HomeMy WebLinkAbout0086 GREAT MARSH ROAD I
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Town of Barnstable
Building Department
130
MUST COMPLY WITH HOME OCCUPATION Brian Florence,
RULES AND REGULATIONS. FAILURE TO Building Commissioner
200 Main Street,Hyannis,MA 02601
COMPLY MAY RESULT IN FINES. wm.town.bmwtable.ma.us
Pre-application for Business Certificate
Date !/ 20/C/ Mapes el OOD3:
.-. -n
Applitant Information -'
Applicants Name ••
Applicants Address
Small Address ��2T�.T��i�v� 02210JA/. AJE7_
Telephone Number JQ `,fi(D Listed VUnlisted
Business Information
New Business? ----------------------- ----------------- es No
Business is a registered corporation? -----------------. Yes No
If yes Name of Corporation
Does business operate under the registered corporate name? Yes No
Is the business a sole proprietorship or home occupation? --------- es No
If yes then a Home Occupation Registration is required—See Building Division Staff
Name of Business & //y t&/;�r Ablaz L,�l 4/ 1211YES
Business Address & yiie T Ail /]l�� al _Z5� h t� W/q ortoe
Type of Business �fty—
uilding Commissioner Office Use Only
Conditiort i n AD
cS 0 n
t—
Building Commissio14A111 Date
Clerk Office Use 0*
EA 'd icL6 'IN 091:6 61OZ -aZ -Upr
i'
Town of Barnstable
Building Department
��ttNe
Brian Florence,Clsp
>i Building Commissioner
ft"Sw. • 200 Main Street;Hyannis,MA 02601
•. wwv.town.barnstable.ma.us
Office: 508-862-4038 Fax-.508-790-6230
Approved:
Fee: I Peirlmit#:
HOME OCCUPATION REGISTRATION
Data:_a ` D/C/ a o
Name:. 4Ae7z / 061 Phone#
Address: Village: T
Name of Business: AK;q/ & 2>/19
Type of Business: 79
Mav&ot: Q 40,
MENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual
alteration to the premises which would suggest anything otter than a residential use;no increase in traffic above normal
residential volumes;and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following 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,heal,glare,humidity or other otrjeotiouable 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 are no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck pot to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
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.
1,the undersigned,have read and agreo with the above restrictions for my home occupation I am registering.
Applicant: xiz
Aomew.doo Rev.10117 MUST COMPLY WITH HOME OCCUPATION
RULES AND REGULATIONS. FAILURE TO
COMPLY MAY RESULT IN FINES,
viz •d IM aN NUN 610Z *8Z 'UPf
MARTIN SCHIFF
86 GREAT MARSH ROAD
WEST BARNSTABLE, MA 02668
508-362-7118
January 28, 2019 Temporary mail address below
Martin Schiff, 25188 East Marion Avenue, Villa 25, Punta Gorda, FL 33950
941-621-8500 phone and fax
To: Robin Anderson Town of Barnstable Building Department
Enclosed please find the completed and signed Home Application Registration with the check
enclosed for$35.00 along with the completed Pre-application for Business Certificate.
As discussed, also enclosed is a Prepaid Priority Envelope for the US Post Office so that the
completed form for the Business Certificate (original) can be sent to me and I, in turn, will send
to the Town Clerk per her instructions upon receipt from your department. You stated I would -
also receive the completed Home Application Registration hopefully approved with the permit#.
I believe you stated I keep this and do not send to the Town Clerk.
My phone and fax line, while in Florida, is 941-621-8500. 1 really appreciate the promptness
and consideration you are giving my request. It is a tremendous help, especially when out of
the area.
Please let me know if I need to provide any additional information to facilitate in getting this
processed.
Sincerely yours,
Martin Schiff
03 2002 03:50AM HP Fax page 1
J CAP
MARTIN SCHIFF
86 GREAT MARSH ROAD Z . 00
WEST BARNSTABLE, MA 02668 <
508-362-7118
q? v
January 25, 2019 i.A
o,
Fax to: Robin Anderson 508-790-6230 Town of Barnstable Building Department
Per the telephone conversation on January 25, 2019 (with my wife Jane), 1 am seeking Home
r
Office Application Approval as follows: .
Name: Martin Schiff d/b/a Reston Enterprises, ,
Address: r86-Great Marsh"Road. West'-Barnstable,=MA O2 68 Telephone: 508-362-7118
Business Process: All work done remotely electronically via computer, fax and telephone.
Only book hotel accommodations for individual clients who travel
extensively on business throughout the United States.
No Employees— I am self employed
No one comes to home (There would never be any reason for anyone to come to home)
Would you be kind enough (per the telephone conversation on 1125) to fax the D/B/A
Form and Home Office Application Form to 941-621-8500. As discussed, this is our
temporary phone and fax line while in Florida.
It is my understanding that I fill out the forms and can fax them back to you. Hopefully, you will
be able to process the request and since we will not be there to physically pick up the form to
walk over to the Town Clerk, I hope I will be able to mail you a check to cover the Application
fee as well as the cost to send out the original to me here in Florida via Priority Mail which I can
then send the original to the Town Clerk to complete the D/B/A certificate
I'certainly appreciate your help. Please let me know if I need to provide any additional
information to facilitate in getting this processed.
