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Home My WebLink About0259 MAIN ST./RTE 6A(W.BARN.) l I Y i J Oftr& NO. 1521/3 ORA MADE W U-SA ESSELTE y t fR� r t s f iF r �� i' � i �� r l _f '� f �/ _�- 7,, 11.E �'" • '� _.� . �. l :. . t � � �, ti � �=� r' _ � -�` L, .^•� �7 � / l /�,.� r,_... �� SolarCity March 25, 2016 t � ryS �a ,S� �}1 Town of Barnstable a U w ATTENTION: BUILDING DEPARTMENT C) 200 Main Street ' Hyannis, MA 02601 03 RE: 259 Main Street,West Barnstable r" Permit No.: B-201508850 Our Job No.: JB-0261924 NOTICE OF CANCELLATION This letter is to certify our proposal to install Solar(PV) at the above-. referenced property has been moved into a cancellation status. SolarCity Corporation and James E. Hawley, Jr. will not be moving forward with the proposed installation at this time. We would greatly appreciate reimbursement for the permitting fees paid, but understand that the town will not refund any fees. If you have any questions or concerns,please don't hesitate to contact me. Thank you for your attention to this matter. Sincerely, Cheryl Gruenstern Cheryl Gruenstern Permit Coordinator cgruenstem@solarcity.com. Direct Line: (508) 640-539.7 112 Great Western Road,South Dennis,MA 02660 T (888)SOL-CITY solarcity.com AL 05500.AR M-8937.AZ ROC 24377VROC 245450.CA CSLB 888104.CO ECB041.CT HIC 0632778/ELC 0125305.DC 410514000080/ECC902585.DE 2 01112 0 3 8 6/T7-6032.FL EC13006226.HI CT-29770.IL 15-0052.MA HIC 168572/ EL-1136MR.MD HIC 12 8 9 4 8/11BO5.NC 30801-U.NH 0347C/12523M.NJ NJHIC#13VH06160600/34EB01732700.NM EE98-37959Q NV NV20121135172/C2-0078648/B2-0079719.OH EL.47701,OR CB180498/C562.PA HICPA077343.Ill AC004714/Reg 38313.TXTECL27006.Urr 8726950-5501.VA ELE2705153278.Vr EM-05829.WA SOLARC•919OVSOLARC•905P7.Albany 439.Greene A-486.Nassau H2 4 09 71000Q Pubnam PC6041.Rockland H-11864-40-00-OQ Suffolk 52051-H.Westchester WC-26088-H73.N.Y.0#2001384-0CA SCENYC:N.Y.C.Licensed Electrician.#12610.#004485.155 Water SL 6th Fl..Unit 10.Brooklyn.NY D201#2013966-0CA All loans proAded by SolarClty Finance Company.I.I.C. CA Finance Lenders License 6054796.SolarCity Finance Company.LLC Is licensed by the Delaware S late Bank Commissioner to engage In business In Delaware under license number 019422.MD Consumer Loan License 2241.NV Installment Loan License IL71023/IL11024.111 Licensed L ender 020153103LL.TX Registered Creditor 1400050963-202404.Vr Lend er License#6766 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, Map (3� Parcel 0KS. Application Health Division Date Issued /I IX fo Conservation Division Application Fee Planning Dept. Permit Fee ✓�•� yQa Definitive Plan Approved by Planning Board Rick Hist - OKH Ue Preservation/ Hyannis Project Street Address 1 CS Village b Owner ':5 Address 61L (d• &t n QZk�C Telephone 971 Permit Request so L e r'8o d ise 12i a 16,� VI aPPUA ��is, l�r ovtv�Pr Zvi c P�P��,�G Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District 12F Flood Plain Groundwater Overlay Project Valuation '7,l�(� Construction Type_ Lot Size uIL / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure L Historic House: ❑Yes ❑ No On Old King's Highway: b Yes ❑ No I � Basement Type: ❑ Full ❑ Crawl 0 Walkout ElPG Other E CD E Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) CD Z Number of Qaths: Full: existing_ new Half: existing newT m Number of Bedrooms: )) existing _new N Total Room Count (not including baths): existing new First Floor Room Count Ap" Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other.I W Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stovErr;l Yes 34 Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: �I►r Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes UNo If yes, site plan review# Current Use �Si�ey�r Proposed Use Va ram. APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name cj)far Telephone Number Address I�, M ,'�` �e��edv� License # CS SOL bemil S Due q 0 Home Improvement Contractor# Email 99 Worker's Compensation # QC_ ?�,, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 71 r 1> 2 1 j (. ?; FOR OFFICIAL USE ONLY" s APPLICATION # DATE ISSUED MAP% PARCEL NO. 1 • L ADDRESS ` VILLAGE OWNER. i i r DATE OF INSPECTION: ; s • FOUNDATION F A FRAME i INSULATION `z FIREPLACE r' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH 'fi. FINAL GAS: ROUGH FINAL , FINAL BUILDING DATE CLOSED OUT • ASSOCIATION PLAN NO:-.. r ts,,SolarCity. i OWNER AUTHORIZATION Job#: Oa 01� V- 0 Property Address: �5� /��,��, �3`. / !� ✓�S6 D 6(� I as Owner of the subject property hereby authorize SOLARCITY CORPORATION to act on my behalf, in all matters relative to work authorized by this building permit application. 9 i ature of Owner. Date: ^vLARCiTY.CO 76, u,� oFTME r�,, Town of Barnstable RegulatoryBARNSTAB Services v M�` Richard V. Scali, Director �A i639. ♦0 rE039. a Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 August 7, 2014 James E. Hawley 259 Main Street West Barnstable, MA 02668 Re: Basement Apartment Dear Mr. Hawley: This letter is to inform you that you may currently be in violation of Barnstable Zoning Ordinance 240-11; any use other than a Single-Family home is prohibited. You must contact this office by August 27, 2014 to arrange to bring the above address into compliance or be subject to fines of$100.00 per violation,per day. Sincerely, Robin C. Anderson Zoning Enforcement Officer /ble Town of Barnstable Regulatory Services • Richard V.Scali,Director • • BARNSMBIE. MASS. g Building Division 1639. �m �iOreoMp'l° Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town:barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 COMPLAINVINOUIRY REPORT , Date: ( Rec'd by: Complaint. Name: Map/Parcel f d Location Address: Originator Name: Street: Village: State: Zip: Telephone: Complaint Description: J 1124 ,V-, t� c f-e FOR OFFICE USE ONLY Inspector's Action/Comments Date: Inspector: Additional Info.Attached Q:forms:complaint Revised 040414 r � I ' • � '. � � 111 '► 1 '► 1 '► 11 '► . • 11 • • '� � � 1 11 '► 1 '► 1 '► 11 '► . • 11 • • '► 11 '► 1 '► 1 '► • : 11 '► 11 1988 11986 , lik N", �Jk i•� 1a1a t� {�+C i' *�� ,` fig• t ''�� ' � � ,r� ,. � .6�1 �: ram- 1.� $ �,•, � jr, 1' y��,�+• ��' 1, •'��%Vn. .p{� JIV ,;..-�c� pry "a.`�. ':'sue` s° ++¢¢ a rs T 'ht'• ry-'i4`'�� t • �t g THIS - w • Parcel Detail Page 5 of 5 V\ F A Wo �. 11llIiIG;. t�•• .--- �! t ,, i *Ait' ~ c F o i f M x � http://issgl2/intranet/propdata/ParcelDetaii.aspx?ID=8477 8/5/2014 4' Parcel Detail Page 1 of 5 /rO� PIL 017 �fj Aso+° t_�/��CG�iJ2JGGG�fiG ��ze eon. /X,�. Logged In As: Parcel Detail Tuesday, August Parcel Lookup Parcel Info Parcel 134-013 I Developer LOT 1 ID Lot Location 259 MAIN ST./RTE 6A(W.BARN.) Pri 140 Frontage Sec I Sec I Road Frontage Village WEST BARNSTABLE I Fire W BARNSTABLE District Town sewer exists at this Road 0955 address No Index Asbuilt Septic Scan: Interactive ' 134013_1 Map ;; ...V.. .,� — =. Owner Info Owner HAWLEY,JAMES E JR I Co- I Owner Streetl 259 MAIN STREET Street2 City WEST BARNSTABLE I State MA Zip 02668 Country Land Info Acres 0.41 Use Single Fam MDL-01 Zoning RF Nghbd 0108 Topography Level Road Paved Utilities Septic,Well Location I Construction Info Building 1 of 1 Year 2011 I Roof Gable/Hip Ext Wood Shingle Built Struct Wall Living 1798 I Roof Asph/F GIs/Cmp AC Central Area Cover Type Style Cape Cod Int Wall Drywall I RoomsBed 2 Bedrooms Model Residential FloorInt Hardwood Rooms Bath 2 Full Heat Total http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=8477 8/5/2014 Parcel Detail Page 2 of 5 Grade Average Pius Type'HotAir 1 Roorns s + Heat - Found- — -- Stories 2 stories Fuel Gas I ation Poured Conc. WOK Fus FEP 1 BA dY" 'Z. 24 -(Qs G ross 3464 I n QMr 24 Area Permit History Issue purpose Permit Amount Insp Comments Date # Date 4/24/2013 DEMO 1/26/2012 Demolish 201106450 $8,500 12:00:00 HSE AM 4/24/2013 NW DW 2 1/26/2012 Dwelling 201106451 $300,000 12:00:00 BDRMS 1 AM BTH 1/1/2002 5/10/2001 Wood Deck 53267 $5,500 12:00:00 AM 1/15/1995 WB 4/1/1994 Addition B36654 $4,000 12:00:00 DORMER AM Visit History Date Who Purpose 9/25/2013 12:00:00 AM Robin In Office Review Benjamin 5/14/2013 12:00:00 AM Robin Bldg Permit Completed Benjamin 3/23/2007 12:00:00 AM Paul Talbot Cyclical Inspection 8/30/2001 12:00:00 AM Martin Flynn Bldg Permit Completed 11/22/2000 12:00:00 John Greene Cycl Insp Comp AM 4/28/2000 12:00:00 AM Donna Dace y Meas/Listed-Interior Access http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=8477 8/5/2014 . Parcel Detail Page 3 of 5 Sales History Sale le Line Date Owner Book/Page Price 1 10/8/1999 HAWLEY, JAMES E JR 12595/074 $119,000 2 4/27/1990 DAMON, JAMES R & 7143/057 $85,000 JOANNE H 3 7/7/1987 POUTASSE, POLLY 5817/163 $116,500 MARCHANT 4 3/29/1979 GILBERT, ROSALIE 1 2892/51 $0 Assessment History Save Building Land Total # Year Value XF Value OB Value Value Parcel Value 1 2014 $185,100 $50,600 $5,800 $198,600 $440,100 2 2013 $62,000 $18,500 $4,500 $198,600 $283,600 3 2012 $62,700 $17,800 $3,600 $246,900 $331 ,000 4 2011 $74,200 $3,900 $0 $289,800 $367,900 5 2010 $74,200 $3,900 $0 $295,200 $373,300 6 2009 $74,400 $3,900 $0 $201 ,900 $280,200 7 2008 $85,500 $3,900 $0 $225,400 $314,800 9 2007 $92,300 $3,900 $0 $225,400 $321 ,600 10 2006 $78,800 $3,900 $0 $209,800 $292,500 11 2005 $76,300 $3,800 $0 $139,600 $219,700 12 2004 $61 ,200 $3,800 $0 $139,600 $204,600 13 2003 $54,700 $3,800 $0 $51 ,400 $109,900 14 2002 $54,400 $1 ,300 $0 $51 ,400 $107,100 15 2001 $54,400 $1 ,300 $0 $51 ,400 $107,100 16 2000 $41 ,200 $1 ,100 $0 $28,400 $70,700 17 1999 $41 ,200 $1 ,100 $0 $28,400 $70,700 18 1998 $41 ,200 $11100 $0 $28,400 $70,700 19 1997 $41 ,000 $0 $0 $28,400 $69,400 20 1996 $41 ,000 $0 $0 $28,400 $69,400 21 1995 $41 ,000 $0 $0 $28,400 $69,400 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=8477 8/5/2014 Y �IKET Town of Barnstable do Building Department - 200 Main Street ALE. Hyannis, MA 02601 16.39. a.�' (508) 862-4038 rFo� Certificate of Occupancy Application Number: 201106451 CO Number: 20120117 Parcel ID: 134013 CO Issue Date: 08/31/12 Location: 259 MAIN STATE 6A(W.BARN.) Zoning Classification: RESIDENCE F DISTRICT Proposed Use: SINGLE FAMILY HOME Village: WEST BARNSTABLE Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: Building Department Signature Date Signed TOWN OF BARNSTABLE Building �tHE Tpw 201106451 BARNSTABLE, Issue Date: 01/26/12 P e rm i t MASS. 9� i639• Applicant: HAWLEY,JAMES E JR Permit Number: B 20120170 ArED��A Proposed Use: SINGLE FAMILY HOME Expiration Date: 07/25/12 [Location 259 MAIN ST./RTE 6A(W.BARN.)Zoning District RF Permit Type: REBUILD HOUSE AFTER TEARDOWN Map Parcel 134013 Permit Fee$ 1,530.00 Contractor PROPERTY OWNER Village WEST BARNSTABLE App Fee$ 100.00 License Num Est Construction Cost$ 300,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REBUILD 2 BED, 2 BATH HOUSE THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: HAWLEY,JAMES E JR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 259 MAIN ST INSPECTION HAS BEEN MADE. W BARNSTABLE,MA 02668 Application Entered by: RM Building Permit Issued 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,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE 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 FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5. INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). It '. ,p fi i ' O ",,,.,,r,a.,�.,, • , ' ..c..cLa., . ; ® '�` `r a53� G5' MLXH"••;�l``J(,. t{- "O X .s .,f�, «w. e. ,r '1. ,:�. .,-.. „e..0 ;� .