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FRIEDLINL&CARTER ADJUSTMENT, INC.
436 Main Street, P. O. Box 338
Hyannis, Massachusetts 02601
Tel. (508) 771-3232
FAX (508) 790-2344
TO: ( ) Building Commissioner or Inspector of Buildings
( ) Board of Health or Board of Selectmen
( ) Fire Department
TOWN OF BARNSTABLE
TOWN HALL
HYANNIS, MA
y
RE: Insured: CARLETON, Robert T. & Dawn M.
Property Address: 98 Lothrops Ln.
West Barnstable, MA 02668
Policy Number: HM00358668
Type of Loss: Water
Date of Loss: 9/20/2017
File#: 127571
Claim has been made involving loss, damage or destruction of the above captioned
property, which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143,
Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate,
please direct it to the attention of this writer and include a reference to the captioned '
insured, location, policy number, date of loss and file number.
On this date, I caused copies of this notice to be sent to the persons named above at the
addresses indicated above by First Class Mail.
K. HARKENRIDER
Adjuster
9/20/2017
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION all,
Map � � Parcel (JT O Permit#
5" 9
Health Division Mq 4J 5)0 Date Issued
- (y o
Conservation Division /A J yl�01- Application Fee
Tax Collector i Permit Fee
Lk
Treasurer SEPTIC S M Mulft 6e�,--, -
Planning Dept. INSTALLED COMPLIANCf.
WIT! TILE 5-0 . ::D
Date Definitive Plan Approved by Planning Board ENVIRONM AL CODE AN5
TOWN RE ULATIONS
Historic-OKH Preservation/Hyannis
D �
Project Street Address
Village
Owner ' ddress
Telephone S S
Permit Request
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed- Total new �v F4
Zoning District Flood Plain Groundwater Overlay
Project Valuatiop Construction
(t Type
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Size d: ❑Yes ❑No If yes,attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure 0 Historic House: ❑Yes ❑No On Old King's Highway: XYes ❑No
Basement Type: l(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: XGas ❑Oil ❑Electric ❑Other
Central Air: ' Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No
Detached garage:X existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size
Attached garage: existing Elnew size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes/ *o If yes, site plan review#
Current Use 14_�`dle Proposed Use A440j� Sujoq
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BUILDER INFORMATION
Name sP -SAL_ Telephone Number 7`— R
OD
Address ��' % �L� License# —7 8 ?3
Home Improvement Contractor# 13 d `(a6
Worker's Compensation# 3 C
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE ATE
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FOR OFFICIAL USE ONLY
PERMIT,NO.
v
DATE ISSUED _
MAP/PARCEL NO.
a
ADDRESS , X% VILLAGE
OWNER-
DATE OF INSPECTION:
FOUNDATION ] 1'4IP O,�
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL `^ d
PLUMBING: ROUG -- FINAL',
GAS: ROUGVd FINAL"
FINAL BUILDING
DATE CLOSED OUT ® 0
ASSOCIATION PLAN NO.afi,
The Commonwealth of Massachusetts .
Department of Industrial Accidents
ance af/ayesaffatiaas
' 600 Washington Street
Boston,Mass. 02111
Workers' Com ensation Insurance davit
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tcl]n1Ca12CecQz�ss:;:;•}:>i:•}:{,:•::n:L•;:
game to secure coverage asWell
required
under Section 15A of MGL 151 can lead to the imposition of criminal penalties of a fine up to$1,SOO.IW and/or
ens years)1II1pI'i.7afllnmt as weII a3 civil penalties in the form of A STOP WORK ORDER and a Sae of 5100.00 a day against me. I ffidershmd that a
copy of this statementmay be forwarded to the Office of Investigations of the DIA for coverage verification.
1 do hereby eerti the pains enalties ofpeJury that the information provided above is truce and tarred
Date
Signature
Print name /u / - �- Phone# --
afticial use only do not write in this area to be completed by city or town official
permit/license# ❑B'uilding Department
city or town: ClUcensing Board
response is required ❑Selectmen's OMce
❑checkif immediate q ❑Health Department
contact person:
phone#; _ ❑Other
(<svi�ed 9/93 PJA) '
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract
express or implied, oral or written.
of hire, exp '
An employer is defined as an individual,partnership, association, corporation of other legal`entity, or any two or more of
the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or
trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a
dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of
another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or
building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or'renewal
of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has
not produced acceptable evidence of compliance with the insurance:coverage required. Additionally,neither the
commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting
authority.
Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and
supplying cornP any names, address and phone numbers along with a certificate of insurance as all affidavits may be
ents for confirmation of insurance coverage. Also be sure to sign an
submitted to the Department of Industrial Accid
Fi: date the affidavit. The affidavit should be returned to the city or town that the application for the pemait or license is
being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you
are required to obtain a workers' compensation policy,please can the Department at the number listed below.
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the
affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
be sure to fill in the peffirt/license number which will be used as a reference number. The affidavits maybe rettuned'to
the Department by mail or FAX unless other arrangements have been made.
,Me Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
Please do not hesitate to give us a'call.
The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
office of Investigations
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone #: (617) 727-4900 eat. 406, 409 or 375
�oF�HE, ti Town of Barnstable
Regulatory Services
saxxszABLE
, ' Thomas F.Geiler,Director
MASS.
16 39. 1% � Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Permit no. /(
Date v
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements. _
Type of Work: r �' � �"�" Po� estimated Cost V,i 9`
Address of Work:
Owner's Name: `:
' Date of Application: Q
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:
���CVipool+5)pgk 6�� �n t(o
D to ntract Name Registration No.
i
OR
Date Owner's Name
Town of Barnstable
Regulatory. Services
vBM LE, Thomas F.Geiler,Director
�p .i639 �0
�Ep 39 A, Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Officer 508-862-4038 Fax: 508-790-6230
Property Owner Must.Complete and Sign This Section If Using A
Builder
I, �6s+d/�%��`� ,'� �'�Ci,�V , as Owner of the subject property \
hereby authorize r. tttl 4 60-Pto act on my behalf,
in all matters relative to work authorized by this building permit application for (address of
job)
L&[o
Signature of Owner AV+\- o e t Z i� ate
Print Name
i
r
• a�yya n a v Y■ ■er0 _�_
VERTICAL GRIQ Q.E. FILTERS PermaGlass=_
STRONGER TANK
Pro-Grid""vertical grid D.E.filters provide
NSF® NSF® superior water clarity,efficient flow and
' large cleaning capacity f d+y.er pools an spas
of all types and sizes. Constructed in
ti high-strength PermaGlass Xln",Pro-Grid
y C ` combines high-technology features and
service-ease"design for an unparalleled
filtration value for both new pool and
aftermarket installations.
�'w r Applications
e
�—
i
� �,4 -� r n-ground pools
. •In-ground spas or in-ground pool/spa combinations
h _ = Features
• New,stronger PermaGlass XL''filter tanks made from
µ durable glass reinforced copolymer to meet the
DE7220 Pro-Grid filter with SP0740DE DE3620 Pro-Grid filter with 2-position demands of the toughest applications and
Selecta-Flo' 4-position control valve. slide valve. environmental conditions,including
in-floor cleaning systems
' 1 t 1 ; . . , • Self-Aligned tank top and botiorn make °►�
access to servicing the grid elements fast and simple
Model Effective D.E. Dimensions Ctn. Ctn. • Heavy-duty,tamper-proof one piece flange clamp
Number Filtration Area Required Width"' Height Qty. Weight securely fastens tank top and bottom.Allows quick
DE2420 24 ft.' 3 lbs. 23" 32 h" 1 56 lbs. access to all internal components without disturbing
DE3620 36 ft.' , 1h, piping or connections
4 h°lbs. 23" 34 1 65 lbs. •DE4820 Removable clamp tool makes tightening and loosening ?48 ftZ 6 lbs. 23' 40'h` 1 74 lbs. of clamp
quick and easy
DE6020 60 ft., 7 W lbs. 23" 46 W 1 84 lbs. • High impact grid elements designed for up-flow filtration
DE7220 72 ft.z 9 Ibs. 23" 521h" 1 94 lbs. and top-down backwashing for maximum efficiency
All filters include pressure gauge,air relief valve and 1 iz'drain plug • Integral lift handles and uniform low-profile base make
"'Above dimensions are for filter only.Add 12'for 1'ii and 14"for 2'multiport valves.Add 7'for 2'slide valve. removal of grid nest fast and simple
= Inlet diffuser elbow distributes flow of unfiltered
Model Pipe Valve Ctn. Ctn. water evenly to all filter elements and provides even
Number Description Size Positions Qty. Weight distribution of D.E.to grids
Valve and Coupling Selections = Convenient valve and plumbing options allow for
SP0740DE Selecta-Flo 2"SKT 4 1 9 lbs. customized control
• 2"full-flow internal piping and plumbing for less
SP0710XR50 Vari Flo 1 W FIP g 1
6 lbs. resistance to flow and maximum performance
SP0715XR50 Vari-Flo 2"FIP 6 1
9 lbs. • New 72 ft'filter made of new and stronger
SP041 OX502S Slide Valve 2"SKT 2 1 4 lbs. PermaGlass XL''allows for both commercial and large
DE2400PAK2CS Coupling 1 h"SKT x 2"SLIP _ residential applications and years of non-corrosive,
1 12 lbs. trouble-free performance 3.
