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0030 LANCASTER WAY
NO. 152 1/- 3 ORA ���� 10% f � Town of Barnstable 'Permit a��� 1 Regulatory Services �Feees6n,o„r/isjrom r lair a.AIRvsuet.s, yAss. j659- Thomas F. Geiler, Director Building Division Tom Perry, CBO, Building Commissioner 1'200 Main Street, Hyannis, MA 02601 www.town,barns table,ma.us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY � Nol Valid withoul Red X-Press Imprinl Map/parcel Number ��� ' "j Property Address �J—�j 1C/xy , l S j�E&c55— ['Residential Value of Work. 1a0d Minimum fee of$35.00 for work under$6000.00 Owner's Name & Address /j�j,fy� Contractor's Narne ,zLPu,�) (��Ox Telephone Number-72s�� Home Improvement Contractor License#(if applicable) zad!F- Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance X"PRESS PERMIT Check one: ❑ I am a sole proprietor liljLy� -`; "01 �I am the Homeowner I have Worker's Compensation Insurance TOWN OF BARNSTAB E Insurance Company Name Workman's Comp. Policy �FL 2 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request (check box) VRe-roof(hurricane nailed) (stripping old shingles) All-construction debris will be taken to.. ;!! '�,/275/-/ ❑Re-roof(hurricane nailed) (not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum .35 #of doors )#of windows *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 re uired. SIGNATURE: Q:IWPFILESIFORMSIbuildingpermit formslEXPRESS.doc Revised 072110 ,A Ae Commolrwea.hh ofllfassachi-tsetts --- DepartMerrt oflndustrial Accidents Of fice of I7Yvesfi, aYiorls 600 Washbig ton.Street Bos1ozr, r Ll 02111 IPIOR nrass.goiildia A-Srorkers' Campensah.on Insarauce Affida-vit: Ball ders/Contnictors✓.Elecbid.ins/Phimbers Applicant Inforltn.ation Please Punt Legible Nalme (BtisinesstOrgauiza6on.gndividnal): 1�71pj//o [�ex Address: zii1l/Z�l City/State/Zip: ore #: 2 ire ou nn employer?-Check the appropriate.boa.: Type of project(required): 1- I am a employer with_ 4• ❑ I a-m a general contractor and I employees(full and/or part=.tilr�.e). * Have hired.the sub-contractors 6- .New constnrc.tiom Z.❑ I am a sole proprietor Or partner- listed on.the af:tached sheet- 7. Lernodeling ship and have no employees These sub-contractors have g, �.Demo.lition working for me in any capacity. employees and have workers' ![No workers' comp.insurance comp-insurance..? 9. ❑.Burldan9 addltlou 5. We are.a corporation.and its 10.❑Electrical repairs or additions required.] ❑ 3.❑ 1 ani a.homeowner doing all work officers have es:ercised their 11_Q.Plumbing repail-s or additions myself [No workers'comp. right of exemption per NMGL 12.❑Roof repairs insurance requited.] i c- 152, §1(4).. and we have no employees. [No worlrers' 110-Other comp.:insurance requui-ed-] 'Any appticavt 3hstchecls box#].must alsn fill-out the section below shaMng their workers'compevsa:ti;on policy infonwtiao- I Homeowners who submit th's.affidavit indicating'they are doing all R iorl and then hire ouWde•contractnrs inum auboit.a new.affidavit indicaliag such- =Cantiractnrs that check this boot must attachad an sdditioo,si sheet showing the:nsme of the sub-contractors so.d stare whether at not'fhose entities have dnrp]oyees. Ifthe sub-conttactomhave employees,.theey.must provide their wurkers'comp.po iry number. I am mr errrploy er tkatis pror ic7irrg n%rkers':correpertsation irasfrrartce for my entployev3s. Below is the palicy and jo.b site irrforurativ& Insurance CompanyNalw: Policy#or S elf-ems.I ic.#: / Q�<2 Expirntion Date: Zf4 Job Sipe Address: ZV City/StatelZip: Attach a copy of.tlre workers' compensation policy declaration page(slkoiiing the policy number and e=pi1•ation 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 ornre-year imprisonment,as well as civil penalties in the form of it STOP WORK ORDER and a fine of irp to$250.00 a day against the violator. Be advised that a copy of this s atement may be forwarded to the Office of Investigations of the D.IA for insurance coverage verification.. I do lta-eby certify v er the pains and penalties of perjerry that the is forrrtatiott prmzded:a botre is trus and correct. 01 Sienztire.: Date: Phone M Z 5 3ZII_� r1I"J3,a:rd only. Do not tt,rite in this area, to be couiplerted by cil� or ton n o�ciaL n: PermitJLicense# hority(circle one): Health 3. Buildin.g Department 3.Litl�oz�n Cleric 4. Electrical Inspector 5.Plumbing Inspectorson: Phone#: f� Of THE r, Y BARNSTABLE, H,SS. ' 'ov�n of Balr-nstable i 19: �lEp a Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section II If Using A Builder I, �i/P�/ JZi ��� , as Owner of the subject property hereby authorize uy— to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner ate Print Name If property Owner is applying for permit, please complete the Homeowners License Exemption Form on the reverse side. Q:\WPFILES\FORMS\building pennil forms\EXPRESS.doc P�ol► ro,�y� Town of Barnstable Regulatory Services 8wr�JAsSB�'$� Thomas F. Geiler, Director $A ,6J9• Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnsta b le.m a.us Office: 5l8-862-4038 Fax: 5087790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number I street village "HOMEOWNER" name I home phone N work phone N CURRENT.MAILNG ADDRESS: I city/town state zip code The current exemption for"homeowners" was extended to include owner-occupied dwellings ofsix t 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 FOMEOWNER 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) 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 ofconstruc(ion 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.)5) 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 caret amend and adopt such a form/certification for use in your community. Q:IWPFILESIFORMSIbuilding permit formslEXPRESS.doc Revised 0721 10 I. From:Kathy Geddis FaxID:Northaood Insurance Page 2 of 2 Date:W30CLG11 01:49 PM Page:2 of 2 OP ID: KG A`ORO" CERTIFICATE OF LIABILITY INSURANCE °A'03130H 1` 30111 fDDNYYY1 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 endorsement s PRODUCER 508-771-1632 CONTACT Northwood Ins.Auenc ,Inc. NAME: 540 Main Street,quite 9 508.393-2955 Arc°NE Ex : �A°ic.No. Hyannis,MA 02M ADDRESS: PROIIUCER CUSTOMERIDfiDAVID-2 INSURER(S)AFFORDING COVERAGE I NAIC i INSLIIUM David Cox, Inc. INSURERA:Travelers Insurance CompanyI P.0. Box 401 INSURER 8: S Yarmouth,MA 02664 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFYTHAT 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 FALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER MMI ADUL DD(YCY EYYY NNJDDr(YY LIMITS GENSIiAL LIABILITY EACH 1,000,00 A X COMM=RCPi GENERAL UA21-ITY 6801481 M796 03J14111 03/14/12 PREMu=c IEa occ�rrercal S 300,000 CLAIMS14ADE 7X I OCCUR I i MED EXF(Any one person) S 5,00 X Business Owners I ( PERSONAL:A.D'V IN3.C.Y S 1,000,000 GENERALA5GREGATE S 2,000,00 GEML AGGREGA-E-iNI-.APPLIES PER: I PP.O::UCTs-comz;oi-AGr, S 2,000,00 POLICY I .PRO- LOO •S AUTOMOBILE LIABILITY i COMBINED SING-E L MIT ANY UJ-0 I(Es accident) ALL OWN=C AUTOS I BODI-Y IN URY(Par person) S I SC!1EDULEDAUT05 BODI_Y IN.URI'(Par acrAdsnt? S PPOPEPTY DAMAGE HIP.=D AUTO S I � (Paraccidant) a NON-OVRvED AUTOS S UMBRELLA LIAR I OCCUG E' <^_ C.H U__1��E I� 5 EXCESSLIAB acld5.v14D_ AGGREGATE S DEDUCTIBLE RETENTION c WORKERS COMPENSATION OTi- ANO EMPLOYERS'LIABILITY YON E _ A ANYPROPPIETORIPA.GT+4E:ZEEEZ-I11V= j SKUB91 OX74221 0 07/15/1D 107/15/11 E.L.EACI-ACCIDENT S 100,00 OF=ICERIMEMBER,'.LUDED7 Y N I A (Mandatory In NH)describemoa E L.DISEASE-EA EMPLOYEE S 100,00 9rIfyes, 3 RIPTIUN OF OPEP.AT;ONS below E.L.OI•SEA;E-POLL'(LIMB S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101.Additional Remarks Seheduie,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE David Cox,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988.2009 ACORD CORPORATION. All rights reserved. ACORD 26(2009/09) The ACORD name and logo are registered marks of ACORD Nlassachusctts- Department of Puhlic Safctl �} Board of Building Regulations and Standards Construction Supervisor License License: CS 63537 Restricted to: 00 DAVID R COX PO BOX 401 S YARMOUTH, MA,02664 J Jyf—` Expiration: 10/15/2011 ('ommissiuncr Tr#: 5822 f � Office of Consumer'�a�rs` o iness eaagn�uuo� License or registration valid for individul use only _ HOME IMPROVEMENT CONTRACTOR I before the expiration date. If found return to: Registration: �400497 Type: Office of Consumer Affairs and Business Regulation Expiration: S`125/2012 Private Corporaticn 10 Park Plaza-Suite 5170 :_-- ========-- Boston,MA 02116 D I+ COX, INC�,1 ==?try, David Cox =s\ 19 LAVENDER LN �N 1 ;' /..f W.YARMOUTH, MAb2673 -.�,�.M1��._ Undersecretary i Not valid without signatur i I i� //�� pp �� �a ���2 �� ��i� �� s2� - ..� I� � - ��� �� N�;,6OP t.N�'r.►"' i - —iiiiiwatiun LO ... ... PP7'�tNNBttp,YYGN _._ wP pp�tNPM 's Old Kings Highway Regional I Iistoric District Comm>ttee 28 in the Town of Barnstable for CERT FICATE OF APPROPRIATENESS Application Is hereby made, iri triplicate„for the issuance of a Certificate-of Appropriateness under Section 6 of Chapter 470' Acts and Resolves of Massachusetts, 19.73, 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 Building ❑ Addition Indicate type of building: House PL G ❑ Alteration 2. Exterior Painting: : , Garage ❑ Commercial ❑ Other 3. Signs or Billboards: ❑ New sign 4. Structure: ❑ Existing sign ❑ Repainting existing sign ! Q Fence ❑ Wall ❑ Flagpole ❑ Other • (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORKU � _ ASSESSORS MAP NO. ' /0 OWNER ASSESSORS LOT NO. HOME ADDRESS L« \3 tLya P-rEL. NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). AGENT OR CONTRACTOR . TEL. NO.1�OR -11111914-r6096 ADDRESS DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8, other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locatio s of isting jig' and proposed locations of new signs. (Attach additional sheet, if necessary). �C7 x -a � _ c. Cam.