� �� .iti. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS �� ? Xv,- 2 e- /j��P�LC 5� 2 j 2/�� C►��Sc n� S��Pc� tp 3 1 Heaii g I'dspection rovals Engineering Dept Fire Dept- ✓�tli'8A�✓5r.9gtl� 2N �{ S Boar oar Health (s� 0 i - Iiberty Mutualm SURETY NOTICE OF CANCELLATION AND/OR TERMINATION. .CERTIFIED MAIL-RETURN RECEIPT REQUESTED N/A June 12,2013 Town Of Barnstable O o O 367 Main Street Hyannis,MA 02601 c_ C= Bond Number: 601015326 Cross Reference: .. a Principal: James E. Hawley,Jr. ,�,-, Present Penal Sum: 620 USD Bond Description: License to construct a one family dwelling located on 259 Main Street,West Barnstable, MA i Original Effective Date: . November 3, 2011 Cancel Date: June 27,2013 We hereby cancel the above referenced bond in accordance with the cancellation/termination provisions contained in the bond..I for any reason,the effective date of this Notice does not fully comply with the cancellation/termination provisions contained in the bond,then this Notice shall be deemed amended to contain the earliest effective date which is in compliance with the provisions of the bond. REASON: Bond No Longer Needed Cancellation Reason Comments: REPLY TO: The Ohio Casualty Insurance Company Boston 20 Riverside Road Mail Stop 03AN By: Weston, MA 02493-2281 Attorney-in-Fact 800-647-1113 Fax: 866-547-4882 Robert Desharnais )� Obligee ❑ Principal ❑ Producer .. Home Offi"ce❑'Underwriting Office` James E. Hawley, Jr. 259 Main Street W Barnstable, MA 02668 LM I C-3200 �� - -- •,ti.i J"r. ti. 1 ,:,�..�,..�i3, �.,.i�!.h.:,,.+s.:^�y.��;. '.1'�(''��_ ..-t ;-�"S3'�,J+aYT`rJ�•r1'�Is"lVl�rf rv.+3-s.,�,,.+%w...:rity -��;;.r..r HETp Town of .Barnstable,, % Regulatory Services BARNnABLE. 1639. Building Division pTFO MAC e 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Z,/ Location k6;li Permit Number o"Z 0 Owner Builder One notice to remain on job site, one notice on file in Building Department. The foll wing items need correcting: --- S� -PC G G ; Please call: 508-862-40—M for re-inspection. Inspected by �r c Date .. t.,,.�..'-.,y,.,.a. .r,..i'J�......en..< ,i.�n;-Y�••�.y..,��.�er`-.t''..l ,tt�- ,�.. 'tr - •,rr.'5:., i'i%%.'•f`-T•i'+v+h.�y..i-.,--,--`.,��.. ,ti.....:...a�... _ .. _ ME T°w� Town of Barnstable BARNSfABLE. Regulatory Services 7 MASS. t6!19. � Building Division , rFD MPS 200 Main Street,Hyannis,MA 02601' s k; Office: 508-862-4038 Fax: 508-790-6230 t Inspection Correction Notice Type of Inspections t Location _a Sl fW4-/ it/ S-r Le-�2R Permit Number 2a 1 t Owner �v ��,' Builder ; One notice to remain on job site, one notice`on file in Building Department. ' The following items need correcting: 6 z—o-s 6 /3o T14 7' t n 5v-L.- Please call: 5088-8862-4-03-8 for re-inspection. Inspected.by /°�✓� G/ Date TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 49p lJ 1 Map Parcel O ,...rAp tcir46 Health Division Date Issued _ Conservation DivisionK '4q Application Fea= Planning Dept. Permit Fee P"i � Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis R Project Street Address asp �+ I- 1� Village QST RQ>�b�Uk Q`-Owner RquJ Il'�-k-A Address �59 �� C�c� &M64C del Q Telephone �'� Q L( ya9 I 1 M Permit Request De.,y►l �x�5�h� h 6U5e ddn C S'tUGT net ) PSUSt Q5 btK n (l cal k'��s k ah W�, Q PP W_6 ,� P14�..5 LOSquare feet: 1 st floor: existing proposed 1 6D$ 2nd floor: existing proposed a Total new Zoning District Flood Plain Groundwater Overlay Project Valuation aati_CC� Construction Type (J=dFftrr-e_ Lot Size O"q L Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 51 Yew Historic House: ❑Yes 10 No On Old King's Highway: I(Yes ❑ No Basement Type: 0 Full ❑ Crawl Walkout ❑ Other Basement Finished Area(sq.ft.) !J�� Basement Unfinished Area (sq.ft) 3$q Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: existinga new Total Room Count (not including baths): existing new S First Floor Room Count 3 Heat Type and Fuel: Dif Gas ❑ Oil ❑ Electric ❑ Other ` V Central Air: X Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ �1 Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: -- Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ CD -' CD Commercial ❑Yes No If yes, site plan review # Current Use Proposed Use ? ' P-0 APPLICANT INFORMATION C) cn (BUILDER OR HOMEOWNER) Name a' 'S �'e 6L�ne� Telephone Number �� `1 Iva q Address � � 12, License # (nJRA- I�G►(y�SCcco�, �� Home Improvement Contractor# Worker's Compensation.# ALL CONSTRUCTION DEBRIS RES TING FROM THIS PROJECT WILL BE TAKEN TO ec� o1 rm l �n� ' ., i SIGNATURE DATE � r , �q.. 0.1 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED y MAP/PARCEL N0. ADDRESS VILLAGE 2 OWNER. , . a i 1 DATE OF INSPECTION: s. FOUNDATION oZ L y�L FRAME�d s R bftclL ��,edc !S ►aR/r�� INSULATION BINS 04I1 dte '` _ FIREPLACE ELECTRICAL: ROUGH FINAL f ., PLUMBING: ROUGH FINAL GAS:'' ROUGH FINAL FINAL BUILDING z DATE CLOSED�OUT ASSOCIATION PLAN NO' f' BIKE r ,L©w7r 0f Barz -stable Regulatory Ser•vfces . ,.• � -=�P,-1'�r Thomas F. Geiler,Director • wilding Di'. Eion ' Thomas Perry,CB 0,•Binding Cc)lnr„i.mc+oner 200 Maia St6c:t Hyannis,M,4 D'2601' tc-wn.bantstabk ma•us 'Offices 508-8624038 Fax: 509-790-623D' FLAN REVEW Owner' ��•. ' w c E � Map/P.arccl: i�.3 y—Q l 3 . Project Address Builder-. 11' SAME . The faIIowing items-were noted on reviewing: 2Y u • ,c cpg %WAM ' r Rp4wed by. Date:' � 02•to .• .•Z .!'• . The Commonwealth of Massachusetts. Deparfinent of Industrial Accidents Office of Investigations' 600 Washington Street Boston, MA 02111 UF www.m ass,.go v/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leiribly Naive(Business/Organization/Indiv W idual): 1 l IAk W 1`t,(A � L Address: a Sq IZ��f4 11-��5�- �Q1R-hsL�bl2 �(Y� I�• City/State/Zip: Phone.#: N7 N�Lf — ` -I q — I q o-? Are you an employer? Check the appropriate box: 'Type of p,rojAct(required): 1.❑ I am a employer with . . 4. I am a general contractor and I 6. OX New construction employees(full and/or part-time have hired the sub-contractors ).* 2.El I am a'sole proprietor or'partuer- on the'attached sheet T. 0 Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp.-insurance comp. insurance.$ required] 5. We are a corporation and its 10.❑ Electrical repairs or additions 3.� I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No Workers' comp. right of exemption per MGL 12.[]Roof repairs insurance re uired_ t c. 152, §1(4), and we have no q ] employees. [No workers' 13. Other comp.insurance required.] "Any applicant.dW 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. lContractors 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 subtontractnrs have employees,they must provide their workers'comp.policy number. X 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.M Expiration Date: Job Site Address: City/Statr/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 Epp rip 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. I do here y c jy un r th s d enalties of perjury that the information provided above is true and correct. ! l- Si afore Date: : -- Phone#: Official use only. Do not write in this area, Io be completed by city or lawn official .'City or Town: Fermit/License# Issuing Authority(circle one): 1. Board of Health •2.Building Department 3. City/Town Clerk 4. EIectrical Inspector S. Plumbing Inspector .6. Other Information and. Instrue Ions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their erraployees. Pursuant to this statute, an employee is defined as"._:every person in.the serice of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §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 two has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MG chapter 152, §25C(�states`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 vMh the insurance requirements of t1ds 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), addresses)and.phone number(s)along with-their certificate(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 or 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 .Plea se be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. 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 ear. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture y (Le. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would file•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 Commonwealth of Massachusetts Department of Industri..a(Accidents Office of Investigations. 600 Washington Str d Boston, MA 02111 Tel. # 617-727-49.00 ext 406 or 1-877-MAS.SAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia Town of Barnstable F SHE Regulatory Services Thomas F. Geiler, Director aARMSrAB14 "`"SS Building Division g HIED MAt Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma,trs i Office: 508-862-4038 _Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Plcnse Print DATE: I > > u 1 I JOB LOCATION: a 59 number ` street 7�7�/ Q(��f village "HOMEOWNER": mm 'l WI ts/ T/ ( 1 t 1 l i L1 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 ofsix 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 Bamstable Building Department mum inspection proced and requirements and that he/she will comply with said procedures and equ remen Si tore of wner 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, of this issue is a form currently used by that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page several towns. You may care t amend and adopt such a form/certification for use in your community. ............