Performance Data_Filter
Effective Turnover Performance Data—Valve Positions f
Model Filtration Design' (In Gallons) Model
Number Back- Reck-
Area Flow Rate 8 Hours 10 Hours Number Filter wash Waste ulate Rinse Closed
DE2420 24 ft z 48 GPM 23,040 28,800 SP0740DE
DE3620 36 ft.' 72 GPM 34,560 43,200 SP0710XR50 • a e
6 e
DF4B20 48 ftz 96 GPM 46,080 57.600 SP0715XR50 • • e • •
DE6020 60 ft' 120 GPM 57.600 72,000 SP0410X502S • • •
DE7220 72 ft.' 144 GPM 69,120 86,400 DE2400PAK2CS • — — _ _ _
'Based on 2 GPM7ft.'(maximum allowable NSF rating)
Ir HAYWA is
For replacement parts see pages 92-93. <
x,
z
VERTICAL GRID D.E. FILTER ACCESSORIES
�Oes`Ignn. for vertical grid D.E.filters with up to 80 square feet of filtration
areal I"i iniat.M. separation tanks are ideal for water conservation
aid s vfngs durlrtg backwashing by returning chemically treated at,,=
'aa as vraterto the pool. Molded of rugged Permaglass XL Hayward ; ti `s
c efo Mn tanks hold up to 10 lbs.of used D.E.filter powder and
compbme"M546th new and existing vertical grid D.E.filter installations.
1,'id:D.E.filters with up to 80 ft.'of filtration area k =
t{ fi
+1rtjfir
olded:of Permaglass XL for all-weather performance ,=
°, ,. r a
tuggqreusable polypropylene containment bag holds up to
�f0 frrouused D.E.filter powder s
aCoines omplete with 2°FIP or 2°SKT connections for full-flow performance '
`f? le Irig knob for easy access
1
i
udel Pipe Max.Filter Max.D.E. Ctn. Ctn.
nwit Size Capacity Holding Capacity Qty. Weight C9002SEP separation tank with 2"RP connections.
Q;ESepaation:Tanks J
e >f SEP 2°FIP/2°SKT 80 ft., 10 lbs. 1 22 lbs. ly
�x oioes comp)——'ith 2"FIP or 2"SKT connections for full-flow performance
x
Ctn. Ctn.
Description Qty. Weight
S?QL��ra�bStem Base Pak$ }
PAK3 Molded platform base for,pump and filter.Complete 1 11 lbs.
r: with rigid,clear Lexan sweep union and hardware.
x E Pre-drilled for Max-FIOTI,Super`and Super III Pumps.
Use 1'k°Vari-Flo'"valve.
F .
fb.<'--
XW
A.
`<
,1 1SEP DE2420 w/Slide Valve DE7220 w/Slide Valve DE2420 w//SP0740DE DE7220 w/SP0740DE
pia i -
r
F�
t
�gvttxlntuec� ��• � �� �g�INUMWGq,�I
AND SPA GQOUP .RT,AC Alm SPA GROUP
HOME OFFICE(508)457-7800 FAX(508)457-7778
Customer Branch Ot ►o,rr —¢d=Zss'
O-
Ike c� g .. ��}' yet,o CAA,IV S PA 6
This contract on the day of ZA L— !3064 between A) owner
Residing at 0244k,ephone(m)`,3 r ,-,k,4
THE SWIMMING POOL AND SPA GROUP,agrees that it will,for the construction hereinafter me honed,furnished all goods and
services necessary to complete for the following described work at premises known as�V L¢�'�0b i 352
,,,V
hi ground Pools including*walls or*framing,`vinyl,plaster,or pebbletech liners,schedule 40 PVC plumbiftg,7skimme s,"
outlet(s),*aluminum,PVC,or precast bullnosc coping,filter system with a concrete pad,filter media,;"safety line.cement collar or
gunile(none on octagon pools),normal excavation&backfill(grading of 10'pool parameter subject to elevation),labor,(*pool kit)
Manufacture:QL�-,-'e Model: I 2fky2A 56. o WallType:4''akd 1" Price:$
Type Price Type Price
Alarm: $ )SL Opening&lsl start-u '01 $ 1/V C
Auto Chlorinator. .- $ Preferred C..".Card i ::$ 0 NC
Auto Cleaner:%J t beat!Mz S lov Purification Unit: V I
Back Wash System: ) l Ale Raised Wall: C:IV
Building Permit: C I ijc, Return(s)outlets:
Copping: Co..jAty%it✓px TdI32—$ !JVC Safety Cover:rt J $ R.ef� 9�u'r.[y
Deck/apron SQ FT "n r4 it $ Separation Tank: $
Diving $ Skimm C�er(*): v $ /'IV
Electrical(Basic) Nn N R= $ Slide: ��011✓� $ �
Fencing: ®tJ $47-- Solar Blanket IV n.y 9
Filter/Pump:Ne`j $ r Solar Reel _6/[9Au $
Fountain(s): $ Starter Chemicals: 't $� =
Handrail for stairs: $ t M�i Steps: \N W0A / $
Heater: (rys �J'1�4tS.t�. Swimout/hotP:% IV®(uQ— $
In-Floor system $ Vermiculite:1, S$ LA 911�1
Ladder:\1J WQ �IJ�' a iLS $SSA.h� Wall Foam: 1 a $
9.90
Landscape: M. $ 3 Water:1 i.pAC C $ INC
Light: 13O0 W W be $ Waterfalls: �e.N $
Liner"�pr3e ® $ J� Winter Closing:
• Main Drain(s): 'O I Al C Winter Cover 6 A.N
Maintenance Kits: $IN_ 4'Stone Perimeter Name $ �
Pool Sketch: Tree Removal,Dirt Removal.Electrical-Extra Work.if any Energy Supply to heater. At Owners Expense.
---------------------
j Rear lot lined
wmo't�.( o w 1. osm Accessories Totals: $ + D
Subtotal: $ i rpi_
lthalt s m swig Sales Tax:( mar aA133c;$
1 I oP[lea n smLevation
)nvaton Total: $
p '
D sup Drop I
nSepticarca �oSepticarea i
j n frees/Walls t DTrees/Walls j Payment Schedule:
D WirelGas D WirJGas P e/. L q
u k House ,,,, as I.De osit:v A 'A $
I anccrss DAccess I 2.Due upon permitting $ 04
I oDrivcway 1 o squic nDriveway j 3.Due upon*pool kit delivery $
sr r _ __ _ _ 4.Due upon'wall install $ (. rG 0 r O.0-
•nu,q mmmn Room. 1—ddoomd-ine pool Irmto" 5.Due upon liner install $ 1• �i00-on
This contract shall not be binding until accepted by The Swim- 6.Due upon concrete deck frame $ IQ 8 ),e--
ming Pool&Spa Group,in writing by an officer at it's general 7.Unpaid bal.due upon completion$ I 1 6001 O D
office at 435 Waquoil Hwy,East Falmouth,MA, (Completion defined as that point in time which all pool&raise.items pur-
chased have been supplied&installed as per contract.Service charge 1.5%,
This contract is hereby accepted, ,2003 per mouth on unpaid balance to commence on date orcomplctiou of pool.)
Swimming Pool&Spa Group The Swimming Pool&Spa Group reserves the right to stop work
immediately If payment schedule is no followed exactly as stated above.
Note:The Swimming pool may not be used until final inspection is done by
a state or local official and meets all requirements for safety.
(OFFICER)
OWNER ACKNOWLEDGES RECEIPT OF AN EXACT COPY
NOTICE TO THE BUYER/OWNER HEREOF SIGNED BY THE SELLER&COMPLITELY FILLED
Tbe conditions on the reverse side am part horror.no not sign before IN WHERE APPLICABLE PRIOR TO OWNERS EXECUTION.
reading them.
Witness the hands and seal the party p Dj D
VE
}�
Contract Signed at:103 qA4A_�P - A DA
/ ,� ,tw
OWNER
Contractor n
�tAJ(✓Lt✓�I Nit&- S �
CO-OWNER
RECEIVED,INSPECTED.ACCEPTED 0 POOL°LOCATION 13ELEVATION 01NSTAILLATION
By: X DATE
l
,-- ;!l��r:'7a'(%7.'!-L•tOJtPr*Sarf9t,r�•. Iffi.%.tlra:�ti:P,A,✓ .,`\
SOMW OF f33lit fJlt G REGWLATIONS
CONSTRtlMON SUPEWSOR'
z ' Sirthdat°.MOIJ1959
��owmmw Tr.no: 78934
ReshicWTA; 00
KEV(N F CAVANAUGH
435 WAGUOrr HGWY L
E FALMOM, MA 0=6 Adrnfnis"tor
c ' 3 Regulations
Bard f Buiidin
,rr ® g Rm 1301
gwburton
on, Ma 021 08
" B�hdate: 05/0111959
CONS-TRUCTION SUPIERVtSOFt LICENSE Restficted TO-. 00
Number. CS 078934 Expif8s:0510112Q05
KEVIN F CAVANAUG14
4335 WAQUOIT I-GWY }
E FAi,MOUTH, MA 02536
Tr.no. 78934 of ad -�fic32on.
