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0088 HILLIARD'S HAYWAY
f� i� � I 6 0 o a i o 1I y � 1 RCS e i r s NO. 152 1/3 ORA ESSELTE .r I t ' ' ►.� Town of Barnstable Building Im ewttB i.e. Post This Card So That it is Visible From the Street'-Approved Plans Must be Retained on Job and this Card Must be Kept yes¢ Posted Until Final Inspection Has Been Made. Permit ED win+• Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-1884 Applicant Name: EJ Jaxtimer Approvals Date Issued: 08/07/2020 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 02/07/2021 Foundation: Location: 88 HILLIARD'S HAYWAY,WEST BARNSTABLE Map/Lot: 136-037 Zoning District: RF Sheathing: Owner on Record: FLOYD,MAUREEN O&RICHARD B TRS Contractor Name: ERNESTJ JAXTIMER Framing: 1 Address: 88 HILLIARD'S HAYWAY Contractor License: CS=003251 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $ 100,000.00 Chimney: Description: Interior renovations to include new kitchen,new powder room, Permit Fee: $560.00 laundry&walk-in closet.Window replacement&porch overhang to Insulation: Fee Paid:. $ be filed under separate permit due to OKH. Final: Date: 8/7/20 020/20 Project Review Req: INTERIOR ONLY Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after:4ssuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and st uctures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. _ Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection I Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health 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 �� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: j Town of Barnstable Building .Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card.Must be Kept v M"S& Posted Until Final Inspection Has Been Made. - it 1 1 Jlill eon° Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Perm Permit No. B-19-4045 Applicant Name: Michael McMahon Approvals Date Issued: 12/04/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 06/04/2020 Foundation: Location: 88 HILLIARD'S HAYWAY,WEST BARNSTABLE Map/Lot: 136-037 Zoning District: RF Sheathing: Owner on Record: GERE,THOMAS& MARY T Contractor Name: MICHAEL T MCMAHON Framing: 1 Address: 88 HILLIARD'S HAYWAY Contractor License: CS-068111 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $7,345.00 Chimney: Description: Weatherization, Air Sealing. Weather Stripping and blown Permit Fee: $87.46 Cellulose Insulation: Fee Paid: $87.46 Project Review Req: Date: 12/4/2019 Final: Plumbing/Gas Rough Plumbing: fficial This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuan Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work:r 1.Foundation or Footing ; r Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: i I MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108-1904 (617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424 12/19/2017 Form of Notice of Casualty Loss to Building Under Mass.Gen.Laws,Ch.139,Sec.36 BARNSTABLE BUILDING COMMISSIONER 367 MAIN STREET HYANNIS MA. 02601 Re: Insured: THOMAS GERE&MARY GERE Property Address: 88 HILLIARDS HAY WAY,BARNSTABLE.MA 02668 Z' Policy Number: 0753138 Type Loss: Furnace/Boiler Date of Loss: 12/17/2017 Claim Number: 420200 Claim has been made involving loss,damage or destruction of the above captioned property,which may either exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any notice under Massachusetts General Laws,Chapter 139,Section 3B is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured,location,policy number,date of loss and claim or file number. MPIUA Claims Division CMA00021 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 03-7 Application #0 D f_3 Health-Division 'Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic.- OKH __ Preservation i Hyannis Project Street Address �•�- Village—wk-/0 % Owner Tof\q �'f'�� Address Telephone 5018' 3 Q s�_ 55�q Permit Request Ko t I L000- 1 a S i�• � •cJK e �— Square feet: 1 st floor: existing proposed 2nd or: xist ig proposed Total new Zoning District Floo ain roundwater Overlay Project Valuation o?W C struction Type Lot Size Grandfath Q es ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ o Family M ti-Family (# units) Age of Existing Structure Hi toric use: Q Yes Q No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full Q Crawl Q alkout Q Other Basement Finished .Area(sq.ft.)___ Basement Unfinished Area (sq.ft) \ Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count -4 Heat Type and Fuel: ❑ Gas Q Oil Q Electric ❑ Other F o I Central Air: ❑Yes ❑ No . Fireplaces: Existing New Existing woody,oal stove9 Q Y9 ❑ No Detached garage: ❑ existing ❑ new size—Pool: Q existing ❑ new size _ Barn: ❑=e _isting L new lize_ 'a �n Attached garage: Q existing Q new size _Shed: Q existing Q new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ a' Commercial ❑Yes Q No If yes, site plan review# Current Use Proposed Use - - - APPLICANT INFORMATION 01 �O `W' (BUILDER OR HOMEOWNER) Name l •,Y lr S NY �C�1 �' Telephone Number Address -? O -l - License #__I_4( a-7 '(p Home Improvement Contractor# Worker's Compensation # r3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ypaync SIGNATURE "ATE 't FOR'OFFICIAL USE ONLY APPLICATION# DATE IS.S_UED ,;,;,.,_f [) ` MAP/PARC,EL N0. -: _ ` - • ' ' _. ADDRESS VILLAGE ~ OWNER i. DATE OF INSPECTION: - LLFOUNDATION FRAME - s INSULATION: FIREPLACE - ELECTRICAL: ROUGH FINAL' ' PLUMBING: ROUGH FINAL t y iGAS: ROUGH r-, - FINAL!/ = ,,FINAL BUILDING`'-! F- r'i-L - ' DATE CLOSED OUT _ rr ASSOCIATION PLAN NO. ,. ._ i s " rl ' 1 yoF� ToryZ Town of Ba>rustalble Regulatory Services Thomas F.Ceiler,Director ATEo ya Bulling Division Tom Perry, Building Commissioner' 200 Main Strcd, Hyannis,MA 02601 ww'vy.town.ba rnsta bie.ma.us Office: 508-962-4038 Fax: 508-750-6230 Property Owner Must Complete and Sign. ' :`his Section ff Using A Builder as O ner of the subject property 1 hereby au[he CAI*1Ist Ol"(n1 _to act on my behalf, in all,matters rdative to work authorized by this building petrnit application for: Address of ub Svaturc of OW cr D9.ee Print Name t Tf Proper_ty Own&is applying for permit please complete the Homeownems License 13xecnptiou Form on tL'e reverse side. `013 SEP 9 a1`111:41 WIN CLERI"( ` SHE Barnstable Old Kings Highway Historic District Committee R&P-'1Tr,BtVZ- , 200 Main Street,Hyannis,MA 02601,TEL: 508-862-4787 Fax 508-862-4784 ,ab °""`'�a APP�,ICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with five(5)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 all categories that apply; 1. Building construction: ❑ New ❑ Addition ❑ Alteration 2. Type of Building: ❑ House. ❑ Garage/bam ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting,roof ❑ new roof ❑ color/material change, of trim, siding, window, door 4. Sim : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court ❑ Other 6. Pool ❑ swimming. ❑ Other man-made pool 0 Solar panels ❑ Other Type or Print Legibly: Date j 3 NOTE All applications must be signed by the current owner Owner(print): /T Telephone#: Address of Proposed Work 40 villfa_ge �f fA-73�I e Map Lot# 13(D d 3-7 Mailing Address(if differ S Y ` bor(� I 19 6) Q0,3 . Owner's Signature Description of Proposed Work: Give particulars of work tto(be/�done: i Q-oym�e-,& r Agent or Contractor(print): �' ^^ Vu Telephone#: Address A ©mil Contractor/Agent' signature: For committee use only. This Certificate is hereby APPROVED/DENEE Date -/`/-/3 Members signatures APPROVE AUG 14 2013 Old King's Highway Committee 1 Q Waards and Commusions101d Kings H1g1nvayl0AHAppllcakons10K112011 Cert Appropriateness.doc CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 5 COPieS Foundation Type: (Max. 12"exposed)(material-brick/cement,other) Siding Type: Clapboard— shingle_ other Material: red cedar white cedar other Color: Chimney Material: Color: Roof Material: (make&style) Color: Roof Pitch(s): (7/12 minimum) (specify on plates for new,buildings, ►naior additions) Window and door trim material: wood other material,specify Size of cornerboards size of casings(1 X 4 min.) color Rakes Ist member 2`d member Depth of overhang Window: (make/model) material color (Provide window