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0071 LOTHROP'S LANE
I s; OxfordNO. 152 1/3 ORA a n a2'w $ r �:�-s ..� ��sr p B �, �� !.I d .i� Y. �:�. I I } �� }� R' �� �� �. CAPE CO dOWN of BARNSTAB E INSULATIONtoj3jUNII AM1 (1: 53 �id Ed Fq PIASA OLASS SLAMLSSS SPt AYPOAM SUSPSNDSD .All% Qu"" INSULATION ...ANDS 1-800-696-6611 DIVISION Town of Barnstable Regulatory Services (� Building Division 200 Main St Hyannis, MA 02601 Date: a r�/L Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute '(BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village M/chi R�� olTiQ4fSK/ 9/ ��T� �aQs '�° w93�r.� Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls ( ) ( ) ( ) ( ) ( ) 4 iv ^ y (VOr ll leer)COr,`1eo/ Sincerely H y E ssi r, President pe C Ins ation, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION T0Wf$ OF BARN?STf LE" Application #Map Parcel �� Health Division 2012 MAY -8 AN 8: 33 Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Qi /iS3 'j Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address �Z! .1 e 4� cS ;=0 Village ; L� Owner C �� 42, d t..J.s,,e/ Address_ Telephone Permit Request _r_az 1���� ZI 7,14 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1,1A Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0� Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 2 oo On Old King's Highway: ❑Yes e"I lqo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) a - — _. Name C C Telephone Number77��,�T�� - Address q-6�5 , &yK2« License # d o 7 F Home Improvement Contractor# Worker's Compensation # V44 O Gd'Z c�9D/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE'/�7r- r t- FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED - MAPJ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: :FOUNDATION FRAME INSULATION J - ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL E r GAS-' e. ROUGH 4 FINAL iEI.NAL BUILDING- -- k r 7 DATE CLOSED-OUT i ASSOCIATION PLAN NO. i 1 1 �at&SOuuo;is sb ranncroamtc mass save �.nuctoA PERMIT AUTHORIZATION FORM I, M I C N2� ®S fx� ��. , owner of the property located at: (Owners Name,printed). Q I 1.v T L c� VLc.- v Zc� (Property Street Address) (City/Town) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. Owner's S' nat re 3 Z Z— Date FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: Participating Contractor Date Rev.12132011 9/4 1C WWA � e- 1 10 Park Plaza - Suite17 0 Boston, Massachusetts 02116 w Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2012 Tr# 206433 ULATION ��; CAPE COD INS INC '_- __�:::. ... '. HENRY CASSIDY - 455 YARMOUTH RD. HYANNIS, MA 02601 Update Address and return card.Mark reason for change. Address Renewal ❑ Employment Lost Card DPS-CAI 0 50M-04/04-G101216 Office o umer Affairs�/�B�u/s�ne Regul lion License or registration valid for individu! -se on_!y H, 1 MZa;R� before the expiration date. If found return to: = Registration: 153567 Type: Office of Consumer Affairs and Business Regulation - Expiration: 12/15/2012 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 OD INSULATIq:N,' _;., .... HENRY CASSIDY ,_ a 455 YARMOUTH HYANNIS,MA 0260.1 -,`�`- Undersecretary t alid ith t si lure A:,satchusetts-department of Public Safeth Board of Building Relyulations and Standards'- " Qonstruction Supervisor License License: CS' 100988 HENRY CASSIDY 8 SHED ROW WE-T 4ARMOUTH,.MA 02673 Expiration: 11/11/2013 ('umwisi ncr Tr#: 7620 Cllent#: 4597 CCINSUL 4POAD M CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD)YYYY) 2/02/2012 THIS r:ERTIFICATE 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. e ce t Ica e ) er is an 11 IONAL INSUREI37Fe_p5hcy(ies)must be endorsed. ,su lec o the terms and conditions of the policy, certain policies may require atI endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Margaret Young Rogers&Gray Ills. -So. Dennis PHONE FAX 434 Route 134 (Are,.No E t:508:760-4602_. (Alc, No): 877_816-2156 E-MAIL P.O.Box 1601 ADDRESS:youngma@rogemgray.com PRODUCE South Dennis,MA 02660-1601 CUSTOMER ID p: INSIIKtII INSURER(S)AFFORDING COVERAGE NAIC A Cape Cod Insulation Inc INSURER A:Peerless Insurance 18333 455 Yarmouth Road INSURER B:Ohio Casualty Insurance Company Hyannis, MA 02601 INSURERC:Atlantic Charter Insurance INSURER D:Commerce Insurance Company 34754 INSURER E —.— INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: mis IS 10 CEft III Y YI IA I' rl-IL POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATFD NO1WI1 t 151 ANDING ANY REQUIREMEN1-,'I-ERM OR CONDITION OF ANY CONTRAC I ilk OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICA-I-E MAY HE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBE Li I iEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCI I POLICIES LIMI15 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR TY ADDL SUER POLICY EFF POLICY EXP 7J3_— PE OF INGNaANr F IAISfi 1Mt� T ,PoIIrv�n Nr _ A GENERAL LIABILITY CBP8263063 04/0112011 04/01/20112 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISE$(Ea ocwnenc e) $100,000 CLAIMS-MADL X OCCUR _MED EXP(Any one parson) _$_5,000 PERSONAL&AOV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 I,LN't At,c;I+L(iAl I.t IMII APPLIES PER. PRODUCTS-COMPIOP AGG $2,000,000 PRO D AUTOMOBILE LIABILITY 11 MMBCKVMK 04/0112011 04/01I2012 COM13INEO SINGLE LIMIT $ ANY AU I II (Ea accident 1,000,000 AI I l I'NNt U AU I OS BODILY INJURY (Pat petsurt) $ X til:ili Ulll-LI l All l'OS BODILY INJURY(Per acclddnl) $ E X ruw:a AU 1 US PROPERTY OAMAG(Per accident $ X N0N-OWNI:0 A0I OS $ $ B UMBHELLALIAB X OCCUR 0001254514645 04101/2011 04/0112012.EACH000URRENCE $1,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $1,000,000 IIEUtIC IIHt I. $ X 1(t IPNIION $ 10000 C WORKERS COMPENSATION WCAOO525902 0613OI2O11 WC SI.ATU- O'IH- AND EMPLOYERS'LIABILITY YIN 06/301201 2.X TORY LIMI rS ER ANY PROPRIFIORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $500,000 01FICIiWMFMRERFXCL,t1UEO? UN,� NIA (Mendarory in NH)It E.L.DISEASE-EA EMPLOYEE$.500,000 ye>,duarriUu unuai UFSCRIPI ION OF QPFHATION�leln DISEASE-POLICY )ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101.Additional Retnwuk�Schedule,if more space is required) Norkers Comp Information Included Officers or Proprietors :ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2009 ACORD CORPORATION.All rights reserved. CORD 25(2009109) 1 of 1 The ACORD name and logo are regisiered marks of ACORD i .t The Cornmonwealtlt ofMassachusetts Department of lurlustrial Accidents Office of lit vestigations 600 Washington Street Boston, ,IJA 02111 www.mays-gov/dia Workers' Compensation Insurance Affida vi,: Builders/Contractors/Electricians/Plumbers Avulicant Information _ Please.. Print Lc jbly Wale (lousiness/Organization/individual):-- ,r^ � T A I(� Clty6tiltc/Gip: Pholle #:— L�pe Are yott an employerC thp — -- -- --- propriate box: Type of project (required): I.� I ant it employer with ZQ 4. ❑ I am a contractor and l enthluyccs (full and/or part-time).* have hirc;i tltc sub conhactors 6. ❑ New construction _'.❑ I ant it sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These still-contractors have S. ❑ Demolition working for me in any capacity. employees and have workers' INo workers' comp. insurance comp. insuranceJ 9• ❑ Building addition required. 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3 ❑ 1 ant a homeowner doing all work officers have exercised their ME] Plumbing repairs or additions myself. (No workers' comp. right of c.\einp(ion per MGL insurance required.] t c. 152, §IH),and we have no 12.❑ Roof repairs employees. (No workers' 13.❑ Other comp. insurance required.] 'Any applicanl that checks box#I must also till out the section below•sho�%in, f ,Ill it workers'compensation n policy infonalion. I lomcowners who submit this affidavit indicating they are doing all work and Ihcn hire outside contractors must submit a new arl'idavit indicating such. tC nnractors Ilia(check this box maul attached an additional sheet showing tb:ncunc of the sub-contractors and state whether or not those entities have eiuployecs ll•Ihc sub-contractors have employees,they must provide their %wrkers'comp.policy number. l ant rut enrplo yer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:_,�7GAn#fir ��,;���+e r .,,! illS(JV'r�l✓1 �.�—_�� Policy rl or tielf ins. Lic. Expiration Date: so 1 ,I 'Z Joh Site Address: _ City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of NIGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify it e t,pains nd penalties of perjury that the information provided above is true and correct. Si nature: _ Date: r � - I?hone it: _ _-- Qftic:ial use only. Do not write in this area, to be completed hl,c•ity or town official. City or Town: Permit/License# Issuing Authority (circle one): I. Board of Health 2. Building Department 3. City/To��n Clerk 4. Electrical Inspector S. Plumbing Inspector 6.Other Contact Person: Phone#: i ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ParceV "� Application #00 3 3Y Health Division Date Issued [ Conservation Division Application Fee Planning Dept. Permit Fee S-OU I Date Definitive Plan Approved by Planning Board v Historic - OKH Preservation / Hyannis Project Street Address L_vT'rkfLo P` S. �c Village 4 Axt-z ' 4-to to I'�'► Owner ''"1 I CEf- z d5r2o wsf 4 Address S Telephone 77 C29 L/ d// 2— Permit Request fgvt' l 1 f�{� X 14 ' Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ba-o Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family 0 Multi-Family (# units) Age of Existing Structure IS R,. Historic House: ❑Yes �S No On Old King's Highway: )(Yes ❑ No Basement Type: Full 0 Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing / new �- Number of Bedrooms: i' existing —new Total Room Count (not including baths): existing 7new First Floor Room Count Heat Type and Fuel: KGas ❑ Oil ❑ Electric ❑ Other Central Air: ;i(Yes ❑ No Fireplaces: Existing New ll Existing wood/coal stove: 0 Yes7A_`No j Detached garage:X existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new :size_ ZD , = c Attached garage: existing ❑ new size _Shed: ❑ existing 0 new size _ Other: — Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes - �N0 If yes, site plan review # I C? Current Use Proposed Use - 1 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) \ b Name M in ma Qr� Telephone Number Address (I—o y- 0,15 L jq?--) License # q b 0 �Q� Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 1 DATE : FOR OFFICIAL USE'ONLY APPLICATION# J as DATE ISSUED MAP/PARCEL N0. '. ADDRESS - VILLAGE _ .. OWNER DATE OF INSPECTION: } FOUNDATION .� a 9 I�{ o "�.(� CCS 1 . FRAME INSULATION , FIREPLACE I ELECTRICAL: ROUGH r FINAL r PLUMBING: ROUGH f FINAL --GAS: ROUGH FINAL FINAL BUILDING , DATE CLOSED OUT- ASSOCIATION PLAN'NO.i.-' r i Town of Barn-stable Regulatory Services ' nARMSTA1sL� •. . WA SR Thomas F. Geiler, Director �D Building Division Thomas Perry, CBO,Building Con' =ssioner 200 Main Street, Hyannis,MA 02601 www.to wn.b a rnsta b le.m a.us 'Office( 508-862-4'038 Fax: 508-790-6230 PLAN RE VIE W Owner: L/ 4W e7&j_r k 1 Map/Parcel: i0� �S Oo 7 Project Address 7/ Builder: Sl � 1?(E The following itezis were noted on reviewing: eAq r&,60 /�jGsr A14Wr , ,e*-4-dcF— Reviewed by: Date: Q:Fo=:Plarvw The Corminon•weartft of Massachusetts .Depar mertl of lndustria Accidents Office of rrtvestigaeions 600 Washington Street Boston, M.4 02I11 . �• www.rnass.gou/dia Workers' Compensation fmsarance Affidavit: Builders/Cont�ractors/EIectr%se P iPl Laffirs Applicant Znformatioln Please Print X,e�zblY I�,- Namc (Businoss/Orkanization/Individual): '"\� G"IeL Address: "*7 f /�N City/Statdzip: W f —?? WCAre you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a cmploycr.with 4• ❑ Fam a gcncral contractor and I 6 14ca; construction cmployces (full and/or part-time).* have hired the shb-contractors . listLd on the attached sheet 7, El Remodeling 2.❑ I am a'solc proprietor or par6ocr- Thcse sub-contractors have g, ❑ Demolition ship and have no cmployces w cmployces and bave workers' 9 ❑ Building addition working for me in any capacity. . " [No workers' com:P.•insura comp. instuance.t ncc 10.❑Electrical repairs or add-itio' rtquircd] 5. 0 We are a corporation and its 3,X'I am a homeowner doing all work officers bave exercised their 11_❑Plumbing repairs or additia myscLf [No workers' comp. right of exemption per MGL 12 Q Roof repairs incnranceregtiired.]t c, 152, §1(4), and we bave no 13.❑ Other " arzployecs. [No workers' comp, insura.ncc rcquired.] *Any applicant that chcela box#1 Must also fill out the section below,showing their workers'compensation Po}icy information. t HomtowmerC who svbTnit this affidavit indicating they aalre doing all work and then hire.outsidt contractnr5 insist submit a ntw aiiidavitindicating each. o rnca llut check Lhit box must attached addition shoot showing the nano of the sub-eontractms and slate'whether or not those drs tnti have employccs. If the subcontractors have employcce,they murt providb their workers'comp.policy number. I am art ampfoyer Mat is providingivorkers' compertsati.on insurance for my employees Belotp is the polity arid job site ' i.nforrrcaLlon. Insurance Company Name: . Policy# or Self-ins. Lic. #: Expiration Date.: Job Site. Address: City/StatdZip: Attach a copy of the workers' compensation policy declaration page (shorvingthe policy number and expiration date). Failure to secure covcragc as required under Section 25A of MGL c. 152 can Icad to-the imposition of criminal penalties of a Eno up to 31,500.00 and/or ono-ycar imprisonment, as.well as civil pcnalti•cs in the form of a STOP WORK ORDER and e fv of up to S250.00 a day against tho violator, Bo adyiscd that a copy of this statcmcut may be forwarded to the Ogee of Investigations of the bIA for insurance eovera c vcriscation. I'do hereby cc u e the rsins•and penalties ofperjury ehaf the irrformation provided abavve is true and correct: Date.; ? /3 �0 — Si afire: •� Pbonc #: 7? �� / L Offrcial use only. Do no!write in.this areo, !b be cotn�leted by c'ily or town official City or Town: Pernut/License# lssuing Autbority (circle one): 1• Board of Health 2. Building Department 3• City/Town Clerk 4. Electrical Inspector S. Plumbiog Inspector 6. Other .. a '1 •.�,. :• :1 Information and in n for Ma ssachusetts General Laws chapter 152 requires all employers to provide workers'of noth c ndtroa Y contract�oflhuces; Pursuant to this statute, an errtpLoyee is defined as "...every person in the scrvl express or implied, oral or written- or an two or more Corp oration or otbcr legal entity, y An eirtployer is defined as "an individual,partnership, association, rp or the cn a ed in a joint entrrprisc, and including the legal representatives of i deceased ees. H wcvcr tho of the foregoing g g receiver or trMsteo of m individuA partnership, association or other legal entity, employing employees. or the o Dcupant of the owner of a dWrI ing house haying not more than three apartments is and htnictioneorthrcpamu�wok on such dwelling house dwelling house of another who employs persons to do main or on the grounds or building appdrU pant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also stags that "every state or local licensing agency shall yPithhold the issuance or Tea W21 of a license or per to operate a business or to construct bu-Ildwith the insuranc Co a age rtequir d for Y applicant who has notproduced•acceptable evidence of compLian AdditionaIly,MGL ohaptcr 152, §25C(7) stafes "Neither the commonwwbletcvidcno'rncc of complizny of its ee�zth theivasurance enter.into any contract or•thc perFormance of public work until p rcquiremcnts of this cbapter have been presented to the contracting authority. Applicants- Please out the workers' compensation affidavit completely, by chcclzng the boxes that apply to your situation and, if e fill necessary, supply sub-contractors)namc(s), address(cs) and phone numb along with thczr ccrtificate(s)of insurance. Limited Liability Companies.(LLC) or Limited Liabili oPartnerships Lan)with or0 cro dots s other than the Mcc. If rnombcrs or parvc tners, arc not required to carry workers compensation ias employees, a policy is required. Bc advised that this affidav'stma to sin ad date the ttcd to the naffld�t.ntrno of cim Of tlshould Accidents for confirmation of insurance coverage. Also b sign bo returned to the city or town that the*application for.the permit or Jiccnsc is bo i are requested, required to obtain a workkocs' of Industrial Accidents. Should you have any questions regarding the law or if y compensation policy,please call the Department at the nur4ber listed below. Scif-insured companies should enter their self insuranro license number on the appropriate line- City or To'ffP OfEiclals . e bottom t as pro Please be sure that the affdayit is*conrnplctc and printed legibly. � h�o contact you regarding the aPP1►C°D of the affidavit for you to fill out in the event the Office o f lnvcstig itions Please bo sure to fill in the permit/liecnsc number which will be used as a reference number. in addition, an apPbGcnt Ehat must subnaitmultiplc permit/ltccnse applications in any.given)car, need only submit onP&f5day-it indicating policy i_n.formation(if peccssary) and under"Job Site Address" lho applicant should write"all locations'a to the or (nit),"A copy of the e$davit that has been officially stamped or marked by the city or town may p each applicant as proof that a valid affidavit is on file for future o roaif not r latcdAo any in ss o now r c-ommc;rst be cial vcnt'ue year.