K�tDP for MWipt.atti
"L
9.4e
hoard off Building Regal Inns
One Ashburton Place - Room 1301
Boston. Massachusetts 02108
Home Improvement Contractor Registration
- - Registration: 130666
Type: DBA
` Expiration: 4/6/2006
,._. ... ". ... • ., p ra
The Swim Pool Spa Sale Sef,
Steven Senna
P.0_ Box 3612
E. Falmouth, MA 62536
Update Address and return card.Mark reason for chang
❑ Address Renewal ❑ Employment U Lost Card
,sue f�-•c�sor�rr,����
—\ Board of Building Regulations and Standards License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration: 130666 Board of Building Regulations and Standards
Y. One Ashburton Place Rut1301
Ekoiratioit: 4*162006 Boston,Ma.02108
Type:.DBA
The Swim Pool Spa Sale&Ser,MaketGrp
Steven Senna
435 Waqua t Lbuy
E.Falmouth,MA 02536
Administrator Not valid without signature
.ice„s w. ,�„ •• PANEL PLANS
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•18l-0w
2'RC v
°PLASTIC
STAIR
I
r Application to
49bbw Regional AiotDTcc �i�tTi �1TII>ttEE
BARNSTAI? , jt,,� .��. l o ,P�O� BARNST.ABLE
j In the Town of Barnstable
11D3 AR 25 AP9 11: 52 2003 MAR 20 AM 10: 18
CERTIFICATE OF APPROPRIATENESS
Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropr � rFUss 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 building: ❑ House ❑ Garage ❑ Commercial ❑ Other
2. Exterior Painting: ❑
3. Signs or Bill oards: ❑ Neign ❑ Existing Sign ❑ Repainting Existing Sign
4. Structure: JK Fence K Wall ❑ Flagpole ❑ Other
TYPE OR PRINT LEGIBLY: DATE ��, �
ADDRESS OF PROPOSED WORK 1,9
.2 F ASSESSOR'S MAP NO. VLIL4.0
j OWNER (�` �TL��WA ��4L1 Tc�� ASSESSOR'S LOT NO.
HOME ADDRESS TELEPHONE NO.�
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any
public street orway. (Attach additional sheet if necessary.)
R S L_C—/,J I_A i N 5 Iti; 5 LaccpEzza
S L r
�- Q 6
AGENT OR CONTRACTOR TELEPHONE NO.
ADDRESS
DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please
include locations of proposed signs.
4 ' _81AC Y- ���� v\ Linv -Re,)c9_. '' rprimcfe-r
Signed
Owner-Contractor-Agent
Col���,��
For Committee Use Only
This Certificate is hereby Date O�
Appro d/D nie
Committee Members' Sig natur
EL. — 40— 0. s
TOP OF FOUNDATION 20"• MIN. ,
2,LA YER OF
CONCRETE COVERS
Z WASHED STONE
_ 42 3 LEVEL CONCRETE COVERS
41.5'
GROUND EL.-• __ E'L=42.0'f f
OR SCHEDULE 40 3 5
P. V.C. PIPE 4" SCHEDULE 40 P. V.C.DIS M
PIPE - MIN BOX S=0. 06, D=2O.
S=o. 05,D_10" S=O. 05,D=6' PRECAST
FLOW LINE S=0.12, D=1O: LEACHING
OR
110"" 19" 6" 08 08 Ala EQUIVALENT
MIN CRUSHED .8 8
INVERT S7bNE 0 08.08o888S 8INVERT A
EL.= 38. 75 . EL.=_38_28 o. �2 :: o
INVERT O • 6 �z '3/4" YO.1-_f2"
EEL. = 39. 0d lNVER INVER op . :. c WASHED S`7T NE
EL.= 370 o
_I_2_5_0 GALLONS EL.= 38:45 o w 31.Of
SEPTIC TANK LEACH PIT
6' '12
1 o'DIAM.
PROFILE OF
BOTTOM OF. TEST HOLE OR USGS PROBABLE WATER TABLE E'L=;z9-5f
SEWAGE DISPOSAL SYSTEM THE EXCAVATOR SHALL NOTIFY THE ENGINE'E'R.AF
NOT To SCALE THE HOLE IS DUG TO INSPECT SOIL CONDITIONS FO
ALL ELEVATIONS ARE ASSIGNED SUITABILITY FOR PLACEMENT OF THE LEACHING PIT.
SOIL LOG WITNESSED BY: T MCKEAN .
INVERT I=EA TH OFFICER
P NO. 6202 `
GENERAL 1V0 TES 10-28-8s TOwN of BARNSTABLE
DATE . DO YLE ENGR. ASSOC., INC
1. THIS -PLAN IS FOR INSTALLATION OF NEW SEWERAGE DISPOSAL SYSTEM. —
2
PLAN REFERENCE BOOK 418 PACE 55. TEST HOLE 1 PERCOLATION RATE _z__ MIN./ INCH
3. THIS PLAN IS FOR INSTALLATION/ REPAIR OF SEPTIC SYSTEM EL..= 35. 017 D L_►CY GN DA TA
AND NOT TO BE USED FOR SURVEYING OR ZONING PURPOSES. L,J
4. ALL WORKMANSf{IP AND MATERIALS' SHALL CONFORM TO, RE P. TOPSOIL NUMBER OF BEDROOMS FOUR
TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS and NONE
FOR '.THE SUBSURFACE DISPOSAL OF SEWAGE
WITHIN
SUBSOIL el =31. 0 GARBAGE DISPOSAL
5. ALL COVER TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN
GPD
12" OF F1IVISHED GRADE. TOTAL ESTIMATED FLOW
6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE 110 GAL/PRIDAY x ____ BR.)
SAME, UNLESS NOTED -BY FINAL CONTOURS. -- 4
7 ALL "COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE FINE I25o
OF WITfISTAN NT H-10 . LOADING UNLESS THEY ARE UNDER CLEAN SAND SEPTIC TANK CAPACITY --___-
OR WITHIN 10' OF DRIVES OR PARKING AREAS II-20 LOADING LEACHING AREA REQUIREMENT_$
SHALL BE USED UNDER OR WITHIN 10" OF DRIVES OR PARKING. e1=23.0 188.5x2.5=4
UNLESS NOTED. SIDEWALL AREA -- 5 GAL/S.F. 78.5x1.0=
8. ANY MASONRY UNITS USED' 710 BRING CO VE'RS TO GRADE' SHALL BOTTOM AREA 78.5 GAL/S/F —
BE MORTARED IN PLACE1098
RMINATION HAS BEEN jifADE AS TO COMPLIANCE WITH NO WA TER ENCOUNTERED LEACHING CAPACITY (BOTTOM & SIDEWALL),__ _GA
9. NO DETE
DEEDED OR ZONING REGULATIONS. 0 WNER/APPLICANT IS TO
OBTAIN SUCH DETERMINATION.FROM APPROPRIATE AUTHORITY. 1098
10. THE EXCAVA710R\CONTRACTOR SHALL VERIFY THE LOCATION OF ALL UNDERGROUND RESERVE LEACHING CAPACITY -----
UTILITIES PRIOR TO ANY EXCAVATION.
DESIGN FLOW PER LEACHING PIT
50271 A
.;c
! ,jj
LOT 18
CABLE T. U
,.� . 0
160TP
ELECTRIC PAD EXISTING
ELECTRIC WELL \ N?3.45 r , �
MANHOLE —►
43 ` `
/ 45 \ \dot• ,
46 _ \ \ ` `! leachin J. 1 �.
�. FF=•49.5 2�p 5 _ _ / ` OPEN
o / \ f (proposed) 0111 SPACE'
w_ 48 �4�s ` - ;. a tic
p tank
46
\ _ 50 _
~ 1 47
wo-
O� \R`��- \ 2 8 i ' U� 21� 1 PROJECT LOCATION
J
LOT 17, LOTHROP LANE
N r E WEST BARNSTABLE,, MA92
I 3
EXIS ING �••\'��� 3� N6 - APPLICANT-
WELL
�' \�o� _ LOT 16 ROBERT CARLETON
VACANT LOT 617— 776--2524
\ - . YANKEE SURVEY CONSULTANTS
c" UNIT 5, 408 INDUSTRY ROAD
P. 0. BOX 265.
(? ti OF 4fQ �H of ,� AMARSTO NS MILLS, AM 0,2648
TEL. 4,28-0055, FAX '420-�55v3
� q
A.
q� � ss9
;�b1U1, y� O� JOHN ��G
U �AEF�176iE!!td n o LANDERS-CAULEYe
a No.32ma CvtL y � SCALE.' 1."-30' FDA,TE.' FEB. 25, 1993.
9oF 9FG(S1E��SJ 0�0 -o No. 35101
' c LANos� �� REU JUNE 7, 1993 - JULY ,2,2, 1993
s Na REV REIr
JOB NO_ 502718 SHEET 1 OF 1.
