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0039 HILLIARD'S HAYWAY
0 i 1I1 �o UPC�25a3 yncrigOS WN i HIWARD'S HAYWAY 160.00' GARAGE E)aSMNG DWELUNG (FLOOR EL-18.4' 60.4' co N � /N p N O � LOT 33 35,200 SFt t 160.00 DCE #07-075 FOUNDATION PLOT PLAN PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE LOCATION 39 BILLIARDS HAYWAY WEST BARNSTABLE, MA SCALE : 1 " = 40' DATE : NOVEMBER 9, 2007 REFERENCE ASSESSOR'S MAP 136 PARCEL 48 PREPARED FOR: LOT 33 PB 249 PG 107 N" E. RICHARD WEILER I HEREBY CERTIFY THAT THE STRUCTURE SHOWN GROUND OASSHOWN THIS N HEREONCATED ON THE ���IS ��ARNE Ss�cy�N mr ooa-362-4841 o H. fox WS yes-MM c� A v, down cope engineering, inc. yCIVIL ENGINEERS ZZ_ ---- ------- -- - NF0 LAND SURVEYORS 939 main Street - YARtifOUTHPORT, MASS DATE REG. _- DRY RVEYOR Town of BarnstableW, RuAilaingr . .. _ � o �gffvq AR�NA�' PP oosstt eTdh iUsnCta ilrd�nal Jnsp.ect.�ioR n. H�asa Be. en M.ade. �,� VteRed* t'^h' be;K,e_ SYA � - • � INherea Certrficate of Oc�cupaney i's�,Repuired,�such Bu�ldingshalLN�ovt b�eccupied~untd a�F..mal Inspect, ion�has beenxmade. Permit NO.' B-17-4293 Applicant Name: RW ANDERSON&SONS,INC Approvals Date Issued: 02/22/2018 Current Use: Structure Permit Type: •Building,-Addition/Alteration-Residential Expiration Date: 08/22/2018 Foundation: Location:.. 39 HILLIARD'S HAYWAY,WEST BARNSTABLE Map/Lot 136 048 Zoning District: RF Sheathing: Owner on Record: KELLEHER,SUSAN&JAMES � � t# Contractgrr e RICHARD W ANDERSON Framing:_ 1 � Address: 17-HILLCREST DRIVE CS 007714 .2 BELMONT, MA 02478-2953 M Est:Project Cost: $ 18,000.00 Chimney: Description`. replace 2 sliders at rear with like kind. replace.raili�at rear with Pemt ee: ' $ 141:80 �4 � � Insulation: stainless cable steel system:add 2 egress stariWW!f&r�ear decking at eeyPaid $ 141.80 A s right,facing rear elevation' F Final eS Date 2/22/2018 _ Note:cable rail detail received 02/22/18 ........... Q *' Plumbing/Gas RMCK • ����� ,�. �:. ..... Rough Plumbing: . Project Review Req: Building Official Final'Plumbing: ,. . r. � � Rou h Gas: This permit shall deemed abandoned and invalid unless the work author¢edxby this permit"is commenced within six=months°aftepAssuance. g e, ,o Alkwork authorized by this permit shall conform to the approved application%nd�the,approved construction documentsfor which"this.permit has been granted. All construction,alterations and changes of use of any building and strueturesfshall,M in compliance with the local zoninggby laws and codes. . Final Gas: c� � r This permit shall be displayed in a location clearly visible from access street,orr oad and shall be maintained open forpublic inspection for the entire duration of the work until the completion of the same. * Electrical• Y. t. � Service: The Certificate of Occupancy will not be issued until all applicable signatures by:the Building and°F�re.Officials are.Providedryomthis permit: Minimum of Five Call Inspections Required for All Construction Work: x� a , 1.Foundation or Footing Rough. 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: ' "Persons contracting with unregistered contractors do not have access to the.guaranty fund" (as set forth in MGL c.142A). Fire,Department Building plans are to be available on site Final �, �, All Permit Cards are the property of the APPLICANT—ISSUED RECIPIENT �IKE F, Application Number..... O,^ . .............. ............................... ` RARrteMLE, ` Permit Fee........l.Y/....................Other Fee........................ PIP MASS. - 1639. fp MA'S Bv�LD,N Total Fee Paid............................................................... ...... TOWN OF BARNS ABLE �'T `� a f.z Permit Approval by. ....................On..... ......... .......... BUILDING PE T12 2011 APPLICATIONOFgARNSTAB`E Map........................................Parcel............................................. Section 1 — Owners Information and Project Location Project Address, 3!j J4Jt-Z14.2D s fi Village �Al, Owners Name /l"1 ,S'US4'✓ /<C54Lc:ltwe r Owners Legal Address_ /�� LL �/� s�—. A D City .L4�I-v�— State Zip 6)2 1r'7-f Owners Cell# 5.,P S—E-mail Section 2—Structural Use Single/Two Family Dwelling ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System Addition ❑ Retaining wall ❑ Solar Renovation ❑ Pool ❑ Insulation Other—Specify Section 4—Detail Cost of Proposed Construction Scare Footage of Project Age of Structure 3 o r4 j2 f Dig Safe Number #Of Bedrooms Existing Nlf Total#Of Bedrooms (proposed) `f//9 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Last updated: 11/7/2017 Section 5 - Work Description R1412,1•-J G /9-7- .�'� i`'l?7-y- S—i�r,� - �s �GAl�4�, S TEFL S .-7i:!=rl 3 l�}D� 2 �2-�'f',l���4�ftY ✓7� �cT�-/� �z��Lr/� Cam- f}'� 2�-G-pd� Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District [] Hyannis Historic District [ Old Kings Highway Debris Disposal Facility:A460 I am using a crane ❑ Yes No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No ❑ Section 8—Zoning Information N v Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 1 U72017 I Section 9— Construction Supervisor Name. /446d� /,y, /1A,`/`,_kf,K S,:::�Telephone Number Cj A) zWg7 -f?2'd? Address a o 6&W .C.0- City S2-9�wl4V State�f`/ 4 Zip U Z�3 License Number a 04)_27 1:� License Type ��✓expiration Date � vNstcr�ei�r�� Contractors Email /pi cl< _�wA��c'�?S�w.l►�Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation re by CMR and th Town of Barnstable.Attach a copy of your license. Signature N Date Section 10—Home Improvement Contractor Name_ .!-2,. ,4'-'ifl6RSZ;W iA S'c_0JS - Telephone Number Z�X) e9*F- "Zy Addresses 64/A4 4L-'jt._j City t-_V44 /!�-,/ State��Zip v 3 Registration Number Expiration Date �/&/z I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation req CMR and Town of Barnstable.Attach a copy of your H.I.C... Signature ' b Io., Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature /V Date /�//7 Print Name Af tkd W, Ago Telephone Number ��eJ '- 2gq_S—�Z,, E-mail permit to: PI e w4-"-o e?,rviJ. Came Last updated: I In2017 f Section 12 —Department Sign-Offs Health Department ❑ Zoning Board (if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval Section 13 —Owner's Authorization L , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name Last updated: 1 IM2017 The Commonwealth of Massachusetts Department of Industrial Accidents WJOffice of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Rk=L A AJ_0r/ VQ0 Address: 67 1.,1 f L-i-OLc) City/State/Zip: VG✓ U2Z.5 Phone#: 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 ❑ employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. IgRemodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' insurance.t 9. ❑Building addition [No workers comp.comp. insurance required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *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 sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. . I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: V A_k Yn fl�n/!1� �/��9G T'y Policy#or Self-ins.Lic.#: z,-D d l (,J(QLf to Expiration Date: Job Site Address: aq 1 LL I o1 g l-k/fit'/wA y City/State/Zip: L 1�Fj�iUJ'i�IC� 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 e er thppaj7 and penalties of perjury that the information provided above iss true and correct. Si ature: Date: Phone#: r5U0 �'W ,f 7 Z-V 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,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,§25C(6)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,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your 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 Investigations 600 Washington.Street Boston, MA 0211.1 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gav/dia I Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement o,tractor Registration Registration: 109503 Type: Private Corporation Z Expiration: 9/16/2018 Tr# 419291 RW ANDERSON & SONS INC W RICHARD ANDERSON a 6 WILLOW ST SANDWICH, MA 02563 aq k 5�0" Update Address and return card.Mark reason for change. SCA 1 Co 20M-05/11 ❑ Address ❑ Renewal Employment Lost Card License or registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 of lid without signature , Massachusetts Department of Public Safety" Board-of Building Regul„atiops.and Standards?';' License: C8=007714 - Construction Supervisor' RICHARD W ANDERSON 20 GROVE ST SANDWICH MA 02563'_ Expiration: Commissioner 06/26/2018 AC" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 0911 9/2 01 7 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Heather Mark ia DRES._S: Pearcev ranee Agency,LLC PHONE 04 Main Street N8)957-25 !FAX — 9572781. _ g.No);508 I _ � _ Centerville, MA 02632E-MAIL AD — INSURERtS)AFFORDING COVERAGE —^—��-— NAIC b A,Farm Family Casualty Insurance - --- INSURED INSURER B: R.W.Anderson 8 Sons Inc ----- -- -•-----� .R 6 Willow St INSURER C: . Sandwich,MA 02563 INSURERD: — __......._.