-Whero s home owner or citizen is obtaining a hccnse p. this affidavit a dog jiconse or•permit to bum leaves etc.) said persDQ is NOT required to complete you in advance for your cooperation and should you baYc any Questions, -The Office of Invcstiga lions would like to thank please do not hcsitato to giyc us a call- Thd Department's address, telephone and fax number: Tho Commonwealth of Massarhv,SFtts D-,pa n=t of lndwfxiO AGcide=nts Offxce of 7mvestigatjoas 600 VJashinPn StmDt Boston, MA 02111 T6; # 617-727-490.0 ex.4M pr 1-8'77-MASSAFE Fax# 617-727-7749 Rcyscd 11-22-06 www-.mass.gov/dia i Town of Barnstable y�P Of1HE rp�y� Regulatou Services Thomas F. Geiler, Director atixr,srAacs, . Building Division sd79• �� �rFo J,tPtA Tom Perry,Building Cotnmissionet, 200 Main Street, Hyannis, MA 02601 KrvSv.town.b2rttstable.'ma.us Fax: 508-790-6230- Office: 508-862-4038 -- _—_=--=X=====___`---- IiohTEOWN`ER LICENSE EXEMPTION . Plcase Prinl DATE:_114110 ( r efi��N J013 LOCATION: 71 LvTt`f�P1 ���� yillage Z number street "HOMEOWNER": e c 6-- J' d�� tV_` work phone# name home phone P CUR.RETIT MAiLINO ADDRESS: state zip code city/towner_ gs of The current exemption for"homeowners"was extended ho does not possess a I cense,`vrornded that the owner acts d as to allow homeowners to engage an individual for supervisor. DEFINITION OF HOh4EOWNER de, on which Person(s) who owns a parcel of land on'which h ashen sshl-udes or ctures atends to ceessory tolsueh use and/orere is, or is farm shvciurl:sndA to' be, a one or two-family dwelling, attached or det chr. person who constructs more than one homerofficial on.ao-yeaforma period acceptable to flit Building official,shall not be considered a that hes he shall be "homeowner shall submit•to the Build g responsible for all such work performed under the building permif. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules.and regulations. able Build' g Th'e undersigned "homeowner" certifies that and that he/she)4i 1 comple Town ofy said proc-durres and minimum ins ection procedures and requirements requ' me s Signatu o omcowncr Approval of Building Official '. dwellings containing 35,000 cubic feet or larger will be required.to comply with the Note; Thrcc farnilY State Building Code Section 127.0 Construction Control. FIOMEOWNER'S EXEMPTION T he Code slates that: 11Any homeowner performing work for which a building permit is required shall be cxcmpl from the provisions of this section(Section lo9.1,1 -Uccnsing of eonmuetion Supervisors);provided Dial if the homeowner engages a pason(s)for hire to do such work, thal such Homco�vna sha)1 act as supervisor." the Many homeowners Use this exemption �rc Supmisorsr Section 2warc t 1t5)YThis lack of are awarcncsooft ntlrc'sultsf in serioussprobl rnspparti ula�rlY Rules &'Rcgulalions for Licensing when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with s licensed Supervisor. The homeowner aetingasSupervisorisullimetclyresponsible. part of a. To ensure that the►oime/wen ends fully lands the Dfhis hbiltcr resp lics ofsi responsibilities, sor.Yon the last page cO of this ties require,aisssue is alform currenlly'used by sponthat the homeowner ecrtlfYth . . I- _.._r. . f r,,Ar.nification for 0se to you rcommunity. 4 OfTHET� Town of Barnstable Regulatory Services yixxsr�nte, Thomas F. Geiler, Director y rasa �'prFo �b`� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 w�vw.to•tvn.ba•rnsta ble.me.us Office: 508-862-4038 fax: 508-790-62_ P.topetty Owner Must Cb- plete 'and Sign This Section If Usiiag A Builder l , as Owner of the subject property ' hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Narne If Property Owner is applying for permit please complete the Homeowners License Exemption Porfri on th'e reverse side. N01E1HEr°w Barnstable Old Kings Highway Historic District Committee 200 Main Street, Hyannis, MA 02601;TEL: 508-862-4787 Fax 508-862-4784 • &&MSTABIE KAS p�f 1S `00 . rED µR'�� APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with four(4)complete sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for: e Check all categories that apply; 1. Building construction: ❑ New ❑ Addition ❑ Alteration 2. Type'ofBuildin : ❑ House ❑ Garage/bam ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting roof ❑ new roof ❑ color/material change, of trim, siding, window, door 4. .Sign : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ tennis court ❑ Other 6. Pool swimming El Other man-made pool Type or Print Legibly: Date: Address of proposed work: House# Street: Lo-T-4,�p`S L-A-Nc Village Lo. 1iZA_k_tbSRq-1pVssessorsMap of# L-0T Description of Proposed Work: Give particulars of work to be done: _Zv POO L Town of Berns awe Old King's Highway ^emmitte� - Agent or Contractor(print): Mx,L tr4F L G�c 12bv>��CE Telephone#: 7 �( �l `I'—U 1 1 Z Address: L_u T rA 2 0 y, S L c l Q •� `J !�-IL 4-�S��9 to r ttit i9 a Z Co Contractor/Agent' signature: NOTE All applications must be sign d by the current owner c Owner(print): Telephone#: Owners mailing address: Owner's signature: For committee use only. This Certificate is hereby APPROVED/DENIED .;. � � I Date Members signatures 4 � 26 � I. ,ul_E c"NA Fi�cS RU; 101 \ -•-- _ Any conditions of approval: ' ' 1 (A Pm 1114— Q:1(7U1)-(7rnunrin1ti Kinvs HiehwnA0KH New ADDIOKH Cerl ADDropriateness 07.doc Town of Barnstable Old King's Highway Regional Historic District Committee CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 4 copies Foundation.Type: (Max. 18" exposed) (material-brick/cement, other) Siding Type material: Color: ' Chimney Material: Color: Roof Material: (make & style) f1-e-L CC .�A,2 Color: _ Trim material Color: e.�H- r v Roof Pitch: (7/12 minimum) _ Window: (make/model) material + Size(s): JUN Door style and make: material Color: Town, ,a H old i; Garage Door, Style Size Material ftor Shutter Type/Material: Color: Gutter Type/Material: Color: Decks: material +��vc ST�ti��- Size Zti Color: �'p oc Skylight, type/make/model/: material Color: Size: Sign size: Type/Materials: Color:�i lry I11iwtJ Vrnyl Chain tiAk Fence Type (max 6' ) Style -Je LtN zoz S"material: Color: ��-•4 C a,,di„a,, ,'f,."�e Retaining wall: Material: BIola Lighting, freestanding on building illuminating sign Please provide samples of paint colors and man ufactur_ers_b•r-ochu D IN M e-o°f style of windows, doors, garage door; fences, lamp posts etc D E (� ADITIONAL FORATION: I I — ►l7 MAY 2 TOWN U►pA h r-0\1 lnrtl _ Signed: (plan preparer) print name tel. no. 77 y Cj —O l 1 Location of application: Street no. r7/ Street {.vrrt-$_p —Village Q:IGA"D-Groups101d Kings Highway10KH New ApplOKH Cert Appropriateness 0Tdoc F 4. SIGNS Diagram of sign, showing graphics, size, design and height of post, color and materials. Spec sheet. Site Plan on a GIS map or mortgage survey, OR photographs OR to-scale sketch of building elevation showing location of proposed sign; and any tree to be removed near a freestanding sign. Fee according to schedule. S. FOR LIST OF ABUTTERS: PLEASE SEE OKH STAFF SIGNED (plan prepare r) Print 121 L ►20( ` Date: 2Cu (O Hr r 1 77V_C1Cl y.C� l l Z NOTE JUN 2 3 2010O [� � ru �1 Town of Barnstable IJ�J's Hi hway J T The Old Kings Highway Historic DisP)9 MAYDENYlNCOMPLETEAPPLlCATIONS � s � L_- f ATTENDANCE AT MEETINGS: If the applicant or his/her representative is not present during the he�Zrits schedule.' ;?tFie;,rL}, f application may be either CONTINUED OR DENIED �i '; L''•',.'-T!ON ! APPEAL PERIOD APPROVED PLANS PLAN PICK UP There is a fourteen(14) day appeal period for approved plans. This is necessary for each Certificate of Appropriateness and/or Certificate for Demolition issued by the Old King's Highway Committee. Plans approved by the Old King's Highway Regional Historic District Committee may be picked up at Growth Management, Regulatory Division, 200 Main Street,Hyannis, after expiration of the 14 day appeal period. If the 14`I'day falls on a Saturday, your plans will be available the afternoon of the.following business day. DENIALS Applications that are denied may be appealed to the Old Kings Highway Regional Historic District Commission within 10 days of the filing of the decision with the Town Clerk. For more information, see the Bulletin of the Old Kings Highway District Commission. BUILDING PERMITS, OTHER AGENCY CONTACTS In most instances, before commencing work, a Building Permit is required. The Building Division will require a certified plot plan for new construction and/or demolition. Commercial work may require Site Plan approval. Demolitions: the applicant should check with the Building Division as to conformance with Zoning requirements. Other Regulatory Agencies at 200 Main St, Hyannis MA 02601: Building Division 508-862-4038 Conservation Division 508-862-4093 Health Division '508-862-4644 QUESTIONS ABOUT YOUR APPLICATION? PLEASE CALL THE BARNSTABLE OLD KINGS HIGHWAY OFFICE AT 508 862-4787 5 Q:IGMD-Groups101d Kings Highwny10KH New App10KHCea Approprinteness 07.doc N, �Y4 • X s _. oc d vq 67 I rr� 1 JOB' GTa-j'--I!Fv (b / fz(,D TAYLOR DESIGN ASSOC., INC. SHEET NO. OF 7 P.O. Box 1313 Forestdale, MA 02644 CALCULATED BY GM T DATE 4. "t Tel./Fax: (508) 790-4686 CHECKED BY DATE L O TIA Q 043 �A/ SCALE ..................................................................._s......... ..... ..... ...... ..... ...... ..... ..... ...... .....p......._... .......... 5T1iyCti'.c1.1A.t ........Csl... i O. 4....x....... .4......�...._....._._..... _..................._....:_......................_._..........:. ...... �. 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FLOOD ZONE "C" FOUNDATION CERTIFICATION RES ZONE.• "Rr 7UWN.• W.BARNSTABLE SCALE' 1 50' PLREF 418-55 ELEV.• N/A SETBACKS- 30'-15'-15' YANKEE LAND SURVEYORS I CERTIFY THAT THE ►►�a��,\orMA&, !�� & CONSULTANTS "FOUNDATION" IS SHOWN o��a Q��'\' `RFo � : P. 0. BOX 265 ON THE PLAN AS IT EXISTS �� S7EPHEN UNIT 1, 40 INDUSTRY ROAD ON THE GROUND. o DOYLE N MARSTONS MILLS, MA 02648 o #37' TM508-428-0055 FAX 508-420-5553 �►�qN :1 ✓OB ► �� , DATE'11-20-2007 NUMBER 54288FND Town of Barnstable . a Approved Regulatory Services Fee Thomas F.'Geiler,Director Building Division Peter R DiMatteo,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 i / Home Occupation Registration 6 Date: 4 a 7 O Name: YY/, �Sfra �-'S �r Phone#: o Address: 4- 0 4-ti I-,p s Village: (.c' . Qv��-VZ.ws Name of Business: ►��S'E ►" b r e- (�G_ Type of Business: /co L�t- C_rz / Map/Lot: /O 9 �G G 5 O a e INTENT: It is the•intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal. residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed.indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be -included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agre ith the above restrictions for my home occupation I am registering. Applican Date: Homeoc.doc TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ikrto /l Map /D 5 . Parcel 'ooS 00 ►Joy'; -- Application DOw`x `J3`-1 '� M' Health Division ' �•6L` 57 Date Issued Conservation Division Application Fee o V U Tax Collector Permit Fee. Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 'l 1 L&-r w(Lo P l s r--A'40 tF Village w e sr '?�R,2..N srA�o(Q rvt sa Owner Aft%c tJ.+e L J ., asi&�o..S k Address SA-M rr Telephone q t 3 PermitrReequest 1>F,TR C H e G- a bC y 0 1 x v 1 Square feet: 1 st floor:existing proposed /�Sao 2nd floor:existing proposed /TTotal new Z�6 0 Zoning District Flood Plain Groundwater Overlay Project Valuation 4?. �0¢0•cra Construction Type Lot Size 3 5, 2-({S S, F- Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure z 4 ILS Historic House: XYes ❑No On Old King's Highway: XYes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) t!jht Basement Unfinished Area(sq.ft) I Z `rb S. F. Number of Baths: Full:existing 3 new LVA Half:existing / new Number of Bedrooms: existing " new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: �tdas ❑Oil ❑Electric ❑Other Central Air: �J Yes ❑No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing P new size voS ool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:Yexisting ❑new size -Shed:❑existing ❑new size Other: i Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ - r- Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use - BUILDER INFORMATION Name Riew*e ©%F`40"St-r" Telephone Number Address 7/ `S t--A�,, License# W, 7�a�z,.�'��E-blo , td-4,4 02.&& Home Improvement Contractor# Worker's Compensation# i ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �� lZ FORIOEFIEI"AL.IUSEIONL�YIF s, APPLICATION;## DATE ISS:UED:D � MA'P PPARCELENG0. a ADD;RESS>SZ VILLAGE:E ' t OWNERR' ` # •, i -''fit ' DOM 0FJINSRECT10N-N: F(DU.NDAJTION)NO d _ FRAMEIF b INSI`J.LATIOUN _ i FIREIRMPAG•E E t . ELECTAI:CA124L: RGUGHiH FINALAL PEU.MBING a: R®.UGH.H FINALAL GAS.& RGU.GRH FINALAL _ r i FINADBOMIDINGra DATEICLOSEDCOUT _ AS.SOCIATIO'NIFMNrNOC. r r oEvE, - Town of Barnstable Regulatory Services BARNSTABLF4 Thomas F. Geiler, Director MASS. Building Division ArED��p Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508=862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: a 2 �d D Z JOB LOCATION: 7 I L6(f-,k Q-o e r S i LA--> number street village "HOMEOWNER": -AA%C KAz_ L 3. ds(at> IC't 17 ({ "_SS y "-U 1 � Z, name home phone N work phone a CURRENT MAILING ADDRESS: c5 A—yv-R—, Lv, 5A4�10s4I-b �e P�2�— city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable.Building Department. minimum insp"lion procedures and requirements and that he/she will comply with said procedures and requireme LC� Signature Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that:'"Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. _ t �i r °Z"E1� Town of Barnstable Regulatory Services M�I'E� Thomas F.Geiler;Director i63q. �0 A,E1619. , Building Division Tom Perry,Building Commissioner .200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date 1 zS 6 7 AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. 7i I Type of Work: QE5 1 D CN T't h'1.., Coo wf42 u�+�o iJ Estimated Cost 0 b00,00 Address of Work: 7( Lo T({p_g p is i r', w S i A)d ( MA- c 2Co Owner's Name: Date of Application: y�Z 5 &7 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied K20wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE.ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: ZS a ? Date on ctor ame Registration No. Date 0 er's Name Q*nnslomeaffidav r j ` The Commonwealth of Massachusetts Department of IndustrialAdcidents Office oflnvestigations _ d 600 YYashington Street Boston, MA 02111 • www.m ass.gov/dia Workers"Compensation Insurance.Affidavit.;,Builders/Contractors/Electricians/PIumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):. ►Vl t C(+A- `' -� • C15 SF2n c.�S���� •Address: -7/ Lcj1-ltiLoe1S L.N. City/State/Zip: tW, ;?>A-IZwSTg+6C, 114A Phone.#: "7-7Y^ 9� `f" o//7 - Are you an employer? Check the appropriate box: -Type of pi oject(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I . employees(full and/or part-time).* have hired the stab-contractors 6. ❑New construction . 2.❑ I am asole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' ' insurance.#• 9• ❑Building addition i [No workers comp. insurance comp. ,may required.] 5. ❑ We are a corporation and its ME]Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.[j Plumb' ng repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance,required.]t c. 152, §1(4), and we have no employees. [No workers' . •13.❑ Other comp. insurance required.] . 'Any applicant tbat checks box#1 must also fill out the section below showing their workers'compensation policy information. • t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide:their workers'comp.policynumbcr. I am an employer that is providing workers'compensation insurance for my employees. Below is-the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date),. Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ida hereby certify under re ins-and penalties of perjur},that the information provided t: above is true and correc p Sienature: Date: 7 Zs O Phone #: Official use only. Do not write in this area,Yb be completed by city or town ofj'lclal City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: n r 1 MINS-no-mol MCI ISO = IIIIIIIIIIIIIII � IIIIIIIIIIln c -- �� ' '" �"� "" ""m �" � v == IIIII�" i� r......... = II�II�� in�lIIII Illll� n���lll =—_ 1HOW IIIIIIII IIIIIIII � IIIIIIII IIIIIIII .�s I .� f i is l qw l T� qg 4 In T T ti 71 1 nyl ( i1 r r , IN 1,14 urmmn r r '7 n nn ml n mm n m m � ,�fm hn n i nmi h■�I i r- i.�n n T n i m , • m T° ,n,n n I■•■I II ' 1 •°rin �� i�.n ,n- h m ��■ m m _ �■ T n rm inn IMm. ' .� � i, mr • m RAO ® r II II F .Od onwu , i LAJNJ N wu I .daOD'Ji M00'J{ —LK R ROl >1pOMs 2r 0 0'-0 0 1-0 RGai __ _____ _____________--KAL 4/D--------- - c _ ___________ 2rOib____ ____ ------ lag iI rI I I oetx 4 w rIIIII I W j — /mSaDxaDre le� � II 4 z./.ai na roo�s oew rooK i ' x tw xu• j n ex R.su v � Roraa,Rm% i n i i I j I I .PL6Rora TO rae0 y „ "---- i i a/5nD ' DgxppQE I II snD aenr E<o � _. .I I ---— `� I I I I rx xu i I Ih II GARAGE I sat auD i p i I I g wa G'� n---- w.a✓an ' , p" n , L. I y i ' UNFINISHED i ). GARAGE k �If¢I ro on axwl 'i II I i i i STORAGE i BELOW — ' ---- z TI Ic r-i r e a' II z � LIJ a I Q L 1_----t r_____1_ I I I , I It I I I ORYfR mI NQp I HIM It I I wlmr on xaD - i \� i.-. .. ...___.- \ -- --- --u --- '4 I caNefrRe '--- s.aDea lilt]I I wOib —U[RROT ' , 060N0 MDK I CRtIP 3fR! I � 1 R� i-f 1- 5d Tel G-f zsd 6d _tv Nd ASta1 �, /dd O.SWL GARAGE 1000 sr SECOND FLOOR PLAN FIRST FLOOR PLAN STORAGE ,000sr raGALE I/4"=(-d' 2 raGA1F I/k"=f—d' ED A q� Q OSTROWSKI GARAGE 3� S 71 LOTHROP'S LANE No.7041 `" BARNSTABLE, MA FALMOUTH, �L YAROSH ASSOCIATES,INC. Q MA �., ii� ARCFiRECTB-PLANNERS CJQ` woo 0 MPS _ FLOOR PLANS a..m rv_c<r xJ¢e ,ycEEp��vS�C�irS n.n.��s RVIBE Z /—REP cam"45IMl�cwA r 9AEATER&IMAGE=L WATER Go w A�r cam,"TaL EXT. _ill WA-L IL_ 91MV"ERLAYMONT"ON LA MAPI!FLYWOOP D pmp Top& To. u EL a Or 4 1.10 M-Tt"GW—. L. UNFINISHED —L ij TO.PLATE eev.IA L 11 SiORAGE All .6 PAW HE,N GOUP Wi=W� 1.FLYM JL JL -7 m wMNb�m 1,NT.ca"T WNT 2IC TAb FLYWAXI\. /ar,m&YP To.FLATe oM a.HATE &P w.III cEUN0, GARAGE FLYING 41 c'NT WN, -FT#'wAU` l'v rcWINS re To, �r 66l6,1.AP&I .L PXY P� vr UN.. — : vAPGR—m,— /,—, w.m,c PL� rA 7." 1 To I r 6L* lYzi,D"eAx"vte Q aMeArEp o,TlM FaIMPAP'N Pay vNLA to.wA mr Yjj� rxrm 0/10 wwr. "m MNUS +T0.a.