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Home My WebLink About0068 LOMBARD AVENUE 1 1 4 d NO. 152 1/3 ORA a o 0 - - - -- - -- - --- n i i De, w 1 1 } ----------------- covers s.h.-4o Pv pipe pith V4*P 3 K. washed - ,X q. m. in,a/. m C3 Cm septic 1F=1 mv.e. �00 WE I-Ldiet el. —I,- v'-6/. C/C' h�/a ,F,r,S;r.W64L not to scale- S.19- 71/7LE. SlGwA-1 ZD A 7-19 .NUMBER o,- aaoRooms : 7- 4-0 G m C�'4- &ARSAGE OISPOSAL U'v/r: TEST oA're: \� I /' TOTAL E-ST/MATaO F W17-AJC-3SE-0 a,,,: 7- M I A1.1iAla' N GAL./DAY R--Q- SEPTIC 7AAJ,',-' CAPACITY: 6C 0 GAL. HOLE e ACTUAL SEPTIC 7-AAJAe SIZE: GAL. CE-Ar-HIAJG AREA R UTS: .oA'.4 SIDC-4VALL �yb z GAL. eh 2L +aorTor,? v9- TOTAL LEACHING CAPACITY YS.O;CW. 7Z)I- GAL. is ",jai RESEP-VC- 1---ACHIAIG CAPACITY GAL ✓ 'Oy AJ 0 7-a-S ezl ALL WoIekMAvSH1P AND ^lA'rl=,e/,qLS 4, SHALL CO.4JF-oe^l To O.E.P. T'q /7 ,"/3 AND THE ,7-o1,VAJ OF eUL--S ,ANO RC-GULq7'IOAJS FOR '.9 SANITARY S--WA G r, SUP-:�U;'E�-ACE DISPOSAL, OF 1 1-4i i \i. y .. — - - WITH 20AIIAJ43 RC-GuLIR-r/o"S 4BE- 8,rl &L//LOjAjG 3q.5, 3) C-XIS7/AJG AND FINAL GRADES SHALL 4ell.TC1?- P6-A1AJ C-SSr.AJTIALL,' THE SAME. /73., qIpROV&C: OFH4=,q L7 EO /,g AGaAJ7- SATE- Pe—I'qAJ of )c: R 0 P 0 3 C—D r—oAj s7-h--uc-rlc)Al /7 8 4c>cAT-/oAj: V 6" 4 1 A, 7C- PLAN eE-F--,e&AJCE-: I" scale: 1, .20* ReptgRaD FOP-: A�71AJ s: $C Iq 4.4E- DATE 71 -Ayp. d%isfipq sp.* efew < 0.0 So re ve-e-^J4 7-1re-T M. q-rloAj 1�1AP testZle. location r Town of,B_ar.,i.stable L;�:� l`ibIABLE �p THE 1p� ti Regulatory Services Thomas3A! eilef;Directpx 2 S 1ARNSrABM 9q, MASS. .`0� Building Division 1 Tom Perry;Building-Commissioner 200 Main Street, CHya�iinis,(MA 02601 Office: 508-862-4038 Fax: 508-790-6230 81r��c� PERMIT# ?07YE FEE: $ SHED REGISTRATION 120 square feet or less �� v Lorin 'Rr,(Lp A ,-I- vJ A-(?LPL Location of shed(address) Village. laA(Z-0 Nb 36E- 37S -� oa2 Property owner's name Telephone number Size of Shed Map/Parcel# 1J ►� v- 6-o 3 Signature Date Hyannis Main Street Waterfront Historic District? N Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 f „`�i 25 ''i10: 49 Application to } I ®1b Rtn i:mlt)LQE . in the Town of Barnstable CERTIFICATE OF APPROPRIATENESS ation is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Section :hapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described.below and on plans, igs, or photographs accompanying this application for. 'K CATEGORIES THAT APPLY: :erior building construction: ❑ u New ❑ ❑ Addition ❑ ❑ Alteration .icate type of building: House Garage Commercial Other _<> WiX, d tenor Painting: ❑ ins or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repalnbng Existing Sign ucture: ❑ Fence ❑ Wail ❑ Flagpole ❑Other ? OR PRINT LEGIBLY: DATE 9)0-3 ,ESS OF PROPOSED WORK 69 �owibw_d dwo ASSESSOR'S MAP NO. ER A. ASSESSOR'S LOT NO. /6 ADDRESS 4 27 A u-K pard fie• LJ.0_1 4 841AS T. TELEPHONE NO. _ -0 F 0719 7 NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any street or way. (Attach additional sheet if necessary.) r � Pa.w%Ja V3V.&W-1 �d j•c+.��jw..c� AvC Sob-3sZ _ �y�iT e-1.4 1t.,^ 1S Low �g*,d b It, It- �*vd 4T OR CONTRACTOR TELEPHONE NO. 5-07•371 -Oq4-1 ZESS As cawnx"IV !_Z&(.F 'PRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please le locations of proposed signs. W�Pcl . hrd l 2)e 10 � ,',ral. 6L 4Ji ,v�/S. j 17oor sky I,, ,+r. CeJ141- 4 G✓K% 41'gned OwnerZontract Agent ;ommittee Use Only This Certificate is hereby Date Approv enied Committ embers' Signatures: I Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET MAT I ON a4 ING TYPE ��►KiG COLOR C�r��/ 1 r i wL C ✓'s �IEY TYPE /`-� COLOR F MATERIAL, �r�� COLOR_ CH DOWS Vl Ty 1 G� COLOR SIZE Y M COLOR ✓ 1G�'"h 27v'r�yi►/ .r,.��, �, RS 1(}a Jy' COLORS 7TERS COLORS 'TERS M/ COLORS :KS A1/4 MATERIALS AGE DOORS �/A COLORS .'LIGHTS- r9 • � SIZE COLORS rAwl'% ;NS 4A COLORS ICE AJ A COLOR gi Fill out completely, including measurements and materials/colors to be used. Your copies of this cove r 3 Ir oF sch 40 PVC- -a sLal �3X.Pitch '14*Psl ps.sfon& fact 4 Ih Pi, 0? win,a/, a C3 Cm C, septic 1�14 .:_.sue:''-'., W40 diet. bolt 71.61e eJev boo.-t!211)rla ele.• 33.7 ,F,r,_sr.w6lL not to sca/e. Io 7Y 74 Axel? OE S G AJ 0 A 7-lR ra S-r G f04 GARBAGE Ot&pOZA& Lw/r: rasr OAT&: Ra 197 ry &8rjmAri5o A//rAlease0olsy: V. _jo GAL./So peacoLATt m SATE: _IDAle. 6AL-10A CAPACJT C HOLE RE R&a SEPTIC rAAJM- *Y': AL. HOL a e-0 , ACTUAL SePric TANK. S12CE: lZraC GAL, al &0LOA A— ! t_� _A., U, t_&AC-NMJG A &A R i4sAjr3: ACA +aarro^.? 