh le... .Red.... Floors Wo d .Interior ........W-0.Q.C�:..l..5-he.etrack................................ ..................................................................................... Heating .......WAQ.d../.....011...(...Back.-u.p....)................Plumbing ....l..BatlalShower...ggPper/PV.C............. Fireplace ....Br'1Ck...(...unter...)...................................Approximate Cost .....$20.1QQ0..Q0.................................... Definitive Plan Approved by Planning Board ------------_______-----------19_______. Area ..... ... ................... Diagram of Lot and Building with Dimensions Fee ......... . . .............................. SUBJECT TO APPROVAL OF BOARD OF HEALTHY • �. 120� r ►I� �-5 m Q0 .k;el OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........ —.............................. DARIGAN, K. 23741,E One & 1/2 Story yNo ................. Permit for .................................... Single Family Dwelling ............................................................................... Location ..Lot #9 9 104 Crocker Road ............................................. West Barnstable ............................................................................... Owner .. -...Darigan..................................... Type of Construction „Frame ........................... ................................................................................ Plot ............................ Lot ............................:... January 6 , 82 Permit Granted ........................................19 Date of Inspection ....................................19 `r Date Completed ........19 e 7 4 Assessor's map and lot number ......... ...:..:..� �� x6 �....� 2�', ��pF THE tp� Sewage Permit number .......... ...�...: .: d� EAR33T4DLE, i House number .........`. / ..................................................¢ '00 r639. �000 mxf a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR 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 ....... ........................................... . ................................................................................................................... Zoning District ... �..... ::. ..................................Fire District:...!.. 7.�... ......... ................................................. Name of Owner ..............Address Name of Builder' . �.;.`:. t:: .: . r.. :: Ti, ::.......Address ... :...G.. .:`.r,,. :.::...: .. Name of Architect ....::,. ...:..::.>: 1..........................................Address ... ..... ...:?.:.b.f . .,:.. Number of Rooms ..................I................................................Foundation ........ :.... :`.'.:.... a: . ". .......................................... Exierior' Roofing .........r Floors t .. Interior . 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 ;If `; �f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................................................................. DARIGAN, K. /A=110 2 2 No ..2.17A$.. Permit for 1/2 Story ..................... Binqfle Family Dwelling Bindle Location .-Lo.t...#.9.9.......10-4...Crocker...Road .... .. .. .... ....... .. ....... West Barnstable ............................................................................... K. Darigan Owner .................................................................. Type of Construction ....Fxame......................... ................................................................................ Plot ............... Lot .......................... ..................... Permit Granted ...Januarv ..6.............19 82 ................ Date of Inspection ....................................19 Date Completed ....................... ..............19 r -7 -11-0 -- Assessor's map and lot number ...... 110... .......C.4.. ............ ....�2. CF THE 81-738 Sewage Permit number ..................... IDAUS'TADLE. House number ....104.................................... ...................... MAGIL 2639- a MOR "TOWN' OF BARNSTABLE BUILDING INSPECTOR ,' APPLICATION FOR PERMIT TO ............ ................................................................................................... TYPE OF CONSTRUCTION ............W.O.Od Frame ................... ............................................................................................... .