-r,nr.n,.a�----_..._...non VE rOwti 'Town of Barnstable Regulatory Services _AMWABLF, Thomas F. Geiler,Director 39- A`0� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us I Office: 508-862-4038 Fax: 508-790-623, Property Owner Must Complete and Sign This Section If Usina A Builder I as Owner of the subject property ' hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Liberty The Ohio Casualty Insurance Company 1VIUtua1, 9450 Seward Road,Fairfield,Ohio 45014 BOND Bond# 601015326 KNOW ALL MEN BY THESE PRESENTS:That we James E. Hawley, Jr. 259 Main Street West Barnstable MA 02668 Street Address City State ZIP Code (Full Name[top line]and Address lbottom line]of Principal) (hereinafter called the Principal)as Principal,and, The Ohio Casualty Insurance Company with principal offices at Fairfield,Ohio(hereinafter called the Surety)as Surety,are held and firmly bound unto The Town of Barnstable 367 Main Street Hyannis MA 02601 Street Address City State ZIP Code (Full Name[top line]and Address[bottom line]of Principal) (hereinafter called the Obligee),in the penal sum of Six hundred and twenty dollars (Dollars)$ 620.00 for the payment of which well and truly to made,we do hereby bind ourselves, our heirs. executors, administrators, successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the Principal has made or is about to make application to the Obligee for a License to construct a one family dwelling located on 259 Main Street,West Barnstable, MA 02668 for a term beginning on 11/03/2011 and ending on*11/03/2012 (*strike out if license or permit is for an indefinite term) NOW,THEREFORE, if the Principal shall indemnify the Obligee against any loss directly arising by reason of failure of said Principal to comply with the laws or ordinances under which said license or permit is granted,or any lawful rules or regulations pertaining thereto,then this obligation shall be void;otherwise to remain in full force and effect. PROVIDED,HOWEVER,AND UPON THE FOLLOWING EXPRESS CONDITIONS: 1. This bond shall be and remain in full force during the term of said license or permit unless canceled in accordance with paragraph 2 below;but if said license or permit was issued for a specific term,and is renewed for one or more specific terms,this bond will be extended to cover such additional term(s)upon the execution by the Surety of a Continuation Certificate,provided such certificate is acceptable to the Obligee. In no event, however,shall the liability of the Surety be cumulative from year to year or from period to period,nor exceed the penal sum written in this first paragraph of this bond. 2. The Surety shall have the right to terminate its liability by notifying the Obligee in writing ten(10)days in advance of its intention to do so. SIGNED,SEALED AND DATED g I Jam . Hawley, Jr. CYO: The O io Casualty Insurance Co pa y By: L Attorney-in-Fact S-3853 License or Permit Bond (Unnumbered) BK12595 PG074 79077 10--09-1999 2 02042 QUITCLAIM DEED We, JAMES R. DAMON of Barnhill Road, West Barnstable, MA and JOANNE H. DAMON of Box 278, Sandwich, MA for consideration paid of One hundred nineteen thousand ($119,000.00) Dollars, grant to: JAMES E. HAWLEY, JR., Individually, of 173A Main Street, Yarmouthport, MA I to with Quitclaim Covenants, w " d N The land, together with the buildings thereon, situated at 259 Main Street, Barnstable (West) Barnstable County, Massachusetts, more particularly described as follows: N Containing 18,200 square feet, more or less, and being LOT 1 as shown on plan entitled, "Subdivision of Land in West Barnstable, Mass. Property of Tauno Lampi, Scale 1 inch =40 ft. -Jan. 2, 1962 Ed, Kellogg - Civil Engineer, Osterville,"which said plan is duly recorded in Barnstable County Registry of Deeds in Plan Book 169, Page 29. Subject to and with the benefit of all rights, rights of way, easements and encumbrances of record, to the extent that the same may be presently in force and effect. For title see deed recorded in Book 7143, Page 057 at the Barnstable County Registry of Deeds. ARDITO,SWEENEY STUSSE,ROBERTSON &DUPUY,PC ATTORNEYS AT LAW WEST YARMOUTH,MASS 02673 (6W)775.3433 a • Bl[12S9b P607S 79077 WITNESS our hands and seal this 8'h day of October, 1999. 4!vr� /'r X64w,— M z � M = G M a Ames R. Damon �- d Joanne . Damo DID COMMONWEALTH OF MASSACHUSETTS Barnstable, ss October 8, 1999 Then personally appeared the above-named James R. Da d Joanne H. Damon and acknowledged the foregoing instru to be the free ct and deed, before me \. � 4A '�m otary Publ c' My Commission Expires: //6 m rA k444b SEAL ARDITO,SWEENEY STUSSE,ROBERTSON &DUPUY,PC ATTORNEYS AT LAW 9301JAIfY WEST YARMOUTH.MASS REGISTRY OF DEEDS 02673 A TRUE COPY,ATTEST (sos)775-3433 JOH F.ADE,BEGTER BARNSTABLE REGISTRY OF DEEDS i Generated by REScheck-Web Software Compliance Certificate Project Title: 259 rt 6a west bamstabl Copy 2 Energy Code: 2009 IECC Location: West Barnstable,Massachusetts Construction Type: Single Family Glazing Area Percentage: 16% Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 259 RT.6A. Jim Hawley Cotuit Bay Design West Barnstable,Massachusetts 02668 homeowner 43 Bewster Road 259 RT.6A. Mashpee,Massachusetts 02649 West Barnstable,Massachusetts 02668 508-274-1166 - 774-994-1429 jimhawley@comcast.net Compliance: Compliance:4.7%Better Than Code Maximum UA:385 Your UA:367 The%Better or Worse Than Code index reflects how close to compliance the house is based on code tradeoff rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. AssemblyGross Cavity Cont. Glazing UA or or • Perimeter • Ceiling:Flat or Scissor Truss 1929 38.0 0.0 58 Wall:Wood Frame,16in.o.c. 2712 20.0 0.0 133 Door:Glass 144 0.300 43 Door:Solid 18 0.350 6 Window:Wood Frame,2 Pane w/Low-E 288 0.300 86 Basement:Solid Concrete or Masonry 690 13.0 0.0 41 Wall height:8.0' Depth below grade:7.0' Insulation depth:8.0' Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other call; lations submitted witffth it application.The proposed building has been designed to meet the 2009 IECC requirements in ESeck-Web and othe mandatory requirements listed in the REScheck Inspection Checklist. /117/1 a e-Ti Signature Date Project Title:259 rt 6a west bamstabl Copy 2 Report date: 11/07/11 Data filename: Page 1 of 4 4� Town of Barnstable Old King's Highway Historic District Committee . , ,X_ 200 Main Street,Hyannis,Massachusetts 02601 �f • (508) 862-4787 Fax(508) 862-4784 G i y APPLICATION; CERTIFICATE OF APPROPRIATENESS FOR CIO DEMOLITION OR RELOCATION OF A BUILDING OR STRUCTL�§E (including partial demolitions of buildings,structures; outbuildings,stonewalls,etc.) Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of dha'pter 470, M Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,or photographs accom dying this application: Date: Z l l Address of Proposed work: Assessors Map and lot`# Lo I - House#' Street MAVZ ✓t iLeF� Village: _Demolition of L!house ❑part of house ❑Garage ❑ barn El stable ❑commercial _❑stone wall ❑other Description of Proposed Work: � t1G�lW 1[L:G 1 6115 NrC A "C7�'t Pbuse CoNs;nyc-1-6b IN t(? O Please complete the following information: ^^�� Square footage of footprint of building(s)to be demolished: Building 1: 2: Square footage of total floor area of building(s)to be demolished: Building 1: 'R(� 2: p Owner(please print): ;-5 1 Tel#: ,1�e7,7 T 1409 Owner's mailing address: ZS MA I 5-M W. 91�RN. 1 A � O �S Signature of Owner : 6?- 6�CGp e E M A(C. Note. AU applications must be signed by the owner,or evidence ofauthority to art for the owner submitted Agent/Contractor((please print): CEO e Tel#: ZZZ-Z'7 4— 1169 Address: rJ SZeWS HR&EMA a 26 Signature of Contractor/Agent: If application is for removal to a different'location,state where: Note. A separate Certificate of Appropriateness is required for a relocation of a building or structure within the Barnstable Old Kings Highway Historic District - ppPROVED Check A G 2 4 2011 ✓Application for Certificate of Appropriateness for Demolition or Removal,4 copies QU (� ,,'-8ite plan,4 copies, otographs of all elevations of building(s),outbuilding(s)or stone walls being demolished. Tows► Igs� �y -95 Fee according to schedule. old List of abutters,see staff For Commi This Certificate is hereby pprove Date: Committee embers Signatur I L PU NSA wN OF 6 ESE(�v P�\ Conditions of Ap4oval,if any Q:IGMD-Groups101d Kings HighwaylOKHNewApplOKHDernolition 07.doc i Di=-CEIVED LEGEND AUG 0. 2 2011 TOWN OF BARNSTABLE EXISTING CONTOUR co HISTORIC PRESERVATION �50Y PROPOSED CONTOUR :4k .,.� EXG. TREE/SHRUB LINE 70..2 EXISTING SPOT ELEVATION `e [70.21 PROPOSED SPOT ELEVATION A-12 RESOUCE AREA BOUNDARY.FLAG PROPOSED.SILT FENCE ! J' ii �' .r^•�.f -�- .9A/Gi'E RRST'9'GW V CJ� r 0 MAILBOX Co, LOCATION MAP - BARNSTABLE G,IS U POLE E Q 10A0 _ 20Ao - 3000 -jaW Fr C- GUUYY W WIRE 03 t a, m i G\ Edge of Pot�menf 50 115.42 E -=\, 54 fey/�/ _i!i •i i/:'/1l/.�//.i/!/.�i .. -: i 9t5/p�94o M9 7 o om sr 4p Lose Farsythio 10 i Sr / y :•_ -- - Edge of Barde'ing -\ �"-�;.-•- -- �- � \-- Vegetated�dand \�\�--- 105 toe j �l�� / -9?/it Rod F07ca \ \ \ V \- \ Im \ \\ I w 10716 `b \ \�14 fit^ nOo Z o w \ MH-MD , ow S 82'24 30r W CTR BACK No \� 129.00' lop 5, 7E i 70I0VLOrB.a�WSr� ME71ANo AgMEianLbv ar WraRO i L Town of Barnstable Geographic Information System August 8,2011 134008 #240 134016 9229 S� N 134009001 134023002 160' \\\ #280 134013 #259 134023003 #0 134001001 #200 134009002 #300 134014 #285 134002 #190 0 27 eet DISCLAIMERS:This map Is for planning purposes only. it Is not adequate for legal Map:134 Parcel:013 a N boundary determination or regulatory Interpretation. Enlargements beyond a scale of Owner:HAWLEY,JAMES E JR Total Assessed Value:$367900 Selected Parcel 1'=100'may not meet established map accuracy standards.The parcel lines on this map „ are only graphic representations of Assessor's tax parcels.They are not true property Co-Owner: Acreage:0.41 acres Abutters w++y:; E boundaries and do not represent accurate relationships to physical features on the map Location:259 MAIN ST.IRTE 6A(W.BARN.) such as building locations. Buffer � �r� _t 1.:-�far�� }, hf::`t ay Lb��•r- s. �•.>. � ,!y`1bl, 33 AA IIA AA �ti�'/+f�.l!"'.'/�' � !�•>•l,� � l� _ r _ sl «� it � 1� "I �� i�• �x�. it'd' •J �+" a « - ,� 9; < � ' �f��.. ��t��j;t .�1 1��,j�l'��9.'a'�vf�tb�v'•., �t'�3.P .�Y ' ,y �'+. ` , i . .� ''r l+llrj l��jil�lllili'�'i�', •�� .. °�0�°°♦4 O O O O O O 11#I +I+40 ir+r��;rt'1 O 10 O O°000 1 ,1 s N EIVED , RE � G� � AUG 0 2 2011 TOWN OF BARNSTABLE HISTORIC PRESERVATION 1 •�;� 1 t t r 1 s !. ` .Yr• ��%'�. ��(� t�p�1-/ ir't..�l r (re t `' s �r .A u It � �,�y� `` Lf¢:'�i�'p F s, •.� � �f � `` ,,� ,`ir`S� ` �{j iii .fir �� •,. 4.,. f� t� I •�jK'° '1C1.-.�, , f •�.` f ' �. 1' Y:4 1(,t .F•1 j. .��r t f � t ✓�yr t �t �` 111 li � r r , t{.i'11,V.�1,� I,� � •dbLr jy�",� � ` I, } ' r 1,0 zl A A �3,1�'s`r"r'n1j� 1-.• his`. :.�w'"r"'F ...r��y. .��..`."�+ *t �'�"` .».��+��"' ' ...,+ ^ :. ► -, u�• -�c1 tfs-.v ��+r�;;_Rr��,. ..rtp�'.. �".,+rA.�+c µt ��rv},+.T✓hG LE -� RE CEi1i AUG 0 2 2011 TOWN OF BARNSTABLE HISTORIC PRESERVATION nationalgrold December 31, 2011 Attn: James Hawley Re: 259 Main Street(Rt 6A), West Barnstable, MA. This letter is to notify you that after our investigation it has been determined that there is no gas being supplied to 259 Main Street (Rt 6A), West Bamsstable, MA. Sincerely, Diane Camara National Grid Gas Customer Fulfillment • 40 Sylvan Road E-3 Waltham, Ma 02451 781-907-2927 Dec. 14, 20'11. 