*a_o1v 4 I 25 BUILDING SECTION SC,U 1/4"=r a' (SEE rp6waNG PLAN) -2.4 TOP PLATE RED CEDAR SHINGLES 2 12 PAP"Ta., OVER 115 FELT 12 CYVERC115 FELT RED EDQR SHINGLES Az—- 1/2-EXTERIOR G s4r rLAT GRADE PLYWOOD 10 1/2-EXTERIOR GRADE P.T.l&V�L�.0 PROPA VENT AS REOUT ED ED PLYWOOD PROVIDE SIMPSON N2.5 PIOPA VENT AS REOUKED mwrm HURRICANE CLIPS 0 I LT im, j % RAFTER&PLATE 2-2.4 PETAL DRIP EDGE CONNECTION TOP PU METAL DRIP EDGE CONTINUOUS 2' r(zwARrm%*W/ CONTINUOUS SoFM VENT 2* SOFFIT VENT 12 PINE � I-'r L, T"r SOFFIT b MI 1.2 PINE SOFFIT f 0,K SOFFIT 1.8 PINE FRIEZE RDUCH ON 14 STRAPPING 1,1 PINE So"T" arm 1.6 PINE 111ElffE ON 1.5 " EXTERIOR SIIXNG STRAPPING(SEE ELEVS.) (SEE ELEVATIONS FOR TYPE) STRAPPING FOUNDATION PLAN EXTERIOR SIDING(SEE ELEVS.) S FOUNDATION 561�T ';' 12BUILDING PAKRSON BUILDING PAPER ON 74 r— THRESHOLD DETAIL EXT,GRADE PLYWIXIO 1�2*ca.GRAmcPLYWOD0 EAVE DETAIL @ UPPER ROOF EAVE DETAIL @ LOWER ROOF 5,,ALf 5,,ALf I vr Bk—mp ktr allow PIPE GYM ED A F COWAZT!GLAP W/ W AT 48 X 48'X 12' CONCRETE FOOTI G LALLY COL NS TO BE 3.000 4'DW X M7 CONCRETE 8'CONCRETE FOUNDAnON PSI 0 2a DAYS TIL D EXTRA-STRONG PIPE C, 3.00o's, #4 RE3AR CACK WAY Fy-36KSI 6-1/4'STEEL MG.PLATE c') 7041 cn REINFORCING.MIDOLE AND BOTTOM � RODS '�-T.MEV-— —1 .ALL COLUMNS- 0 lop&ROT. No. a 36*D.C. 7 7 or.p. LMOUTH, ASPHALT DAMP-PROOnNG 6--L PO'Y A RG .AGE 2X3KEYWAY r C"ACEP 24'X 10' �LVIOC. 61 Co.P!JE. P kAN E 0 .&4I 60PST" BRAV1 MA MAIN 'MIN. vr l KEYWAY YAROSHASSOCLATES,INC. TWO#5 ROW. ARCHrrEC-rB-PLANNERS FOOTING DETAIL APRON DETAIL PAD FOOTING DETAIL FND. PLAN CROSS SECT. SCALE 114"-4-6" I`,�G(AIf�114 �, SALE 1/4 { e-0 P.8V11 a-t aEipw�+e k � � t —— t-1 e/ ,row / mQa N>a2-a rya)sap war re Eanupv I RaT la a.w 0.= i r NMRMaw wnel z z X 0 9 ! R y ` IA pap war re pGw xA1 paAV,f19. � t z Es4)sap wpr Te (910.M E9aM par rm B 0 WTEF LTM R.M ED AR�yi Q�UN. M. e yq�/+,e,.� `Sim W.TO IALY ME-W NAL ; GDT E TO fol"'a,W&L Tw �� V L n OP y t t.nlvm 04P : taP,us as n NO.7041 LOFT FLOOR FRAMING PLAN 2 ROOF FRAMING PLAN ""'°�°"°'"° irm FALMOUTH, �� J SCALE I/4"=(-d' SCALE 1/4-=f-d' f.lp IWTgS OF V, n —15 E,/a"TJ w m"'Vsrs N/a PTral Rffrm DeW+a R.Im (�TR FL S11D4 N"ac (p waE R<W) 1i 6 \ (L HW NVL n�me+b - �\ IleaanarE ru, srm eew pares a oos �a y��q" � d �/ TO STEEL TUT[ex TOP R "m Hu ftzv O S '\�rry rn.E MR vAD - 62n V V.rtaR HNAs) / ( �4 u �.'P \ ral 5a PIrRI R.Mf6Es vuzrt& \ OCY War SEE AI MW �ISTRAMW a jr 0L. ) E` h' (CtYLfD- IiR.G) IiARTE l£eM 50.D b�q pN MY" u TIE BEAM DETAIL / Qerao sm - e 4 /ems a p/p'rpFi.6EC 619,paND m I Mre- 6 Ng15(r rtlaM ("'m n mrm RRTBt9 I 1• I y / I D IPA$RW +"RWKtD i4 WAL 6IEPG=E- �I I '1 r ~ t.4 STEPS K et ''""`R"'W ' "�` TAR t OSTROWSKI GARAGE "H R 71 LOTHROP'S LANE STEEL BEAM DETAIL ^� P�KNEEWALL DETAIL RAFTERS @ KNEEWALL DETAIL BARNSTABLE, MA �J SCALE I i/2"=r-d' raGALE I I/z"=1'-d' S SCALE I I/2"=1'-d' YAROSH ASSOCIATES,INC. ARCHRECTB-PLANNERB oe; me 1/0 1-- I o —, m FRAMING PLANS row,.,n�uv .,�YrtEEepruS�.En�T15 vvn��u 4� ��:� � - , - :; ~-� ��' ``" , �. Z ._ LOT 8a, x ASSESSORS 109-005-003 00 O o� tn _ca i 106.6 LOT 7 35 ✓� :E'XISTIIVC'sss? 's, 's; ASSESSORS ;HOUSE' 109-005-002 � 099 LOT 9 ASSESSORS 109—005—004 ASPHALT AREA=35245IS.F. DRIVE �1�p �_ a LOT 10 fit, y 2 FOUNDATION ASSESSORS 109—005—005 O. FLOOD ZONE "C" FO UNDA TION CERTIFICA TION RES ZONE. "RF" TORM W.BARNSTABLE SCALE: 1"=50' PLREF` 418-55 ELEV N/A SETBACKS.• 30'-15'-15 ►► YANKEE LAND SURVEYORS - I CERTIFY THAT THE �'yQ��GkC T E RFp yGSF�; & CONSULTANTS "FOUNDATION" IS SHOWN • o= Q� NEN N P.O. BOX 265 ssEP UNIT 1,40_INDUSTRY ROAD ON. THE PLAN AS IT EXISTS oo�E 4MARSTONS MILLS;MA-02648 ON' :THE GROUND. A #3� ��2 TM 508—428—0055 FAX 508—420—5553 �OF SS\p�y0 ►� -4 UF���� JOB �! �� DATE.•11-20-2007 NUMBER 54288FND i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION IZ03 Map Parcel lilt Co. :Application # Health Division ' Date Issued Conservation Division •�� Application F Planning Dept !Permit Fee - Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Strut Address 71 . L_U7w FaPe- 1i f- Village 1� 1.• Owner 1 Rip_*I OSTt?_©L&�s ill. Address-771 U, �k � r Telephone 7 7 I/ — °l�1�/— O l / Z-- Permit Request �X (, G w £ !P/ X Square feet: 1 st floor:existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio �5-5DdU Construction Type© Lot Size 3 zl, 7sr Grandfathered: ❑Yes ❑�No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑ Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other 77 Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove:=❑Y s ❑ No 1y X 40 ~ Detached garage: ❑ existing ❑ l El size Poo existing 9(new size _ Barn: ❑'existing D;new-size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ c� CD Commercial ❑Yes ANo If yes, site plan review # w Current Use I t DS7 ti-4 hWe-C) JfQQ Proposed•UseT391 — fj�j APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ?i S e Ht�� Telephone Number 6_d D !62 0�7 ti Address License # 7/7/ C,o� Home Improvement Contractor J Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE 7 ./,000' f r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: f FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING �� K 7 /`� «/� Sw -avc�► N �� A tso - n-s . DATE CLOSED OUT ASSOCIATION PLAN NO. I , The Co mill onwealtit ofMassdchusetts Deprsrfinerzl of bidusfriu-[Accidents Office of 1rtvestigalions 600 Washineon Street Bosto)x, NL4 02M rpKyV.jnasg.gov/dins 'Workers' Compensation Tnsrtrance Affidavit: Builders/Co)atractors/EIe PTease Print Le,b b] A ' licant In.formatioai c f U�,1 11 �� Name (Busi.ncsdC>rganization/Lndividuel): SDU 114, v AdrJress: � 5 U� G Cit /StateJZ WI (' PhoneA Y Are you an employer? Check the appropriate box: Type of project(required): a crx�loycr with ,-,� / c /Q,r�� 4. I�am a general contractor and I 6 W,Ncw constro-ctioa 1.L`7'�1 am -�—�'7 layecs (fiill and/or part-lime).* bavc bired the stab-contractors 7 Rodeling cmp listed on the attached shed Elem 2.❑ 1 am a'solc proprietor or partncr- Thcse sub-contractors 1iavr g, ❑ Demolition ship and have no croployccs working for Mr in any capacity. cffrployees and have workers' 9 ❑ Bui_iding Addition _] comp. isrstuancc.t [No workc;n,.comp.-insvrancc S. [] We are a corporation and its 10.[]�Elcctrical repairs or a-Mi rtquired am a -] owncr doing all work ot�i.ccrs bavc cxrrci.scd their 11_❑Plumbing repairs or a.dd' 3.❑ I myscl£ [No workers' consp. rigbt of exemption per MGL 12 Roof rcp.z rs c. I52, §1(4), and we have no 13 '�thcr . inerrrancc retTured]t cmployecs. [NO workers' comp, insurancc required-] 'Amy applicant that chcclx box#]must also fit)out the reckon below rhowing their workers' eompcnsztlon pAcy�mration. t HomeowntrC who rubrvil this a$idavit indicating tbcy art doing all work and than hire outside contrarior5 must rubmit a new affidavit indicating rue[ XConiraelom that chock this box rrmst attached an additimial rbeet rhowing the name of the sub�ontractorr and ruin whether oT not those tnbties have employers. If the rub-conb-aetorrhavicemploycct,theimurlprovidb their workers'comp.poUcyriumbcr. Iam aft errrployer tlird isprovidingworkers' compensation insurance for rrry employees Belo7•v it fhe policy artdjob sit ' inforrnaLiori. �\ — . Insurance ContpanyNasnc: \`�� 1L— / Policy# or Sclf--ins. Lic. #: 3 APIExpiration Date_ Job Sitc Address; City/Statc/Zipid BAW�I+de Attach a copy of;tha workers' compensation policy declaration.page (showing thepoGcy number and expiration da Failure to secure coverage as required undrr 5cction 25A of MGL c. I52 can Icad to-thc imposition of criminal pcnaltics t Lino up to 31,500.00 and/or ono-ycar i=[prisonmrnt, as well as civil pmalti•cs in the form of a STOP WORK ORDER and of up to S250.00 a day against the violator. Be advised that a copy of this statLmcut maybe forwarded to the Office of Investigations of the JDIA for innr,-once coves e veri5catiou I'do hereby certi u d e pains•artd perialtles ofperjury that the information provi�ed-end aye is tY e and coirecc S p fVf Datc; / 7 r� Si afore � x Pbon # (� Official use only. Do nof write in thin arc", tb 6e completed by city or town offteiaC City or.Torvn; Permit/License # Issuing Autbori ty (circle one); 1. Board of Health 2, Building Department 3. City�I'tiwa Clerk 4. Electric[! Inspector S. Plumbiog Inspector 6. Other information and In $ruc was r a6ba for th .cmploXccs: Massachusetts Gcncral Laws chaptcr 152 requires all emplo person the pursuant to this service of anotbrr under aby contract of biro, statute, an err»pLoyee is defined as ,...every p cxpress or implied, oral or written corporation or other legal entity, Y or an two or more An a replDyer i9 dr.fincd as "an individual, partnership, association, rp of the foregoing.cngaged in a joint enttrprisc, and including the legal representatives of i dee employers.lHow verhthe receiver or tnisteo of an indi�?d�1 paxtar 1p, �sociation or other legal entity, employing �p y ownez of a dwelling boost having not more than three apartments and who resides therein, or the occupant of the r rcpaiiw dwelling house,of another who employs persons to do roaintcnancc'ofrus h ccm looyzmcnt be deemork ed to bcn SUCbL dan MPIOY-r-" or on the groI�nds or bvilding appurtcna.nt tberc"o shall not because P GL cha ter 152, §25C(6) also states that"every state or local licensing agcnsyn hh roramonrealth foro-ny r l�f p reae�al of a license or permit to operate a business or to construct building applicant who has notproduced•acceptable evidence of compliance with the ins o t-9 COW"i g�dyisi°ns'sball Additionally, MGL obaptr;r 152, §25C(7) states 'Neither the conimonwcalth nor any P Addsentr into any contract for,nc�performance of public Work until aeuP�le cvidcnee of complienCe g2th the urar�ce requirements of this chapter bave bccn presented to the contracting authority. Applicants- Please �ll out the workers' compensation affidavit completely,by chcc)fingof the bo?ces that apply to your situation and, . Cac( ccrtifi accessary, supply sub-contrartor(s)namc(s), address(cs) and phono Pry s°L! ) n c�oyc s�thcr than the insurance, J-imitcd Liability Coin anics(LLG) or Limited Liability P mombcrs orpaxtncrs, arc notrcquircd to carry work affdamvlt bn suinsbmitted t the Dcpartrn n of Industrial employees, a po)icy is rcquirc. B c adyiscd that this Accidcats•for confiMation of insurance coverage. Also be sure to sign mad bdate thcucfl strA A t thr,D� cntof bo zcturncd to the city or town(hat the aPPlication for.the permit or hccnsc is ou arc reing q c to obtain a wozkccs' Tnd,stcial Accidents. Should you have any questions regarding the law or if y o4 co ensation pokey,pXcaso call,the p4partmcnt at the nurgbcr listed below. Sclf-insured companies sho)rld enter their If insuranGo license number on the appropria_tr;)inc. City or'I oTrP OMCJR,s the bottom Please be sure that the aff daYit is'eomplctc and printed legibly. The Department has P1ovi regardingp the. of tho affidavit foryou to fill out in the event the Offico of Investigations has to contact yapplicant Pleaso be sole to fill mthe perrait/liccnsc number which will be used as a rcfcrcacc number. In aadlnt mtircg current that must submit multip]c.perzait/lieense applications in any given year, aced.only submit onG policy information(if AceessaU) and under"Job Site,Address" Lho applicant should R'mown lay b p in yidcd to b or tDwn). A copy of tho s$dayit that has bccn officially stamped or mar Ycd epplicant as proof fhat a valid affidavit is on file foi fiitute permits t n ated•to any it ss or cobznmfcricialoYcntuze yeax.'Whcro a home owner or citizen is obtaining a liccns c or p,rmi (i_e, a dog license op permitto bum lcays etc.) said pers°u is NOT required to comg�lcte this af5davrt you in advance for your cooperation and should you heYc 'MY questions, Tho Office oflnYcstiga dons would l�kc to thank please do not hesitato to give us a call. nd Department's address, tcicphone•and fax number. The Commonw,-;4th of Ma- Department of Jndu�xil A ccidr<nts Offlce of Ij�Yestjptjcas 600 wa--n�fioa Street Boston, MA 02111 TGI; # 617-727' 490.0 ext 4.06 tar 1-8'77-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www—rnass-goY/dia • �04 rHe rok,� Town of Barnstable Regulatory Services 1A1ZNSTADLE, ' Thomas F. Geiler, Director Building Division Tom perry,- Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba•rnstable.ma.us Pax: 508-790-1 Office: 508-862-4038- Property Owner must Complete •anal Sign This ScctiOfa If Using A Builder as Owner of the subject propetty to act on my behalf, hereby authorize in all matters relative to work authorized by this building permit applicatiotl for: (Address of Job) Sign tare of Own-i Dat Print Name If Property Owner is applying for permit please complete the Homeowners License ExemptJon Porrri on th'e reverse side. Town of Barnstable y�P op-fKE ro��� Regulatory Services Thomas F. Geiler, Director BARNsTAHLS. MASS.• Building Division 16 �� PjEo I,tPlA Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 i�,lylY.to'wn.b2rnstable.m,2.us Fax: 508-790-6230- Office; 508-862-4038 HoAfE0WNER LICENSE EXEMPTION picnse Print DATE:. o8'LOCATION: street yillage number "I-IOMEOWNGR work phone# home phone� name CURRENT MAILING ADDRESS: slate zip code city/town ts or s and The current exemption for"homeowners' was extended to includot ,osscssca I censcupied e`yrornd a that .the r° '= arts as to allow homeowners to engage an individual for hire who does n p superyisor. DEFD�rrION OF HohiEOwNER or is Person s) who owns a parcel of land on'which he/she resides or�tcc d soo r torsuch use and/orefarm tire is, vctutcs intended,� to be, a one or two-family dwelling, attached or detached structures rY person who constructs more than one home in a hsr on.aaforrrlacceptableperiod to the Bshall not bo uilding Offrc homeowner. to that hc/iderc he shall be "homeowner" shall subrait•to the.Building Official res onsible'for all such brk erforrocd under the buildingcrnvf, (Section 109.1.1) ith the State Building Code and other The undersigned "homeowner" assumes responsibility for compliance w ' applicable codes, bylaws, rules.and regulations. ablc Th'o undersigned "homeowner" certifies that hclshc understands he/she} i l cmplye Town Bwlth said proccdurres and went minimum inspection procedures and requirements and requirements, Signature of Homeowner Approval of Building Official Note; Tbcc-family dwellings containing 35,000 cubic feet df')argcr will be required to comply with the r State Building Code Section 127.0 Constru Hdn CDWNER'S El. xElrIP7ION The Code;statr�(hat "AnY homeowner performing York for which a building permit is required iha11 be exempt from tTc provisions of this section(Section Io9.1.1 -licensing of eons-uc6Dn Supervisors);provided that if the homeowner engages a persons)for hire to do such work, that such Homco)vner shall act as supervisor," }many homeowners Who use thisctio Su exemption cryisors,Section 2.15)they Tnis lack of war ncsooflcnlrc'sultsf in scrioussprobl mspparticularly Rulcs &'Regulations for LiccnringConsW P when the homeowner hires unlicensed persons.. In this case, ur Boaid�ic nol proceed against the unlicensed person as it would H�[h s licensed he pr Supervisor. The homeowner acting as Supervisor is Y To cnsurc that the homeowner is fu))ya�c fof on br TcSpics ofsi Su1pervi or,yOn the I stl�pagc of this il application, isssue is a parl of tform currently used by that the homeowner eertif) that hdshe understands r^�,,n.fic,(ion for use in your community. p� �e`tpa�nmzaruuca/� Office of Consumer Affairs R Business Itegulalion License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:- Office of Consumer Affairs and Business Regulation g 105485 Type: 10 Park Plaza-Suite 5170 Expiration: 7/17/2012 Supplement Card Boston,MA 02116 SOUTH SHORE GUNITE POOL&SPA INC. RICHARD BENOIT 7 Progress Ave. Chelmsford, MA 01824 Undersecretary Not valid without signature n-� �lusachu�ctts- Dchurtmcnt of Public Sufi:t� ' Board of Buildim, Re!-ulations4wid Standards Construction Supervisor License ;License: 08 56174' - Restricted tos 00 RICHARD E. BENOIT- 54 CUSHING HILL R[YsA NORWELL, MA'0206,-V"c Expiration: 3/116;z01I (onuni �irnrcr Tr#: 11391 ACORDM CERTIFICATE OF LIABILITY INSURANCE DATE 07/26/D2010) 07/26/2010 THIS CERTIFICATE IS IS UED 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 CONTACT NAME: Lakeside Insurance Agency, Inc. A",CNN El: (603)432-3666 AICNo:(603)432-6076 Three Wall Street E-MAIL -ADDRESS: Windham, NH 03087 PRODUCER -CUSTOMER to N* INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: National Fire 20478 South Shore Gunite Pools and Spas, Inc. INSURERS: Valley Forge 20508 7 Progress Avenue INSURERC: Everest 10120 Chelmsford, MA 01824-3606 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 10-11 Master - SSG REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD SUB POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MMIDD MM/DD/YYYY "GENERAL LIABILITY INS4013391907 04/01/2010 04/01/2011 EACH OCCURRENCE $ 1,000,000 ' 'X COMMERCIAL GENERAL LIABILITY DAMAGE PREMISESS( RENTED Eaoccurrence) $ 100,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO LOC $ JECT AUTOMOBILE LIABILITY SAP4013391888 04/01/2010 04/01/2011 COMBINED SINGLE LIMIT $ X ANY AUTO (Ea accident) 1,000,000 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ B SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNEDAUTOS $ $ UMBRELLA LIAB X OCCUR 71C1000110-101 04/01/2010 04/01/2011 EACH OCCURRENCE $ 5,000,000 C- EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DEDUCTIBLE $ X RETENTION $ $ WORKERS COMPENSATION WC401339189 04/01/2010 04/01/2011 X WW RSTATU- OTH- AND EMPLOYERS'LIABILITY Y/NER B ANY OFFICER/MEMBER ER EXCLUDED?ECUTIVE NIA E.L.EACH ACCIDENT $ 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEd$ 1,000,000 I(ySCRIPTION OF OPERATIONS below describe under E.L.DISEASE-POLICY LIMIT $ 1,000,00 DES A Limited Pollution Worksit s INS4013391907 04101/2010 04/01/2011 Coverage Occurrence - $1,000,000 ESCRIPTION OF OPERAj10NS/LOCATIONS/VEHICLES (attach C D 101, ddltional RenVrks Sched le,if more space i required) overing swimming poo construction�re ate operations oT the name insured during policy term. C Statutory coverage is provided for NH and MA. No executive officers are excluded from coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The Ostrowski Residence AUTHORIZED REPRESENTATIVE 71 Lothrups Lane W qarnstable, MA 02668 Joseph Rossetti SANDY ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD 1 Fencing spec for swimming pool installation @; 71 Lothrups Ln W. Barnstable Property owner: Mr. Mike Ostrowski Pool Builder: South Shore Gunite Pools 7 Progress Ave. Chelmsford, Ma. 021984 508 962 0007 Swimming pool fence enclosure will be a 5' high, black chain link, mini mesh. Mesh size to be 1 1/4" inch (1143 cm.) w/ all-horizontal bracing to be set on the pool side of the fence. Gate shall be set to open outwards, away from pool and.have a self latching mechanism located no less than 54 inches from the bottom of gate and at least 3" from the top and will be located on the pool side of the gate. The opening on the gate shall not exceed 1/z" within 18" of the self latching mechanism. All fencing to be installed by owner: Fence will be in place and inspected "prior" to filling pool. I Page 1 of 1 r l M' a 0 http://fencedirect.com/images/products/magna-latch.jpg 7/25/2010 Magna Latch top pull - mltps2bga Page 1 of 3 • ' : ' s -= V. Magna Latch Top Pull Magnetic Pool Safety Gate Latches v�~4 Click Here for Repair Parts �®tio pool �at� Colors Fence Ome Model Part# MFR# Available Height Models or Pull VGHDD1025 MLTPS2BGA Black 4' high or White *Top Pull' •Vertical Pull _ The most popular Magna•Latch model. The -Side Pull ideal gate latch for most swimming pool gates and child safety areas such as daycare ACCE'SSOI7ES centers. Key lockable. Highly child resistant, I magnetic latching (no mechanical resistance to *Spare Keys closure). Fits most gate/fence heights but is *Round Post Adaptor ideal for common gates/fences 48" (1200mm) o G high or higher because the latch can be 4*Gate Handle installed so that the release knob is out of o•Gate Stop, reach of small children. Consult local authorities for height Downloads measurement/requirements on swimming pool gates. Contact Us .....more Watch Buy Now information the Video (' left Swinging Gate Right Swinging Gate � hinge 9 arch latch hinge post post post post Fits either direction ! ! The world's safest gate latch! il des° It CIM http://www.magnalatch.net/magnalatchtoppull.html 7/25/2010 Magna Latch top pull - mltps2bga Page 2 of 3 ADJUSTABLE -- - �•- STRIKER BODY i? - b+,: .. t;`+; '- .