11 GAL I-zt slor.WALL .171,11e,We v9a TOTAL LEACHING CAPACITY' 4,0u. ;Z;f S" GAL. RaSsmve L&ACHIMS CAPACITY oAI GAL. A Ajora s ALL WORKMANSHIP AdVO MA76AIALS PS »sT SHALL C0VFoQ1 ToO.E.P..e.P. r S /3V AJO THE —O"V OF fWIPASTALE _,J0 RULES .ANO RSGuLATIOMS FO.Q vIf 7 Su85IwJeFACr= DISPOSAL. OF SqAjtrARr SSWAGO. Pjl'rH zowmo e&GULATJ0A1S SHALL a& oergoes"woo Sly- ScI14LotAiG 3) rxlsrlAJG AA/0 FINAL GRA04ES SHALL _,VO dfF.C.V-:J 4,14 77de a' P-SMAIAJ &SsawriALL1,1 THE SAME. APPROVEO: — 80. OF HEALTH 60,42 ^'44 ve- 1 /9 AG--A/r ;P S/7C— PLAN of PROPOSE-0 C0AJS7ARUC7-10A.1 fR,97PAJ ReF&RE-AJC&: 4-1325- S/7-C— )=LAAJ -,e sPAe a 0 FOe SCALE ' /x7TBL' oAre: ILYo des'ars" spot afav a _e, -10 aoreve 1-o4 aslaNnq *Pat Slay. ur Proptcttphe loc 51*e V, /46 r '•';`<' t;rft -..r..i:�k., `- " h•rat:.y��,{::}�.7.�'�4h v, c`l {,•/3•�+: q�. r.�§y�,y. ��'"�'`� rJ, S 1'�J� r,, \ �`�•+ � r�z -, Y �,`P't li r k� -'''�dxb` `.'r•c�,r}x yz F+�\+��'�� v44 IN �., � �;�:, •s'?:;k '<:.Yt',�,isi': .:&� *yy_:°?7�,fi K:�tii. l"*,:,,,:�..5"?+,`.?�C. 'a_",* F UV nY,,. �3••.- .::L.. ,Y,: i;S .cri:?- ,,.�'.9'C C �g.T,y y 1. ,v%: r. [�/M�1� K� t�'•',`t{�, _.4.e F;:`.:•k.,:;e•,r•.�!'•?�"`:,.:'..�:� .f.�'!:. i�;, tj;:'.�' S ¢,C r� %1 '`::, pelt.' iy", „ I``N <�.:.lF'.a: :•_ i�.;):=Y: :::iq`;:." C•.:,., y,: 7:Y^b 6F►!tl `.� /�' I`� :.e•`. si -°�`S�� :r:?�'lj�..r',,',�3,•s_.�.�,i��Sr�\r'C:> ��i$1�'": `':_if'f`'j �r}??`)4�.t.-r .. „ Yl. '�S w.�•'"' 1;•'? 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Y�;- _��,J:�`�� .��.f �Y T� s ,1 �p��E Y _ .�' a \ •f ��-\ tYr aJt'h .r!•' :}:d_� ti.r.s�' -r\',:''C? .. ;d::.e::k•"".:. ::3t.�' r�F;", : ^G s.. s - - .. - r}:?.,3�'f..��f;•t`�a s. Y,t 3 '�3, { .r A ;,'1^„l It c. 1"Virg" '�:'I<• �:A�, c .S'-.,. - � P SCt�'':��•.�� '.1R13��_�'vt�':: ..1`7i}^T�, K'�83'• - —..�cra.nv:.us:', :ki?, .:.- ,.au�•ritti ..a:�E'�'•,:.. ... ... ....: ..,. i _ `Brockway-Smith ,,�y 0- Servingving Greater Northeast Architects since David A. Sjostedt 146 DASCOMB ROAD ARCHITECTURAL REPRESENTATIVE Offices and Exhibit Areas (Route 93-Exit 42) 75 OLD BROADWAY ANDOVER,MA 01810 1.800-225-7912 NORTH MAVEN,CT 06473 '• L COMMERCIAL RESIDENTIAL DATE JOB 1i ^r � _ a -_.. C/\ 4 S X A __. ._.. w6ai4.611..10. serve.you.avilli. J3uo�y_el_.J Aces,. .. li ado.a. 17el..allny..ano� csp.ec rillrr ENTRY DOOR SYSTEM Andersen "Rain Sensitized" Wood and Steel Automatic Closing Brockway-Smith Company Serving Greater Northeast Architects since El David A. Sjostedt r7-1 146 DASCOMB ROAD ARCHITECTURAL REPRESENTATIVE Offices and Exhibit Areas _ ANDOVER,MA101810 1.800-225.7912 NORTH HAVEN,CT 06473 L i COMMERCIAL - RESIDENTIAL DATE JOB r1 0 CA i .Ito\31P !. \Q/ e .Ap.ailirbk .lo serve you.rmil i. ./`13t 0(9el ..J rice: �in.ofow. .17elailny;.and.c�p,ec P)riliny. ENTRY DOOR SYSTEM Andersen "Rain Sensitized" Wood and Steel Automatic Closing BroCkway-Smith Company Serving Greater Northeast Architects since David A. Sjostedt 146 DASCOMB ROAD ARCHITECTURAL REPRESENTATIVE Offices and Exhibit Areas (Route 93-Exit 42) 75 OLD BROADWAY ANDOVER,MA 01810 1-800-225-7912 NORTH HAVEN,CT 08473 •, COMMERCIAL - RESIDENTIAL - DATE JOB S F T ;. . o :/`�, l 6le .lo. serue...you_�illi._J3uuyel .J rces,.._. fno�ou .97elai�ny ano�..c�p.ec �riliny :. i ENTRY DOOR SYSTEM Andersen "Rain Sensitized" 1.0111ML- Wood and Steel Automatic Closing i Brockway-Smith Company LLA R �- Serving Greater Northeast Architects since David A. Sjostedt 146 DASCOMB ROAD ARCHITECTURAL REPRESENTATIVE O/iices and Exhibit Areas -` " (Route 93•Exit 42) 75 OLD BROADWAY ANDOVER,MA 01810 1•800-225-7912 NORTH HAVEN,CT 06473 - L COMMERCIAL RESIDENTIAL DATE JOB ti _ W 40 _ K C. ;ji s. a . :.. 0 A— a - �-- . x � . to serve.you. mA.. -7/do6e*1 2-r e', ..Mno(oiu 17.e�aifin9 .acid 6,pe.c rifin9 ;... ENTRY DOOR SYSTEM Andersen "Rain Sensitized" Wood and Steel Automatic Closing , TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 155 016 GEOBASE ID 8850 ADDRESS 68 LOMBARD AVE/ST PHONE W BARNSTABLE ZIP - LOT BLOCK LOT SIZE j DBA DEVELOPMENT DISTRICT WB PERMIT 37286 DESCRIPTION NEW 3-BEDROOM SINGLE-FAMILY HOME PMT 032346 IPERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: PROPERTY OWNER Department of Health, Safety and Environmental Services TOTAL FEES: BOND $_00 CONSTRUCTION COSTS $.00 j 756 CERTIFICATE OF OCCUPANCY j + URNSfABLE, • MASS. ED MA'S � BUILDI I IOv, BY DATE ISSUED 03/24/1999 -EXPIRATION DATE TOWN OF BARNSTABLE TEMPORAY CERTIFICATE OF OCCUPANCY PARCEL ID 155 016 GEOBASE ID 8850 ADDRESS 68 LOMBARD AVE/ST PHONE W BARNSTABLE ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 37286 DESCRIPTION TEMPORARY 30 DAY CERTIFICATE OF OCCUPANCY PERMIT TYPE BTCOO TITLE TEMP. OCCUPANCY PERMIT CONTRACTORS: PROPERTY OWNER Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: �Im BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY * L►RN3I'ABLE. •' or MAS& cd 0 -I q-Cut A 57 BUIL tNDI N BY DATE ISSUED 03/24/1999 - EXPIRATION DATE -- -------------------- --- ---------------- f Department of Health, Safety and Environmental Services INE I BARNSfABLF, �J MA83. BUILDING DIVISION j BY - THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROMTHE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: 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 gNICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. 