—._______—__._...___, —.........._......._.__—_— INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR. _..._.M.._—.__— POLICY EiF { POLICY EXP)'"''_...___. lTR TYPE OF INSURANCE i POLICY NUMBER ! MM/DD/YYYV ! MMlDO/YYYY LIMITS COMMERCIAL GENERAL LIABILITY ii • i �EACH OCCURRENCE 9 S DAMAGE 70 kfs-- r_, CLAIMS-MADE LJ OCCUR I i PREMISES Caoc�xmence )S - -___-- - _ ..........._......_._..._,.,„,.__................. _.._...._...__.__._, i PERSONAL&ADV INJURY $ GEN L.AGGREGATE LIMIT APPLIES PER: �._ i GENERAL AGGREGATE 1$ POLICY{ PRO f JECT j LOC I PRODUCTS-COMPIOP AGG ;S I t OTHER: i $ AUTOMOBILE LIABILITY I COMBINED SINGLE I.IMriANY AUTO I I Ee n �1 S OWNED SCHEDULED € i ;BODILY INJURY(Par parson) $ I_.._:._.__._._..__.____—.____._____.._----- ------ AUTOS ONLY AUTOS ' (BODILY INJURY(Per eccident) S HIRED r-NON-OWNED I R PROPERTY DAURAGE ` AUTOS ONLY iu AUTOS ONLY i ; :.•{par,accident),,,,,,,_,,,,___„_,,,,__ S 1 I E a ....__.___.__. S _._ UMBRELLA LIAB t OCCUR EACH OCCURRENCE EXCESS LIAB t'-__ CLAIMS-MADE ___- —� — I AGGREGATE $ ' DED I RE-TEN1'ION$ I A I WORKERS COMPENSATION ; 12001 W6446 9/18/201] 9/1$/2018 1 1 PER OTH- AND EMPLOYERS'LIABILITY I YIN I �ANVPROPRIETORIPARitJERIEXECUTIVE OFFICERIMEMBEREXCLUDED? N N I A: ( E.L.EACH ACCIDENT S 500.000 i ( (Mandatory in NH) , i E.L.DISEASE-EA EMPLOYEE!S 500,000 11}•es,describe under I 3 I r-._._._.._....---_...__.--_.—.----_..._...___.__._..._..___....__ ................. .._ DESCRIPTION OF OPERATIONS below 1 i E.L.DISEASE-POLICY I_IMn' S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space Is required) Carpentry Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION (508)833-0018 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Sandwich Building Dept THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 16 Jan Sebastian Drive ACCORDANCE WITH THE POLICY PROVISIONS. Sandwich,MA 02563 AUTHORIZED REPRESENTATIVES O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Client#: 12403 2ANDERSONRW AC ORDn CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 02/03/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER C NT CT NAME: Dowling&O'Neil Insurance Ag PHONE 508 775-1620 F 5087781218 973 lyannough Rd,PO Box 1990 _E-MAIL,Ext): a/c No: ADDRESS: Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NAIC# 508 775-1620 INSURER A:Acadia Insurance Company 31325 INSURED INSURER B: R.W.Anderson 8 Sons,Inc. INsuRERc: 6 Willow Street Sandwich,MA 02663 INSURER 0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTRR ADDLSUBR TYPE OF INSURANCE NSR WVD POLICY NUMBER MM%DDY EFF MMIDDY EXP LIMITS A GENERAL LIABILITY CPA004892928 02/01/2017 02/01/2016 EACH OCCURRENCE $1,000,000 2GEICL MMERCIAL GENERAL LIABILITY p p SES J2ENTED R MI a ttaoaunence $250000 CLAIMS-MADE �OCCUR MED EXP(Any one person) $5 OOO PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE $2,000,000 GREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 ICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ ALTOS AUTOS NON-OWNED PPReOPPE�RdT DAMAGE $ HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WC STA'tLITU- OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,descdbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE .. ` c. ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S185431/M185430 LS1 i . . •N----—-—-•- EDGE OF PAVEMENT --- ---------------- -- a 0 ` 160.00 / EXISTING t BR 1JE SAS. !� h If s�I-----. -- —li STONE EXISTING { ' S. TANK Jr ORI%SWAY COR CONC. APRON GARAGE ELEV m 1 T.35' STOKE / DMING ENE h -` wai ctJe� �. DWEWNG S FFLOOR EL-19.4' \_ 1 C----iKR` ,J X` ROP. ADD'N. 'REDS FT TALL _ ......... iQ CE ES 5 rr 8.55 CLEAREDAqrA C A. PLAN TI S `�I G �► � N i� 7.92 y 4 �0 ,r•..••• #3 PROP. WELL W ° , APEyjPROX. (Sc„t1�yy) NiAINT14IIV 4' WIDE FI�s t'3CAT pta -- ACCESS PATS{ SALT<MMSH' 39 HILLIARD'S HAYWAY WEST BARNSTABLE ASSESSORS MAP 136 PARCEL 48 LOCUS IS WITHIN FEMA FLOOD ZONE C & A3 EL 11 AS SHOWN ON COMMUNITY PANEL #250001 0011D DATED JULY 2., 1992 LQL-lu 35,200 SFf Builders Liabilit. (Commercial)police is current%%iih Acadia Insurance.Policy r CPA 004892928. All Subcontractors Carr\ their own WC policies and fall under the umbrella of RAV.Anderson&Sons,Inc. It is the responsihilin•aj the O wnerstsl to obtain atl necessar-v insurance cu"crttge warranted by the additional va1►re to/ risks att the proper11•at ss 1-111hards Hay«'a\•. \Vest Barnstable. MA. Accentance Possession and Final Payment Upon completion of the work.the Owners)and Builder shall make final inspection of the Job. On final approval of both parties. Builder will provide the Owner(s)%\ith any required affidavits that all labor. materials and equipment used in the construction have been paid for.or will be paid in full.by the Builder,unless otherwise noted. ONvner(s)shall make final payment upon final inspection.and Owner(s)shall then be given possession of the Structure.but not before inspection,acceptance..and pitynient. The prevailing parry in anY legul proceeding related to this Ag►•eetnent.shall he entitled to payment of reasonable atiorney'sfees.costs and expenses. Contract Documents and Chanpes All changes requested Subsequent to the date ohMs.agreement shall be.initiated by an Owner in writing to the Builder on Change Work Order�orms.(provided with this s reernent),signed by either Owner, authorizing a change in the work andior an adjustment in'the_Contract Sum and/or Contract Time. any changes made bV the builder at the request of the Oi nrerfs),which are perforated erpeclitivrtsly in the interest of maintaining the delit•e,h;dale will be considered an oral.Og eerie l cis though a_Change Work!Ordei Iraq been signed. WARRANTY If within one year after the date of issuance of Occupancy Per»tii and aftei-all payments Bite the Builder huve been made. the ct•ork perfortt,ed by the Builder is found to be defective or riot.its accordance tyith the conn•act dorctments. the Builder shall correct it promptly aher receipt of irriuen notice frotn the Omer. The Owner shall gii•e s+tc•h notice promptly after disc•overy ofsuc•h cordd itit) f Date � O-3Ca- ✓ ` N' ._ . Richard W'.. Anderson R.W. ANDERSON&SO\S,INC. 44 jim Builders Lic. 4 007714 Date t� KJ�_�_ elleher Owner DateCelleher ...�,,:m.. ......._.,:..pwner_.... .. _ ... t n ( .t i1%() a��•.�.lt�\:\Hell r.�in.�eiii Town of Bauble;Planning&Development Depmt wnt I F Old Kings Highway Historic District Committee 200 Main Street,Hyannis,Massachusetts 02601 Phone 508.862.4787 Email erin-Iogn@jgLwrLbamstable,m4.us CERTIFICATE OF EXEMPTION Application is hcv*mach with four(4)complete seas.for the immm of a Certificate of Exemption under Section 6 and 7 of(eta 4n Acts and Resolves OfMmadusctrs,l9n.as ameadcd.for proposed u leas dew below and on pleas,dmwings,or photographs accompanying this awlie : Date f O-/!1 /'7. Address of Proposed work, Assessor's Map and lot# House#- .3 g 'Street A.f/I&aJ® 1 M application is for an exemption of the proposed construction on tht grounds that works t� Will not be visible from aq way or public place ❑ Is within a dory declared exempt by the Old Kings Highway RegiotW Hide District Commission ❑ Other Description ofPniposed=Work Azol c.P -PX/ '511cle/S �t/ir�`1 /IPlN rC iS fh�f R d,e tit e 5a.&7-g -si 2.e Gin c✓ �0% i��D/ACQ lA,A17� fti�f,/daces ,e ir�t� �„f! Lhew cgb/e �� f��N Lq/QSS !I t^ Agent or contractor(please print): e Gl/ ��/.t'�5G/l Svr1 S�il l TeL no. $n-57a20 Address te lly;ll ly ; irA M f a�7W 3 Owner(please paint): �e7rt� i1 b�.o c• Tel no. 6/7 Olt7�4l s' owners ineiling adds ess: /'?�/llls[2 SST L2�.r I.rg...��' /dta tta ?� Signed,OwneriContractor/Ageat CheeWlst U Four complete,sets of this application and supporting do.munentation L) $ Filing Fee(see attachod schedule) For Committee Use Oaly This Ceztifcaoe is herby APPROVED/DENIED Dane: :Commutes Members Sipawres: Conditions of approval 0IaiE eWdbn Face Z017 V,w And- n Scn5 J)Y we ink lnc. �9 jAdliarm Hayway Cabt fZd ►! TOWN OF BARNSTABLEo 79 ?.2 Pit u: 02 }'!Ofciwe 04 Ci r5t clod Last �- W W Q tO be lhrOXP fO OfYg 60e- n I5 pal tb gf de 5' an 5 lumnfnp t k(I focAf } ojy.