Sincerely yours,
Martin Schiff
...:....... ..... .. .... ....
o�tr Town of Barnstable
Building Department Services
Brian Florence,CBO
Building Commissioner
...... 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
I
Office: 508-862-4038 Fax: 508-790-6230
PLEASE FORWARD THE ATTACHED PAGE(S) TO:
ATTN:
FAX NO:
RE:
FRO1M:
DATE:
_PAGE(S):
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Rev 08/15/17
BUILDER INFORMATION
Name ^ Scr���� Telephone Number S LV —36 Z — 9 11of
Address License#
��.f T B��✓S�gL� Home Improvement Contractor#
Worker's Compensation# `
Y
' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
01
SIGNATURE DATE 03 —3f —0.3
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
063 QA2CEL�
Map 082 Parcel b ) Permit# 7
Health Division SOWN OF 6ARNSTABLE Date Issued Y f L,3
Conservation Division 1 0 ` Application Fee
2003 MAR 31 PM 2: 02
Tax Collector I Permit Fee
Treasurer JI SEPTIC SY M FAUST BE
I i i S i 0i� INSTALMD IN COMPLIANCE
Planning Dept. MM TITLE S
ENVIRONMENTAL CODE AND
Date Definitive Plan Approved by Planning Board TOM REGULATIONS
Historic-OKH Preservation/Hyannis
Project Street Address�001� 6,C45.47`
Village I V.65Si ,�s92ar/.rril�G� -
Owner Am2r/11 Address
Telephone 6-66 _ 362 •— ?//8
Permit Request 191?,6 g 5W/=_t) /,�X / �� /,u i T7l 2 X015 i-5
Square feet: 1st floor: existing proposed 2nd floor:existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation ���� Construction Type SEE bf-OcifuIZ4. ivISrS wau. &9 z .13- 10
Z SoAm 7-u4ES C6)
Lot Size y 0/ F—r Grandfathered: ❑Yes XNo If yes, attach supporting documentation.
Dwelling Type: Single Family )9 Two Family O Multi-Family(#units)
,jAge of Existing Structure 1 Y 2 Historic House: ❑Yes A(No On Old King's Highway: 0 Yes A§No
Basement Type: ILFull ❑Crawl O 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 0 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No
Detached garage:O existing O new size Pool:O existing ❑new size Barn:O existing ❑new size
a Attached garage:D existing ❑new size Shed:O existing Anew size 0� 8� Other:
Zoning Board of Appeals Authorization .O Appeal# Recorded O
Commercial ❑Yes A No If yes, site plan review#
Current Use Proposed Use
BUILDER INFORMATION
I` ' Name J2"_D5 1J5VZ X SO"IAIZ 8g140V14GS /,Ic. Telephone Number 663-- RR3 — /36Z
Address 3 /a✓1elSr`2� D U� License#
,6son/ , Ali F/, Home Improvement Contractor#
y n� Worker's Compensation# /yC 932 t-1/2 1
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO dLY �^'o�� �Mou.✓
PaF -r-0,6 C-01,1Sr7Z-UC77c ;V,
SIGNATUR Ci DATE 0 3 3 / 03
i; .
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED Y ='
MAP/PARCEL NO. �
y
ADDRESS VILLAGE
OWNER
DATE'OF INSPECTION:
Ro N,I Tu Z
'FOUNDATION e,
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
l PLUMBING: ROUGH FINAL
GAS: ROUGHI E' , FIN L
gam.
FINAL BUILDING . ::
M3
DATE"CLOSED OUT
ASSOCIATION PLAN NO &
v d
Town ofBarnstable
Regulatory Services
BAMSTABLE. ' Thomas F.Geiler,Director
1659. a�°� g
Buildin Division
lED MA'S
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038' Fax: 508-790-6230
Permit no.
i
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization, conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least,one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions, along with other
requirements. �a
Type of Work: Pdet1 _r7 13 S/ 0 /Oxhr Estimated Cost l 00 0e
Address of Work: 8& 6&Ar /ho9.1zX//
Owner's Name: 17)#a771V YCn t
Date of Application:
I hereby certify that:
i
Registration is not required for the following reason(s):
RWork excluded by law
❑Job Under$1,000
RBuilding not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
R
OS-31-03
Date Owner's Name
Q:forms:homeaffidav
_ The Commonwealth of Massachusetts
• � Department of Industrial Accidents
office of/nsemsafes
_ 600 Washington Street
Boston,Mass. 02111
Workers' Com ensation Insurance Affidavit
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❑, I am a homeowner performing all work myself.
Cl I am a sole netor and have no one worldn in ca achy
am an employer rovidin workers' compensation for my employees working on this job. .:.:{ .}.%::•%.:::.,.,.
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❑ I am a sole proprietor, general contractor, or omeowner circle one)and have hired the contractors listed below who
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the followingworkers' co ensation olives;
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Fafimz to secure eovermge as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to si,em.00 and/or
one years'}mprisonment as well as dvfi penalties in the form of a STOP WORK ORDER and a Sae of Sr00.00 a day against and I understand that a
Copy of this statement may be forwarded to the Office o[Investigations of the DIA for coverage verification
I do hereby certify the pains and pen alOej of perjury that the information provided above is true and totted
Sipature _
Date o3— �f,a•3 -
Print name
r/h2rin/ S'eif phone# S o 8 —36 z //9
oiBcial use only do not write in this area to be completed by city or town official
city or town: permit/license# ❑Building Department
❑Licensing Board
❑checkif immediate response is required ❑Sdecbnues Office
❑Health Department
contact person: phone#; _ ❑Other
i
(Jeviaad 9/95 PJla '
Information and, Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract
of hire, express or implied, oral or written.
An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of
the foregoing engaged in a joint enterprise, and including the-legal representatives of a deceased employer, or the receiver or
trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a
dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of
another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or
building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal
of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has
not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the
commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting
authority.
Applicants
`.1
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and
supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be
'- submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and
G;a date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is
being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you
are required to obtain a workers' compensation policy,please call the Department at the number listed below.