0 MOM, V I BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 I � I 2 2 r, 2cfG!i /a 4 c- 3 1 EATING INSPECTION APPROVALS ENGINEERING DEPARTMENT C( C'Al 2 /'6r^ BOARD 0 fEALJ OTHER: �� / SITE ELAN REVIEW APPRO At i IZt A NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS tiASAPPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX. CARD CAN BE ARRANGED FOR BY OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA: c s« ' NOTED ABOVE. '" — TION. wry ti • BUILD -ING 1 y PERMIT. , F� • t . i vl . ��4-c�.ni S i A-£S L�, �A• d Z-to b Q i s ' - - OWN OF-_BARNSTABLE - EMPORA CERTIFICATE OF OCCUPANCY I PARCEL ID 155 016 GEOBASE ID 8850 I ADDRESS 68 LOMBARD AVE/ST PHONE W BARNSTABLE , ZIP - I LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 37286 DESCRIPTION TEMPORARY 30 DAY CERTIFICATE OF OCCUPANCY PERMIT TYPE BTCOO TITLE TEMP. OCCUPANCY PERMIT CONTRACTORS: PROPERTY OWNER Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 ` CONSTRUCTION COSTS $.00 i 756 CERTIFICATE OF OCCUPANCY * BARNSTABLE, • MASS. �1639. A�O� ED MA'S �; ,.-..--'�-...•-�...._ ; BUI&IN DID N BY DATE ISSUED 03/24/1999 EXPIRATION DATE _ TOWN OF BARNSTA13LE • EMPORAY)CERTIFICATE OF OCCUPANCY PARCEL ID 155 016 ``-�"""�CEOBASE ID 0850 ADDRESS 68 LOMBARD AVE/ST PHONE W BARNSTABLE LIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT -37286 DESCRIPTION TEMPORARY 30 DAY CERTIFICATE- OF OCCUPANCY PERMIT TYPE _13TCOO TITLE TEMP. OCCUPANCY PERMIT CONTRACTORS: PROPERTY OWNER Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: IME BOND $.00 t CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY aAnrrsz'ABi.E, ; MASS. 0g9. �►�� ` _ BUIL INS DIV BY 1 DATE ISSUED 03/24/1999 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROMTHE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY,APPLICABLE SUBDIVISION_RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDING PERMIT �^.+-+s^�r�^-i`^'�'"'+.�%^a:+,.-+...r.r.._..,. ..+.+1"t.-l .,-.:y.r....r'�r'«y- tx:�....°.F.- � �,•'�, ..,..s•--7..�-�...r�.'...ti�'-w .T-r�r�r�nti,,,�P- . ....'1.,�� .�"'1.. IKE F. The Town of Barnstable "RNSTABLE. Department of Health Safety and Environmental Services Eo 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 T Location Permit Number a Owner Builder h--Q-A One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: r 20 %N>ctw UI Fw'-c ekTz-V #9 0 6Yt 0 i2. 0 6 c.v NS -17b i e c4j, 1\4 v 5,T pawn (�T�u2S i W-rV Please call: 508-790-6227 for re-inspection. Inspected by V, S-rpsu S Date ' 7-4' ._.,-•....:�`i+-z-�:,;H-,.:ti..c•�ar�.,Y-:.�'•�F,w.'.�.F..n.,..,...,-:��„_..+v.;'�W,.,.r-+-.- ..,..,•. -.....--r•--,Y..;;.+.•,,..-...,Y...w'i't•,..a'�'6�'M4r�...1„va[S„9•s..,,n,.,'*.,r.- .+ .. _-. tHE The Town of Barnstable r' BARNSTABLE. Department of Health Safety and Environmental Services MASS. g. t679 �0 �Fo ru•+° 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 j. Location �p � i3-A�!'C.�l Permit Number 3 2,3 Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: ---2> cef(A rtli I :t fir"•gyp' Please call: 508-790-6227 for-,re-inspection. i; Inspected by Date t i��lillllllilli m gym::: IIIIIII�Iilllll � �� m loll MIS m IIIIIIIIII m m is 111111�1 �Ililir 11� I � loom MIMS 1�.. ii... uunml m � . _ - IIIIIIIIillll ! , mmom v... - IIIIII�ilillll 111111�1 � i ! hill I ' Illlllml �Illllm _ Now w�MM "Mmm sagas �uuunuu• 1 , , '- i PR'M E HARDING RESIDENCE HOMES P.O. BOX I UASHPEL UL 02640 (WS) 477-4444 ........ ............. VS-306 VS-306 KrTCHE"CASEMENT BOXED OUT W.C.SHNGLESJ 24x24 PrW SKBUIKNEAD a - Effl W.C.SPAN=D REAR ELEVATION $CALL'N.T.S. t - d n I ' E E � a V 4` c f:. s a n ® WE m Y � x a b � V � d E EC-o4 I 72•d a'd IS 9'd(CROP IQ) 9'd(fMO� IQ) 1 3•-6 O 1 I t I I i I t I I I I 1 I 1 1 I I I I n I I i 1 1 J I 1 I I I J I I I v I I t 1 t 1 I I I I 1 I I 1 I I I 1 I I I I I 1 I J I ^q I I 1 I � g 1 L--__-- -----� L---------------) ---------� I 1 if----trd --- - -- SUMOelu�lo�! I g 1 - I 1 I --- i I 1 I I I I 1 , 1 ta•d(It 3/4. DROP) c a -1 `----------------- CO al I q I 1 � g vg 1 a I k i i p� g I A r -I ! 1 � I L• —J �� 1 1 n t I o I � I 1 � , ►1�1 1 ; L1-J i w q a 'L 1 o x H �—JL I 1 t q I I I ! t17 , t a t 1 (n _- ------ - ---- ---------------- --- - r---------- --------------------------- I C=J wr NO. OP-M err: L IWR ZZ m: WE WIL E.199E rd T-6 23•-0' I s'd a•-f SCA L.Kt.S. J'-----14-Q(11 1/4'CROP) c PRIMEHARDING RESIDENCE # N HOMES P.O. BOX 1 YA82PE6, NA.•02649 (506) 477-44" 9 a J/-Cr -te• a• 22'-0' 12'-0' D'-7 9'-0' Y-1• -- r_--I r---1 r "1 _ �L I I I I I I - IVS-305 1 Ivs-3061 Ivs-300I W ' DR. SKv130NT1 ISKrLICNTI ISIhLICNTI I I (14. 