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HomeMy WebLinkAbout0192 MEADOW LANE.9 I i ;I ;7 l t cx� pI o a ,� a �. �. C {�� a ,� u V b {p A n � � 4; U � s � 6 ��,. u ��' .. �33 ,� �'7 0 0 h 'y`d V �' U A J fintly a u U 0 � y TOWN OF BRNSTABLE BUILDING PERMIT APPLICATION Map — Parcel CbS- y Permit# ' s 1 a-9-D Health Division Date Issued g-1, Conservation Divi$ion IOIZ42 aA IL ,,I e Fee Tax Collector Treasur t / SEPTIC SYSTEM MUST RE INSTALLED IN COMPLIANCE Planning Dept. - WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE ANDTOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address Nz- mccldvb.2 160 Xi 6?f 6S& q �- Village 0, &-r_ws4�e, Owner fi )n1 Address JeI1 A4,DJ 0). Telephone Permit Request 1)e nn 0 l r e i=R e v i ld Kt 7-0-9&1J Square feet: 1st floor: existing proposed S 0 2nd floor: existing proposed Total new Valuation '551 6L�'oZoning District Flood Plain Groundwater Overlay Construction Type NJC-LJ Lot Size 3• uL.C'S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. >` Dwelling Type: Single Family . Two Family ❑ Multi-Family(#units) Age of Existing Structure �' 1A, g Highway: Historic House: ❑Yes C�No On Old Kin 's Hi hwa Yes &No Basement Type Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 5%f Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new _ Total Room Count(not including baths): existing new First Floor Room Count ►_ Heat Type and Fuel: ❑Gas iOil ❑ Electric ❑Other �/ 70/3Z/Grrcp Central Air: ❑Yes ® No Fireplaces: Existing CA+.� k if/a'�Vew Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Au thorization ❑ Appeal# Recorded❑ Commercial ❑Yes o If yes, site plan review# Current Use i\AT lki� vs Proposed Use co 023(- S BUILDER INFORMATION Name Telephone Number D.�1�7 Address Box 01,07�1- D•e,,vNkr MA- oa d 3cP- License# a- (04*%,yo �4orzi a�v� fi�ii �1 [J'- as b a? PQ Home Improvement Contractor# 13 Z Z Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 40C J_) ,' �s r SIGNATURE DATE 2 FOR OFFICIAL USE ONLY y PERMIT NO. DATE ISSUED , MAP/PARCEL NO. ADDRESS VILLAGE OWNER : DATE OF INSPECTION- FOUNDATION Y FRAME 2 INSULATION FIREPLACE ff ELECTRICAL: ROUGI,,) "' R _ FINAL PLUMBING: ROUGH> FINAL GAS: ROUGH -t FINAL FINAL BUILDING � DATE CLOSED OUT ASSOCIATION PLAN NO. s L N N W y O W OO O W W W O Gr -.0 In .• � W •• O� .p G 0 ' �_ O.' .�.�p{ail.'••::Id .M-v f O.00 V•. N.ja�[y;'. fFv%`t N Application to 2 o O O 23 • . • Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS IFoua Application is hereby made, 4idp piiesta, 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: N cn CHECK CATEGORIESTHAT APPLY: 1. Exterior Building Construction: New Building ❑ Addition ❑ Alteration Indicate type of building: ❑ H u ❑ Garage ❑ Commercials ❑ Other 2 Exterior Painting: ❑ 31 Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read othdr side.for explanation and requirements). TYPE OR PRINT LEGIBLY DATE �� Z�'i ADDRESS OF PROPOSED WORK' ASSESSORS MAP NO. is OWNER " j�`'��-' ice= ��Yl�'� �f ASSESSORS LOT NO. HOME ADDRESS �TQe��„4>� by J�,tkOr/ 00-b0TEL NO.18" FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). 37�--03" AG ENT OR CONTRACTOR TEL NO. ADDRESS �l�h ���,1r f NYS (✓►* DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done 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). Aa- 1 Signed ��/4� , Owner-Contractor-Agent Space below line for Committee use. Orb � �� (�1 t_),11 ��-,14#f Received by H.D.C.-- 0, �I'TTT Date _ The Ce 'cate is hereby �l�<'`� Date i f f1 p NOV 2 1 20M Time p B TJVVS-4 OF SARA:STA,11 p (...�.V Approved ❑ IMPORTAN If Certificate is approved,approval is subject to the 10 day appeal period Drovided in the Act. .t Town of Barnstable — Old King's Highway Historic District Committee ! SPEC SHEETnFOUNDATION &41 Cr Q-J c t7(—IO t l 3,v a u3 Ps /r! c'✓ SIDING TYPE. V"�l �'� Ce D f. COLOR &^ In Ad ane. Sej J lI /e rNJjA Cg#9tL s��„Jc �j— cHIMNEY TYPE W000 MAft COLOR /CBS (A06A, tA(r+— ROOF MATERIAL �Q t410�j}-&W 140 0.0 COLOR (/V t i'1 �71 d (�Q f� PITCH 01 41 ianDeue". /'etzmoipfiecp 1W W6 J$v ZV116 _ TW 3o�iG WINDOWS 1W.1+16 7w o?4/3L COLOR Wh;4e- SIZE ?-ki �Y3z- TRIM COLOR DOORS SZbZ— 61006 COLORS f�221 gee OI SHUTTERS / d COLORS GUTTERS 6Vh ijt ► tUM In 11M COLORS &h re— DECKS " MATERIALS GARAGE DOORS ,7 COLORS SKYLIGHTS SIZE COLORS ������� SIGNS COLORS FENCE COLOR 'w �. NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies, of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Application to ' 2000 , 232 Old Kings Higimy Regional Historic District Committees E . ._ in the Town of Barnstable for a 2— .„ CERTIFICATE FOR DEMOLITION OR REMOVAL Application is hereby made, in triplicate, for the issuance of a Permit for Demolition or Removal of a building or a structure or part thereof, 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. n TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK 1 l�L NeAD OW ASSESSORS MAP NO.15? OWNER r �'r ASSESSORS LOT NO. HOME ADDRESS �Ob TEL NO. NAMES AND ADDRESSES OF ABUTTING OWNERS: Include names of adjacent property owners across any public street or way. (Attach additional sheet, if necessary). Ste,C A-T7-i i e,(� AGENT OR CONTRACTOR _C 't����p( 9A0-11-1 TEL NO. ADDRESS _A /,)Ua /I;a D�Ntr 179+ 0a4 3�,- DESCRIPTION OF PROPOSED WORK: If building is to be removed, give new location. Snapshots showing all views of building must accompany application. (Attach additional sheet, if necessary . a� ' >�s f�� n x SPA e 9,L)644D4 17L Note: If approval is granted for relocation, a separate Certificate of Appropriateness is required for new location if within the Old King's Highway Regional Historic District. SIGNED r Space below line for Committee use. E �I t C��� Owner-Contractor•Apont nn i ! � U %UI �W Received by H.D.C. The Certif' ate is herek �``�� Date 2 ��r Date ,�� '� ��.'�. To meA z 1 N0� 2 l Approved' �.,0; "'" IMPORTANT: If Certificate is app ved, approval s subject to the 10 day appeal period b" provided in the Act. Disapproved ❑ ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS The four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a separate form). 1. EXTERIOR BUILDING CONSTRUCTION (new or.existing buildings): An application is required for any exterior of a building to be erected or altered including windows, doors, siding, roof, light etc., that will be visible from any public street, way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition — show existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground. 