BAR��1
�t
LOT 18 ���, - `r�o � �qj� 9 0z,
. A. M. '110/41 e .4
40 , �3IT
N73 78. E we
o0
� Po to LOCUS
WELL 150 \ 1 - - -_ PUMP & REMO VE
LEACH PIT S�gSp�+ CEDAR `STh'E2'T
OPEN 0�t�
15011 w ' pRO p. � , 32.6' SPACE
OL LOCUS MAP
WELL pO lo.l' ss
° PLAN REF. 418/55
5' �. .- ZONING: ..RF,»
LO T 1 ''' WALKOUT �PAT10 54 o Ar0 ASSESSORS MAP 110 PARCEL 40
ELEV=42.1
A.M. 110140
AREA=32,5-32f SF - 44 HOUSE c�a"our ' `� `•- NT:
/ � -44
-
.� 198
42
46 o --� , - 4 - SITE PLAN FOR POOL
--------- AND NEWS. A. S.
- 21� �
sz �_ 2—CAR _ — � sd �n
ARACE I PROJECT L OCA TION
46 98 LOTHROPS LANE
pf
LOT 29 A. M. 1 30 � � j WEST BARNSTABLE,, MA.
32 1
WELL N N ! APPLICANT.
ROBERT CARLETON
KANKEE SUR VE K CONSUL TAN TS
PAT/O 54.5 3 O P.O. BOX 265
UNIT 5, 408 INDUSTR K ROAD
ra ' BaUCE yGr ® ° MARSTC`1S MILLS, MA. 02648
G. `' ' 675' PH.(508)428-0055 - FAX(508)420-5553
Mt, RPHY ai,j HOUSE 7'
No. 749 j ® ELEV.=50. 76(ASSUMED) #98 66. SCALC' I 30' DA TE.• 9 2 02
TOP OF
CATC.q BASIN r I REV. REV.
6. •..\���� R
^-- % WELL JOB NO. 53148 SHEET 1 OF 2
I
' u
-ri+t
r
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION <.Ce
Map I� Parcel Permit# �� -d
i'v`;•.`y� ins- I .�R''.$IYLIr
^ "Healt1i Division - O u�� p�1 Date Issued
Conservation Division s ® ' " 3 Appklal:66jFee
d&
Tax Collector i,A Permit Fee
Treasurer SEPTIC SYSTEM MUST BE
INSTALLED IN COMPLIANCE
kenning Dept. WITH TITLE 5
Defi Plan Approved by Planning Board ENVIRONMENTAL CODE AND
TOWN REGULATIONS
Histoi I Iq V14reservation/Hyannis I R
Project Street Address l 2 LOTH k)p Is
Village �srl— aA� C—e
Owners Roae_nn— C_^ ►' k_g—rot,� Address r►.�
Telephone Q<? S
Permit Request ®OLr
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction Type
//
Lot Size l0 3 t 50 F+ Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family X Two Family 0 Multi-Family(#units)
Age of Existing Structure Historic House: 0 Yes )<No On Old King's Highway: ❑Yes ❑No
Basement Type: ❑Full 0 Crawl ❑Walkout 2105ther 5LA8 ANQ P0U2 e
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 0 Electric 0 Other
Central Air: O Yes Uff No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No
Detached garage:O existing ❑new size Pool:0 existing 0new size Barn:0 existing 0 new size
teShe
Attached garage:0 existing 0 new size (a ❑existing 6/new size Other:
Zoning Board of Appeals Authorization 0 Appeal# Recorded 0
Commercial 0 Yes E7 No If yes,site plan review#
Current Use - Proposed Use
BUILDER INFORMATION
Name Telephone Number
Address License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE /
FOR OFFICIAL USE ONLY
PERMIT NO..
motif .
DATL ISSUED
IV-AJAR/PARCEL NO.
ADDRESS VILLAGE
OWNER e
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL ,,
GAS: ROUrn
GE� m FINAL
m }. a`•
FINAL BUILDING '
rTi
rn
rn 7 D
DATE CLOSED OUT
ASSOCIATION PLAN NOF% N
m p
'` '3.:... The,Coinzi?pn eabth ofMassachuses
" = Department of IndusHatAceidents`
' 6a0'Washington5treet _
Boston,Mass. . 021IX w
work C m ensationusnrance AffidaPlt-General Businesses
, address: .1 r�� _s . . --'• J •
;� full address :' : ' []Retail Restauranoai/EatYng Fstablishmemt
work site 1 d have no onC )Blisiness e: ❑ at Antos etc.)'
❑ I aai•a sole proprietor an [] Offtce C� Sales('including R:;a1 F�st e,
.W.orking m and capacity. /y%%///%/%/%
I am an em to er with• em to'ees full& art time . ❑Ocher
❑ %%% % %%///%///y/////%%%%//////%////%//%/////%%/%/% on this'ob.. .
/%%//////%%�l� %%/%%/////// � ]�ers' cbmvensation for myemployees worlang r
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sole 'roprietor and-have hired the indePeadent contractors listed below who have t}ie following
'Tama P � . . ' ;.. •. =•.' ,:; .. . .
compensation P Z.
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inn"silrancabl�ti: '
covers a as required under SectionOWN 25A of MGL 152 can lead to the imposition of erimrfnsl PC ties
of a fine up to 51,500,00 an or
Failure to secure g as ctvilpanalties the form of a STOP WORK ORDBR and a fino of D1�(1.00 a'day against me. I understand that)t
one ye ' ,
y o f this statement maybe ferrre to the Office of Investigation of the for coverage verification
is and penal ' f perjury that the informatinx,provided above is frua i car-red
I do hereby ee Date _
hone#
Print name
'theta]use only do not write in this area to be completed by city or town affieW
permitllicense# ❑B�d�S Department
. QLiceniag Board
city or town: []Selectmen's Office
geheckif immediate response is required []Health Department ,
[]Other.
phone#;
contact person:
(revved Sgt.2M7) a
t
' Inforxriation' and Xigstructfons-
r Geiieial Laws' 152 section 25 requires all employers to pYovidc Corkers' compens lion for'their•
Massadlh1 .ettS •'`n
r
1�,�; ,As quoted'from the 4`lalw"., an employe is.defined as every person m the service o�another undo any contract r
of hire,*exprc9s or implied; oral or written.
An e�rc Ivyer is defined as an m"dual,Parhnership, association, corporation or other legal entity, or any two or rngre of
P
the foregoing�gaged'in a'joint enferprise,and including the legal zepresentatives of a deeeased,employer, or the•receiver or
artnershi association or other legal entity, employing employees. 'Howevei.ihe owner of a
trustee of an individual,p ship
dwelling home�v�`g,not'fnore than three apartments and'who resides therein, or the occupantbf the:dwelling house bf
another who. PlO3's persons to c10 mainkeuance, construction or repair work on such dwelling house.c�r on the grounds or
-building appm tenant thereto shall not because of such.employment be'deemed to be.ari employer,•...,.
1GL chapter 152 section 25 also"states fhat'every state or lbcal licensing•ageney shall•6Yithhold the issuance dr renewal
of a license or pe?m?f to operate a business or to construct buildings in the.commonwealth for any applicant who has
not produced accepfable'evidence'of coimplianee with the insurance coverage reJulk6i' Additionally;neithbr•the'
an
cozranonWe� nor. y•of its political subdivisions shall enter into any contract for the performance of public work unti
acceptable evidence,
of compliance with t�e insurance requirements of this chapter have-been presented to the contracting
authority.
Applicants
Please m the workers''compensation a€6davit completely,by checking the box that applies to your situation.,Please
supply company name, address and phone nuiribers along with a certificate of insurance as all affidavits may be submitted
to the Department'Of Industrial Accidents-for cca firrnation 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 pepartment o�ladustdal AccicleAts. Should you have any questions regarding the'"Iaw"or if-you are
a workers'.compensationpglicy,please call the Department at the nttrnbez listed;belovsr.
required to obtain ,
City or Towns
Pleasebe sure that the affidavit is cbmplete andprinted legibly. The Depar aienthas provided.spa at the p�of the
afiicllavit for you'to fill oi1t in•the event the Office of Investigations lids to contact you reg ding gp .
be sure to filLin the p���e number which wli tie.used as a reference number. The.affidavits maybe returned tQ•
mail •1xAXunless othe'r'arrangep=tshavebeenmade• .
the Department hy, or . '.. ,
The Office of Investigations would like to thank y'ou in advance for you cooperation and sb oiild you have airy questions,
itate to u5 a cal1. '
please do nothes �
The Depa is address,telephone and:fax number: . '
• The Commonwealth Of Massachusetts
Aepartment.of Industrial Accidents
. . B1�ce of lsftestil�stfena . . '
600 Washington Street
Boston,Ma. OZIII
fax#: (617)727-7749
1
�►+E► 'down of Barnstable
of Regulatory Services
t asil, ,$ Thomas F.Geller,Director
e0:1 ,� Building Division
�''lFD MAy k
Tom ferry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Fax: 508-790-6230
Office: 508-862-4038
Permit no.