schechcle on plan for new buildings, major additions) Window grills(please check all that apply_: true divided lights_ exterior glued grills_ grills between glass_removable interior_ None Dooi style and make: material Color: Garage Door,Style Size of.opening Material P PROVED- Shutter Type/Style/Material: Color: A IG, 1 4 2Bt- ma Gutter Type/Material: Color: Town of Barnstabip Old Kings Highway Committee Deck material: wood other material,specify Color: Skylight,type/make/model/: material Color: S' Sign size: Type/Materials: Color: J Fence Type(max 6' )Style material: Color.: GROWTH MANAGEMENT Retaining wall: Material: Lighting,freestanding on building illuminating sign OTHER INFORMATION: THE ATTACHED CHECK LIST MIDST RE COMPLETED AND SUBMITTED Please provide samples of paint colors,manufacturers brochure of windows,doors,garage door,fences,lamp posts etc Signed: (plan preparer) Print Name Q:\Boards and ConvidssionAOld Kings Highwa3kOKII ApplicationAOM DRAFT 2011 Cert Appropriateness DRAF.doe sY Apt- 1 'i SENDER: COMPLETE THIS SECTION. COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete' 'A:Signature item 4 if Restricted Delivery is desired. �' ❑Agent ■ Print your name and address on the reverse' " "X ❑Addressee so that we can return the card to you. B. ece e b (Pri d Name) C. D t elivery ■ Attach this card to the back of the mailpiece; I� G� �� 7 or on the front if space permits. 111 D. Is delivery address different from item 1 V ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No Po 1V�//1 �� 3. ceType �Ag'ise Mail ❑ Express Mail-❑ Registered 'Return Receipt for Merchandise ` ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes I � 2. Article Number (rmnsferfrom service label); I j t ;�(�7 12 1 O 1 0 0 0 0 2 8 517 3 81 I Ps Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 I • Sender: Please print your name, address, and ZIP+4 in this box • I I TOWN OF BARNSTABLE I I BUILDING DI VISION 20( WANN S,MA 02601 I - I t I 1 11l t,li�l���il��+liii•illil����i1��1�(Illli.,l��lliit,rllzl I li Il��i ii ► � I U.S. Postal Service,,, CERT'kFIED MAIL. RECEIPT (Domestic Mail Only;No Insurance Coverage Provided) For delivery information visit our website at www.usps.coma • • PS Form 3800,August 2006 See Reverse for Instructions Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece. ,- ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Maile or Priority Maile. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailplece"Return Receipt Requested'.To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement'Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 Town of Barnstable Regulatory Services MAM ' Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 October 28,2013 Christopher Peterson Cotuit Solar P.O. Box 89 Cotuit, MA 02635 RE: 88 Hilliard's Hayway, West Barnstable, Ma. Map: 136 Parcel: 037 Dear Mr. Peterson: - This letter is in response to application number 201306676 submitted to install an 18 panel roof mounted solar system at the above referenced address. Unfortunately,the application is not approved at this time for the following reason(s): 1) The documentation proving compliance with the wind code was not provided. The documentation showing that the system design, both panels and attachments, meets the requirements of the Massachusetts State Building Code for the 110 mph wind zone must be provided. This documentation may require the original stamp of the engineer or architect that has reviewed and approved the system. Your prompt handling of this matter is essential. Respectfully, Robert McKechnie Local Inspector (508) 862-4033 i BIKE„� Town of Barnstable *Permit#Z6 tS 0 Expires 6 months from issue date "T Regulatory Services Fee ' t SS. O' M"�' $ Richard V.Scali,Director 1639. pie • RFD MA'I PRES Building Division S �ERM Tom Perry,CBO,Building Commissioner (+cP 2 'r 200 Main Street,Hyannis,MA 026�b'A, t7C 3 2015 www.town.barnstable.ma.us II VV VV N OF BA Office: 508-862-4038 D RN� 8�790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY c 01 Not Valid without Red X-Press Imprint Map/parcel Number I�� Property Address QE R i 1CL Ck V W tg Residential Value of Work �0 Minimum fee"of$35.00 for work under$6000.00 VA Owner's Name&Address 7o tM 5 e.i/,ri J Dri.5;1;ck 4-c e 0 00 Contractor's Name C,;„L) I G u S 0"1 Telephone Number � 1 Home Improvement Contractor License#(if applicable) �" "ICI Email: V AUGQ A V4-D i Construction Supervisors License#(if applicable).0 !F Ij q 64Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance y Insurance Company Name +_Cl 01 Workman's Comp.Policy#�D Copy of Insurance Compliance Certificate must accompany each permit. Permit lest(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to GOQ V' ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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. A copy of the Home Improvement Contractors License&Construction Supervisors License is Qreuire SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRW.doc Revised 040215 f Ile Commonwealth of?fassacltusetts Department o,f Industrial Accidents 4,fJ ice of Investigations - 600 Washington Street Boston,?CIA 02111 fvrvni.niasmgovfdia Workers' Compensation Insurance Affidavit.Builders/ContractarsJElectrkians/Plumbers Applicant Infoxmatan 1 Please Print LegibI Name tBushr O mizx6ionlhffm daa1X LU I US�CA Address: L 0d o 0"-+tlr,in Lv, Cit y/Sae AAQ A-� Phone 4-- an mAreyouheck the appropriate box: Type of project(required}: 1.❑ I am a employer with 4. ❑I am a general contractor and I 6. ❑New construction employees(full anWor part-time).* Have hired the sub-contractors I am a sole proprietor or rtnw- listed on the attached sheet. 7_ ❑Remodeling These sub-contractors have ship and have no employees. 8. ❑Detnolifion working for me in any capacity. employees and have workers' 9. ❑Building addition. [No U-orkem, comp_insurance comp.insurance./ required_] $. ❑ We are a corporation and its 10❑Electrical repairs or additions 3.❑ I am.a homeowner doing all work officers have exercised their 11_❑Plumbingrepairs of additions myself-[No workers'camp- right of exemption per MGL I alto ofrepairs , o ;mcarxamre required,]F C.152 §14( h and we have n employees.[No workers' 13_❑other comp-insurance required.) ;Any appEcant fatcheeksboa R mast also f lcutthe sectionbelmshawing thesiwnrkeW compensation policy ininrmatioo_ Homeowners who submut ibis af5Lmrit imdkztm q tbv_y axe doing all wedt and then hire outside contractors nmst submit a new affidavit imdicRung sorb_ IConusctors that check this boa must attached au additional sheet showing the name of the sub-contwAm.snd state whether air nat(hose entities hn e employees. If the sub-coutrectorshave employees,dfley=ntpmvide their workers'camp.policy aumber- I ant are en ployer that is protdding workers'coitgwisatiotr insurance for my encpinyees. Halo is Ilia pv cy and job site information. Insurance Company Name: Policy 4+'or Self--ins.Iic-;k -4 (A �% 5 Expiration Date: Job Site Address t `C� CitylStatel7tp: &" ,611 t Attach a copy of the corkers'compensation policy eclaratio page(showing the policy number and expiration date). Failure to secure coverage as required.under Section 25A of MGL c 15,can lead to the imposition of criminal penalties of a fine up to$1,SOa 00 and/or one-year imprisonmerd,as well as civil penabies.in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be adcdsed that a copy of this statement maybe forwarded to the Office of Investigations ofthe DIA for insurance coverage verification. Ida hereby c nrtd tF pains d pen ofperjury thatthe informatioi>provided a w is true and correct Sitmature: Date: Phone ik Official use only. ,Do not tvrita in this area,to be completed by city ar town official City or Tomu: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cfty!I'owa Clerk; 4.Electrical lnspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions f Massachusetts Ge-neral Laws chapter 152 regahr-s all employers to provide workers'compensation for their employees. pm suantto this sue,an.e?npLqYw is defined as-"-.every person in the service of another under any contldd of him, a express or implied,oral or " An employer is defined as"an individoaI,partnership,association,corporation or other Legal eutii7y,or arty two or more of the foregoing engaged in a joint enterprise,and inchiding 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 mahilea ce,construction or repay work on such dFtI ing 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(t7 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 buuldiags in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage repaired." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor ray of its political subdivisions shall enter into any contract for the performance ofpublic work umtr7 acceptable evidence of compliance with the insurance.. requirements of this chapter have Been presented to the confra_�a avdhozity-" Applicants Please fill out the wodcess'compensation affidavit completely,by cherk,�c the boxes that apply to your sitnati-on and,if necessary,supply sub-contractors)name(s), addresses)and phone numbers) along with their certificates)of hasurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or paitnms,are not required to cant'workers' compensation inisurance. If an LLC or LLP does have empIoyees,a policy is rm[aired. Be advised that this affidavit maybe submithd to the Department of Industrial Accidents for confirmation ofiasurance 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 peunit or license is being requested,not the Department of Laffilstnal A ccidents. Should you have any questions regardmg the law or ifyou are required to obtain a workers' compensation policy,please call the Department at the member listed below Self-insured companies should enter their self-in s rrance license number an the appropriate line. City or Town Officials . f Please be suie that the affidavit is complete and priatDd 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 is the,peumitllicense mrnber which will be used as a reference number. In addition, an applicant that must submit multtipIe pennitllicense applications m any given year,need only submit one affi davit indicating current policy inforIIation Cif necessary)and under"Job Site Address"the applicant should write"all locations in (may 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 R tare perm its or License& A new affidavit must be feed out each year.Wer he a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le. a dog license or permit to burn leaves etc.)said person is NOT reqrdred to complete this affidavit The Office of Investigations would hke 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 addrsss,telephone and fax number -T e Comn=W&d11r of Massachu&e,-fts ` . Ilepa�m�nt e�f Iad�ial Acci��nts ��e ofXnaP��tia� �Q:4 T�asbin�ton S`ire� T(,-L 4 617 727-4900 Qj t 406 pr 1-977-MASSAFa Fax#617-727 7749 Revised 4-24-07 w w z-maz-gavldia f • BnaxsTABLE, MASS. Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www town.b a rn s to b l e.m a.u s Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder I, , 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 If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. i QAWPFU,ES\FORMS\building permit formsT—APRESS.doc Revised 040215 Town of Barnstable Regulatory Services �oF rOrjr Richard V.Scali,Director Building Division r S anaxszea14 ' Tom Perry',Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# . CURRENT MAILING 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 supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures.'A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 nsumer Affairs and Ifusiness Regulation 10 Park Plaza - Suite 51.70 3oston, Massachusetts 02116 nprovement Contractor Registration -- Reqistration: 154549 Type: Individual Tr# 210323 Expiration: 3/19/2013 _ C /_ ' Update Address and return card.Mark reason for change. Address Q Renewal Employment Lost Card aeo° License or registration-valid for individul use only before the expiration date. If found return to:' ype: Office of Consumer Affairs and Business Regulation i1 10 Park Plaza-Suite 5170 Boston,MA 02116 yNot valid thout signature Mas'sa�h epa trreht 9@6,jjd', l3oa,d ofB�il:diag Regular{©rsn Sfxt`ndci , CnnstruCtton�Sup.;.7i-sor Spcchlft� s 'License:•CSSL-105967 . ; PAUL GUSTAFSON .14 JONATHAN COW, Plymouth MA'02360 n x.p �omrTiissiuner. 11121%201.6`=y Cfedt� o CSSL{R Roofing `'� � Failure to Possess a current edition of the Massachusetts ; 'Statuilding Code is cause for revocation Lotv/ is license For DPS Licensing information-Gisit: www.Mass. DPS -' ay-''4• '�• TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel , der it 9�9 SOWN' CP BARHIS!AD Health Division CN, 9 v Date Issued l2 n Conservation Division � 3�� n,�I���L�N� Applica�on Fee Tax Collector 9 Permit Fee '®© Treasurer .�'�.`M IN COMPLIANCE Planning Dept. Y'ATH TITLE 5 Date Definitive Plan Approved by Planning Board EPMaONIVIENTAL CODE ANETOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address GcJ a-- Village Owner Address Telephone 5"d � �LZ ( �Zj�( L'�y y 04 O L° 3 /� Permit Request �D 0 C ���`''� `� k Z T �� S-(5,--) �/ z Square feet: 1 st floor: existi g proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuationb DO® Construction Type 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 Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new `,Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil Cl Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name /_57f G_ /'�y GS � ) Telephone Number I S"O 9 3 764, Address 3 Y License# — / d 7 La �✓�� v l�6 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM IS PR CT WILL BE TAKEN TO 0(o SG // a, SIGNATUR `- — DATE /Z/1d 3 FOR OFFICIAL USE ONLY PERMIT NO: DATE ISSUED MAP./PARCEL NO. ADDRESS "� ' VILLAGE OWNER s DATE OF INSPECTION: FOUNDATION' FRAME INSULATION k FIREPLACE { ELECTRICAL: ROUGH ,,_ FINAL c _ PLUMBING: ROUGH ` = c FINAL • a GAS: ROUGH R_'_ FINAL r:• FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t F Assessor's Map:136 Plot:37 BAXTER , NYE &HOLMOREN INC. Registered Professional Reference:Dep.File No.SE3-3588 Engineers and Land Surveyors , Plan Reference:PLAN BOOK 249 PAGE 107 812 Main Street,Osterville,Ma Phone-(508)428-9131 Fax-(508)428-3750 Owner:Richard L.&Diane Spinney%Tom Gere Scale I" 40' Date :• Feb. 28, 2.000 . 40 0 40 80 SCALE IN FEET 9s° �9�O SO O Td `. PAT 23 *% 43yg0E `q� J• D! •�.: s �s, iQ� fENCriMARK c.b. fnd. off ""' p• TOP Cf CATCH BASIN 1 EL. - 46.10'' P tl F2/NOAnoN v`I N0 a 35�/ 2 N.G V.O. / TOP or F00nN' EL 6 w � 4� o 43.6 a ro LOT 2 Z 0.81 Ac. LOT 21 W � J � O O 10 _ m• r f �`� a!'s J I c w�Y to - l� LOT 30 g3.46 0 JAI A �✓ Off. -ZCI O d c.b. fnd. /4 3 go Rm2S 0�. 3ggp1' ' SI3.30,0^J CERTIFIED PLOT PLAN LOCATION 1 CERTIFY TO THE BEST OF MY KNOWLEDGE THAT THE FOUNDATION SHOWN HEREON IS IN COMPLIANCE WITH THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE AND SETBACK ®� ��/ L��R�1� �p�lT n �REQUIREMENTS, IS LOCATED IN RELATION TO THE MONUMENTS SHOWN, AND IS LOCATED v L �MNI if n WITHIN A SPECIAL FLOOD HAZARD AREA 'C'. • Kest Barnstable, Mess, THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. PREPARED FOR Tom Gere REGISTERED PROFESSIONAL LAND SURVEYOR DATE geo3�ve \ The Commonwealth of Massachusetts Department of Industrial Accidents _ office o//nyesti9ations 600 Washington Street y° Boston;Mass. 02111 r Workers' Compensation.Insurance Affidavit RE M t name: location: G 7 city I �'/,ljr .1 A2 b hone# o.. [] I am a homeowner performing all work mys 1f. I am a sole proprietor and have no one working in any capacity I am an employer providing work s' compensation for my employees working on this job F x-•m-.-. _. -S ..' x' '7j .{<�7xd'.'"3,.'4,.yu.�$,;.-Lx��.}'a.�_-i., `"�o�F,4 a^. t u••+cv+- $rtF::.r. V.s'•r'.'c•..'.'•y-.YL',''k1%R<_d.$'�r'�+"y"�7"'�'<'•f''�Y'i a r1$F¢�4'�+F..rxr.2p t�r t xh c3`e�"�'i•i.(4y.a�t t,.�dr as,�,..,:,t`' n,ri,.�t#se"b"21s sr�l��rry"rj•}`�d]`S:�Srsc�'.'nK�•xa,'�x..'i tn�}�...y.!'sS�^s.'.4c -rr EM N, 1'r���rS•a•f4,_�t t'a�y rP,.t\ilC k,:��[i ua, S` 'Y1 6' g ; in om n, �. .^�.' r 4<} .. x 'r da ��ee� y 1 5`� "x r-Y •�. ��� S YTi "' { f8dd1'eSS.�3.e'�1' _: .