12) . .. I 1 1 ---- L J L J L WOOD ------ - I.a--- . BEA11S LEVEL CLc. 59T/ 0 S ti La =C O 3 O 00 KITCHEN BREAKFAST a/B r,C.SNEETAOCK O WALL 6 COUNO CLOSET TLINEN CLOSET REDO it h V b F ON CARAC 31-0 C.O. J-0' C.O. 13'-a' J " 1 h L 7i D/NINC RM. IVING RM. UP F12U7,\�—j YEB --Il 6'-C a'-Ir 6'-Y 2'-K 1'-Ir L 6'-0' 3'-P 3•-fl-�—3'-6' 3'-4 6•-0 /•-0' 22'-0' 13'-1' 7'-1' 13•-! 31-(l L+ FIRST FLOOR PLAN SCALE:N.T.S. e-c f FWCC .1 4 I 8 0 V-0 3'd L£ T 16 Sd r-r 6•-! 4 � 13 � Y 4 - J '9 _J P 1 Q qll 1 R rK-1a� I i I yrnKWT. 4 0'; L- s K-104 cn °T i QASEf I . 4 C I 0 r-c r-c r-r r-r n� I y z . H. r� 1r-s e•-iQ tzj z r� .QT 110. Xt"MBY: a.Kqff NCCKM m: BITE' W L a Im ruc•11.TS PRIMEHARDING RESIDENCE .. smcwrt w HOMES � b , P.O. BOX I YAWEL. NA. 02640 (008) /77-"44 2.10 RIDGE 1/r PLYWOOD 2.I PArrats 2XS RAFTERS :.i caAAR Tus 12 �e ' R30 wsut. R}0 01SU1. Us dorm 1.31/ STRAPPINo TOP OF PUTS r SNEETROCN _Q 2.10 RAFTERS \ S h F 1 e ]/P TWC PLYWOOD 2XIQJOISTS TOP OF weFlnoR ..e ewa f2> TOP OF PLATE b F 2.4 STUDS MITI1 ri R13INSM b q J/P TMO PLYWOOD SAP rkf.PLYWOOD 2.10 JOISTS 2X10JOIST3 TOP or wBROOR (4)2X18 GIRDERS e' COW-MD.MALL P TH"CONC.SUB CROSS SECTION A-A SLALL•N.M PRIMEHARDING RESIDENCE >H« HOMES P.O. sox I HA3:-3, A8zz, ILA. 02640 (600) 677-uu 3 y =. RAFM '10p Rlxc PLYWOOD 12 �e 21.6'6 eC.LoO..401M R70 INSUI b T00 PLATE 1%Y ax a 12 AIJ INSM " b i n o c 72X TeC P,,,,OcRI9 INSUL IX10JOISTS TOP 0/SUB FLOOR 6/e' SN(ETROCI( 2.4 SNOS DADA 3 P Two(CONC. SLAB MTN O 6•.1r.10' M.Y.I. I G TOP OF FOUNDATION-� i CROS4 S CTrnN g g SDAILt N.T,S. ►: T e TO 1.1 Of Barnstable JV0JA .�' Department of He.-Alth Safety and Envi>ronrtae®era0 Services r:'s Building Division ' -- lion •5 367 Main Street,Hyawtis MA 02601 Office: 508-790-6227 �. Far: 503-790-6230 Ralph Crossen Building Commissioner May 28� 1997 °s TO WHOM IT MAY BE CONCERKEU: m Based on Attorney Dubin'sletter of May 22, 1997,the lot at 68 t_ombard Avenue, is buildable V from a zoning standpoint. sr - Sincerely, , Ralph Crossen . Building Commissionerol RC.lb n; • - `�yn rd IJ7—!F{'�—�S�I�,• •� ��EF+,7 P-( i=�r�s-i :tt�l�„-ter�tl_i:�t��r 1 yt�� 1 tS'�'� j�' td(�,i{�t" yi r'i3 i ,'..... r � j! r I � 't'1• E`.rL,�. t � �t t t l t• � i t _ QuaVa't �„�. �`..-.- ___�.___._._..,_.....�._.._._'__.._.. . �_.�_..�------..—•-......�;`...� Tax iDjSocial Security#'W.... Iaat:lcrS ';� Mi+lit alit'( �'?C 'c ,tl .�2 t r3 rJ r �� 1' 1f n%G S S}nplo D U tiS D—l S 0 S , Divorced Address 1-�LI') {`tempts A �'-� Syou �1�, ��(A 1'r1 u�f��.� 4h rrJa �la��L �til� f�A b 6►1 IStroat and Numb.rl ----- (city) (county) (&total S ITp) Mine: (,C oy) � `t`t ;r- ;_ �� tax, ( } s ni, -- ()ccupatiori or Business HoVr long so engaged? Prevlovs Sivety Yas No {� If yea,give nom. Complete Name and Addro"or Obligee 4_a l-- �r 3E ^� S}- \ - — � 1, -_..,.-�--- e�-.� Type of Bond STREET PE8MIT BONG _— Mtnunt of Bnnd $ Sous, f ffectly®•Date The Principal has made application for a license or permit to the Obligee for the purpose of opening and/or occupVing a public way located at: o fy.b Aec,�, AaC iCt,-nor 1,� Cz� od 6:o INDEMNITY The undersigned applicant and Ind6mNtoro her±by roquott Vwe4 Cavelty end Svroty Company(the'Company*)to become surety for the abase bond. The un4erei0:red Nt by Certify the truth ~ at all stetomonta in the epWicotion.tatthoR:a the Comaarty to verity thfo kofenatim and to obtain oddaionv Inrorm0(lon from any pekoes,and Jointly oral teveroily agree: t1) To pay the voual promivma.Including ronawai pram!uma, (21 To completely INDEMNIFY the Compmty from and e.?alntt any lioOl;y,lose.coat,atto(ney'•ftaa arM eypanaee whatsoever which the Company al-.01 at erry time svatelr,oa nwaty or by reason of having been out ety on this bond or srry other bond lamed for applicant,of for the onfoecem6nt or No oyreoment, ill vpen((sera d by the Cornp.ny far any r afton whataoa,nar,to 46poait tt%rem funds with the Company In an•mount tuflleknt to antler•/any claim ralrnt the Company by roman of such surety►hip. (4) That the Company ohNi hevo rho right to h*Mte or•ettte arty cider or suit In good faith. A.Itemized statement of lose and wtoonae Incurred by the Company,•wom to by an offitet of the " Company,•hall be prim.ratio svidenee of the fact ante oxtom of the liability of the W40,elgnod to the Company. 10i That the Company may decline to become surety on any bond sM may cancel or emend any bond without ceueo a4 wlth*w any Ilabillty which might*,I**thaofrom, 16) That the Company Moll,wifAovt rotlq,hevo the fight to&her the penalty,terma,and cantditions of•.ny bond icn-1 for under ''nod,and tHv eUr@am—t shall apply to any ouch altered bond, (7) That if a contract or per!ormanca bmd is Itatred ore:*tender,the utderaloned hereby anion to the Company any menlas now due or hereafter becoming duo unde,the centroet, Including all deterred poyrnonto 4n4 r*taln ocl peroonts".pt+rpffee,took,plenta,equipment and materials due or used an the contract, and (S; That th%o bldertsNry may be eoneoled 4a to ovbaoquent tiabflity by an htdamnitor upon written notion to the Company at its evocutive offir-ee.