2-AM N s t a r No. 2815 P. 2 STAROne Electric Gas Company Ons NSTAR Wayy,,Westwood,Massachusells 02090-9230 EtEC rR/C GA S December 14, 2011 James E. Hawley, Jr. 259 Rte. 6A W. Barnstable, MA 02668 i RE. 259 Rte. 6A, West Barnstable, MA Dear Mr. Hawley: 4 At NSTAR, we're committed to delivering great service. This letter serves as confirmation t�at the electric service to 259 Rte.U6 ,West Barnstable, MA has been removed. Based on.this information, there is no electric power at this.address and you may proceed with the demolition. If you have any questions, please contact me at 1-888-633-3797. Sinc r ly, K. J nson New Customer Connects . E CIC/)OOC NewTemplate i 12/08/2011 '09:38' 17815858340 KINGTON PROPANE PAGE 01/01 19K. Ingston Propene December 8, 2011 James Hawley 259 Main St W.Barnstable, MA 02668 _.Dear Mr. Hawley, This letter is to inform you that the 88 gallon propatie tank that served your home at 259 Main St, West Barnstable was removed from the property on November 23,201 l.. If you have any other questions or concerns please call 1-800-244-6511. Thank you, Kingston ane Customer Service RK Crossing Phone: 781 585-6511 187 Summer St., Suite 12 Toll Free: 800 244-6511 Kingston, Massachusetts 02364 Fax: 181 585-8340 N. Barnstable Old Kings Highway Historic District Committee' 0 200 Main Street,Hyannis,MA 02601;TEL: 508-862-4787 Fax 508-862-4784 �*:%g. i 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. Check all categories Neat apply; L Building construction: New ❑ Addition * ❑ Alteration 2. Type of Building: L1iouse ❑ Garageibarn ❑ Shed ❑ Commercial ❑ Oftr A z 3. Exterior Painting, roof ❑ new roof ❑ color/material change, of trim,siding, window, doh{ 4. Sign : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign m O 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ tennis court El Othe�q 6. Pool ❑ swimming ❑ Other man-made pool Type or Print Le Lb�lly: CDate: �Z Address of proposed work House# Street: ZJ /"ift010 5-hWET- Village( &W� _R6— Assessors Map Lot# 3 Q Description of Proposed Work: Give particulars of work to be done: New, C.a,)O 5 Tzw%, l (x .5 M T� WC.AC - A L_-i fd Nr, l 51rAy L-In yS6 �?c�lk o EXisZ1t�6 Eris 5G Agent or Contractor(print): 1z-jCR3 CEO Telephone#: te,Vg "Z 74' [ 1 CC Address: 3 A-J C—' -AIA ®zr. ContractodAgent'signature: NOTE All app ' must be si the current owner �L Owner(print): tE �LE Telephone#: -7 � `'( T- �'Zg Owners mailing act l�gc& AIA GG Owner's signature: t For comiWii e use only. This Certificate-is here APPROYED bENEED EUDateEJ\J I Members signatures EC _ R A�G04 2011 TOWN OF BARNSTABI_ HISTORIC PREgERVATt An -ti ppr al: ° \k k t 8�►�. SEP 14 2011 Town of Barnstable I Old Kings Fii9"ay 1 Q:GMQGroupsl0ldKing;ffighwaylOKHNewApplOKHCenAppropriateness07.doc Comm�ttee 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-bricklcement,other) Cby-%C[?_ XA WNi7 Siding Type material: CczVi,(Z— Color u 5 I y G 7 Chimney Material: Color: Roof Material: (make&style) (fe2n41la12:- � Color: Trim material d17Y —AAez> Color. Vv 14l Roof Pitch (7/12 minimum) Window: (make/model) AL�� 4Cb material V iL-IYL color W14( f ' Size(s): 'F I . Door style and make: 400 material V itf!' Y _. Color. Garage Door, Style =fLG� �site Material Color ShutterType/Material: Ll3000 ( ` �C Color: Gutter Type/Material: A L 0 M t Ij Lyf- Color Decks: material Alit N®GAO�t Size VA-9.l t 5 Color. MA tI Skylight,type/make/modeV: material Color: Size: Sign size: Type/Materials:- Color: Af .ROVED Fence Type(max 6'j Style material: Color. S E P• 1 4 2011 --, Retaining wall: Material: CCo�a^2C` �/� � `.7'd-CI '�G Town of Barnstablenirl Kings Highway Committee Lighting, freestanding on building ✓ illuminating sign Please provide samples of paint colors and manufacturers brochure of style of windows,doors,garage door, fences,lamp posts etc ADDITIONAL INFORMATION: Aze , tO tf i t-E j7ECK 7-r4!c hVrr1S AUG n 1 2011 Signed: (plan preparer) print name TOWN()F RARNRTARI F tel.no. Location of application: Street no. HISTORIC:PR S RVATION Street Village 2 Q:IGMD-GroupslMd Kings Highwaj40KH Mew AppIOKHQHAppropriateness 07.doc Home Energy RaterS LLC BTorrey @EnergyCodeHelp.com Box 989,E.Sandwich,Ma 02537 888-503- 2233 Duct Leakage Test Address 2259`Rt 6-A Wds-f arnstable.-MaN Date — June 11, 2012 Contractor - Bayside Mechanical Test Type — Rough In - Total Leakage Conditioned floor area =2750 Sq FT. To comply with Section 403.2.2 Of the 2009 IECC Code in this home the Maximum duct leakage CFM < 165 CFM (2750/100 x6 = 165) Duct leakage tested = 132 CFM This Home complies with Section 403.2.2 Of the 2009 IECC Code Test Mode - Pressurization Test Pressure = - 25.0 Pascals Equipment - Series B Minneapolis Duct Blaster Duct Leakage as Percentage of Floor area = 4.8% Contact our office with any questions, o- C= C�) 0 -- Bruce Torrey, --, Certified HERS Rater ' Home Energy Raters LLCM vz lot: e CA NOTES: 1.)CONTRACTOR IS TO VERIFY ALL EJOSRNG CONOTTTONS '- a DIMENSIONS N THE FIELD 2)CONTRACTOR TO VERIFY ALL INTERIM d EXIEPoCR MATERIALS, IT OETAILS.6 FINISHES IN THE FIELD Y/R/I OWNER uma 0.)ROUGH OPENING HEAD HEIGHT OF WINDOWS AT FIRST FLOOR TO BE F-I V ABOVE SUBFLOOR ® _ 4.1 ALL CONStRUCDGN TO CONFORM TO THE lRC2009 BUILDING DING CODE WI THE STH EDTRON MASSAC=ETTS AMENDMENTS /' S 5.)110 MPH EXPOSURE B WIND ZONE.ZDO ASPECT PAID / KITCHEN I ' ! 6.)ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY. NNyF�F�-- GFN STUD ROOF BATH T.)ALL LVL LUAEEHIBEMISBLOCgNGTVdEDGFl1Z FIELD NAILING 0 r.mRl I UYgrt ITAINE10 I Z 480 LOAD DECK S)TRUER FRAMING TO BE SPRULE/PINEIFOD NO.2 GRADE SCREENED! E — 9.) FOLLOW ALL M4NFACT RERS SPEGFICAnONS FOR INSTALLATION OF ALL PORCH sBwsoN CC.6C/FINIS10.)ALLCONCRETEUSEDFORFOUNOAl10NWALLS,FOOTWGS8SLABS BEDROOM#1 r�.x TO BE 000o psi ® :O LIN. 11.)VERIFY ALL PLUMBING 6 ELECTRICAL DETAILS W/OWNERS ON THE SITE �. \ r I •! g6RN0 FRAMING CONSTRUCTION b� LIN. Y p 4 12)THIS SITE IS IN THE 110 MPH WIND BORNE DE.AREA,EXPOSURE 9' ere., q _ z i Y 2 k� G- dMAASSACC IN SETTS WILE ND SNSPEED TsouDID PER STATE OF l MAPS I&)GLAZING PROTECTION PER Teo CMR 6101213 TO BE PLYWOOD PANELS 17 ! HALL ! VERIY ALL WIND BORNE DEBRISPROTECTIONREQUIREMENTS L___ W/OWNERS PPoOR TO STINT OF CCNLSTRIICTON craw I - ! eoo 14.)PR74MVT6NYNSTALLAnONSFROMSTREL7ro NEWHMAE CLos- I r- VIAUNDERGROUND CONNECTIONS TOM A IflLYW/ALL LOCODDES ,r t{� I CLoS. I[ 1S)ALLDEADEASTO BE DOUBLE ORTRIPLE21Ba UNLESS OTHERWISE NOTED DINING i I I I I O ®I$i C� IS.)CONTRACTOR TO VERIFY ALL WINDOWS WITH OWNER AND ROUGH OPENINGS DECKS I I L-_-_J ND I[t I WTH WIOW MANUFACTURER PRIOR TO ORDERING OF WINDOWS �' I! I L-J 1]JA/DERSEN 4W SERIES WIDOWS WHITE EXTERIOR WINIGH PROFILE EXTERIOR I I ^! GRILLES-LOW E HP I GL-2M W/T3IJf SCREENS d METRO HARDWARE O nR _ ! ? IECC2009 RESIDENTIAL ENERGY EFFICIENCY DETAILS BEDROOM#2 ' ZONE SA EITHER PRESCRIPTIVE VALLE90R RESCIEG(CALGILATION TABLE - TABLE D21.1 NIMUYPRESQ20'fNEINSIMTDNdFEHESl1UnCI REQUREMENTS LIVING ---- --1 f--- - a = m �� '• ,® i�w�iILCT UE Mw6RAQauFAcraa ARE Tim wn TIP wm 11w12�,vRns mNnxuw6 xsuATm aaw wTHe wlvwR a+onPDaoR ! } oFTHI:Ho@DR WMGVRY 1DNsuTw ATTEINTGiOR OPTIEBABFMDIfwALL C t aIwFEERroIL,x Nnm QWPm.FIXIAM IQMUTcxa DmmrI:B01DIlmmne a I SMOKE DETECTORS REVIEWED B.4R/ BUILDINGDEPT. / D DE wm�w SECOND FLOOR PLAN FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING OYI Rwe CARBON MONOXIDE ALARMS ^` MUST BE INSTALLED PER FIRST FLOOR PLAN MAssncHusens BUILDING CODE AREA CALCULATIONS 114 M' FIRST FLOOR IBIS S.F. uAim 2 SECOND FLOOR =921 S.F. ® COTUIT BAY DESIGN.LLC IS SOLELY RESPONSIBLE \ ...r.Aa.Toum FOR THE FIRST 6 SECOND FLOOR PLANS ALONG ®SMOKE DETECTOR ,Pa a, WITH THE ELEVATION VIEWS.THE STRUCTURAL 0 CARBON MONOXIDE DETECTOR vm PUWFOUNDATION PLAN, . CROSS SECTIONS ®NEAT DETECTOR W" ENGINEER"� ROOF/FLOOR FRAMING PL/PLS AND ALL DETAILS. THE OWNER A CONTRACTOR WILL BE RESPONSIBLE CORNICE DETAIL FOR^N1'CHANGESroTHE PLANS THAT HIGHWAY UIRE HISTORIC APPROVAI.FROM THE OLD KINGS HIGXWAY XISTORIC SCdE ur•1'a COMMITTEE PER THE SIGNED AGREEMENT DATED 9/14f2011 ToLLBCORNESTR T �T1ALNGTIERS EEFE �7OT9UCREINE �C SCALE: DRAWING NO.: BQ®COTUITBAYDESIGN LLC NEW HOUSE FOR: '= 43 BREWSTER ROAD 1/a 1'-0• PH. .P )EE Ma 02649 JAMES HAWLEY F1150))699A OB2 DATE: A 1 259 ROUTE 6A WEST BARNSTABLE, MA TT/a/zo» m,�ae,amn e e 0 HE n.>«n —n FRONT ELEVATION WEE] LEFT ELEVATION `�°•�' ov1°Oax o•�er..�om e ems." xmn I II REAR ELEVATION r=, v RIGHT ELEVATION BQ®CIa1I AY DESIGN LLC NEW HOUSE FOR: SCALE: DRAW"°"°.' 43 BREWSTER ROAD 1/4"=1'-0' MASHPEE MA 02849 PFAHX.((5s066�)2 5'l346-1s1a6o62 JAMES HAWLEY DATE: 259 ROUTE 6A WEST BARNSTABLE, MA 11/4/20 11A L � s 24'-0' OBL PF 2%B PT 2X8 O I6' 2X1D O 16'(TYP) 3 f w I—e-10' 1-0' ETDSTING FOUNDATION I 6'IALLY COLUMN o a WALL 10 REMAIN 5-0 POSE DOWN c a v f Is � v I � n, , 2-0" PF 4X4 POSFDOWN(TYP) EXISTING12'SON07UBE(TYP) (2) X 97�"LVL I r FLUSHH FRAME I - 16'-0' 8•X78'CONCRETE I I LI 16'-0" FOOTING W/KEYWAY� L—J I I I PT 4X4 POST I HSS 4%4XX4 POST DOWN 2'-6'J I I I I UP(TYP) 31i•X %-VERSA-LAM POST UP 5 O I I t�2 I II I I I I (3) 0.'X 9Y"LVL I j _ I 13'-0' 13'-0' 3-0 I r I DBI.Pf 2X8 r— TI I IL, Pf 4%4 POST l—J I p05T UP VERSO-LAM 2._6. L—i I i DOWN(TYP) 2'-6- I I I HSS 4X41d S'CONC.FOUNDATION OBL PT 2X8 i I I POST DOWN I I I WALL W/B6 VERT.BARS Z � F PER ELECTRICAL I % �CODE POST UP DONBAM I I I I - r---� I I I a I I 24'-0 4..0• I e I 24'-0' 6'-6• I I L--- I PF 2X6 O 16' I I I H e 5'-D" I I I I ED w o = I I I I I 12•SONOTUBE I I (TYP) I I 10 I I I I I I WIOX33 STEEL BEAM '-6 I I I I I I jl7I Q O L � I I UD O PT 2X6 O 16' 12•SONOTUSE(TYP)� 0 6' :D �J/ (TYP. EACHO H 2XIO O wSIMPSON HDU4 3,-6. ENR 26'-0' 3-6. ' 01 OBL PT 2" U)Q L� FOUNDATION PLAN FlRST FLOOR FRAMING 04 p I w z S1{'OF L)M,'4L, J Q Z , ui Z DO Q Z J 0 ERIC J In d CEDERHOLM r �Z F- O $TRUC1-URAI `[ Q LT NO. 38962 " 2-m p z �a ctw a O blf V U " O 6 N 2X10 016' 2X12 0 16' „•'-, BFMING WALL 2X10 RAFTERS O 16' c u BENEATH 'o 0 c o � � w < o m DB 11L 2x10 II (2) IV1DGE PPOOSTx D0.N VERSA-LAM < f Ir yf"%314'VERSA-LAMLVL RIDGE POST UP S DOWN II qq II J F 4%4P05T II DOWN(TYP) j II FLUSH FRAMED • ui_ n DBL 2x1D u (}) 1y'x 1 W LVL yf'X VERSA-LAN S%j"X Si'VERSA-UM FLUSH FRAMED POST DOWN POST DOWN / (2) 1�'X 16' LVL RIDGE O O x z O V N POST UP @ DOWN lAA1 04 POST TO WAGER O ^ (2) IV X 7Y.'LVL 2X12 016'TYP HEADER(TYP) U f e DBL 2X12 m W O 2XIO RAFTERS 016' Q tO CL 0 OBL.2%10 0 0 SECOND FLOOR FRAMING ROOF FRAMING u')a OF ASS\� N Q W o E9IC J. 4 u+l I Z CO 0 Q E CEDERHOLM OW< 0 J O STRUCTURAL -+ Lf)N a No. 38962 Llj Zz 0 > Z Z s W r 0:2 N U Q =3: (V))L� Ci 0 'o o m z � a rn I a Tu M z 0 � I 3 � m c 'o c 0 o po • 1YPICAL ROOF CONSTRUCTION I. 2X10 RAFTERS O 16'O.0 " c N 2. )6•COX PLYWOOD ROOF SHEATHING 3. ASPHALT ROOF SHINGLES 4. 15 LB.FELT PAPER 2X10 RAFTERS O 16• S. HI-R BATT INSULATION(R-38) (2) 1,'X 16•LVL RIDGE 6. ICE/WATER SHIELD AT BOTTOM 3 FT.OF ROOF qq (2) ly-X 3*'LVL RIDGE .. 7. PROP-A VENT BETWEEN RAFTERS Z J K _ S. WIND WASH BARRIER BETWEEN RAFTERS 0 9. SIMPSON H2.5A HURRICANE CUPS AT EACH RAFTER END 2X70 RAFTERS 016• SIMPSON LSTA12 RIDGE STRAPS-AT EACH RAFTER PAIR 1—r,3 2%10 RAFTERS O I6• 12 S 2 TYPICAL WALL CONSTRUCTION s 1. 