Date
AFFIDAVIT
ECOME Z2ROYEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
ions, ,repair, convers
MGL c.142A requires that the econstmeti�o construction of an addition tooany pre-existing occupied Ion,
improvement,removal,demolition,o
Qding containing at least one but not more than four dwelling units or to structures which are adjacent to
such resideace or building be done by registered contractors,with certain exceptions,along with other
requirements4. r C7
f Work' �� l6 1 , mated Cost
'type o •_—T
. C.u4NL�
Address of Work:
Owner's
lication: �l 9—0
Date of App
I hereby certify that:
Registration is not required for the following reason(s):
0Work excluded by law
❑lob Under$1,000
not owner-occupied '
wnes pulling own permit
Notice is hereby given that:
pWNERS PULLING'TSEIR OWN pE ME IMPROVEMENT WORKDR DEALING WITH GO NOT
CONTRACTORS FOIL APPLICABLE H
ACCESS TO THE ARB ATION PRO GRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDERPENALTIM OF PERJURY
I hereby apply for a permit as the agent of the ovrraer:
Contractor Name RegistrationNo.
Date
12 OR/
o
r Owner's Name
of tW r Town of Barnstable
Regulatory Services
auuvsrABi E Thomas F.Geiler,Director
Mass.
�`be t639. .•� Building Division
rED MA't A
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
` www.town.barnstable.ma.us
�t
Office: 508-8624038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: I I�o Y
JOB LOCATION:
number II II street � 2 �
village �qc�
"HOMEOWNER": ` met rf (I'�—ll W % _3(b 1—`_8 J i (4 Q 1C2— �36
name home phone# work phone#
CURRENT MAILING ADDRESS:
I
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
muumum on procedures and requirements and that he/she will comply with said procedures and
requirements.
Signature of Ho 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:forms:homeexempt
Application to D E C
®Y` ►ITi �fj L�� IRp 3&egional �EqiotArit �8f.qtrftt (Com teJe
MAY AY 2 4 2004
In the Town of Barnstable
TOWN OF BARNSTABLE
j CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION
,pplrca on is hereby G^, Wa sets for-the issuance of.a Certdcate_of_Appropriafeness.under Section
rflac#�-with-€our-s�,�T..z..-.....�,.
of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans,
Irawings, or photographs accompanying this application for.
HECK CATEGORIES THAT APPLY:
onstruction: ❑ New ❑ Addition El Alteration
1. Exterior building c l
Indicate type of building: ❑ ❑House Garage ❑. Commercial Other
2. Exterior Painting: ❑
3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign ;, c:)
4. Structure: ❑ Fence ❑ Wail ❑ Flagpole ❑Other .97
TYPE OR PRINT LEGIBLY:
DATE c—
A
DDRESS OF PROPOSED WORK "1 L-�-µ P S LA ASSESSOR'S MAP NO.
_ OWN ER CA-?..L ASSESSOR'S LOT NO.
HOME ADDRESS �� �D'�b1(LuP S ��� TELEPHONE
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners acwss.any
ach additional sheet if necessary.)
public street-or way. (Att
oe CaIV
`F cob
C-
AGENT OR CONTRACTOR TELEPHONE NO.
ADDRESS
DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be.used. lease
include locations of proposed signs.
12X 1 moo` - ��A J
(~.IA Signed
Owner-Contractor-Agent
For Committee Use Only
This Certificate is hereb F ,_ Date
ri "I
r (�
_ Approved/De d J
Committee Members' S natures:
Town of Barnstable MAY
Old King's Highway Historic District Committee 2 0 ?00 (�1j
4
HI TOWN FBABIUST'`'
SPEC SHEET ABLE
RESERVA.TI0pd
SIDING TYPE `^��-- COLOR
CHIMNEY TYPE —COLOR
ROOF MATE RIAL 1 ` COLOR
O
PITCH I
t COLOR SIZE
TRIM COLOR
DOORS COLORS
SHUTTERS '� -- COLORS
GUTTERS
COLORS
DECKS MATERIALS
GARAGE DOORS � COLORS
SKYLIGHTS �0e%-A_ SIZE COLORS
SIGNS �� COLORS
FENCE COLOR
I '
NOTESS 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 places, when applicable.
o o�
� o
I m
i
ZZ
aot O
\ ;' 4- 'Q
C
iCS
/
od (ztC
CID
o �► i t� \�
09
� x 00•E81 py .
o
00
AN
asCOo
sz�
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a
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' I
� co p
W o oLoo � c a Ul ny
� o
oFtT Town of Barnstable
' Regulatory Services
• swxxsrwst.e,
MASS. $ Thomas F. Geiler,Director
i639• ♦0
ArF039. Building Division
Thomas Perry, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
RE: 98 LOTHROP' S LANE WEST
---------------
BARNSTABLE
OUR RECORDS THE FOLLOWING
ELECTRICAL PERMITS DOES NOT
HAVE A FINAL INSPECTION #77982
ELECTRICAL PERMIT EXPIRED
FOR WIRING OF THE NEW POOL
HOUSE
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
--------------------•-
Please print.
DATE
JOB LOCATION ITT j `7 Drq RD P�5 a a r
Number `Street Address Section Of Town
HOMEOWNER" O t���-'i� �� ���-I ETb�� -6wq ��o�� f b(D
Name Home Phone Work Phone
PRESENT 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 such 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 to six 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 1.09 . 1. 1)
The undersigned "homeowner" assumes responsibility for compliance with the
State Building Code and other applicable codes, by-laws, rules and
regulations..
The undersigned "homeowner" certifies that he/she understands the Town of
Barnstable Building Department minimum inspection procedures and
requirements
HOMEOWNER'S SIGNATURE
(��r
APPROVAL OF BUILDING OFFICIAL
Note:. Three family dwellings 35, 000 cubic feet, or larger, will be
required to comply with. State Building Code Section 127 .0, Construction
Control.
MISC5
HOME OWNER'S EXEMPTION
The code states that: "Any Home Owner performing work for which a buildi
permit is required shall be exempt from the provisions of this section ng
(8ection 109. 1. 1 - Licensing of ,Construction Supervisors
Home Owner engages a persons) for hire to do such work, )thatosuchdHomet if
Owner shall act as supervisor. "
Many Home Owners who .use this exemption are unaware that the '' :are assuming
the responsibilities of a supervisor (see Appendix Q, Rules and Regulationsy
for Licensing Construction Supervisors, Section 2. 15) . This lack f
awareness often results in 's-erious problems, particularly when the Home
Owner hires unlicensed persons. In this case our Board cannot proceed
against the unlicensed person ,as .i,t-wbuId, with: licensed supervisor. The
Home. Owner acting. as 'supervisor'is' 'ult'imately responsible.
To ensure that the Homee Owner. is fully aware of ,his/her responsibilities
many communities r.equire,• as "part of t`he permit application, that the Home
Owner certify that he/she understands the res `supervis
ponsibilities of. aor,
On the last page of this issue is a form. cur_rently used by several towns.
You may care to amend and adopt such a form/certification for use in our
community. y
�4
I
I
MEMORANDUM
TO: Building Commissioner
FROM: Gwendolyn Brown, OKH Secretary
DATE:
SUBJ: Modification to Prior Approved Plan
A minor modification has been approved by the OKH Committee
to a prior approved plan for the applicant(s) named below.
The modification is briefly summarized and I have attached
backup material for your records.
Applicant(s) 22&,,;?7- f TG)N
i
Address of proposed Wok ,Lo j 1-7
Meeting Date Approved by OKH -7' �-3
Minor.
Modification '
Chairman
If you should have any questions, please do not hesitate to
contact me at ext. 290.
MEMOBC IT
,.. ,. .N n. .,c�a.•xy.Y..Fc.F- vE^%•..��,�.i-..:.:�y.^Fs�..'C"ra'.c•�F+.-��..(r.,...^�y+_1-.'r-.r�^r.
�. %�.''":--.��.r.•.--......,,,^'""�.�-.+'+j„�---•.�.«^.-.�--,;Y��r;,Kwj"`:...w•''�..�4,-�to�^fF:.:-�,S`�h't..���. '�}h.�, •.
i
1M� TOWN OF BARNSTABLE5
°`ti., • Permit No. ................
BUILDING DEPARTMENT
i TOWN OFFICE BUILDING Cash ................
�Ml
.659• X
HYANNIS:MASS.02601 Bond ................
M '
CERTIFICATE OF USE AND OCCUPANCY
Issued to Robert Carleton
Address 98 Lothrons Lane (Lot #17)
West Barnstable. MA
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 20 95
19................. ............. .......................
Building inspector ;
TEMPORARY CERTIFICATE OF USE AND OCCUPANCY _ EXPIRES 11/30/94
*Mf TOWN OF BARNSTABLE Permit No. .ja375
BUILDING DEPARTMENT }
I ""n I TOWN OFFICE BUILDING Cash
ML
670• X
F9'�tar►Y' _ HYANNIS,MASS.02601 Bond .............
CERTIFICATE OF
,USE AND OCCUPANCY ;
Issued to Robert Carleton
Address 98 Lothrops Lane (Lot #17)
F.
West Barnstable, MA
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.