� el S � �P1'1�f CQ�i+'Y �� .�� wE t ti ►��` h0.tK � �� in�PlmeCl�O�e �� sf 32' s�tunt2�S Cab1�.S �o not1GY lxtSY Spates 3" o pry -Holes do}{gL-fMa.4gh $iCUt1iS ItJbinngg I i or tlecYa r� a.�� 3;b g roCh StC�.i rr IeSS 77�e�� s � -tu,blr , paw finish foof ((u Mckechnie, Robert From: Mckechnie, Robert Sent: Wednesday, December 20, 2017 11:33 AM To: rick@rwanderson.com' Subject: 39 Hilliards Hayway Application Hi Rick, I will need details(cable spacing, post spacing, rails?,etc.)of the cable rail system that you are planning on using for this project. Some of the manufactures specs are misleading and may cause it to fail the inspection. This may require the system to be removed, adjusted and to be reinstalled. As soon as I receive the details I will continue with the review. Thank you, \ Bob i Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 1 tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cape engineering structural design civil engineers&land Surveyors Arne H.Ojala P.E.,P.L.S. Daniel A.Ojala,P.E.,P.L.S. October 22, 2007 Timothy H.Covell,P.L.S. land court surveys Jack LeBoeuf, Building Inspector Town of Barnstable site planning 200 Main Street Hyannis, MA 02601 sewage system Re: 39 Hilliard's Hayway, West Barnstable designs Dear Mr. LeBoeuf: inspections I have reviewed the FEMA floodzone map pertaining to this area, as well as the site plan which shows topographic elevations as surveyed and based on NGVD, and find permits that the proposed addition's lowest floor is proposed at elevation 11.3'. The FIRM, Community-Panel number 250001 0011D, revised July 2, 1992, indicates that the closest floodzone designation to the dwelling is A3, elevation 11. The proposed addition foundation itself is within floodzone C. If you have any questions, please do not hesitate to call.me. Very truly yours, 4�L��OF Izyss9c ���H OF Mgs�O ARNE H. y� a%� ARNE �c ) OJALA �, `� H. "-) CIVIL � �i l OJALA v Arne H. Ojala, PE,PLS No 30792 \o No.26348 Down Cape Engineering, Inc. `�� o �� � �'r0 e k`11^�, GtSTE�� �� ( PFSsko 1lAL NG b\o SURVE�O E �y1 �G PROJECT JJ NAME: �� /�•`�'�-Z /� ADDRESS: PERMIT# PERMIT DATE: M/P:_ (o C/0 LARGE ROLLED PLANS ARE IN: BOX SLOT Data entered in MAPS program on: /0 Wd BY: o q/wpfiles/archive TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ` aw Parcel '9 Permit# S--7&o Health Divisi —63 Date Issued /O "7 Conservation Division 16 - Fee Tax CollectorS� Treasurer UE1 U _t�> Planning Dept. Checked in By Date Definitive ZmWese ba{�6g Board Approved By Historic-OKHr ion/Hyannis Project Street Address 3 g 141 ice,Y-A.c Ho.- Village I Owner lE:42AC , ,-el 2 YL,4 +k l.0Q.,�cu-- Address Telephone b ~sC.` �Rueermest df � 1n40 o» 0- -ca in �v, � ��-Y �� 60. - h eic'iVY► '— eXr isJvY%C ` o7 V_i- r -&- c,./V%s MA _f®0 1- re-eLCIA- Square feet- 1 st floor: existing proposed 2�nd floQr: exist proposed Totai new 03 a1 Shy r=. ValuatioA Zoning District Flood Plain Groundwater Overlay 11 Construction Type �� ti✓�� 6�, r-�r,� � Six �� 6- �y s, X tns►ne� �' Lot Size Grandfathered: ❑Yes O No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family O Multi-Family(#units) b�-► �,a r ©'¢ `�+� S-Q- Age of Existing Structure 2-3 v1r'3'. Historic House: 3kYes O No On Old King's Highway: Cl Yes >rvo Basement Type: O Full 0 Crawl .Walkout D 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 '7 new First Floor Room Count 3 !" Heat Type and Fuel: D Gas XOil O Electric 0 Other Central Air: O Yes Ao Fireplaces: Existing 7— New�_ Existing wood/coal stove: ❑Yes XNo Detached garage: existing ❑new size Pool:O existing ❑new size Barn:0 existing O new size Attached garage:O existing ❑new size Shed:O existing ❑new size Other: � o Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ u Commercial O Yes ;i0 If yes, site plan review# Cil Current Use - Proposed Use - T 1 C,1 BUILDER INFORMATION Name 15. t, 1- 0--eL 1 i)42-4 1-V-r Telephone Number -6*0 V,� c-2 Address 3g 14 k 1 G r d- s 14ce in License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �Zi ,��-44 DATE [ I' I �'�• 4 a FOR OFFICIAL USE ONLY ` PERMIT NO. DATE ISSUED • , r 7 MAP/PARCEL'NO. «b r ADDRESS VILLAGE F OWNER e DATE OF INSPECTION: FOUNDATION F D FRAME Cc INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. `� y The Commonwealth of Massachuseds Department of Industrial Accidents Office.of Investigations- 600 Washington Street Boston,MA 02111' ivww mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers j Applicant Information Please Print Leidb1Y Name (Business/orpnizationadividaal)' Address: City/State7Zip' : l''�l'4 c� PhoneCL Are you an employer? Check the appropriate box:. Type of project(required): 1.❑ 1 am aemployer with 4. ;KI am a general contractor and I •6..❑New contraction employees(fulland/or part-time).* have hired the snb-contractors [] listed'on the attached sheet. $ ?• XRemodeling 2. I am a sole proprietor or pminer- ship and have no employees These sub-contractors have 8. ❑ Demolition working forme in any'capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its 10.0 Electrical repairs( r.additions r�4aired] officers have exercised their 3 am a homeowner dojog all work . right of exemption per MGL lY.❑ Plumbing iepairs or additions myself:[No workers' comp. c. 152, §1(4), and we have no. 12.❑ Roof repairs insurance required.] t employees. [No workers 11 E] Other comp.insurance required.] *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 an doing all work and then hire outside contractors must submit anew affidavit indicating such =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their wotkers'comp..policy itsforasation. 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 Dater Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Fafiure 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 u.p to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to.the Office of . Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: I•- '`��-� Date: Phone# ® Eo .. fo . 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#: Information and Instructions. _ . , Massachusetts General Laws chapter 152 riegihires`all employerson m e service o tD provide f anothercompensation under any contractir toof'hire, pursuant to this statute, an employee is defined as e1Y P express or implied,61-4 or written.,' ... . association, rporation or other legal entity,or any two or more An employer is defined aS.:an iudivi¢ua�.,Pa1 eq�P�: ' 'lo er,of the of the foregoing engaged in a Joint enterprise, and including the legal representatives of a deceased emp y association or other legal entity, employing employees. HowcVer:tb�e receiver or trustee of an individual,partnership, d who resides therein,orthe occuPant of the owner of a dwelling hou wh�g p than do�tenancents e,construction o repair wo kv such dwellng house dwelling house of another �P loys ersons to. appurtenant thereto.shall not because of such employment be deemed to be an employer." or on the grounds or building MGL chapter,152, §25 C(6)also states that"every,state or local licensing agency shall withhold the Issuance or Tenewal 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." applicant ter 152, 25C states"Neither the commoi wealth nor any of its-political subdivisions shall Additionally,MGL chap . § (� enter into any contract for the performance of public work until acceptable.'evidence of compliance with the in requirements of-this chapter have been presented to the contracting authori "ty. Applicants Please fill out the workers' compensation affidavit`completely,by chne �g theboxes ,h apply�cate(sf situation and,if necessary, supply sub-contractors)name(s), address(es)and phone ( ) g insurance. Limited Liability Companies(LLQ or Limited workers hon insurance. If' 'LLC or LLP does ha Partner ships(L-LP)with no employees ve than•the members or partners, are notregnuea arty employees,apolicy is required. Be advised that this affidavit may be submitted to the Department of Industrial vit. The Accidents for confirmation of insurance coverage.. Also be sure to signanid�t the not the Depaffiartrnent of shouldavit b e returned to the city or town that the application for the pernnt.or h g Industrial Accidents. Should you have any questions regarding the law or ter their if you are required to obtain a workers' compensatioupolicy,please call the Department at the number listed below.. Self-insured companies should me self-insurance license number on the appropriate line. City or Town Officials . Please be sere 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 aPPI er. In addition,an applicant Please be sure'to fill in the permlt/hcense number which wh'11 bV auareference bmit on affidavit indite tmg current that must submit multiple permit(license applications in any gi Y 'd as need only s policy information(if necessary)and under"Job Site Address"'the applicant should write"all locations in (city or n)."A copy of the-affidavit that has been officially stamped or marked by the city or town may be provided to the tow applicant as proof that a valid affidavit is-on file for;future permits.or•liaenses..Anew affidavitmh}stbe filled out year,Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (ie. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your 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 Investigations 600-Washington•Street . 'Boston,MA 02.111.. ' Tel. #617-727-4900 ext 406 or-1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 7rvm.mass.gov/dia TME� Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to 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. Type of Work: FAD V-..k VRs—r,o v�L�► 1-% Estimated Cosh O N-1 Address of Work: I CL �� r-t>c� cam+-h S 4 �'' Owner's Name: d )-a r Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied Mwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING W11 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: �O Date Contractor Name Registration No. OR tDkd jE�� Date T Owner's Name Q:forms:homeaff day i Town of Barnstable �ftME l� P� Regulatory Services • Thomas F.Geiler,Director SAMNgrABLY, s639. ,0� Building Division ►+�'{� Tom Perry,Building Commissioner 200 Maia Street, Hyannis,MA 02601 www.town.b arnstable.ma.us 'fire: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: G �� I � ° P �t'.'h_j -JOB LOCATION village •n��f� 1 street ' l `HOMEOWA'ER'. home phone# work phone# name CURRENT MAIING ADDRESS: 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 s_•pervis—Or. 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 re onsible 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 minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. � w Signature of Homeowner Approval of Budding 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 can t amend and adopt such a form/certification for use in your community. Ike- -' X .�1.1Y•� u ' Lit i•,;�-i.v-� � (s� �� 4i Z o Yrs+r.u4- Ficnvv�s k� � i 2Z _F' �Y�-J{r�-Nli- i.IU.SL•f" 01 P I X • ` Application to: S E� Old Kings Highway Regional-.-+sto is District Committee in the Town of Barnstabla for a CERTIFICATION.OF EXEMPTION Application is hereby made, in triplicate,for the issuance of a certificate of exemption under Section 6 and 7 of Chapter 470, Acts and Resolves of Massachusetts, 1973, as amended for proposed work as described below and on plans, drawings, or photo. .. graphs accompanying this application. , TYPE OR PRINT LEGIBLY DATE ,_ ADDRESS OF PROPOSED WORK _ � 1 i —�S i G !4 I ASSESSORS MAP NO. OWNER F TZ pLhQ�Y'� f"�i�Li C ASSESSORS LOT NO. HOME ADDRESS ► L!a. TEL. NO. 2_- "" Z' AGENT OR CONTRACTOR CS, [W.Mnir , �j:f=V-R tL S 4 ADDRESS �O b��� `7 , �t�w�) 1l�-� NUJI� ` TEL. NO. This application is for.exemption of proposed exterior construction on the ground that- (1) It will not be visible from any way or public place. ❑ (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission. (Check applicable box) PROPOSED WORK: Describe and furnish plan of proposed work, showing location on lot,and, if an addition is involved,show ing location of existing building. DOY' D 1 cep r.. T Us w i 0 i GL i v,eL 14) s LGJ,4N v°D� O.— 60 A r•e9 D CL �'C i��..Y J r�•�1 ��t 6 1 � c C 29 �� X 2'l '� � Yo �c-c��,�� h1�S I+�.��-e_���.�_�^acJaC1�►n� ,, ,� SIGNED Space below line for Committee use. . Owner-Contractor-Agent Received by H.D.C. The Certificate is hereby Date Time By Date Approved ❑ The categories of work entitled to exemption are listed on Disapproved ❑ the back of this form. 17 W Pasemen and wninRRANTY The Harvey vinyl casement window is available in either a single unit or in multi-unit combinations. It's beautiful and functional in any room because it offers smooth operation and maximum ventilation. You don't need to stretch to reach a top lock because one easy-to-reach latch unlocks the window. Count on Harvey quality and superior design for the added benefits offered by a solid vinyl casement window. You'll start to see your world in a much brighter light. Vinyl Casement features include: • A fusion-welded frame and sash • New Truth Maxim®hardware assembly including compact folding handle (standard) • • Single latch,multi-point locking system t secures window at top, middle and bottom of sash • 7/8" Insulating glass with PPG Intercept® warm edge spacer system • ENERGY STAR qualified with optional s Low-E/Argon glazing • Available in w ,-almond or bronze 4fng Window 'See actual warranty for details. 0. $y 1RS:M`4, 3t s r. t t � > Town of Barnstable *Permit#!RA?�s Expires 6 months from Issue date : .�.rrarear� i Regulatory Services Fee a Thomas F.Geller,Director Building Division Tom Perry, Building Commissioner @�+LL; � m 200 Main Street, Hyannis,MA 02601 X.PREce c Office: 508-8624038 MAY 5 2005 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - REFENTI�BA�'c(�ST t� Not Valid without RedX-Presslmprint Map/parcel Number O 4f Property Address 39 /����a�rd f �f`�aA�✓A� /!/crf �o-,-..r>�R��� [Residential Value of Work//y/,! °D Minl/mum fee ot�$2�5.00 for work under$6000.00 Owner's Name&Address � 3r�.r, • .��G/I s�► Ile-,lzi?- _ i A r S W l' A— Contractor's Name %TGS elephoneNurnberLJ�!O,yZp-9935r' Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) I XWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner W I have Worker's Compe//nation Insurance J . Insurance Company Name f b-fiY /rf(��d^'/ -��Y s7//l/Jt�Y►G f� �� Workman's Comp.Policy# W&r 316 - 3`1 0�D q z ' o 16- Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over'_existing layers of roof) Re-side �{ Replacement Windows. U-Value •33 (maximum.44) *Where required:Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Ho r ement Contractors License is required. Signature Q:Forrns:cxpmtrg Revise063004 x The Commonwealth of Massachusetts ►�� =_~ - _ Department of Industrial Accidents Office of Investigations -_ 600 Washington Street, fh Floor ?f Boston,Mass. 02111 Workers'Com ensation Insurance Affidavit:Buildin lumbin lectrical Contractors 7� name: e 7, /T_ d7r_ 7 , %SG f address n r o- � 1-7 city ! ewl A_ 'd,-ffe, state: /(/l zip: 07-6 3 Z_ phone#1S2g) V 7-0 �/�1%3 -7 H, _work site location MH-address): 3g �� d11 ��"� W^-A „ " "s�80`'�^'�"�L-L x" ❑ I am a homeowner performing all work myself. Project Type: ❑New Construction.Okemodel ❑ I am a sole proprietor and have no one working in any capacity. ❑Building Addition �n._.. r _..� •'i�'t� °- .l Syk '"..`, ... '{.+�i+:fix?+i' '�s.,�'.'514:.:e::r.�:�.c.'zs'j:v yti`_:e?.'.t``:::,t�-{a�}<">+.`:� °_ :.•.:� .'`a .Y!.,. I am an employer providing workers' compensation for my employees working on this job. company name address 0• �3 t / - �sag) �z ©. -g 9 _.. .. . . �-c:._..__..._ Ob6be 3 y city insurance co. 4,r d A-/ SY�' Pe' plii 2 - 3 l S _ 3 ® -16 8 y Z - �5- ❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: compmY name• - address- city: phone M --- insurance co. Volig co an name: address: city phone#• insurance co. oll Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penaities.of afine up to S1,500.00 and/or one years'Imprisonment as 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 this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify un er t pains d p alt' s of perjury that the information provided above is true and correct Sign G Date '�- Z S -Q S Print name I"e I ' t O/''�— Phone# official use only do not write in this area to be completed by city or town official city or town: permittlicense# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (rcv'tud Sept.2003) 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. _011IN1111111 --NOUN Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned.to the city or town that the application for the permit or license.is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. 