�' - Y.. .t•, r �.r, tr- r �aa •=-;fir+ c-t.cz5„i .. rT:r T a'3 I• .. , , s•� s r •.xr ><�<. t,t .r, fiaxm^c -fit'r � �- 'S.- �f +��•,, , "4'Yl• '!' t"rt s. ,�• yr , x n �rT.�X ry i, k- 7 .'��'*24'.�• K•u�°4 �'r' �Y FMF.e Ec t� r- - - r msuranee,eo� .. I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: ,�r 'r'mat x+,ccsy'mc•< :v.': "`.sx„ PYs•?"r"'s„�?a ,-{. (r ssl+'{'':f4L,4"rJ.t�+`T�`"^�,. ' �,s� }�s'`':4„t(c�:'•-w'�'7'-}kiH' � .7 fis�''�cgMEN ^.'i:I Q t 'u q Y 4 Y"4.• 0r• r� ..,:'- 1?' , 'S ^x^ ��`qq,q;p� 2 + �� �w .,•y tF •L` iX 'n, r`.r; 4r.it'S c 4�F r";�1 '`ii," dp .cs�,c s�l':'-YF �rt... f:�.:...t. N1P1. E p 1{•« r 4t �> r c „ •sJ. .sti+3 4. r't •� :a •5 tS R •+,.• a Co m a �Qame u A Fay s E. h s i. 1•_. :11 '- Ng- a± 'X..<`<t,.,� �� '`ij•� �K�t � ,.. . yyi.-r ,�, .,d. �< atf �a •�,+.-5'.�.�.�.dp� � '�"•. .(*�".sw,,�i �nst., t ���J�t'3h.�}' ,�: -s+ %.<�. .z�r . �, v -�'eft r' , " '< '3y�y ` �`" `+-7 r l ..L 'z e i•+ a ••`e`' >• .T .:' yct•y+ ;,,"y'�'L„rL'y�q',?�k'fc91"�i4 -zR i f,'. -1i5 'S. 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Ci s a�U� i �j rr - "-r-�.c•$t��1�h�y,,,,'�ti t s s .ems•z. t J .Y '1'1 �' �c'Y � 's �c t 1 S � 5;�'�c• °�ct�, ,rx y". '¢�,{�•. ...`r7'a' ^ti F'.'ry,� d-{a'Fr...fix,. , "�c` t"�i '" 4� "s't'v��"'pYq< t-c• ,"&}j'al' 3 '��'.Yg_ >€`, �. 6F�`� T .,�•.; ,,,:�„�rpir,.s �s�+�'�",,kT;S+-•"sy'.•'..fs . ,+,'�7, ',.k"`_^°'" `rffx'�"St`rlc3 �. ,<,if '$.• .Y'�fGr?-mot xs�"1Fr,� ��r4'r�t!��r'�>t•� i��.,tv����r?,t::li�r�r*,��¢�,�f 'st;`rir��� sr���kx��,)u't����,hs�' ^,�yc�,�+� �". 1 �.`; t, �,t ?"�^rt rt"" i'. >_ i.,zRa t4 �,�`...y 'iry�c'. ;i 1 r• 1100`C{R f.`tr Ura -it¢ As'� °61K' ,3 's'!h.. r ° yp�h�+,. !v"'YGr'< i5= 1 Y }C e`¢<r+� .y t srblrT7• r.;, `"p'.. � �Y?!. ,� �M M (�t'ix k 'S>y�yrr.. g 1.f s,-.``y,�1r -t%' 'ttl�,•'LIYc'st a 5t''s'_-a,•+4'.�R?�4't�i,r uti°i� � � p �ids!YrR!r�'tj�i..>�r+t�•'sar�'9`s+l.� _ t�r,r - r s,< �_ •43F (,,_,�`ea{�y.> �,� Y`�t.� ">".X F.'vc a7r i .��<. 'h�'lfi '�' S"•v�5' -f' ,E�`iljsl � ,i.�.,. .-<. Y r},��j'.-tT},: Pf .�'s_f��,�R :'�".}�•!!±�{t fi• � S..E'� C�7 -.�i.t�j .�,1 t� �i1L� i..tC r 't �,t 1 k�y_ � y ysf�� ��� 'i+i:7c=_v SSu- ��h�'}a'}Fv�'"P"c�i t-�i5 S "c1 F*a��• S_ts � �t�'�r'-�a nriFry. n }� , arm 'rjJr�s.Lr`�p�IIC.�".!T 't•"�.C3 7`��;,,d rv_Lr 3q:;.�:�.i:�i�%9.[%.� �' f'�.a�-'.i #�insuran°ce co��-�kr��•� �. -�`�j�}3 r'"',��,�^- �,',� T .00 and/or Failure to secure coverage as required under Section 25A of MGL 15Z can lead to the imposition of criminal penalties of a fine up to$1,500 one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 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 under .e p ns and penalti f perjury that thepinformation provided above is true and correct. Signature Date hone# *-7l- • P �� t . Print name + official use only do not write in this area to be completed by city or town official city or town: permit/license# I—(Building Department []Licensing Board check if immediate response is required []Selectmen's Office []Health Department contact person: phone#; (lOther (revised 9195 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation.for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of.such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along-with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is 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 may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phbne#: (617) 727-4900 ext. 406 �oFZME r, Town of Barnstable Regulatory Services _ Thomas F.Geller,Director WAS& 161[g.�A`0� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-962-4038 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: -JYN \ �®, Estimated Cost 4 ,um� ' Address of Work: 6a w\%AygS &S4 usAu Owner's Name: —TN—V!)Vy\6S (�M ML Date of Application: —T�'2�'03 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IlVOROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PE I hereby apply for a permit as the agent of the owner: -0imL 7a L.12C6�1-?�, - Date Contractor Name Registration No. OR Date Owner's Name r 1 . Town of Barnstable Regulatory Services sn MA$&t E � Thomas F.Geiler,Director 9 Huss. �+. , . En;9.. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, �� , as Owner of the subject property hereby authorize G �D d l S to act on my behalf, in all matters relative to work authorized bythis building permit application for(address of job) Z�-Zb 2, v Ll//2 /0 3 Signature of Date f Print Name 01/03/1'995 13:17 915087906230 PAGE 02 r, CI-L h Applicator, to N,j-D•^1 T, P.� ,,, - TOWu OAF B,�R�4ST,ttiBLE i �'g' b�ap . P,iDnEt ` i-5tarir Ali.Otrict Committee ZM3 MAY 29 AM I f: 42 In 019 Town of Barnstable 2003 APR 22 AFC 10: 33 CERTIFICATI OF APPROPRIATENESS---,VISION ,ppllcation is hereby made, with four complete sets, for fhe Issuance of a Certificate of Appropriateness under Section of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described, below and on plans, ravings, or photographs accompanying this application for. :HECK CATEGORt1BS THAT APPLY; Exterior building constructlon: ❑ New . Addition ❑"Alteration Indicate type of building: ❑ House �s Ga.age U Com, martial El Other Exterior Painting: _ Signs or Billboards: ❑ New Sign ❑ E tlsd"n Is n ❑ -tbpainting Exlsting Sign Structure: ❑ Fence ❑ Wall ;q .: ia,gp®i, ❑ Other rYPS OR PRINT LEGIBLY: DATE d ADDRESS OF PROPOSED WORK aU /r-9PA'c-,5ASSESSOR'S MAP NO. 134 )WNER ��h? v "r� t ..__ _ �, ASSESSOR'S LOT NO. v / i iOME ADDRESS_ ����� � /�a a'�l � �TELEPHONE NO, I �ULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including these of adjacent property owners across any i yubiic street or way. (Attach additional sheet if necessary.) kGENT OR CONTRACTOY- 4 TELEPHONE NO. tfU/ 3O 4DDRESS c � Tide e •�`^-G�' 1 1 /�� v DESCRIPTION OF PROPOSED WORK: Give pmrLi.,ism of work to be done, including materials to be used. please include locations of proposed signs. e— fu 1-s a,,,, -Fvr S-ki-x— f l��Ti / C✓cr c i<` c u ( w Signed wr < < (mac Q q y`� wrd��i,�- Owner- ntractor-Agent � r c�•� �e ti c�. , . For Committee Use Only This Certlfl::3►e Is h l Y Date Approve enied Con1 ittee ie'lemT )ir$' ,Slgrarjrss: 01/03/1995 13,17 915087906230 r PAGE 03 1 Town of BArnstsble Old Icing's Highway Ffist®ric District Committee SPEC SHEET FOUNDATION SIDING TYPE —COLOR CHIMNEY TYPE - `COLOR RODS MATERIAL `-- COLOR PITCH -- WINDOWS COLOR S?ZE TRIM COLOR DOORS COLORS SHUTTERS COLORS GUTTERS COLORS DECKS MATERIALS GARAGE DOORS COLORS SKYLIGHTS SIZE , _—COLORS SIGNS COLORS FENCE 1/ __ COLOR NOTES rill out completely, iseludimg msasur�mnt■ and materials/colors to be usad. lour copies of this form are required for submittal o' an applioatiom, aleag with Your capiee of the Plot Pisa, 1Ladicap■ plan cad elevation plans. When app].lcoe :G. SPECGHT Assessor's Map:136 Plot.37 BARTER , NYE &HOLMGREN INC. Registered Professional Reference:Dep.File No.SE3-3588 Engineers and Land Surveyors Plan Reference:PLAN BOOK 249 PAGE 107 812 Main Street,Osterville,Ma. Phone-(508)428-9131 Fax-(508)428-3750 Owner:Richard L.&Diane Spinney%Tom Gere Scale 1" = 40' Date Feb. 28, 2000 40 0 40 80 9s°o_ SCALE IN FEET I9�O S° LOT 23 Sp ds°O "51 �3gAo� °O- S c.b. ind. off � tENCHMARKp, TOP OF CATCH BASIN EL - 46.10' a„V Fouµ00,110N 23/ �SLOC•9�5.1'�•O.V:N.C.V.O• I �( F"0• EL. �21.2 � 6 � O, F00r O AR O 43.5 d• h LOT 22 .35,379 S.F. 0.81 Ac. LOT 21 ik � o 414 4 y 6y�000 o� � err . h5`' a Tdc. 29674 ��1g96 Fcisn L LAj� LOT 30 3.30'� AVCACi 42j41' � H OIL"2.� -Z000 � 329 9T. 00 S c.b. fnd. t e RjD p 1N1 yi/ L�21.3 . Y� Rrls OJ 3ggp1, O S,3�,10J CERTIFIED PLOT PLAN LOCATION I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT THE FOUNDATION SHOWN HEREON IS IN COMPLIANCE WITH THE APPUCA13LE BARNSTABLE ZONING DISTRICT SIDELINE AND SETBACK #�8 HiLLiARD'S HAYW14Y REQUIREMENTS, IS LOCATED IN RELATION TO THE MONUMENTS SHOWN, AND IS LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA 'C'. West Barnstable, Mass, THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. PREPARED FOR Tom Gere REGISTERED PROFESSIONAL LAND SURVEYOR DATE �suo�as�e Board olBuildin Ola441ar" $Regulations and Standards Registrati HOME IMPR MENT CONRACTT OR on.. OVE126778 �Piratlon: 7/19/200q 9 8 POOL 'TYPa: Private Corporation PAUL `AUE SERVNICE; C, 30 RDIERE`.