.September 30 94 /xG
...... .... ... .. .. ..... ..... .
19................. ........... ..... ...................
Building Inspector ;
r
.......�_,.-.�::�i.r-.......-.r tr I'.�....�.'�.. ._ ..ie,.-- ... - � y.' . 1, --.+� _..,�.�._.:t�»..�w:+...� .�,/'�"'tr-.ti.••a.-n--.r.%�r.rX-'•"ter•-�jrr_.,.�.r.-
TOWN OF BARNSTABLE Permit No. 36375
. BUILDING DEPARTMENT
I ""'T I TOWN OFFICE BUILDING Cash
�M•
HYANNIS.MASS.02601 Bond ................
CERTIFICATE OF USE AND OCCUPANCY
Issued to Robert Carleton
Address 98 LothroDs Lane (Lot #17)
West Barnstable. MA
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 20 95 �lie
... ... ... .. .. ........ ...... . 19................. ............. ;.....................
Building Inspector ;
TDIPORARY CERTIFICATE OF USE AND OCCUPANCY — EXPIRES 11/30/94
=M�>o TOWN OF BARNSTABLE 36375
,i. . Permit No. ................
q BUILDING DEPARTMENT
TOWN OFFICE BUILDING Cash '
7 YL
HYANNIS.MASS.02601 Bond ..X..............
CERTIFICATE OF USE AND OCCUPANCY
Issued to Robert Carleton
Address 98 Lothrops Lane (Lot #17)
West Barnstable, MA
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.
t
September 30 94 Get
.. .. . . .. . .. . . .. .... .. . . .. .. . 19................. ........................... ................
Building Inspector ;
Application to f %17
•r't~EC"�E
�•�yC•p�P P�5
Old King s Highway Regional Historic District Com
in the Town of Barnstable for a U - 41993
CERTIFICATE OF APPROPRIATENESS TOWN OFBARNSTABLE
QLD IN HIGHWAY
Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,
Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs
accompanying this application for:
CHECK CATEGORIES THAT APPLY:
1. Exterior Building Construction: ® New Building ❑ Addition ❑ Alteration
Indicate type of building: ;R House [Z Garage ❑ Commercial ❑ Other
2. Exterior Painting: ❑
3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign
4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other
(Please read other side for explanation and requirements).
TYPE OR PRINT LEGIBLY DATE (<o—
ADDRESS OF PROPOSED WORK LC:T 1-1 LOT NQ-C>P�S LA'"- ASSESSORS MAP NO. AE 1 j O
OWNER "PDaU91 - DAW. n CA9- 5 bQ ASSESSORS LOT NO. Lto
HOME ADDRESS `IQ SeAT()C,KET TC9 F. hQ I V 6U—f'k TEL. NO. 540^5530y
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
Few k -t- t co I e. (Ma I ® I I -T-N fLo�p 'S l_d w I 1N- h l 2
�1 E t EARY CAIU-6k
I-IM2S Li�lY I NS Lgau enf tS (-A-K) f
AGENT OR CONTRACTOR aP��2T �� �� TEL. NO. (J '�36y
ADDRESS `� SL4TUC..Iy:-:T ICD� C• �CaIV✓I® i1
DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side), including
materialsito 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).
t
0 Signed
Owner-Contractor-Agent
Space below line for Committee use.
e C i ' ate is reby Date v
i mkt - 7 1993
RNSTABLE
IN 'S I
Approved ❑ IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period
provided in the Act.
Disapproved ❑
ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION
FOR A CERTIFICATE OF APPROPRIATENESS
.the four categories for which a Certificate of Appropriateness is required are: ..(application for demolition or removal is a
separate form).
1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a
building to be erected or altered including windows; doors, siding, roof, light etc., that will be visible from any public street,
"way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition — show
existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or
alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground.
2. EXTERIOR PAINTING: An application is required for any portion .of a building, structure or sign to be painted that is
visible from a public street, way or public place. Color samples must be attached to these applications. An application is not
required when repainting existing colors, changing to white, or using colors approved by the Town Historic District Committee.
3. SIGNS OR BILLBOARDS: An application is required for any sign or billboard to be erected within the District, with the
following exceptions:
a. Existing signs or billboards on November 27, 1974 shall have until November 27, 1977 to secure an.approved Certificate
of Appropriateness.
b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they are
removed within three days of the event. Certain other temporary signs that the Committee feels does not detract from
the Act may be allowed with the prior permission of the Committee.
c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they are
erected or displayed.
d. A single sign of not more than 1 square foot in area showing the name, occupation or address of the occupant of the
premises on which they are erected or displayed in a residential zone.
4. STRUCTURE: An application is required to build or alter any structure within the District which is defined by the Act as a
combination of materials other than a building, sign or billboard, but including stone walls, flagpoles, hedges, gates, fences, etc.
GENERAL REQUIREMENTS
5. Work on projects requiring approval shall not be started until the Certificate of Appropriateness has been filed with•the Town
Clerk by the Committee. Approval is subject to the 10 day appeal period provided in.the Act.
6. No changes shall be made from the original approved specifications without advance approval of the Commission on an
amended application filed with the Committee.
7. A separate application must be filed with each project requiring a Certificate of Appropriateness.
8. Under heading of "Detailed Description of Proposed Work" give detailed data on such architectural features as: foundation,
chimney, siding, roofing, roof pitch, sash and doors, window and door frames, trim, gutters —leaders, roofing and paint color.
9. Unless application is complete and legible and all material required is supplied, application will not be accepted or acted upon.
Copies of the Act establishing the Regional Historic District may be obtained at the Town Hall'. q
OLD KING'S HIGHWAY HISTORIC- DISTRICT-
S P E C SHEET'
FOUNDATION C
S I D L 14" To w1+Q oc L k i GeAor SLi e nc s 4. r-,
SIDING TYPE 2 X (o 2c0 E.EDa 2 G1W• COLOR
CHIMNEY TYPE zR 1 C-K COLOR 2El
ROOF MATERIAL C_CD AR_ LOMD Sal( &QF, COLOR
PITCH 10 _
AN De(lsoA) ��twnA Skc-.)uID
WINDOWS D006L.0 (-,to(r '-/(o SIZE
TR I M COLOR 1nla�l ► TE
Rom+ (y PAmeL w/ 2- -t22'5%V1U Uglnf- t tZl' +szwtoS.
DOORS Rkc)A 12Y . v.s. COLOR Cr2�Cl�
SHUTTERS W cbo►7 7-rf--+ak)
GUTTERS_SCAVAU-0S !�� uinn� nuiY� �1 WtA 1 i
DECK (`PS
I
GARAGE DOORS t-L_f✓0 Ira saN n COLOR C-7!;l`-e
Notes : Fill out completely, including measurements and
materials/colors to be used.
Three copies of this form are required for submittal
of an application, along with three copies each of
the plot plan, landscape plan and elevation plans,
when applicable.
"Plot plan need not be "Certified" , but should show
all structures on the lot to scale.
. ARNSTABLE, MASSACHUSETTS
BUILDI`NyG • P_E". R- MIT
,9 _ I�46375
-;ANT PERM
DATE IT NO.
ADDRESS - - - .6._7 _ I
IN0.) (STREET) (CONTR'S LICENSEI
PERMIT TO --^-.:1:. )`.: 1 - _) ___.�i-1,: NUMBER OF
` (TYPE OF«IMPROVEMENT)! ( No I STORY --" ,L ,• - DWELLING UNITS
(PROPOSED USE)
AT (LOCATION) yC./ i};. v�7/ 7U •C}Li:::: .`� ,`. _,,...., ';.C_' ti, WuT::_. i:i;,},D� ZONING
(STREET) _ DISTRICT—�vh
BETWEEN 1c;.
AND
(CROSS STREET)
(CROSS STREET)
SUBDIVISION LOT 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
REMARKS:
:iewdge #93-430 (TYPE)
I `
Hood
VREA OR
OLUME 2300 sq. ��• ESTIMATED COST $ 140/ 000. 00 PERMIT � 7�• t:V��
(CUBIC/SQUARE FEET) J
OWNER Robert Czar.]
ADDRESS
ADDRESS 99
'eatu c-L- oad, t`•�i1.i'`iUili,� BUILDING DEPT. I 1 /•? )� \'� "�'}�
BY f /
V y OR
AP-
EO
DNS
FRO
OF ANY APPLICABLE SUBDIVISION RESTRI
MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS PERMITS PAREPLICREQUIRED FOR
INSPECTIONS REQUIRED FOR CARD POSTED UNTIL F INAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND
ALL CONSTRUCTION WORK:
I. FOUNDATIONS OR FOOTINGS. MADE. S.
WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATION
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.
PO T THI CARD SO IT IS VISIBLE FROM RSTICAL REET
PECTION RDVALS
BUI I INSPE I A OVALS PLUMBING INSPECTION APPROVALS
1
tO
2 f '0 )
HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT i
3 I S'v tsZl Y7J Gc
2 BOA ,OF�EA TH
OTHER I P SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL THE INSPECT PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
I PERMIT iS ISSUED AS NOTED ABOVE. NOTIFICATION.