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/license number which-will be used as a reference number. The affidavits maybe 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. K The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7`s Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617)727-4900 ext. 406. oY E r Town of B arnstable �.� Regulatory Services - $ Thomas B.Geller,Director $ „ Fa , . •�� ' Building Division 'OrED rM'�� TomPerry, Building commissioner • 200 Main Stre4 Hywais,MA 02601 . -_- WWW.toWn.barnstable ma,us _-- Fam 508-790-6230 Office: 508=862-4038 Property Owner Must - _ -Complete and Sign This Section If Using A.Builder k` Q ��". M Owner of the subject property authorize �. 0 to,act on MY behalf; hereby matters relative to work authorized bythis building permit application for. m L (Address of Job r C _. .. j rn S g nature of Owner . D. te Vie P ti�a� 0 Application to ®tb Rittg'o jbilgbliiIap Regional botorit lais'trict Committee In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS 51 pp,lication 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: j CHECK CATEGORIES THAT APPLY: %vl1 1. Exterior building construction: ❑ New ❑Addition ❑ Alteration fl o f /"'C& Indicate type o building: House ❑ Garage El Commercial Other �" UU ° °JV\7 0 2. Exterior Painting: ❑ l 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign f- • 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑Other PE OR PRINT LEGIBLY: DATE i I 2 ADDRESS OF PROPOSED WORK 4 3`1 )�i I j i((A�('dI S I f�Y SSESSOR'S MAP NO. i3 Cd OWNER: M t'- S M rS. _ +C.6'rjl iW C 1�lQ ASSESSOR'S LOT NO. �Ll HOME ADDRESS. 3Q1 i II��t^nl S } ifs t TELEPHONE NO.(--_f� 6-Z - Z� IO� FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) G-, • ��_Z ,P,-c•ti _ a � 3 2 - - C'� '• /mod- - A .# SS - s t n rrr� rr.��ss CD AGENT OR CONTRACTOR . �e, �: !TY'L.�itl�riyTf�'�L'EPHONE N� Z - q q 3 ADDRESS_ P' `V• 190-A 1-7 DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. / f I lk odty i-V J%V o ; ¢D i - e A.ovvv eJ ov-t- 7t Al out w,41' j z /!z 6-fi'-01'z-'#0Vz j #f'4 K w h , e. vi-r Y-k ('JG arc it/~✓tt,' _ � - ��cr si ,•�C CU�Zn.•t9 Signed f ' "Own r-Contractor-A ent n For Committee Use Only ( (1� This Certificate is hereby ' 1V1 Date_ ✓ 0 I�llf I `:I;f p / d omm Members'Signatures: K u 1- 1 ?005 , TO NN OF BARNSTABLE \, 33 G= Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE i/v t1 �/ �G�W� COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH 01e � r+ 'l�U t f-f 1�CY a _ 33� �/ WINDOWS N COLOR U� i sZZE l 11 1 V ln V 3 "03 TRIM COLOR (� " Tfl:i`YI/l ,1'a L:k t'iSG �dYL S 1V ��j N� I ✓��O X !� AZT. t rvy1P0s;"4-f__ DOORS COLORS SHUTTERS COLORS GUTTERS COLORS DECKS MATERIALS GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS SIGNS COLORS FENCE COLOR ROSES: Pill out completely; including msaearemente and materiale/colors to be used. Sous Copies of tbis fom are required for submittal of an applica"an, along with four copies of the plot plan, landscape plan and elevation plane, when applicable. iT Revis l'J Eev�sad 11/98 D za �1 TO�f.JN 0 g BARNS' HISTORIC PRESERVATION E C E E o La ettm-e_ 5 83 0C \N MAR 2 1 2005 �2tlYear I Hung Replacement Window Glass HISTORIC PRESERVATION The Harvey Classic Vinyl Double Hung replacement window ,'• offers homeowners the widest variety of style,performance, color and options available in the marketplace today. The Classic . window is custom made to fit your opening and is available with a variety of mechanically fastened or fully welded frame and sash options. Our sleek fully welded sash and frame design provides a y one-piece sloped sill and better performance than ordinary vinyl windows,with an air-tight seal that keeps wind and water where they belong—outside. Consult your professional contractor to discuss which options best match your needs. 1 Tilt-in top and bottom sash for easy cleaning CLASSIC FULLY WELDED SASH&FRAME O Classic features include: ": • Factory calibrated block&tackle sash balances never need � adjustment or lubrication ;) ! y • Locking half screen with non-glare charcoal aluminum wire Y]y Header • 7/8" Insulating glass with PPG Intercept'warm edge spacer system provides 10% warmer indoor glass temperature t • Interlock at meeting rail and double weather stripping for a triple seal I • Ventilation limit latches keep top or bottom sash partially open {: Meeting Rail • ENERGY STAR qualified with optional Low-E/Argon glazing ` • Consider our Classic Acoustical window to further reduce r noises (see page 18) M®;� t y - Available in: Sill White Bronze Almond Actual colors may vary. `See actual warranty for details. lid ECE Ei MAR 2 12005 1 10 19 11 " icon �NTY I TOANN OF BARNSTABLI p.R (_ HISTOR►C PRESERVATIC•''_-I W Year laew Construction Window In addition to replacement windows, Harvey also manufactures .�� the Vicon line of vinyl new construction windows and patio doors. The Vicon Double Hung represents the latest evolution in fully-welded window technology and offers the benefits of a solid PVC maintenance-free product. The Vicon Classic Double Hung is the top of the line, offering heavier extrusions, upgraded hard- ware, and the flexibility of three colors (white, almond or bronze) and two screen designs (locking half screen or full screen). PON x- Vicon and Vicon Classic Double Hung Windows can be com- bined with virtually any accessory window to give you-the effect you're looking for. Choose from our selection of picture windows, sidelites, transoms, half rounds, ovals, and elliptical shaped windows. Vicon Double Hungs can also be com- Exterior casing bined to give you 2- and 3-wide configurations. l Exterior Casings gaining popularity: Through advanced manufactur- ing capabilities, Harvey is able to capture the appearance of a tradi- '. v- tional wood window in a maintenance-free vinyl exterior casing w Common jamb technology: Historically window combinations were Common jamb manufactured by joining individual window units together. Harvey has simplified this process with the common jamb where the windows are contained within a single frame and separated by a sleek, , common mull post. This creates a stronger, more visually appealing ' t product. Contact us at 1-800-9HARVEY for a copy of our Vicon brochure. `See actual warranty for details. of Town of Barnstable *Permit# RVIres 6 months from)Issue date Regulatory Services Fee 1 z ,0KAM $ Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner . 200 Main Street, Hyannis,MA 02601 -PRE$S PST Office: 508-862-40 .8 Fax: 508-790-6230 OCT 1 - 2004 EXPRESS PERNIIT APPLICATION - :RESIDEIVTIAI ONI;Y:: Not valid without Red X--Press Imprint BARN STABLE .apfparcel Number 6 'operty Address ]Residential Value of Work /O Minimum fee of.$25.00 for work under$6000:00 wner's Name&Address bntractor's Name_1-:�i3_41/_9 rs Telephone Number 3 r%Z —3 �6 6 Iome Improvement Contractor License#(if applicable) /D D J! bnstruction Supervisor's License.#(if applicable) ]Workman's Compensation Insurance one: ET I.am a sole proprietor ❑ I am the homeowner !4 ❑ I have Worker's Compensation Insurance� asurance Company Name A CL. Vorkman's Comp.Policy# ;opy of Insurance Compliance Certificate'must be on file. 'ermit Request(check box)9/1p',e-roof(stripping old shingles) All construction debris will be taken to _ /T y ❑Re-roof(not stripping. Going over existing layers of roof) l ❑ Re-side (� ❑ Replacement Windows. U-Value (maximum.44) 'Where required: Issuance of ' permit do t compliance with other.town department regulations,i.e.Historic,Conservation,etc. ***Note:' erty r Pr perty Owner Letter of Permission. ore rove rs License is required. signature 2Torms: Levi 3004 Town of Barnstable Regulatory Services BAMSTABLF, MASS. Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 i Property Owner Must Complete and Sign This Section If Using A Builder Z, Q � , as Owner of the subject property hereby authorize ��y �s o� ' w� -C� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) rr ! G `74 S45Are of Owner Date Print Name ` Q:FORMS:OWNERPERNUSSION Application:to: 9 •, ' Old Kings Highway Regioirial'Hisric District Committee in the Town of Barnstable for a CERTIFICATION.OF EXEMPTION Application is hereby made, in triplicate,for the issuance of a certificate of exemption under Section 6 and 7 of Chapter 470, Acts and Resolves of Massachusetts, 1973, as amended for proposed work as described below and on plans,drawings,or photo- graphs accompanying this application. . TYPE OR PRINT LEGIBLY DATE b ai r ADDRESS OF PROPOSED WORK 1 3 4i, ASSESSORS MAP NO. fa OWNER 1 ASSESSORS LOT N0, .