�I .' U 3 N MAIN ST, XBRIDGE, MA 01538 Adntlnlstrator -f STANDARD PANEL LAYOUT a 28' 8'� OPTIONAL STEP 2' RADIUS CORNER TYP. 1. X r B' 14' 14' LIGHT STEP 27'-91• T STEPL 7'-0` MIN jI� L 1' � rX 3—4• L �8' 1 8' 8'� 4'-4�MAX - USE BACKBRACE AT PANEL JOINTS ' AS SHOWN (MARKED X) 28' � . 4•-4 MAX ._4 L_ -.. •� 7'-0' MIND ALTERNATE WEDGE BOTTOM CONFIGURATION ti 3 Meets ANSI/NSPI—S '99 BOCA codes 4•-e-MAX Perimeter T-9'MIN 80'-7' T i Pool Pool Type L 14' — Area Capacity Pool 3'-9'YIN 389 10,000 0 T—" Sq.Ft. Gallons X-4- LI 29• I NON—DIVING POOL STEEL 'r-1 Use of diving equipment prohibited Y-9'YIN 14' x 28' RECTANGLE 2- RAD Page 1 of 2 ST-1208 ':�:.:-+,.,.`..'`..y... ;-- ram.. _..e:: - . ... - .;C•�"a,_-brvsr._,.,:,. I STANDARD PANEL LAYOUT 28' �g• gg�i O STEP"` 2' RADIUS CORNER TYP. ,• X r g• STEEL / { g 27'-94• STEP STEP y 14' 14' LIGHT L.� 7'-0 x MIN r 4'-4• MAX • _ USE BACKEIRACE AT AS SHOWN (MARKED JOINTS Dx) y _ L 7'-0" MIND F TERNATE WEDGE BOTTOM CONFIGURATION Meets ANSI/NSPI-5 8 •99 BOCA codese•MAX k Perimeter Pool Pool Type Area Capacity Pool 1 d4. � 3gg 10,000 0 2B•.-� NON-DIVING POOL Sq.Ft. Gallons y-4• L-�— Use of diving equipment prohibited y._44' I STEEL ,•_l M,N ST-1208 RECTANGLE 2' RAD Page 1 of 2 . 1- - , - — ALUMINUM CONCRETE RECEPTOR LAYOUT 12' 12' May 22 03 09: 40a 5082785577 P. 1 AC ORD CERTIFICATE OF LIABILITY INSURANCE OP ID P DATE(MMIDD/YYYY) PRODUCER B&LPO-4 05 22 03 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION A 6 P Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 107 South Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Uxbridge MA 01569 Phone: 508-278-5577 Fax:508-278-5577 INSURERS AFFORDING COVERAGE INSURED NAIC# INSURERA: Harleysville Worcester Ins Co INSURERS: Granite State Insurance Co B&L Pool Service Inc INSURERC: P O Box 341 Uxbridge MA 01569 INSURERD: INSURER E: COVERAGES 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 O'rHER 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IRS LTR INSRE TYPE OF INSURANCE POLICY NUMBER DATE MM/DOJYY PRATE MBA OD/V LIMITS GENERAL LJABILITY EACH OCCURRENCE $300000 A X COMMERCIAL GENERAL LIABILITY MPA3E7066 11/ 33/02 11/03/03 PREMISES Eaocuu eenc ) $100000 CLAIMS MADE �OCCUR MED EXP(Any one person) $j QO 0 PERSONAL BADVINJURY $300000 GENERALAGGREGATE $600000 GEN'L AGGREGATE LIMIT APPLIES PER: J POLICY ECT PRODUCTS-COMP/OPAGG $ 600000 EC LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Par person) $ HIRED AUTOS NON-OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EAACCIDENT $ ANY AUTO _ OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND _ EMPLOYERS'LIABILITY X TDRY LIMITS ER B ANY PROPRIETORIPARTNERIEXECUTIVE WC9B31069 02/01/03 02/01/04 E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? if yes,describe under E.L.DISEASE-EA EMPLOYE $ 100000 SPECIAL PROVISIONS below OTHER E.L.DISEASE-POLICY LIMIT S 500000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Work being performed for Thomas Gere @ 88 Hilliardshayway W. Barnstable, MA CERTIFICATE HOLDER CANCELLATION BjajpSTA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Town of Barnstable NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 200 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis MA 02601 REPRESENTATIVES. A IZED REPRESENTATIVE 1 F. ou of ACORD 25(2001/08) @ACORD CORPORATION 198 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 010 INSTALLED 14 �OIJ �L �� it#Map /3v Parce,03% E 4a � a - WITH TITLE 5 Health Division Tl ENVIRONIMENTAL CODE Aftssued t1to I 1q:ee Conservation Division l2/g �l9 P1crcol 71 1 N i�EGli.ilLA11 Tax Collector Treasurer d1� Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OkH `�Preservation/Hyannis - Project Street Address a T- D'a ��15 Village nh 5 Owner T, oz as- - G yPr-'2. Address 5S�h0.P. ,jV11Ae Y&r_0 Telephonek-08) ��n-,Oaa Permit Request Ihix 1'Ld r1eWa I Square feet: 1 st floor: existing proposed C3& 2nd floor: existing proposed y/I& Total new Estimated Project Cost Zoning District Flood Plain Z4n P Groundwater Overlay Construction Type 05'+'ctni Q. Lot Size 6-&,o R_4/�. Grandfathered: ❑Yes XNo If yes, attach supporting documentation. Dwelling Type: Single Family I)i, Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes U No On Old King's Highway: XYes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout Other Da'i ✓e- &nd_ - Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) dO!?0 Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count to Heat Type and Fuel: ❑Gas IAOil ❑ Electric ❑Other Central Air: ' Yes ❑No Fireplaces: Existing New _ Existing wood/coal stove: ❑Yes ANo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing Anew size ?!Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes g No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name v d Telephone Number ('516,375--6900 Address 0 License# d . ZZ). Ba IY161 6�to Home Improvement Contractor# o,�66e Worker's Compensation# Ur_. ,M,20M y3. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO LC�u-d 01P SIGNATURE DATE 1a C/ FOR OFFICIAL USE ONLY " PERMIT NO. - DATE ISSUED, MAP/PARCEL NO. 1 • • ti is .. ADDRESSy I VILLAGE OWNER DATE OF INSPECTIO , FOUNDATION FRAME' L c. INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL , PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING '`DATE CLOSED OUT ASSOCIATION PLAN NO. I OCT-19-99 TUE 1 : 42 PM BARNSTABLE. PLANNING, DEPT FAX NO, 508 862 4725 P, 1 Application to 6 ' nal Historic TJistrict Committee Old Kings Highway Regional in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application Is hereby made. in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIESTHAT APPLY: 1. Exterior Building Constructio New Building ❑ Addition Alteration Indicate type of buildin : House ❑ Garage ❑ Commercial. [] Other 2. Exterior Painting: 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Well ❑ Flagpole ❑ Other (Please��r//ead,other side for explanation and requirements). TYPE OR PRINT LEGIBLY 7J lw67 P✓. �� DATE �� �� ADDRESS OF PROPOSEQ WORK to � /�s A6r5SSESSORS MAP NO. ASSESSORS LOT NO./Al 37 OWNER ��// HOME ADDRESS � 46Yo (MA- a2 )31— TEL. NO. .5-V SS7.3 FULL.-.-'!NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). u/a r W• w.S W 6 LG� � � 5 �•e �t , Ldf;�� �J a wf c� f��t AGENT OR CONTRACTOR rl a TEL. NO, LO I 37`S/ ADDRESS DETAILED DESCRIPTION OF PROPOSED WORK. Give all particulars of work to be done(see No.Brother side),including materials to be used, if specifications do not accompany plans. In the case of signs,give locations of existing signs arid-proposed locations of new signs. (Attach additional sheet, if necessary)- ` O O O _.• . ..-. Signed 0144 wnar•Con tractor•Agent Space below line for Committee use. CWZ, v H.D.C. OrJlu'd QY '4 z�j' � d � _ //IV D ?he C tificate is her '� Date _ TC E3 . ABLE . 1 _ S HI HWAY ;.mpnRTANT-. If Certificate Is approved,approval is subject to the 10 day appeal period OCT-IB-99 TUE 1 : 43 PM BARNSTABLE, PLANNING, DEPT FAX N0, 508 862 4725 P. 3 Town of BarnstableG Old Icing's Highway Historic District Committee Ills a 1�� SPEC SHEET FOUNDATION Gem 6 TYPE �%v ✓ �/L �J b � CO ORTR d SIDING zeal CHIMNEY TYPE 0�� COLOR / ROOF MATLRIAL COLOR_ (/(/ 0(� / j yd/D PITCH WINDOWS COLOR SIZE TRIM COLOR / DOORS 2 e`1 COLORS COLORS —2L COTTERS MATERIALS �hr� DECKS GARAGE -DOORS v 0 V`'�'✓ COLORS 17 �. SIZE COLORS �\ a `� I SKYLIGHTS � �- S ' COLORS SIGNS l ooQ PENCE C COLOR NoTE9: Fill out completely, including umaeuremente and matoriale/colvre to be used. Four copies of Chia form are required for submittal of w application, along with Four copies of the plot Plan. lendecapo plan and alevetion plaaQ, when epplicoble. 8D8CSHT Department of Industrial Accidents Office nff11Yesl 92 Mos 600 Washington Street 4Tzr�`w J Boston,Moss. 02111 ...../�7 �/�•�,,,...��/.�.