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the
affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
be sure to fill in the permitdicense number which will be used as a reference number. The affidavits may be returned to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of InvestIgNons
600 Washington Street
Boston, Ma. 02111
fax#: (617) 727-7749
phone #: (617) 727-4900 ext. 406, 409 or 375
i
►�TUA PE lN*5PF-(; 6 dunr PLAN uwRECIISTEEED LAUD
DEED BOOK: _— PAGE:—� __._.----.•.._ _
k0DR SS: 86 GREAT MARSH ROAD BARNSTABLE MA PLAN BOCK: 395_____ P,":=E3a___—_ `-OTC,':
\17QRNEY: ZALTAS MEDOFf & RAIDER tl ____......_....__•_--
PLAN
-INDER: MSB SCHIFF
)wNER:SEMINARA CONSTRUC7lON CORPORATION REWS TERED P AND
!'PLCANT:_ REGISTRATION BOOK:______---- FAG=:______.. _-----•
DATE: 05/29/2002 SCALE: t�=50 CERTIFICATE OF TITLE: -- -----
PLAN NUMBER:___ =Di�S%=—.----_._-_----•---
FLOOD NAP COMMUNITY NO.: 250001 ZONE:C MAP. 08� BLOCK: d — PARCEL:—G'o ___.--
PANEL: 0015C — OATED: 08/19/1985 _
N%F MARTINOI)PULL 1 12 7m—o--j �=
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THIS IS THE RESULT Of TAPE h{EASSUREMENT, 07 THE RESULT "c; L a•�
Uf;VEY AND IS CERTIFIED TO THE TITLE rr .. .—: -�-_f
OF AN INSTRUMENT..S
.,n„r CTCR ��-TnaNFY AND LENGER.
To i4 Or BARNSTABLE Application t 03
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tttg'� tg�jivap 3R.egfDrtatitoricli�trlict �o
2033 JAN 23 PM 3: 38 mmtttEe ���
In the Town of Barnstable y
L - co —7 0
DiviSlotCERTIFICATE OF APPROPRIATENESS ? ;
pplication is hereby made, with flour complete sets, for the issuance of a Certificate of Appropriateness under Ss�Cion '
of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans,
HECK CATEGORIES THAT APPLY.-
Exterior building construction: New ❑ Addition ❑ Alteration
Indicate type of building: ❑ House ❑ Garage ❑
Exterior Painting: ENg Commercial ® Other
Signs or Billboards: ❑ New Sign ❑ Existing Sign • ❑ Re ainting Existing Sign
Structure: ❑ Fence ❑ Wall ❑ Flagpole Other
rPE OR PRINT LEGMLY: DATE /1/lo 1Q
)DRESS OF PROPOSED WORK. WEST 3ATvV.S7-1 � a�'I9i9 OZGGS O.ASSESSOR'S MAP N D��I
VNER MX I'l%Y /hVD J415 AVOdC /1&' LU
ASSESSOR'S LOT NO. L�
)ME ADDRESS Z5' 'ZJ&L*VJJ 10'01'xf 41116 TELEPHONE NO. .SM 3S,?, ` 9gb
LL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any
Ab street or way. (Attach additional sheet if necessary.)
'_NT OR CONTRACTOR R25Z3 f�iJL I /nL lli4 di&5 C TELEPHONE NO.
)RESS 1 t��d5j
)CRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please
)de locations of proposed signs.
16, X 8� ; , - L,^,`2 Aw S'l��d �� fl�k'iZely I-A�,. /)/tyr 1 tX7M Lv1�lCdJO �Z� �LD/ZS I4NO -- to f/U l�llYUatjS L11(l I�� al�icurt),AN Me-���a OP. ilk 1�oc�P�(e �oc2 lv�u f1� f�iv ss L�cn��s w;ZL tf�vc
1)bbk LJt:� >�'llC A S7�p. ,-� � � %� eSir✓GC�
Signed
Owner-Contractor-Agent
committee Use Only
AD
This Certificate is hereby ovFn Date
Approved/ e
Co mittee Members'Signatu
✓JVWr,iv &Llv �ivE saw/6F
810 G✓' r hI&//
• • ��I�TA�[� h'J� ozLG$
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Town of Barnstable
Old King's Highway Historic District Committee
�� l SPEC SHEET
I FOUNDATION / O/ a x qg
SIDING TYPE /z6rg 'L INE. COLOR IG 7" D
CHIMNEY TYPE Q/UE COLOR
ROOF MATERIAL �Si�f�11LT 3 T COLOR -.S'L/�T� gaMY Z/Jk'RdrIO Y L.OLD 76 Imoq Af-,;�l
PITCH_ jb Areg C�N6,N6 % !3WD x,1gyhe *S 117-6y,
WINDOWS 2011 Z� IJVI)& COLOR ZN/lk' SIZE JLI /1,/GW W/!) #
TRIM COLOR
'11C 3 ii�tr X lv/Ni/J6f) LOI t{i6� f� 1
DOORS &l1 'ML AH25- L b7h OP COLORS b 6/r at Z,' /�I qzv IT &!A
SHUTTERS J1NE 66'td Y- �G�+� H) COLORS &V,115 •
GUTTERS hVirm/i ni 84 Vilv-YL COLORS
[�upbi�: 1Nr ADP�D r�Zsl lu x1ij'x 12' N &r,1> Icy av &F A&OWS: '
DECKS MATERIALS
GARAGE DOORS ` bC COLORS
SKYLIGHTS ND NC SIZE COLORS.
r' SIGNS NONg COLORS
FENCE COLOR
NOTES: Pill out completely, including measurements 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, landscaoe
�^ TOWN OF BARNSTABLE
CERTIFICATE OF OCCUPANCY
PARCEL ID 089 005 003 GEOBASE ID 35303
ADDRESS 86 GREAT MARSH ROAD PHONE
W BARNSTABLE ZIP -
LOT 3 BLOCK LOT. SIZE
DBA DEVELOPMENT DISTRICT WB
PERMIT 61396 DESCRIPTION SINGLE FAMILY 3 BDRM HOUSE - PMT #54281
PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY
CONTRACTORS: of Health Safety
ARCHITECTS: -Department � Y
and Environmental Services
TOTAL FEES:
BOND $.00 THE
CONSTRUCTION COSTS $.00
.756 CERTIFICATE OF OCCUPANCY 1 PRIVATE
+ BARNSTABM
MASS.
039.