- 170 Milk Streit,6oston, MA 021109;affective y Tan(10)da after th.awiteat dote thereafter upeft which the Company could have eenc:0d sit bonds In fore*fot•ppticant. Signed this _�� ,J• day of Insurance Agent_ M� •\t- L tj ,z- Address Qax_-fS3C, W.'�Q! trr3� n� G�V3 Phone �IS�fit_ _- Note: Personal Indernnimrs e-hould sign the'r names and add the word'Indemnitor' I In their own handwriting. --- 170 MILK STREI f, BOSTON, MA 02109 TEL: (617)642-3232 FAX: (617)542.3545 . V TOTAL P.01 7 ,lI 1 r / � • _ � • "flak, • TOW -OF RknwsTABLE BUILD=_ G DEP T• HOMEOWNER LICENSE EXEMPTION Man Pgiit. ley 'OB. LOCWTON V,"P. A0,W44Rp Number Street address Section of town S® c �4N w Ns -. Some phone Mor1c pheme REST MAX,L ING A"ajjt.:: v Alq ItIO)e State current exemption for 4hoimeowaners 0 was exte11inded to include owner,aacsc: 'It—nefs df sine units 'or -Less and to allow such homeowners to engage an it for hire who does not possess a license, Provided that the owner .Z as supervisor. _ 11NITION ®r E O ERA 'son(sT who owns a, Parcel of land On which he/she r®sides or intends to z:a, on which there is, or is intended to be, a one or two family dweliine zclhed or detached structx es accessary to such use and/car farm structure erson who Constructs Mora than one home in a two-gear period sihall, not b *idered a homeowner. . Such Rhomeowner" . shall submit to the Building Of4:. a farm acceptable to _"the Building Official, that he/she shall be resoons all such wor#c performed under the building Hermit. (Section log . 1. 1) undersigned !h meowner" asses responsibility for Compliance with the Lding Code And other applicable codes, by-laws , rules and requlat.ions. u.-ndersigned mhomeownern Certifies that he/she understands the,Town of 'stable Building Departiment minimum inspeezi®n procedures and requireme:z"A that he/she will comply with said procedures and requirements. OWNER'S S I ATURE .OVA OF BUILDING OFrICIAL free f&Miiy dw4l,lings 35 , 000 cubic feet, orInrger, will be required 01'aP .y with State Building Cade sect-ion 127. 0, C: trvcction Control. ROME OWNER'S EXEMPTION e-- --- •ram- Me code state thatn 'Any Rome Owner performing work for which � build{ ?eft is required shall be ax pt ' fra= the provisions of this section `Sect,i®n 1 m Licensing of Construction Supervisors) t pr' ovided that ®nee Owner 4mgages a person (a) for hire to do such work, that such Home 1 lhall act as, supervisor. r [any some QOwnars who use this exemption are unaware that they are asium•i: he responsibilities, of. a Supervisor (see Appendix Q. Rules and Regulatic or . lic s ` obstiiktidn' �uperVi8ors, Section 2e IS)� '/ Vh' `hck of awa= ften results in serious probYems, particularly when the Rome -owner hiras ralicansied persons. Yn this Case our Board cannot proceed against the nlicensed iYarson a� ,it, e�aul.d ye a bioensed upe isor.a The ,Hom- ownier' a S superviaar is 'u1tirikie2,y tnsponsible. r. onznSe that the 80me OwAer is fully aware of his/]Rer responsibilities , :-muzlities require, as Pari of/' e'.Permi;ti"&pPIiAta on, that the Rome own, ztify that he/she understands the responsibilities of a supervisor, on 'st pa9d Ag -this-,4ssue is a fo= currently used by several towns.- lou M;. ire to mend and adopt such a. fo=/dert.ification for use in ,your co=unii i i I i r * M d ik� ry I. . _ -.•} r*'da4w'�i+.�.' �'s�r'.°� � - ' tom' -- "/ n ? o -= Agineering Dept.(3rd floor) Map /, �S` Parcel ' �� Permit# a 3 q House# to ssue 4'Y �V1, I E Board of Health,(3rd floor)(8:15 -9:30/1:00-� -"'tP`y`Z T"� ee II�ST4LLED IN GOMPLIANCa Wonservation Office(4th floor)(8:30-9:30/1:00-2:00) �� °�� n" WITH TITLE 5 ENVIRO ENTAL CODE r Planning Dept. (1st floor/School Admin. Bldg.) 'I' d� � ®f L;I AOL Definitive Plan Approved by Planning Board N6 Record of 19 DM pERVISE S�bdl'v�s�0� DESIGNING ENGIN I TION AND WRITING TOWN OF�BARNSTA- Vim+ WAS IN 1M STRICT BuildingPerm PP, it A l lication CCORDANCE TO PLAN. _ , ri Project Street Address L0 Village vY • 6 A-f,N S T Ar0 t✓L rm K. s Owner P,N + A-"N ti N A-I✓p - Address IN '1 ri u, rr\pj-, rl' S T- SO Telephone 3 9`1 3 o S I,- Permit Request N iArJ First Floor l t 1 1, square feet Second Floor square feet Construction Type c-o L,6 N I fa-1 _ 3 B R w 1 ,1A ti C A-!L, A-1 -r A-r Estimated Project Cost $ l'IiS 0.0 0. •Zoning District Flood Plain NIA Water Protection _r41A Lot Size a-6 6 A c/LL Grandfathered &-Yes ❑No Dwelling Type: Single Family ld Two Family ❑ Multi-Family(#units) Age of Existing Structure N I P Historic House ❑Yes Urf o On Old King's Highway ❑Yes Imo Basement Type: Gull ElCrawl ElWalkout ❑Other Basement Finished Area(sq:ft.) rJ J A Basement Unfinished Area(sq.ft) I I I G Number of Baths: Full: Existing New Half: Existing New I No.of Bedrooms: Existing New .3 Total Room Count not including baths): Existing New 10 First Floor Room Count 4 Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other i Central Air ❑Yes Io Fireplaces: Existing New 1 6/+s)Existing wood/coal stove ❑Yes U44 o Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) NJA (Attached(size) J'1. ti1� F+_ ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# N Recorded❑ Commercial ❑Yes lYNo If yes, site plan review# Current Use p W i Lo P I:p Proposed Use S,N 6 t_ I_ PA-0, _ I rn L Builder Information Name OTelephone Number Address License# Home Improvement Contractor# Worker's Compensation# 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-' �.b�l-It BUILDING PERMIT DEN D F,OQR��E F LOWI G REASON(S) „',' • FOR OFFICIAL USE ONLY • '+ ' • PERMIT NO. -3Z3 DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME oL INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH, z FINAL GAS: ROUGH,, FINAL FINAL BUILDING . . !^) L ' DATEL`OSED OUT ASSOCIATION PLAN NO. i C The Town of Barnstable a s * BAMSrABM • Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner May 28, 1997 TO WHOM IT MAY BE CONCERNED: Based on Attorney Dubin's letter of May 22, 1997,the lot at 68 Lombard Avenue, is buildable from a Zoning standpoint. Sincerely, Ralph Crossen Building Commissioner RC:lb g970528d I �. / �'.'-. � � �-- ,� i I MAY.-22-1997 13:30 FROM ATTY RICHARD DUBIN TO 7753344 P.01 c RICHARD S. DUBIN I� ATTORNEY AT LAW 4A BAYBERRY SQUARE •1045 ROUTE 28 51 BEACH ROAD,UNlT 20e CENTERVILLE,MA 02832 POST OFFICE 80X 1104 (506)771-0390 VINEYARD HAVEN,MA 021188 FAX:(508)778.0060 (508)89g5757 FAX:(508)895.2778 May 22, 1997 Building Inspector Town of Barnstable South Street Hyannis, MA 02601 Re: Current Owner: J Property Address: 68 Lombard Avenue, W. Barnstable, MA Map 155 Parcel 16 Dear Sir: This office represents the buyers of the above described premises. Please be advised that this property has not been held in common ownership with any adjacent property since at least November 19, 1949. Accordingly, it is the opinion of this office that the premises qualify as buildable under the Town of Barnstable Zoning By-Laws. Please contact me if you have any questions with regard to this matter. Very truly yours, Richard S. Dubin, Esquire RSD:ges i TOTAL P.01 GARAGE JOISTS TJ-Beam^ Y5.20vserial Num'ber�:7�1� 11.875 TJIS/Pro 660 JOIST c@ 16.0" o/c BEAMUSA 1001 12/18M 4:00:09 PM Page 1 of 1 Build Code:070 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED a. .a 22' Product Diagram is Conceptual. LOADS: Analysis for JOIST MEMBER Supporting FLOOR-RES.Application. Loads(psf):40 Live at 100%duration, 12 Dead,0 Partition SUPPORTS: INPUT BEARING REACTIONS(IbsJ WIDTH LENGTH JUSTIFICATION LIVE/DEAD/TOTAL DETAIL OTHER 1 2x4 plate 3.50" 2.25" Left Face 587/176/763 Detail A3 1.25"LSL Rim 2 2x4 plate 3.50" 2.25" Right Face 587/176/763 Detail A3 1.25"LSL Rim -See TJM SPECIFIER'S/BUILDER'S GUIDES for detail(s):A3. DESIGN CONTROLS: MAXIMUM DESIGN CONTROL CONTROL LOCATION Shear(lb) 748 742 1925 Passed(39%) LT.end Span 1 under Floor loading Reaction(lb) 746 748 1539 Passed(49%) Bearing 1 under Floor loading Moment(ft-lb) 4037 4037 7982 Passed(51%) MID Span 1 under Floor loading Live Defl.(in) 0.435 0.540 Passed(U595) MID Span 1 under Floor loading Total Defl.(in) 0.566 1.079 Passed(U458) MID Span 1 under Floor loading TJ-Pro Rating 40 Any Passed Span 1 -Allowable moment was increased for repetitive member usage. -Deflection Criteria:STANDARD(LL:U480,TL:U240). -Deflection analysis is based on composite action with single layer of the appropriate span-rated,GLUED&NAILED wood decking. -Bracing(Lu):All compression edges(top and bottom)must be braced at 2'8" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing Is required to achieve member stability. TJ-ProTm RATING SYSTEM The TJ-Pro(USA)Rating System value is based on a Glued&Nailed 3/4 plywood decking. This system is supported by walls. Additional considerations for this rating include:Ceiling-None. A structural analysis of the deck has not been performed by the program. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist MacMillan(TJM). TJM warrants the sizing of its products by this software will be accomplished in accordance with TJM product design criteria and code accepted design values. The specific product application,input design loads,and stated dimensions have been provided by the software user. This output has not been reviewed by a TJM Associate. -Not all products are readily available. Check with your supplier or TJM technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST MacMILLAN PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Code NER analyzing the TJM Residential product listed above. PROJECT INFORMATION OPERATOR INFORMATION: HARDING RESIDENCE Botello