�/;/� / / /i Workers'/ ,� �sation Insurance AM ` Y�'/////////////%//,'///%%����////��////%%%///////////////��%'.,,�,,,... „ .. name location: ;tv �n y 6/ �- �d (' phone f C =�/BUD ❑ I am a homeowner performing all work myseif. ❑ I am a sole arovrietor and have no one norkina in anv cal3acitv ❑ I am an employer providing workers' compensation for my empiovees working on this job. comoanv name• address: city phone#- - - insurance CO. nnitevA // I am a sole proprietor general contracto . or homeowner(circle one and have hired the contractors listed below who at•e the foIlol%ing Nvorkers' compensation polices: .. ....... comanv name 141 G1r-o d`d Lli O/ IrAeVt° address 0 -9 City //!(1�it toohone#- "/J�' ,� ..... ...... ....: insnnce cn. noiii-v#• •• •• n ni��ar�O�Giir„v�rii6'///�G%////rG/G// ////1O1//ZI camnsnv nameL /` _/ address J�0/7LOZo I Fez phone iruvrancc co. %///////%//�%//�//G%%///G/%%/ �'////// //%////// / Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Wte up to 51.500.00 and/or one years'imprisonment as well as Civil penaldes in the form of a STOP WORK ORDER and a tine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage veeiIIeatioa I do hereby certi der he p nalti of perjuq that.the information provided above it true and correct Si2sature Print mine 01mcial use only do not write in this area to be completed by City or town otll-W city or town: - permit/license 0 QBuilding Department ❑LLcensing Board check if immediate response is required ❑Selectmen's OMce QHealtit Department contact person: phoneM, ❑Other. ;oyes r.9 5 F1AI Assessaes Map:136 Plot:37 BAXTER , NYE &HOLMGREN INC. Registered Professional Reference:Dep,File No.SE3-3588 Engineers and Land Surveyors Plan Reference:PLAN BOOK 249 PAGE 107 812 Main Street,Osterville,Ma. Phone-(508)428-9131 Fax-(508)428-3750 Owner:Richard L.&Diane Spinney%Tom Gere Scale 1" = 40' Date Feb. 28, 2000 40 0 40 SCALE IN FEET 9s° LOT 23 OO. c.b. Ind. off p LCHMARKTOP OF CATCH BASIN EL. 46.10' LOC.F�23/00 VO LpC.9 3g,• N,G. •N 0 V.O. • FµD EL El m 21.Z / 6 OF FpOTINO 1 o ' N LOT 22 35,379 S.F. 0.81 Ac, LOT 21 J J O O L , �E. yoo v 41 �RRyob GISTEj�Je�4ti'� LOT 90 g3'' L4.r E - N�330,0`p A pfA lj b 00 LV1,J $ RmZs o. OJ o 3`9OY S'3.3010"/ CERTIFIED PLOT PLAN LOCATION I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT THE FOUNDATION SHOWN HEREON IS'IN COMPLIANCE WITH THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE AND SETBACK #�S .7ILLIARD'�7 I�AYWAY REQUIREMENTS, IS LOCATED IN.RELATION TO THE MONUMENTS SHOWN, AND IS LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA "C'. West Barnstable, Mass, THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. PREPARED FOR - o2-EB-2 0 0 o Tom Gore REGISTERED PROFESSIONAL LAND SURVEYOR DATE �ssoa�se Value LIVING SPACE �6 O square feet X$55/sq. foot GARAGE (UNFINISHED) square feet X$25/sq. foot= Ad 3 00.v0 PORCH square feet X$20/sq. foot= �Gt pia reef-4 ie square feet X$15/sq. foot= _ /a 60 0:DD OTHER square feet X$??/sq. foot= Total Estimated Project Cost 6 (200,00 Inclusionary Affordable Housing Fee Residential Commercial" Property Owner's Name Q Project Location Project Value a 6 Permit Number ? C f Q S "Existing Sq. Ft. "Proposed New Sq. Ft FED Planning Dept. A MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 . 0 Checked by Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 12-8-1999 DATE OF PLANS: TITLE: COMPLIANCE: PASSES Required UA = 593 Your Home = 481 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ----------------- ------------------------------------------------------------- CEILINGS 1705 38 . 0 0. 0 51 WALLS: Wood Frame, 16" O.C. 2857 19 . 0 3 . 0 154 GLAZING: Windows or Doors 200 0 . 390 .78 DOORS 183 0 . 350 64 FLOORS: Over Unconditioned Space 2818 19 . 0 134 -------------------------------7----------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 1250 of the design load as specified in sections 780CMR 1310eaJ4. 4. Builder/Designer Date �a MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 0 DATE: 12-8-1999 Bldg. Dept. Use CEILINGS: [ ] 1 . R-38 Comments/Location WALLS : [ ] 1 . Wood Frame, 16" O.C. , R-19 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1 . U-value: 0 . 39 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments Location DOORS: [ ] 1 . U-value: 0. 35 Comments/Location FLOORS : [ ] 1 . Over Unconditioned Space, R-19 Comments/Location AIR LEAKAGE: [ ]. Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0. 5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ]. Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be. insulated to R-8. 0. DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air• and water systems. w , TEMPERATURE CONTROLS : [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 1250 of the design load as specified in sections 780CMR 1310 and J4. 4. MISC REQUIREMENTS : [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above. 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only)------------------------- i i GERE H 0.0 S E WEST BARNSTABLE.MA LOT 22-POINT HILL O ❑ RCMLOvS: LOU ALLEVAT PEAR ELEVATION A r c n i t e s t .. 104 Miller ankli A 02 —- Frn,MA 0203P tel 508.541.72 I. 60 I ,508.541.813 J IO.OrCAftOI,COm Progress Print m R DESIGN REVI�0 — n _ - 10.04.99 s�Y . . -- : ••4Y.2Y�.. __..............tiv, be- -v ..:::._..:_.....x:.:_:::.........................::::.:::-::c:.:.::_.c.d,.::::r. _x:-:::::::.[,.:::::::P2.-r_ . LEFT ELEVATION FRONT ELEVATION Scale: 1/6" 1'-0- Sc.lc: 1/8-�' I'-0- 9'[[i tIRL; EXTERIOR ELEVATIONS SMOKE DETECTORS O.K. NOTED LA 90c _ 0 xz/xx/x>c. BI E BUILDING DEPT. %ELEVATION 4 T rN�BER: �csfS A rA . i .. HOUSE WEST BAkW$TABLE.MA TERRACE �e- �s• �LOL 22'�.Pg111!_H81. 'k0 0 6,idrliSail.! 1dit5tlt. 22'-0- ,0'-0' ,8'-0' 26'-0- ACNvoxs: i T LAV. O � KEEPING RM. BREAKFAST KITCHEN a, MASTE B I o STAIR ON. ,LOU 'ALLEVAT ti0 2'- A r c h i t:e c t MUD RI•-A ELEVATOR F k,oA•.Miuer street Franklin.MA 0 00 tel 508.5a1).2 0 lax 608.5<1.80 BATH MICHEC7tR INING CLOSET O ' STAIR UP _ i FOYER 0 �_= Progress Print , III� FOR OESION REVIEW 10.04.99 uw 42'-0' 12'-0' 10'-0- ' FIRST FLOOR PLA ; Scole: ,/a'_V-0• 92E1 TRE: FIRST FLOOR PLAN NOTENOTE D ONAMH Br. i � .. EA ! CASE: . XX/XX/XX XBASE 9 EV.—is Al GE R E�... i .HQ.USE— WEST BAkNSTABLE.MA -LOT.AS POI��IT-1411.1- 42'-0' \ •,. '\ Aiv,vwa .. 3,-0• 36'-0' X-O• I �---------- i- -- O --- il ! I BATH / a _ .LOU ALLEVAT Arch i.t e c t BED RM. DOWN ED RM. '104 Miller Street Franklin•MA fO3 fax 508.541.813 i ! :Iax rch6bel.�ein s a Ce—A.r: I Progress Print L—————————— —— 'a FOR DESIGN RE�nEw 10.04.99 i ' YW 42'-0. I I SECOND FLOOR PLAN jSMTTL a,�' SECOND FLOOR PLAN NOTED LA a U I own: %%/x%/%X FAa: %BASE s,a1 uuuea: A2 COLLAR TIES 0 ' �32-D.C. 2.6 0 16.O.C. 2.10 CLG.JOIST - 1 1/2-COX ®16-D.C. , G E R E 2.10 CLC.JOIST 016.O.C. HOUSE 1 1/2.MTL.DECK w/ - (2)1 3/4-.I1-P.T.LVL'0 m �5-THK.REINF.CONC. `4. " � n4,IS"' I�Xvn WEST BARNSTABLE.MA .d;;;;;�gninaa,,y.a�n..!•:...' ___ - ........--...__._ 'BUXLU HLAM -- u - SPRAY ON FiREPROOa w — 8-.12'-FINISHED j ,i LOT 22-POINT HILL to COATI.VG- 2 HR RA$ S BEADED BOARD CLG. n UL DES./%XX n 4'-6- O NC. o MUD RM. d 200 P.T.DECK '- MASTER BD. RM. CLOSET CO I � u D MUD RM.�ELEV. I BLOCK HOIST WAY ` ^iI w/CEDAR DECK BD•s -xv I c 2-CLEAR 2 HR.RATED 17I I[—STAIR&RAIL i rt[wvws: c I CAB AASI'A L'L DES./%%% FIRST FLOOR •m k-L SIDES) - FIRST FL00,1 I FIRST FLOOR I COUBLE ST! �a o LINTEL .,.. BASEMENT -sI BA EMENT m BASEMEN IJ lr CLEAR — ,I i 1•_ 1' 0- I _�BASEMcNT SLAB B _A ASEMENT! A SEMENT SLAB xx�Y .•; 0 HOlSTWAY PIT ' B, CONC.PAD NOTE: REFER TO SECTION 1/A4 FOR TYPICAL NOTES. NOTE: REFER TO SECTION 1/A4 FOR TYPICAL,VOTES. NOTE: REFER TO SECTION 1/AI FOR TYPICAL NOTES. J SECTION.@ MASTER BED RM. 5 SECTION•@ ELEVATOR 4 SECTION1, D- $Ole: 1/4 LOU ALLEVAT A r c h i t e c t 104 Miller Street RED CEDAR SHINGLES ON 1.3 FURRING FrOnklln,MA 020J ld 508.541.7260 5/8-COX SHEATHING fox 508.541.813 &15/ROOFING FELT 12 2.10 RAFTER 0 16.O.C. }(— lozorchtool.com R30 BATT INSUL. 12 a 2.10 CLG.JOIST_ }r ca+suLlzxr. 0 16-O.C. Ix12 SOFFIT w/VENT ,'^,�„ a .,•, FA T 1 //0 Progress 1.3&1.8 FASCIA Print 1/n COX SHEATHING w/ - O VQ -0 K WRAP&2r6 0 M. CL. PROVIDE CRAWL FOR DESIGN REVIEW -O.C.&R19 INSUL BED RM. "' +� $PACE ACCESS 10.04.99 I 6 MAL POLY V.B. 12 � ECONO FLOOR -— i SECOND FLOOR— -•• -- Nnppl,;n ''W D%SHEATHING w/ - — STAIR&RAIL E1' X WRAP _01 -0 _ p' O.C.&R19 INSUL 6 MIL POLY V.B. - e KITCHEN DINING RM. 'f 4-SUB-FLR.