� HOME ADDRESS TEL. NO.�2.2-, L AGENT OR CONTRACTOR ADDRESS ! " �` `n TEL.NO, .L�?rh L 3 1 This application is for exemption of proposed exterior construction on the ground that: ❑ (1) It will not be visible from any way or public place. ❑ (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission. (Check applicable box) PROPOSED WORK: Describe and furnish plan of proposed work,showing location on lot,and, if an addition is involved,show, ing location of existing building. �2r io . ��;� /"lair✓ � �'����. c /��D C'��'�..., i • o SIGNED Space below line for Committee use. . Ow er•ContractOr-Agent Received by H.D.C. The Certificate is hereby Date Time By Date Approved The categories of work entitled to exemption are listed on Results <. Page 1 of 1 Home Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City, Name, or License number Select Search type: AND r OR :�Searrch s Search Results Reg. N I Applic:a:ntj Street City State Zip Name Title Expiration STURGIS 65 Cindy St. Peter, 100390 ST. PETER Lane/P.O. Barnstable MA 02630 Sturgis Owner 6/16/2006 Box 372 Total of 1 Records matched. Back to Home Page BBRS Privacy Statement S http://db.state.ma.usibbrs/hic.pl 10/l/2004 � Al�of - Assessor's map and lot number ..... v .. ... ....... ... }��. THE r�F Tel► Sewage Permit number ..................................... ................. d Z E9HB9TODLE, i House number ...................................... ....::�,•�...................... 9 rasa t �p 1639. 0 D Nxi a�O TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... f .�� r �` ....... ... .*.. TYPE OF CONSTRUCTION. . ,41?11111 !')...... � �+`�` : "... .............................................................................. ......./.� .............................19 TO THE INSPECTOR OF BUILDINGS: .The undersigned hereby applies for a permit according to the following information: Location ., .:: ....: ..�." ..<..�� � 1� f....s�i .. . ... .., ................................. ProposedUse .... ..................................................................................................................................................... a o Zoning District ........................................................................Fire District .../ �...! .a... fry.. ................................... Name of Owner .7pg.wl y ....................Address .....15i:;:s Name of Builder .,...,1!! . .Address ... mod.............. Nameof Architect ..................................................................Address .................................................................................... Or o" '' Number of Rooms .....................Foundation Exterior ...�A/.! .��.....: .f�.`�! �....7� r" .�G11 •....Roofing .......� '°�f ...C ! "�.r. ,,�f .`.. ;. ..... k Floors ..................................................................Interior ........................ ....................................... Heating .... ...................................................Plumbing .................................................................................. Fireplace p ..................................................................................Approximate. Cost ......r!..-.:�.�........J......................:............... Definitive Plan Approved by Planning Board -----------_____-_-----------19_______. Area ....../ Q..l...:................ Z Diagram of Lot and Building with Dimensions p o� Fee ............... ........... SUBJECT TO APPROVAL OF BOARD OFHEALTH 'b 1 � � b 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 :.. �:..... �;/j. ''e!............. Construction Supervisor's License ..�......... y........ aLLEm, uAvlD A=136-48 ' 25830 1-1-2 StoryNo ................. Permit for ------------ ' ^ ' Single Family Dwelling ------------.--------=---- , ' Location ....Lot_].].�__]9_Bi.Ili.��d��_Bayway —_---.Weo.t-8�����takl�________ - Owner ........Davicl_&l.l���___. . ' -' Irz ' Type of Construction --..�j��yg-------.. . . ` --------------------------' . Plot ............................ Lot ................................ ~ ` . . . ' 2Jmvend»e' ]O, B] � � Permit Granted ------�----.r—l9 | ' Date of |nspectio,i.------------lg ^ ' . Date Completed ' . . . - . /y V , ,~ ^ . . . , . . ^ ` ^ `[ ' . ' . ' ' . . . ~ . - r �,�•+; TOWN OF BARNSTABLE Permit No. __ __- Building Inspector Cash OCCUPANCY PERMIT Bond ------ . -.- Issued to Address tv Wiring Inspector l 4"`l Inspection date Plumbing Inspector f. 9!>��J:? r1`c-r L Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT FILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. -1111, 41--S4 4 _................... Building Inspector FROM - TOWN OF BARNSTABLE BUILDING DEPARTMENT Mr. Francis Lahteine 367 MAIN STREET 'HYANNIS, MA OM Town Clerk Phone: 775-1120 L SUBJECT: FOLD HERE DATE August 31, 1984 MESSAGE Work has been completed under Building Permit #25830 (David Allen) . Please release Bond. i � A n SIGNED DATE REPLY SIGNED NS7•RMt RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A.. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. 38�+ .4z's Cf , i 0 0 �y IV 35Zbo Sq,�r ^� s N� _i i /co. oo CE.�2T/I�'/Ez� PLor �PL�v locg�i��.i �l/�5T .BAP.NSTi?BLt� SS_ AooW 81,9193 PLs / �'7� Be�7wG Lo 7 -0 33 SNo ww o.v PL ,v Boo�IC 24,9 OF gow �� I C�7QT/G�/ TNAT TJl.E- t7I'/ST/NG �pv✓D A77o'�3 -AbWAI ON .Tt//S PLAN/ 11tffil� q�E LoC.97�"� ate/ 77/6' a'A?o✓n/D AS //tZaA.�, A"Z) 7AO9T 7P/E}/ 400 r u tl%,t go�v�oeM 7b 7w4r SeY7- .e6�✓/�¢E/'96*�.n5 a f Tt1E 7D h/N Of 89�LvsrABCE� .7��'4v/D W. AGGCiV- P6-Ti7/n�Vb-� � ,ems, Lg„/D -S�,e✓c 0!c ok //� A/ /I Assessors map and lot number .....f �... ........ K.If'sz. F THE T EEPTOC SV T Sewage Permit number .................................. ...... w INSALLFD 1N C0; . , �p Z BABH9TAA?iLE; i House number ..................................... ..... ..................... U1 ITX TITLE v `r r 9 MAW- � ENVxi C7NiViENTAL CL �..' '°�o0AY;•e0 TOWN OF BAf N"S' T W BL E L BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......46`0-sS.7 44 ..... v..e6w2.J+... TYPE OF CONSTRUCTION ...d 4!v......1 I. J ................................................................... � ... 1 .....�....................l TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .,C o.T...... .1.. ,��1./ ; .... 1i4.. ✓!7t.` ..... .. I�EfK`.................................. Proposed Use ... . .......................................................................................................................................................... ..............................Fire District �t.... ��7 Zoning District ...... /.y...... �... ... ............................................. Name of Owner . . P7�iilti e ,s-040a .�/..�...(.�ef.':�.��......................Address .,.5.............�.. ./..��..!4-i...... .... ..... Name of Builder `i!J/'�1.r... .L,��lr.�`V.....� ............Address ...... Nameof Architect �-.........-':....................................................Address .................................................................................... Numberof Rooms .........' ((..................................................Foundation ... ......." .K .!...: Y...................................... Exterior ...fir/. .��...., .!Y f�..4 '5....9.. AIA.P.4f.��.....Roofing .......�.. ... ...G /, .`' c... f.. 41z, Floors .Interior y /.�"�..... .A........ ........-..`.............................................. Heating .....r/.!J.4.. .. 1.60Li............................................:........Plumbing .:................................................................................. Fireploce ..................................................................................Approximate Cost ...... ,/.. ..�..J............... ............... ] 1 Q Definitive Plan Approved by Planning Board -----------_-------------------19--------. Area ......� c�... .............. 2 Diagram of Lot and Building with Dimensions Fee . 14- SUBJECT TO APPROVAL OF BOARD OF HEALTH �'� I 'b I 1 " 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 U...fir.+. .. ..... ........ Construction Supervisor's License .0.0.�f-1773...... ALLEN, DAVID qg 0 o 2583 d................. Permit for ... �!�qa M ............ iSingle Family Dwell ' 1................................... Dwelling............. Location Lot...3.3 39...H.i-1.1.ia.r.d,5....Uayway West Barnstable . ...................................................... ........................ Owner ...David Allen ............................................................... Type-of Construction ..........EXI=e.................. ................ Plot ................... ........ Lot ................................ Permit Granted .... ....November 30, ...lg 83 ......... .............. ,Date of Inspection ...............I....................19 gu- Date Completed ............ ........ .....19 ,1TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1 (0 Parcel 1+9 Application#. Health Division O 3 Date Issued 1 D �a;3 6 Conservation Division Application Fee 6 6 Tax Collector -•r Permit Fee ,,f_R6/. do Treasurer ` o ,t3 v Planning Dept: Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 39 -�i -s-r 'DS ,1��Iywi4� Village Owner LJ�1G ef-C Address 3 !? 1-44 Telephone z 9(03 ' + Permit Request /T��� �/�/'�1/L� 2�v%"/,.�'�o 19_-QD/?7D,0 Square feet: 1 st floor:existing 1©20 proposed / ci 2 2nd floor:existing �I�� proposed 11/ Total new 2S�� Zoning District Flood Plain Groundwater Overlay Project Valuation 2—40 oao Construction Type 4000.d Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No i Basement Type: XFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) lvOO Basement Unfinished Area(sq.ft) //20 Number of Baths: Full:existing 3 new — Half:existing / new Number of Bedrooms: existing 3 new Total Room Count(not including baths):existing 3 new Z First Floor Room Count r ` Heat Type and Fuel: ❑Gas XOil ❑Electric ❑Other P Central Air: ❑Yes %No Fireplaces: Existing Z New T" Existing wood/coal stove: ❑Yes No Detached garage:A existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑n wR size_Y Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: --I M - M Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ o' Commercial ❑Yes ,X No If yes, site plan review# r `� Current Use Proposed Use BUILDER INFORMATION �- Name P. Q, li'd ��-Sa���'Ji�s', QC�Telephone Number_ Address e�> GtJ/,C,CULc) cS'� License# 007-71LI 41,)2J63 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUC N DEBI RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0,q&5ZI4 4-4 75' SIGNATURE DATE /zo / 0-7 j \ ( FOR 1 EF CI■[SEEON LIXY ? .AEP[J«m0»2# - ƒ ik DATES\EED . . . MAPƒAR§E ENOO \. : A D RE SS / • � ¥E1JAGBE \ DATEDD&SP CI NN: \ F@ONDkpOgN / ■ ^� . _ ^ \ FR¥EE . . &&§LAp09N \ FREELEA@EE , © EL C RISAAL ROUGH FNakL � . PEUMBI GG: R&DORH FINALAL :GAS&: » RAOGHN ~\ ' INALAL FAAEBB£DI GG L/ 3 { . r. � k - D6TECCOSE 0.1601T fASSOCgT ON MN QD\ ( The Commonwealth of Massachusetts Department of IndustrialAecidents Office oflnvestigations • 600 Washington Street Boston,MA 02111 , www.mass,gov/dia Workers"Compensation Insurance.Affidavit;.Builders/Contr•actors/Electricians/PIumbers Applicant Information Please Print Lezibly Name (Business/Organization/Individual):. Address: City/State/Zip: Phone.#: G 0 Are you anemployer? Check the appropriate box: -Type of project(required):. 1. I am a employer with J' 4. 0 I am a general contractor and I * have hired the sub-contract 6. ❑New construction . . employees(full and/or part-time). ors • 2.El am a'sole proprietor or partner- listed on the-attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g• Demolition worldng for me in any capacity. employees and have workers' 9 0 Building addition [No workers' comp, insurance comp.insurance.# required.] 5. We are a corporation and its 10.❑Electrical repairs or additions '3.❑ I am a homeowner doing all work officers have exercised their 11.[]Plumbing repairs or additions myse]L [No workers'co mp. right of exemption per MGL 12•❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees, [No workers' .•13.❑ Other comp. insurance required.] , 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet sbowing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must pravidt their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: /x�)_T Oz> Policy#or Self-ins,Lic.#: Zt70//A) (O ?`7 Expiration Date: 7 U�f Job Site Address: 3 K 1-41, 01 dkM34"wd! City/State/Zip: /.-), —bU�1-720L6-• . Attach it 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 cr4minal 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, 16 hereby c a he poi s•a penalties of perjury that the information provided above is true and correct: Sienature: Date: A 0 a OCJ _ Phone#: Offzcial use only. Do not write in this area,Yb be completed by city or town ofj77c1aZ City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town CIerk 4. Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone M JOB 1 (..G A—V01Ti TAYLOR DESIGN ASSOC., INC. SHEET NO. - OF P.O. Box 1313 FORESTDALE, MA 02644 CALCULATED BY C'-r"r DATE 7—?10-0:Z TEL1./,FFAX: (508) 790-4686 CHECKED BY TE tom(► A 'CCU- Lai (3 5=SCALE TAYLOR € ,' _.__...._. - ...._._....-=-._.__...- ...................... ...__ ._... - -..._ _ ........_.._.. ... s t :.. ...:... sT�a -- - - ---- ..... . ............. -- - - - -..... _.. ................... ...._ ..... ;ice .. _,.. fi �: i 3 c _. .._....._............._.......... :.. .... :..... .........._................................. .._. '?. .. . _.. _ .._.. .._ . _ _....r.__.._._.-._.._...... - -.. _ _ -- ......... -- ---- ........ . .. 3 � ?�l _._: L_v_l ...........o........._...4. ..._'......._Z ... _. 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Town of Barnstable. Regulatory Services $niwsreBLE. Muss Thomas F. Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,NIA 02601 "'w-town.b arnstab le.ma.us Office: 508-862-4038 Fax: 50$-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, �G ►^� �e_t l`e-N' , as Owner of the subject property hereby authorized ; �,.� �.�.,�.Cn QL:� to act on my behalf, in all matters relative to•work authorized by this building permit application for: (Address of Job) Signature of Owner r ate Print Name Q 10AM&OWNERPERMIS S ION . } .✓lze C�aorvnzor�cueal� a�,/r'/Cczoe�ciaeClo BbARD OF BUILDING REGULATIONS License CONSTRUCTION.SUFERVfSOR. Number'CS 00771.4 �. 1EI pir,9 05126/2D08 Tr. no: 22485 Restricted ig00= FI RICHARD W ANDERSO/N - ! 20 GROVE STG- SANDWICH, MA 02563—' Commissioner ! t 67 Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home ImprovementContractor Registration Registration: 109503 — Type: Private Corporation z Expiration: 9/16/2008 RW ANDERSON & SONS INC �' = RICHARD ANDERSON 6 WILLOW ST SANDWICH, MA 02563 s`+ ' Update Address and return card.Mark reason for change. Ej Address Renewal Employment Lost Card ' DPS•CAt ea 50M-05/06-PC8490 ` 1 1 1 1 i piTHETOk' Town of Barnstable Regulatory Services. vBARM^r 1Eg Thomas F. Geiler,Director �A 1639. �0 j lEpµp`la Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,.MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,,modernization,conversion; improvement,removal,demolition,or construction of an addition to 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. Type of Work: Estimated Cost 'Z./O� pa Address of Work: A,4 Owner's Name: Date of Application: , I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 OBuilding 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 pe s t e gent of a owner: Date Contractor Name Registration No. OR Date Owner's Name Q:fomis:homeaffidav i Permit Number MECcheck Compliance Report 1993 MEC MECcheck Software Version 3.2 Release 1 a Checked By/Date TITLE:WEILER ADDITION CITY:Barnstable STATE:Massachusetts HDD:6137 CONSTRUCTION TYPE: Single Family DATE:07/26/07 DATE OF PLANS: 07/26/07 PROJECT INFORMATION: WEILER ADDITION 39 HILLIARDS HAYWAY W.BARNSTABLE a COMPLIANCE:Passes Maximum UA= 112 f Your Home= 105 6.3%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 372 30.0 0.0 13 Wall 1: Wood Frame, 16"o.c. 672 13.0 0.0 44 Window 1: Wood Frame,Double Pane with Low-E 89 0.350 31 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 372 19.0 0.0 17 COMPLIANCE STATEMEN • roposed building design described here is consistent with the building plans,specifications,and oth submitted with the permit pli The proposed building has been designed to meet the 1993 MEC requirements in MECcheck Versi, Builder/Designer Date -7-31--07 Application to ®C g_'Ss 3WO) uap 34gional 3105toric Migtrict (committee BARNSTABLE In the Town .of..Barnstable TOP CERTIFICATE:OF:AP.PROPRIATENEE@ JUN Zg A •43 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 O.Addition ❑ Alteration Indicate type of building: © House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑X 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repaif_Ling Existing Sign 4. Structurr4; ❑ Fence ❑ Wall ElFlagpole ❑ Other TYPE OR PRINT LEGIBLY: DATE 3 ' Ma.y 2007 ADDRESS OF PROPOSED WORK 39 Hilliards Hayway ASSESSOR'S MAP NO. 136 ' West Barnstable OWNER E. Richard & Judith Weiler ASSESSOR'S LmTNO. 