ED Mfg
BUILD •'G�DIVIS ON
DATE ISSUED 05/29/2002 EXPIRATION DAT / �-�
77
• • - �• I�04>.� •�#� l3AhN5Tag�I.;L�'� y. • -�=' '
`t:�. _ • BUILDING PERMIT
PARCEL Ill 0Q6 003 7E0BA8E ID 35303
ADDRESS GRRAT MARSFr PLUL'1 PHONE
! Y �5f1 al L ALL' -
LOT 3 ; , BLOCK LOT S'i'ZE
D13A '' DEVELOP MEN litE'Pf"tICT W14
LOERMIT 54.26 L ' DESCRIPTION NEW 3 SDRM.SING.VAM.140MR SRWPT#01.- 1.98
PERMIT T IIE BUILD TITLE NEW RESIDENTIAL I3LDG PMT
CONTRACIL ORS. LOU I S J S EM r NARA Department of Health, Safety
ARCHITECTS': and Environmental Services
TOTAL -FEES:
BOND $.GG �Tft1E
CONSTRUCTION C0S`1'S $208,0320.00 � � �►
.. I
10X, 8INOL.E rAM HOME IaF:TACHED . 1• PRIIiAT E' P .I 'Ef i
+ BARN3fABM •
MASS:
1639.
' BUILDING DIVISION
BY r��
c DATE ISSURD -0-1/0:3/2001 EXI'TRATION DATE
.sue
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN-
CROACHMENTS ON-PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROMTHE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
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.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
fo 'AP
2 2 2 A?D
3 � \ � � � � 1G INSPECTION APPROVALS ENGINEERING DEPARTMENT
Q j 2 �-� .�p. p BOARD OF HEALTH
OTHER: Zep,2-031 SITE PLAN REVIEW APPROVAL '
F
K SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON-. INSPECTIONS INDICATED ON THIS
NSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN•SIX CARD CAN BE ARRANGED FOR BY
OUS STAGES OF..CONST.p"^ "^"""!' ^' ?"IT;IS"ISSUIRDfASv,, TELEPHONE OR WRITTEN NOTIFICA
BUILDING
I
I
I
i
SEMINARA CONSTRUCTION CORP.
,C P:0. Box 1219
r S. Dennis, MA 02660
7/19/01
Barnstable Building Dept.
Inspector:
Enclosed please find the Certified Plot Plan for Lot 3, Great Marsh Rd.,.West
Barnstable, MA as requested.
Sincerely,
qi
Ame Se ara
enniss3 cgpt.00m
Phone:(508)385.2605
Fax'. (508)385-2605
N
�o
,
/
��
0
IN 0
Nl
/ L 3
30 0t
-2��;Oi2oo�
CERTIFIED PLOT P I RTIFY THAT THE FOUNDATION SHOWN
THIS PLAN IS LOCATED ON THE
FOR GROUND AS SHOWN AND THAT IT CONFORMS
LOT 3 GREAT MARSH RD. , WEST BARNSTAB MA. TO THE MINIMUM BUILDING SETBACK
REQUIREMENTS OF THE TOWN OF
BARNSTABLE.
PREPARED FOR
SEMINARA CONS T . CORP . ytN OF Mgss
9
sTEvE
2
SCALE: 1" = 40' DATE: JULY 17 2001 r MN m
911
� �fESS10�p Q;
qv� S O
WELLER & ASSOCIATES o I
1645 FALMOUTH RD. - SUITE 4C CENTERVILLE, MA 02632
(508) 775-0735
" s
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel DOS DO Permit# 02
Health Division ll�l'/1 , Date Issued 33 2,t0
Conservation Division lam'J/ M-?7, I 4 AJ a/�/� Fee
Tax Collector
Treasurer �. C� { (O p l SEPTIC SYSTEM MUST BE
Pr STALLED IN COMPLIANCE
Planning Dept. WITH TITLE 5
Date Definitive Plan Approved b PI nin Bard '7-- �� E�s`�HRONMENTAL CODE AND
Pp Y �� v a I- ,/�7 U F � REGULATIONS
.
Historic-OKH Preservation/Hyannis - Q
Project Street Address 4
Village
Owner -S ,�lJ/ /, �/� �fi�s Address O�Z
S
Telephone 550 Y-- 3S
Permit Request w G coL i
Square feet: 1st floor: existing proposed 2nd floor: existing /'G LG proposed Total new-�
Valuation Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size 44600 /• 3 randfatliered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ? 'es ❑ No
Basement Type: C�Full ❑Crawl Walkout Cl Other
Basement Finished Area(sq.ft.) 14 A Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new 3 Half: existing new
Number of Bedrooms: existing new l-
Total Room Count(not including baths): existing new /0 First Floor Room Count
Heat Type and Fuel: Yeas ❑Oil ❑ Electric ❑Other
Central Air: &Ies ❑ No Fireplaces: Existing New �s�� Existing wood/coal stove: ❑Yes ❑ No
Detached garage:❑existing ❑new size Pool:Cl existing ❑new size Barn:❑existing ❑new size
Attached garage:Qexisting CYnew size 2q Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name LlllJ SAFI-el Telephone Number 03
Address R 6-14- License# O/ 6$3 C
Home Improvement Contractor#tIn
Worker's Compensation#
(0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO P ic-/<-_'
SIGNATU DATE (:51--
����1
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
��
ADDRESS 'VILLAGE
OWNER
DATE OF INSPECTIO S
FOUNDATION
FRAME
INSULATION
FIREPLACE
j
ELECTRICAL: ROUGH FINAL
r
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING, -
DATE CLOSED OUT ..{
ASSOCIATION PLAN NO.F y
9 a
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GOMETRIGSEGTIONOFATYPICAL GREAT MARSH ROAD _ LOT 3 — a
FIZA tE WALL W/GONGRE(E FOUNDATION
GROSS SECTION
LLI-L-l-U
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SEE 5ULOER
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FIREPLACE DETAILS 3/8" = 1'
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it
L-4 MTH EAT W
El BREAKFAST AREA
FAMLY ROOM 3 CAR lAlAlE
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DEN STU17Y
II L
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p
CROSS SECTION
GREAT MARSH ROAD= LOT 3
--_—_--
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GROSS SECTION
CL09ET 4e
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5 °
WAN w q 8
4THr X I
BATH R BEORD0n a 3
1 � I
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BEDROOM a l C1 t _ nER nS s4rH
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CROSS SECTION I:AJ GREAT MARSH ROAD - LOT 3
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I'RIMBOARD
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1
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ALL JOIST HOLE CUMIC CHART FOR 1
RESIDEMiALAWLICATUS(4OA5) UL
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ALL JO ST HOLE C-JTi ING CKAZ FOR
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--- ---..- -- -- --. ---=—=- GREAT MARSH ROAD LOT 3 s
OPTIONAL FINISHED BASEMENT PLAN
Al
L _ - - - - - TI
GREAT MARSH ROAD - LOT 3_
B'�NS7A9LE:M
The Commonwealth of Massachusetts
,. . -
-_°.. Department of Industrial Accidents
.. Office oj/ol est ISHAos
600 Washington Street
r� Boston,Mass. 02111
Workers' Com ensation Insurance davit
location:
Gn � s�� L�3 � •
® ����/�/S phone# GG
city
❑ I am a homeowner performing all work myself.