- .............................N 19.8.5. TO`"THEANSPECTOR-OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....104 Crocker Rd. W. Barnstable. bla. 02668 ............................................................................................................................ ProposedUse ............W.o o.d./.Ga.r.d.en...t o.o.l.s................................................. ....................................................... .... ... .. .... .. .. ..... ............. Zoning District .........Resldenlial '.........Fire District .........V,...Barnstable ....... .. .. ............................... ........................................I........... Name of Owner .....L.a.wr.e.n.c.e....Da r.i.aaq......................Address ....... ....Ba rn q,X.P-... ....... ........ .. Name of Builder ........49.hn...S.im.qn.d.s....................'.......Address Address .......Al?.i,...U.5.36 .. . ..... .. ..... . .. .. . Name of Architect ......................Address .......B t 9.S A X. ...Ot...................................................... Number of Rooms .......1 .....Foundation .......C o.n.c.r e.t..e...p.i.er.s.........7........I.................... .. .. .... .. .. .. .. .... .. Exterior ..... ..............................................Roofing Wood Shinale ......... .................................................................................... Floors ........ .......................... .........................................Interior ......Fx.p.aae-d...................................f .................. Heating ......N ................................Plumbing .......X/A............................ ....................................... Fireplace ....:P/A.......................................................................Approximate Cost .......13.0.0............................................... Oct. is 85 Definitive Plan Approved by Planning Board 19 Area ::7'�!y............................ .. Diagram of Lot and Building with Dimensions Fee ........./0................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH Q9 I. ....... D-I 116' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and-Regulations of the Town of Barnstable regarding'the above construction. NameAA4/ / ......- I .... . ...... ........................... Construction Supervisor's License .....6222 9............. DARIGAN, LAWRENCE A=110-22 No .28696 Permit for P! ._.(a99essory„ to dwelling) ................................................................................ Location ...............104-Crocker-Road.............. We ..Aalstrable........................................ Owner ...................TA.XreI ce..Dar-i-gan............ Type of Construction ...... ram. .......................... .............................................. ............................. Plot ............................ Lot . .............................. Permit Granted 11/20.......1985 Date of Inspection ....................................19 Date Completed ......................................19 t � 7" -1 `- 13-5 1--W 110-22 Assessor's map and lot number .......... .................. ............... "• 10 SEPTIC SYSTEM MUST `,OfTHETp�o Sewage Permit number .`...81.-7.38•.......... INSTALLED IN COMPL.IA AWS B i 4 TO WITH TITLE 5 : B T�L House number .... ....................................... ...... t ENV IRONMENTAL�N VIRONMENTAL CODE A 9 M�a ....................... t63q. \0� TOWN REGU TIONS YPy a' TOWN OF BARINSTAB,L BUILDING ;INSPECTOR APPLICATIONFOR PERMIT TO .... :......$.'ii�i•1d. ........... .................................................................................. TYPE OF CONSTRUCTION ...........W.00d. :..Fram. . e. .. .. .. ....... ............................................................................................. ............................. 0 V•...1.819.8.5. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....104:...Grocker Rd.. tad., Barn:st.able, Dia•.. 0266.8 Proposed Use Wo.od/Ga.rden t:00.1s Zoning District Aesidential W,,: )trnstable ...........................................................Fire District .............................................................................. Name of Owner .....Law En.ee .DAriga:n.....................Address .......1-0.4....C'rq Name of Builder ........j9hia1 .Sl.mond.s ...Address ....P.!:O.BOX:,306; 1 �laq�ao ,�. D�la�• K536 ....................... ........ . Name of Architect .... ......................Address .......E5.5.P.?i; ....%.*.................................................... Number of Rooms .......I...................................................... Foundation �ioIIcre.t,e piers ... .............................................................................. Ezierior .....YVOOd... h121 1.e..............................................Roofing .......Wgod...S.i.nale..........................:....... .................. Floors ........1............................................................................Interior ....ExpoSe ,............................................................ Heating N/A .....................................................Plumbing ....... f Fireplace ......�.F/A....................................................................Approximate. Cost .......1.300........................... ......... . . Oct. 18 / O S. 8 5; Definitive Plan Approved by Planning Board ---- - ________19 __ . Area /........... ........ w:Y�.. Diagram of Lot and Building with Dimensions XgP O S Fee l .......o..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH �o OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. .................. ............. ............................ Construction Supervisor's License ......64. K............ DARIGAN, 1AWRENCE 28696 No ................. Permit for .rS.hQd... to dwelling) ............................................................................... Location .....l0.4..Cxcckex..PjDad....................... West Barnstable ............................................................................... Owner .....Lawrence Daricran ............................................................ Type of Construction ................frame............... .............................................................. ................. Plot ............................ Lot ................................. Permit Granted ...........................13-120...19 85 Date of Inspection ............/�.................. 19 '*—*—********* Date Completed ............. ... ...............19 ,14V Town of]Barnstable oFT�r Regulatory Services I `{` ' BARN,STA8LE o Thomas F.Geiler,Director Building Division : 2005 AUG - I PM' 2: 06 t BAW— STASH M^M $ Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601- www.town.barnstable.ma.us D 1 1 S 1 ON—; ice: 508-862-4038 Fax- 508-790-6230 Approved: Fee: dv Permit#: HOME OCCUPATION REGISTRATION ate• ame: ( /�Y 1f��1J t� A J�1 Phone#:__51 ddress• �CK.r� i►� Village• ame of Business: 4J) - �rj nski!ssl Oa- ype of Business: h Map/Lot: 11 6_ 2 2 MNT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation ithin single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the ;tivity$hall not be disceimble from outside the dwelling: there shall be no increase in noise or odor;no visual teration to the premises which would suggest anything other than a residential use;no increase in traffic above normal sidential volumes;and no increase in air or groundwater pollution. - fter registration with the Building Inspector,a customary home occupation"shall be permitted as of right subject to the -flowing conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. ' • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to I exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit the undersigned, v read and agree yvith the above e ' lions for my home occupation I am registerin . a pphcant Date: ��h&�- imeoc.doc Rev.550/03 � 1 OFTME�� Town of Barnstable *Permit# S-1 S a Expires 6 months from issue date BAMSTABLE, : Regulatory Services Fee 9� Mass.1639. Thomas F.Geiler,Director �0 A'ED1A°�`A �Building Division ry Tom Perry, Building Commissioner X-PRESS PERMIT 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 MAY 6 2003 Fax: 508-790-6230 �1� EXPRESS PERMIT APPLICATION - RESIDENTIAT(AVf F BARNSTABLE Not Valid fvitl:out Red X-Press Imprint Map/parcel Number Imo'14t 99 Property Address Cybc, t.Y �001� Vjw:� rn Ib MA QwainTr1 ) Residential Value of Work'*► ACJC) Owner's Name&Address 1 (Y38p�9 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) CeAlstruction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ Lzil a sole proprietor the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) I 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Q:Forms:expmtrg Revised 121901 The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION:_ I d yner_&- Road_ ti" ` &rn nwnber stre .L.et/ village "HOMEOWNER �✓I5/U .T/�/^ o � DZ`)30& name home phone# -work phone# CURRENT Mk LING ADDRESS: el _ A7A Q�66 8 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more.than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and .other applicable.codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Dep t r++inimum inspectio procedures and requirements and that he/she will comply with said proce and requirem ts,. gn a of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. 4 HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed•Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a fnrm currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. ACCESS COVERS-MUST BE WITHIN 9' MINIMUM. NO TC � �•�'.,.