\N o \ Signed --.� Space below line for Committee use. Owner-Contractor-Agent Received:by H.D.C. Pr FFPD rTThe Certificateis h by OateA� S JlGHW,- Approved ❑ IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. DisaMroved ❑ -- -- -- Town of Barnstable er ,, c�C��yct Old King's Highway Historic District Committee i SPEC SHEET � • FOUNDATION C\c y SIDING TYPE t,.c.lns COLOR�i COLOR CHIMNEY TYPE�c";,�� ��� . . , • ROOF' MATERIAL O.�p�c�c�\� ����^��S COLOR �lJ�c��c�tWcx�d PITCH WINDOW G IZE ag TRIM COLOR DOORS ��a Ste.\ - c ��e�s COLOR SHUTTERS �� ��-e� V-�.v��, COLOR GUTTERS �o,,,, __ -( , C ,\U yo, DECK \0 GARAGE DOORS `o -\ Z COLOR SIGNS COLORS 'Ain P FENCE c-J NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for Submittal of an application, along with three copies each of the plot plan, landscape plan end elevation plans, when applicable. Plot plan need not be "Certified" except for new homes, but should show all structures on the lot to scale. SPECSHT ;r TOWN OF BARNSTABLE OLD KING'S HIGHWAY HISTORIC COMMITTEE LOCATION: 30 Lancaster Way, Barnstable Map 110, Parcel 4-10 OWNER: Amek Holdings P.O. Box 186 West Dennis, MA 02670 ABUTTERS: Map 110, Parcel 2 Karl W. Aittaniemi, Jr. 451 South Decook Court Park Ridge, IL 60068 Map 110, Parcel 4-9 Amek Holdings P.O. Box 186 West Dennis, MA 02670 Map 110, Parcel 4-11 Amek Holdings P.O. Box 186 West Dennis, MA 02670 Map 110, Parcel 4-12 Amek Holdings (open space) P.O. Box 186 West Dennis, MA 02670 Map 110, Parcel 28 Paul M. Ramsey 175 Carlson Lane West Barnstable, MA 02668 il !6E to . � �� .. . . � .� .i { 1 .n�.ii8y„,.;,.r.• •1,/ � :.H^..,'�.ler�' ,�(�\r�'i. � ., l •��::�� W; /coloop i'• - - 4 ]1Z 9 1 1ol a"vftW 1 f F(a\ / r h , � �+ .ii ,a 4 r ,tip w -�Ly � / :,:.fp •r: 1. `'\��r� r / \ '� -r'r,• iiAr1do / , N . 6 / A. 1 \; \r ''�, rr� r Tb � / Q.` �• �1 :1 5. r. 3 \.o�-a �'S \J r \ � \ M:0 fr 1 O ICE. !E \ b t1F \ \ I ST \ ,t.•1 f. l E'Iy \ g1F1 ri'iA \` / ! :•� f' �/ I QQ����►�999 '� * �.,�. ` \ \ b \\,.�� '�,� \ r47 r, foo - '4.. 157 \ .-f t� 1 .'t•�'i•M1� 4't g� i-( F; . \.. � J t � � \- � ` 1�\�I\.� r �i••: (}, • a`J nN Va � yp Sr �rl °,`(**a�,Of K �� 1 /r9� \•' AQ x a:�a1 � � 4 * `�` �n L�Q WMrIGy 0 Sii'(7�j � �0• i �� � b' \ RTMI N \ A \ 5 '•\ \ Sod• � 1 � � � ,.s ^ad� i r.�3'SP�� f �•� e ' '' \ a..,zS,(�r e \�' 'P ' k� YW •CD deed• , ' 11 b,� ,.�.� �, `��t ,� "�; ,�'p�� (a F, e;� y \,,` \ \.\. :. .S 'WWI�r/1 F V�C'tl�r�C D '`��� ', t �',��>, •�.<'� �y-�S"�3Y). S\�+ f'.} \ \ \ S`}pYle: ve"44— •�6�fa✓�a i:,�al�� : / � \ ; <: ,.�,• ��'t,. \ 1. � •. \ • Tim V \ _ �u'°' �Kati 1 \• �p \:.. r.M;y i'yw'y�� �•�' If1 ,. .. .. 1 � �'.���,•�'� ��\',�) _,�• ,�:': .I �J •��� „sue . .:�'� �,•. � T"- areiii�'!�9': .. � r'' :i..�E,i?, _ l�ti, _r,• , _ •il_ _ __ —.,.facrS.^.5'."�^.'G.."F^ c.='— ••>aS:.'y.....:u.SL-i`..91L31'=i:Gl'.`5:.}:: I ' 172. 06, o � b 48.2't CONCRETE FOUNDATION T.F= 99.9' co 74.1't C6 03 LOT 9 30,446 + S.F. (0.70 ± AC.) • �55 00• T q�c5` I o rrAA��C�� 105. 7g, JOB # 93-027 CERTIFIED PL 0 T PLA N PREPARED FOR LOCATION : ASES MAP 110 PAR 4-10 LANCASTER ROAD VEST BARNSTABLE, MA. REEF REALTY SCALE : 1 = 40' REFERENCE : LOT 9 PLAN BOOK 454 PACE 96 I HEREBY CERTIFY THAT THE STRUCTURE g, SHOWN ON THIS PLAN IS LOCATED ON THE o ^ GROUND AS SHOWN HEREON. DM DEMAREST - McLELLAN ENGINEERING 24 SCHOOL STREET P. O. BOX 463 APRIL 1, 1997 WEST DENMS, MA 02670 (508) 398-7710 DATE �OFEYONAL LAND VEYOR ® Mq A3 — O i Qj Ck- v 17 APR ' /t..���,t',•S'Za'':=,''�1t-��e �� 1�1!i!?FlElil�isll!Eis!ii};ii�f�ilf?i13f4i4ii��?ff.1311?i??±31d E � ; � . ? � � ii ! _� ..� , � ,. =� �lZ.�--_� `----._.._�- - --- i�i � _, _ I - __ �- _ - C o ---.�-, — _� - o a4- i L-T) Lon SIT�F- L8..rb_T_ UP.T I � I :o��on L.''+::a..jvili.ti�iq � i/ �I�rL-�iJ� :I L ``V`1 Z\ 'II Ii !�W.G.-he e�--.i b-, ��'.�•� Iz�" li(l�'"��'":''—�I�T.l. l}-i-C - Ir�l_�S-isT`tr's jr fta� LW. _.a _ ULL 2 1=>r I1 : j E� r 1 I LT. •'.''-oxlo5TL.1•,,1:.uf�V hrcv M!v::...E'ST`(;.E Tw C.�. v(c. 4�LeosF cuwbcs• \\_ >= T LLE�!/'TION lv. feTAN4• �+� -lo?� 1 _ Q +cam �•.i�. ,. e,�..��� � ..- � I .nSc FF.S�. , ^ GciO`r7F'E __.-�: � iT ';�?•Ieb,�x l,:',.w4 � I \1 I - _ I I 12 5u4 __ �_..y� -�..v�t¢v c,.s.. 0�'•+ GSP - -1O -y I ( �I III; �•. L- ' .� f�oxev IV I t I i - I n:i i. gL(i"j . ',.—. .—.�,.., �"" iv ,• � Oi -- � ,_� p_ _ ,•,,�.�1 ; i I r> �•�-. 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S-�x12'3 uv.—r.! !,uox✓.Fcz r,frt i 1 � _ - .1�5oa:/// � _„wf, -_ �• '} ft-.fl-J.r!!n1 '�3� �' 4 a!rEN4�1 •^•c.rt4. j �Poh, �vN •;L4. -k 55GM�LY A+5'FAc,'So9.�if=S�,u'.^53 .—I—i33'.�i41'L:2�• �1L 101NC� CT10rL7 yyg WV'A.AlUR= FL.Ah�+a QJL`{ <`KEa=-3445. s.F. L`� S_ OR.PFri.n 3'7 S.•, J'.l.j - i 1 VET WAIL A•%1."?Al'7 3.F F.=11 UJ ,08 w..wo wurwww i i I : 1 ReaeNS�'+•'� I -• I Sao m; TA— . - 1)S`IE`fG.tl�/ATE77 _PI-frl,6-fF� Ire,"To ffr. INT LN IN? ! � { � ___-- �F�«•-ems:-- � ��.7�''?; _—�__.---\ ' I ' - i -----------------'—._ __—�_.._... _..._..... . ..._. _..-. .....