• and oecns do�faa � "r = =:1' ' y•- �'vs fiAq Ia elvo VERTICAL ADJUSTMEIIT -- 138ma+1 HIV, I � + I HORIZOHTAI ADJUSTMENT ��Se • _ - 3/r I7/16' kr her I _ f.•1 �� r • Y ' lion { • Magnetically triggered (self latching, no jamming) • Highly child resistant • Key lockable (2 models) • Meets Pool Safety Standards • Fits new and existing gates • Adjustable for 3/8" to 1-7/16" - gap (see below) • Can adjust up to a 2" gap with pptional spacer. • Made to fit square posts but can fit round posts with optional adaptor. • Tested to 400,000 cycles • Independently tested to meet international safety codes gam Minimum gap � Maxanumgap Minimum u 1.7/16"131mm) Plan view-unadjusted Plan view•adjusted E,Qii�1i•L11fiG11� �,tc��C�• b.Tr . ,�,;�-:." ' Lokk Latch is a Lokk Bolt is a security drop bolt(aka Tru Close self closing general purpose http://www.magnalatch.net/magnalatchtoppull.html 7/25/2010 INSTALLATION INSTRUCTIONS NORTH For swimming and other child safety gates,most safety standards specify the NA G MIATC M® following minimum height requirements above the finished ground/fixing surface: 1)latch release knob'Fat minimum 54"-59"(1370-1500mm); 2)fence height of between 4'&6' (1200&1820mm) Always confirm these and other requirements with the appropriate pool or safety authorities in your area and install this latch in accordance with the local fence/barrier codes and regulations.Also,pool gate must open outward,away from the pool,so this latch must be fitted to the outside of a pool gate.Tools:Electric and cordless drills,drill bits,Phillips No.2 screwdriver(hand&powered types).Note:if mounting to steel or vinyl with aluminum or steel inserts,it is advisable to pre-drill the holes to prevent screw breakage. Installation Procedure 011-�2 1.The gap between gate frame and latch post must be between 1/e"(1 Omm)and 1'/16'(37mm);3/4"(19mm)is ideal. 2.Determine the location of the hole for Mounting Bracket'A'byy measuring up from the finished ground/fixing surface... F •for 54"knob height measure up 363/ii'(925mm); •for 59"knob height measure up 413/e'(1050mm). Place Mounting Bracket'A'on the post as shown,and,using one of the 1"(25mm)wafer-head,self-drilling screws,fix the bracket to the post—through the side fixing hole.Now install two more of these screws through the front of the bracket. &To install Mounting Bracket'B'measure up from Bracket'A'133/o"(340mm).Mark this point and fix as'2'above. NOTE.•for 4 feet(1200mm)fences without an extra-high post,this measurement should be 5"(125mm)for 54"knob height and 10"(250mm)for 59"knob height. Place the Bracket'B'so that the holes are centered on the marked line.Fix bracket using the some screws as per Bracket'A'.(NOTE.•In some applications it may be necessary to add a spacer to clear a post cap.Spacers Sl,S2& S3 are for this purpose and should be inserted behind the mounting brackets during installation.) 4.Take the main LAT(H BODY'('and slide it down onto the Mounting Bracket'B',ensuring the rear track of the latch slides over brackets'B',then'A'. tN 5.Slide the latch Body until the bottom of the latch aligns neatly with the lower end of Bracket'A'(see dashed line'L').Take the single B 34'(1Omm)countersunk screw'H'and secure the latch Body— st DO NOT use a power or cordless drill—to Bracket'A'. e 6.The final part to be installed is the STRIKER BODY'D'. Note that the Striker Body slides on a dovetail track within the Mounting Plate(PI,P2)and is operated by an internal adjustment E screw,NEVER use a powered drill to adjust this screw. o See Diagram'E'.Locate the Striker Body assembly onto the post as , , o �H s2 shown.Position the Striker Body to obtain a'/e"(3mm)gap CO , , — - ' A between the lower part of the latch and the top of the Striker Body ., — ' as shown.Maintain this gap and fix two 1"(25mm)screws through MOUNTING L the two main holes of the Striker Body.The two,small(cylindrical) 'e E PLATE (P1) I dress plugs supplied should now be pressed into the screw holes. y I 7.a)Open the gate and secure two more screws through the side (�) tl� H rol t Brit leg o{the Mounting Plate.Note.If the width of the gate frame is 1112"(38mm)or greater,follow step b)... a a STRIKER BODY b)With the gate open,adjust the Striker Body using the a screwdriver in the adjustment screw.Turn counter-clockwise until the q y (Gate Stop) two holes are exposed,as in Diagram'(P2)'.Fix the two remaining E E screws to secure the Mounting Plate. E E W 8.Use the screwdriver to adjust the Striker Body to align with the Y Y GAP Latch Body,as shown in Diagram'E'.Open and close the gate to V 0 ❑ 5 IN check the latch operates correctly.Adjust as necessary at any time LL LL (3mm) after installation to ensure safe operation of the latch. E NOTE Future vertical adjustment of the latch can be achieved by removing the screw'H;sliding the Latch Body up or down the post to obtain correct operational alignment,then inserting the screw into the appropriate hole. Made in<4 0>Australia MLINSTR0002PA AUSTRALIA:192 Harbord Rd,Brookvate NSW 2100 pk-mllfll(5/0t)001 d e d t e E I'1 o L o g i e s USA:7731 Woodwind Drive,Huntington Beach,CA 92647 Swimming pool fences,gates and latches cannot substitute for adult supervision.If using this latch on a swimming pool gate,consult all appropriate local authorities for safety requirements.The latch will operate properly only if installed and maintained in accordance with these instructions. MAINTENANCE: REMOVE KEY FROM LOCK AFTER USE.Regularly lubricate the key-lock part of this latch by spraying oil-based lubricant into lock.Do not lubricate any other part of the latch. Ensure all screws or bolts are tightened firmly and that the release knob[F]and latching bolt are kept free of sand,debris or ice which could impair latch performance. WARRANTY&LIMITATION OF LIABILITY:The products are warranted to be free of defects in materials and workmanship to the original purchaser for as long as he/she owns the product. If a structural material defect appears,the original purchaser may return the item,freight prepaid,together with proof of purchase to the company or its approved international agents.The company or agent will,at its discretion,repair or replace the defective item or part without charge to the purchaser.Anodised,powdercoated and printed finishes are not.°structural material"and warranties for such finishes are limited to those offered by the current powdercoat manufacturers or applicators.THIS WARRANTY SHALL NOT APPLY WHEN the product has been tampered with,when repairs or attempted repairs have been made by unauthorised persons,where the item has been subjected to misuse,abuse,accident or damage in transit,or where the installer has not followed the instructions set out during installation or operations.IN NO EVENT SHALL THE COMPANY BE LIABLE FOR ANY INCIDENTAL OR CONSEQUENTIAL DAMAGES.No warranty is given other than that set out above.No other express or implied warranties(including statutory warranties)apply,other than warranties which may not be legally excluded. l '10 JUL 16 A0 :0 , p}THElp�y Barnstable Old Kings Highway Historic District Committee 200 Main Street, Hyannis, MA 02601;TEL: 508-862-4787 Fax 508-862-4784 opp a 63 9. lfO MA't� APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four(4) complete sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, of photographs accompanying this application for: Check all categories that apply; 1. Building construction: ❑ New ' ❑ Addition ❑ Alteration 2. Type'of Building: ❑ House ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting, roof ❑ new roof ❑ color/material change, of trim, siding, window, door 4. Sign : ❑ New Sign ❑Existing Sign "❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ tennis court ❑ Other 6. Pool swimming ❑ Other man-made pool Type or Print Legibly: Date: 7-`-1 Q Address of proposed work: - House# Street: L OT't-(- o p'J L/yjy z Village J t,,), Assessors Map of# LC5 i / Description of Proposed Work: Give particulars of work to be done: x t ` i — oAPPROVF . � Town.of Barnstable way Committee Agent or Contractor(print): iM t L GSA 2ow�G(E Telephone#: 7 �( r �7 `1 —U f I Z Address: `7 L u T'i-t,Z o P' S t c Contractor/Agent' signature: NOTE All applications must be sign-d by the current owner Owner(print): Telephone#: '7 — S L( —G ( I-7 Owners mailing address: Owner's signature: ........___._: For committee use only. This Certificate is hereby APPROVED/ DENTED 10 Date Members signatures �2 6 1 LD 112 "� -- AnKco dit\s Q approval: O G ` 1 - / ' "�_ ' rat��S"f�' � : � se•' Ji ' _ � `�J.,I t /:•' -�^�SSA iA'. t III ! ;i (I clNt >.., i• III'�,II��1• i'�� ' rfy .t• a+''')II;J yr ������,��' 1 ` I �� .�'+�;,��'.r �p I GI � ? '�.•=' - IV I" ..I( may, 1 /1�.f��.—. 1 Ir ��WI�.T� ••t!1'- •n � ���•V LV tea.�-i`... � `f � y�'• :.-i' r•• 'nntw fit", A.C`��� �Y w • _ � Y ;f. o C �c � li r i � u J I 729F --- • kz�atrarnr + . Ilk thivL45W IL scuE Arr ~"�YJTft h�iK[SfiOt7R _. t� - �` Acwz A tfRT SC :SPA HYDRO-THEr?FY = HE.t rE.e /S bP7-A0Al*R L oYt ARV TETStyAlv iq�e E OP rio,v. S7I7NE � TO .SE 'C1wtTiQv4CT� /•v Auo'QOR.cicE Wires .frATE " Y;V GoDE-r.- ,(SRft727 - /Jl�L Lo,✓JTi�'�/GTlo� � �,Qp!l.NDE.d /iV .fTiQ/GT BF_ . yy�.eED T T/v.�/ OF ,SSA Gfss SFCTCJN ' Z) JgR.DRA,Gr o,Tv�t OR �fLEcT�ic S��c[£LlLriO" - � THE Tt�41 �STZ ' Of AFrW14S / •cret«c uo. t = u376 0 �. pATt TIMOTHY WALKER - CONSULTING ENGiNi=E 19 M'OOOStOE LY'E. YtfESTPORT CT Q6a 0 aeon( •L b.� SD. / r ��rvfrE I JIA TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1 O 1 Parcel &0S )C1110LA Permit Health Division 11 I1.�— 15 7 Date Issued1L Conservation Division cS. �7 Fee s Tax Collector , F- ee 00 Treasurer T SEPTIC SYSTEM MUST BE Planning Dept. `— L INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning B and VYITII 7i'TLE 6 Historic OKH Preservation/Hyannis ENVIRONMENTAL CODE AND TOWN REGULATIONS Project Street Address _ 9 1 Lo i 4-/2,c,P'S r--A-r'� , Village Owner 6AiC!tea ) S4eZp 4C. Address Telephone SO'S — 3Caz' i Z 13 �—p Permit Request T 0 ba t_A 1 to AA I f .41 cnn *-- s LLyx Square feet: 1st floor: existing II Z—� proposed 6 2nd floor: existing proposed Total new 2L'6 ��7-0F PP-ojec� Valuation 2-0 CCO Zoning District Flood Plain Groundwater Overlay Construction Type be,i Lot Size A-<,Q,_% Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure E5 y VS Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: �4 Full ❑Crawl ❑Walkout 9 Other uEw • P4 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1 26y Number of Baths: Full: existing Z new Half:existing i new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing "1 new First Floor Room Count J Heat Type and Fuel: (,Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes %No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage: existing ❑new size ZI Yc LY Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use So N R-00 ail • T=A-u�+� R"t.", •.�- `•-�•yam. BUILDER INFORMATION ram.. Name HA-EL J 6 St 6ZcLg Telephone Number is O�—��� Address License# +kaV--V Dcc n-3 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DE IS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE I DATE FOR OFFICIAL USE ONLY A•, PERMJT NO. 4 DATE ISSUED ' 3' MAP/PARCEL NO. e ADDRESS _ ' VILLAGE OWNER DATE OF INSPECTION: . FOUNDATION ' FRAME r17 0211, t INSULATION 02, FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH �� � _ FINAL ) oe Ail 149., FINALBUILDING ® kzO • u"_ ��to � •:. ' DATE,CLOSED OUT' 14 .--". --- n s• ASSOCIATION PLAN-NO. cl 7 •r _ a, 3 Y _ Me Commonwealth of Massachusetts -:— _ Department of Industrial Accidents _ =� 0117a�11a/as�IO�ODs --_ - 600 Washington Shwet , Boston,Mass 02111 r Workers' Comoeasation Insurance Affidavit name location I am a homeowaerpedarming all waticmysWL I am a sole etor and have no one worlQag is anv cmMicitr tm this'ob ❑ employer providing workers' o�far my employees worioIDg J . 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'. ..- � .... .»,.;f..V.i:}::�.w:aiiTv.}::i x�4:'t`::�:�::�c:;�" ........ �,�:;.,•sca,,,o�"�+?� 43.x:,,,,,,�.<�:.:°l'�>,•.•.•?33:3 :?Ut�^�'Y;°CR:3"`..�4„�. ........ : Faibn�e to remse r�ee:;e as�gofesd etsdarBeettoa2SAofMQ.IS2 e:tlsifa+tbt�da�ipmsWn da Qaaap to Sr.'0000 and/or ont�<---------- tmprbo=Mwvmaucivflpmdftimthefo=of&SMWOMOgDEgaaiatmadi100.00adsyapt teas Ismdetstmdlbata mFy of this mtsmmt msf ba for�rded to the Otnoe of Iaratlpetlo®of the DIALora��� I do havhy catify pniw artd paialtia ofPffjrrry duzR si v-vffw n PmvhWaboas it Mw mtd cared Date f//O/O -2 Sign-i lfi4, J , oIDdai]no owy do'wtwrda is this sees to be c=pleted by city ortoam 69MA ortown: (]BufldiaS DePartsn� city Board checkulumdlata eespoma is required ❑sdecmews OLIlce ❑Health Dept contact person:. phOO°� �pthsr f�evro D/9S PIN • i - Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for ib., employees. As quoted from the "law", an employee is defined as every person in the service of another under any cep- of hire, impress or implied, oral or written. An employer is defined as an individual'partnership, association, corporation or other legal emits', or any two or more of the.foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the r-.c-n•e. truster 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*=in,orthe occupant of the dwelling house of another who employs persons to do maiateaaacx, ceasotuctiaa or repair work on such,dwelling house or on thr min=s C.- building appurtenant thereto shall not because of such employmecl be dcemed to be an employer. MGL chapter 152 section 25 also states that every state or iocatlieensing 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,"L4+?the commonwealth nor any of its political subdivisi=shall eater into any ca=act for the perfbrmance of public woo=nl acceptable evidence of compliance with the insurance ofthis chapter have been presented to the authority. Applicants and Please fill in the worker affdavit completely,by checkb applies to your sita= supplying company names,address and phone maabers along with a certfficate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for arm efhMMznce coverage. Also be sure to sign and is date the affidavit The affidavit should be retamexl to the�or to that the application for the p emit or liemse is' being requested,not the Department of Industaal Accidents. Should yam have nay gnestiaas regarding the"law"or if S= are required to obtain a workers'cmmpeasatiaa policy,please call the Dqzutzn=atthc mmber listed below. City or Towns Please be sure that the affidavit is complete and printed Iegibiy. The Department has provided a spa ce at the bottom oft:r affidavit for you to fill out in the event the Office of;avestigat3nnshas to caaiact you:egartiing the applicant. Flse be sure to fill in the peimhllicease mrmbet which will be used as a niiihar. Ile affidavits may be r M==TO the Department by math or FAX unless other a== have be=i ade. The office of Investigations would Ile to thank you in advance for you eoopetatiaa and should you have nay questions. please do not hesitate to give us a call. gg The Department's address,telephone and fax number: : The Commonwealth Of Massachusetts Department of Industrial Accidents Me of laves"atlous 60o Washington street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 4.06, 409 or 375 r •'L°� The Town of Barnstable • . g Regulatory Services 039. `0 Geiler,Director, 101Et)MDR�' Thomas F. . Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date 1 q 6--- AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction.alterations.renovation.repair.modernization,conversion, improvement.removal,demolition.or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions.along with other requirements. 11 Type of Work: -9y 1 L 1�'K ��d t �` estimated Cost 2 3 O`t V Address of Work: L Owner's Name t � �--J , OSZ��►� ��-� Date of Application: 1� Z I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1.000 ❑Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. i Date Contractor Name Registration No. O 1 Cf 0 Z Date �Idwner's Name q:forms:Affidav:rev-07060I TAkJl=(mod) Pmeripttve Pathaga for Ona and TV o•Fanu lW tte�dmdat BaiW(np fRaand tenth Foul Faeh MAXIMUM NuTffmR1M Will Floor Sa®mr. • Slab I�nB �8 W1°8 F15darc� Arm'(%) U.valuc R value? itrvaivar R•vaild pericum pack= 9"1 to 6500 HeaefaR D now Q 12111 0.40 3E 13 19 t0 6 Norma! R 1 W2 30 19 19 10 6 Normal S 12!'