•_, 6` oFFIN/sHGRADE MAXMUM COVER INVERT ELEVATIONS : DES � GN CR I TER IA . GENERAL 3 ' 98. 1 FIRST 2' TO INVERT AT BUILDING: 9, ,5 MIN DESIGN FLOWN BE LEVEL MIN 2' OF PEASTONE INVERT IN SEPTIC TANK: 93.0 4 BEDROOMS AT I10 G.P.D. PER 1. THIS PLAN 1S FOR THE DESIGN AND NSTRUCTION INVERT OUT SEPTIC TANK: 92.75 BEDROOM EQUALS 440 G.P.D. OF THE SEWAGE DISPOSAL SYSTEM ONLY. 4• UlAM PIPE - 3/4" - I I/2' DIA, INVERT IN DIST. BOX: 90.4 . 93.5 MlN *T_ 9 . 75 9 23 2' % DOUBLE WASHED STONE INVERT OUT DIST. BOX: 90.23 NO GARBAGE GRINDER 2. VERTICAL DATUM lS ASSUMED, FOR BENCH MARKS 4 �As 88.2 INVERT IN LEACH CHAMBER: 90.2 SET. SEE SITE PLAN. 93. 0 BAFFLE 90:4 2 SEPTIC TANK REOUI RED 3 OUTLET 2-500 GAL LEACHING CHAMBERS BOTTOM OF LEACH CHAMBER: 88.2 440 G.P.,D. X 200% - 880 GAL. 3. ALL CONSTRUCTION METHODS AND MATERIALS AND D-BOX W/4 ' STONE AROUND. 12.8 'r x 33'I x 2'd ADJUSTED GROUND WATER: N/A SEPTIC TANK PROVIDED: 1500 GAL. MIN. MAINTENANCE OF THE SEPTIC SYSTEM SHALL 1500 GAL OBSERVED GROUND WATER: N/A CONFORM TO MASS. D.E.P. TITLE 5 AND LOCAL SEPTIC TANK 6' CRUSHED STONE OR BOTTOM OF TEST HOLE �l : 81.2 SOIL ABSORPTION SYSTEM REQUIRED: BOARD OF HEALTH REGULATIONS, COMPACTED BASE DESIGN 1'ERC RATE C 5 MIN/INCH f' PROFILE NOT TO SCALE SOIL TEXTURAL CLASS - 1 4. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER / EFFLUENT LOADING RATE - 0.74 GPD/SF AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER 440 GPD / 0.74 GPD/SF - 595 S.F. REQUIRED THAN 3' IN DEPTH SHALL. BE CAPABLE OF WITH- }�, STANDING H-20 WHEEL LOADS, PROVIDED 2-500 GAL LEACHING CHAMBERS , STONE AROUND. A-605 S.F. 5. ALL SEWER PIPE SHALL BE SCHEDULE 40 OR +�bw. LOCUS 605 S.F- x 0.74 - 448 G.P+D. APPROVED EQUAL. 5 � = h T°'r 6. SEPTIC TANK AND D-BOX SHALL BE REINFORCED SOIL TEST PIT DA TA PRECAST CONCRETE AND WATERTIGHT. D-BOY, SHALL BE WATER TESTED TO CVECK FOR LEVEL WHE11 THERE INDICATES �_ INDICATES loll `� \ ,2 r• ---'" - �� v .., \ I ,•\ � PERCOLATION OBSERVED IS MORE THAN ONE OUT:ET. �� TEST _ GROUNDWATER TP•2 �sa\�,To ^su�� o 7. BEFORE CONSTRUCTION ALL 'D16-SAFE'. o e. �. TP s 1 P•1 1076 TP 02 �rE, k Q�E. -1 - - �` 1-888-DIG-SAFE AND T,�tE LOCAL WATER DEPT. FOR LOCATION OF UNDERGROUND UTILITIES. 0* HOR I ZON TEXTURE COLOR 91.2 0' HcOR I ZON TEXTURE COLOR 93.0 -BOX `' I `` £X I ST 1 NG �, 1 h PIT �• �• A LOAMY IOYR A LOAMY IOYR 8• SEPTIC SYSTEM INSTAL'ER SHALL NOTIFY THE ' SAND 4/2 SAND 4/2 2-soo GALLON �- -, '', ES J GN ENGINEER TWO DAYS PRIOR TO CONSTRUCTION LEACHING CHAMBERS ` _ 3- .. ..............•...... .. ......:... 9/.0 3' .........•........ ....................... 92.6 OCUS MAP O 1- N/4' STONE AROUND •: `•� �•�\ LOAMY IOYR YR LOAMY IOYR YR OF THE SYSTEM TO AL L DW FOR SCHED UL i NG OF THE �- D SAND 5/8 SAND 5/B CONSTRUCTION INSPECTIONS. 15" .................................I........ 90.0 24" .......... 9/.0 MEDIUM IOYR C / MEDIUM IOYR 9. EXISTING SEPTIC SYSTEM TO BE PUMPED DRY AND SAND 6/4 SAND 6/4 BACKFILLED. 10. ALL UNSUITABLE MATERIAL (A ct 8 HORIZONS) / ENCOUNTERED BELOW THE INVERT OF THE LEACHING !" ' 44' 52. � �- FACILITY TO BE REMOVED FORA "DISTANCE OF 5..' -a- AROUND AND REPLACED �V!TH SAND IN ACCORDANCE , f. WI ;"H TITLE 5 84` . .. 84.2 120' .. 83.0 / 2 SANDY 2.SY C2 SANDY 2.SY / I . NO DETERMINATION HAS BEEN MADE AS TO LOAM 5/3 LOAM 5/3 COMPLIANCE WITH DEED RESTRICTIONS OR ZONING 120' 81.2 132' 82.0 / NO WA NO WATER REGULATIONS. I SHALL REMAIN THE CLIENTS 1500 GALLON SEPTIC TANK ~ ` DATE: AUGUST 23. 20057 RESPONSIBILITY TO OBTAIN ALL PERMITS, SPECIAL EXISTANK z TEST BY: STEPHEN HAAS' PERMITS. VARIANCES ETC. FOR THIS PROJECT. WITNESSED BY: DONALD DESMARAIS * 0 /2. IT SHALL REMAIN THE CLIENT"S RESPONSIBILITY � P£RC RATE: C 2 MIN/INCH + TO HAVE THE PROPOSED BUILDING FOUNDATION, C BM.CORNER BULKHEAD DESIGNED TO'ACCOUNT FOR THE EXISTING GRADE fc 97.09 AND SOIL CONDITIONS AT THE LOCATION OF THE 1 f�oPpSEO 3S = A�It�- PROPOSED BUILDING. 1 Op05E +� G OwELL'NG TOF } } / 04 CROC,KER ROAD "AP / / 0 . PARC2 L 22 LOT 99 - A _ - WE s T RA R /V S T A 19 L. 4E . MA . 56. 398+ S. F. m i o ` m M PRE-PA RE'L� F_0R °° .Q L Et END WELL - ■ CB CONCRETE BOUND -w WATER LINE SC�1 L E : / - 20 0 7-0SER 25 . 200.5 O HYDRANT 1 -G GAS LINE EA0L_ E � UR �/ EY I NG I NC r i 40.pp' OHW- OVER :HEAD WIRES � LIGHT POST 923 Rau t e 6A ' + N 84°53'p5-Iy -E- UNDERGROUND EL ECTR/C LINE �' Y a r rno u t h p a r t MA . 0 2 6 7 5 138-( 9a S10fNALK - .189, -T- UNDERGROUND TELEPHONE L I NE /i i�` I lI ( 50 8 ) 3 5 2--8"1 32, --CTV UNDERGROUND CABLEVISION LINE '��i/ i ( 508 ) 432-53'33 +40.4 SPOT ELEVATION Ewp�K ROAD _40-- EXISTING CONTOUR S%D CR O CKER fool PROPOSED CONTOUR o to 20 40 [-JOB NO: 05-�068 FIELD:CFWIEE•K ! CALC•. v�A','',� :W (-,gECX FW ti ORN SAN'