&R20 GREAT RM. �l ENTRY CL.i - _ _ SUL&2.10 RR. -'- °� JOIST 0 I6.O.C. _ _� n �nRST FLUOR-_ — r` FIRST FLOOR ' 2.6 T.SILL w/SEALER— —��.,....•:,•n ' l I &5/8%14'ANCHOR CROSS SOLID YID.BLOCKIN zw¢T BOLTS 0 6'D.C. OR DOING BUILDING SECTION •11 Av R79 INSUL.BOARD 0 MID SPAN (})1 3/4'.9 1/a- 'S BASEMENT 'j 1 -GONG.FND.w/24-.12' }1/2.0 CONC�ESC FIL' CON•i.LONG.FTG. i BASEMENT L [--$ TOP OF B m ALL&BOTTOM OF FTG. +ASEI'.ENT SLABNOTED BASEMENT SLAB 4- SLAB w/WWf - __.. J LA 6 MIL V.O.AB YIELL /3/5•s GOOTTOM COMPACTED GRAVEL (BOTH-WAYS) OAT[: NOTE: ALL CONC.i1G'^.10 UF.PLACED ON UNDISTURBED SOIL. NOTE: REFER TO SECTION 1/Aa FOR TYPICAL NOTES. X%/XX/X% ttn 2 SECTION %SECTION 1 SECTION sane: 1/i•r-o sw[[1 wuws[n: Scele: 1/4= I•-0- A4 DROP TOP OF WALL TO 8-ABOVE FIN.GRADE j. 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I4'-0- 12'-0- \ \ �E OLD J015T O 12'-0-AFF CLG.JOIST O 12'-0'AFF 2v10's O 16.O.C. 2a00 16'O.C. \ 0- \\ 2.10 CLC JOIST --016.O.C. /L OF ROOF-ABOVE— o BEARING WALL I j ,ye' LOU cA hLEVA e c i c BELOW f .:l 104 Miller Street BEARING WALL Fronklin•MA 0203 'BELOW tel 508.541.72 0 lov 508.541.813 El _ - laa0rcn3ool.com STAIR �O OPENING caysnT.urt: LINE"OF WALL ABOVE(2nd FLR) „ d MMSIC' I PORCN • c CLG.JOIST F -7 x w O 16 t).c.'�10 CLG JOIST 3 16.O.C. x�iU FLR JUIS7 —(2)13/9-r11'L L's O I6"O.C.(U.N.U.) f 22--0- 42'-0- I p•_0- YAt: SECCND FLOOR FRAMING PLAN Scole: 1/4" I'-O• s¢Lr nn[: SECOND FLOOR ' FRAMING PLAN I s<•u: NOTED tXl4•N er. LA O41L XX/XX/XX XB XBASE $MEET MIueLA: S3 GERE HOUSE WEST BARNSTABLE,MA LOT 22-POINT HILL O �O. 20 42'-0' RCN90RZ 22'-0' +0'-0' IB'-0' LINE OF SHED OVER-FRAME DORMER RAr TERS /T C / / F / 3' 0' T _ 0 LOU ALLEVAT RI / ti0 A.A r c 4 i t e c It I G R D E 1('� R D E / 104 Miller Street ....I / Franklin,MA 0203 / tel 508.541.72 0 — to 508.541.813 / tozorchtAoaLcom � txMXtru�l: I Progress Print I- IORDESIGNRE\AEW + 10.04.99-Ld 1 -1- • - LINT OF WALL (2)1 3/4'.Il' t 2.10 RAFTERS 0 16.O.C. BCLI+w LVL'e BELOW w/2%10 CLG.JOIST®16.O.C. ROf+f'OVERHANG aw 22._0. 42'-0' __— 12' 12'-0' ROOF FRAMING PLAN Sccle: 1/4' .EEr nnt: ROOF FRAMING PLAN XI4E: NOTED ' OR, et LA o+rc xx/xx/xx rue: %BASE. sHur Ruuem: I S4 ENVIROTECHLABORATORIES,INC. MA CERT.NO.:M-MA 063 449 Rte.130 Sandwrcb, MA 02963 908(888-6460) 1-800-339-6460 FAX(508)888-6446 CLIENT. Frank Bridges LOCATION: Lot 73, Hilliards Hay Way ADDRESS: c/o L. Wile W. Barnstable, MA COLLECTED BY. L.Wile SAMPLE DATE. 12/21/1999 SAMPLE TIME: 12:OOPM WATER SAMPLE TYPE: New Well DATE RECEIVED: 12/21/1999 LAB I.D. #. 9912425 WELL SPECS.: 807 4" PVC/ 10 GPM RESULTS OF ANALYSIS: r Parameters Units Recommended Results Method Date Analyzed Limits Coliform bacteria /100ml 0 0 9222 B 12/21/1999 pH pH units 6.5-8.5 7.17 4500 H+ 12/21/1999 Conductance umhos/cm 500 113 120.1 12/21/1999 Nitrate-N mg/L 10.0 0.12 300.0 12/21/1999 Sodium mg/L 28.0 8.8 200.7 12/22/1999 Iron mg/L 0.3 0.31 200.7 12/22/1999 Manganese mg/L 0.05 0.551 200.7 12/22/1999 Volatile Organics ug/L See report. ND EPA 524.2 1/3/2000 ND=None Detected. COMMENTS: Iron level is not a health hazard. Manganese is not a health hazard, but may cause aesthetic problems. WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. Date 1 � dohld J. aari Laborato Dir ctor <=less than >=greater than TNTC=too numerous to count Page 2 of 5 R.I. Analytical Laboratories, Inc. CERTIFICATE OF ANALYSIS Envirotech Laboratories, Inc. Date Received: 12/22/99 Approved by: Work Order# 9912-12495 R At6alKcaf Sample#: 001 SAMPLE DESCRIPTION: 9912425 LOT 73 HIELIAS GRAB 12/21/99 @1500 SAMPLE DET. ANALYZED PARAMETER RESULTS LIMIT UNITS METHOD DATE/TIME ANALYST Volatile Organic Compounds Bromodichloromethane <0.5 0.5 ug/l EPA 524.2 1/03/99 22:20 JRN Bromoform <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN Dibromochloromethane <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN Chloroform <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN 1,2-Dibromoethane(EDB) <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN Benzene <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN Carbon Tetrachloride <0.5 0.5 ug/l EPA 524.2 1/03/99 22:20 JRN 1,2-Dichloroethane <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN Trichloroethene <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN 1,4-Dichlorobenzene <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN 1,1-Dichloroethane <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN 1,1,1-Trichloroethane <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN Vinyl Chloride <0.5 0.5 ug/1 EPA 524.2 1/03/99• 22:20 JRN Bromobenzene <0.5 0.5 ug/1 EPA 524.2 - 1/03/99 22:20 JRN Bromomethane <10 10 ug/I EPA 524.2 1/03/99 22:20 JRN Chlorobenzene <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN Chloroethane <5 5 ug/1 EPA 524.2 1/03/99 22:20 JRN Chloromethane <5 5 ug/1 EPA 524.2 1/03/99 22:20 JRN 2-Chlorotoluene <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN 4-Chlorotoluene <0.5 0.5 ug/! EPA 524.2 1/03/99 22:20 JRN Dibromomethane <2 2 ug/i EPA 524.2 ii0 M 22:20 JRN 1,3-Dichlorobenzene <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN 1,2-Dichlorobenzene <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN trans-1,2-Dichloroethene <0.5 0.5 ug/l EPA 524.2 1/03/99 22:20 JRN cis-1,2-Dichloroethene <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN Methylene Chloride <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN 1,1-Dichloroethene <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN 1,1-Dichloropropene <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN 1,2-Dichloropropane <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN 1,3-Dichloropropane <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN 1.3-Dichloropropene <0.5 0.5 ug/l EPA 524.2 1/03/99 22:20 JRN 2,2-Dichloropropane <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN Ethylbenzene <0.5 0.5 ug/l EPA 524.2 1/03/99 22:20 JRN Styrene <0.5 0.5 ug/l EPA 524.2 1/03/99 22:20 JRN 1,1,2-Trichloroethane <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN 1,1,1,2-Tetrachloroethane <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN 1,1,2,2-Tetrachloroethane <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN Tetrachloroethene <0.5 0.5 ug/I EPA 524.2 1/03/99 22:20 JRN Page 3 of 5 R.I. Analytical Laboratories, Inc. CERTIFICATE OF ANALYSIS r Envirotech Laboratories, Inc. Date Received: 12/22/99 Approved by_ Work Order# 9912-12495 Tc�I. �ttcal Sample#: 001 9912425 LOT 73 HIELIAS GRAB 12/21/99 @ 1500 SAMPLE DET. ANALYZED PARAMETER RESULTS LIMIT UNITS METHOD DATE/TIME ANALYST 1,2',3=7richloropropane <'0.5 0.5 ug/i EPA 524.2 1/63/99 22:20 JRN Toluene <0.5 0.5 ug/l EPA 524.2 1/03/99 22:20 JRN Xylenes <0.5 0.5 ug/I EPA 524.2 1/03/99 22:20 JRN 1,2-Dibromo-3-Chloropropane <10 10 ug/1 EPA 524.2 1/03/99 22:20 JRN Bromochloromethane <1 1 ug/I EPA 524.2 1/03/99 22:20 JRN n-Butylbenzene <0.5 0.5 ug/l EPA 524.2 1/03/99 22:20 JRN Dichlorodifluoromethane <0.5 0.5 ug/I EPA 524.2 1/03/99 . 22:20 JRN• rrichlorofluoromethane <0.5 0.5 ug/I EPA 524.2 1/03/99 22:20 JRN Hexachlorobutadiene <0.5 0.5 ug/I EPA 524.2 1/03/99 22:20 JRN isopropylbenzene <0.5 0.5 ug/i EPA 524.2 1/03/99 22:20 JRN p-tsopropyltoluene <0.5 0.5. ug/l EPA 524.2 1/03/99 22:20 JRN Naphthalene <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN n-Prtipylbenzene <0.5 0.5 ug/l EPA 524.2 1/03,99 22:20 JRN sec-Burylbenzene <0.5 0.5 ug/l EPA 524.2 1/03199 22:20 JRN tert-Butylbenzene <0.5 0.5 u9/1 EPA 524.2 1/03/99 22:20 JRN 1,2,3-Trichlorobenzene <0.5 0.5 ug/1 EPA 524.2 1/03/99 22:20 JRN 1,2,4-Trichlo robe nzene <0.5 0.5 ug/l EPA 524.2 1/03/99 22:20 JRN 1,2,4-Trimethylbenzene <0.5 0.5 ug/l EPA 524.2 1/03!99 22:20 JRN 1,3,5-Trimethylbenzene <0.5 - 0.5 ug/I EPA 524.2 1/03/99 2220 JRN Methyl Tertiary Butyl Ether <1 1 ugJl EPA 524.2 1/03/99 22:20 JRN n-He'xaite <10 10 ug/1 EPA 524.2 1/03,199 22:20 JRN S3J4Rn !,TF'S• RA??^ ., EPA 524.2 1/03/99 22:20 IRN 4-Brcrnofluoro"�enzene 0 86-126% EPA 524.2 59 2:20 jRN 1,2-Dichlorobenzene-d4 92 80-120% EPA 524.2 1/03/99 22:20 JRN TOWN OF BARNSTABLE CER4TIFICATE OF OCCUPANCY PARCEL ID 136 037k GEOBASE ID 7262 ' ADDRESS 88 HILLIARD'S HAYWAY PHONE_ . . W BARNSTABLE ZIP - LOT 22 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB ' PERMIT 52321 DESCRIPTION 'CERT.OF OCCUPANCY---- BLDG.PMT.