CONSTRUCTION. 111
I
' I
t•
LOT 18 s�
o�
4�_91t
N73 45'23 �
w
OPEN
LOT 1,7 SPACE
6.0 ss "
26.0
o. lp
✓ h 60
l '
A•5
r o �
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1.0
J
LOT 16
FLOOD ZONE. "C"_ FO UNDA TION CERTIFICA TION RES ZONE. "RC"
TO WN.•BARNSTABLE SCALE-1 "=40' F.•418 55 ELEV N�A
p" I CERTIFY THAT THE ABOVE YANKEE SURVEY CONSULTANTS
FO UNDA TION IS LOCATED ON OF P. 0. BOX .265
THE GROUND AS SHOWN AND ��'
, , � � PAu4 � UNIT 5, 40B INDUSTRY ROAD
ITS POSITION��----- A. ^
^. CONFORM TO THE ZONING LAW MERI I HEW N MARSTONS MILLS, MASS. 00648
q Q
SETBACK REQUIREMENTS OF 9�� 9 No. 3209�8 �� TEL: 428-0055
BARNSTABLE `�ss�oEci t sJQ, FAX 4,20-5553"-
NAl LAN'
JOB
PAUL A. MERITHEW DATE• 1Z5-93 NUMBER50271FND
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ELECTRICAL PLAN KEY I
1?11 a Npte:
ea Bh111ad0 I I NOTES: _
DH
STAY - 1 I R 9•-0-FOUNDATION WALL HOT.
9'ff CLOJIOT.I ST FLR.
• I I SLAB GRADE � 8'�CLGACT.xND FLR. •p '� .d am i'...�1��
OFS:OUTFACE OF STUD. .n.1 V� tz_ �yW
OFM:OUTFACE OF MASONRY 6 . .L
CLGJfGTS.MAY VARY IN BSW. alley V��•-b-w-e+°-*
' � •`vn ve j I ^ Jdleq�.r�e.J r,o1.:e
I I I 1 aw.ed.de111+s.M�dJ:�w:..-
i -------------- DRAWN SHEET#
1 >aT
. I
r j ate, �' .tea z PxoJECI
KITCHEN WMRIOR ELEVATIONS
40
' Ri Ir I I dO DECK .,,�,...,•.,J 4c .� +
BREAILF ST I I I s. 9- •cLG.NOT.
m t ����� �D m s ml Y Y'� ��•.
9` ��D2�FACIN6 r-- •4 Yaaa—- ' ®BE DR fO, MLAUNDRY
D uT
94
'+ T1 1 I i Y� i1v.Lcil `N
GREAT ROOM - ' ;' ro•'/- '® I
a22 u b cLG.xcT, i✓ i 1 ,i i. I i
1 � c �a � 4: � I am 6 ;F 'a� ��� I 'C .i'n•ro�nc.!�,A � � i !
CD
DATE REVISED
�'F g�•1 y b�VE �. E9
/�FACING BREAKFAST I FACING GREAT ROOM (/""S ) 8
Dz
o -
07 _ - su..o.id tt=t J O•C �yd
DDDnsawnulJ .xc
D I I DG ROOM: LIVING RtQM �q•- I Ems'
9 ®
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I �c� FIRST LEVEL FLOOR PLAN a��T�sosAxD
SCALE: 2lr^.l'� nDp�)m ge D4lFJIMeUD er 711i6 p••��{•a•n��is f}leP.Ptyf
WINDOW SCHEDULE [I,m I --_�\ BUBDE4 ACCORDV6TO GRADE D6ig111IdY1fiOM ynd
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n KNEE WALL DETAIL ---- -- ROOF PLAN
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n TYPICAL CORNICE.DETAIL
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PROJECT
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SCALE IMAW I le^.1' SCALE 118-3 0'
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ENTRY DETAIL p PORCH DETAII
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0219.28 0219-28
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exrx raAo
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C�DORMER DETAIL
- suLE vr:L•v I ace.. -�_�--..tiatd
o ACW.wrt ,6.�.:. 0dii.6.�•.11u
DRAWN SHEET# +
Lear,VIEW n DORMER DETAIL f-5'\ DRIP AP DETAIL
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. SCALE:. ._ •I/P:I'O' .e.,.11�:e.6..�
DRAWN SHEET#
DX A. 7 of 8
GENERAL 1tRA1@l0 NOTES: STRUCTURAL NOTES: •SIIt1CTUR,.L LtD®ER i.6DISNDATIDN PROJECT
a •.
IBp,'W"e�mJ AOIe bonds a stabs b tw II ore sire •�®[saber sy rmea on me-t d dt��the be 03 SooID®r9o. U.Jar n..a16-a u.eoeditbe or the we,uaicatee Je Doubts •i
b,m�rsdb- L GENE AL Pbt set tided WC•Isa)or cad oelrr tmud omv.s on ds drawlerµ -0-111 of ku the 2500 PSF ma--Mal)be eodned ud 1be
AS B.mha to be Ir-elm aa— a Tbeto otter sea aepb'rboc rdie,ad Omu.s by amp or rpmamd- h Wood&-I,real ondoon to N!W building ream..atom®Deana fooiltp abed.IT ace u y Coltmt fmdtW utd..0 fmdta.shq W
Rref daL:t b be Irr CD%powered. A dabs.Dove fur one cootimm abt appi,m at @c or emir oondsm e,eh a Toe m teed nett rob b atowd be ' tape®mion,mile•amvw.e
a Porid,rear tin a upper Ira of mod dimece b twon,Wit bind red je® amelm m woe,lmR'oditamd m tit dtbw(aa Dome motou A be-cally with Wjumt fmNys at me be. oulbtba
noted m On ing.T-N other cam reap 0 vatb- utrd oo0.Djo N fmtim Mau btu o0 ohlatt o t with pl all.hen peWDle-
µff dews h The reomeaa ebdl pto,Ye adtymt Aiq rr DtsLla fa tl tit.oR dodo{ L ted od bd40oa r ro oe m®mn Ipdry ate r ap Dedq po®mr a0joy. CmrO within
top od fatly tk,adht,with Diem be oFa t,de 9
a N b d b b 2>a ee Icc oG un,,it 20d Oft Iowa v 12 athtlwrc read me O Vim t[k dpodod rep edbm M rm.Imle 1r-0•d the baildiy Ilmlt Mw b compacted b 937s
L At hra0mt a ere ood r,vo ate,l pbt t b dmbk hD mttmpm i d.b..Bob ffi mac a tcbod. ti c,sob aroma bore ti0m d me wet mat a laud brmra mJ ffi raa0 hat hodaml
be.oiW r 6.4m maw spud; SneeW hxmr.Yulmm taeomputd ua:P.
L Deude amrlolm Dada prtaito poAd orA pt• sae bye,gamed atee:rowed L Sh. .id jo:r daD m b m m blot phmbrs m wiring win-dd-real a b.N retafenina awl Mw be of Amutc.o to t f.cnn eettformius re
R.Pmide do bee a t'O oe m®ng aw:b wood side pion m rtrm�m tit otmbm b b or�d op-dry. I-W DvDdios oodiou.n,woe ASTM.oududa.Where.heed,
l Pa,Ye embed ht p,araDri a tee'q jaw pm o,a 10?. 2 REINFORCED CONCRETE p
Nwi0e.did b1orLma tl mY L lo®and NM aWe Dc retied a.t hm®ml can fer me ryp.tl0 d tit abut.hw lap/O Du diamcren with a miolmom of 2'•0•.
j, heimt e,at waY ♦N reooae rW b Sortlml WdQr SmDO psi mmpmd,o onto r D tip tvppert. m®bte. C.AD nidmiy rud to fmtiop Mw be Imatd 3•eleu from bosom
L N m rhae b mriW albod o,m rem Dd,v. mire o-d o0 owi= h.NeD moRmle t unbm D®b wombe,wet 166 eel a 12 tree,oe came,mmeogt and rides of fmdua sod r'eku from top.
L N bats r preen rim aorrvco a or.sesi mat De prtsmc oetled b Commtdm or toad j®Sate be mo ided o Mht re pWe b dtt at L Fb b Pitted bemc ecad m tit dnwipp by moltmle h mwbw with.per mu
a Arthe,bolo tW0 be I it r a r4 oe tea widis 1r trw at,Otto or on,t ti marimba ate betwom tort tbu be 100 tote f tug at
ouumt.Provide mmimm d 2 bolt,per a wbclded S 1Ir r finem• rem vim at width. lerym or vtw J.PREFABRICATEDft Put WOOD Terms SES
� s tree ph.d A-]6 etA
a ProtidOrederoub3noteig n wbve aL pDmboL.vra rvd wet pan avmp a RcrfeuiM bn duD roof to ASTM A611 N bar t'vt,03 ood_,e,t OD a Trmu c000tttcd with tight Me me W p4tc,ab.0 be d,sD ord eEneML rlOiFs:
p cod a per rode. be amde tl By rite"and bs,mil b ptde 60, .od f.bricated in tecordsocc with the Trust Plum ludbte. .
a P.Ade-.I.—re.,e rag for ade.e sire LPo"Ade—but t a ootuw and:rexmm,dfremp be,m two ffi b.Muimom Wowable smogs iucrcue for aeon sum lo.divs e0uW •m'®"ttr'°e ma^v,ar.tr.oe...wr.am
p EmitW®R,+egv ud mDc rw rAm Wmcmb,em tpRorod e.Nt®lmmlg tat tvdvmd a—mu hue b-duo r—ha 25%. .u..de��ermu e:n amo.s.ms.