❑ I am a sole roprietor and have no one workinng in ally achy
of e/ //%%�%%%/%%&M M///////%%%%////%O//////%/%��/%///O%%/%�%�/%O%/%%/%�%%%%�%%%�%%/%///,
n workers' com ensation foamy employees.working on this job. :.::::: :.....
am an em to er rovidt g P .. ....:::::....::::::..:::,:.::.:
co
an
vn an
ame::
�dr e ad
h
city ::.......
insurance co.' ....
❑ I am a sole proprietor general contractor,or omeowner(circle one)and have hired the contractors listed below who
have
' compensation polices: :.:...::.::::.:,.:.;.:;:;:;;.;:.:.;:.:.; ::.:::.,;::.>;::.:::.;::::»:>:>:>:>::»::»:z::z>.:::»:<:>;:<:::><::::z<:.;:::::;:.
the following workers comp
g
G<;':; ; >
f
>:
:Jz
CO n
an
n am e
e tia r e1s"
. . . ............ .... .
insnrance:ca�•
............::::.:. s.:.
a
l:/)m a n
ad ess:
:.::.... »::::;::;:.;:; hone
ctty:'
:::.::.
fuaranc
Failure to secure coverage a,required under Section 25A of MGL 152 can lead to the imposition of erumnal penalties of a fine up to s1,500.00 and/or
one years,imprisonment well as civil penalties in the form of a STOP WORK ORDER and a fine of s100.00 a day against me. I understand that a
copy of thL+statement may be forwarded to the Office of Investigations of theflIA for coverage verification.
1 do he certify r the p ' and penalti erjury that the information provided above is trap and correct
Signature Date -
0-1 Phone#
e
official use only do not write in this area to be completed by city or town official
permit/llcense# ❑Building Department
city or town: ❑Licensing Board
❑Selectmen's Office
❑check if immediate response is required ❑Health Department
contact person:
phone#; � ❑Other
(revised 9/95 P1A)
r
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract
of hire,express or implied, oral or written.
An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of
the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or
trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a
dwelling house having not more than three apartments and who resides therein,or the occupant ofthe
a or dwelling
house
graun f or
another who employs persons to do maintenance because
ma�of suchloyment be deemed to be an employer.
building appurtenant thereto shall .
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal
of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the
commonwealth nor any of its political subdivisions shall eater into any contract for the performance of public work until
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting
authority.
Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and
supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be
submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and
date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is '
not the Department of Industrial Accidents. Should you have any questions regarding the`9aw"or if you
being requested, lease call the Department at the number listed below.
are required to obtain a workers' compensation policy,p ep
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the
affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
be sure to fill in the permit/ ease uurnber which will be used as a reference number. The affidavits may be returned to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a call.
The Department's address,telephone and fax number.
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of imlesugadons
600 Washington Street
Boston;Ma. 02111
fax#: (617)727-7749
phone#: (617) 7274900 ext. 406, 409 or 375
MAScheck COMPLIANCE REPORT I I
Massachusetts Energy Code I Permit #
MAScheck Software Version 2.01 Release 3
I I
Checked by/Date
CITY: Barnstable I I
STATE: Massachusetts
HDD: 6137
CONSTRUCTION TYPE: 1 or 2 Family, Detached
HEATING SYSTEM TYPE: Other (Non-Electric Resistance)
DATE: 2-27-2001
DATE OF PLANS: 2/27/01
PROJECT INFORMATION:
LOT # 3
GREAT MARSH ROAD
BARNSTABLE, MA.
COMPANY INFORMATION:
SEMINARA CONSTRUCTION CORP.
385-2605
NOTES:
PREPARED BY CAD DESIGNS
385-7685
COMPLIANCE: Passes
Maximum UA = 588
Your Home = 541
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
-------------------------------------------------------------------------------
CEILINGS 2124 30.0 0.0 74
WALLS: Wood Frame, 16" O.C. 2602 13.0 0.0 213
GLAZING: Windows or Doors 13 0.300 4
GLAZING: Windows or Doors 56 0.320 18
GLAZING: Windows or Doors 369 0.330 122
GLAZING: Skylights 14 0.410 6
DOORS 42 0.350 15
FLOORS: Over Unconditioned Space 1360 19.0 0.0 64
FLOORS: Over Unconditioned Space 750 30.0 0.0 25
HVAC EQUIPMENT: Furnace, 84.0 AFUE
-------------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the requirements of the Massachusetts Energy Code.