. 030 3E 13 19 10 6 U AFUE T 15% 0.36 3E 13 25 WA WA Noma! U 15% a46 3E 19 19 t0 6 Normal V 159/8 0.44 3E 13 23 WA WA ItS AFEIE w 15%, 0.52 30 19 19 10 6 13 AFUE X 18% 02 3E 13 25 WA WA Normal rm Is% 0.42 3E 19 23 Noa! 18% 0.42 is t3 19 10 6 90 AFUE AA 18% 0.50 30 l9 19 !0 6 90 AFIJE 1. ADDRESS OF PROPERTY: rl ( L O-1 Wg-O p 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: �'I 2--Z, �- . 3. SQUARE FOOTAGE OF ALL GLAZING: S ci 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DEtERunmG ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: . q-forms-f9803O3a Footnotes to Table J5.2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skyli#,ts.;and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wail area. expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example.3 ft'of decorative glass may be excluded from a building design with 300 ft of glazing area. 'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken. from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the fuil insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-=8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing(if used). Do not include exterior siding,structural sheathing,and interior drywall.For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13.cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall consunctions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawispaces,basements. or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mc_: the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned br.,ements must be included with,the other glazing:'Basement doors must meet the door U-value requirement d-scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R 2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 035.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door*contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e..may have a U-value greater than 0.35). c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). 43 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE ,,r e j Buildings,Additions $50.00 terations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 2 4 b square feet x$96/sq.foot 6 N(3 x.003 1' y L plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq. ` >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >150 sf- 1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (der) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcott The Town of Barnstapic = Sr at•E•g Regulatory Serv><ces '�, �bss• ,,.� Thomas F. Geiler, Director '°rfo►r►P� Building Division Peter F. Di11�Iatteo; Building-Commissioner 367 Main Street.Hyannis MA 02601 Fax: 508-790-6230 Office: 508-862-4- 038 HOhiEo%VNER LICENSE pTION Please Prtat DATE: S village JOB LOCATION: I LC7T O number ( sneer # -HOMEOWNER": ItiI ICI�A�-Z J, CSS� �c�S1c c J6 ��'��� -HOMED home phone work phone# name CURRENT MAILING ADDRESS: rs L oZ� p code city/town. „ owner-occupied dwelling's of six units or The current exemption for"homeowners was extended to include who don not possess a license,tvi less and to allow homeowners to engage an individual for hire the owner acts as supervisor. DEFDITriON OF H011EOW1!1IIt or is Person(s)who owns a parcel of land on which he/she resides.or rounds to reside,on which*there is, accessory to such use and/Or intended to be;a one ortwo-family dwelling.attached or detached s period shall not be considered farm structures. A person who constructs more than one home Official form acceptable to the a homeowner. Such"homeowner"shall submit to the Building • dingy Official.that he/she shall be res onsible for all such work erformed under the building errttit. Burl (Section 109.1.1) The und ersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations• ing e undersigned"homeowner'certifies that he/she�dermtands ndethat e/sheBwa ill comply with Said Th p p ttirements an Department nimum.ins ection procedures and req procedures r ments. Sign of Homeowner Approval of Building Official sired t0 comply Note: Three-family dwellings containing 35.000 cubic feet or larger will be required with the State Building Code Section 127.0 �5�� �Nontrol. 1 be exempt from the gOMEO Permit is required steal The Code states that: "Any homeowner performing work for which a building S �is�);provided that if the homeowner engages a provisions of this section(Section lo9.1.1=Licensing of coasttuaron the responsibilities of a supervisor(see person(s)for hire to do such work.that such Homeowner shall as as supervisor-" Many homeowners who use this exemption are unaware that�3ectioa 2.15) 'I3is lack of awareness often ruults in Appendix Q,Rules&Regulations for Licensing Consttnction supervisors.persons. Ia this case,out Board cannot Proconsible. ce serious problems.particularly when the homeowner hires unlicensed acting as Supervisor is ultimately responsible. the permit unlicensed person as it-wculd with a licensed Supervisor. '�homeowneron ilities.many communities require.as oc of this issue is a To ensure that the homeowner is fully aware of his/her responsibilities of a Supervisor. On the last 'e ofuhis I application.that the homeowner certify that heishe uridersrandt the rap . form currently used by severs!towns. You may care t amend and adopt such a form/certiftcaaon for.use in y _Ll TTI- : 71 WL lion inn on I •�-� _+. .l.;. .._.�- �� i it �---,.... 11__,___-� � m z � I I ( its metals and all o(her 1?►ror 3 r �l�>� 1 tlfloa�q inttt:cloryp�r,etptq�='�-. .psi—�. 7.1 x f ) oats cxr all new connrvuion.#ices'(oa+�' l.� 04 all acre is a coif dif ermce. : With one JI) coat of char scafcr Primerttpd.foar..(4) rider to supply all blocking requf o.tty Wtiilwon aPell'c lcts:.,Jwll be relocated ehacvu pray # . � �•1•+ cu Sn►�.ati T.T77 11`�L+At�-� mat-i11..1LfLF 5 1 , I I — _ L i i i ' • �..Of1_-1`(^ F L-�`✓GAT I ��f�-1 I I p w _ -- — i3. I'roA4!and Install all II&M lIxturcr and switches. C. Ah plugs and#witches.to match existing. G.C..fs resportsiblt foe entire houw electric,T.V.,cable and lighting as rcyuircd lur a compicl A. I• The wont arras Of this SaWtan consists.of dcmolilion to portions or inlcrior "all., ca w , i i I I I 77 t .. �•fXK.. �il�✓vf� l l UI� y � ,' _`, . . •• 1 Sr=:..i„` `;+,'•�,Y•.r... Y,�YR`�^::, ,1..i.' v..5`C:'p(�,'.•'{i':,'� r^�µ„i � .u��^.r t}a..;.:.�t!s:Z,� .. ' + . .. of lt. -.�;: :y,. _.y.. •'�.. ` :�:. �.i- •s. - r•_ c � I I'�:� rram•.{-•J .1''V � C � . � � U r I Q I, I I I N I ,f T is j4 i j I ' � I 151�o d I . i J Z, ►z IK r-` All glass thoroughly cleaned inside and out. a'ashed and polish:& with all stickers marks labels and stains Csctfully eleattee or surrounding materials shall be scratched or damaged J.v use of harsh ahrnsives,tools or t�nckss workriten�Jp 1'racctive postings shall be removed tiom n+achinerv- hardware, lighting fixtures•plumbing fixtntrs atnd silrniiar O'ttipsxn; parts:{caned and polished. All trash and debris shall be removed from the building and"tfic.-Ae. .Paint- puny.--:tx}ht ivt - 6 _ iud:iimilatt entire building leA clean . The site shall be fief of debris.wit h'all areas adjacent to the. s --ootnuititaioa.aiiG� Architect to rnalct the site neat nand orderly. Aay iandttcitig nepoed by tbe.Genc ( ' Jaral Contractor. .Work Jibe E t.riM ri hides e!r:anti oft Stinee r!8� n6 p1t,n.• _s,;,�t':. :;::M: l AL t fit~alz� ` i � AppUcartr'- Taradts 10cat60r -Prvpert_V: Barnstable for 8 - tO lot-7 dwellrny 10)or 9 Area=35,243 sF O open �ace , tot' ioi ref 8478 978 Mood panu-C; 25000r o011 flood) gone: C �" °F PAUL' sc hereby certify rHlact ttus mortgage wpecti'on ,wcm pmpar +or o T T, /• i u ROVER H Lours V. sor2yz, Jr, 8Al ierff-cone Mt�e, Corgi: , 0 31311 Tu dweUing shown, hereon,does'vtot'.,'cfla�U im ci specc a FE k f lood 4 TE yO 1WW_& area w"th an eRcltive da&of 7-2 -99 arid.,rthe locattonl-o� U the dwellin�does -; o fhi. local tm laws irLe*c� ' atthe�u�n,e oFconstt1 c ri-'wtt ,rpPec�`to hor fm dimertsionac� setback. requirement's or is oxeniyt'from.'.v`Cation, er�oreern-enx-' Scale: 1" = 60 Date: 2,5.94 dGttion. under Mass. General laws -Chaptw4 -0A--5ecao' m 7. File No. 6 094 PLEASE NOTE: The structures as shown on this plot ,plan are approximate,only. An actual survey is necessary for a precise determination of the building location and encroachments, if any exist, either way across property lines. This plan must not be used for recording purposes or for use in preparing deed descriptions and must not be used for variance or building plan purposes. This plan must not be used to locate property lines. Verification' of building locations, property line dimensions, fences or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what is shown hereon. Please note that this is "NOT A BOUNDARY SURVEY" .and is "FOR MORTGAGE PURPOSES ONLY". COLONIAL LAND. SURVEYING COMPANY , INC. 269 Hanover Street •`Hanover, Mass. 02339 Phone: 617-826-7186 • Fax: 617-826-4823 SPILLER'S 568207 I �..�. Application to Ring'o 3bigbhiap Aegional Piotoric �Diotrict Committee TOWN CLERK BARNSTABLE, MASS, In the Town of Barnstable 7117 JAN 16 API 9: 18 CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior building construction: . ❑ New Addition ❑ Alteration Indicate type of buil i g: 19 House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: bd 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other TYPE OR PRINT LEGIBLY: DATE / 18 b ADDRESS OF PROPOSED WORK 7). L 6 T4aD PAS C-4w F ASSESSOR'S MAP NO. //0 9 OWNER /V/ �D�ayR ���f��s/ ASSESSOR'S LOT NO. O.S DU c� HOME ADDRESS 7/ Lozff20 L s- Gr,, 8A-,•N_ /114ELEPHONE NO. 36 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach/additional sheet if necessary.) P o) ) A-Nb C-UeAj (�f�P/NS�GI 8S LOTf�20P�S `�NLS 16-7• 64-0�ST4b4, PW A 0 Z- 4� MA-o.N S7 Lo Tf g-o Prs 4er-Ng lrJ, la.�,aNSr�h� ..M�o zc,e,�- Ian�P_oTH-� �- �����L C'�T2 e//R• 5 9 Gor�2oP�s �-RNe Lu. B.¢,c�Sr-�6� ✓t�1.4- ozG�d= AGENT OR CONTRACTOR Me'44,4-ez J. Os-fa-6 .v-rAf 44' TELEPHONE NO. So£f 3G 2, ' f/3 ADDRESS LOT/-r-40 /1S LAt�-r GrJ. �3�2�Sr-¢�G, �I/� D Z-� Cow DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. Add Aq-o"> ?our -- Cam' -4- Rio A APP er-Contractor-Agent 0114-D For Committee Use Only This Certificate is hereby Date2— _ - Approved/D nied J -- DEC 1 Committee Members' Signatures: V� 0:- r �1? Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET `� l •y s FOUNDATION /1/OPt Sa O 7-a bT (J lJ L 5 SIDING TYPE e 4p$o*tzd J5,4 ,y4 e- COLOR &;4TG�1 ek CHIMNEY TYPE COLOR ROOF MATERIAL COLOR I' 14-;t ell JX I,$T/��, /�{U U6:-e PITCH Iz�lZ WINDOWS sic &dgzasON COLOR W6117's SIZE L nQ�u ble l�vN�i= /' TRIM COLOR 5/z/U l /GN1 l DOORS COLORS SHUTTERS COLORS GUTTERS COLORS DECKS MATERIALS GARAGE DOORS COLORS SKYLIGHTS AE X Jr.n COLORS SIGNS ___..,._..._-----COLORS FENCE COLOR E NOTES: Pill out completely, including measurements as1 materials/colors to be used. Your copies of this v form are required for submittal of aa .4l is a,tion, along with Your copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 11/98 i P�Ccton Y 1-1� Jr'aradis- octiori. of-Ptroper : Barnstable 2 002 tor' 8 . _ o � 0 0 6; for 7 no, 7/ 1o5't----- dwel`>ny t� •J. LOT, 9 ,,Trea=35,2-43 APPR D c> open s ace • � rot' l0' - , � -' ll DEC 14 2001 .r, f ref 8478 978 flood panes; .25000t 0011 'flood) zone:. C ,I>~ of Miss, i :o+ PAUL' �y J hereby certi j that tht s mortgage inspec6' on,was..pc epa -f- r o T -4 /• i u ROVER ,""Louts V Sory fir,A Al e,rt.Slone M. qe Carp.., , 0 3l�tt 91w dw&&g shown, heremdoes not. �faU to t,special.IFEMA41ood 4 TE yo hazar& arlea w tK am of fictive date'.o f 7-2 -99 anal..rdu locals on/.aF 1, � the dwel Lin q,*' doru,-., n f orm,rt'o the local,gon.ing.6y-laws iri,e at' at�the t't�u&Fconstruction wit�t. re5pectto hort�zkfr l dimert�siotucT Scale: 1" = 60 setback. requ irements'or is exem r from; Vtolatwn ail o-reerYLenx' Date: 2 3 94 dGtLon 1K , under ass. General laws Chaptw4,O -_Wtt.oty 7. File No. 6 09 PLEASE NOTE: The structures as shown on this plot ,plan are approximate only. An actual survey 'is necessary for a precise determination of the building-location and encroachments, if any exist: either way across property lines. This plan must not be used for recording purposes or for use in preparing deed descriptions and must not be used for variance or building plan purposes. This plan must not be used to locate,property lines. Verification of building locations, property line dimensions, fences or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what is shown hereon. Please note that this is "NOT•A BOUNDARY SURVEY" and is "FOR MORTGAGE PURPOSES ONLY". COLONIAL LAND SURVEYING COMPANY, INC. 269 Hanover Street • Hanover, Mass. 02339 • Phone: 617-826-7186 • Fax: 617-826-4823 SPILLER'S 568207 w TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Parcel 0 o S,eo H Application# Health Division Conservation Divisions Permit# Tax Collector - Date Issued Treasurer Application Fee . Planning Dept. Permit Fee 0- �- Date Definitive Plan Appr a lanning Board Historic-OKH Preservation/Hyannis oK- / -d-91 0 Project Street Address 11 LvT 2o� 'S L-A-ra% Village _0 f 1>r 3 a s�vrbb Owner Address S Telephone 'Sod; Permit Request 1 C> Y. l D Fr Le- 0 x2A-YJ Si Square feet: 1 st floor:existing i'L` 2 proposed i Sep 1 2nd floor:existing proposed Total new Zoning District i; Flood Plain Groundwater Overlay Project Valuation J�_I 5,� C o Construction Type tL--c�� Lot Size 3 51 Z 4 3 5,�. Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Cler Two Family ❑ Multi-Family(#units) Age of Existing Structure i Z y e5 Historic House: UKe's ❑No On Old King's Highway: C!'Yes ❑No Basement Type: &Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing 3 _new Half:existing 1 j newer _ Number of Bedrooms: existing 4 new 1 Total Room Count(not including baths):existing 17 new First Floor Room amount Heat Type and Fuel: �as ❑Oil ❑ Electric ❑Other Central Air: &1es ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Z-Y�es O No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existi ig ❑new size Attached garage:W existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name ..c+k�A-EL 3, 05 Raw(� Q'Cj, Telephone Number `7 7 y— 9 y y -0%! Z Address_ l �,v c Gf eL�,,n S L N, License# .e. Dw U67-.,L i4 0 -z.Ce. Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 f SIGNATURE DATE �/ Z%�D(' , a 4 d FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER „ DATE OF INSPECTION: FOUNDATION s jf FRAME 2) 0�? a�kl INSULATION �� r FIREPLACE ELECTRICAL: ROUGH FINAL { PLUMBING: ROUGH FINAL d ' GAS: ROUGH FINAL r FINAL BUILDIN t "I� DATE CLOSED OUT ASSOCIATION PLAN NO. t P�oFTHE, � Town of Barnstable Regulatory Services • • BARNSfABM Thomas F.Geiler,Director MASa g i639• �0 Building Division pr fD p Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: / Z 0 7 JOB LOCATION: /7/ �1,% b�'�s L� E W4f�/ b� d number street village „HOMEOWNER":_ ✓YI i ellAv-C J, -/ 7/_3 name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations, minimum ins a 'on procedures and requirements and that he/she will comply with said procedures and requireni is ? Sign re of eowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1,1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:fonns:homeexempt e Gommonwealth of Massachusetts ' Department of Industrial Accidents' Office of Investigations j r a 600 Washington Street ' Boston, MA 02111 www.fnass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Letribly Name (Business/Organizatiorvhdivi dual); Address: `7 L-0' 7 9fL0 P15 L-N - City/State/Zip: 'I� �4-2 < ¢ k, d l- Phone �re you an employer? Check the appropriate box: Type of roject(required):. ❑ I am a employer with 4: ❑ I am a general contractor and I 6 coon employees(full and/or part-time).*- - have hired the'sub-contractors ❑ I am a sole proprietor or partner listed on the attached sheet.1 7. ❑Remodeling ship and have no employees ' These sub-contractors have 8. E]Demolition working for me iii any capacity. workers' comp:insurance, g utidiag addition [No workers' comp, insurance 5. ❑ We are a corporation and its Iaquued.] officers have exercised their 10.El Electrical repairs or additions am a homeowner doing all work. right of exemption per MGL. 11.0 Plumbing repairs or additions . myself [No workers' comp. c. 152, §1(4), and we have no 12.[j Itoofrepairs insurance required.]t employees..[No workers' comp.insurance required.] 13.❑ Other my applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. lomeowners who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such, ontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. cm an employer that isproviding workers'compensation insurance foamy employees. Below is thepolicy and job site formation. surance Company Name: licy#or Self-ins.Lic.#: Expiration Date: b Site Address: City/State/Zipp: tach a copy of the workers' compensation policy declaration page(showing the-policy number and expiration date). ilure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a . :e up to$1,500:00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of restigations of the DIA for insurance coverage verification. !o hereby certi under dpenalties ofperjury that the information provided above is true and correct afore: Date: ZI &? one#: Official use only. Do.not write in this area,.to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: -Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual;partnership, association or other legal entity,employing employees.,However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean employer." . .MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence.of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any pf its political subdivisions shall enter into any.contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their ceztificate(s).of insurance: Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance, If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to.the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law of if you-are required to-obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is.complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that-must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy.information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining.a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Co=onwealth of Massachusetts Departmgnt of ludustrial Accidents Of rice of luvesdgations 600 W ash gton Streit Bostoh,MA 02111 Tel,#617-727-4900 ext 406 or 1-977 MASSAFE Fax.