2 EXTERIOR PAINTING: An application is required for any portion of a building, structure or sign to be painted that is visible from a public street, way or public place. Color samples must be attached to these applications. An application is not required when repainting existing colors, changing to white, or using colors approved by the Town Historic District Committee. 3. SIGNS OR BILLBOARDS: An application is required for any sign or billboard to be erected within the District,"with the; following exceptions: a. Existing signs or billboards on November 27, 1974 shall have until November 27, 1977 to secure an approved Certificate of Appropriateness. b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they are removed within three days of the event. Certain other temporary signs that the Committee feels does not detract from the Act may be allowed with the prior permission of the Committee. c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental`of the premises on which they are erected or displayed. d. A single sign of not more than 1 square foot in area showing the name, occupation or address of the occupant of the premises on which they are erected or displayed in a residential zone. 4. STRUCTURE: An application is required to build or alter any structure within the District which is defined by the Act as a combination of materials other than a building, sign or billboard, but including stone walls, flagpoles, hedges, gates, fences, etc. GENERAL REQUIREMENTS 5. Work on projects requiring approval shall not be started until the Certificate of Appropriateness has been filed with the Town Clerk by the Committee. Approval is subject to the 10 day appeal period provided in the Act. 6. No changes shall be made from the original approved specifications without advance approval of the Commission on an amended application filed with the Committee. 7. A separate application must be filed with each project requiring a Certificate of Appropriateness. S. 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. ;fib 6T, .pa„r�mo�uuea c o�./�aasac/auar!!a BOARD OF BUILDING REGULATIONS Ucense: CONSTRUCTION SUPERVISOR Number. CS 076230 N BlMdate: 09/,10952 Expims• 122003 T.no: 76230 a Restricted To: 00 ADRIAN E SMITHS BOX 2072 E DENNIS, MA 02638 Administrator (C` ✓/ee i�oavrna�w.eall�a�./uaaaac/uwe!!a � . HOME IMPROVEMENT CONTRACTOR 4 Maw—um t Registration: 132299 u . Expiration: 12/27/2002 Type: OBA CENTURY HOMES DgIEN SMITH 02 RTC. 134 ADMINISTRATOR E. DENNISI MA 02641 I n Energy Delivery 201 Riv 201 Rivermoor Street Energy Delivery west Roxbury,Massachusetts 02132 Tel 617 723-5512 January 10, 2001 Mr. Adrian Smith re: 192,Meadow Lane, W. Barnstable (rear building) To Whom It May Concern, This letter is to confirm that there are no underground natural gas facilities to the above referenced property. This was confirmed by our representative on January 10,2001. I can be reached directly at 508-760-7503 should there be any further questions. Sincerely, Sally Sincl it Distribution Department rSTAR SERVICES CO. The NSTAR Companies Boston Edison 2421 Cranberry Highway Com Electric Wareham,Massachusetts 02571 Com Gas Cambridge Electric January 10, 2001 Building Inspector Town Hall Barnstable, Ma 02601 RE: 192 Meadow Ln W. Barnstable i Dear Sir/Madame: Please be advised that the shack located at this address is without electrical services, per our Engineering Department. Sincerely, MARGO BELLAMY Customer Services Representative. cc: Jeffries Wyman The Commonwealth of Massachusetts Department of Lidustrial Accidents MCC 811fiYesaffaffelffs _ - 600 Washington Street Boston,Mass. 02111 %%%%%�% %%% ration Insurance Affidavit name '1 E ,1 W I m location: city W► 1�A n�TY��k 6— phone# 0 7 36 Z- ❑ I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one worki>z in I am an employer providing workers' compensation for my employees.working on this job. � a nm Brea :.: :,,..:.:.,:::.:::::::::::.:.::.: sine: .:.:::::::.:.:....:..:::.:,:. .alit a 1n3uan u I.am a sole proprietor,jeneral contractor)or homeowner(circle one)and have hired the contactors listed below who the following workers'cxm>pensation polices: <::: ::: WMID ttV name 'f .... ..........:........................::.:.......................................::::•:. ..:. ............ ....... ..W.........::.::..::..:.i................ .. : .. ... v:. ...................................::.: ��:.v::::::.....::::.......................:::::•:::_:�:i::::alai:•:ii:):i)iii: v:::;::.........:......,.-... 4yp�)+-):?:.gin;;:::.})' ................. ...............:...........................::::::v..... ..:..................................................................... w:::.�:4::nw..::: .; ..: ::.$i'{i:{;L:•)"•ip;:ji;�:fiii.-via: •:X•:r:>'::: . :. ??•i:•):�:>.:::.;•r:.. .,.?r:•::.:.;;.;.;.:-• :.-..•.•:::;�:.>:•::;:•.->::.;•.. f•, tut .N... '.i::• 4. ............ WK :`tddres a �y � ••••;;ij�:}:.: ;{:}}ii::`iij::iii:ii:::i:?iiiii::ii:??:i:`i:;i`ri:;%;:;:;:t;;:i;iy{.!:;::;.;,;;}:;:;:j;i:;i: :TBt: ``'ne:' �::::•..;':.:::?•i)i':.....::::.::})::::::?::?•::•::{.;{?•::-:ill+::<i6:??:.)}i:?!?•:)i:??::f:!`}jiiiJijy?;�: < b 't► )T?:. ..r iN is :••):::):•':):w'r'v:•isi:•isv':v:i'C::::}:iti6:CJ)iiiii::<::}jj;:};:};:iiii:?<i!:i:ii air:isi?:isti:ii::::::iiiii:iii;:}' p;'•.'v{:{:::):;)):Si}+:?;:;it:4:?:v:•i)):•in�:r.• ........................... {•4))}):•)i}+)::•Y)ii):•iYv:i4):v:6:•ii?ih:J.iJ:•':G:•i):}i:..:.., r.•vv:::::•'?iT: ..... :.........� :•:...........:::::::::......M1..:. {is........: i:i:i:?is '::::�ii?::. :•:•::::::::::::. .::::::::::is???�`:;`}:....... ranee ,G. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the impesidm of criminal penalties of a fine up to 51,500.0o and/or one years'imprisonment as weft as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I mdeestmd that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verUtcR ion I do herby certify the pains and p of p that the information provided above is&zw coifed -Daft V Q/ �a - slgoatt>re Paint nam (� l fah �i1'�t r' Phone# official use only do not write in this area to be completed by city or town official city or town: perudOcense# ❑Bing Depaeitneat ❑Licensing Board ❑check if lamnedlate response is required ❑selectutws Office _ ❑HeaithDeparhn"d contact person: phone#; (]Other__-. oevzW 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity,pr 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 janother who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or e of such employment be deemed to be an employer. building appurtenant thereto shall not becaus MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance of this chapter have been presented to the conCracting authority. H Applicants �l Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and address and phone numbers along with a certificate of insurance as all affidavits may be supplying company names, W= � 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' comp®sation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permiNicense number which will be used as a reference number. The affidavits may be=t aned'ie the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any_questions. please do not hesitate to give us a call. V The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents 018ce of investigations 600 Washington Street Boston,Ma. 02111 fat#: (617) 727-7749 phone#: (617) 7274900 eat, 406, 409 or 375 7=CLMAppwmft j . Tib1elLZib(eoadaooei) �. . . ls!sc iptln Pmicsges for dw said TWO FUROY Reaideattd Buildings Heated with FONO Fuels MAXIMUM ME Mt1M ceilin WISH Floor 8110emeat slab Ung U-valas� ll,"due &vaioat- R.valuet Wail Pia pardaae Rwaiuet f1►vdud 9701 to690 HeattagDewD Q 12%. 0.40 3E '13 19 10 6 Normal e 12X OM 30 19 19 All 6 Normal 9 12% Q30 n 13 19 to . 6 U Anm T 13% 036 31 13 23 WA WA Normal U Is% a". x 19 19 I0 6 Ntama 2— w &44 �o I3 23 ' WA :��: 25 AF11E 432 30 19 19 10- 6 W AFUE x IV15 G.32 31 13 21 WA.. WA Normal Y 189A 0.42 3s 19 25 WA WA Normal 2 IVA 0.42 3/ 13 19 10 6 90 AFUE AA 1111% OJO 30 19 19 10 6 90 AFM 1. ADDRESS OF PROPERTY: 2.`SQUARE FOOTAGE OF ALL EXTERIOR WALLS: AW F 3 Z 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): qa S. SELECT PACKAGE(Q—AA-see chart above): �L NOTE. OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q.fo=4980303a 780 CMR Appendix J - Footnotes to Table J5.Z,lb: lass doors, skylights, and ' Glazing area is the ratio of the area of the glazing assemblies (including slidingo a doors)to the gross wall basement windows if located in walls that enclose conditioned space,but excluding opaqu area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 if of decorative glass may be excluded from a building design with 300 fl of glazing area. =After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. s The ceiling R-values do not assume a raised or oversized truss construction. if the insulation achieves the full insulation thickness-over the exterior walls without compression, R 30 insulation may be substituted for R 3 8 insulation and R 38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing Cif used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space nuts sic"r'E'u`.+Ia±s•d pW"or•of the err: 'Wall R values represent the suns of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R 19*requirement could be met EMIER by R-19 cavity insulation OR R 13 cavity insulation plus R-6 insulating sheathing• wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less thaw SO%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements-are for unheated slabs.Add an additional R 2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or S. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest y efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city ok town see Table 152-1 a NOTES: levels. insulation R values air minimum acceptable levels.— a)Glazing areas and U-values are maximum acceptable R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than u0r.3. Door taken from the door be tested value and documented by the manufacturer in accordance with the NFRC test pro in Table J1.53b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded a�semmes�requirement ab- ge�may have space W���mp�eant includes two or more areas with c)If a ceiling,wall,floor, different insulation levels, the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). 43 EST/MA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot (above average construction) S square feet X$96/sq. foot= SS (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X.$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot.= Total Estimated Project Value For Office Use Only lnClusionar Aff rdable Housinq Fee ❑ R%iddential Commercial" Property Owner's Name Project.Location Project Value Permit Number **Existing Sq. Ft. ** oposed New Sq. Ft. Fee $ IAHFORM 1/3/00 i QUERY PERMITS: QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 05/23/02 PERMIT NUMBER 51207 PARCEL ID 158 005 004 192 MEADOW LANE PERMIT TYPE BREMOD RESIDENTIAL ALT/CONV DESCRIPTION DEMO/REBUILD EXISTING COTTAGE SEWPT#99-345 CONTRACTOR PERMIT FEE 172 . 61 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 434 GROUP TYPE 1 APPLICATION 01/22/2001 EXPIRATION VALUATION 55680 . 00 DATE ISSUED 01/22/2001 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N)EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR (0) PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E)XIT NO MORE RECORDS IN THIS DIRECTION D D QUERY PERMITS: QUERY END QUERY PERMITS PENTAMATION-------------------------------------=--------------------- 05/23/02 PERMIT NUMBER 51188 PARCEL ID 158 005 192 MEADOW LANE PERMIT TYPE BELECNB WIRING PERMIT-NEW BLDG DESCRIPTION FINISH HOME ATARTED BY J.BURKE CHECK # 6733 CONTRACTOR ' PERMIT FEE 60. 00 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 753 GROUP TYPE APPLICATION 01/22/2001 EXPIRATION VALUATION 0 . 00 DATE ISSUED 01/22/2001 COMPLETED 01/25/2001 DEPARTMENT-----STATUS---DATE-,----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P)REVIOUS/ (C) ONTRACTORS/ PR(0) PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F)EES/ (A) RCHITECTS/ (V) IOLATION/ .(E) XIT I l y TOWN OF BARNSTABLE CERTIFICATE OIL OCCUPANCY a PARCEL ID 158 005 004 GEOBASE ID 40851 ADDRESS 192 MEADOW LANE PHONE W BARNSTABLE ZIP - LOT 1B BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 51835 DESCRIPTION CERTIFICATE OF OCCUPANCY BLDG.PMT.039028 PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: Im BOND $.00 Ox i CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE f'*d)P�' • BARNSTABLE, MASS. ED Mlr►I BUILDIN�G��DIVISION BY1� � � DATE ISSUED 02/23/2001 EXPIRATION DATE 9 . Q TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 158 005 004 GEOBASE ID 40851 j ADDRESS 192 MEADOW LANE PHONE W BARNSTABLE ZIP - LOT 1B BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT -WB . PERMIT' 51835 DESCRIPTION 'CERTIFICATE OF OCCUPANCY BLDG_PMT.