The heating load for this building, and the cooling load if appropriate,
has been determined using the applicable Standard Design Conditions found
in the Code. The HVAC equipment selected to heat or cool the building
shall be no greater than 125% of the design load as specified in
Sections 780CMR 1310 and J4.4.
Builder/Designer Date
I�
MAScheck INSPECTION CHECKLIST
Massachusetts Energy Code
MAScheck Software Version 2.01 Release 3
DATE: 2-27-2001
Bldg. 1
Dept. {
Use {
I
CEILINGS:
[ ] I 1. R-30
{ Comments/Location
I
WALLS:
[ ] I 1. Wood Frame, 16" O.C., R-13
k I Comments/Location
WINDOWS AND GLASS DOORS:
[ ] { 1. U-value: 0.3
For windows without labeled U-values, describe features:
{ # Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments/Location
[ l I 2. U-value: 0.32
For windows without labeled U-values, describe features:
I # Panes Frame Type Thermal Break? [ J Yes [ ] No
Comments/Location
[ ] { 3. U-value: 0.33
{ For windows without labeled U-values, describe features:
I # Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments/Location
I
SKYLIGHTS:
[ ] ( 1. U-value: 0.41
{ For skylights without labeled U-values, describe features:
I # Panes Frame Type Thermal Break? [ ) Yes [ ] No
{ Comments/Location
I DOORS:
[ ] I 1. U-value: 0.35
{ Comments/Location
i
FLOORS:
[ ] { 1. Over Unconditioned Space, R-19
I Comments/Location
[ ] I 2. Over Unconditioned Space, R-30
{ Comments/Location
I
I HVAC EQUIPMENT:
[ ] { 1. Furnace, 84.0 AFUE or higher
Make and Model Number
I
AIR LEAKAGE:
[ ] { Joints, penetrations, and all other such openings in the building
I envelope that are sources of air leakage must be sealed. When
I installed in the building envelope, recessed lighting fixtures
{ shall meet one of the following requirements:
I 1. Type IC rated, manufactured with no penetrations between the
I inside of the recessed fixture and ceiling cavity and sealed or
{ gasketed to prevent air leakage into the unconditioned space.
I 2. Type IC rated, in accordance with Standard ASTM E 283, with no
{ more than 2.0 cfm (0.944 L/s) air movement from the the
I conditioned space to the ceiling cavity. The lighting fixture
I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure
I difference and shall be labeled.
VAPOR RETARDER:
[ ] I Required on the warm-in-winter side of all non-vented framed
I ceilings, walls, and floors.
I
MATERIALS IDENTIFICATION:
[ ] I Materials and equipment must be identified so that compliance can
I be determined. Manufacturer manuals for all installed heating
I and cooling equipment and service water heating equipment must be
I provided. Insulation R-values, glazing U-values, and heating
I equipment efficiency must be clearly marked on the building plans
I or specifications.
DUCT INSULATION:
[ ] I Ducts shall be insulated per Table J4.4.7.1.
I
DUCT CONSTRUCTION:
[ ] I All accessible joints, seams, and connections of supply and return
i ductwork located outside conditioned space, including stud bays or
I joist cavities/spaces used to transport air, shall be sealed
using mastic and fibrous backing tape installed according to the
I manufacturer's installation instructions. Mesh tape may be
1 omitted where gaps are less than 1/8 inch. Duct tape is not
I permitted. The HVAC system must provide a means for balancing
i air and water systems.
I
TEMPERATURE CONTROLS:
[ ] I Thermostats are required for each separate HVAC system. A manual
I or automatic means to partially restrict or shut off the heating
I and/or cooling input to each zone or floor shall be provided.
i
HVAC EQUIPMENT SIZING:
[ ) I Rated output capacity of the heating/cooling system is
I not greater than 125% of the design load as specified
1 in Sections 780CMR 1310 and J4.4.
I
SWIMMING POOLS:
[ J I All heated swimming pools must have an on/off heater switch and
1 require a cover unless over 20% of the heating energy is from
I non-depletable sources. Pool pumps require a time clock.
HVAC PIPING INSULATION:
[ l I HVAC piping conveying fluids above 120 F or chilled fluids
I below 55 F must be insulated to the following levels (in.) :
I
I PIPE SIZES, (in.)
HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-l" 1.25-2" 2.5-4"
Low pressure/temp. 201-250 1.0 1.5 1.5 2.0
Low temperature 120-200 0.5 1.0 1.0 1.5
Steam condensate any 1.0 1.0 1.5 2.0
COOLING SYSTEMS:
Chilled water or 40-55 0.5 0.5 0.75 1.0
I refrigerant below 40 1.0 1.0 1.5 1.5
I
CIRCULATING HOT WATER SYSTEMS:
[ ] I Insulate circulating hot water pipes to the following levels (in.) :
PIPE SIZES (in.)
NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS
HEATED WATER TEMP (F) : RUNOUTS 0-l" 1 0-1.25" 1.5-2.0" 2.0+"
I 170-180 0.5 1 1.0 1.5 2.0
1 140-160 0.5 I 0.5 1.0 1.5
I 100-130 0.5 I 0.5 0.5 1.0
i
----NOTES TO FIELD (Building Department Use Only)-------------------------
J�
P
✓fie �ammzaruuea�/ `�'✓�aauc"u�aeCta
BOARD OF BUILDING CONSTRUCT
SUPERVISOR S c
License
C
Number: CS 015836
j;
a
Expires. 107/2F.0] Tr no: 4652
Res To: 00
LOUIS J SEMINARA
93 CO LES POND DR RR#3 :�:
• S DENNIS, MA 02660
Administrator
04/04/2001 11:23 5087750754 WELLER ASSOC PAGE 02
Y
,
5=402n aI 059
SAM a REBECCA'g LAND CO., INC., a corporation duly established under
the laws of The Commonwealth of Massachusetts and having its usual
pile* of.business at Mre 1 Hal Brook Ct., Rockport. W,
and ,(or the full eon6derkt1oo of
of Hundred Fifty Dollars ($166,2S0n00)u paid Sixty-
sir Thousand Two �ltaii�c
ad
int1p SEMINARA CONSTRUCTION CORPORATION of Atlantic Avenues South
Dennis, Barnstable County, Massachusetts
ta6iscr�
oA -
W"qzftdwn nnasadw the(.d 1n Sandwich (East) and Barnstable (West),
Barnstable County, Massachusetts, bounded and described as follows:
SOUTHEASTERLY by land of Ruth Bullock- and Sue Sherman an shown on
"' plan hereinafter mentioned, sixty-seven and 07/100
(67.07) feet, forty-two and 15/100 142.15) feet,
twenty-nine and 43/100 (29.43) feet, and eighty-five
and 01/100 (85.01) feet.