#43495 { PERMIT TYPE BCOO TITLE ' CERTIFICATE OF OCCUPANCY i i CONTRACTORS: Department of Health tSafe " ARCHITECTS: P � � t Y and Environmental Services TOTAL FEES: BOND $.00 O�THE CONSTRUCTION COSTS $.00 � I 756 CERTIFICATE OF OCCUPANCY -1 PRIVATE P' • + BARNSTABLE. + MAS& Fp Mlr►I , BUILDING DIVISI'O BY DATE. ISSUED 03/22/2001 •EXPIRATION"DATE TOWN OF BARNSTABLE 30 DAY TEMPORARY CERTICATE OF OCCUPANCY PARCEL ID 136 037 GEOBASE ID 7262 ADDRESS 88 HILLIARD'S HAYWAY PHONE W BARNSTABLE ZIP - LOT 22 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 52321 DESCRIPTION' 30 TEMPORARY C.O.----BLDG:PMT.#43495 PERMIT TYPE BTCOO TITLE TEMP. OCCUPANCY `PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: INE BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P * SfABIM • MAW 1639. EO MI`►I BUILDING DIV I N BY DATE ISSUED 03/22/2001 EXPIRATION DATE i ' A TOWN OF BARNSTABLE 30 DAY TEMPORARY--CERTICATE' OF OCCUPANCY 9 .PARCEL ID 136 037 GEOBASE 'ID - 7262 ADDRESS 88 HILLIARD'S HAYWAY PHONE W BARNSTABLE ZIP - LOT 22 BLOCX LOT SIZE DBA DEVELOPMENT. DISTRICT WB ' PERMIT 52321 DESCRIPTION 30 TEMPORARY C.O.----BLDG.PMT.#43495 ,PERMIT TYPE BTC00 TITLE TEMP_ OCCUPANCY PERMIT s CONTRACTORSt. Department of Health, Safety ARcxITECTs: and Environmental Services i TOTAL FEES: f ` r BOND . $.00 �- CONSTgUCTION COSTS. $.00 ' ` { 756 . CERTIFICATE OF OCCUPANCY 1 PRIVATE P + BARNSTABLE. MASS. 03 E�MA'S BUILDING DIV ION i BY ' DATE ISSUED 03/22/2001 EXPIRATION DATE TOWN, OF BARNS ABLE F3UI'r,f)ING PERMIT -PARCEL ID 1.36 037` GEOtASE T.D 7262 ADDRESS 88 HILLIARD'S HAYWAY PHONE Is W BARNSTABLE t ZTP LOT 22 BLOCK LOT. SIZE DBA DEVELOPMENT DI TRICT WB T } PERMIT 43495 DESCRIPTION REW 4 BDRM SING-FAM-HOME SEWPTn99-800 PERMIT TYPE BUILD TITLE NEW RESIDENTIAL B11DG PMT CONTRACTORS: FRAi4K BRIDGES Department of Health, Safety . ARCHITECT'S and Environmental Services TOTAL FEES: $700.60 THE � 3OND $.00 'CONSTRUCTION COSTS $226,000.00 301 SINGLE FAM HOME DETACHED 1 PRIVATE P:' + BARMABLE, • -J MASS. S 1)f S,Y . f i639' BUILDING"DIVISIONBY- " fJ / F DATE ISSUED 01/10/2000 E, ';1RNrION DATE THIS PERMIT CON EYS NO_. ET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS Q PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED c FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ` ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPEC ION APPROVALS ELECTRICAL INSPECTION APPROVALS VA �Ute 2 ,L�` � �6 2 jdV�� p 6 s s�6 2 3 /fin 1 HEATING WSPECTION APPROVALS ENGINEERING DEPARTMENT 2 H LT A) PITga I _ u / OTHER:wf3r SITE PLAN REVIEW APPROVAL 0 0 EORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS NSPECTOR HASAPPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BYOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-. NOTED ABOVE. T.")N. r i • BUILDING . . . PER r _J > 1 1 r TEST HOLES SA Y 3AXTER & NYE INC. NECK 6/10/99 4" P.V.C. PIPE VENT #P-9413 s COVERS LOCATED TO WITHIN 12' OF F. G. F.G.- 38.5 t I T #1 O ELEV. 37,0 /i-- Li0Cl1S• - - - ' ELEV.- 34.0 t. G. # 33 j TOP OF VARIANCE REQUIRED PIT #2 FOUNDATION - 0 FOREST DEBRIS --0 ELEV. = 31.0 �, WIAIES "INV. 32.0 2 - FOR DEPTH II INV- . 31.8 SCHEDULE 4.Q.P•V.Cc -. LEACHING CHAMBERS INV.=31.5 OfST. INV.-31.0 Box �•o -12" 0 FOREST DEBRIS LOCUS MAP 2000 GAS INV.=3c _ ;••::•`•a•:: INV.-30.61 v 'v o 0 0 0 o a a a o 0 o v v v c SEPTIC TANK v v v v v v B COARSE SCALE 1 25,000 w AST SYSTEM s' CRUSHED STONE BASE •v 4' �� o 0 0 0 0 0 0 0 0 o v v v v- vvv ': .. ....................... v v v SAND ..... ... ::::••::: 12 pp ASSESSORS s' CRUSHED�S'tDNE.eASE v v 130TTOM EL=28.s 10YR.4/4 = f M AP 136 PARCEL 37 COARSE I' -32 ZONES :.:.:.:.. SAND .iY�,, _36,. PERK TEST 1OYR.4/4 RF� Y UNABLE TO _ D -24 MINIMUMS r`.RO� ' SATURATE ,. ,. -36" PERK TEST cD .:.,; AREA 43,560 S.F. UNABLE TO ,... C COARSE : z:;, FRONTAGE 150' jw SCALE SANG „ ,. SATURATE (FRONT SETBACK = 30 ::_:: 1 OYR 5 4 ,.,....., SIDE SETBACKS = 1 C COARSE REAR SETBACK ?5' -10' NO WATER SAND BUILDING HEIGHT = 30' ELEV. = 27.0' 10YR.5/4 -10' NO WATER = ELEV. = 21.0' EXISTING WELL w 51.0 x BENCHMARK EXISTING WELL � ;iN NAIL EXISTING WELL \ EL. 51.02 se N \ X 49.3 x .` x .48 1 :\ .. 41.8 ;f-`� `47 a JOSEPH I. DALTON / �P O G 35,379 S.F. ,-'� # r.(o �� 47.i} 35.1N. BENCHMARK v BASIN j �. ..CATCH 2'C00 Gam• Inc c.b. fnd. off FAST %,�•• Gj y 37.7 �r i � oQ •�R- � 23.6 za ED''ARD S. BRO.CKIE JR. ET UY, 4�' /� �' `.� RUTH A. WILLIAMS 22.8 (1) REMOVE UNSUITABLE SOILS BENEATH PROPOSED SYSTEM, BACKFtLL WITH CLZAN GRANULAR MATERIAL FILL TO BE GRADED AS FOLLOWS: NOT © / MORE THAN 15% RETAINED ON No. 4 SIEVE, NOT MORE THAN 9OX � i x RETAINED ON No. 50 SIEVE, OF FRACTION PASSING No. 4, 1OX OR LESS 20.61 `' ;'.�`� TO PASS 100 SIEVE AND 5% OR LESS TO PASS No. 200 SIEVE. SOIL TO BE INSPECTED BY ENGINEER FOR COMPLIANCE PRIOR TO PLACING ON SITE. X 1`� (2) LOCA;ON OF UTILITIES NOT SHOWN ON THIS PLAN, AT LEAST 72 117.8 HOURS PRIOR TO �.NY EXCAVATION FOR THIS PRO.iECT CON s'RAC T OR Si:'ALL • "" MAKE THE REQUIRED NOTIFICATION TO DIG SAFE (1-888-344-7233) AND • PROPOSED WELL APPROPRIATE WATER DISTRICT TO DETERMINE UTILITY LOCATIONS. ' 10 t x �Fj�jO� ,•= `� .` x 17.$ (3) FOR ALL ASPECTS OF THE SEPTIC SYSTrM THE CONTRACTOR SHALL X 19 1 / = COMPLY `ratlTH ALL GOVERNING CODES AND REGULATION& , �~:-=� =": ,'`_"'_• IN PARTICUI AP .11'Jr'AR 15.000 THE STATE ENVIRONMENTAL CODE TITLE 5, THE TOYM OF 8ARN3 c,121 r BOARD OF HEALTH REGULATIONS PART VIII: O 'r ON-SITE SEWAGE DISPOSAL REGULATIONS ANC HE Sn.ARD OF HEALTH _- y - �� 2 $ RFCOMMENOATIONS FOR ACCEPTED PRACTICE. x 15.0 19.6 r :� �• ->"' II #` . :•••:•: Y.i` j, x t'` \ (4} THE CONTRACTOR 15 TO SECURE AP M E APPROPRIATE PERMITS FROM TOWN olvs n DE Tt�fs PLAN. x 1 5.$ r �r _- „f +s..=•a► •'''a fir.. _'.r: ..Lrr'ya..t LC' a i t� :t;�-X - - i •� �� "-""�`T} ,�;_� �`'= :.,,�, �.., :-�:: AGENCIES FOR THE C TRUC ON DEFINED $Y •�`�/ { (5) ALL STRUCTt✓RES BURIED DEEPER THAN 4 FEET OR SUBJECT TO 'I '/, _ !mil J/ Ll.f- ( „'� - ' •..oj, ,dr� • "i�P?�'rF r'_,•r .'p : r 20 LOADING. -'• VEHICLE TRAFFIC SHALL BE H- DING 02 (6) THIS O .++� '•� - r.s 11:� i � .._ .. -`.= :,: '?r �:`• ;, O � L T 15 IN FLOOD ZONE C. a _ I L w+' '.y" •_. .. .,r.e,•;^- ,t '. "'' _ .", ,aL X 12.7 7 �p .. -�r+ra'=�� x' �" r:•-ate.�{•- 'rf �.. .!-.• � `•.:,� ..x - v..'�,rsk,'�•�...4�.,',•�. R''' � r - .�.•►. 3._t-= t- _ OD -- / ---- 7GN NE EL - x'i3.6 10.7 9.7 Wetland edge of x/ O� A , i 6.4 x 6.5 V�RIft�1CC5 YZtcQUGS.•T�D = Rio_30216 a, -P j' `Jec•rtort. 15. 22.1�-7 �� -T�'d - /411ot.s J'1�fOre The,•t 31 0f Co�P^ Ov,cr- A l,t2tl�in� }=r3.+c�1t� :.9� PROPOSED CONSTRUCTION Scctttr+ 1S. t4Ci �� Tv Alleaa A 4 C3circ,r'. H-oose- Oh A Lar a Wtrh t,Js((� x Ls�S Than 4.O,DOO S.r; SCALE: 1" _ 20' _ la is fS zr+�sl+.bLcPr, r><iL �c11 " Ica• T 13I1ou 4A-0 gPc Ftav O.^ A• Lo-r Less 7ha-, Ovie 1�GtC GRAPHIC SCALE 0 20 40 SITE PLAN OF LAND IN WEST BARNSTABLE DESIGN DATA. ', ELEVATIONS ARE BASED ON N.G.V.D. SINGLE FAMILY- 4 BEDROOMS ' MASS. FLOOD PLANE _LINE IS BASED OR NO GARBAGE GRINDER BARNSTABLE FLOOD INSURANCE RATE MAP; DAILY FLOW = 110 X 4 = 440 G.P.D. FOR :OMMUNITY-PANEL NUMBER 250001 0011 D SEPTIC TANK = 440 X 200% = 880 G.P.D. REVISED: JULY 2,1992. L:SE 2C00GAL. SEPTIC TANK 4 TOTAL UNITS 1 STARTER,1 ENO. �e 2 INTERMEDIATES. TOM GORE 330S TYP. 3301 330E 7.5' 6.25 6.25 C1,3LTF T C � 3 B GAS SCALE: AS NOTED DATE: DULY 19, 1999 MR REVISED: AUGUST-18, 1999 REVISED. OCTOBER 14, 1999- ALL PIPES TO BE SCHEDULE 40 PVC PERFORATED FSAXTER & NYE INC, COMPACTED Flu. REGISTERED LAND SURVEYORS w� 3' MAXIMUM i � USE I - 4" DISTRIBUTION LINE IN 4 RECHARGER UNITS CIVIL ENGINEERS n PEASTOtiE { 33'-$" IN A 12'X 35' HASHED STONE FIELD AS SHOWN ❑STERVILLE MASS. wwwvv '7vvvvv •••vvvvvvvv 3$.00' LEACHING AREA REQUIRED ovvvvv rvv vvvvvv►• 3/4` TO 1 1/2 ' vvvvvvvv vvvvvvvv 440 G.P.D./.74 = 594 S.F. 3 •vvvvvv. 0 vvvvvv• vvvvvvo vvvvvvv DOUBLE } VIEW. 2(35 + 12) X 2 188 S.F. SIDEWALL AREA vos.vvv vvvvvv PLAN v v v v v v v v v v v v WASI•iED STONE �`12 X 35}' a 420 S.F. BGY TOKt 4REA52 SCALE: 1' 20. - . .. .. . . . 608 S.F. TOTAL PROVIDED - - - - - -END SECNO TION - _ - ----------