048 HOME ADDRESS 39 Hilliards Hayway, W. Barnstable TELEPHONE NO.508-362-2963 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) AGENT ORC RACTOR Northside Design Associates TELEPHONE NO508-362-2210 ADDRESS 141 Main Street , Yarmouthport , MA 02675 DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including als to be used. Please include locations of proposed signs. Addition of new sunroom with wrap around deck and al -out basement . Signed Fot Committee Use Only rn r—" n nn U & b V L This Certificate is hereby Date t MAY 3 Approved/Denied 2007 CD om ittee Me bers'• n s: G O 3 BARNS 7Asi E _ _ �Lbtlj``TION IEILER, 39 HILLIARDS WAY, WEST BARNSTABLE -Le Town of Barnstable Old King's..Highwa Historic'District Committee :SPEC .SHEET OUNDATION POURED CONCRETE . . i SIDING TYPE WHITE CEDAR SHINGLES COLOR NATURAL CHIMNEY TYPE N/A COLOR / ROOF MATERIAL CEDAR- SHINGLES COLOR MATCH }EXISTING TO MATCH .EXI NU PITCH 10/12 TO -MATCH EXISTING . WINDOWS SEE PLANS COLOR WHITE SIZE SEE PLANS TRIM COLOR WHITE TO MATCH EXISTING NEW SIDE DOOR TO BE DARK GREEN DOORS SEE PLANS COI;ORS TO MATCH .EXISTING FRONT DOOR "I SHUTTERS N/A COLORS GUTTERS ALUMINUM COLORS WHITE TO MATCH EXISTING DECKS WRAP AROUND TO MATCH MATERIALS MATCH EXISTING - DECKING EXISTIMT GARAGE DOORS N/A COLORS, SKYLIGHTS N/A SIZE COLORS SIGNS N/A COLORS • a FENCE N/A COLOR NOTES: Fill 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, landscape plan and elevation plans, when applicable. ._ SPECSHT Revised 11/98 r1 '+ l 1' `•.'w l � is 1 ♦c .� a .;� t v , F1 r } i c` J.. ;x 'a t H� `�. _ ...mot-•. 9A,R.. 31 { .•t"�i:'S. d + ?5 l u5'tom„-..T � +1 �♦r�,�� � _ e ('k Ri'=''i r✓ �?`Ft�ata d_.._ •-55�.."'tS:�+':•�1S 3 :moo i�b t tr J' pr r !�" rt7t{ ''t .mvr,ita4t•L4 F� 1 •fi -� 4s��' ,�;> I7 �, y ♦`' t 'k:&Ci6o�5 r;r.•�iSd°. trt � '.�� i t�'�• �����'.tl ��J��!�fil �r1'.1�•: �;'!"�!( w' � �� �.. ��-•0-.LPG 3•y�etusra��,.. -�`5�*� ��,��� a� � 9 —�-��a +eer�i ' ki. 3{ R za^i • i 1■■111 •� ,■■� ■■■ ■■■ 1�1��� ■■■ ■■■ ■■■ ■■■ ■■Q'MINE 'M-T:■ ■■■ ■■■ ■■■ ■■■ Nola ■■■ ■■■ I■■1■I ■■■ ■■■ ■■■ ONION moo ■■■ 1..11i ■■■ �11111111111100■■■ ■■■ ■■■ .. . -.. ■■■ ■■■ MOM ■■® ■■■ ■■■ MOEN ■�r11l.I)1 I ■■1�1■■Ii.H.l�__ .■ �� 1■■111�1 I ! - I i! �z� ( 11■��tiO11MOO1._. 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SHINGLES El El ® " CORNER BOARDS TO MATCH EXIST im 11 GRILLE PATTERN TO MATCH EXIST FR lim, WINDOW TRIM TO MATCH EXIST ILLLIL so CLAPBOARD SIDING STEPS TO 3 1/2" EXPOSURE GRADE FROFOSED FRONT ELEVATIONS O NEW RESIDENCE FOR: DIC< WEILER 39 HILLIARDS HAYWAY W. BARNSTABLE 05/03/O� NEW SECTION EXISTING WOOD ' ROOF SHINGLES 7 LILL I L Li-Li WOOD ROOF SHINGLE .TO MATCH EXIST REMOVE NEW ALUM. GUTTERS - - - - - - - - - - ............................................. - - - - - - - - - - - - - - - - - - - - - - - - - - EMOVE W.C. SHINGLES , CORNER BOARDS TO , MATCH EXIST E C M E C M -flu -it [ - --I -flu --- ------------- ------------ NEW RETAINING NEW WALL REUSE THE ILLLJI DBL HUNG WINDOW REMOVED FROM DORMER ELEVATIONS PROFOSED REAR NEW ADDITION FOR: DICK WEILER 39 HILLIARDS HAYWAY W. BARNSTABLE 05/03/07 NEW .Y :k GABLE o VENT I ' L r r , NEW W.C. SHING EW WOOD ROOF SHINGLES TO MATCH EXIST - - - - - - NEW.ALUM. GUTTERS NEW . 1 lq ' 9-LITE - h _ .C. SHINGLES PILASTER N E61i- - ,- AND CAP i ' �' ORNER BOARDS TO li_ r , I MATCH EXIST --.' NEW ADDITION Pfi OFOSED RIGHT SIDE ELEVATIONS NEW ADDITION FOR: DICK WEILER 39 HILLIARDS HAYWAY ' W. BARNSTABLE 05/.03/01 2 S//-,C 7S HILL /ARD •S HAYWAY �Et /eaS` , n 6'xWry,? a - _ --- --'� ;. •� �' ON qLL SiG£d p ��' ` •p..3>. BOX --- /000, 1;,9L Sr ri TAnIK 0 10,E sac.. ..._-._.. LO7 ��9 LOT 'YJR • ApPMax. - I I /Q�l za 110 . -Jam•' O I! - .-N....• LOT- ' 3' N �Z o0 S .i Qr i kA fib,-� c ti R. '� ; • £�.6. .__._„.�•----...._. "�.- PROP WdIL F _ /2 _......._..._._.. _.. • as la' •' E[S.BB' ' --• . . . Yam_• tL S.98' EL.6.96 ALL //NPERV.1044S M474VAL TO Be / MOVE,p /0. 45Eyo.v4D .,cE,gtN A,ge•,q YA/o. R--R44 ---O -/I-,OV 6',CAW SANlo 6SAi C RT/�/cD PL'DT FSLA/�/ Z,. .fLEVA7r/ONCS.. .SHOw�v ARE../n/ An-r Adov� 1pmegW "W/l �`----'- • Lg✓,cL.�- BM :�/N✓E�?7 O.� ,ORAiNA!%EG,PC �STo/�:M. OR.Q,.✓S� . 6crx eler✓ Aoram,: 3'HY.3S. PLi:! 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VAULT I-01 i-t� CUD tat _ Gill --I�-- OR HER TO MAT EXIST Fee C EX REMOVi EXISTI'.� , PObb GLEE AS G�� A PAN KITCHEN , AND'ED1,t�P' i= O IPIEL VERIFY 1 LAN 6 D CC NEW ti A. .� NEW �d` 31aey[� 1 AKITCHEN �gga b ii _ BREAKFAST' , 4 4 6 (PLAT) i°� -;Mviol EXIST BENCH W/PCG6 __1 P yl gg p@g � qg ll d 'OS Y•5 gJ B X 'CL CU.2"' W A EXIST :20 NEW ® i2a' Utartp NEW DECKING I ENTRY SIDE E Y IL aTBPS TO GRADS 3 CONTRACTORS NOTE: FIRST FLOOR PLAN °- U-W = W ALL NEW FIRST FLOOR WINDOWS ARE MARVIN o BRAND UNLESS NOTED OTHERWISE � < Notes p Q L All D.C. NLESS THE 6SE N MATCH EXIST ~ O•W. .WL8s6 OTHERWISE NOTED. C) Q Z 2.ALL INTERIOR WALLS SHALL,Ell2X1 J I` F K'O.C.UNLESS OTHERWISE NOTED. LL Q 3.CONTRACTOR SHALL VERIPY ALL WINDOW W 0= m ROUGH OPENINGS PRIOR 10 ORDERING WINDOWS. PRIIOR TOACONSTRUCTIION.ERIFY CONTRACTOR Z 3 ASSUMES RESPONSIBILITT FOR ANY MISSING OR INCORRECT DIMENSN)NS NOT BROUGHT TO THE ATTENTION'OP THE DESIGNER. 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R 'n �VAF.R IDING f6EE llEV6J Q U TVEK NOU'EWRAP W .,.y` TVEK HOU6l"RAI' W rrR APOR BARRIER S BARRIER 2 - ► V2'cwB u 2•Q I/T COX.B..T. < 2'CDX,b1EATNING ~ -{sx r(. = NEW KITCHEN NEW FAMILY NEW FAMILY iN ROOM ROOM 3/4'TIG PLYWOOD SUB-FLOOR - 3/4'TIG PLYWOOD SUB-PLOOR �.V GLUED AND NAILED.TYP GLUED AND NAILED.TYP 6 R-M INSUL R-M INSUL "Rib BTUD WALL ON PLUSH STUD WALL ON E INSIDE OF PND WALL 120 1 3/4 X G 1/4-LVL STUD WALL ON FOOTING INSIDE OF PND WALL STUD WALL ON FOOTING G PpS� Q 18!!CONTRACTOR AND SITE FOR i ` ga 2 GRADING) 18fiE CONTRACTOR AND SITE PPII RC - FOR GRADING) a6 •j BIDING IBEE ELEVS.) - ¢� i I- - - YVEK NOUSEWRAP SIDING I6SH ELBV6.> _ - APOR BARRIER YVEK HOUSEWRAP gdyy6 V Owls APOR BARRIERONp V COX.SHEATHING V2'GWB f NEW BASEMENT eW WALL LnDTIN TO NEW BASEMENT V2'CDX.B)@ATHING f Y S!►! 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TANK 16�i ASSESSORS MAP 136 PARCEL 48 BENCHMARK i 15.E LOCUS IS WITHIN FEMA FLOOD ZONE C & rl COR CONC. APRON A3 EL 11 AS SHOWN ON COMMUNITY PANEL GARAGE < ELEV = 17.55' ; #250001 0011D DATED JULY 2, 1992 Z , o EXISTING STONE STONE ,�\ ZONING SUMMARY WALKWAY DWELLING _ FFLOOR EL=19.4' �2\ ZONING DISTRICT: RF DISTRICT /S X\ ` MIN. FRONT SETBACK 30, PROP. ADD'N. °°� PROP. WORK LIMIT LINE MIN. SIDE SETBACK 15' CEDAR / F` ' REMOVE AS NEC. FOR TREES S� y° 1.�3 ( MIN. REAR SETBACK 15' g�,,1 , 0 FT TALL WELL INSTALLATION / 353, (; YEW AND REPLACE WHEN 14.1 \\ F�I GT�� �,P , /018 0.1 s �o COMPLETED) SITE IS LOCATED WITHIN RPOD a O 12.07 #7 g 096v:, 99.17 OWNER OF RECORD • I i G CED 1.09 11.0 OF TT z 10.73 J;�� /T ES i o 0.84 • 1 �Q.��o� E. RICHARD & JUDITH WEILER ` lo. s 5� ♦9R° ry 39 HILLIARD'S HAYWAY 865 9.16 CLEARED '�' WEST BARNSTABLE / I / sl AREA PLANTINGS 00 WEL ♦ PROP. N RWELLOUTEAESS ,,10 DEC REFERENCES t r rso, ro ,' CEDAR / / #5 DEED BOOK 19044 PAGE 23 /S TREES ` � � ' ' EXISTING LAWN AREA PLAN BOOK 249 PAGE 107 qS 7 PROPOSED TO BE #4 NATURALIZED (HATCHED •/. ,,.��- .50 AREAS) — SEE . • / ,./ O 5P # r..�•B #3 �\ LANDSCAPE SKETCH NOTES. �• _ 1 1. DATUM: NGVD PROP. WELL #1 W 8 2. ADDITIONAL AREA WITHIN 50' BUFFER ZONE FOR PROPOSED CONSTRUCTION: 416 SF EXISTING SHALLOW WELL MAINTAIN 4' WIDE APPROX. LOCATION ACCESS PATH 3. EXISTING STRUCTURE WITHIN 50 BUFFER ZONE: 550 SF 0 01 4. ALL WORK GREATER THAN 200' FROM MHW OF �3 SCORTON CREEK 0 5. PROP. WORK CONSISTS OF EXPANSION OF KITCHEN AREA, ADDITION OF FAMILY ROOM AND DECK SALT MARSH EXPANSION 6. EXISTING 4 BR TITLE 5 SEPTIC SYSTEM INSTALLED APPROX. 2001 LOT 33 35,200 SFf SITE PLAN OF 160.00' 39 HILLIARD'S HAYWAY _ WEST BARNSTABLE PREPARED FOR off 508-362-4541 M/M E. RICHARD WEILER fax 508 362-9880 �N oFSsLSN OF Massq J U N E 5, 2007 RNE H. 9Oti °� ARNE °yam REV. 10/22/07 (CONT. 1 1) CIO wn cape en gin eerie g, In C. �o AOJALA G H Cl VIL ENGINEERS CIVIL -t OJALA Scale: 1 20' LAND SURVEYORS /�Z _pNo. 307 �No 6348c 0 6", �o 939 Main Street — YARMOUTHPORT, MASS. DATE �SS/ONAIA \ H. S RV 0 10 20 30 40 50 FEET 07-075 07-075 SP (SBO)