#5AA 07 PERMIT,TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: 'Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 Ox THE CONSTRUCTION COSTS $.00 4y�' 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE lBAMSTABM id P_ ; . MA83. �► � 039. FO MAl BUILDIN,GiDIVISI1 0 BY DATE ISSUED 02/23/200.1 EXPIRATION DATE 4r w '•'� At b _� ►�i^�. ..,.. � .rt -� � i A,A. i r Department of Health, Safety and Environmental Services INE + BARNSTABM MASS. 039. Ep NA1�A BUILDING.DIVISION BY L'A'i'E LSMED 05/10/1999 EXIT. &111100 DAT9 THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED 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 APPROVED PLANS MUST BE RETAINED ON JOB AND �•�FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS _ THIS CARD KEPT POSTED UNTIL FINAL INSPECTION 2:PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR ! (READY-TO LATH).•` PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- , 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4:FINAL"INSPECTION BEFORE OCCUPANCY. Lei m BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1#5_161 2 2 2 J /� 2 0 0.0 0/ v"� l l W` le 3 f 1 EATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: 51 tOAL✓s ,ifi 41, SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS ,THE INSPECTOR HASAPPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. --, _S7�� 1 i ..Li n 4 ..iy. F TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 158 005 004 GEOBASE ID 40851 ADDRESS 192 MEADOW LANE PHONE W BARNSTABLE ZIP - LOT 1B. BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB . r PERMIT 61298 DESCRIPTION SINGLE FAMILY COTTAGE - BLDG PMT 951207 PERMIT TYPE BC00 TITLE CERTIFICATE OF .000UPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: . BOND $.00 , pfr Im CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE IR r + BARNSTABLE, • MASS. 039. BUILDING DIVISION BY DATE ISSUED 05/2.3/2002 EXPIRATION DATE m9ummum qmow APPROVED d-vGt TOWN OF BARNST -gzGAS _ ABLE PLUMBING ���IRL �!B_ULLDhN Q THE FOLLOWING IS/ARE THE BEST IMAGES FROM - POOR QUALITY . ORIGINAL (S) m A �C(�J DATA TOWN rr 80-'L 7 P,,.pSM T'.C' PARIOEL- ID 158 005 00'4. GROt � D `140851 ADDt2ESS 192 MEADOW JANF 'PlHONE W BARNSTABLE LOT 1'B ALUI:: j:,. LOT SIZE- DBA DEva'OPMENT, DISTW CT WB: .,--- s PERMIT 51207 DESCRIPTION DEMO/REBUILI3 .E�i:i4�'r.1 COTTAGE CEUd,P' :`��3-345 PERMIT..TYPE . :BREMOD TITLE RESIDENTIAL ALIT,,"GONV. CONTRACTORS:. CENTURY ;COMES;. :Department of Health, Safety ARCHITECTS:` and Environmental-Services TOTAL FEES: 1'�2 ^� BOLD. r CONSTRUCTION' COE'IS s 43 REST a . A, a : Q APPROVED y T )VIN dF BARNS` iBLE ❑ G j)'k S a 1 ly G - ....' ❑ ��UIVIBINU �❑ BUS)IfVG DAT V ISSUED l7]/22/2001 THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEINAL'K-OR- _ __ I,I,,N�?. LY.EN-. CROACHMENTS ON PUBLIC PROPERTY;NOT SPECIFICALLY PERMITTED UNDER THE BUILDING.CODE,MUST BE APPROVED-BY THE JURISDICTIOWSTREET OR ALLEY GRADES AS WELL AS.DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT'DOES NOT:RELEASE THE.APPLICANT.FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.,', MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS' MUST BE RETAINED ON'JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS " THIS CARD'KEPT POSTED UNTIL FINAL INSPECTION'' 2.PRIOR TO COVERING STRUCTURAL MEMBERS' HAS BEEN MADE.WHERE CERTIFICATE OF:OCCU- PERMITS ELECTRICAL,PLUMBING AND MECH- •REQUIRED- FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE I 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS j0 Flo.-. ;4:- v I•. . . .Ccl/2�''wa��':—•:. 3 1 HEATING INSPECTION APPROVALS: ENGINEERING,DEPARTMENT 2� BOARD F EAk7?!W 9'3 OTHER: 14 9A= SMtOLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL •PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS:INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN.SIX.' :CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC MONTHS OF DATE.THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA TION. NOTED ABOVE.'. " TION. • y r � I I i a r 05/15/2011 16:00 5087785010 TUPPERCO PAGE 01/01 TUPPER CONSTRUCTION CO. 79B MID-TECH DRIVE,WEST YARMOUTH,MA 02673 PHONE-'508-778-0111 FAX, SW778-5010 mW.TUPPE CO.COM. Date: w o ZZ Town of Barnstable Thomas Perry CBO 200 Main'Street Hyannis, Ma 02601 Re: Insulation Permits Dear Mr. Perry This affidavit is to certify that all work completed for permit application Issued on has been inspected by a certified Building Performance ln�stitute.(BPI) inspector. All work performed meets or exceeds Federal 'land State requirements. i Si I Ric rid Tupper TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION # MapNA Parcel Pipopiroical.ion' Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address Village )WP4z D 2(cla Owner QZAC:-4e,S WumakL Jy Address Telephone '/ �cz�decc� Carr , J�9' �3�- /�l9 / -1T / / ' / �`�` ✓ 1 .92 .- Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio 0• o Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family .❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway. ❑Y_es ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ 17 Other q SR Basement Finished Area(sq.ft.) Basement Unfinished Area(sq�.ft) C> Number of Baths: Full: existing new Half: existing new can Number of Bedrooms: existing _new Ln Total Room Count (not including baths): existing new First Floor Room Count w Heat Type and Fuel: ❑ Gas Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# —_Current.Use. -- _ _ - . --------_ - Proposed Use -- - _ p _ . APPLICANT INFORMATION (BUILDER OR HOMEOWNER) NameTU4040�_ Telephone Number 507- < 7,Y- 61 Address 79 miGl T2_o' ZA . License # CS' �� q(55,1 j�• (�1D/Lh�D[� � AI 026 /3 Home Improvement Contractor# Worker's Compensation # W C',L _569 7J' D I Z b(2 ALL ONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WI BE TAKEN TO 00 2C 026,73 SIGNATURE DATE 7-I� FOR OFFICIAL USE ONLY ' APPLICATION# T DATE ISSUED I MAP/PARCEL NO. ix ADDRESS VILLAGE OWNER - DATE OF INSPECTION: `s 'i ,a.,FOUNDATION - x FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL' GAS: ROUGH ' FINAL FINAL BUILDING DATE CLOSED OUT • - ASSOCIATION PLAN NO. ' - -.• :. • OWNER AUTHORIZATION FORM (Owner's Name) l owner of the property located at 1 z (Property Address) Ir✓P� �ti��Isfs�/ , /�i� D Z��LB, , (Property Address) hereby authorize ' 1 (Subcontracto v an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. owner'b 96nature Date bUILL71NU NEHFUHMANC:h INS.T11-VTt,INC ! t Massachusetts-Department of Public Safety 107 Hermes Road,Suite 110 Board of Building Regulations and Standards Mena,NY 12020 Construction Supervisor (877)7741274 License: CS-069058 www.bpi.com RICHARD S TUP.?tR `sr 79 B MID-TECH DR -- — WEST YARMOI3fiH MA 02. . Richard Tupper &�p BPI 10#:bNo •� `L` CERT'MED PROFESSIONAL `%G,.. �i�tgr. ,�ts3 t� Expiration `. is�tasvaatslsrul�oasuiox Commissioner 12/31/2014 „ , office of Consumer,Affairs&B slaws Regulation 9 gj�gI HOmEfiAPR0VftK T CONTRACTOR M R on 12 3 Type: ration 6118E 14 Individual r a RIGHA 0 PIPERt � ' � s f2lt tar!Tuppler RICHARD PER 29 Roberta O } �fAr�gtl8irltC`�i0r1-; z k��, "' ti W.YARMOUTH,i Undeesteretary i I Dec. 10. 