�?�_�------ --' q�', ;'' -- --- .� �vN.fh4t+Fob eon-ox38•v A Bern eeL, =s I 4o— 4�• i IME TOwti TOWN OF BARNSTABLE Permit# MASSACHUSETTS c:?o 7 * BARNNTAsBLE. Date:� g 9� g9 i6 . a Fee:� �b iOTEo 39.t SOLID FUEL STOVE PERMIT , Owner: sA� , "y Phone: Address: d �s�-fig� Village: Approved by: Date: Stove A. New ,Use B. Typ adiant Circulating C. Manufacturer N50 C tVa T%% Lab No. t5elz e3e I—A g D. Model No. Chimney New F x g Existing/if yes, date of last cleaning B. Flue Size C. Are other appliances attached to flue? IVJ D. Pre-Fab type and Manufacturer K11A_ E. Masonry If. Unlined Hearth A. Materials 1 B. Sub Floor construction Installer Address 5ryov 0-H�'vD'1r�r=r� Phonea�-- ,� Location of Installation -i9�/�>4sT�' �'✓� �"✓r'`iF�s?�s'/�l/��ti C, ��'9. ''Polaroid Photo Necessary "Tlvs constitutes an ollicial stove permit Bier inspection xid approval by Building Inspector °V /Jo Parce16C1'4/0 . Permit# Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Z 91m Date Issued Board of Health(3rd floor)(8:15 - 9:30/1:00-4:45) t!5�e_h,'W o , Engineering Dept. (3rd floor) House# ,30 1/ 1t _ _ a MUST BE Planning Dept.(1st floor/School Admin. Bldg.) y Defini an Approved by Planning Board 1 19 O TOWN OF/BARNSTABLE ' Building-Permit Application Project Street Address 171&0 Village Z1L2?,57'" 13brtj,5-9421 L1-, Owner Address o,?.S Telephone 127 7 -6;S S1—,S 9 fh(-) Permit Request ! 'an5TTUct f7Pu 'y 6�dngr}�'7 ���Do'I/Gc1• :5'�2t/P an r co -- GZ 6 ai✓Cc c� , First Floor yoep2 square feet C�� h Second Floor -Y square feet estimated Project Cost $ °3 p`p O Zoning District a Flood Plain Water Protection Lot Size 30, VAGrandfathered ? Zoning Board of Appeals Authorization Recorded Current Use /��Cie vie/O�[° Proposed Use Si/I /P la,_ ./ Construction Type /J000/ v✓1 ,P 43✓7 Commercial �� Residential Dwelling Type: Single Family f/� Two Family Multi-Family Age of Existing Structure �Gt- Basement Type: Finished Historic House Z2 Z& Unfinished Old King's Highway Number of Baths ,;?, No. of Bedrooms Total Room Count(not including baths) 69 First Floor Heat Type and Fuel 6F `//0Central Air r 2Z4L Fireplaces 019 e Garage: Detached /ram Other Detached Structures: Pool /4"-t Attached l/ p7 ('G/ Barn 12 At None Sheds `I Other / Builder Information Name / dt�� �� Telephone Number ✓�y—:�o y U Address f?(,, i3UX /i0( ::�2?y ) License# ,'S /719 Home Improvement Contractor# Worker's Compensation# nr�¢C.�6— n-�SG" NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIE O E FOLLOWING REASON S) e FOR OFFICIAL USE ONLY L PE 'MIT NO. DATE ISSUED 3 IRESS /PARCEL NO. VILLAGE OWNER DATE OF INSPECTION:.' FOUNDATION FRAME' k\F� INSULATION t FIREPLACE, 4 ELECTRICAL:, ROUGH FINAL PLUMBING: ' r fO FINAL 3GAS: OFINAL C �Tr-f,,, FINAL BUIL p DATE CLOSE 1"I` ASSOCIATIOcl 1 w � .. N.....-�.�^.%..+-�.•-.,..r.,,��y„ ..nr.. . :✓•y7..�+r � ..-.. lT.rl ..��t . .h''"y r...�Tr+`r—i''ti,..-r+.rr!•BSc`' :1,�r.,,`.ti'fw.:./'I''^ti-w....%w.r:�...a.,- .-. -...i-•tir, The Town of Barnstable y BARE. +.MASS Department of Health Safety and Environmental Services 7 t619- a Building Division , - 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location 1,44JC,Q Permit Number Owner -Builder— One notice to remain on jobsite, one notice on file in Building Department.; The following items need correcting: 104 4 v r ice. 1A i? 1 P CA 4 2 cn S /74,V-P 0, s 3 F Please call: 508-790-6227 for re-inspection. Inspected by Date .r :rr - .t r TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 110 004 010 GEOBASE ID 42084 ADDRESS 30 LANCASTER WAY PHONE ' W. Barnstable ZIP�OT 9 BLOCK LOT SIZE DhA DEVELOPMENT DISTRICT WB 'PERMIT 23832 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#21527) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY i -CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TAL, FEES: 1ME BOND $.00 Ox h' CON�TRUCTION COSTS $.00 756, CERTIFICATE OF OCCUPANCY * 1ARNSTABLE. MASS. OWNER AMEK, HOLPINGS OF CAPE COD ADDRESS P 0 BOX 186 ED Mld \ BUILDINGN' �V S O W.DENNIS MA NBY ,l DATE ISSUED 06/18/1997 EXPIRATION DATE �"` P* rARC3EL ID- r]0--Uu4. 010 vtSu,uA-Sa Lip. ' 'PDRESS 30 LANCASTER WAY ' PHONE W: Barnstable - ZIP - s � ^T� 9`1" . . BLOCK LOT SIZE ik DEVELOPMENT DISTRICT WB ,Jib IT 21527 DESCRIPTION NEW 4 BEDROOM BIOME ,•.1'k$IT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT - x TRACTORS BOY, EVERETT W. JR. Department of Health, Sa. JITECTS: and Environmental Servfc4-;, IL FEES: $425.99 $.00 i8TRUCTION COSTS $136,060.00• Qj► I 101 SINGLE FAM HOME DETACHED 1 PRIVATE PE *): / MASS. �.R AMEK, HOLDINGS:`OF) CAPE 'COD ED 3 :ESS P 0 BOX 186 W DENNIS MA BUILDI " VIS OL�1 '=1 i BY ' DATE ISSUED 03/06/1997 EXPIRATION DATE' 1 � 1 .,PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTL``..E.. gACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET Pt EY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS, RMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARF' FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED F (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL PLUMBING AND ME( ANICAL INSTALLATIONS. INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS I BUILDING INSPECTION APPROVALS PLUMBING I PECTION APPROVALS ELECTRICAL INSPECTION APPROVALS O c,V, 7-v 2tl �7 2 0 1 1 H NG INSPECTION APP OVAL ENGINEERING DEPARTMENT 2 , /�ARD� o E `R. SITE PLAN REVIEW APPROVAL G WORK SHALL-NOT-PROCEED-UNTIL__11_P.ERMIT WILL BECOME NULL AND VOID IF CON- --INSPECTIONS INDICATED ON TN_, . =1P SPF• - �. 