Lumber Co 68 LOMBARD AVE Stephen Botello WEST BARNSTABLE POBox V Osterville,MA 02655 508-477-3132 50&477-4279 Copyright 01998 by Trus Joist MacMIDan,a limited partnership,Boise,Idaho,USA. Poo-,TJ-Pro"-and TJ•BeamTM-are trademarks of Trus Joist MacMillan. TJ*is a registered trademark of Trus Joist MacMillan. V� . . ` "`` The Commonwealth of Massachusetts q-iMF,Vj _ _ - Department of Industrial Accidents ::.: Office of/nsestigaGons • 600 Washington Street , J Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: 6 Q i l-d +- S LA-7-A-N N 1 VA A-t?p i N 6 location: 10 9) La f*-• 9 f Q p A'V L city W- 6 A-44 S A-B L L —.A phone# 3 9 y, 3 6 S y ❑ I am a homeowner performing all Work myself. ❑ I am a sole ropnetor and have no one workin in any capacity '///��%%%%%%////// %%/ IIII%/O/%O%%%%%%%/%%///%/%////// %/%% %%%%/ ❑ I am an employer providing workers' compensation fo1.r my employees working on this job. company name..`:: address:::.. .: ::, }. .: city... >,:. 1.: :- phone#.:.: :,x ..:.::.:. . .:., ` .-' :.. .. .;. . .... : .:' insurance co. . 1-.: :... oI* # .. I am a sole proprietor, general contractor, khomeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: • company name- Ro i�ir Sx c:A✓F�°r ► t,1 4 C - address: . ... .::::..."h.C,::..�f'A�lCtn�...,< :.._::,;;;;;:.;:. ::::::.:.::,-,""...;.....:.... :::,:.:: . .......... "; city:.... . . .. .... t+��} . ,#.6?.4�.i . A b'2.6 tI 9 phone#. SO$.. �....0. .�1.� : :.: S.. Insurance----::,:: 6( lA-f�f.1::,�...::�,..:..:_.T .. .tY 3_ . ... :..:. ohcv# v .:i5�.:..... %G%//%%/% % .. 1 �; S .. .:: . .. :.: ;....... _... .::::.::.::.:...W.:.::.::._::.:: company name.,;: 1 :�5e . _ ......... :.;. _: ..... address..,. :: ctty� hl�a�l C -I(�t T M 0 L S S°�-� p one# SO ZS � �`Y d .:..........'.;:.......;::.::.;:.;:.::...:.;:.;::.;:.::::..........::...;.::::::::::.;.:. .................................. W. ansnranceco.::'. ' ::�..�.:'6 ._... ......... .. `.olic #. 1 r6 9�;#.W.t i..::.. �/ Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine 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 the pains and penalties of perjury that the information provided above is truo and correct '-Signature Date 1. 1.'L- S o _ _ Print name Phone# --�%�4- Z o S?— official use only do not write in this area to be completed by city or town official .0 city or town: permit/license# • []Building Department ❑Licensing Board ❑check if immediate response is requited ❑Selectmen's Office _ ❑Health Department contact person: phone#; ❑Other 0ey sed 9/95 P1A) 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 refik e4lo 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 600 Washington Street Boston,'Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 I MASgYY ck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.0 � I Checked by/Date CITY: Hyannis I STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 7-22-1998 DATE OF PLANS: 03\08\98 TITLE: Prime Homes Colonial PROJECT INFORMATION: Brian & Suzanne Harding 68 Lombard Ave West Barnstable, Ma. Ph.. 394-3.052 COMPANY INFORMATION: Prime Homes P.O. Box 1 Mashpee, Ma. Attn: Dan Marsters NOTES: Homeowner Current Address Brian & Suzanne Harding 447 North Main St. S. Yarmouth, Ma. 02664 Ph. 394-3052 COMPLIANCE: PASSES Required UA = 434 Your Home = 413 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ---------_----------- ------------------- ------ CEILINGS 1486 30.0 0.0 52 WALLS: Wood Frame, 1611 O.C. 2051 13.0 3'.0 146 GLAZING: Windows or Doors 354 0.310 110 GLAZING: Skylights- 88 0.420 37 DOORS 35 0.400 14 FLOORS: Over Unconditioned Space 1130 19.0 54 HVAC EFFICIENCY: Furnace, 83.0 AFUE --------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, ' arid 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 MA,.SchQck INSPECTION CHECKLIST ' Massachusetts Energy Code MAScheck Software Version 2.0 Prime Homes Colonial DATE: 7-22-1998 Bldg. l Dept. l Use I I CEILINGS: [ ] I 1. R-30 I Comments/Location I WALLS: [ ] ( 1. Wood Frame, 16" O.C. R-13 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] I 1 . U-value: 0.31 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No f Comments/Location I I SKYLIGHTS:. C l I 1 . U-value: 0.42 I For skylights without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ j No I Comments/Location I DOORS: [ ] I 1. U-value: 0.40 I Comments/Location I I FLOORS: C l I 1. Over Unconditioned Space, R-19 I Comments/Location HVAC EQUIPMENT EFFICIENCY:. C ] I 1. Furnace, 83.0 AFUE or higher I Make and Model Number THERMOSTATS: [ ] i Adjustable thermostats required for each HVAC system. I � I AIR LEAKAGE:. [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. Recessed I lights must be type IC rated and installed with no penetrations I or installed inside an appropriate air-tight assembly with a 0.5" I clearance from combustible materials