#617-727-7749 Revised 5-26-05 �v .a�ass.gov�dia r /THE -1Vrr11 V1 .L1a1A1.7L"LFAV Regulatory Services Thomas F.Geiler,Director UASSI '639• Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable,ma.us fire: 508-862-4038 Fax: 508-190-6230 Permit no. Date Id 1, 12 6 AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION MGL c, 142A requires that the"reconstruction, alterations,renovation,repair,nmodemization, conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units.or to structures which'are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with ether requirements. Type of Work: d2R St��.. c+�'t� ��-'" �'�w�-�=- Estimated Cost l`�F�:OO,cz� Address of Work: 7 L G t 4�/,�l S �-� f.� g�S 414 4° lr�� O 2-�' Cc Owner's Name: o-t C 9 Date of Application: (( 6(, I hereby certify that: . Registration is not required for the following reason(s): []Work excluded by law F•Job Under$1,000 OBuilding not owner-occupied Q05�er pulling own permit Notice is hereby given that: oyINERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED WEALTIES OF PERJURYI hereby apply for a permit as the agent o Date ontra for Signature Registration No. �-2, 0G Date wn 's Signature Q-wpfiles.fornu:homeaffidav Rev: 060606 • RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 S(j Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 1 SO — square feet x$96/sq.foot=_ y �(O b x .0041= ��l 0 LI plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/.sq. foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq,ft._. x ,0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 . . >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-S new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30,00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) C Projcost Permit Fee Rev:063004 r Tame as uo teoanoned) Prneriptive Pseksges for One and Two-Fami7y Resldeatial Baildiage Nested witts'Fvseii F4rela r MAXfMUM MINIMUM Glaring Glazing Ceiling Wall Floor Basemen! : Slab $eatiag/Cooling Arca�('Jo) U-value= R-valuer ' R-value' R-YalueJ Wall Pesfrocter Eopmcnt Efficiency' Pae'�age R-value' R-valuer . 3701 to 6500 Heating Degree Days' 12% 0.40 38 13 19 10 6 Norrasl R 12% 0.52 30 19 . 19 10 6 Nomsal g 12% 0.50 38 13 19 10 6 '13-AFUE T 15% 036 38 13 25 N/A NIA Normal U 15% 0.46 38 19 19 10 6 Nmmal y IP/. 0.44 38 13 23 NIA N/A 83 AFUE 13% 0.52 30 19 19 10 6 95 AFUE I S% , 0.32• 38 • 13 2S NIA NIA Normal y 18%. 0.42 38 19 25 NIA NIA Normal Z 18'J. 0.42 38 13 19 T10 6 94 AFUE AA 13% 0.30 30 19 19 10 6 90 AR ry 1. ADDRESS OF PROPERTY: I FE$6 P4 .4 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 7 C, T- 3. SQUARE FOOTAGE OF ALL GLAZING: 4, %GLAZING AREA(#3 DIVIDED BY 42): aYO 5. SELECT PACKAGE(Q—AA-see chart above): �( NOTE: OTHER MORE INVOLVED METHODS OF DET'ERMMNING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. 13UJLDI.NG INSPECTOR APPROVAL: YES:. NO: q-fb=.f!?80303 a Application to .1b Jking'o 319igbWap Regional gtoric �Diotrict Committee In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for. CHECK CATEGORIES THAT APPLY: Exterior building construction: New Addition ❑ Alteration u 1. Indic 9 ❑ Commercial ❑ Other Indicate type of buildin House ❑ Garage 2. Exterior Painting: 3. Signs or Billboards: El New Sign El Existing Sign ElRepainting Existing Sign —�co, 4. Structure: El Fence ❑ Wall El Flagpole ❑ Other C:)D DATE bz i�'l�� TYPE OR PRINT LEGIBLY: tt r ADDRESS OF PROPOSED WORK r1 Lyc T49-cP` S LN, (�, g cibi4SSESSOR'S MAP NO. 0 -t `o OWNER �M�G`'A�Z ,S t�S+�a' tt� ASSESSOR'S LOT NO. HOME ADDRESS TELEPHONE NO. S�6'31�Z-il 13 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) _ ►� + cLLeN 1_Ap;NSk >3S I_.0rI+a.0P'S LAG LA-D ,'?1AJLtzs;A,bL : M., �bczo-r� 1 FEdt�l CAN+2cllf� RS LorH/�P's � � �`'• ga stA6 rwA 0ZGo&Ir 6-7 4-or/4aQ/'s ,a�c� lv, f3.4dzNS►���, vu,4 zL��v� AGENT OR CONTRACTOR k%C k-A-c(— J . 0 s raoLA-) TELEPHONE NO. ADDRESS 7 DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. Signed 'baer- ontractor-Agent For Committee Use Only "212006 This Certificate is hereby r nied Committee Members' Signatures: E TOWN OF BARNSTABLE , HISTORIC PRESFRVATION 1 Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION— SIDING TYPE CLAP F,--)A•(il s141n>kv- COLOR ec"ln/- CHIMNEY TYPE COLOR ROOF MATERIAL P60 *tr COLOR ANAT'C A �--XtST 1NL7- PITCH 5 Vz WINDOWS AqAa>z�,cA,,\ C N'Ly COLOR ex kST 06- SIZE N x 3- 5 ►c� TRIM COLOR (g-n-A— DOORS - COLORS SHUTTERS COLORS GUTTERS COLORS DECKS MATERIALS GARAGE DOORS COLORS SKYLIGHTS f 1IG LU l 0� SIZE_ 2'1/Z)k 3�S 1/i COLORS (rlt�• "T' - SIGNS COLORS -- FENCE COLOR "- SEC 2 12006 j0W OF BARNSTABLE NOTES: Fill out completely, including measuremepts and materials/colors to be used. Four o ESE�� �Tof�Ithis� ----==� RVATION form are required for submittal of an application, along with Pour copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 11/98 wz o ,ter CC w t1u a E mom[ Lu z n � Q oFi � �Z 1X8 FASCIA BOARDS - 1X3 ON 1X8 RAk ' CEDAR CLAPBOARDS 3 1/2- TO WEATHER. DOUBLE HUNG 1X6 JtIEZE BOA I . ; ---- __ -F • ENTRANCE-DOOR-.TRitd.: e � j �.,tjYL - BRICK STEPS +jl1'rr. drnrlN 1•, co �' I �I� I, ,ijII ) � �i I L- _ �: III•: I �I I'I �� II I, / I ._ -•• - ,� I�j� l I � f�1J �• � '! � l�li Ili " Il.� iiI�il �, �� I:II I •' I _.. '•i i I Ili ; o ' I - i I 1 ! CEO VIE r: j Illili ^ii :IIIiII. .> .!, I .. o. I DEC 2 2006 I ' ,I�I' I i j'I lJ TOWN OF BARNSTABLE HISTORIC PRESERVATION 1 � M LTG Ck%ST l K*- ►-L r `I 'TI r'r i p . _ D DEC 2 12006 APPROVED TOWN OF A STAB ON HISTORIC P i . lei N = v+ � 71 P m J r� APPROVED -DEC 2 i 2006 'OOWN OF BARNSTABLE HISTORIC ESERVATION PPS Taradis 101-- on Of-Pr0Nrty: BRr�,stable (or- 8 o � lot- 7 Q' o 2 SZor� no, 7/ --- 105*Y --- dwelltny a N, LOT- Area=35,243 s F 0 .o vpen s ace J LL l [or 10 N ca. ly Q s A � LL 8478 . 178 250001 ooi l o C �H 0- —1 c ? re Mood,�an¢�; fiooc,� �orLe: w,s .._. ?�♦ PA,t"� J herd certify tax ties mortgage inspection wcr5-prrepare4-for o T. VR Louis V Sory% jr, 9r Av e,riSt-one Mtge, Carp. " 0°311 Tu dweUvi g showm hereon,does not fau to a special T EMA poor% 4 T e w n, y0 hazard, area ,th o effective dale of.. 7-2 -92 anal. 1w locatbr� o� U thw dwe[L4 cfoes -�M-rn rro th.e local,rani -laws ne Of une at the r oFconstruexwn with, respect✓to hori��on l dtm,0,"i0naLT setback mLu frenuilts or ' evenipr f vn Vtolahi a en>:oreem ent-' Scale: 1° = 60 Date: 2'5-94 ce,ctLom under Mass. General,Jaws ClU trr40A-_Se t-LorL ?, File No. 6 og PLEASE NOTE: The structures as shown on this plot plan are approximate only. An actual survey is necessary for a precise determination of the building location and encroachments, if any exist, either way across property lines. This plan must not be used for recording purposes or for use in preparing deed descriptions and must not be used for variance or building plan purposes. This plan must not be used to.locate property lines. Verification of building locations, property line dimensions, fences or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what is shown hereon. Please note that this is "NOT.A BOUNDARY SURVEY" and is "FOR MORTGAGE PURPOSES ONLY". COLONIAL LAND SURVEYING COMPANY , INC .. 269 Hanover Street Hanover, Mass. 02339 • Phone: 617-826-7 '6 T 4823 SPILLER'S 568207 t PLOT PLAN - LOT 9 L OTHROP 'S LANE, BARNSTABLE, MA SCALE 1 " = 40 ' MAY 12, 1993 EAGLE SURVEYING G ENGINEERING, INC. 441 ROUTE 130, SANDWICH. MA o ; PROJECT NUMBER 93-009 ' •o t �o LOT 9 DATUM IS ASSUMED 6 35243f S.F. o Z 2�•� o rn • 3 1g• P��p96 1 FO00- 91 •ox . N� ,19• 2�0• p E o PAUL O d' 1-; No. 32,14 al; �2, S o THE FOUNDATION SHOWN ON THIS PLAN WAS LOCATED BY AN INSTRUMENT SURVEY ON MA Y 12, 1993 AND EXISTS ON THE GROUND AS SHOWN. DA TE PROFESSIONAL LAND FEYOR .THE ENTIRE LOCUS 15 SHOWN IN FLOOD ZONE "C" ON FIRM PANEL 250001 0015 C. �TME The Town of Barnstable Department of Health, Safety and Environmental Services .�szrsrearz~ _ Building Division HAM r 10�' 367 Main Street,Hyannis MA 02601 Office: 508-790.6227 Ralph M Crosser Fax: 508-790-6230 Building Cotnrnissioner Home Occupation Registration Date: l 1 Name: d� ' L S I Phone #: 3 V2—- 61-7 ( 3 >t G�1-F� �-� bSVO tx7 - — _ t=i9- _ V �� � �e4-2iy Si/f Address:� / L-.b T-f-E,eO-��S Type of Business: cZ La-C IL C —Map/Lot: 12 O's, 00 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,.subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the from outside the dwelling there shall be no increase in noise or odor,no visual activity shall not be discernible alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dweMi�ivhich�tre not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residenual volumes. • The use does not involve the production of oirensive noise.vibration,smoke,dust or other particular matter,odors,electrical disturbance, heat, sure,humidity or other objectionable effects. • There is no storage or use of toxic or ltazardotts materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such ttse shall be met on the same lot containing the Customary. Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pickup truck not to exceed one ton capacity, and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Custotnar}• Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1,the undersigned,have read and agree with the above restrictions for my home occupation I am registering Applicant:_ Date: Homeoc.doc / / LOCUS LOT 8 ASSESSORS w 109-005-003 I R o W WEST BARNSTABLE ! LOCUS MAP PLAN REF 418-55 DEED REF 11450-217 1O$.6 ZONING.• ""RF"" SETBACKS: 30'-15'-15' LOT 7 FLOOD ZONE ""C" 1.� """"'��"'"'" PANEL NUMBER.- 250001 0015 C ASSESSORS i35 `s =EXISTING'r'�,'-"�'-----'s; � • "s%HOUSE;; DATED.• 08-19-85 109-005-002 �� PLOT PLAN OF LAND 0J� LOCATED AT LOT 9 ASSESSORS � `� 71 LOTHROPS LANE 109-005-004 ASPHALT WEST BARNSTABLE; MA. AREA=35245fS.F. DRIVE Nwp \ ^ PREPARED FOR.- ITl� L = EXISTING \ ''�6 LOT 10 cP��N Or r.1��Ss'.� MIKE OSTRO WSKI �' SHED PROPOSEDaye " � r cy� SEPTEMBER 27, 2007 SSESSO EPH � ;GARAGE A ST 109-005-005 c N REV REV.• 10Q) REV o . oo_ A\ -04P -0-� YANKEE LAND SURVEYORS & CONSULTANTS GRAPHIC SCALE P. O. BOX 265 40 0 20 40 e0 UNIT 1, 40 INDUSTRY ROAD MARSTONS MILLS, MA 02648 TEL• 508—428—0055 FAX 508—420—5553 1 inch = 40 ft. SHEET 1 OF I JOB f 54288 JF r TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION Map = /..D F1 Parcel Permit# ��- Health Division Q 3-Js .7 Date Issued _Q Conservation Division s, 9 0� d0 �f Fee X.2 5-••ew Tax Collectorel \ �"" vJ r� /tiv .�oba ` • +� -�1/c� /�2S Treasurer o - d'J IC SYSTEM MUST SE INGTALLED IN COMPLIANCE Planning Dept: E WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOWN REGULATIONS Historic-OKH Preservation/Hyannis •� I Project Street Address `7 J L6 Tzfir2a /,g Z-,?IW6 Village Owner 1'l��C� L -4 7DpIyA. !1 - 0S+ZDwS;cI Address Telephone .56S5 - 3 6 Z- 17 Permit Request "vim S 4coIV Z> G L • Cam.-h erfZ- Square feet: 1st floor: existing 200 proposed — 2nd floor:.existing &oo proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay iq 1 Construction Type Lot Size • al Z A-e w Grandfathered: 0-Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Mulfl Family(#units) .. r Age of Existing Structure 7ji 4 5 Historic House:,-,❑Yes 14No On Old King's Highway: (Yes ❑ No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other ' Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) aft Number of Baths: Full: existing Z new - U Half: existing new Number of Bedrooms: existing Z new Total Room Count(not including baths): existing J new G' First Floor Room Count Heat Type and Fuel: , Gas ❑Oil ❑ Electric ❑Other Central Air: 4 Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Cl No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:X(existing ❑new size 2 x to Shed:❑existing'❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded Cl Commercial ❑Yes A No If yes, site plan review# Current Use S�oRA&�Q-- Proposed Use rL)-(,j CZJ I� 44�L /n © ��^ BUILDER INFORMATION Name A �c� J 4414 4 Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ©� n FOR OFFICIAL USE ONLY rERMt'I'NO. DATF,ISSUED s_ MAP/PARCEL NO. ADDRESS VILLAGE OWNER m s'`L DATE OF INSPECTION: FOUNDATION FRAME 2 J� ,-Q < INSULATION � �e— cjcz FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT a� ASSOCIATION PLAN NO. VF n e " - Department of Industrial Accidents �•'�. --�•�' Office of/afrestf9atioos 7= 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit ////./ / rill r r ////// // j �j/r/���/��r�i/i{i// i„r.�,•.,,,. .�nT: : :rinidt•�.raridn., �, /�ii/�i/r%/�i�ii��i.�' /��i��✓, 'I for (f' Z�7 l f2-0 i IS L-40< cir• L ST 'J 4- hone i am a homemmer performing all%vork myseiL -- a soie nroorietor and have no one working in anv capacity ,,,,, ........... /%%%/%i:�///:ice;,,,,;:,,,. I am an ::npiorer providing workers' compensation for my employees working on this job. comnam• name: addre.-;: ...... one .. ctty insur..nce cn• niicv#: /////// ////////%/ am a sole proprietor, general contractor, or homeowner(circle one and have hired the contractors listed below the ioilowing workers- compensation polices: comnnnv name: ' one.�ttz ..................:... ........:.:::: .:..:.... .. . msur^ncL cn. ,err,,.,,,,,, .... .....::'t;•:. ...:.....::..::..:•:.::..:... ..... cmmnnnv name: addre<i :';r:.:.:..... ....:.:::•::;;.;:;:.:. :. ..... .....: : :::....: . one city- :.:: :. :. . :.:.:.:::::.;::::..::..:...:.:::::.:::.::.....:.;::w. oliiv Pttiiur:cu secure coverage sa regtired tinder Section 25A of MGL 152 can lead to the imposition of criminal penalties of a une ap to 51:00.00 snc. one vean imprisonment as well as civil penalties in the form of a STOPNVORK ORDER and a time of S100.00 a day against ma I tutdentand t,'1= cop"of this statement may be fo ed to the Otllce of Investigations of the DIA for coverage verincatiom. I do 'erebt•c•er:ifr under the penalties of perjury that the information provided above is trrr�and correct Date g L� ��� �� �Z J 65 »# 7 Prr: ::a.*re t 2� i tici_i itse ni` do not write in this area to be completed by city or townofficial permit/license it Budding DeparuT'u" :itv or tmvtt: ❑Licensing Board ❑selectmen`s 0MCr ? Zeci,Ir immediate response is required ❑Health Department A phone i#• ❑Other .:uncacc rcrsnn: Information and Instructions f ^�:al Laws chapter 152 secrion25 requires all employees to provideyLo�C erns �cloyoa ` wu— I assc_ "law",an employee is defined as every person in th., s -ono e.s. quoted from the law , or implied, oral or written• er s �e;med as an individual, partnership, association, corporation or other le-gal entire, or any t r L-more _mn«ti the legal representatives of a d--cased -mpkover, or the enterprise, and including eP oRn.�or a -e cre_c_:_ ^ ged in a joint ,le ��,� �ploving employees. However the individual, partnership, association or other gal apartments and who resides therein, or the occupant of the dwelling noose c*. Q�;eisn^_ no,ue IlaYing not more than three ce , construction or repair work on such dwelling house or on th- =T,her:;ro employs persons to do matateitan to be deemed to be an empko�'er. buiiaing apptir:.. thereto shall'not because of such employment .e. ,�� also states that every state or local Iicensing agency shall withhold the isasuan�i who ene \1G, c:.ap._. :-_ section 25 in ;;;a;icc^s� or permit to operate a business or to construct insurabuildinncecoverage� e quired�Addiuon�vPn��"� not produced acceptable evidence of compliance the i ct for the erforman.... or public work ;mop-:'e:nth nor any of its political subdivisions of this Amer have oera prey meted to th' c.. the insurance requirements -.rbke e:•idr= of compliance with ' 'ems opiic nts d 'o ;. letely, by checking the box that applies to your situan ompensatnan affidavit�p 1 " 3►:::,rmz be au in �:workers c along with a ceraricate of insurzn:.e .l:j= t y names address and.p_. hone numbers -:ppkvim compaa Indust for confirmation of insurance coverage. Iso be =,•-= '� " and ;==d to the Deparimeat of or town that the application for the Y or Ii: �e =s should be returned to the city r�a_e i::e aia:3avit. The affidavit sho Indust Accidents. Should you have any rn:�ons re_=dinz the "lam'., c• u -etiueste:i, not the Department of policy, lease call the Deparunent at the number list i below. equire3 to obtain a walk=' come p p3'�P__ '7, sty or Towns legibly. The Department has provided a spar:at the bcr--= c- :.� that the affidavit is complete and printed egi y the appiic. tit Piwse „se sur^`..,a of ons has to cor=you regaraing . ;;avit for you to fill nut in the event the Office number. 'Ihe afilaavits may be:e"..r--=' ' oe sure to nil in the pezmitlIicease mmnber which w�11 be used as a reference • n: Deoarment by man or FAX unless other aaangemcats have been made. •;- - of Investigations would Me to thank You in advance for you cooperation and should you nave am aucy` Le `� ao rot h to give us a call. ' n•1Cy hesitate V' . -- D ,arm'W's address,telephone and fax zwmbcr- The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investlactions 600 Washington Street Boston; Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 _0p THE Tp� � SZAB The Town of Barnstable 94,E MASS. � Regulatory Services 'Eo►��' Thomas F. Geiler, Director Building Division Ralph Crossen; Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax:' 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but nottnore than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. T Type of Work: Estimated Cost Z -7 3 AddressofWork: _7(! LLOLfE160e-�S Owner's Name: M t C.WA,— l A 0,5 k Q W S ei Date of Applicatiori:__ k? I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration N.. "/ �]Z 0 O OR c , Date Owner's Name g1orms:Affidav r , i i _- 1X3 ON iX8 RAM ! 