2012 4:37PM Vo. 8524 P. 1/2 AGuKuTM CERTIFICATE OF LIABILITY INSURANCE 1 DA 12/19//19/2012 012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(%AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME; Lora Lowe Southeastern Insurance Agency, Inc. �N;E ; (508)997-6061 P Ne; (508)990-2731 439 State Rd. E-MAIL ADDRESS: P.O. Box 79398 P C STOME ID/• N. Dartmouth, MA 02747 INSURERS)AFFORDING COVERAGE NAICI INSURED INSURERA: Arbella Protection Insurance Tupper Construction Co LLC INSURERB: AEIC wsuREaC: CNA Surety 27 Roberta Drive INSURERD: West Yarmouth, MA 02673 INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER: 12/13-2 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IC NSR TYPE OF INSURANCE I LIMITS LTR INSR WVD POLICY NUMBER i MMIDD MID ! GENERAL LIABILITY 850000874311/0112012 11/01120131EACHOCCURRENCE $ 1,000,00 X ,COMMERCIAL GENERAL LIABILITY ��RAEM SES Es occurrence $ 100,000 --- CiAiMS400E ix OCCUR I MEO EXP(Any one person) $ 5,000 A PERSONAL a ADV INJURY $ 1,000,00() j GENERAL AGGREGATE $ 2,000,000 HGENLAGGREGATE LIMIT APPLIES.PER: PRODUCTS,ODUCTS-COMPIOP AGG $ 2,000,00 POLICY JECT LOC $ AUTOMOBILE LIABILITY 5666240000 12/01/2012 12/01/2013 COMBINED SINGLE OMIT (Ea acctOoa) $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ---_ ALL OWNED AUTOS I BODILY INJURY(Per bccldenil $ A X i SCHEDULED AUTOS PPOPERTY OAIMAGE' X j HIRED AUTOS (Per ecc!dent) $ INC X I NON-OWNED AUTOS I $ UMBRELLA LIAR HOCCUR EA:11 OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE DEDUCTIBLE $ RETEMiON ; WORKERS COMPENSATION i WCC5QQ5593O1200 10/0312012 10l0312013 X TGRYSL'MITS X ER I I ANC)EMPLOYERS'LIABILITY YIN !ANYPROPRIETOR/PARTNEwD.ECUTIVE RICHARD TUPPER IS EL.FACiACCIDENT is 500,00 B j(Mandatory 6FR EXCLUDED? �!N I A INCLUDED FOR WC COVERAGEE L DISEASE-EA EMPLOYEE11$ 500,000 I(MandatorylnNH) ( j D yes,descnbe under i E.L.DISEASE-POLICY LIMIT $ 500,000 I ESCRIPTION OF OPERATIONS below Pond or theft of money p 71068913 0212812012 02128/2013 Limit of $10,000 property. 0 CRIPTI OF OPERATIONS I LOCATIONS I VEHICLES(ACach ACORD 101,Additional Remake Schedule,if more space is required) bill.jul i o@csgrp.coin CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Conservation Services Group Attn: Bill Julio AUTHORIZED REPRESENTATIVE 50 Washington Street We thorough, MA 01581 Lora Lowe O 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information :Please Print Legibly Name(Business/Organization/individual): Tupper Construction Co. , LLC Address: 79B Mid Tech Drive City/State/Zip: West Yarmouth, MA 02673 Phone#: 508-778-0111 Are you an employer?Check the appropriate box: Type of project(required): 1.[] 1 am a employer with 4. ❑ 1 am a general contractor and 1 6. ❑New construction employees(ful I and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet.t Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 1 I.[]Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees. [No workers' 13.❑Other comp, insurance required.] *Any applicant that checks box#t 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. XContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer thai is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: AEIC --_� Policy#or Self-ins.Lic.#: WCC 5005593012012 Expiration Date: 10/03/2013 Job Site Address: �7 p6Ath0� City/State/Zip: l \, Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine 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 the pains and penalties of perjury that the information provided above is true and correct Signature: Date: ' - Phone# 508-77 -011l Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing inspector 6.Other Contact Person: Phone#: I , TOWN OF BARN�TABLE BUILDING PERMIT APPLICATION Map �J�_t Parc SEPTIC SYSTEMPermit# � ©s2 INSTALL MU Health Division -. 3y o INSTALLED IN COMPLVC�ued l© Conservation Division Aptl c"A I ENVIRONMT ATLE 5 Fee ���• co WN L CODE 41gD Tax Collec aJ RECULAT60s� Treasurer Planning Dept. _ Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Owner / l GCS M AddressAVE Telephone i+ QA, Qla7 Permit Request !_ � (/ &Vtc � n4k ,AY119 Q C�415 Square feet: 1 st floor::existing proposed Zeco �9)2nd floor: existing proposed /100 Total new Estimated Project Cost 0=_ Zoning District Flood Plain G Groundwater Overlay Construction Type RIUO6117� Lot Size 5 • ?) &,AgS Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family I/ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes QdNo On Old King's Highway: ZYes ❑No Basement Type: dFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) O Basement Unfinished Area(sq.ft) _ 1 , Number of Baths: Full:existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new_ �` First Floor Room Count ) Heat Type and Fuel: ❑Gas 0/0 i 1 ❑ Electric ❑Other Central Air: dYes ❑No Fireplaces: Existing New Existing wood/coal stove: X2f Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size I r Attached garage:❑existing ®(new size K2Y Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization El Appeal# Recorded El Commercial El Yes f7f No If yes, site plan review# Current Use AS69/r n nk- Proposed Use Ae5lpewr; BUILDER INFORMATION Name 4 -' fL Telephone Number Address •0- 60Y 807 $ License# C502� NC44- 0 2-5,3 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /� " . SIGNATURE DATE _ - Z0 : FOR OFFICIAL USE ONLY - [}� r PERMIT,N,O. -> ./ DATE ISSUED MAP/PARCEL NO: a -•� r. .. •"/' '1' ,l`J t \!. ..1 r�r 1, ✓'. _ _, ADDRESS 'ti VILLAGE ,' OWNER= DATE OF INSPECT i. FOUNDATION FRAME . a l '�0 :'1' +� -, INSULATIOi" �7& FIREPLA( ELECI'RId&g UGH FINAL � 2; Inc) PLUMBING-; tr RROUGH FINAL �. GAS: i t ROUGH f FINAL - FINAL BUILDING DATE CLOSED OUT ASSOCIATION•PLAN NO. • Application to �Xm�pQ'�ofiMaa�s Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS '1 9 9 9 030 Application is hereby made, in triplicate, for the issuance of a Certificate bf 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 Buillddin ❑ Addition ❑ Alteration Indicate type of building: Lb House Wt LJ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE ' ADDRESS OF PROPOSED WORK t �f= E J l 46P'+-, W•V ASSESSORS MAP NO. v OWNER . S ASSESSORS LOT NO. HOME ADDRESSatM942L)QMA TEL. NO. 33 —611 1 NAM W-D 0%i 7S '`3�cc I 016K/l FULL NAMES AND ADDRESSES OF.ABUTTING OWNERS. Include name of adiacent.property owners across any public street or way. (Attach additional sheet if necessary). .T G 1- 2> m ao � AGENTIOR CONTRACTOR CAM TEL NO. . ADDRESS 0. 