2X6 STUDS O 16'O.0 2. Yt•PLYWOOD SHEATHING - 3. 6•BATT INSULATION(R-19) 4. )6-.GYPSUM BOARD 2X6 Da. WALL � BEDROOM 41 S. W.C.SHINGLE SIDING CLOSET BEDROOM 42 2X6 EXT.WALL 6. W.C.TyVEKVAPOR BARRIER 7• 12 p OI, 121 2X12 O 16" z O V cn anQ O a V] I 2X12 O 16 2%12 O 16' 1 L BnNG/DINING KRCHEM 2X6 EXT. WALL 2X6 EXT.WALL Q 2X10 O 16' p _ m 1 %'ANCHOR BOLTS O 28•MM. SPC.(FRONT k REAR WALLS) W10X33 7 5I MAX, SPC.DARE VI SIDE WALLS (3) 1�'X 9Xi•LVL 7•MIN. EMBEDMENT INTO FOUNDATION WALL FINISHED BASEMENT UNFINISHED B/SEMENi Q MATCH 8 CONC. FOUNDAT ONTYP 10 IEKISRNG WALL W/p VERT. BARS H55 4%470i ON DAMPPRON WA Iy O 48*O.C..GROUND 4•CONCRETE SLAB ON FOUNDATION WALLS O PER ELECTRICAL CODE -. =O O 0 � C1 0 6'X18'CONCRETE In Q 2:FOOTING W/KEYM'AY Q �",✓�OF y4�n N Z w W w 2 O: ERIC J. c Z m ~ f CEDERHULM FQ- O W U STRUCTURAL N N N N NO. 38962 W Z K O J Ym zQ wF pa _i o� 0 a � TYP.ROOF DECK 0 SCREENED e PORCH A C i _ I I 1 i I I I _ I �4' r meu.waoo.mro 0. e @BUILDING SECTION @.PORCH TYP.ROOF CONST. wrnaoa.. Mid mmgm I .r�riamws mws.rww,.a. a TYP.WALL CONST. i BEDROOM 02 CLOS. rEEDIOOM C7 MALL ROOF FRAMING PLAN NOTES: 1.1 ALL ROOF RAFTERS TO BE 2.1Z� U18ESS OTHER%MSE NOTED n.wlwr vw 2J AT 3161RRIUNE CIIDS AT ALL RAFTERS ENDS v I mowNDERsrnFuaour 9g 1„LNING DINING 'd ROOM ROOM KITCHEN STUDY BATH . a.oa.. . wnuau i+o nmswn .rmewin >.w.r wu.w r r.•wunw.w �_ FULL mc..w .w. FULL BASEMENT BASEMENT IL..,...,, @BUILDING SECTION @ LIVING/DINING @BUILDING SECTION A-LIVING/DINING CORNICE DETAIL •- SCALE:1?•1'a SCALE: DRAWING NO.: BQBCOTUITBAYDESIGN.LLC NEW HOUSE FOR: 43 BREWSTER ROAD 1/4"=1'-0° MASHPEE MA 02849 A4 FAX(a)z53a 02 JAMES HAWLEY DATE: 259 ROUTE 6A WEST BARNSTABLE, MA m� sr�onoll 0 T Q 6 E --- --- 13 ir I I ti' b rr� r• � I I I LI I yy I I 4 b L b R I -------- ------ — o a I I I I I I I I I I I 1 I = 7 c I I — --j — — coM�y� ------- — — f -- — -----� y b yF I rn • 1 .� �tl—fy 49 r! � . PROJECT HAWLEY RESIDENCE, 259 ROUTE 6A BY JOBNO. WEST BARNSTABLE, MA EJC 11090 loran f+Cxeono W., FOUNDATION AND FIRST FLOOR t' Mmot®aRU m.MASS�CNm6 023+6 SUB1ECf DATE PAGE FRAMING PLAN II.6-II $_1 ^� [5081+04435e gcvc®vnumerer MEEHAN WELL DRILLING P.O. Box 616 Forestdale, MA 02644 (508) 888-5458 CUSTOMER'S ORDER NO. PHONE DATE NAME ADDRESS SOLD BY CASH C.O.D. CHARGE ION ACCT. jMDSF-RETD PAID OUT QTY. DESCRIPTION PRICE AMOUNT v I I. C l I . I I I I � �^ QA I I • I I I I I I I TAX I RECEIVED BY TOTAL I All claims and returned goods MUST be accompanied by this bill. Thank You Commonwealth of Massachusetts Sheet A STABLE �� R °l u ' 1 op Map Parcel M • 20I.2 P�r�tY 3Ci F'�i j= fib. Date: 6 Z Permit# d/ Estimated Job Cost: $ !!�61 0 (;b Permit Fee: $ Plans Submitted: YES ✓NO Plans Reviewed: YES NO Business License# Applicant License# &'] Business Information: Property Owner/Job Location Information: Name: _�ftloi u & Name: Street: f T) AWE 8.1.AtAgs 20, t Street: 2s1 Qw City/Town: �Ast �iM, 1\0& 62S36 City/Town: WL-A*f (� Telephone: S'W- S F,- 146 b 8' x << Telepho -77K—2 t Z— 331 Z Photo I.D. required/ Copy of Photo I.D. attached: S NO Staff Initial J-1 M-1- estricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft 2-storial. r less Residential: 1-2 family ✓ Multi-family Condo/Townhouses Other o • C) Commercial: Office Retail Industrial Educational ° Fire Dept. Approval Institutional_ Other _. cxs Square Footage: under 10,000 sq. ft. ✓ over 10,000 sq. ft. Number of Stories: rn Sheet metal work to be completed: New Work: ✓ Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: -,hA?-WA-CA0 A/C Ats Q 0 "-*vJ TZ) r ,n 1 INSURANCE COVERAGE: ,I I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes[ No ❑ If you have checked Ya, indicate the type of coverage by checking the appropriate box below: _ '• G` A liability insurance policy�[v� Other type of indemnity Bond ❑, OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement.. r Check One Only Owner Lp Agent ❑ Sig ture VOwner or Owner's Agent 3y checking this box❑,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed.under the:permit,issued foi•this,application will be n compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Ducfinspectiori'required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: ly Master 'itle ' ❑ Master-Restricted :ity/Town ❑Journeyperson . Signature of Licensee 'ermit# ❑Journeyperson-Restricted License Number: -7 El Check at wvvw.mass.gov/dal ispector Signature of Permit Approval 4 Z3ae Commonwealth of Massachusetts Department of Industrial AC- Cidents Office of Investigation's 600 Washington Street Boston,M4 02111 UV www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information n�qq Please Print Le 'bl �6 Name(Business/Organizetion/IndivicivaD:. & 46 awc w• etv, Address: .41,11 City/State/Zip: ��jqz, ,L MA► 02Q14 Phone.# Are you an employer? Check the appropriate box: Type of project(required):., 1.[]�I am a employer with (. -4. ❑'I am a general contractor and I # have hired the sub:-contractors 6. [ Tew construction . . employees(full and/or part-time). • 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me irr any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp..msuiance.t required.] 5• ❑ We are a corporation and its 1Q❑Electrical repairs or additions , 3.❑ I am a homeowner doing in work officers have exercised their I L❑Plumbing repairs or additions myself [No workers' com-P. right of exemption per MGL 12.❑Roof repass insurance required-]t c. 152, §1(4), and we have no . employees. [No workers' 13•❑ Other comp.insurance regmred.] *Any applicant that checks box#1 nmst 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 subnut a new affidavit indicating such. ffi*Contractors that check this box rst attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-con hactors have employees,they waist provide their wor1=1 conrp•policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: L li Policy#or Self-ins.Lic.#: W M. Q l-0 7M D 20 1 Z Expiration Date: 3 Its]J lob Site Address:_ 2Sr-t 2gg 6 A City/StLtr/Zip: Ld) . Rnn�s�i�ulllA, . . Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure' ail re,to.secure coverage as regaled 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 wen as civil penalties in the form of a STOP WORK ORDER and a a= of up to$250.00 a day against the violator. Be advised that a copy-of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un a pa' s-and penalties of perjury that the information provided above is true and correct s• e:- Date: Phone Official use only. Do not write in this area, to be completed by city or town oeial City or Town: PermitUcense# Issuing Authority(circle one): .1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Town of Barnstable Regulatory Services L+sxswtE. • r � MASS Thomas F.Geiler,Director 1639. 1� ► '' Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using;A.Builder I �G��eS Naw��z as Ownet of the subject property n q � hereby authorize �� Y S) to act on my e b � in all'matters tela.tive.to work authorized by this budding peimit (Address of Job) Pool fences and alarms are the responsibilityf the applicant. o app t. Pools are not-to be filled-before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of Owner Signa of pp cant awl Print Name Print Name Date Q:FORM&O WNERPERMISSIONPOOLS Town of Barnstable �t Regulatory Services �nRNSTAB,$, : Thomas F.Geiler,Director 1639. •0� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: I G�R 12+ t( number street village ter+ "HOMEOWNER": v (A/ `ei Sad 7 7 D name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to'the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109,1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and require nts. Signatu e f Homeowner Approval of Building Official w. J Note: Three-family dwellings containing 35,000 cufiic fl t&t 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 full aware of his/her y 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 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE TM. CERTIFICATE PRODUCER Phone: 508-540-6161 Fax: 508A57-7660 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ALMEIDA 8,CARLSON INSURANCE AGENCY INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O.BOX 564 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR FALMOUTH MA 02541 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Arbella Protection Ins Co BAYSIDE MECHANICAL CORP INSURER B: Arbella Protection Ins Co 497 THOMAS B LANDERS ROAD UNIT 1 INSURER C: Arbella Protection Ins Co E FALMOUTH MA 02536 INSURER D: AEIC INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'Ll TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR INSR DATE MMIDD DATE MMID LIMITS GENERAL LIABILITY 8500054355 02/11/12 02/11/13 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES a occurence $ 300,�� CLAIMS MADE a OCCUR MED.EXP(Any one person) $ 5,000 A X BROAD FORM ADD'L INSURED PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ 2,000,000 POLICY JET LOC AUTOMOBILE LIABILITY 83782400004 02/11/12 02/11/13 COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ B X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY $ AUTO ONLY-EA ACCIDENT ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY 4600054261 02/11/12 02/11/13 EACH OCCURRENCE $ 5,000,000 OCCUR CLAIMS MADE AGGREGATE $ 5,000,000 C $ RX DEDUCTIBLE $ RETENTION$ 5,000 $ WORKERS COMPENSATION AND WCC5010750012012 03/18/12 03/18/13 =S ALn s I EMPLOYERS'LIABILITY D ANY PROPRIETORIPARTNERIEXECUTIVE I.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 OTHER: DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO TOWN OF BARNSTABLE DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Attention: Z'(!fQBO A ietta ..