1X8 FASCIA BOARDS ! r- DOUBLE HUNG j CEDAR CLAPBOARDS 3 1/2' TO WEATHER t 1X6 FRIEZE BOE r , I i 71r-71 1X6 CORNER BO 1 I � L - , , 1 i { t ENTRANCE-DOOR TRIM �57 7f 1Ot•I46L C14 --------------- BRICK STEPS Mo I TO BUILDITZ O��lC���S r I - � � �'� I i `;I!' �'ili�•• Wit; 11 IIi I�.il I : ,r,,�e tJ p . i 0 !!'li!'!I!I'IIi IIIII Ijii;ll,� 'I�IIi'ji1''i �•;�. , ' ''' `• �; � I!';II'li 'III I l i;; •�' I i' •li'.!I i ' II •' ll �;I!11;! ii I;I 111 '' �•:�. ! ' I � � I � Ij1 I I •ill i�' �I' '° II� ,,I 'I;' %' _i S i. I!Il �il� I' � I II i Illillllll jai: lil INN i II ;111iI I;I 'Ilil II .,... I. li i I yIT �: i I L_ _ ':Ijll.;i 111� Iliil�ll.l '! l�: II TI '- ' ED : I � P '1 EL 1 ,; �i I i ' I•I ' I " I •.I. it �� j 11, I i Value - LIVING'SPACE (high end construction) square feet X$115Isq. foot= (above average construction) square feet X$96Is . foot= ` Z Go (average construction) square feet,X$571 q. dot= GARAGE (UNFINISHED) square feet X$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq.foot= OTHER square feet X$?Wsq. foot= Total Estimated Project Cost For Offlee Use Only lnclusionary Aff6rdable Housing es Residential Commercial" Property Owner's.Name Project Location Project Value Permit Number "Existing Sq. Ft. "Proposed New Sq.Ft Fee S 1AHFORM 113100 730 CUR Appendix i Tabltds:2.mb(condmod) "cripd►e?=k2;a for Oae and TwoWim*Reddmdal Boildlap Hand with Fad Fads MAJQMUM Mumum QIaaag coa Ceiufl Wall Flow Baste Slab Heariag/cooffag Areal(9A) U.vaiues R-valucl R-valuo0 11GvaiueJ Wall Fl Eampmm F==yl 1paciaw 1Gvalrto� wvahw? 5"1 to 6500 Hea Dcvw DzW Q 12% GAO 3 J1 19 10 + 6 N _ R 12% 0.32 3 19 19 10• 6 Nommi S IZ•/. 0,50 3E 13 19 to - 6 T 15% 036 3E 13 25 WA WA Normal Ur=13%. Is% 0.46 39 19 19 10 6 Normal V 0.44 3E 13 25 WA WA is AFVE W 0.32 30 19 1 19 10 6 U AbUE X 12% 032 3E 13 25 WA WA Nmmal Y 19% 0.42 3E 19 2S WA WA Normal Z 18% 0.42 3E 13 19 10 6 90 AFUE AA 18% 0.50 30 1 19 19 10 6 90 AEVE 1. ADDRESS OF PROPERTY: I La�r7(Z.z9 �'S ��to fs , .. I,c� l�s¢az,�S i�—(�(� : wt 4- I i �4 , 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: ,a S 3. 3QUARE FOOTAGE OF ALL GLAZING:,,. 4. %GLAZING AREA(#3 DIVIDED BY#2): G�d S. SELECT PACKAGE(Q—AA-see chart above): �--- NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table J5Z.1 b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skvliehts, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors) to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft2 of decorative glass may be excluded from a building design with 300 ft of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. •Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing,and interior drywall.For example,an R-19 requirement could be met..EITHER by R-19 cavity insulation OR R-I3 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. < _-• 'The R-value requirements are for unheated slabs.Add an additional R 2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest.. efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J52-la NOTES: a)Glazing area and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components b) Opaque doors in the building envelope must have a U-value no greater than 035. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.53b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 035). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 F�HE 1p��O Department of Health Safety and Environmental Services Building Division MBAMSMBi.6. 367 Main Street,Hyannis MA 02601 MAss. 9 i659. Ralph Crossen Office: 508-862-4038 Building Commissioner Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ' Please Print DATE: JOB LOCATION: 7Y village number street 7123 "HOMEOWNER„: 1` C � OS4-go LC--;, home phone# work phone s name CURRENT MAILING ADDRESS: s city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, rop vided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land bh 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.theBuilding.0fficial on-a-form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility forcompliance with the State Building Code and s,bylaws,rules and regulations. other applicable code The undersigned" eowner"certifies that he/she understands the Town of Barnstable Building Department minim inspection procedures and requirements and that he/she will comply with said procedures and r Signature meowner Approval of Building Official Note: Three-family dwellings containing 351000 cubic feet or larger will be required to comply with the State Building Code Section 127..0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a d and adopt such a forn✓certifrcation for use in your community. form currently used by several towns. You may care to amen Q:FORMS:EXEMPTN s Application to 000 1 p► �, Old Kings Highway Regional is District Committee in the Town of Barnstable for a 2i St? 2 7 1„1 8: q 8 CERTIFICATE OF APPROPRIATENESS Application Is hereby made, id triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIESTHAT APPLY• \ 1. Exterior Building Construction: ❑ New Building ❑ Addition Alteration Indicate type of building: +House ❑ Garage ❑ Commercia4 ❑ Other Z 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 n,.�D �� ADDRESS OF PROPOSED WORK , r6 Is14 "' ��• ASSESSORS MAP NQ. OWNER �0 tea— S�r t ASSESSORS LOT NO. HOME ADDRESS 71 LA10 `S "" , TEL. 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). on n (l�n [n i gS r Catn�. W, Z rras b(�' lei U arrk,Ild Mar � E '( 57 v 7),)(A Fed C'errCrd( q q .1a �a s l � � rn� 1� NA AGENT OR CONTRACTOR �<< L 0S+R.D t.c'Skl 1 TEL. NO. J0 336-2`Z^ I L I ADDRESS t L D t' liad F'S LN . Lt.) , R�I� S'�+b 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 new signs. (Attach additional sheet, if necessary). x o E A- 3 Q �I %ned TOInfN OF BARNS-'ABLE Owner-Contractor-Agent ni a YiNG'S HIGHWAY pd6%eWw`IYne'fS—Comma ee use. Received by H.D.C. Date Certificate is hereby Date '2 0 Time -- l3Y � �.1.�/WL�JG. � ►�` Approved ❑ IMPORTANT: If Certificate Is approved, approval Is subject to the 10 day appeal period provided in the Act. /j• Town of Barnstable ' Old King's Highway Historic District Committee Ir; SPEC SHEET FOUNDATION SIDING TYPE IS14! COLOR C' Cod M�+�aIF co b=e' CHIMNEY TYPE COLOR ROOF MATERIAL COLOR p �PITCH Lf, Z� P N WINDOWS r YWw t N 1AJl Ob(QSCOLOR SIZE you bao wo ti CL TRIM COLOR 6&0,kC� CL k l S A( y "l ( 6 aAz,,,.,1 DOORS COLORS SHUTTERS COLORS GUTTERS COLORS DECKS (�ni, n uU J j914RIALS GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS SIGNS COLORS FENCE COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 11/98 I Assessbes.office_(4 st Floor): t7 Assess oW map and lot number 1 O N —y SEPTIC Sifa�`� E Conservatiori� �� ,1� \ \ 23 INSTALLE®c E BoaW of Health(3rd floor): + WITH Sewagp�Permit number �� y ENVIROMMEN Cig Engineering Department(3rd House number ! o"n►r�►: J Definitive Plan Approved by Planning Board �Cl APPLICATIONS PROCESSED 8:30-9:30 A.M.and.1.00-2.W P.M.only � . TOWN ' OF . BARNSTABLE BUILDING .." INSPECTOR APPLICATION FOR PERMIT TO i 6m 61-Q V cT 6-0 C LL//LC TYPE OF CONSTRUCTION JS/Al r L£ jC4/111 L+/ ���/£G 6110 i PA"C lik 9 19 _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location '71 L o z-#40 PS LA). IL, j32teA) 'i�b(o MA- 001&(,L I Proposed Use fa Zoning District Fire District LU- ZflE.NS'Tl+b Name of Owner i i11;z6k4,C-L-*CR--ft 44dress 91 b L D Toil�c�• (.� �c¢,(Jy5'i�¢b�,,_y'Vf f} 80 -A ► a $-s iV l= t vwo v 14 YV C- Name of Builder Address Name of Architect VAL, S/4 A5SDC Address MA-9N P6t✓ IM4 Number of Rooms 'T Foundation '?Ou2IZT'�, Exterior �RunT f/}(�hoa,td �e33ftf5/&Q (.PDA2. 50i f ofing 145P�,Qj.T i4�C���7EC'rU�Z- Floors k- I 04-/L O C T 1 Interior Heating CE10T2A-I... t R_ Plumbing -3 VZ- Fireplace # 1 Approximate Cost c26 Obp Area A' iagram f Lot and Building with Dimensions Fee �,7 SO OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnst le r ar ing the abqyq s on. Name Construction Supervisor's License PARADIS, DO ,k�-_�%— 77, & .M ch.�Lel Ostrowski d 35873` permit For 1 i Story Single Family Dwelling Location 71 Lothrop' s Lane West Barnstable Donna L. Paradis Chnrner, ` Michael Ostrowski Type of Construction Frame Plot tot Permit Granted May 14, 19 .x 93 Date of Inspection 9 P,D � le d 19 •8 e � Ntl TOWN OF BARNSTABLE Permit NoA. 73...... I • BUILDING DEPARTMENT I Cash ($112. 00) TOWN OFFICE BUILDING 7 .Yl ,670• �v%A'f HYANNIS,MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Donna L. Paradis & Michael Ost>;owski Address 71 Lothrop' s Lane West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. January 6, 9 ....................... 19................. .. . Building Inspector 1 ... ^rf.,�:`-^�"f �-t�r.'':ti3',r.>:in- Yw.''-t��lJ�• �y �f�P+.� + � C�J 1. i �y,,�.:-'.i, r. t r :. � ` .. r, k�C V �` rq°'�'6 1''�" "Y:r'%:'.4'r'�If`7'-��a•� v rj+,• t•:�i-.. TOWN OF SARNSTALE . No. .:. :`.`.:.:'...... BUILDING DEPARTMENT Permit TOWN OFFICE BUILDING Cash ( �i iti • �' ; ..... �0"Y+ HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issuedto . -- .'. '.Donna L. Paradis =&- Michael Ostrowski Address 71 Lothrop' S Lane West Barnstable USE GROUP- FIRE GRADING OCCUPANCY LOAD THIS.P£RMIT:;WILL' NOT BE VALID., AND.•THE..BUILDING SHALL..NOT IIE OCCUPIED UNTIL SIGNED-BY'-THE. BUILDING INSPECTOR UPON 'SATISFACTORY- COMPLIANCE WrTH TOWN REQUIREMENTS AND IN ACCORDANCE WITH-SECTION 119.0 OF"tHE MASSACHU8EITS STATE BUILDING CODE. January 6, 19................. Building Inspector ' PAYABLE TO: Michael J. Ostrowski Donna L. Paradis Box 294 West Barnstable, MA 02668 Y,',tYN OF GARNST,Ai LE =. COMMISSIONERS OFFICE tj. c 7/18/9Y A CT.# 04, o�-2o yos AMT. PO# v APPROVED BY E N • vJ��, °�.e�. TOWN OF BARNSTABLE BUILDING DEPARTMENT aARI rua' TOWN OFFICE BUILDING HYANNIS, MASS. 02601 �o car►• MEMO TO: Town Clerk i` FROM: Building Department DATE: July 11, 1994 An Occupancy Permit has been issued for the building authorized by Building Permit #...3 5 8 7 3...._..._._...__......_..................................................... ...._. .................... _ � _......__. ... _ »M issued to .....Michael Ostrowski_.._....... _......................_.........._...._.........._...�._.___._ i Please release the performance bond. Application to .. P� ► .PNSJ ��i-l..'• I�t NpPsSN Old King1s Highway Regional Historic District Committee A `''s:r i -S in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS h —Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, v`N4 Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs`- ' accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: New Building ❑ Addition r] Alteration Indicate t of building: House Garage Commercial � • type 9� ❑ ❑ g ❑ ❑ Other •- 2. Exterior Painting: ❑ ; 3 .Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign i; `? 4.••Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). ' TYPE OR PRINT LEGIBLY DATE —J41U 1.�,'�' /493 47/ ADDRESS OF PROPOSED WORK LL.Ur 9) LoTrfecps c3fF2nySTAbh.�Q$SES$OR$ MAP N0. SOS 4,6 OWNER 1>6 titJP, L: PA E-4D1 S ASSESSORS LOT NO.,QQ yJ�s HOME ADDRESS �811a�TozW. Ilk2LrSTc-fL M:`� OI(no�j C3/lJ6 '��D7��0 Y~ - — TEL. N0. ,S s: - FULL NAMES AND ADDRESSES OF ABUTTING WNERS. Include name of adjacent property owners across 'any public street or way. (Attach additional sheet i necessary): LLT�� P.cs :.LIB i SIK U`TH11CnS t cif t_t` i�) Si r 1,A- UZ y �r ►ti �, .� h>r i i6T � 5 CezAa'N L.'1K...6y'[-LA:-� _S. J.`iN1iiJ.0 1-4 VL,1A C 3LS,L�`� S " _ AGENT OR CONTRACTOR CS_1 6(t L CL QCm5,T u0T-,, TEL. N0. <' ADDRESS R6. fz'X N �/� vali;cJ7 G� 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 new signs. (Attach additional sheet, if necessary). tic Signe ,� Owne Contractor-Agent fovv line' Re ivR HP H h� � ti9 r f F,1 s ate 'Certifica er Date 'Z ' 1 I JAN 1 5 1993 ime ` 4 TOWN OF BARNSTA E ,7.. B G t. Approved IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period '.,;' provided in the Act. +. ' Disapproved ❑ r p °: `_'_-_• °`s_. __0-�' __tee'- e:o•.-__ d I I 1 4.}� I. - •--•-'�I re'.42. � `ni°r leYr - I I I I ( C � t u°Q� �" •°t, I '` I 3�t. .� $6� a'• I I —__l__, p� I � I d�� !DI E P 3 iA ;�p� ,I � III an•�_ e_4• ro•.v _- !i_� w,,a.— .V ( a A I i � I u FL •.t_ p EI 1 > - :��I Q - - ewm�iurp�_ e,._onu�a� I e•.ren occe I Z•� IP � I ka _� � 4 I� r'°' Ir I' r: � }¢ � � 1 s� ��• SB` FI I� t'-b-�ti� �a�d�. ;__,{III L-�_(-�j- _J -pS . t!• .�Y� 'I �� __ �z• fjO '�,� p+ � � NH I I� T I�f. ; < �, Iu1 ���� j;Ip I!� G y ry� ` 6G ° ( IJ Lt F• o s` � ' � G 1 a. II a p .1pt ?I. ' ( I �" � • CN Ly. IE139I :'�.1. hC A' -�1� � ! 1 �s'G� �._ 9'd �• ' I .p• .. 4.e �`6•' I'^\�� it ' -_e:o -y 2'•, q � r. I Ii I i I •L. f ��� o�o ILLS .� ..I •- S g°� 1 I,Y,a � I ' i ( �>;• . �. IL I �• - I I iP U , al 1.1 J r - 1 . 1--..—______._—� � f:G'.- IY f-a• (.-2^ � I• y��G. —. G•—ry_�•�—_ ) 'v 1 esa e.2.' CAIDb .t• Y � ! � � cN`7 I I . .' .O I D'�v i�.o• a 4 1, I i Yioh � !tI`if�'I `�'I' V !• u hl `3 .I I "-;, O elf c I �rR1; I I S. ' '8 L �k'.���...t., :�.�E: •T �• �^ ;r_ ` �� ;� del + r .,IDn•II y.r �: FL t�r �. ! ne 41 IITc I! cog 'Tim It IR own noun p ° �. '•., �� ���� a �. � �-- -- -- N � ��� f••m �. \ N i L y t:7. 2 P c )L X !c ZJ { s� m �m a F� � 4 � E r• , � �f f 1a •� � iN g �6 di j x; .. 4, R r ! r } I Ell i _ I��1O I i•J�.-� - IN I _O ' I C.xYlx 1QIWwEY.. I I _._,DI4 ,I II I yam':--;-- —�•�i-� Y' I q J.c.. `_""'_'_r-r:.:�`.�—.y_�... �. �•�.� .ti a z 4�Im).W In.r1>7 ..; . �• z 1 r.. D � n•In �I y ( I 411 rn =c3 3 i4�5 r Dgj l STAB 1 •,d,.....t,' .. . Rr6 c.S.�+L Q �—r Owinnga• —..ate 4160 6 nrs0 -- -- , a mom+o� \._ 1-1S�(r .L,.a.•c.•a. $"R awb � .� r=_ �•� �(T 2.i2 e,me JGeU ; _ -----j rm. —.•AN(![C Jpy1 I• � —.r . (-4--,,DETAIL @ EAVES e .n�wr1 ul /a 8�za mZc o.c t p,-. W/."rr. -ATT�G1+Sa MGIILL ' {l:o+h2 J, ' l 1.•s�mmn wP�'^'o�>MJ �� pToP To Pouf. - e�e�o: n "gI i; i� � Ptl ; i�•- ��• ,M � DETAIL @ EAVES 2Y Z !0 vv-)7--4- �' � I L DETAIL @ SILL lid I DETAIL @ CATI3. I ' ��rr� /\ LooF cE?G✓I_r:o ^�:1.tJ _.. ___. • ��nce a :/4'�1•-�. -. -. .. �' � �. I YAROSH ASSOCIATES ING ■u n ARcHnECT5 DETAIL @ FOOTING - PLANrNERS� ••'-• --' �::: ~eoor F.ebmia Palos::L=21�s ,i "I 1{y(y'S1•�R'tFt"'t r e+ I •°ij�1�}`•-r�Y,'I .� Tt<COMMOMYVEALTH DEPARTMENT OF PUBLIC SAFETY }101i•COMMONWEALTH AVE. z ,k MASSACHUSE�STS � � BOg%N,MASS.02215 ENCLOSE CHECK, 'OR 6N EY�ORDER , ' EX IPRATION'DATE« ��?/ 1/1'? _ I_j TFiR RE )hl . :I.IF'! FiV:L' I:;Ih FOR OUIRI_D FEE, ' " ]� ' .RESTRICTIONS. 6 EFFECTIVE DATE MADE PAYABI.E.,TO�+ o "COMMISSIO _ _ BLICt S�tA N C w (DO NOT'SEND'CASH)' ' �� +' ++r`�...g�f�,...�.p •3.a'�'f i:�;:j(a •• j;l_IX 1(i ;I�:J IIUV �' �N�:S'J� ,' �'4`I-�•'_ 'TC.3'"�+�+54 v�l A?R p`T, + FEE: N F*AL_fvil_II_I MA 02556•! y 1 �'I HEIGHT: NOT-VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY ME IN FULL•ABOVE SIGNATURE LINE b ;'"•i;�,} ^I»�t STAMPED-OR-SIGNATURE OF y Y 1 DOB: MI$SIONER 1 .5.•Tr - ✓r,E.. TNIS DOCUMENT MUST BE _ 3 r 1 -� ! CARRIED ON THE PERSON OF OTHERS=AK1NT•Ti10Ml(PRWT ETHE O IN THI WHEN ENGAGS OCCUPATION- / ,._.. SIGNATURE of ucENSEE SIGN NAME IN FULL•ABOVE SIGNATURE LINE: o . is I COMMISSIONER f G - D c .�'�r.3•c.. ' s'H(7ME IMPROVEMENT C.i��i T F;-:I--, '�I _ _ z 88•a:rCi Of P u i l 1 T t �•_ ":lJ l.= i . . t yf t '. i}Y c.• 0ne A,shbu `Gill 1 •fit_ - S :C-• 4 i' �t 7t �j� t t i �'�( 1t�''1 `�'{ �, r .r.i.-..�C 1� , �"I c'�c:._r^[.,:._... _.... 1.,_•.-.,+. ., �. r 7' u�• '�'� t E✓ y 7 .. h A t 1�i r �' t:rPy, �d lb / f �y�• i'MPR0VEMENT c'ONTR ;i TGF: IT g-,5.ratlOiltY 10 'i Sx g 1 V�LCy�I 11 Regi'stfat>on 141 4z Steele Coris ti"Iict : (Dn ;t TYRe yrM1y��a+ ` 'Jeffrey P . S: a 6 �Ezp ra ion A5/ `1 20,-Br19ant— < DI . , E;ox 10.1- Fa.lmout-"I Ic= _� Steela`Co st ue ion � 1e'ffrey P' `Ste$eleY ve 4�E w, j'� :t . 120 Brlgant'lile 0r 8o1c 10 ;;• y` N.' FalmoutH ;Kk 02556 (��t i n' T, ADMINISTRATOR � H •• x i' t fyy; L t t"ti r ' 'H� � ,�. ' i f4"•,JP, may. x� 3 at - I t.,•, Nl4�y+�±1N'r.G'1 r {r• , t. tIT, t A t 1 • IP � �'y;' 'i � ��,� � I I ill '! g •` 2 �\ ''if I ' •, fl1 j •• I �' II! ll I�/ �ii I '4 I'I , III ` i' + I i.„.•,.- �4 c,61 I l i , •�i I' I i.7 I �I@ I I ill I I Ili, I',I11 .�: o -r �' js l I n•tL�1�.II..•._•(,�C1",1��itj;'..iI'���,r�.[�j-`��'p'..i, ,Ii'Il!'Ii�I'�i;tiiI��I!I;I�------_--.�_--IIilIIIiIII II--�t-IIII;!ilIllIi�1_--.---.._.-I--C.—il-�YI-.I1l�-LI�'II1IIi�4 II iIII�C,i=—I1i_-':,1 r'IlII'JII�i'i�I��F.ir j I 1,_.,.I'1'_-1-.I�I.I,_...�'_e-,I'_�s$.'�-,_,I t�I,i1 l''.I—i_'1_,!;�i�l1!�,i'i�iit I1�l�tiI$��-111'1.I1-'•j��..i'...',,I.',i.TIzpEI,sII,a�a Ij'i 1i.I IllII jIIIII'•llI`j'.\lI�li'(,,��.j.:,'i�%satS_1'�!i�s�i rIl'.��('It'%lLI,�,I',1a�rIl!!I�.�l�',i!l�1!IIi'�,,(.t/r�l7/\�I•r'I.:I v''�>I',L��j"III I,�I;'�Ii�$z�!8/.J�I;'J,%i!\�i��®I a��'?I 1�";��;•;�IlliI'i����° j'3����E$I h�ese�g���tT R��$�����SZOoc0+�Q�"-�mo'I�m�rT°NDiyZITji I1tI1IIIt,�jIII�II.IlI•'�iiIIIII�t iilI iIIlI-----__--J-_'—'�-tIILiIIIll i-��-_i-l�fi!1llI�iI-_-_o-6�->�.�,-I-•...----�-�Q1-G 1Ij1II I--'_`-Il�I I�IIpIil.'IIIlillI II:-lIIl IIIl(FI`�'/i!I!It'�.�iil'--'�,I'l1s—!i l rlJhl�L•'ll''I'�.iI�.I.�l>I.J lI�lI_I.'•II,i a,�i,•,Y41�ra•'�C,'i.l,I 1�:'I�I_I�l!tt=.',',(=I',.',,.I.Il',i,,�i 71.:lI'L,l�t�'I'l'alI I,lIl,,l i'i1:I.ii�IllIi�tIIl.i•;lll'';1IaIrl,,l',',,i,•,l 1Ii lI:lllI'I.�IlIlI�IiIi i,,�l!i'i 1\,i Il!i:„l.�',j'I i\.I�'III1I!�!!':ll 4I,,I�iI''1t r�,.,;ll IIi,'i'I(�!�t�I.1!I.�I;l.,�\/1;i'I�,l`��Y,t'�_i11:lII.l-.�!Il,I J�'II�IIi�il,a\I It t�`"���i�t'c���+i�1't• •,�I{,IIl}i i r�I��I Mop�ta"r.�3Lr dja�.�J;c�;f4tr,'e.��r„)r��,�1,a':.tri.+t y{a5"4�.k!�i;n'•:ri?r w��'•�*r�ak��,s•w�sa'St.ri�!4:yN��4'`���'„a�i'yh:'7f�'f'a�.;°�j�'.>r,"s.i�j1u`',�•'x,f ��.,e•r�}7�"i�•ue i.r,�?;,• 14 PIPE syf(.�1l?lJ�'3•'�"• �,�{•d�i" !!hill b;L 11 o '1 ' I1 —LJ^ F7E'L �3 ? .lI I' ■�}j uu I I —'�- I ( �� 1 � I l I � �I III i jl t J II. 1 1 -t`y�„ •'t'`.� h r. II �I� I�� ' r'� •� I •S IG RI I`S �� i 1 'li Ili! ,I,fi"I '�' •� �•.. "r +.i u--3•.-��,^''""`.:�r..w.,r;....-•.,,.-tir.... "ti.--•r•1r7'�,y,.�,�•••-�,•K " "�.... + _ ,��.,:.�';.`,,,!'J�Yi'' `�� !;'"..-v.y.....'..tµ�-+•:-•..-� p7 TM[�� TOWN OF BARNSTABLE Permit No. .35 .T? BUILDING DEPARTMENT ($112. 