NORTHEASTERLY by said land of Ruth Bullock and Sue Sherman, as shown
.....••. on said plan, eight and 49/100 (8.4%) feed
SOUTHEASTERLY by said land of Ruth Bullock and Sue Sherman, as
shown on said plan, twenty-two and 50/100 (22.50)
,. feet, one hundred ninety-four and 87/100 (194.87)
feet, seventy-five and 95/100 (75.95) feet, one
............. hundred twelve and 97/100 (.112.97) feet, one
hundred thirty-seven and 65/100 1137.651 feet,
two hundred four and 69/100 (204.69) feet, ninety-
seven and 43/100 197.43) feet, and one hundred
forty-seven and 35/100 (147.35) feet]
SOtYiMMSTERLY by land of John Label. Trustee, as shown on said
plan, three hundred seventeen and 41/100 (317.411
feet;
NORTHMST1cRLY by Great Hill Road, also called Great Marsh Road,
;• as shown on said plan, on an arc with a radius of
t� 50.25 feet, there measuring thirty-five and Ss/loo
135.55) !eats again
row,i 8STERLY by said Great Hill Road, also called Great mrsh
rrerortt Road, on an are with a radius of 191.54 feet, there
measuring sixty-one and 99/100 (61.99) feet: again
Wl"O ESTERLY by said Road, as shown on said plan, fifty-five and
00/100 (55.00) feet, and on an arc with a radius,
41 of 860, there measuring four hundred thirty-five
and 28/100 (435.261 Lest; again
RLY by said Road, threo hundred thirty-two and 55/100
(332.S5) feet;
is RALT.
AND
TERLY, by said Road, on an arc with a tedium of 160, there
measuring one hundred eighty-nine and 69/100
(189.891 feet:
Ra� ,
04/04/01 10:32 TX/RX N0.5105 P.002
EST/MA TED PROJECT COST WORKSHEET
Value
LIVING SPACE
(high end construction) square feet X.$115/sq. foot,=
(above average construction) square feet X$96/sq. foot=
(average construction) square feet.X$57/s4. foot
GARAGE (UNFINISHED) square feet X$25/sq. foot= 2A06
PORCH square feet X$20/sq. foot= r7 A
DECK f l 07 c� square feet X$15/sq. foot=
OTHER square feet X$??/sq. foot=
Total Estimated Project Cost
For Office Use Only
/nc/usionary Affordab/e Housina Fee
Residential Commercial"
Property Owner's Name
Project Location /Y
Project Value rmit Number
**Existing Sq. Ft. **Prop ed New Sq. Ft.
Fe $
IAHFORM 1/3/00
VY) 0�6 i --�
Application to
®ib Ringo JbigbWap Regional Jbiotorir �Diotri rt Committee-
BAG
In the Town of Barnstable
CERTIFICATE OF APPROPRIATENESS � `y'? 81 10. 50
Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Section
6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans,
drawings, or photographs accompanying this application for:
CHECK CATEGORIES THAT APPLY:
1. Exterior building construction: New ❑ Addition ❑ Alteration
Indicate type of building: House ❑ Garage ❑ Commercial ❑ Other
2. Exterior Painting: ❑
3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign
4. Structure: El Fence El Wall El Flagpole ❑ Other
TYPE OR PRINT LEGIBLY: DATE 1 -3 1 -0 I.
ADDRESS OF PROPOSED WORK R(o (rFeo-i M04ts k IP-D,Ly6*". ASSESSOR'S MAP NO.6 kq -av (kj 3
OWNER Sew,,Y10.a- G-�n S 1'• C-arz-p- ASSESSOR'S LOT NO. 3
HOME ADDRESS F U • 66 X- Q Z 1 q S 61,,AJN IS AA Af OZ4.G b TELEPHONE NO.,�3
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any
public street or way. (Attach additional sheet if necessary.)
r
4ut_ g- W�A� of n e4xs
2 &m i►\-&rrti s , 0, By AI t. /1- a P
?, LJ FA-YL.1,k C.Fc z en ks s ar_. C/o s_!l P.,.1 k La;h e ►, � k"I (,�►/� ,
AGENT OR CONTRACTOR LULLL.S EQ_M,r%,#_rZ4_ TELEPHONE NO.
ADDRESS P 0 . 60\. 12 ICI S; DiJN is , !� A- .n Z� Lib
DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please
include locations of proposed signs.