'a'�TIQN y " ., - - = ``:N�BE A-RF`:•.,,.,.` r� ., ='/ THC " . B, UILDIN ,G PERMIT I ' I •;4 k� �t J a d 1 k f PR 04 197 12:3'(Rl REEF REALTY LTD G.2 I rP O I I I I I I 48.8'1 CONCRUE N r"OUNDATIO T.P.= 99.9' 74101: d .�r LOT 9 / 30,446 ± S.F. (0.70 AC.) ass 00, 0 a 105. 78. J 08 # 93-027 I ` CERTIFIED PL OT PLAN PREPARED FOR LOCATJON : ASES MAP 110 PAR 4-10 LANCASTER ROAD WEST BARNSTABLE...MA. REEF REALTY SCALS : 1" r 40' I i REFERENCE : LOT 9 PLAN BOOK 454 PACE 96 O � J If'RE®Y CERTJFY TNA r ris S'TRUCrdw Sht0W ON IRIS PLAN 15 LOCATED ON Tf& GROUND AS SHOWN JE'REOX fig,,8W DEMMST - MUELLAN ENGINEERING 24 S'CMCL STARET-P..O., BOX 463 APRIL 1, 1997 WEST DEAMS, M 02570 (508) 398-7710 DATE OFF' ONAL LAND EYOR G J' i 'PR 04 197 12;:37Pf9 REEF REALTY LTD P,1 EEF EALTY RLTD. REALTORS-BUILDERS REEF REALTY LTD. FACSBME CONTROL SHEET DATE: i MIX: RECIPEENT: ,�/� i 19 ATTENTION: FAX #: SENDER: FAX Sd8.7d0a44Qd TEL. #: RE: TOTAL PAGES: UZ INCLUDING TMS COS SKEET NMSAGE: 24 School Sheet PA, Box 186 West Dennis, M=aMusetts 02670 (503)394-3090 P1AY 29 '97 09:03RM REEF RERLTY LTDW% P.1 EEF EALTX REALTORS•BUILDERS REEF REALTY LTD. FACSEMLE CONTROL SHEET DATE: s- ��•��� RECLC8E i: ATTENTION: of FAX A -7 90 .6a 30 SENDER:_- / avail FAX Soy-760-14n� TEL. #: ___508-394-1090 TOTAL PAGES: INCI.UUNG THIS COVER SECEET MESSAGE: seaev ss• 0-'U� /e'',� ,,�c�Lg�� Z 47Z- 24 School Street P.O. Box l @6 West Dennis, Massachusetts 02670 (5-03)394-3090 ..-• - ASSESSORS MAP: 1/0 - - PARCEL .�. 0 TEST HOLE LOGS. NOTES: �30 - - 1.VERTICAL DATUM: ASSUMED FROM OUAD CURRENT ZONING: RF " - 'ENGINEER:'TXOMAS MCLELLAN,Pa. - 2.MUNICAPAL WATER IS NOT AVAILABLE. BUJLDfNC.SETBACXS' WITNESS: ✓ERRY DUNNING t' 3.SCHEDULE 40-!'PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. -a✓gBBT� p;�_:5;1;�R; 1S. . _ DATE: A,ALL PRECAST UNITS TO CONFORM WITH.dASH7'0 H-fO d•H-20 PERCOLATION RATE.,<2 MIN/IN d 6 MIN/IN\ _ LOADING SPECIFICATIONS. LOR78�` FLOOD ZONE:_: - _ - TH-1 - TX-2 5.PIPE-PITCH 1/4•PER FOOT,(UNLESS NOTED OTHERWISE - .. . . 900 992 6.FIRST-Z OF PIPE OUT OF D-BOX TO BE LAID LEVEL - TOP d SLaV. 70P! ELEV. . ;II P - _ .,k SODWIL o av SUDSOIL 05 7.THE:SEPTlC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE�• -I - 'eR slrrT tN/!N sort f� USE;OF A:CARBAGE DISPOSAL p tlNa • trNe P B ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE _ �. SAMD BID 8• SAND B� STATE Of MASS.ENVIRONMENTAL CODE(TITLE FIVE)AND LOCAL - LOCATION MAP HEALTH-REGULATIONS.LOT 9 ' 30A�6;t SJ. i!� FINN- ' y 8.CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR ' MEDIUM McDIuM a MrN/rN` R T,O CONS7•I9IGTJON,.• �; (070+fCJ SAND SAND 10.DLSICN'ENCINEER TO INSPECT AND CERTIFY SUITABLE SOIL CONDITIONS tad »o me' TO A-DEPTH OF r BELOW LEACH PIT AT TIME OF CONSTRUCTION. 11.D-BOX:TO BE WATER TESTED TO ENSURE LEVELNESS AND EQUAL FLOW. - _ 12.SEPTIC SYSTEM AND WELL LOCATIONS HAVE BEEN MODIFIED FROM - ' - ------- -- NO MUND►AM eNCOUNTDRCD - MASTER PLAN(REVISED 5-2-93)ON FILE WITH BARNSTABLE HEALTH _ -- (GlWNDWArrR ON LOt a Ar SLAV,Pea) DEPT.ALL PREVIOUSLY APPROVED SETBACKS REQUIREMENTS REMAIN (( IN EFFECT. j SEPTIC SYSTEM DESIGN • p\ - •' - `'ma FLOW ESTIMATE: •.P,� - - \ J_BEDROOMS AT 110 GAL/DAY/BEDROOM-B=GAL/DAY �- sca - • - ,6Jtp� ''a6 • .. - SEPTIC TANK: u s as mroM . 6�y.c0� urlLm cwsrsR `s --- - .` _- 550 GAL/DAY•L6 DAYS-B CAL OrsLLINO ra USE_L=_CALON SEPTIC TANK L.APt-. '----- `�''00 LEACHING AREA: ar USE 2 LEACH PITS(B z B)WITH B OF STONE PROPOSED DWELLING fib'EFFECTNE DIAMETER z 6'DEEP) SfDL AR8'A /d a 6 z P/=r76 sF (2S)-4f0 CAL/DAY `6 _- - .as BOTTOM AREA 7=7:of-154 SP (1D)- fse CAL/DAY . - THa-- TOTAL CAPACITY--52L GAL/DAY . - a' '► ''' - - ` BL z 2 PITS-d88 CAL/DAY - LANCASTEER w $ P1alPosaD eaLL' _ i. LO - WAYo SEPTIC SYSTEM SECTION rPEASTONE 09ATHMARr Af '• ' - `` ` `� - aLSVa RL • Bp 84 OF 31 98D COVERS WITHIN it WASHED STONE Or •UTILITT CIDSlrR be 70P OF FOUNDATION OF FINISHED GRADE a :p• - `\ �`76 1 9=0t PAVS P -74 1 ' a i �•78 tr1 . TO 89B /500 GAL ELEV. D-BOX c _ PRorosro rtu - '.� �'.. I ELEV. ' SEPTIC TANK 88 ELEV. Bes . lroT lD) el��,'�,'f,; 'wry ` / ELEV. TEE SIZES: ' INLET:6'UP.10"DOWN ELEV. to 76 •� `_Lp b1A•L.� (f/L DSR OUTLET:S UP.19'DOWN - ONE LEACH PIT(6'x O)WITH ,1V sa 7 •'. BASEMEN!) r OF STONE(fI'EFF.DIAM.x !DEEP)(H-20) i BREAKOUT CALC.,(89-68)/134 z 150-24P SITE AND SEWAGE PLAN XaY_ APPROVED BY: DATE: EXISTING CONTOUR: — -- LOCATIOM . PROPOSED CaNrwR LOT 9 LANCASTER WAY EXISTING SPOT ELEVATION: 25E ' PROPOSED SPOT,ELEVATION.