00) t Cash ,...n ............. TOWN OFFICE BUILDING 39 HYANNIS,MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY �1 Issued to Donna L. Paradis & blichael Ostrowski Address 71 Lothrop' s Lane West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. January 6, 9 19..... ........ ................. Building Inspector r ` ' • � BARNSTABLE, MASSACHUSETTS BUILDING PERMIT DATE 19 PERMIT NO. i • :ANT ADDRESS (NO.) (STREET) (CONTR'S LICENSEI PERMIT TO - (_) STORY NUMBER OF '- (TYPE OF IMPROVEMENT) H0. IpROPOSED USE) DWELLING UNITS 'AT (LOCATI N) DISTRICT C7 INO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: .. �.t�:• - `).1--3 i . r•i. AREA ORPER VOLUME - ESTIMATED COST y� ` L r' FEEMIT (CUBIC/SQUARE FEET) OWNER BUILDING DEPT. ADDRESS r BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERSIREADY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS CAL INSPECTION APPR APPROVED - TOWN OF BARNSTABLE BUILDING INSPECTOR ,s APPROVE[ I APPROVED OOF TOWN OF BARN: TOWN OF BARNSTABLE g 3 { plumbing Inspei Wire inspectO I � f!, ;q�•'�'//fir 3 �sdo— 7a cum✓� �J /r 1 I / OF HEALTH JI , l OTHER k "(U �• l[:'% SITE PLAN REVIEW APPROVAL i- WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. . OECk-O-SEAG ?EALANT OR et Dy'A76P7' 4 i?1 ? ae C"L'�7 FROM ., APPROW0 04W,09. eY CONTRACTOR 4C OWIbl�l,' 11N .L T!�QE 6'RO//NG16'D IN I/t WADE X %Z" OEEP B1 �LECTiEe/C/A/V POLY-✓O/O ! PERIMETER Mao REAM C'OPnNi, EXPAN.s/ON✓O/N7'MAtR�!/ABC i WATER L/NE J— ELEV 0'-0" AD/pcG/�sr eY�ooL 3�o"/NiA+I�eEW�/eso CONC,lETE CQNTRAC *'-O" .!/'COMMGNOQ'O aJe4 RElJAR CANT/N/M�/S V N /Ay QGWo ArAM y ; . OiRICAt!!Y CaA/TRAC7I�R SLOPE PER iT TILE OR OWWR V ELEV E=0" LACK WAY � FILL SPOUT DETAIL ELEv 3 •o !! ,C Y E L .UEPT snwoAgo r�( ELEV '•o" tcwc�eErE snAct ee' � R /I�DT� /90 D/T'/DNfIL ,l�J9RS TO B O M AOO ONAL A3!?ARS - ~ X.9 C&D /N 6EoV7WA � XZif Ie ?A OA� .STilENG7-M AT ELE✓$ O •, /f STONE /2"O/C TNRI/BOTTOMRADIuS AfIRS /QE'SVLr/A✓X IW 16` X /2// ^Vr& CA/RM6 LOCAL e1/5t0/NE COMS L rewk HATE aAes w17, /N EGEV WON 0" .8RP4 ^f 7 ORIV. FOR A017/T/ONAL �'J/OISC/l�'/C.OT/OA13' A /~r ex 7VP 00149EAM 1� LAP AGL PJARS /!!"MIN ELEV P=0" bz , STEEL e/oQ DECK WITH STANDARD COPING yZ"x 3a^' • • 2"CLEAR CoNC COVER 4"AWN TYo DECK/IVY F ,e � TYPICAL FLOG►4 REIN O C/NQ -�-WPM;; ewoul T eenwo TN/S L/GNT/N REMOVED r3 m/t"O/C EACH WAY STANDARD WALL SECTION a CoPiN� M/N /" q • T/LE 20 1 �N♦I" CONDUIT `, TOO av WA44 p GRABRAIL INSTALLATION a O NMS and SPECIFICATIONS i , 0 w WATER LEVEL r • � ��� 1'r�i 1. All construction work to conform to State and Local codes. L/CNT N/CNE .a� • 10' 2. Pool shall be wired and grounded in strict • h /' lo accordance with the latest edition of Article 680 sr __ SW/MQbIP jj9s RA/L SEAGEO 4ov/T of The National Blectric Code. STA/A/LESS STEEL 'WATER Cool EO A!o 0/A X.049.W1ALL AREA 3. Concrete to be placed by the Bite method sad AOoiTiGWAL "9 BARs AT/Z"a/c have a 28 day strength in excess of 3500 psi. N/EOCE'ANCHOR COPPER IV/CNE LOA4G/TUO/NAL AT sYOPE ' swiM4e/io 4021 44.V4:, bsTiir/b vaELJE ateel't•o meet 1►S�rri=6t5 c�rade+`a0 Qs ESce/TC//EON - ` VALVE IN fe�RR91E /'oT i/`dRO.r1 R7-ic �PEL/=ice 1��4LYES t' duality. Splices are to be lapped a minimum c! 40 i web 6yR SW/MQU/P 4SI0 LIGHT INSTALLATION WITH JUNCTION BOX /r W,,,rEAF ENC0WrWPr0 , /y01.v //,PR1JVS ,g« //I/A 1.1/r/� bar diameters: sf a 1Vore 0. Ow . ,gLG,POSS AMU FAT DE6RiGSJ- �D/,�/'T 5 Piping to be NSF approved Schedule 60 PVC piping, tF WATEQ LEVEL / , 2 N !>�C'/9INS solvent welded after cleaning with solvent �/Sd A-/ZAMEANO r,RATE PLASTER ALL Sl/.PFACES /P��IJ/,FED. POOL CROSS SECTION cleaner. Ie" /_» ' 6. This pool is to be completwiy enclosed by an a wor• 7o scA/E approvedit Pt. high fence with Belt closing, self �/PA//7/S /`J/N, ,�'-Olt- s�)RRAV 9 T%�D�/ latching gates:/►l�ET�NG /RG GtuJE SECT• 7. As per-MA IRC Code Section AG 106 (3109), all pools and spas are to be equipped. with •2 Main Drains 'separated by 3 feet:. Further, the 60" iejCARS 9 G"OyC suction piping shall have a' Safety Vacuum.-Release 1-4 EACH WAY System as per ANSI/ASPM-Section- A112.19.17. OUNTER — � ¢ /F y✓ATE�2 TABLE ENC EO, PJR / p/�N/N GOdEA7S Mdlr 63E Vdl� AP�RoYED .rf�c •.v.• #),0R0STAT/C RELIEF 1/A1VE HANDRAIL INSTALLATION AAIo cocLE-cro/e TueE REQwAPEo ANo ovew o,.q peecx END 2'/AA/O 24"30 PLACE M/N/Ml/M 20 rem/ " MAP deve& iWAW AVUSIN` j+M.j Re''BARS/N'BONo BEAM TOP Of BOND BEAM DECK 40 /all / 1/i' TY// G/9L 11"RO V R L.Y ,E C•o o R T/O/v '�•• � o � PA'ESSI/.Ei 6AIi1.'E' • i 1 Ie ' I F/L ACXNAsNc/NB�e Dwiry N s« TPA Pmct ,unite TEa ' C AVO a I" -TT � - CAAPTR100E fIAr4fe.) Pool & Spa, Inc. /4«RETI// N t/NE MPOOL (eACKWASNL/NE AP1o11✓ES J b L'o ._ Quality Pools And Spas Since 1975 S,W50 4e O/ATdWACEOUS EARTH • • I • --- ( ,: '« .SK/AIWJER F/G TERS aWLY. I y ANN/N A�AIAv »� eACAVWAs/r L/N!' 2 M/4//V ,I I�� L/NEs hIL/MP W/TN NA/R 3�w O.. SE/QR7PAT/ON ANO t,1A r s.•,QA/AVER ... W/TI`>< » IOWZNYOR0srAT/C AeA*X RE XVRs RE'pv//?E'D /N XPA9 • �e�ruAeN PR OPOS�',D !'ODL fOR• 3y }F/TT/Nd'S RELIEF' VALVCS oiS A00REOED Ns ,0eXsvl9.4a f- sTr-o�6-t 5Kk TYPICAL PLUMBING SCHEMATIC OMO#*94 SPA ADJACENT TO POOL RECESSED LADDER-STEP DETAIL _ .- p 14: 00r 16 rid NOTE: That if a hydro valve .is installed, it must be placed STANDARD CONSTRUCTION in a SEPARATE main drain pot N.•%%of K"S DRAWING to prevent interaction with. 3� 71M�rr � the Vacuum Release System! 0"WN Ki �-�-- • E C31376 o y sum /VO/VE' A/ISOr� Kt a DAM 06-OS- /o LICENSED L MENTION N0. A �fEBsIONA%. TIMOTHY WALKER — CONSULTING ENGINEER MITE: IF THE SIGNATURE AND ENGINEERS.SEAL ARE NOT IN A 19 WOODSIDE AVE.AVE.2 STPORT CT• : 06880 CONTRASTING COLOR, THIS SHEET IS A COPY AND IS NOT VALID maw So # sHoRE w/v�r'F u0m No. oR�w1Ns G AyELMGF4RD, A 082y ; CT A0 MIT t 0- t o BARNSTABLE, TOP Of FOUNDATION 241 dameter concrete covers i EL=50.5± raised to within 6'of finish grade (or a5 noted) ln5pecbon Port and cap with magnetic marking tape to within 3"of grade BUrsle Pth Enstmg EL=49.3+ EL=4B.2± EL=44.5(mm)-46.7(max) 3 47.4± Garage Bath s Kitchen Bdrm#5 Bath ��CUs oe�o Existing 45.5± + g Dining Bath u 43.7_ x7.7 !h Oio m e tin 46.2 a 46.0± 44.17 _ 44.00 43.30 N 1 En5tm9 �r 1 Ensbng Second Floor Gas Baff/e J 42.40 FIrSt FIOOr in Bdrm#3 Bdrm#4 THIRTY TWO(32)ADS ARC36(36/6802) Bdrm#I Congest Run LEACH CHAMBER5/N BCD g„5++ Living 6' d Existing-}- �` l22' 9' CONFIGURA ROM WITH FOUR(4)ROW5 to st DB-6 OF EIGHT(8)CHAMBERS EX15T11V6 1500 GALLON (H-20 Rated) F LOOK P LA N �t SEPTIC TANK D-BOX ffACH CHAMBfg,5 EL=32.9±Bottom of Test No% 0 NOT TO SCALE co FLOW FROFI LE SITE LOCUS NOT TO SCALE • � NOT TO SCALE O r I .) Assessor's Map 109 Parcel 005/004 2.) Deed Book 1 1450 Page 217 THIRTY TWO(32))A05 ARC36 (3G I GBD2)LEACH 3.) Plan Book 4 18 Page 55 CHAMBERS IN BED CONFIGURATION WITH FOUR Q (4) ROWS OF EIGHT(8)CHAMBERS O 4.) This property is not in a Zone II of a Public Water Supply 40' 5.) Flood Zone: C No Wells within 150' 5 5' 5' 1, S' 1, 5' 1, S' 5' S' w �J 1 Z - a5`�., ; y,r�� '� ` �p� �P. F�'�'fir.; ah .!;-:i, s : LEGEND 1 �,, nz.3> EXISTING SPOT GRADE Ul Y, y ,,. 1 " �kY3 '!F w it4x 1i u,S _ wa % f &"}+,,G. Q j - LOT 9 :e;° 24x5 PROPOSED SPOT GRADE Area=35,245 5.F.± ---24- EXISTING CONTOUR ° o W- PROPOSED CONTOUR .• EnStmg well - WATER SERVICE LINE b O OVERHEAD UTILITY LINES o U UNDERGROUND UTILITY LINES C .a -,o G GAS SERVICE LINE ns action Ports(See Note#4) 2 ye,6 - 1 TOP OF BANK I P oho a-a--6- LIMIT OF WORK BENCHMARK PLAN , VI EW . : EDGE OF CLEARING CONST RU CT I O N N OT L.J Garage Slab e r ",) FENCE SCALE: I" = 10' EL=50.00(Assumed Datum; TEST HOLE LOCATION /.)ALL WORK SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE 717LC5(3/0 CMR / ST SEPTIC TANK DB DISTRIBUTION BOX 15.000):57ANDARO RCOUIREMENT5 FOR 771E5/7-/1VG CONSTRUCT/ON, /N5PECT/ON, UPGRADE �\� ; AND EXPAN5ION OFON,5/TE5EWA6C TREATMENT AND 015P05AL 5Y5TCM5 AND FOR THE 'q SAS RE L ABSORPTION SYSTEM TRANSPORTANDOl5POSAL OF5CPrAGE ANO THE LOCAL BOARD OFHCALTHREGULATION5. �e �X�' a Reserve RESERVED FOR FUTURE USE ATl N WHORE rHCRE/5 POTENTIAL FOR 0ed<o ���505 . / ra �¢�:' _ `�+ UTILITY POLE 2.) ANY5EPTIC 5Y5TEM COMPONENT 1N5rALLED IN A LOC O NED TO WITHSTAND AN H-20 LL S �� - VCHICLE5 OR HEAVYEQUIPMCNr TO PA55 OVER/T5HALL BCDE516 No Wells within 1 50' / / q� �`yt��o� oep ° ��; CATCH BASIN L0,4DlNG. IF UNDER AN IMPERVIOUS SURFACE SYSTEM 5HALL BE VCNTCD TO T`iEATMOSPHERE �� tgq,�l / �o?of F / cm RE HYDRANT FIRE ° - d. DRINK C G WATER WELL 3.) TO M1/J1M1ZC UNEVEN 5CT7-L/1V6, ALL 5Y5TCIv1 COM00NCNT5 51YALL BE/N5TALLED ON A / $Garage ■ CONCF.ETE BOUND _ STABLCMECHANICALLY-COMPACTEDBASEONSIXINCHE5OFCRUSHEDS7 f. ° 4.)COVCR5 OVER THE INLET AND OUTLET 7EC5 OF THE 5EPr/C TANK, THE D/5TRiBU770N BOX, �qq ' Prop AND THE 50IL A55ORFr1O1V 5Y5TEM SHALL BE R415ED TO WITHIN 6"OF FINAL GRADE LEACHING FIELDS, TRENCHES, AND OTHER SOIL ABSORPTION 5Y5TCM5 WITHOUT ACCE55 MANHOLES SHALL / e HAVE AT LEAST ONE(I)IN5PCCT/ON PORT CON5/5 rING OF PERFORATED 4"PVC PIPE PLACED Structure ;d d , 45.b (gq.21 d VERTICALLY TO THE BOTTOM OF THE 501L A850RPTION 5Y5TCM WITH A CAP, TIED WITH MAGNETIC MARKING TAPE ACCE55/5LE TO WITHIN 3"OFF/NAL GRADE °• I CERTIFY THAT 1 AM CURRENTLY APPROVED BY THE Eating 5epbc Components to rOp05 < e ° 5.)PIPING SHALL CONS/ST OF 4"SCHEDULE 40 PVC OR EQUIVALENT. PIPC SHALL BE LAID ON A TO be Removed(see Note,#2/) / Pat/ a • ° ��\ ° " D3 10EPARTMENT OF ENVIRONMENTAL PROTECTION PURSUANT AT MiNIMUMCONTINUOU5 GR F4'5C E LE55 0FVCO EO I THEV7'. FI BUILDING TO L BELA D 8 �..' ry ° No Wells within 1 50 THE CMR 15.017 AN TO CONDUCT SOIL EVALUATIONS AND THAT ° f J.-/� .° ', t THE ABOVE ANALYSIS HAS BEEN PERFORMED BY ME TANK, AND NOT LESS THAN 17,OTHERW/5L �. d CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE, AND A2.$) �\ Proposed pa a a �. ° ° • . a 'd 6.)DISTRIBUTION L/NCS FOR THE50/L ABSORPT/ON SYSTEM SHALL BE 4"DIAMETER SCHEDULE EXPERIENCE DESCRIBED L 310 CMR 15.017. I FURTHER 6)PVC(OR EQUIVALENT)LAID AT 01 L A FT/PT UNLESS OTHCRW75C NOTED. LINES SHALL BC (41.o) \ Poo/ o e • • CERTIFY THAT THE RESULTS OF MY SOIL EVALUATION AS ,�� ' \ � °: INDICATED ON THE ATTACHED SOIL EVALUATION FORM, ARE CAPPED A r END OR A5 NOTED. \ A �' • ° .. °d ° d ° ACCURATE AND IN ACCORDANCE WITH 310 CMR 15.100 \\.�� \ ;q�"': ' .° ° °• THROUGH 15.107 7J LINOS FROM THE D/5TRlBUTION BOX TO BE LEVEL FOR THC FIRST TWO(2)FEET BEFORE q PITCHING TO THE 501L A85ORPrlON 5Y5TCM. 015rRIBUTION BOX 5HALL BE WATER TE5TCD TO \\ \� / d° ° A55UREEVCN015TR/BUTION. \ �y ° d C� (qS,Z) A" ° ° •a • ' a Existing Sepbc Tank to be E 5CO AT ALL POWT5 WHORE PIPff5 ENTER OR LEAVE ALL CONCRETE .° ' Utilzed(See Note 420) e.)GRour TO e40 U / \:� -d °. ; ° �'♦ pL , 5TRUCTURE5/N ORDER TO FRO VIDE A WATERTIGHT 5EAL. 2 kP � ' (47.7) tq ) °•: ° da Pluto, ertllied SOHEvaluator Lin ✓. 9.)HEAVY-OUIPMENT 5HALL NOT BC ALLOWED TO OPERATE OVER THC LIM175 OF THE SEWAGE ° / ° ° ' C D15PO5AL F1CLO DURING THE COUR5C Of CONSTRUCTION OF THC SYSTEM. / " 3 �� uio 1� SYSTEM DESIGN CALCULATIONS � �°' � �. ' ° • • � /0•)IN ACCORDANCE WITH 3/O CMR 15,221, ALL 5Y5TCM COMPONENTS SHALL BE MARKED - �If- Mr/1 MAGNET/C MARKING rAPC. p x I I I 2 a°' °'. a" �V SEWAGE DESIGN FLOW REQUIR.CD:5 BEDROOM OWELLING Q �I T E P LA N /10 GPO/BfO9OOA f=550 GPD REQUIRED /I.) THERE ARE NO KNOWN WCLL.5 WITHIN 150'OF THE PROP05EO 501L AB5ORPT10N SYSTEM. \o e ECf1PT SEWAGE DES/GN FLOW PRO VIDEO: A. TWENTYFIVE(25)AD5 UNIT5/N BED t SCALE: 1" = 20' l B ORPTIOIV 5Y5TEM UNTIL R / 12.)FROM THE DATE OF THE INSTALLATION OF THE 50 L A 5 CONFIGURAT/ON IN F/VE(5)ROW✓OF FIVE(5)UNITS EACH. OF THE CERTIFICATE OF COMPLIANCE THE PCR/METER SHALL BE STAKED AND FLAGGED TO 5'Soil Removal I I 1M OF C OF THE AREA THAT MA DAMAGE TO THE5Y5TEM. - (See Note 7c PREVENT US Vt - ((550/0.74)/(4.B FTZ/FT)/5.0 LFJ =3/ ADS UNIT5 'T� �'�, ' e� �C �.- Z���• '� Ll'NDq� i� REQUIRED(32 PROVIDED) Proposed SAS t i�5.6 ,. Garage P�NTQ /3.) THE DESIGNER WILL Nor BC RE5PON5/0LE FOR THE 5Y5TCM A5 DE5/GNCD UNLE5.5 ( in n CONSTRUCTED AS SHOWN ON PLAN. ANYCHANGE5 5HALL BEAPPROVED IN WR/T/NG BY THE (See Plan View) TE lF 566 GPD PROVIDED� 550 GPD REQUIRED i45 'L CMS y DC5/GNCR. R6'0 S U.' t TL1 M-A� �0.n p 465Q4 Ak /4.) THE BOARD OF HEALTH REQUIRC5/N5PECrON OFALL CON5TRUGrION BYAN AGENT OF SCPT/C TANK CAPAC/TY RCQUIR,ED: 550 GPD X 2009b = //00 GPD REQUIRED �j, A 018T THC BOARD OF HEALTH AND THC OE5/GNER. THC DC5/GNCR 5HALL CERTIFY/N WRI rING THAT THE SEPTIC TANK CAPACITY PROVIDED: EX15TlNG 1500 GALLON 5EPT/C TANK �S, �" 1 T a L L C T �sON�LEEK 5EWA6E 0/51=05AL 5Y5TCM WA /N57ALLED IN ACCORDANCE WITH THE TCRM5 OF THE PERMIT A GARBAGE D/5P05AL/5 N07 PERMITTED W/TH TH15 DE516N FLOW AND THEAPPROVCD PLAN5• 46 HOUR5 ADVANCE NOTICE l5 REOUE5TE0. ��` T L1 �`�t l cq'.si /5.)CONTRACTOR5HALL BCRE.5PON5IBLCFORDCTCRMIN/NG THELOCArIONOFALL NO Wells within 150' \ UNDERGROUND AND OVERHEAD UrIL/TICS PRIOR TO COMMENCEMENT OF ANY WORK. THIS INCLUDE5, BUT 15 NOT LIMITED TO, RCQUE5T5 TO DI65AFE ANYPRIVATE UTILITYCOMPANlC5, \ --- AND THE LOCAL WATER DCPARTMCNT. / t \t\ A ALL WASTELINES ARE CONNECTED BY WATER TESTING HOLE LOGS /OOp, �, T L` O'J i_ � L �� TAW, `�l�� /6.)CONTRACTOR 5HALL VERIFY rH T TEST I I O L 1I� 1 WITHIN THE DWELLING PRIOR TO IN5rALLARON OFANY5EPT/C COMPONCNT5. �� �� `�,` 17.)CONTRACTOR SHALL VCRIFYEX/5T/NG INVERT CLCVAT/oN5 PR/OR TO/N5TALLATION OFANY Test Hole#I (EL=45.8±) St11'Yey Mark by.' 55P7/C 5Y5TEM COMPON5N7-5. Depth Layer Soil Class Sod Color Comments A & M Land Services 18J/N5rRUMENT 5URVEYCONDUCTEO FOR PROPOSED WORK ONLY. 5ITC PLAN SHALL NOT BC USED FOR STAKI OR A NG N YOTHER PURPOSES. 0"-►2" Fill 6 8 Main Tee 12"-14" A Fine-MedmmSandy Loam IOYR3/2 �' d�lF1aV\dL� South Yarmouth, MA 02664 Pb. (608) 737-1777 Emefl eamland®comcast.aet 19.) 50/L REMOVAL: ALL 7-OP501L(A'LAYER)AND SUB50IL(ID'LAYER)SHALL BE REMOVED FOR 14"-38" B Fine Sandy Loam I OYR 5/6 A 0157-ANCC OF F/VC(5)FEET LATCRAILYFROM THE 501L AB50RPRON 5Y5TCM DOWN TO THE 38"-91" C I Fine Loamy Sand I OYR 6/3 20%Gravel - Perc @ 76" Llk`h`iR L R E,/ r, l elA1\L1:L- CLEAN SAND LAYER(EL=42.1±). AREA TO BE BACKFILLED WITH CLEAN SAND AND COMPACTED 91"-154" C2 Medium Sind 2.5Y 7/2 M/N/M/ZESETTL/NG. cL LF W C-Mkl k 0- 1'�-'-2 Prepared for: 20.)EX/5T/NG /500 GALLON 5EPT/C TANK TO BE UT/L1ZED. PVC ICES TO L3E INSTALLED ON Test Hole#2 (EL=45.8±) /NLETAND OUTLCTP/PES IFNCCCSSARY, ANDA GAS BAFFLEINSTALLCD/N THE OUTLET TEE. Michael � Donna Ostrowski Depth Layer Sod Class Soil Color Comments ftUTO h ATh MOL!. �_�� �f-F.�. 7I Lothrop's Ln., West Barnstable, MA 02668 21.)EXl5TING 5CPT/C COMPONCNT5 7-0 BC REMOVED. ANYCOW-AMINATCD 5o/L 51-IALL BE RCMOVCD FOR ADl5TANCEOFF/VE(5)FEETLATERALLYFROMME50/LAB5ORPT/ON5Y5TCM o"-10" fill RR p t PI"OLothro '5 Ln., e D f3arn5 ) le,, M n1 AND REPLACED W7TH CLEAN SAND. AREA TO BE COMPACTED To M/N/M/ZE5ETTLlNG. 10%1 2" A Fine-Mednm Sandy Loam I OYR 312 t-� 1 12^-44^ B Fine Sandy Loam i oYR 5/6 7 I Lothrop's Ln., WeSt Barnstable, MA 44"-78" C I fine Loamy Sand I OYR G/3 20%Gravel 78"-139" C2 Medium Sind 2.5Y 7/2 1 Q�.ML «�h Prepared by: DATE OF TESTING: 07/OG/10 SOIL EVALUATOR: !INDA J. PINTO, P.E., C5N ENGINEERING CSC 1�)AP& INSPECTION NOTE: BOARD OF HEALTH AGENT: DAVID STANTON, BARNSTABLE HEALTH DEPARTMENT PERCOLATION RATE: L E5S THAN 3 MIN/INCH IN"C I"LAYER PRIOR TO FINAL INSPECTION BY THE ENGINEER, SYSTEM - Engineering NEEDS TO BE COMPLETE INCLUDING BUILDUP FOR COVERS. NO GROUNDWATER ENCOUNTtRED O 20 40 60 P.O.Box 2030 I Phone:(508)274-7347 Teaticket,MA 02536 Fax..isnp% --. SCALE 1"=20' r'•\r:5M1'r101-Inthrnn�^"" ' " L)ES1 (7,-""R / 7E' IA ; Ir` VL-III z VVERT AT BUILDING: El\IERAL MOTES , DESlrN, FL l • � BEDRc OMS AT 1112 G. P. D. PEfi INVERT //� SEPTIC TANK: q 2' 50 THIS PLAN IS FOR THE DESIGN AND ACCESS COVERS MUST BEDROOM :_OUALS G. P. D INVERT OUT SEPTIC TANK; CONSTRUCTION OF THE SEWAGE DISPOSAL FIRST 2' TO BE WITHIN 12" of INVERT IN D I ST, BOX; q 4 5 FA C I L I T Y ONLY. , 0 BE LEVEL FINISH GRADE ����CL: OR I NDER E 2 4 " Pv ��" � MiN. 2" c; c IfUVERT OUT DI ST. BOX; SEPTIC TANK REQUI RED: �� q ©•6 a 2. ALL CONSTRUCTION METHODS AND SCHEDULE 40 0_ �rz PEArTONE INVERT IN LEACH PIT,,T; 2r L5GAL. � �� �t�2 314 ' - I112" - � G. P. D. X I50ro = __ �l'TJ GAI_. BOTTOM OF LEACH PIT., g4 '�� MATERIALS FOR THE SEPTIC SYSTEM ?► O � 1' d b '' k}5 �'_ �!— SEPT/C TANK � 1t1 DIA. WASHED SEPT i TANK PRO I DED: J- �C GAL L . ADJUSTED GROUND WATER: SHALL CONFORM TO MASS. D. E. P, y OUTLET l 0 D-Boy' MIN. N -�4 STONE OBSERVED GROUND WATER: tQ0 t9 t, TITLE 5 AND LOCAL BOARD OF HEALTH ---------{ ; SIZE Jr LEACHING FACILITY' REGULAT IONS. -rWo I_i:, ^H PIT-- REOUI RFD: — G. P. D. PROFILE; NOT TO SCALE �� `� UES/GN r'-'ERC RATE ____.f4.,__ MlN/INi,H 3. ALL SEPTIC SYSTEM COMPONENTS LOCATED REVISIONS: UNDER PAVEMENT SHALL BE DESIGNED TO PROVDFD: O,—Cp, ``PlT(S) W/ E —"STN. NO, DATE REVISION WITHSTAND H-20 LOADING. SIDEWALL; -T S. F. X 2 = q � GPD - -_ h�EL/_ BO T T OM; 1 1 S. F. it' 1 _ GPD 4. ALL SEWER PIPE SHALL BE SCHFDUL E 40 OR APPROVED EQUAL . 5. BEFORE CONSTRUCTION CALL "DIG-SAFE SOIL TEST PIT DATA 1 -800-322-4844 FOR LOCATION OF INDICATES INDICATES UNDERGROUND UTILITIES. PERCOLATION — OBSERVED TEST GROUNDWA TER 6. VERTICAL DA TU1W IS: ``>' l "�` `` ' LEGEND , s TP"� � u_ TP: 7. BENCH MARK USED: --- - 50— - EXISTING CONTOUR GRND EL GRND EL G. 41. EL. N ►� G. W. EL, 8. FOR BENCH MARKS SET, SEE SITE PLAN. a_F�O-I _ _ -- PROPOSED COVTOLIP T/fl 5 1'r i 50 = PROPOSED SP✓T Gr74AF �1� 6N 1' Clot /11 J,�., -!"i ram ' 7aJ57`I'lG'�", J.TAECTION f'f-" g� RUNOF 4 R%n —__ INO DA T E: b — � o •» `^ {- I� o'` TEST BY:-Do LIE, "l - �04X00 1 W/ TNESSED BY:�MG� I N 'le =RC. RATE:__ Z — I,'lNN'INCH i'tZ0 �', ADO C ►�l. _.Or.� _.._._ j ,� e �� � �,�p-c•,C. -r`I��..,r� ,,\ : ., �; � PROPOSED T2- •►y, ,. , �4 • ' �' ��� ', :; .;'gip, _ C, 1_(�/\C -1 t�1 i —�' '� a3, �C7 ��/ �3 �I �� {] i ,': r Plzl f i'��iL � t /' �✓ y ,C1ATF PRO, :,SSIONAL� ENGINEER CIVIC UA IE / PAUSE SS.i CA1AL LAND S°UAVEYOR L O T 10 ASSESSORS MAP 10 LOT �- '�- ``, PLAN SHD11.�'NG ME ESI6N7F A PROPOSED SUBSURFACE SEP 7.TC DISPOSAL SYSTEM Z OT 9 L OTHPIOP S LANE, BAHNSTABLE MA h j SCALE 1 " _ 0 ' JANUARY9, 1993 ,EAGLE SUAYEr-11 G C ENU-TNEEi9..TNG, INC. 44-f flWTE 130, S'AIVOYICH, MA POJ CT NUMB Erg 93-0019