and 3" clearance from insulation. I VAPOR' RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating. I equipment efficiency must be clearly marked on the building plans I or specifications. [ ] I Ducts in unconditioned spaces must be insulated to R-5.. '- Ducts outside the building must be insulated to R-8.0. I DUCT CONSTRUCTION:. [ ] I 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. I I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I , or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooking system is not greater than 1250 of the design load as specified in sections 780CMR 1310 and J4.4. I I MISC REQUIREMENTS: I ] I Refer to 780 CMR, Appendix J for requirements relating to swimming I pools, HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only)------------------------- i i 1 Q-u, C0 i �.._Cf�L__�v✓j•�61�(4 .�-1�T6.. ___l�f�?_�G�P_......!if�.S-.�.__-..._._-----a�.W�..f..C�a S S S7 - - `os-rat c,o-,-G6.L�-r�•r - - --- -Pgavt 04-4cA, _Q,Z/ f�. _m. -x .._..... 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CERTIFICATE OF APP.ROPR.IATENESS ` 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, 1973. for proposed work as described below and, on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ED-New Building [] Addition Q.-Alteration Indicate type of building: [a House Garage ❑.Commercial ❑.Other 2. Exterior Painting: 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK L-U— R a20 A v`:• V\l •"ArQ N S. ASSESSORS MAP NO. OWNER Pal,I EA Q Sv.Z-A N N S- I-1A QO, n Sl ASSESSORS LOT NO. HOME ADDRESS ` LA -) N�, ST So•&aA4-rrcuxl, TEL. NO.. 36i 3,)SL FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). g S'' kati..A ShLL} zlSo ? +� Qi 'r1.P4-4 'riL 9L10- ?f,)rJu� S C,o g.iQO (09f. Ni(LwJn�p,.rr\A . o-Xab�- � ASS eo 0-.,.,A '1 ti 5. w, A�LN s I�CS L c'r.F1 �� after S c �- Po L'L l�Art�l. co�� S��d'QL� box ��,�� o23y'► AGENT OR CONTRACTOR 'NA2 P� r�t6 TEL. N0. �24" 'Sy ADDRESS 4.�+1 r4c• mA ,r( S T S6' O-V,:A- 1A ry-Noo - 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 locations of existing signs and proposed locations of tnew signs. (Attach additional sheet, if necessary). "C n` C__0 L o 1 (1�1� ' T-4 k T lJ. ti Q P TT C_1A L P CP(L VIE JT Signed I O r-Contractor-Agent Space below line for Committee use. Received by H.D.C. Date. i ' The Certificat hereby ��°�� ate By •i:iJ•;•. :(�Z!JJ Ili:;:";.,. IMPORTANT. If Certificate is approved, approval is subject to the 10 day appeal;perio provided in the Act. DisaDoroved ❑ e Town of Barnstable Old King's Highway Historic District Committeexw SPEC SHEET CHIMNEY TYPE N.J (a COLOR ROOF MATERIAL 2e p)N->+ COLOR q PITCH ' Lll1- WINDOW 12� w� 1�, w� od. Trip, SIZE S CSLL TRIM COLOR r 2,4'1 `1 r L t„-,' (fY 3 ✓ ' DOORS COLOR ��.si .�rL Lc� SHUTTERS W oo a COLOR GUTTERS 21v"r.. nvr+v DECK v-(o d - rt-s Sv rt f t vF Lj GARAGE DOORS V • 111 al v 7N ;�'u nm' COLOR 01 rt!✓;. C rl -31'I, . SIGNS ►,� (� COLORS SIGNS , r •, COLORS . NS COLORS SIG FENCE N (-N COLOR 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 and elevation plans, when applicable. Plot plan need not be "Certified, 4doliMfor new homes, but should 'show.all structures on the lot to scale. 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'.r •.;. , ._.r, 'r Ott'�3�. ♦ r'+". d. ✓ 'e,�� 7e'i .!" 'Mrt? .wyr J � /y.��,... _ ,,w f e~3 r�i f � +'.. _� ` y,T�`�w��AT'r � w .G} �*�, fir♦ .�'�b. ��}'v�li.x .'*;7,r ,�• ,y! ,�.4 $v�.e: A. 'a. - r • . G r C •' • r � • 4 i a� • t it o.. jaire . r z j LOMBgRD AVE LOCUS u. -,,EIVED s�7-p z w ;.S RECORDED , l- `I ,� w� �. �3 5 'f CB/DH y ( FND) N/F ATLANTIC BUILDING PRODUCTS CORP . C/O BIRD CORP . LOCATION MAP f+OR REGISTRY USE ONLY N . AREA= DEED S6o REFERENtrE- 28, 070 SQ. FT. � 3,�. BOOK 10775 PAGt 2d ` I 0. 64 ACRES 68. S ASSESSORS MAC 11 55 BEING THE BAME PREM 1 iSE� b5 .� . DESCRIBED IN DEED DATED aell tih 5/30/97 AND. RECORDED IN 600K 10775 PAGE 20 .CD I6'6 10 N � SB/DH� F t (FND) OWNERS AbDRE95 : / BR I AN T , & SUZANNE L Wb I NCB 447 NORTH M N 5TREL�, ' OISOUTH YARMO H ,MA 02 �T c a� (o`1' s . Ste ; lo HEREBY CERTIFY THAT THE PROPERTY LINES SHOWN ON THIS PLAN ARE THE LINES DIVIDING .� PLAN .OF LAND IN WEST BA INS TABL9, UA6'SACNU►5 PT,5' EXISTING OWNERSHIPS. AND THAT THE LINES OF Tt- L� - , STREETS AND WAYS SHOWN ARE THOSE OF �� AS PREPARED r0� PUBLIC OR PRIVATE STREETS OR WAYS - ALREADY ESTABLISHED, AND THAT NO NEW ,, BNAN HARDINd LINES FOR DIVISION OF EXISTING OWNERSHIP , OR FOR NEW WAYS WN C B/D H CAL SEPTEMBER 3. 1998 SE: 1 =20' ( FND ) SEPTEMBER 3.1998 DATE PRO SSIONAL LAND SURVEYORSrEAKMAN t - `b.3,402 ,�� DA1 A. SPEAXON CONSTRUCTION NF ` CERTIFY THAT THIS PLAN CONFORMS TO THE 1976 F> RISES REGULATIONS OF GISTERS OF DEEDS. LAB SURVEYING TITLE V ENC3. /. i5 SPEAK WAY NORTH HARWICH. MA. 02645 SEPTEMBER 3.1998 I (568)432-5565 , DATE PROFESSK)NAL LAND SURVEYOR