1'\tAA-) `�S� l� I cn-►L� �- L `
40,6c0 j"e
Si ed
ner--Contra - gent
For Com
,L
i Certificate is hereby ^I"a l; M;, , ! Date
D " pproved% a ied—
F E B 0 8 2001Co mittee Members' Signatures: 1-7
TOWN OF BARNS ABLE
OLD KINGS HlGlflaA
WAY n �
i
Y
NECEIP4••r nr
�Ao b�16 3�o PM'a5
s
4>� APPROVAL !/HOER Sl/a0/Y/d/�a.�/ +
CONT.40L LAJ✓ NOT .tFGiLA'RE�
i ; � J�r�vos✓ic.y PL.gV�/N�ivi� �.vrtQ j
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'k ems. 0 ' a AUTHOR/Ae ~rAT/Nv
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+
JOSEPH M. O�MART/NO ��
97SJ1240
O/Y/J/O/V PL.9/V AP L.�7N0
APPROYiiL V!/NOFR 3�/O�/Y/�/Ov✓ /�p�� M�
tFFi✓TPJRYIriemRwO .6v�C KOWfGAP/1/?Y 77✓.CS slNrs'L�Y.�R^/O Ac.MV �✓WRI/lfti���lFO CO/VTiROL L y/DY✓ /✓07 RtQWRFOr�ST'09 N��S
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CavOW s/a'IraOnV.✓�Js✓JaY/vR:Lr 7J7iVs�sA�a�/�R a�V.TEEsvrOaiA aK�/.>s'tvwTJ'i� .-?�yR�.ovL��.wo!:/�.�v�a7t7v�ss tCrO/IAI+OcwTJi✓cFan lat�J7�V.w��vo 400-lwN` BF aJ-- -- SAN1� OW/Cf�/ /hri4SS
IAfWYlw aah s7-ER+�o L.vvo a+cstr�rYON! .�FJiQA / .'?EBECCA;S LfWV40 CQ,//VQC:
NOTEz AS SHOWN O.V
/ fERarKY AMAW OLAN/ J.�r, 4MOff -f- ,a6SE WACM:'MAP
7M#Y- J
}//77✓ L�7/VO c'ONRT STioNL>gtOS OK .tE'fCRBNGE PL/VN ..tiwcu►'� SANO /GN: 47 PARGEL Y3 SCALC/��+�+D� - NOYE/1�JlEit•.�0!/>�at
.vcCt;M.�CY B/JRNSTAdLE�09
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P0/NTrT 1NO��ar/ O/✓ "Wr .0-L.�PN BXLTT RAG/.?774Y df OiEO S PARCELS o �o .o AgoGr-v VWQW Cw^0(/IVQ IObK .J.1•/ AAGE 6Q —�
��..;✓ _ ��-�.e1 Nor&: csvcwwr wAarwerr rwr7'Ow.va• s.s''"
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/irblt LY/LY�i�COYlO<O`NIRJ� AWO `� + /'lO.I/N AYt/V(/E fn01t/'al�!/T/I.NASS
c..r
/ T&I- ai_ 103,Z
t o TEST HOLE LOG ~
1 log la4-
Ibz
_ DATE: JANUARY 18, 2001 P y7�
,N1_ SOIL EVALUATOR: D. MASON, RS t CSE
- - _- - - - - ` — WITNESS: D. MIORANDI, BOH
114
�- �. PERC RATE: CAt
Z /�✓//�f/G.�/
IS
/ �' '`fit \ \ `b► 'ry C. �, s, So" /Oye� IsqS.a
toe,
sA�a Z,Sy_2/y
8 9
••1 `` �-�. .•, _.-- ---_. -\ -_�C�v �v A 7E,re E.�(/co u nl�F�E�
DESIGN DATA
s DAILY FLOW: (4) BDRMS. x 110 GPD = 440 GPD
4 SEPTIC TANK: 440 GPD x 200% = 880 GPD
` USE: 1500 GALLON PRECAST SEPTIC TANK
LEACHING FACILITY:
USE: (3) 500 GAL. PRECAST DRYWELLS LINED WITH
Ito f ! \ \ \ \ \ 4' OF DOUBLE WASHED STONE ALL AROUND
CAPACITY:
e / r
to( !/ SIDEWALL: 93 x 2 x 0.74 = 137.6
101 / `� \\ \ \ \ BOTTOM: 33.5' x 13' x 0.74 = 322.3
I '. \ \ log TOTAL: 459.9 GPD
too
\ lob 1`l0�-
�I 9& OF
NEE. N O OTt-►�� VI rS L —p � DANIEL 1. yG,
� BRAMRAIAAN
cp
0
• ICE SY s�� '°�����STE�`Gt,'��
� ,GNAI.
RUM rn
P
� NOTES: �7
`` 1. ALL PIPE TO BE 4" DIA. SCH 40 PVC. 2—1 5-O 1
2. PIPE TO BE LAID LEVEL FOR 21 OUT OF DISTRIBUTION
(/" Q BOX.
YA ti. 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN
A 6" OF FINISH (TRADE.
A (I 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A
GARBAGE DISPOSAL.
5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED
ON A 6" LAYER OF STONE.
6. INSTALL GAS BAFFLE IN OUTLET TEE. 2" LAYER OF 3/6" PEASTONE OVER
----------------- N"-lh" DOUBLE WASHED STONE 1
-----•----_._....-.I ALL AROUND ,
TOP OF FOUND. _
@ ELEV. 116.00
3 o
/0Z•So SEPTIC SYSTEM PROFILE
SITE SEWAGE PLAN
GENERAL NOTES
FOR ,+
LOT 3 GREAT MARSH RD. , WEST BARNSTABLE, MA 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION
ASSESSORS MAP 89 PARCEL 5-3 OF ALL UTILITIES, ABOVE AND UNDERGROUND, PRIOR
TO ANY EXCAVATION OR CONSTRUCTION.
PREPARED FOR 2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH
310 CMR 15. 00: TITLE V.
SEMINARA CONSTRUCTION CORP . 3. THIS PLAN IS NOT TO BB USED FOR PROPERTY LINE
DETERMINATION.
DATE : FEBRUARY 6, 2001 SCALE : 1" = 40'
4. ALL DISTURBED AREAS TO LOOMED AND SEEDED.
5. CONTRACTOR TO.PROVIDE 24 HOUR NOTICE FOR ANY
REQUIRED INSPECTIONS.
WELLER & ASSOCIATES
1645 FALMOUTH RD. - SUITE 4C P.O. BOX 417
CENTERVILLE, MA 02632
TEL: (508) 775-0735 FAX: (508) 775-0754 APPROVED BY: _ _