�,Q� ACORD 25(2001108) Certificate# 10590 ©ACORD CORPORATION 1988 Project Summary Job: 259 Rte.6A -B� side , Date: Apr 09,2012 Y Entire House By: AI Gagne MECHANICAL CORP Bayside Mechanical Corp. 497 Thomas B.Landers Road,Unit 1,East Falmouth,MA 02536 Phone:508-548-4068 Fax 508-548-4406 Email:agagne®baysidemech.net Web:www.baysidemech.net Licens... Project • • For: Moen, Rick, RNS Enterprises Email: keyblox@yahoo.com Notes: HVAC Des iq n-Inforrnation Weather: Otis ANGB, MA, US Winter Design Conditions Summer Design Conditions Outside db 3 OF Outside db 85 OF Inside db 70 OF Inside db 72 OF Design TD 67 OF Design TD 13 OF Daily range L Relative humidity 50 % Moisture difference 40 gr/lb .Heating Summary Sensible Cooling Equipment Load Sizing Structure 40625 Btuh Structure 16981 Btuh Ducts 2435 Btuh Ducts 604 Btuh Central vent(70 cfm) 5143 Btuh Central vent(70 cfm) 964 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 48203 Btuh Use manufacturer's data n Rate/swing multiplier 0.90 Infiltration Equipment sensible load 16620 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Semi-tight Fireplaces 1 (Semi-tight) Structure 2293 Btuh Ducts 1003 Btuh Heating' Coolin Central vent(70 cfm) 1912 Btuh Area(ftz) 2755 275% Equipment latent load 5208 Btuh Volume(ft3) 21829 21829 Air changes/hour 0.32 0.15 Equipment total load 21828 Btuh Equiv.AVF(cfm) 115 55 Req.total capacity at 0.75 SHR 1.8 ton Heating Equipment Summary Cooling Equipment Summary Make Carrier Make Carrier Trade CARRIER Trade BASE 13 PURON AC Model 59SP5A060E17-14 Cond 24ABB330(A,W)31 AHRI ref noA702805 Coil CNPV*3017A**+59*P5A060E17**14 AHRI ref no.4735584 Efficiency 96.5 AFUE Efficiency 11.5 EER, 14 SEER Heating input 60000 Btuh Sensible cooling 19320 Btuh Heating output 58000 Btuh Latent cooling 8280 Btuh Low output baseboard 600 Btuh/ft Total cooling 27600 Btuh Total low baseboard 72 ft Actual air flow 1000 cfm High output baseboard 850 Btuh/ft Air flow factor 0.057 cfm/Btuh Total high baseboard 51 ft Static pressure 0.50 in H2O Space thermostat Load sensible heat ratio 0.78 Bolditllc values have been manually overridden Calculations approved by ACCA to meet all requirements of Manual J 8th Ed: L Wrl htSo 2012-Apt-12�9:28:49. 9 Right-Sulte®Universal 201212.0.04 RS000405 Page 1 ...SettingslALWIy DocumentslWrightsoft HVAC\RNS Ent.,259 Rte.6A Calc=MJ8 Front Door faces: } N Level 1 10x4 103 cfm ®12x2 CM 86 cfm Study 606 Kitchen 275 cfm Bath 1 400 200 86 cfm ® ' 30 cfm F m 16x6 239 cfm Liv/Dine 4x12 112 cfm CEO 12x4 ' 112 cfm Job#: 259 Rte.6A Bayside Mechanical Corp. Scale: 1 :70 Performed by All Gagne for: Page 1 Moen,Rick 497 Thomas B.Landers Road,Unit 1 Right-Suite®Universal 2012 East Falmouth,MA 02536 12.0.04 RS000405 Phone:508-548-4068 Fax:508-548-4406 2012-Apr-1918:13:45 www.baysidemech.net agagne@baysidemech.net ••.tsoft HVAC\RNS Ent.,259 Rte.6A _ keyblox@yahoo.com N Level 2 =Bedl Bath 2 10x4 54 cfm T 12x6 159 cfm 10 x 10 T 212 cfm 5' Stair pn n U CI 2 7 CI 1 10 x 10 192 cfm 6 x-6 80 17 cfm 5 n Laundry T 7° 5n y 12x6 134 cfm 6x6 lies C ifl o a rflow:. 68 cfm be"=re s frock Bed 2 Job#: 259 Rte. 6A Bayside Mechanical Corp. Scale: 1 :70 Performed by Al Gagne for: Page 2 Moen,Rick 497 Thomas B.Landers Road,Unit 1 Right-Suite®Universal 2012 East Falmouth,MA 02536 12.0.04 RS000405 Phone:508-548-4068 Fax:508-548-4406 2012-Apr-1918:13:45 www.baysidemech.net agagne@baysidemech.net tsoft HVACIRNS Ent.,259 Rte.6A keyblox@yahoo.com I i a, N Basement 6" 5" 6 x 6 8x8 Utility 88 cfm ,12 x 10 10" 5" 5" 8" 8x10 8" T 10x8 12x12 10 x 8 265 cfm . 5" 6" 5° 6° ;�e�t�alr flow to� �'oro ..4 6x6 6x6 88 cfm 88 cfm Family Job#: 259 Rte. 6A Bayside Mechanical Corp. Scale: 1 :70 Performed by Al Gagne for: Page s Moen,Rick 497 Thomas B.Landers Road,Unit 1 Right-Suite®Universal 2012 East Falmouth, MA 02536 12.0.04 RS000405 Phone:508-548-4068 Fax:508-548-4406 Apr-Apr 16: 59 Rte.6A www.baysidemech.net agagne@baysidemech.net tsoft HVAVACIRNS Ent.,2 59 keyblox@yahoo.com t • A � �MMQ(�'�W��ALTH�OF�fVIkS�S�G'i! -•=----..�.�—��A�fits" �'i�!�'f„�S��it ��,� � .i �_• - U �H3ARENSE MIN r 81B ANC0Icl `� fiRt � 4 O MR '`_,.�.,�•--_�3�7 ��, �1�+14/x2$/It 3t�,, �`'�� .5r�:�: , EAL}TH O,F M:ASSAi p_ry ..r. _^`•''I -t-^"'�'"`i prOfo s`N0st F.- ..,�•'�. ✓.�-�^�-... , HETown of Barnstable ..n nnxr'Tl3 Regulatory Services w IARNSTABLE, �; i ^ 2 t+ 'F ') MASS. Thomas F. Geiler, Director � ��, �b U�' Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barnstable.ma.us D 1 V I _. Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT or License o v��r2�covL I # 338Y1 , hereby certify that I am no longer the Construction Supervisor listed on the application for the project under construction as authorized by building permit # , issued to (property address) l 0 GL t vV `P_ on �sl , 2012. I also certify that on PC( , 201 Z , I notified the property owner, that the project under construction must cease until a successor licensed Construction.Supervisor, is submitted on the records of the Building Division. LIC S 0L ER YATE q/forms/newcontr b � reference R-5 780 CMR rev:1 10410 TRANSITION 44 CHADDERTON WAY ENGIN = ING, MIDDLEBOROUGH,MASSACHUSETTS 02346 NCO POR.ATED (508)404-0358 EJCPE@VERIZON.NET May 7,2012 0 ERIC J. g CEDERHOLM O STRUCTURAL -4 Mr.James Hawley " No. 38962 c 259 Route 6A W. Barnstable, MA 02668 sf® ACE RE: Framing Inspection Dear Mr. Hawley, Based on my inspection of the rough framing of your residence at 259 Route 6A in West Barnstable, I found the framing to be complete in accordance with the Transition Engineering, Inc.Structural Drawings dated 11-6-11. The nailing and hardware for the exterior walls has been installed in conformance with the 8th Edition of the Massachusetts State Building Code and the AFPA Guide to Wood Construction in High Wind Areas for One-and Two-Family Dwellings for 110 MPH, Exposure B. Should you have any questions regarding these findings, please do not hesitate to contact me. Sincerely, �ooFiNCr/�Lt>ifS �stgtc�� 'or—f6 2E L'.4u/SIG -fe')e -R SrO �c✓vlosr C o�.PC.G—tE�y �otl6�� Eric J. Cederholm, PE .� Transition Engineering, Inca w<'f� Oey< 4- lR s Ca✓�N��- k Kk 3//Z NOISIAI0 9Z :0114V - 01ZI0I _�ISUSNM JO NIM01 v , ' � � 115.42 I Or N 81'34 p0 E s 40 1 tit C\2 0 24.1 ' n � n rn 24- o� A 30.4 24.0 \ NEW CONCRETE G 16.0 o FOUNDATION Z o- o: A w c,! 0fl 0 0 s MHB_FD 6 No N/p� �6 a10- o� r'o MHB_FD 129.00, Z N 82'24 30 E o .�, Lr o- 30 0 15 30 60 120 ( IN FEET ) 1 inch = 30 ft. MHB-FD OFFSETS TO PROPERTY LINES FROM NEW CONCRETE FOUNDATION FLOOD ZONE C SEE COMMUNITY-PANEL NUMBER 25001 0011 D MAP REVISED JULY 2, 1992 TBM REBAR/CAP ASSESSOR MAP/PARCEL: 134/013 ELEV= 22.9 DEED REFERENCE: DBO12595-00074 NGVD PLAN REFERENCE: B169P029, LOT 1 PLAN DATE: JANUARY 2, 1962 STATE HIGHWAY L0381 LOT AREA: 18,200±SF FOUNDATION LOCATION DATE: FEBRUARY 21, 2012 TOP OF FOUNDATION ELEV= 30.2 I HEREBY CERTIFY THAT THE SUBJECT BUILDING FOUNDATION IS INSHOWN. THE LO ATIONDOF THEATION BUIILDINGLWASUNES As OF SS CERTIFIED PLOT PLAN DETERMINED BY INSTRUMENT SURVEY. THIS PLAN IS NOT INTENDED TO BE A LAND OR PROPERTY SURVEY Z�. DAVIU yG USED FOR RECORDING, PREPARING DEED DESCRIPTIONS O C. cn . 259 MAIN STREET OR CONSTRUCTION, NO CORNERS WERE SET. IT -m . CANNOT BE USED FOR ESTABLISHING FENCE, HEDGE OR Z_ THULIN BUILDING LINES. THE MATTERS SHOWN HEREON ARE ) No.39403" WEST BARNSTABLE, MASSACHUSETTS BASED ON CURRENT DEED AND REFERENCED PLAN q v INFORMATION ONLY AND MAY BE SUBJECT TO FURTHER y0 P SCALE: 1' =30, DATE: 02/21/12 OUT SALES. TAKINGS, EASEMENTS. RIGHTS OF WAY AND ti, OP OTHER MATTERS OF RECORD, AND PRESCRIPTIVE OR Mora OTHER RIGHTS. TO THE BEST OF MY KNOWLEDGE AND BELIEF THE FOUNDATION LOCATION CONFORMS TO THE HORIZONTAL SETBACK REQUIREMENTS OF THE t BARNSTABLE CODE. D AVI D C. TH U LI N, PE, P LS — 211 MILL ROAD EAST SANDWICH, MASSACHUSETTS 02537 (508) 888-2345 FAX (508) 888-7259 PREP. FOR: HAWLEY DRAWN BY: PST I CHKD BY: DCT 2 JOB No: 11-006 REV. SHEET 1 � �� . �� V� permits. We are required to o tain both the V certificate of insurance (if required).,,Both-are dates. Our records indicate we lack the following tt Workman's Comp. Affidavit Certificate of Insurance. Thank You for your attention to this matte Sincerely, Sally Shea'. 508-862-4031 1 �lj o � A 1/ WHY >ermit application. Both sets must be stamped by _ C^ and plans to the appropriate Fire Department for i without prior approval from the Fire must sign off on the building permit application: )r 1:00-2:00 PM or 1:00-2:00 PM orm. Copy of Insurance Compliance Certificate nstruction Supervisor license is required. ' not entitled to supervise construction of a lding with a total cubic volume greater than e accompanied by controlled construction 705. st be submitted with permit application. Permission. ubmitted. Checks made payable to the Town of -Aa - i i A of Barnstable ermit 91 °FtMET 2006 APR i Regulatory ServicesDate:4-rr-ob Thomas F.Geiler,Director Building Division ee:KAM � QO 1639. `0� em-Perry, BuildingCommissioner � � ��f�� —h 200 Main Street Hyannis,MA 02601 . www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 TOWN OF BARNSTA.BLE SOLID FUEL STOVE PERMIT Owner: a way,J 75= Phone: Install at:' 269 ' " 4WS( Village: V v I z Map/Parcel: .1 rT ✓ Date: Stove A. New/ se B. Type: Radiant Circulatin C. Manufacturer: Lab.No. i D. Model No.: Chimney f /�y, A. New/ xisting f exis 'ng,please note date of last cleaning 9/II v�J B. Flue.. (pera �e- C. Are other.appliances attached to Flue? - D. Pre-fab Type and acturer E. Masonry. Line alined Hearth A. Materials: sLcL B. Sub Floor Construction: Installer Name: Address: Phone: Location of Installation: APPROVED BY: Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector t Town of Barnstable Pennit q/ 444 oF�ET Regulatory Services ate:4.-rP-oto 7.00 E AI PR i ! t,:; 9: Thomas F.Geiler,Director BAWSrABLA Building Division ee:0�rc)0 tC1i,---T*ntPerry' Building Commissioner 200 Main Street, Hyannis,MA 02601 www-town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 TOWN OF BARNSTA.BLE -- SOLID FUEL STOVE PER UT 4 Owner: y Z�J Phone: � 3 Install at: � Village• ill Map/Parcel: ��J � .Date: Stove F� A. New/ se f B. Type: Radiant Circulatin C. Manufacturer: Lab.No. D. Model No.: r , �< Chimney A. New/ xisting exis 'ng,please note date of last cleaning B. Flue C. Are other-appliances attached to Flue?_A ± 'l. D. Pre-fab Type and acturer ;a E. Masonry: Line alined ; <; Eq Hearth - , 3,Y A. Materials: ; { B. Sub Floor Construction: �rt Installer ► 1, Name: Address: t , Phone: L Location of Installation: APPROVED BY: Please make checks payable to the Town of Barnstable -`----- *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION j r r" Map [ ' Parcel 01 - Permit# Health Division ��y� �, � ��/—ak Date Issued '5 rO la oo [ Conservation Division rt 9,0 r� ; �7 Fee. ECG o Tax Collector ' ��; A/D/ 'Ve t'z - SEPTIC SYSTEM M UST BE Treasurers-�- V/ �� INSTALLED IN COMPLIANCE Planning Dept. W�YH LE 5 ENVIRONMENTAL CODE AND Date Definitive Plan A)proved Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis . t Project Street Address 2PMN► i + f Village uusT �T�I Owner ES E AAW NI �k Address Telephone OM 375^ 1 0ftO • ` Permit Request I CUMU 41/0 7� / Square feet: 1 st floor: existing—.— proposed 2nd floor: existing proposed .Total new Valuation 115rt Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathbred: O Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 1§0i Two Family ❑ Multi-Family(#units) Age of Existing Structure �J� Historic House: ❑Yes 4No On Old King's Highway: 14Yes ❑No Basement Type: KLFull. ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Sw Basement Unfinished Area(sq.ft) �. Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing IyZ new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas KOil ❑ Electric ❑Other Central Air: ❑Yes kNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes O No Detached garage:O existing ❑new size Pool:O existing ❑new size Barn:❑existing ❑new size - Attached garage:❑existing ❑riew 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 ` ,^�AwA, BUILDER INFORMATION Name ,PMF5 E 0AL)OLOt �2— Telephone Number 6.6t) 376 10b(d Address 269 M &T— " License# VJ Home Improvement Contractor# Worker's Compensations#,,n,' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �Tl SIGNATURE DATE 67301 •f r r FOR OFFICIAL USE ONLY J PERMIT NO. i DATE ISSUED MAP/PARCEL NO., ADDRESS VILLAGE OWNER , DATE OF INSPECTIO S FOUNDATION FRAME _ INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL °+ GAS: ROUGH FINAL FINAL BUILDING L AV i � may Mfl - i DATE CLOSED OUT ASSOCIATION PLAN Soo NO-, �- -,. 'YF = �. cu i 4 zill CD CD St L � a� . d° cl ° C,�SGA ° o CV r5 CvD (76 G B- CB 9 v Y+ f� CS �rT ..H •V �551///V��,'``r 1[J � •� � .. �. -� �• ! [ (/%_per_ O it ID I CD IVD 91 � � � - 5 " The Town of Barnstable t�►srvsrnst� rbs�. Regulatory Services `e$ QED"AO�' Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508462-4038 Fax: 508-790-62=0 HOMEOWNER LICENSE EXEMPTION I Please Print DATE: JtV JOB LOCATION: 2-69 M N CST number street village "HOMEOWNER": • name home hone# �` �(� �`T p work phone# �• CURREYT MAILING ADDRESS: rr`�"'" MAW ° W �l VV a" b-Y..i / V .4� 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 De artment minimum inspection procedures and requirements and that he/she will comply with said p c dares requ' men Si tune of omeowner 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 perforating 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 art: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:EYE.MFM PLUM CHAMBER * v (NOT 70 SCALE) -------�� ` 7:5' 3� / 15 6 29 e� NNN \, / !� \ 88 EXISTING EXISTING GUY WELL HOUSE 25 TF = 29.34' SLAB- YiALKOUT ELEV=22.02' 2 DIP STONElvE .-D� DECKS S T OL ? J � 50 8 AK J 20 2' _ rOP rrx ® -- g" K 2 . , - -- --� -- cA_ � I i i LO i 1 18,200 SFf ,RK: USE TOP OF ION AT EL. 29.3' t 29.00' LOT 2 8 DECKS If located in OKH or Hyannis Historic District'- Certificate of Appropriateness is needed Map/parcel number ok� Sign-offs from: -d Health V t5zz�r Conservation Tax Collector Treasurer Owner's name & address Deck Dimensions . Estimated Cost Complete dwelling information for the Assessor's dept. Applicant's telephone number Signature - —� Plot PI . O C Two sets of plans wit_cross se ion_ Workman's Comp. form AHome Improvement Contractor's Affidavit ❑ Construction Super's License AND Home Improvement Specialist's License OR Homeowner's License Exemption form. ❑ Check expiration date on license(s) Fee q-forms:permits 1 rev.08/30/00 �pf THE Tp� o The Town of Barnstable i Regulatory Services 9`^ MAS& Thomas F. Geiler,Director 1639. p�0 Building Division ED MAC Elbert Ulshoeffer,Building Commissioner 367 Main Street, Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Check One: []Shed ZDeck ❑Pool FOR ALL APPLICATIONS: Determine map and parcel number and enter it on application. (This information maybe obtained from the Engineering or Building Dept.) ❑Completed Building Permit Application Approval/sign-off from: G�Historic District Commission ®.Old King's Highway Historic District (North of Route 6) ❑Hyannis Main St. Waterfront Historic District (see map for boundaries) ❑Historic Preservation (if applicable) cealth Department (3rd fl. Town Hall - 8:30-9:30 & 1:00-2:00 pm) onservation Commission (4th fl. Town Hall 8:30-9:30 & 1:00-2:00pm) ®Tax Collector (1st floor-Town Hall) Treasurer(3rd floor- School Administration Building) ❑Homeowner License Exemption Form(if homeowner is acting as general contractor/builder for project) or Copy of Construction Supervisor's License must be submitted(except for in-ground pools) ❑Worker's Compensation Insurance Affidavit must be submitted. ❑Home Improvement Contractor Affidavit must be submitted(residential only). ❑Copy of Home Improvement Contractor's License(residential only if applicable) ❑Permit fee. SHEDS/DECKS : ❑Plot Plan or mortgage survey required to verify zoning compliance. Placement of proposed structure must be sketched in and the distance from property lines indicated. The location of the septic system should also be shown. ❑Two (2) sets of plans (8 1/2" x 11" or 8 1/2 x 14) showing cross section and framing schedule. ❑Prefab sheds require factory brochures & specifications. ❑Prefab sheds require a copy of the Home Improvement Specialist's License unless the homeowner is applying for the permit in their own name. POOLS(250 sq. ft.and over or 2' deep or deeper require a building permit) ❑Plot Plan or mortgage survey showing the proposed location of pool and the distance from property lines. Plans must also show location of backwash pits if applicable. ❑Basic construction drawings indicating materials to be used or factory brochures and specifications are required. Notes: Residential pools require a minimum 4' high, non-climbable fence with a self-closing/self-latching gate. Home Improvement Contractor Affidavit must be submitted for an in-ground pool. No license if needed for an above-ground pool. q:forms:permapp2 �. : . °= The Town of Barnstable / snatvsrxEHM • Regulatory Services Eo +' Thomas F. Geiler, Director. Building Division Elbert Ulshoeffer, 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 not more than four dwelling units or to structures which are adjacent to such residence or buil6ig be done by registered contractors,with certain exceptions,along with other requirements. Type of Work:•.42LbU -n4F- (vMvil DEL t Estimated Cost Address of Work: 2-5) /1 NM Sr-,, "y' &y�J�InM; aZaj Owner's Name: HyAWLLg Date of Application: 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 wner 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. 4 Date Contractor Name Registration No. 140 OR Date O ner's Name g1orms Affidav �/ IV!MIMI MOO 1�'�i�//i 1.�/r�:.e.sa s.sa. %.•.:.:.:/%:%s•`i%i sssi;� • 11 1•11 �. • 1 - •�1 • 11 1 '1 11 ' ■ 11 1 � ./ . . . . / 1 • • ., .. 11111 -Y.1• . 1 . 11 .11111 . •. ... 1 . 1 1 .. 1 11 , 1 11 1 1 ' 1 1 1 1 1 ■ 11 • 1 •• • 1 11 • 1 • 1111 �1I 1. 1 1 �• 1 - .11 . • �• 1 • •'1• 1 . •1 11 1 : 1 1 11 I 111 1 1 1 1 1 1 1 1 1 1 JI H go VIV T rIT 17.7II 11 I 1 • • • 1 :A' • h 1 . A , w► / .............. offlei-I use only do not write in this area to be completed by city or town offirfal [3Bu0dfng Department OLIcensing Board Department contact person: • :... .......... .n.u�>:n•\.\n4:::�:w::::::•\v.r.>v.v::::::::nK->%\:>�\\a\:H:6i>::>._.vn-::`--:.:v w:.:v:::.v:.:�:.•:•::-�:>.v::>:::i:.v::•.�:!......:........%>.:.:...:.\v%n...is Kti�ii%�l�%�::�i i>:J\\:.\•.:\�. .L Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As qua from the "law",an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged is 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,neitberthe commonwealth nor any of its political subdivisions shall eater into any contract for the performance of public work until acceptable evidence of compliance with the insurance requires of this chapter have been presented to the contracting authority. >....�piicants r llease fill in the workers'compensation affidavit completely,by checking the box that applies to your situation and pplying address and phone members along with a certificate of insurance as all affidavits may be ,u6itted to the Department of Industrial Accidents for canfirn>ation of insurance coverage. Also be sure to sign and late the affidavit The affidavit should be returned to the city or town that the application for the pemiit or license is =9 requested,not Department of Industrial Accidents. Should you have any questions regarding the`law"or if you :re required to obtain a workers' compensation policy,please call the Department at the number listed below. -ity or To lease be sure that the affidavit is complft"and printed legibly. The Department has provided a space at the bottom of the ffidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please e sure to fill in the pc d/liccnse mrmbac which wM be used as a refircnee'mimber. The affidavits may be ru tmaed'to ie Department by mail or FAX unless other arrangements have been made. ne office of Investigations would like to thank you in advance for you cooperation and should you have any questions. :ease do not hesitate to give us a call. ne Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents OMCO of ImresugaHons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727--7749 nhnnP#- 16171 727-d9i10 PT+ tinge Ana mv. Z7c EST/MATED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= (above'average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X.$25/sq. foot= PORCH square feet.X$20/sq. foot DECK 2 square feet X$15/sq. foot= g OTHER square feet X$??/sq. foot= Total Estimated Project Value o� %3 y-- a/-? Assessor's office(1st Floor):. Assessor's ma and lot num a `�' r � J /S � i THE 1 P oT A.�., is "0 G 1. Conservation(4th Floor): a w� Board of Health(3rd floor): WITH THE 5 [�� r 1i ssas�ra�c� Sewage Permit number ' -,'Z� -� � F7�Q9VIROEH�G©cMMAL CODE AM rua R3 a wYI6 C k ► rn �O 0639. Engineering Departme t(3 ?or); , ►�ri `�'O�; f� E'' ;�; N� �� 3 '>t0 V ►` House number "N = � G► -v t , � + Definitive Plan Approved by Planning Board ' 19 APPLICATIONS PROCESSED 8:30, 9:30 A.AA>and 1�00-2:60 P.M.only TOWN + OF BARNSTABLE BUILDING INSPECTOR APPLICATIONiFOR PERMIT TO , �Ui LD A- DO/�j✓f-�/� TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use Zoning District Fire District Name of Owner -T4AIUAI 6"' 6'5 ✓A'mdAj Address 02 J'7 Name of Builder 2eq Address 2 �y�Lr.� �i✓, 73/1,<< /.5rOA Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors C4f.,E1 Interior Heating �� Plumbing aQ _ Fireplace — Approximate Cost o �6 Area %— T . Diagram of Lot and Building with Dimensions Fee 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 Construction SY Ypervisor's License DAMON, JOANNE & JAMES i �7 �•6�fr54--- BUILD DORMER No - Permit For Single Family Dwelling Location - 259 Rte 6A, Main Street W:,:Barnstable ` Owner, Joanne & James Damon Type of Construction Frame Plot Lot April 26 ,', ' 19 94 Permit Granted _, • Date of Inspection: Frame � °� 19 Insulation l 19 Fireplace = 19 Date Completed 19 ' 1 w 0 � 3 r I COMMONWEALTH DEPARTMENT OF PUBLIC SAFE -TY - 7 I 1010 COMMONWEALTH AVE. 3®� 19 OF 'BOSTON MA 02215 MASSACHUSETTS I CLp,I-;E CAUTION I_i iN:;l-R, :=;1 IF E R V I:_:i iR FOR PROTECTION AGAINST EXPIRATION DATE LIC-NO. THEFT,PUT RIGHT THUMB -'EFFECTIVE DATE PRINT IN APPROPRIATE ` _ o BOX ON LICENSE. 101 ; RESTRICTIONS e� 1� tit�t- 04t-.4 �� 6 _ NONE F Z BLAS�'ING OPERATORS G GI Er!'�ARLI `-TAFFOREI MUST INCLUDE PHOTO. zi LN BREw_ I-ER MA (.) 631 NOV PHOTO(BLASTING OPR ON Ln FEE: 1 1,)0 a 1 NOT VALID UNTIL SIGNED BY LICENSEE ANDIS O ENENERRY 1 STAMPED-OR-SIGNATURE OF THE COM `P.—S. HEIGHT: RE OF LICENSEE THIS DOCUMENT MUST BE I CARRIEDON THE PERSON OF aI COMMISSIONER THE HOLDER WHEN.EN- GAGEDINTHISOCCUPATION. OTHERS-RIGHT THUMB PRINT �,�.