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). A"r2 ned 11 U ! wow mer-Contractor-Agent �— Ose. c e y o a ,1 ?_4 Date Ce ificate is hereby Date JAN 2 7 &ra4e1-, . VJ adL& Time 6 ' `��WM`OF BA�tN.8TA81.1r �Y Approved ❑ IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. i ` Dis-aooroved ❑ Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE �� C� 5i��LZJ COLOR �►� ��� 1CJ� CHIMNEY TYPE COLOR Lit � S(J'(�)_ ROOF MATERIAL COLOR PITCH 12 �Z tri 5k- WINDOWS COLOR n'0 `LSIZB C TRIM COLOR DOORS COLORS V,[1AQ 6 SHUTTERS 1`�/%� � COLORS GUTTERS COLORS 14 DECKS q .T- Lu V-tAw 5 MATERIALS ce X-�1 W I f�1 Yti1,S GARAGE DOORS OLORS 'jAd1 SKYLIGHTS SIZE -&- COLORS SIGNS COLORS 19,d, FENCE COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plane, when applicable. SPECSHT Revised 11/98 i � LOT 1A 0 648 06, ASS LOT 16 �y 00, 3.8 ACRES± h CONCRETE Ss FOUNDATION OS, TF = 18.88' Ii 74 � O AL •�y TOWN Ci BARNSTABLE 62S A qq JOB # 98-142 CER TIFIED PL 0 T PLAN LOCATION MEADOW LANE WEST BARNSTABLE, MA SCALE 1" = 100' DATE • : JULY 7, 1999 PREPARED FOR: REFERENCE LOT 1B PB 447 PC 23 JEFFRIES WYMAN I HEREBY CERTIFY THAT THE STRUCTURE I SHOWN ON THIS PLAN IS LOCATED ON THE �`�„ OF M J GROUND AS SHOWN HEREON. �P ARNE A\y 0 ON 508-362-4541 1G✓r fmc 506 362-6660 g O SAL I V. down cape enginee P1ng, inc. 9�CIVII. ENGINEERS _7� ••,— — LAND SURVEYORS --- ----- ------ — =— 939 main sL yormouth, ma 02675 DATE REG. LAND SURV R. f • • II 1 I1 . Fi. I,P 1E - -- i � v . j rr yl LFT 1 \\ •' I I 11 � , f—. IP I :m9 . it • � : .. I II i. F n i •......_ .......... _.. .. ..0 _ _ -'fin!..'-'---- ._. __. ._._ T fit, vol IF �=• � i �: �%, it3p 113 I I` ft �• i• 1 .�� • �•3 I i I ... - - +t •--- .._.—�I 'a'�,•.r•o y ,:.rl i ! •q •b` '•'p{ ` •.G If �i v _ i J•i 131 14 i j ( . 3 m £ L I i 4 --- --r�`�" ice: .!a•-` I .I 7 • ........ fit V_ � • .. I 16, "' •.,Irs' , `Q •-79:.. ....._.......tiff .f !ltV". I . t i In Ill( Q I. —LY"'+�a'^ 1'-•i i -fi�-. �.. t 't ,����• I, � i I I I I I• .. � i � , � i is I. r t • I �, .fir �� m e 3 .'Ih�• : ' s.�� t .'• J 1 VII x t � a �l ][?3 ��• lo u • • ' r I � '�;�.�•= i�`� j �� �. � i• �.; � Y � . err � :s. r � i a � r t � I 't * 7.6. e l `f �L1Na 710CURApp.dki Tabta1121b( • Finavtive Pkelumn for Oaa and TweW milt'Residential nuadbp Haud with FOOO Faeb • i y MAXIMUM NUM1M i wall Floor 91:1mmm 'Sob mug U vdx� It-value R-valuoa ltovah t wan 13111dcowp r. padmgQ I R.vaW R 9701 to 6500 Hudon Dawn Gaya' QP12 0.40 3i 13 19 10 6 Normal R 032 30 19 19 10 <6 Normal 9 Q30 31 13 19 10 . w 6 a AFUE T 0,36 31 13 21 WA VA Normal U OA6 Is 19 19 10 6 Norma V " 36 13 23 WA IVA t!AFM w 0.52 30 19 19 10 . 15 AFUE a 18% om 31 13 21 WA WA Normal Y 12% OA2 31 19 2S I WA WA Normal Z 18% 0.42 31 13 19 10 0 90AFUE AA I V% OJO 30 1 19 19 10 90 AFUE 9 • M 1. ADDRESS OF PROPERTY: 4 e k 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 31(�2 12> . o 3. SQUARE FOOTAGE OF ALL GLAZING. , 4. %GLAZING AREA(#3 DIVIDED BY#2): - ��?31 Ln/, S. SELECT PACKAGE(Q—AA-see chart above): 1 NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERC it REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. '. t s • a i C BUILDING INSPECTOR APPROVAL: YES: NO: 1 q-forms-090303a i i 780 CMR Appendix J Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies ding sl,,ding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, I xcludin;.;opaque doors)to the gross wall area,expressed as a percentage. Up to I%of the total glazing area may -:exciudi A from the U-value requirement. For example,3 It'of decorative glass may be excluded from a building design with,300 if of glazing area. 'After January 1, 1999, glazing U-values must be tested and documented by the n.ianufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from 'rabic J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness-over the exterior walls without compression, R-30 insulatio a may be substituted for R-3 8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling it-values represent the sum of cavity insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. ' 'Wall R values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 reriairement could be met EITHER by R 19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconctioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. 'The entire opaque portion of any individual basement wall with an average depth Tess than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and slidmg glass doors of conditioned basements must be included with the other glazing. Basement doors must mee� the door U-value requirement described in Note b. 'The R-value mquirements•are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3,4, qjr S. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipmew the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.I a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values,are minimum acceptable levels. R-value requirements are for insulation only and do not include structural componem.s. b)Opaque doors in the building envelope must have a U-value no greater than 0.31. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure pr taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to detirmine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater 41"035). c)If a ceiling,wall,floor, basement wall,slab-edge,or crawl space wall component Includes two or more areas with different insulation levels, the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply +f the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). ,r i. t 1 ' r r A i ' , — O///COOJ/Oi�SUpSU00s 600 Washington Street Boston,Mass. 02111 Workers' Com ensadon Insurance MMdavit rgzz name: location: D• � �U (`—�- cityDl,J1,�b`1 D 3 ❑ I am a homeowner perfo all work myself one# am a sole propriand have no one woridn #-anv caDacitv ' am as employer pivvidiag:workers'compensation for my employees working on this job. .:'.....:........... ,.::;�•?.i::.....:n..:vY?i:i:�:�:.??:•i:�:::.:+�::{:?:}:}:3 3:.}?....:::.::.••f..;;:.;.;.}.::n:i3:3}:t3????:};3.t...}}}? •::�:r:, .:::.:::::..::.:v:r.................. •'?;:i:.�:::::::::::::::::.... .