-Z - WEST BARNSTAi2LiC.MA"` TEST HOLE: - UTILITY POLE.-0- PREPARED FOR AYDRAHTxb DM REEF REALTY RETAINING WALL: ® DSMA"ST-McLSLL/M sNOINaeRIMc SCALE, I -30 DATE: 3-18-95 e4 SCHOOL STREL7 PA BOX Lea DM 9s-dE7 WZST DSNNIS.MLSSACHUSLTTS 02070 THOMAS McLELLAN,P. JOXN Z.DEMAREST!R.P.L.S. REFERENCE.. PLAN BOOK OSI PAGE 96 E. • "�' ` The• Commonwealth of Atassachusetts Dc partinent of Industrial Accidents 61 _ i- _=1 0/1lceollm�es�lgatloas' i; 6011111tshington Street � t!�;p+• Bo son.Mass. 02111 Workers' Compensation Insurance.AMdavit PI-case 1'RiNT lely -- , Flica�ntormatio'n Incltion• Phone# 1 am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this jo�b-.. 12 m G e O atldr[sc �G fox �8 02Ci S-40o/ ,S�e-o(-- . [its•• �/,� s ><- Z)eh.V7 ;s r ffi/9- 6o2 G phone#.- <SCB , -9 6/-�30 9 d incur•tnce co nniiey# 1 am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who ha the following workers' compensation polices: c•Qm11111v n•tme• redress: city Rhone On 1: �::�i:— .'"`-:—.-• — •s....-vim.— -.LeS�+F +�- m �• e• address: city phone#: �L I I • curanceco, policy# CD OU C94����51 \4 :Attach additioeal'sheet if tieeessa -�* +^s ^`�'""'�"r""'rf '``•.., :"`''"^ .:`. failure to secure coverage as required under Section 3A of 111GL 152 can lead to the imposition of criminal penalties of a fine op to 51.500.00 and/or one),cars'imprisonment as well as civil penalties in the form of a STOP WORK ORDER soda fine of S100.00 a day against me. 1 understand thst a copy of this statement may be forwarded to the Offtee of Investigations of the DIA for coverage verification. !do hereby c •under t ,pains penaltles ojperjur}•that the information pm-ided above is true and cornet Sienature Print name one TOR, 3 9-Y&0 9 6 Fsponse do not write in this area to be completed by city or town official ptxmit/lieense q ntiuildiag Department (3Ueettsing Board response is required 05eieetmea's Office C311caitb Department phone#; MOther_� '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 emphtilee 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 : gal entity, or any two or more 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 d�veliin. house of another who employs persons to do maintenance, construction or repair work on such dwelling Irou or on the`rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 1'S2 section ''S also states that every state or local licensing agency shall withhold the issuance or renei�•al of a license or permit to operate a business or to construct buildings in tine common,%% tlr 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 h: been presented to the contracting authority. r+.��w y.ra. .l i�:: y.w r...'�� .'v_.!".l 14,Uw:�::::Y�►:r���t,'`.✓_".? -•• : ^y... .a. •. °• � _ �{)..:iT.•:�:•e.. ,, '�;,�.,it:.'.1�� '�:h_ _ ....�-• •`•�iY1' .ww.'wf.^.'.^t.:1V w:.a: v.r. �.•. •!. . 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 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. Tire 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. .•,mow..,w..•..a+•ew -s — ...•.r.:,;..:... .1+KLe:� "_. .f�j.`,y.. ' ;,�Y;>•. • � •. 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. Plez be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned t 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 question please do not hesitate to give us a call. s' ..� •• ��\ '.-�"'%""'..` _ _ .. '�_Z!:..�.:.(!_.r. .. -sws:r.tir.Maf..�f..ra- •c\..::�..' :\ -vr.: r.Y� 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 -. phone#: (617) 7274900 cat. 406, 409 or 375 I .I � i�fie�ammzovuaea� o�✓�zaouc«u�aeCla ' DBPARSHINT OF PUBLIC SAFETY CONSTR CTI08 SUPERVISOR LICENSE muderm-- Expires: $VBRETT N BOY JR to i86 DENNIS, NA 02670 Y ri 1 I 4 �.... 40a ippy EXT CQiLkt{tfC'. ;{ rPgi3tTdt14A FQI38A r r . 'PitlYAie CORRORAIION fz� ration ivlw9k REEF tREALb1l. IKI1EDti L F Danpzs 402blp t 1 fhlAY 29 '97 09:04AM REEF REALTY LTD P.2 ��v, :--ve ecr t ": : " �► .:r ce 6�w fir. ...:....,.. ._.._.....................—_...._._ r._._!!..__... ... .....r.................. i „6. ........ Is Y.r`r..�... r.. .oi QI- Ir r . ». �. . . ...........,.r.!.r._. .,,. ..r....r...••...•.........•.r 1 .rr1n.7.r w..1 +.ir"1•r rr•41»r,�rI111 L, •r .r» ,u r i urr ,. ........... I r••u I , ! ••�.0.r �r r4,4»rr...» ' _ .._ l°•r .................-. ba�Jf ......................... _» .. 