Rr for IS bu,l t.Shop d,.wluas rh.0 be.obmitled re co......rot approvto oe `a�"r'w r•r't'�t •®°'c'�"'-
Bombs. r .D stet OL eth'va ou aD,ack1kr a wide with rooO let apt aril a npeow:ro.e.n..b�..o.;o.o Deal wlr:,r woo m.ath..P P.I"red f W m.te,aofi r,aatmm d pits the Ir wide Btlh:a f treed mot L Wedged rote bbk mat redam b ASTM A-a tltl A-Ili Lq`abic.e>®tm each we,s b n Each area.hop d t9 sus,d P fta de.tso IOW t .b�y�e tm.m_osr pro.ratio.oerq.i'.wo,.
are 1/I2 pboL VaR1 that mat one.pbm d41•r hams fa r"•••area d r r tam ryuoc .Od.pacing Mw bear the aJ of•Reabtreti/rofeutouJ ev aipeer su,r,w..,..,r:r.�mraw.a.b�p
and 31r high.farream Dye 4 or- 3.STRUCTURAL STEEL for the bun it,which Me awemre it both.Floor..d roof-ne, "°�1O"'r°0rr`re"r'wro'o arrmu,.mt vou,a,b•a
e Faery m,v ofm,o.ve b b bores wet Irr COX ptlweot. a Slroreoal pad 6-lOtL fabri®oe and erOctioo at b to '
c the psi reDtmm utle,ere and dmd beets mkt at1 bet m emone wwa .mmoo to wet tit brag have•11 beioritg tl Doe os.m ,in,
,pure.Roof true•i•
lvcr midmdme•M�pldserdc mtmm•dat nmmtnee®mtd bddaiea.bJl be orhrt:nmr weaet aim l.v..Al.yopt Ire `��'r°"w°'I"a•i01¢""'a`"'n00iu1°""'"`"'.
U.do.TS wwtrl6 tube mh®of r tlaWrd pee odumo r M eon Steil Caumucdoa D •Cam.ry p rm m.:.l o®woo,oa en.,.a,mr.,rm
Wmemd ree®ae®teo<mreer>Qatmt•tiore.hb,et Mw bt pro,idW town m m:tdic.b the drawee of,,,h rots i�ter,,..r.w...e..,,..m..t>.�rr.t�r..te�.� DA7r REVISED r b Soumvd we l reel oaf b AMU A-la Cad 1amc4 wdW and vmis and w bridging.
r67rbl1Y bound Iomr.ttidamd wA YId orb wry to at bottom owbm toel tJluemtl mby to rabd,and ape rbM roof b ASTM A•Sm ti.Trott MAIO L.W.: ♦rwwtwt�".e ut,tm,.a t.em...cvew.nn I:.I,y.om,m.
a Al wood re0md mown as M ofthe I tsq pbt ebould came down rem at L N onormcat,tm.W aloe mod m me dowi,m raw ded ate be_& Roof Trouts Top Cbosd LL--20p f .
b.b bdow and brmdrtm r at brewer Ba.Whw,at-muhiple b wooer odes Ira ben dimmer AMU A-323 boo Bob mac be rutted t
odumr do og rva top.na -4 at,that,dotal he mteireed �vn d or mrAi o �� DL--•ISp,f
got Chew DL-•IOpA
T-0f ahvoanp andp,d- hch OR ere.q bmeburnt Thuwiei aSburevtl vtl mob m.w�mtl d,eawoke.tiara Wo,mava uiq AWS
Rmd IIookvotept woe wb'hNmE®brbw dm�rd goad my TOW WW-40pd z 2
pmbo4 Told
ebmv0e real be We CIWL e.Floor T,uar.Top Chord LL-- SW » o. 2
bI2.16.:ataomot will—Abe■tbb,.t aNbm4ptm aomvamu roof®hat,.-d ad be A-)m andm DL-Spat .. ...r.•. .,., O
L 2.10 lroe.0 be oted b f—a tom, We sc bo,tomd .deed ae0<Rsbroeba but ream bmO tavmod N' o.
a IIIOt lr oeNbmdbawe io lopradc k,d ream emvwvc mad BMWLoul- -5p.f ., ... ...,..
TOW LOW-•SOpJ M.
,.?N r Ir of wet b Dace a mete tl ffi elm oIDewue enma / to � •ram..•.,..••ro, �-'•'I �
W rr•'.....•,....r wawa,•'.c.,... ' � �
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Fyrr-1Weta veneetau.
molt,er,a .ere L=� •u -
l• TYP[GAI. CT.PP D FOOT N_ DETAil
ra-ed tutepee,.pf. "OMM it.pier it the pro"of
Zfawe>m P_ 9.oe.toeC ebc� Design Traditions pat
k vsed m rap,od,ta�wit�tott
dlnPM eater t.,. Bmsw K40.a their prn izion.
�.P Roes o-dust
frwee,•roc. W ran.•s ere.v.+t �-9E, I'Ipase Nob:
t•9mgo aNs¢rota eororr rr.,`0e"
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/..otOM1 MLTS r,t0 ----- LI I r area. bma.,.e1 B:OIftF t-•9 tent.td ap1r,. -.l.a:
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Typical Beam,Column and Footing Detail Section at Concrete Basement Wall Section at Basement Stud Wall
DRAWN SHEET#
TYPI- T. C AR-ONCRAo£DETAII.4
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PROJECT
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PROFILE'B' A PROFILE'C' �y `( ) PROFILE-D-
2f4•
I TYPICAL CROWN PROFILES It
e k
NOTE:ALL MOULDING PROFILES torn rn�Occsrx nmm(u4 Wn-)
SHOWN AT FULL SCALE.'WM' y ° y q,� o DATE REVISED
REFERS TO WOOD MOULD.
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TYPICAL CASING PROFILES TYPICAL!TAIR
RAILING PROFILE JOB# Tf1BE#
i
0219-28 0219-28
rwx rcuro(vae w) _
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wr oFA. Tfa plan is t6 pr pMy rr(
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i6e Ind o�n p odn d-Lh-t
I t6av pennies on.
e \ awG naao(epee wl i Please Norc:
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k DRAWN SHEET#
�PROFILE'A* PROFILE'B' PROFILE'C' PROFILE'A* _
TYPICAL BASE PROFILES C.W,&19%S"h-S.Fum I TYPICAL CHAIRRAIL 1 D•TA 8 of 8
PROFILE 17
r As'sesso�ifice(II Floor): SEPTIC SYSTEM MUST BE
Assessors ma andlot u er ��Q tw[ o
• .�-� P DEsic�� �� Q
n ' N WConservatio
Board of Health(3r611oor): THE§11iD
SewAge Permit number ACCORD"WN LATION sa t
y ♦° 19AAL rua
Engineering Department(3rd floor): ` ` °�i639.
House number I /
Definitive Plan Approved by Planning Board � , 19 �t9
APPLICATIONS PROCESSED 8:30-9:30 A.M.and :00-2:00 P.M.only . ' co U`e1LcLn
TOWN OF BARNSTABLE
BUILDING, 1,11SPECTOR
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTION _ ES I DIr-WrlA L— l . FAM 1 LY'
20 19 93
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location o P ,5 L N E
Proposed Use S)N Cr LC 'FA IM I L`r' 2 ES r I7 t= S
Zoning District 'RES 2,00 C• RE t� Fire District
Name of Owner?OBJER T C_A RU.F_=_-TFa,1J Address 9 9 JeccluG k E7' Td Fa
Name of Builderki%kAMC.6 a NSTRUCM/Q Address q Lf '�J S^N a. '&eI j TTCr� A A
Name of Architect'DES I stj �12p0 t n a S Address ��b �5 Hlasoc,o igrk�.,aY A ticofc. aA,
Number of Rooms ) CbnG�ETE 3 Z �r�T'-}.•`� Foundation
Exterior Ci I' P(�DA , t 6h lk.Z Cg P— S41IAffgoofing WOOR (•1270A f2
Floors O R P PLOD0 O .' Roc, Interior 100 A R,D -y— PI AS i E 6L
Heating 60&L-K D 00 'r A I`R- Plumbing V G fi' GO P P K , 3 Z "BAlh r
Fireplace i3r I t✓K Approximate Cost
Area
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Diagram of Lot and Building with Dimensions Fee
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OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.
Name �l0(�E2`r 4zt lojo
Construction Supervisor's License
�17
CARLET ON, ROBERT
�No 3-6-3 1-5 Permit For 11 Story
Single Family Dwelling
uocdcwn Lo-c #17, 98 Lothrops ' s Lane
West Barnstable
Owner Robert Carleton
Type of Construction Frame
Plot' Lot
Permit Granted December 8 19 93
Date of Inspection /S" as ,19
Date Completed 19
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