•,...MYM.._¢ J ✓ire�o•.nnon�aeallJi�</uaooac>/ivaeCla HOME :MPRCVEMENT CONTRACTOR Registration 110190 Type - DBA Expiration 10/09/94 ASSURANCE CONST CO EDWARD T. STAFFORD ADMINISTRATOR 94 SUSAN LN BREWSTER MA 02631 :+H:.•t a YNID 600 �O GERS'COlvi?' 3�LSA3'IOTI DgSURANICF-�-M"ZT -- %cnrh s prinapal plxcofbusiacm(jt da mm • do bcrcb Y fj:undcrchcpuinssadpcnzlc morperjuix.dm: j() ] sm 2n cmploYcr proviairg ncc follow;ns�„,orkcss'compcns�rion covcn�formycm to .�. ob_ P Y� norl;irZ on tic lnsur2ncc Comp.ny �'ol;cy l�lumbcr `' sole proprictor=nd h2rc nooncvoorkins for me conm ric :k,=-C rnp= or or homcowncr(c;rdc onc)=nd h=vc h;rcd nc�concr2czo Iircd `��o h�.�c tf�c follow;ao.�ro:kc_'cnmpc aoa inszuancc politics: - bclo•,. 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S��ncG tJ;�• " 62yof_ 19 q4- cc <JFcrr:, �' L'ccn_or/Pcrniao; is - • Application to PNEG�'�E 1N �PNS+PYN`S-P�`�` ��. . ♦ C PEi�NPr E[Y ��`N�► Old Kinis Highway Regional Historic District Committee 37V in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973. for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other rR�M�(1 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 �'Zy �� ADDRESS OF PROPOSED WORK ASSESSORS MAP NO. OWNER�tgS - ASSESSORS LOT NO. — HOME ADDRESS C2:� 97V 6•�, LJ �� / TEL. NO. 36a 9 ,� FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). AGENT OR CONTRACTOR -5 Zzl-%E 7 TEL. NO. 99 G ADDRESS 1� Sd SA- //J • �W� - 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). Signed caner-Con tractor-Agen t Space below line for Committee use. Received by H.D.C. Date a ertificate i hereby (M4- Date Time By C�) Approved ( IMPORTANT: If Certificate is approved,approval Is subject to the 10 day appeal period provided in the Act. Disapproved' 171 Tito bat 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 BIL!_BOARDS: An application,:'is-required "or-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. 'V OLD KING'S HIGHWAY HISTORIC DISTRICT SPEC SHEET FOUNDATION SIDING TYPE bS_:h'10 S COLOR 11,f1, t_k CHIMNEY TYPE. COLOR s. ... _-ROOF -MATERIAL 'j,3,(cp �S�}. COLOR PITCH WINDOW 7A-N()6(S,)rJ SIZEd,,\/ TRIM COLOR '�V(L3€_b DOORS �_-�-� COLOR SHUTTERS GUTTERS DECK GARAGE DOORS COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan, landscape plan and elevation plans, when �. D applicable. Plot plan need not be "Certified" , OVE D but should show all structures on the lot to scale. SPECSHT I 7 Ail{) CC a r' AS Ii scn�E: - I-:) APPROVED BY I)PAa N BY DATE: j� -Loy '(4 G _1 L tr i.i s-fA/6- I-fo I • f � I �. Driving directions to 259 PRPOSED HOUSE Main St, West Barnstable, MA (� o FRONT ELEVATION LEGEND _ 02668 � FROM BARNSTABLE TOWN CL cn Z Z ! XISTING CONTOUR HALL LL1 W > ( .la_--- 376 Main StBarnstable cn m I - }- PROPOSED CONTOUR Town, MA 02601 EXISTING HOUSE Q 1, Head southwest on Main ` Z Of a .,� EXG. TREE/SHRUB LINE St toward Pearl St �� ,J N ABANDONED CRANBERRY BOG o a 70.2 1XISTING SPOT ELEVATION 0.1 mi �P Q a 40 °" X - 2. Take the 1st right onto = PROPOSED SPOT ELEVATION Winter St 0.7 mi ~ o pg -Gf {�} - - A-12 RESOUCE AREA 3. Turn left onto Barnstable V of o 3Q BOUNDARY FLAG Rd 0 -i a -- -- PROPOSED SILTATION CONTROL 0.2 mi = v1 20 - -v- SINGLE POST S/GN 4. At the traffic circle, take Q N the 2nd exit onto MA-132 Q N W MB -EXIST l Q MAILBOX N/lyannough Rd 10 �� UTILTY POLE Continue to follow MA-132 N e+ Z C- GUY WIRE 3.8 mi 5. Turn left onto Main St LOCATION MAP - BARNSTABLE GIS 0 0 20 40 60 80 100 120 140 1Destination will be on the 9 10aD . 2000 . 30a0 400q FT NOTE: left Tom STE EXCAVATION SITE SECTION SITE FEATURES AND DATA SHOWN IN ft,//c Text 3.2 mi DESTINATION� ARE EXISTING CONDITIONS. PLAIN TEXT LABELS D 259 Main Stalest Barnstable, CONSTRUCT NEW RETAINING WALL, It°'X r X 3.WOW PS Poss T 1"=20'H/V FEATURES PROPOSED CONDITIONS AND SITE MA 02668 STAIRWAY AND WALKWAY VC:OW:A:C=FW rani Edge of Pavement Berm _ FLOOD ZONE G_ SEE COMMUNITY-PANEL NUMBER 25001 0011 D U PLAN VIEWMAP REVISED JULY 2, 1992 NTS CIO AWVL MAIGNG CERTAIN THPOSITION Om POSTS To AT FFAABRIO FOLDS 'I U \AS SHOWN \\ \` \ AROUND EAN POST AT MAST CK TURN -OUTLINE OF PROPOSED ✓ mTOPS n°TS Y� SITE DATA: HOUSE AND DECKS ��. �1g.42� E, PREVENT FLOW-THROUGH OF BUILT-UP sEDLMtz+T AT aon+r. OWNER: HAWLEY,JAMES E. JR. ly 81.3400'� E /• , �. 1 oh, O HOTS ADDRESS: 259 MAIN STREET, RT 6A N ..�--"�"' 3 i / q - T � � � 23.760� � t. EXCAVATE A E�x 6'TLtETLCFL AL.ONO SAECL m SILT nDM UNE IMMEDIATELY AFTER WES CLEARIK AM CRUB M IS COMPLETE AID TISTALL SLT FENCE. 2 UNROLL.SILT FENCE ONE SECTION AT A Tom.POSTS SHOULD BE POSITIONED ON BARNSTABLE, MA. 02668 Uy i �� / / :.►,�,. � r.-- r��-/ / � i� � a D°OWIMREAM SIX OF F INTO D RM LAY THE TOE—tN FABRIC N BOTTOM or TRENCH. ASSESSOR MAP/PARCEL: 134/013 BAWILL TMCH.M TAMP GROUND AS 940"1N INAC Q ABOVE �.A 4, T411OVE SLT AND L>MS BEFORE CNE FOOT ACCUMULATION OCCURS AT THE DEED REFERENCE: DBO12595-00074 �- s UAAM uP�T MM"OOUBLE STMM HAY"LtS I=TI=DO TO DID PLAN REFERENCE: B169PO29 LOT 1 � � � �•�` �p j 1 35/p594o �YeN'� � STATE HIGHWAY L0381 /��t('k ,, youSe :� �Cn ABUTTERS FROM CURRENT ONLINE I`� A-. �' / �'xisf/n9 tion SILT FENCE INSTALLATION ASSESSORS DATABASE � N� '0 7- " ooS l•;oo �ovnd� � Lo�>vn'I `-� - ��t � 6 M a - o" LOT SIZE: 18,200fSF 3 k� / �� r.t�! :.� 29 22.g] ` l / Sir{°ce �� X a2.53 p SITE WORK GENERAL NOTES ZONING DISTRICT: 1. THE BUILDING CONTRACTOR SHALL BE RESPONSIBLE TO ASSURE THAT SOILS, 3 / � .• J. pG VEGETATION AND CONSTRUCTION DEBRIS FROM THE PROJECT ARE CONFINED TO THE RF-1 FRON SIDE REAR 0 PROJECT SITE. ALL. LAND CLEARING DEBRIS SHALL BE REMOVED FROM THE SITE. USE , ", , ONLY CLEAN SAND OR SAND AND GRAVEL FOR FILL MATERIALS. THE EXISTING BITUMINOUS 30 15 15 CONCRETE DRIVEWAY SHALL BE USED FOR SITE ACCESS. THE DRIVEWAY SHALL BE f0 / p O LoWn MAINTAINED OR REPAIRED AS REQUIRED TO ASSURE EFFECTIVE EROSION CONTROL AND TO ST LIMN Forsyfhiv N. ra .r PREVENT TRACKING OF SOILS ONTO EXISTING STREETS. PERMANENT SURFACES INCLUDING �, PAVEMENT, THE AREA OF BARE SOILS EXPOSED AT ANY ONE TIME BY CONSTRUCTION OPERATIONS SHALL BE HELD TO A MINIMUM. TEMPORARY WASTE AREAS FOR EXCAVATED I: t (�3� WORK r / o �, MATERIAL SHALL BE CONSTRUCTED BY SELECTIVE PLACEMENT Tn ELIMINATE SILTS OR REMOVE EXISTING HOUSE AND W �� / �/ `_ ) 21.62 CLAYS ON THE SURFACE THAT WILL ERODE AND CONTAMINATE ADJACENT WETLAND AREAS. FOUNDATION AND CONSTRUCT THE CONTRACTOR SHALL REMOVE ALL EXCESS EXCAVATED MATERIALS FROM THE SITE AND NEW CONCRETE FOUNDATION AND 20-`_ --- ` ---' 1 .--� y -- — ° Cy- DISPOSE OF IN AN APPROVED LOCATION IN ACCORDANCE WITH LOCAL AND STATE HOUSE REGULATIONS. LAWN AND LANDSCAPED AREAS SHALL BE PROTECTED BY PROPER GRADING, 15� .- �. r 103 MULCHING OR OTHER CONSTRUCTION AS MAY BE REQUIRED UNTIL STABILIZATION OF THE SITE IS ACHIEVED. ��, -'' 1041 Edge of Borders F— 0 O w 2 HAY BALES AND SILT FENCE SHALL 8E INSTALLED AND MAINTAINED AT THE LOCATIONS / / egetofed lyet/an \ \ U a U z w SHOWN ON THIS PLAN. THE CONTRACTOR SHALL MAKE ALL NOTIFICATIONS AND CARRY INSTALL AND MAINTAIN STAKED HAY 10 ,.'' S,o/it Rol/ Fence �\` �� ` r a N OUT ALL MEASURES TO PROTECT ADJACENT WETLAND AND PROPERTY AS MAY BE REQUIRED BY THIS PLAN, SITE CONDITIONS DEVELOPING DURING CONSTRUCTION, AND BALES AND SILT FENCE FOR SILTATION / �-�-' y\ �` 2G? 5 °' z N I PROVISIONS OF THE ORDER OF CONDITIONS ISSUED FOR THIS PROJECT BY THE t06 �- — ` ?p Q in < }. o BARNSTABLE CONSERVATION COMMISSION. CONTROL DURING CONSTRUCTION AND +l UNTIL SITE RESTORATION IS COMPLETE B 1�6, \� '' o 3 3. REVEGETATION OF DISTURBED PORTIONS OF THE SITE SHALL BE CARRIED OUT IN Z ( , B 'o' �' ACCORDANCE WITH THE APPROVED LANDSCAPE PLAN AND PROVISIONS OF THE ORDER OF 1 ( ; X 13T X �` �� O j EO CONDITIONS ISSUED FOR THIS PROJECT BY THE BARNSTABLE CONSERVATION COMMISSION. .� ,ffCGDIiERN, 0 0 4. DRY-WELLS AND OTHER LEACHING DRAINAGE STRUCTURES SHALL BE PROTECTED FROM JA�IIES J W l \ RECEIVING SOILS AND DEBRIS CARRIED BY SITE RUNOFF UNTIL COMPLETE STABILIZATION �6 I' ` `� \� �(HOF�usS t-- m OF THE SITE HAS BEEN ACHIEVED. SILTATION BARRIERS SHALL BE HAY BALES AND BENCHMARK FROM 107 �= I ''- DAVID q° W F-- FILTER FABRIC PLACED IN DRAINAGE INLETS. DRY-WELLS FOR ROOF DRAINAGE SHALL BE „ I SEALED FROM RECEIVING RUNOFF UNTIL CONNECTED TO THE ROOF DRAINAGE SYSTEM. SITE AND SEWAGE PLAN o G. cn cn W L,.j' 5. ALL CONSTRUCTION ON THIS SITE SHALL CONFORM TO THE ORDER OF CONDITIONS TO DOWN CAPE ENGINEERING 7/10/99 �� r __. - -' ~ r! 13.9 X\14 �0- u No.s40 v z = Q BE ISSUED BY THE TOWN OF BARNSTABLE CONSERVATION COMMISSION UNDER CHAPTER 131 TOP' OF EXISTING FOUNDATION 29.3' ,, 1.35 -- V >- '- SECTION 30 MGL AND LOCAL WETLAND PROTECTION BY-LAWS. THE CONTRACTOR SHALL MAKE ALL NOTIFICATIONS REQUIRED BY SAID ORDER AND SHAH DATUM IS NGVD 2 �--- "" �, o kt3 z (n -' z PROVIDE, INSTALL AND MAINTAIN ALL TEMPORARY CONSTRUCTION AND EROSION CONTROL a0� Nv� U!, � W MH_FND �� W < ? m MEASURES IN COMPLIANCE THEREWITH. •0 82.24!30 CTR BACK o 6. ALL AREAS DISTURBED BY CONSTRUCTION ACTIVITIES AND NOT OCCUPIED BY PROPOSED SEPTIC SYSTEif! comooNENT LOCATION U= S '� �- Z w v) I- BUILDINGS OR PAVEMENTS SHALL BE RE-VEGETATED AS SOON AS POSSIBLE AFTER /S APPROX/�tIATE Fh'O�lf TOtiN OF No= 12g•p0 �`O M Q Q Q CONSTRUCTION IS COMPLETE IN ACCORDANCE WITH THE APPROVED LANDSCAPE PLAN OR AS EXISTED PRIOR TO CONSTRUCTION. NEW PLANTINGS AND VEGETATION SHALL BE BARNSTABLE HEAL TH DEPAR7YENT MAINTAINED UNTIL STABILIZATION OF THE SITE IS ACHIEVED. RECORDS z z W W TERKELSEN, SCOTT/ I � � 7. THE CONTRACTOR IS SPECIFICALLY CAUTIONED THAT THE LOCATION AND/OR ELEVATION ST= SEPTIC TANK SITE PLAN ° -i < o W OF EXISTING UTILITIES AND STRUCTURES AS SHOWN ON THESE PLANS ARE BASED ON 0,0 = 01JYP CHAYff-t? v' a 0) m � RECORDS OF VARIOUS UTILITY COMPANIES, AND WHEREVER POSSIBLE, MEASUREMENTS DL5' = O/STh'/Bl/7TON BDX �� IW— Lo V) TAKEN IN THE FIELD. THIS INFORMATION IS NOT TO BE RELIED UPON AS BEING EXACT OR 2p 0 10 20 40 so COMPLETE THE LOCATION OF ALL UNDERGROUND UTILITIES AND STRUCTURES SHALL BE SAS = SOIL ABSORPTION SYS7FY �� "' (� 0 z VERIFIED IN THE FIELD BY THE CONTRACTOR PRIOR TO THE START OF CONSTRUCTION. W Q THE CONTRACTOR MUST CONTACT THE APPROPRIATE UTILJTY COMPANY, ANY GOVERNING PERMITTING AUTHORITY IN THE TOWN OF BARNSTABLE AND 'DIGSAFE' (1-800-344-7233) IN FEET ) MH_FND �o� AT LEAST 72 HOURS PRIOR TO ANY EXCAVATION WORK AND SHALL REPORT ANY 1 inch = 20 ft. CTR BACK DISCREPANCIES TO THE ENGINEER IMMEDIATELY, THE ENGINEER ASSUMES NO WETLAND L)ELINEATIDN B'Y 11ACCARO N RESPONSIBILITY FOR DAMAGES INCURRED A S A RESULT OF UTILITIES OMITTED, INCOMPLETELY OR INACCURATELY SHOWN. THE CONTRACTOR SHALL BE RESPONSIBLE FOR CONSUL TINO J117/11 MAINTAINING AND EXISTING RECORDS OF FOUND LOCDURATION CONSTRUCTIONNDELEVATION FOR THE ALL PREPARATION LOCATED BY SURVEY 3/18/1I REBAR/PLASTIC CAP ELEV = 22.9 1 1 -006 - - - 110720 — HISTORIC DISTRICT APPLICATION PLAN