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FACSML,E CONTROL SHEET DATE: 6._30 - 9'7 Tom: RECIPIENT: ATTENTION: u* FAX A S ,'DER: ,u�i f FAX TEL. #:_ 508-'�94-3090 RE: TOTAL PAGES:- INCLUDING THIS COVER SHEET MASSAGE; rye 24 School keet P.C. box 116 West Cenris, Massachusetts 02670 (506) 394.3090 MAY -10 '97 G_i8:18All REEF REi 4LTY L.TP P.2 LOUISIANA-PACIFIC COAPORATION ! WOOD-E DESIGN 97.1 COKFANY: SHEPLEY 14CQD BRODUCTS JOB ID: Lot 9 ""caster Drive, West Barnstable STATZ: ih CODE; BOCA PRODUCT; 2-PLY 1.750" X 14.000" GANG-LAM LVL 3100Fb 2.AE **WARNING- DO NOT USE THIS DESIGN AFTER: 1-31-99 Vain' YOUR INPUT TO AVOID DESIGN AND FABRICATION MISTAXES. YOU ARE SOLELY A&SPONSIBLE FOR ERRORS RESULTING FROM WRONG INPUT. THIS PROGRAM IS A DESIGN TOOT. ;OM SHOULD HE USED 61_TH EXTR]TV-2 CARE THAT INPUT UNIFORM ANM CONCENTRATED LOADS ARE ACCURATE IN MAGNITUDE AND LOCATION. IF YOU HAVE AM QUESTIONS OA MdSATAINTIES, PLEASE CONTACT LOVISIANA-PA`'TFICrS ENGINEERING 11.EPARTMEI T. THIS COMPONENT DESIGN I3 SPECIFICALLY FOR LOUIS:ANA-PACIFIC ENGINEERM WOOF PRODUCTS. USE OF THIS PROGPAM TO DESIGN ANTTKXbIG OTHER THAN GANG- LAM Lr L OR LPI-JOISTS I9 STRICTLY PROHIBITED. DESIGN CRITERIA FOR COMZNATION ROOF AND SLOOR BEAUst w.. w. .--------------v-------------------------- -LIVE DEAD SPAN ALLOWABLE ALLOWABLE (1-8F) (PSF) CF.ARIED LOADING INCP=t LL DZYLECT TL DETI,ECT �..d- -•--_ ------- ------- -------- ---------- -..--.....- PLOOR 3C 10 14.0001 SIDE L/360 L/240 ROOF 30 10 24.0001 TOP 15% FLOOR. $PAN CARRIED IS NOT CONTINUOUS. ROOF SPAN CARRIED 18 NOT CONT IMIUOVS. STAUCTURAL GEMMTRY ------------------ SPAN., 1 16.00 0° TOTAL SPAN! 16.00 FT C1NM CT I ON *+• ATTACH 2 BEM PLIES IFITH 3 ROWS OF 16d CCM0N NAXLS ON EACH FACE STAGGER= AT 12.00" C/C. f COMPRESSION EDGE BRACING REQUIRED AT 3" O.C. OR LESS. LOAD PATTERNS ------------- CASE $?AN SFIA E TYPE SOURCE Pal W2 X1 (FT) X2 (FT) +ALL l UNYF DEAD ROOF 120.0 PLF 0.000 16.000 +ALL 1 *UNIF DEAD FLOOR 84.0 PLF° O.000 16.000 +1'. 1 UNIF LIVE ROOF 360.0 PLF 0.000 16.000 +1 1 *UNIF LIFE FLOOR 210.0 PLF 0.000 I 67 80 66, 6Z ,taw 00/mi Leg aoN6 mom A31d3H5 666ESLLSOS MAY 30 '97 08:19AM REEF REALTY LTD .,. P.3 r 16.000 • INDICATES SIDE LCP,D. Ij4L)aCATE8 LOAD IS SMED OR SPAN CARRIED A.ND INPUT LIVE OR DFaP►D LOAD ?.S F. SECTION FORCES CASE MOMENT (FT-LBS) SFOM (LBS) . _.__ ___ _ 1 24001 eves StPPORT REACTIONS (L18S) -7-----------...i__------ CASE BRG#1 BRG*2 2'1 6192 6192 CASE BEARING SIZES (IN) ---------------- 1 3.00 3.00 LIVE LOAD DEFLECT TOTAL LORD DEFLECT CUE SPAN ACTUXi ALLOW. L/? ACTUAL ALLOW, L/7 le - -- 0:800 0.525 379 0.619 0.788 278 STRESS INDICES CASE msr V51 -------------- 1 0.722 0.560 SLENDERNESS RATIO = 4,00 LIMIT 10.0 i i 8b:8® Lee 6Z Au4j b0/£ed Leo QoNd aaam A3ld3HS 66LZ96680G tAOILawaftf Elf+ae.YidaK®alr IAA S"EPIEYWOOQ FRODU S _ h rRt t�fA1YABEE ' 2!1g�S t38 tE r GLA160" EFSS671 gi�07A t RNji�ggO1816� 8E1W[SCE9AQ WSISDV�DRRP 1 Coamm OOHSISrs eF I - Mies fkm;Y 6oLIVR �yrlygprdBCfiLlQRa6A68Q�A%1 6Qaile IWiC'S9Pa2A8EA5t&F NbPSITdOsACJI6Fllt C11l�tC11111Q1 TOCC�THm luf-a1 TO 7ttI m- $-OCR WAD LmD !G DSF F�RY�N718RMtAfEL�01IEGA'7�CIf�I6FDa�A —. ._ f14iaA�F+A9 tAAD - 10 P4P %VR(4trA1RMCFLC7VAkOE k=rM � 3�e1t�]oef�at&ir8l�assE�INaaaeainl FwrA lam.IAVW = 4.% PSF SZMATArIQIN;ffeM6llatQefiTi�r�.CtFl10 3 sjmwmcnanlERLAfWUWLWAW4UT2MT DIS'QOrEwl.tlt mkim wx-Z TOWSI Z IAEI® ram 'Po 140 Coon Wqa ad" = 30 PSF 1 7; 6SAl1PNAYSfd6�IGf�iBTIEQI�ffiON4��y -S'P-24-M Fr-tN-•SX 7OQ0=a e w loc" - 10 PSF n �81fEPR01�7AwAi1PrCrOIRHiE R: W--"= PAO4 LI!£ ;'+oP IBO PLY C�BO-4e 16'-0A-00 SODF vw" tag !0 a Ly !P'EaOY�DER@:�1l�IECTA� ONISLO�tMEE eatL9n8ad �7AOR (AN- spur 220-F&T Go-co-en tb-00-30 fl LAr SnSR91�f LwPom PROP awe 2'DY 920 PLF 00-40--ae Iri-ca-zo PQ=SPRIT CoRns0 - : _i:oll Fr I y(y.®Ot9lrrQrd,NDIOIIOIItORtI(�It6�ltlM- UNIT'"m SETA" 3m aIOB ea w_ww ao-U$-00 15.-anCO mw SPM m4ROW 24X6 Ff Ia eial9lnlRFd4Ri aaftlltoaRr/leT_ j • s 1R311i'rV'B1��ErJIDNECNrfmID �ulwmteSt _ - - - - .. •- - .._ _... _ :. . _. _....__ . -as�.-gaotl_c�s�sla!s- sooaivaeiE �sseowe'e�xs+ae� -¢�pd�eal7[�9NOai'AN®ilOQilAEl110PLY. w00a• .usearlaYl9tif#EmNiORAEARINROOfiItER TOE lIOi LIVE:m��C�[&: _; J60 I OD _ a7fl..fl9t[t6�1�%�s1�V_GYFeaeli4pm v+�ca�v_�_.�i+_ � (p e CAMBR.Ei'.+�.9�T v4 tat OR LcAb Wa: 3 •a•••t I 2) V- r".6RuML v0le�aRtE va9 PQaRliHIlNCF7r}E -© �1 • OA&VAM IVLBmtfralwR opC C"&x.Wc= = Ti 1_'�1riOWfM�Q.wPODTTO�PsE'� ITOAI�t EIfdOIVl�Ir@CTTOl1 IEflElAfl4fE F.80ECN Itse,pm r 3 /40HlMCEaF {19�'fliElrPIEEiFdtRlR901Jiit'9ONE6Ei5oGNE0 MCA 96-0 `� uaI eeR lw l►,rtE i OFE�A .Afi.till aID�i� r usk oum 93-OICPI �26a4NS1iVIlPHEGVHiC1HINN1EiOI u - CtiUUMCF11W FIJUE MRFyDA19pE:CN sa® MR :2198 m i� CORRIBIIFNU1SCNl wfi9a£S1mf7afeB[C1Afr E RLwtiE�llCi{K#iOF654daQOfQA6tINA t- Ic" 8322 T1 t----- - -- vtAYEVYCt4@� AR 611GItll tEJNeeNgF 6*4�es1� c.R- eeey Bsc PASS4socia t LOBb'►[OriOlANB6AEAl2RBE5iDA vr® CR6tIV,R 1$ laso 93001 m u 7-S Tli 3JOOQ1lm F4DORWEIQ/ 94MGTt tE40 WUX0M6 u.Y-cros B A 9--3 + R�ItOE�OF1CDe4alN6NP8DI(OCAIS�Y• d.Y.fJ'rr 475�►9:-9" ---I Cll� II518"a � � re+�sa� aet�Nrt&6�m�semer�ovioNimlatvatr r tfEEISC[sol4tssN[/FlI8®94aRBtYi►�dti7 RetatsESaTEt -� I�o�etgclavwec�ewtlseo tz) in RQ S02POBCT wAlC7--*5s {Issl: d O6Y6 FSr?.Rl.ti $ N�349EF O 1 G15Z 4192 ' O 3- . -. 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L��s _ C L I PARE , .. d, V + -). _Q AD ' NG D ASSUMED FROI! U I a ;' 1. VERTICAL DATUM[ , �( L ,,. , , P.E.` AN ,cLELL S �! V E. - ENGINEER THOIt'A `IS:.NOT A AIL BL 5. ". , 2. MUNICAPAL WATER A .m _. RF, ;' CURRENT ZONING. _: STEr1[. G HROUGHOUT SEPTIC SY WrTNESS. RY DUNNIN V I ETD BE USED T CK S. JER 3.:SCHEIXJLE 40 4 P C-P P _ LDING SETBA BUI . _T -20 • s- - - -1 &.H DATE. 93 0 CONFOR�[,WITH AASHT 0 H 0 N brf �� 4. ALL PRECAST UNITS T ,, C • J5t F. _ S. R 15' i5 „ - N MI I< . N & 6 N IN I, _ ., fiONRATE � 2 �! PERGOLA I ONS ,. _ aT .,� � LOADING 'SPECIFICATI ,, S - , Loco _ D OTHERWISE . C 4" PER FDOT UNLESS NOTE - 5. PIPE PITH 1 , ,: _ - � TH-2 � �_ ONE. TH; 1 0 Z F LO D o " 90 - AID LEVEL. :, _ OF;D BOX T 0 BE L aLay. ar. v. 6. FIRST 2' OF PIPE OUT o er, , T P TT op. _ ATE THE ; D 0 ACCO�[OD OT BEEN DESIGNS T SEPTIC,SYSTEl[ HAS. N , �', THE . -. BSOIL BSOIL SU : SU 88A 90" 24" ,DISPOSAL. ,, __ USE OF A GARBAGE. SI _ : . ,_'" LTY LTY SI., X YIN I T E_ CE 1PITH H� _ / E IN CONFORIIlAN . _ UCTION-DET.+fl'LS 'ARE TO B I -I ,�I 7- �,. -I�,,. :, Ems- 8. ALL'CONSTR xa Frxa,- FI 4 , D 4 s. CAL sAND' E F :AN DLO -_ ASS. ENVIRONMlENTAL CODE TITL IVE r _ f�'" 81A 84* .qzA tJ[ E OF is i _ _ , - ION dlAP HEALTH REGULATION S. LOCAT SIL ._ ;,. _ , ,; TY t RIOR ONS 0 .ALL UTI LITI ES P RAGTOR TD VERI FY LOCATI F . . 9. Cd NT - - arxa- ,. . LOT 9 r a _. F N , MEDIUM MEDIUM _ X' IN , S.1`'. z MI RUCTION. ,ao,446 _ / TO CONST 06 SAND _, `.SAND _ 070 AC S ION SO L CO DIT , 0 NSPECT AND CERTIFY SUITABLE I N 10. DESIGN ENGINEER T I C ION. , _ , PTH OF 4 .BELOW s'LEAGH PIT AT TI11[E OF CONSTRU CT ION.TO A`DE A 68" 85A ', D E UAL FLOIY NSURE LEVELNESS AN 11. D BOX TO BE (PATER TESTED TOE Q I , OM ' V BEEN I[ODIFLED FR 4 , 12. SEPTIC SYSTEM AND WELL LOCATIONS HA E fo _ ALTH ST LE HE _ ON FILE WITH:BARN AB . . ASTER PLAN'(REVISED,5 2 93 . 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DES( 1Y _ STEM_ , . , s .EPT LC .S'Y io4 � . S ,, - o ,..... r , • r - - 1. :I III - - p� '.. .,: h " "\ / e ... FLOW ESTIMATE , S r . 5 _ -, _ 1f0 GAL AY $ GAL DAY` BEDROOM( 550 D r , _ ., �;BEDROOMlS AT._�_r_r_ /� , .• f0 _ \ , -^ 0, \ PosaD f r PRO '�' SEPT C T ANK. �' D y '� � A+ 4' `_5 Ba R00 O DAaLLING 550 S 825 CAL z8' _ y l _ UTILITY cLtrsraR' � i GAL' DAY 15 DAY '1 _ _ r . .. - r \ GARAGE $ � U �' GALLON SEPTIC TANK d S �500 d+ .O I r d� �' S . i - _ d� _ ;: r r d � HING AREA. I / _. a d d - � LEAC '` -- \ _ 0 , oo ROPOSED Dil'ELLIN f ,. / STONE I' ; , � USE 2 LEACH`PITS (6 x,4) WITH 4 OF �+ / � \ `� II . .. / . +► _ / . \ , 9 .. R x 4 DEEP) /_/ r . _ . 14 EFFECTIVE DIAM[ETE .. .r / . , " . 98 98_ _ _ / r _ , ........ -- GAL DAY ' j. _ 96 _ - SIDE AREA 14x4xP1 - 176SF 1 _ _ 1 / 94 r / _ , _ 1 ' DAY/, .. _ GAL 1.0 154 i r BOTTOM! AREA. I 154 SF � ,: 2 w ti 9s 7`x7P 95 � ; o TH 1 :/ :. �:. b ,. of III _ GAL DAY / � CAPACITY s4 TOTAL �� _:: . _ ... �n.:-_. � ._ : _ _--.__��.___.______.. .. / 9�. _ �` , 7 Y� r - 94. S 1188 GAL ` DAY � ;,,sz x 2 PIT f0 , ,,. r w / :� osaD a , TER PROP „ LANCAS �- . : /, �+r7-� 71,E CT IO N" E "' { SECTION,�1V.[ S� 2 PEASTON c . 88 SE 'TIC S '' -WAY o / 1 0 8s i AT 'cByaRlr \ 1 2" , 84 OF 3 4 1 AN80La 82 W HIN 1z„� 'COVERS IT ONE `ELay. 9s.4 , , 99.0 `WASHED ST I i _ 6 DATION . . TOP OF,FOUN OF:FINISHED GRADE , 9z s , / �.. 78 , k' i i , , \ R _ST E i UTILITY CLU 9 , , 76 u 1.`.5 i , r , PA a r &I�Ga' 0 , 0 i i 72 i 70 ,, , 0 88 95.35 80 i 96.0 4 �.' EL i d _ . D _BOX i s8 ELEV 95.6 1500 f_ GAL . 2 es r . E EY. ,� L _. 9 5.1 _ 9 - ELEV 84.5 .. SEPTIC,TANK SOD HELL __. PROPO i S ; .•DEL EV. fo '. . ELEV• LOT . � , l 88.5 4 4 l SIZES:/ TEE r 0 82 i r . . EV. 14 t INLET. 6" UP f0" DOWN EL _1S+ s WIT- 6' x 4�) H r 9"<DOWN ONE LEACH PIT 7s -0UTLET. 6 UP, 1 ss a _. , , _ 20 0 STONE f4 EFF. BLA11l. x 4 DEEP H '. 74 2 i 7 134;x 150 4 AKOUT CALC. 89. 68 2 _ 70 BRE C � se / ss W , GE PL AN SL T E AND SE A _._ PROVED BY. DATE: AP K EY: 0 UR: LOCATI N EX(STING CONTO � A_ � NCAST ER Y• ROPOSED CONTOUR �- <. LOT 9 `LA - P .M , �� \ � � a e F� _ N. � II IO (STING`SP OT ELEVAT 25.5 E X �' .� s BLS, 11�f.,� W ST BARNST A _ .. 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OLE , ST H ,.. , , ; _ R.,, � REPARED FO _ , P UTILITY POLE -0- cam, . .. , CE LI H F F REALTY' . :, , ., D - RANT _HYD _ 30', 1" AT 1895_ _ aRIXc , j� SCALE. , D E 3 F _ ST-McLELLAN aNGINa ! DEYARE � ` C WALL. � . r NIN RETAI G . Rsar'P.O. ox . z4.SC800L ST BOOK 454 PACE 96 - REFERENCE. PLAN s ozs7o s art DENNIS YAS ACHUS lfaST , • S. ST T P.L . 1 28 97 : Z.'DE�YARE R REVISED 1{! 3 THO�CAS A�'cLELLAN, P.E.; JOHN , D #_ - . . . p g ,' ` 7 4 r '`..... .. G .. "1 1 d - .. :.p ,A ,. ,.. :.. :. :..-. 9,. .. .. ". n �p� 1 r- ----------, - "__�_I I I �___ __________,__________________________________,_,�_ _,"_ ___",-,_____-, , ,__..,-,---_, ___-__� -----"---____"____ ____.---"------_________ -.-,---____� II I I I :- I � � I I . I - I I I I I I � I , � - I . i I , I I i . I � I I I I I I I � I I I � I I I I 1, . I. I I i � I I I I , I . I , I I I I I . I 1. I I I I I I I � I I1 . � I � I I � I I I I - I ; I I -, I - I - � � I I , .I '. 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