+.:;..;,......:......:.•.......P.; ....:.:r......:. r::::::•:.:.........:::::::..,........r..yf•::r:3.Hrrri:•..YY:.......................... ..... ................. ::::.:v::... .:....... ..........YF.ny..!!nW.,.•Hry"!;y,H!!..3y::?>::... :.:.::, v n:v::. .iv:..:: f •rrr.v•.:. ..::'{•:;•i':)Y3:f ..:f n:x :: :.v ..:::.:::.. :company me. 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W... nlaranceca.... .. ::• ::....... ..... ..:. ::. :'::::kk }': .%::k`%%!#£E:: :£':k:::}£:rN / . ❑ I am a sole proprietor,general contractor,or homeowner(ezrele one)and have hiYtd the cont mMots listed below who have ; the................................................. following workers'compensation polices: ...:.....:. ........... ...... .......:::::::....::.:.......:. ....:::...::.:...::.... :::::::::......... ........ ~ . :.: ::: ...}:: . .:..}:.i...... :,.:: . ..... ::} ..... v:............... .:::.t.. ..... ... ... ..... ... ............... .. .. ... ..... ..�. ...... .......... ...::� :: ::. ..0:. ..... ... ... .n... yfyj 8 £comer n name• f ` 9 6i l MOM �` Ylrf .tom. x,} .1.wN f. N1.l: Y. %/Y r :' f::.k .... ,�... fl. .H rrf•: r::o•.r. .w.x3. H:• .t f/ .x.. IN •kJ\;.L:;O�ro:;::.}, WON a S•S:,• rf/f:.:::. ..M1..., nsnrnncr:cagy w.. ::.;. :: /':' {: All ........ .:..:?..:::??::::. •:�:�,? ..;..3'?� r t 'ka'.ci ',is }:` £/ •.t•:n•.�::::::::::::.,?;•}}:{{.;vr•::;:;:o•�.} ,�:... :. .yLtS..... .};+....:.::::::.�::�:::., .:... .;%.....t,:.::•:,:..;...v.:,•::?::n.3%�}:3<.,,.„::.;.;.:.,:.::: . :.v::v:.v;:r.i?:3i:•y}Y.3:?tia.3:Liv:::::. .iLr•; : � •: ..:: ':•+:•:•?a::• :: .: {;Y i!'•.•.. y. /�j�{i ,.`.. .f.... .:�..�..,.. :.r:{:�•;: ::,°,t%` ,...i ,� yf f":. E� �tit"` '):k.S3?Y.::: 8n nanlC:i::;;ayf„• %,�.� `•n? y.nyf,„;nr:{,,.. � � � ,�;:{•::?�:;:: r ........::::::::::.::.,4.;.v;,... ,t;:,3,Y,.r..;.:}.,{hnv., .:::::::::{�::>.k•x::.v:?w, :..,aunt,.} .,;.}'. :.; „ .....x r::::vr.v:••:v:3• r: i:.F....... ;{{;.::{:h�..,•'acr•::?:tH: ..•::.;.).,.a t,.v.. .w< ..•S;. b 4...3�. Gk:. /. f :4 ��y ... ' ddre!!. ...:: .. •�'....: ff.::::::. :•:? :.;:.;:•}}..,3}:3::: 'Y:'•'.''��`+'�:��r:N.�+�;%:` t�6'?.i:'< ..WAN a r .- .: ... ?. ::. .,........::: tt.r f...d r.../{.......r: r,/f/£ / /�C IH✓ r ........... .:.;;. .....::.......,::::.:::•::•:•::..n•::n:...::pro::;•:•:.�.;:•�.,.:;},}::3.;.,..:.a+:::,:!t:.::::::. ... .:::• !. L .yx. Q. r.'aw ry;:� �:::::•�f: >:v:?E:i2.i t':.'�.:£i• ''• ?.:<Ek•:F..:3: r:i}r•.. f•`:�rf tV:::'::'::':':s#>'•i�" ?�'• i ,ate v: . ..hn.;:tibenetYr•> {,: �. '���' , ;. f /:.,.::r:..:. } :b } a Y• ..era/r.y •YJ.. Fame to seeme e�esale as regoited®der Seetlon 25A of MQ.152 cam teed to the Impodtlon of c>tmh qI penaliice of a fine up to 11.500M sailor one years'bnprbomaent as wen as dhn pensides in the form of a SrOP WORK ORDER and a fim of J10'0.00 a day mp me. I mdemtmd d e copy of tbb statmimt may be forwarded to the Omc a of ImerdCadons of&@ DIA for cwmge•erMcMdo� I do hereby C,Crd&under the p pat of perjury that the inforntadon provided aho�p is&Lw.amd domed Signature Date Piintname ofiidal use only do not write in fhb area to be completed by dry or fawn omdal 'i city or town: _ ❑check if!®edlate response in required ❑ iceasio;Board (]Sdeeham's Ofilce contact Person: phase tl• Other Depaetme� (lera:d 9/93 PJA ; • i • A y g aaaava uA"&AW a "&ASA 1113L1'L1L:L1UL13 ; � W Massachusetts General Laws chapter 152 section 25 requires all employers to provide,workers compensation for their employees. As quoted from the"law",an employee is defined as every person in the sevice of another under any cone of hire, express or implied,oral or written. An employe'is defined as an individual,partnership, association, corporation or other entity, or any two or more o: the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the rcomve: .- trustee of an individual,partnership, association or other legal en tiM employing emplo�'Cxs. 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 swelling house or on the grounds cr building appurtenant thereto shall not because of such employment be deemed to be an dmployer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renews: of a license or permit to operate a business or to construct buildings in the commonOvealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage requiied. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the pla&rmance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the couraacting authority. Applicants . • Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insuratce as all affidavits may be submitted to the Department of Industrial Accidents for donation of insurance covc6ge, 'Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the applicatmm for the pen nit or license is being requested,not the Department of ladusaW 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 i omber listed below. ry.. City or Towns ?. Please be sure that the affidavit is complete and printed legibly. The Department has pm ided a space at the bottom of the affidavit for you to fill out in the event the Office of Iavesdottiom has to contact you reprding the applimuL Please be sure to 0 in the peimidlicease member which will be used as a reftrmce member. M*affidavits may be returned io the Department by main or FAX unless other arrangements have been made. a The Office of Investigations would bike to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Departzmnt's address,telephone and fax number. The Commonwealth Of Massachusetts c Department of Industrial Accidents Once of MUSU020003 600 Washington Strom . Boston;Ma: 02111 r. fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 v 0 1 si Client : 7198 2BORTOT,OTTICO CERTIFICATE OF LIABILITY INSURANCE DAT/12/D/ 03 12/ 9 99 ren THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION & O' Neil IriSurarice „ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. t Main St . PO Box 1990 , MA 02601 INSURERS AFFORDING COVERAGE INSURERA:Acadla Insurance ttl Construction, Inc .7 0 4INSURER C:s Mills, MA 02648 INSURERD: 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. INTR TYPE OF INSURANCE POLICYNUMBER POLICYEFFECDTIVE POLICY EXPIRA EXPIRATION LIMITS A GENERAL LIABILITY CPA4968310 03/07/99 03/07/00 EACHOCCURRENCE $1, 000, 000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $10 0';.0 0 0 CLAIMS MADE OCCUR ME EXP(Anyone person) $5, O 00 PERS NAL&ADV INJURY $1, 0'0.0, 000 X OCP --- GENERAL AGGREGATE $2, 0.0 0, 000 GEN•L AGGREGATE LIMIT APPLIES PER: PRO DJ'CTS-COMPlOP AGO PRO- $2 , 0 0 0, 000 --- t-------- , POLICY LOC A AUTOMOBILE LIABILITY MAA130038510 03/07/99 03/07/00 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $1, 000, 000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS , (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNEDAUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTOCNLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGF EGATE $ $ — DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND WPA130038410 03/07/99 03/07/00 WCSTATU- OTH " EMPLOYERS'LIABILITY EL E.L.EACH ACCIDENT _ $10_0 0 0 0 E.L.DISEASE-EAEMPLOYE $10 0, 0 0 0 OTHER E.L.DISEASE-POLICY LIMI $5 0 0 0 0 0 i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY END ORSEMENTISPECIAL PROVISIONS Operations performed by the named insured subject to polic ' conditions and Y� I exclusions . � I i I F i CERTIFICATE HOLDER ADDmONAL INSURED*INSURER LETTER CANCELLATION � SHOULD ANY OF THE ABOVE DESCRIBED POU NES BE CANCELLED BEFORE THE EXPIRATION Maine Post & Beam DATE THEREOF,THE ISSUING INSURERWILL.ENDEAVORTOMAILLO—DIIYSWRIREN 1 P.O. BOX 1097 NOTICETOTHE CERTIFICATE HOLDERNAMEIITOTHE LEFT,BUTFAILURETODOSOSHALL Sandwich, MA 02563 IMPOSE NO OBLIGATION OR LIABILITY OFAI('.YKIND UPON THE INSURER,ITsrAGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTAT I I a;/�at� I ACORD 25-S(7197)1 of 2 #S15322/M15318 Dowllnp a 'NAIL nQAo nORD CORPORATION 1988 } CEItz'T T F' T C AA-TF: r7F T_ TJEzJgL E —� Issue date; 4/12/99 ----------------------------------------------------------------------------------------- --------•---------------------------------- Producer: This certificate is issued as a matter of information only and confers SOUTHEASTERN INS AGCY I no rights upon the certificate holder, This certificate does not amend, extend or alter the coverage afforded by the policies below, POBOX 2610 I------------------------------------------------------------------------- 641 MAIN ST I COMPANIES AFFORDING COVERAGE HYANNIS MA 02601 i------------------------------------------------------------------------- Code: Sob-code; Co Ltr A; CENTRAL MUTUAL INS --------------------------------------------------------- -- ------------------------------------------------------- Insured: Co L B: I------------------------------------------------------------------------- CAPE COD MECH SYS ---------Co--Ltr----C: --------------------------------------------------------- 24 OLD MARY DUNN RD Co Ltr D: CENTRAL MUTUAL INS HYANNI5 MA 02601 I------------------------------------------------------------------------- I Co Ltr E: COVERAGES This is to certify that policies of insurance listed below have been issued to the insured named ribove for the policy period indicated, notwithstanding any requirement, term or condition of any contract or other document v,ith respect to which this certificate may be issued or may perta.inr the insurance afforded by the policies described herein is subject to all the terms, --?xcluslons,2nd-conditions-of-such-policies_ Limits shown may have been reduced by paid claims, - ------------- ------------------------------- ---- ' ---- Co ! - -------------------------------- Ltrl Type of Insurance I Policy number leffectiveydate Iexpirration datel All limits in thousands ---------------------------------------------------------------------------------------------7-------------------------- A I�ENERAL LIABILITY I BOP7896982 I 3/12/99 I 3/12/00 IGeneralleggregate: Commercial general liability Products-comp/ops•ag9re9: ( 0 Claims made (X) Occur I ( I (Personal/advertising inl: Lner's 9 contractor's pro} Each oc.irrence: 1,000 I IFire &.P..l.ge: 50 Medlcal expense: 5 -------------------------------------________-.__ __-__--___--___-________-___-___ ___-__ ______-___--___--__-_________--_ AU ij TOMOBILE LIABILITY I I I combine- AnAuto Awned autos Single limit; Scheduled autos I I I (Bodily rnj11 Hired autos ' I (Per pp.rson): Non-owned autosI IAodily injury Garage liability ((Per a.c ,ident); I I I l ----------------------------------- IPropert • damage: XcESS LIABILITY I I Each I -_-- _occurrence Aggregate -_I Other then umbrella form I I I I I i --------------------------------------. ------------------- --------------------------------------------- D WORKER'S COMPENSATION I bC78gFg8302 3/12/99 I 3/12/00 II Stat�ltor ----------------------------_A 1 Each accident EMPLOYERS' LIABILITY ,. I I 500 (Disease-policy limit) - I too ((Disease-each employee ---- ------ ----------- , ----------------"---------'-----_--- ._-_--__- t------- - IOTHER -- ---------------------- i I I I ---- ------------------------------------- ---------------- ------------------------------------------------------------------------ Description of opera{Ions/locations/vehicles/restrictions/specia.l Items; -------------------------------------------------------------•-_------------------------------- CERTIFICATE HOLDER CANCELLATION Should any of the Above described policies be cancelled before the expiration date thereof, the issuing company will endeavor to MAINE POST % BEAM I mall 10 days written notice to the certificate holder named to the P 0 BOX 1907 left, but failure to mail such notice shall impose no obligation or SANDWICH MA 02563 1 lia.bility.of any kind upon the company,, its agents or representatives, FAX 508 833 3110 I-----------------------------------------=------------------------------- Authorized representative; I - ----------------------------------------- - I SCOTT 1-1 LrnJE h 1• "egion Insurance Company Two Paragon Way FORM: GU 207 PO Box 6519 Freehold,NJ 07728 EDITION: 6-78 'Page 1 of 1 2/9/99 POLICY INFORMATION PAGE ENDORSEMENT This endorsement,effective on 01/11/1999 at 12:01 A.M.standard time, forms a part of Policy No. WC4-290440 of the Legion Insurance Company NCCI No.10901 Issued to BAY COLONY SYSTEMS, INC DBA MAIN POST& BEAM OF CAPE COD This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the fbllowing coverage part(s): Part 1 -Insured's Mailing Address(WC 89 06 05) 78 ROUTE 6A SANDWICH,MA 02563 • Nothing herein contained shall be held to vary,alter,waive,or extend any other terms,conditions,proir sieiis,agreements,or limitations of the above mentioned Policy,other than as stated above. *Producer Name and Servicing Office In Witness Whereof,the Company has caused this BAYSIDE INSURANCE endorsement to be signed by a cult'authorized TWO PARAGON WAY P.O.BOX 6519 FREEHOLD.NJ 07728 representative of the Company f UTHORIZED RF13RESENTATIVE �,Afc+�ks Town of Barnstable - Planning Division Old King's Highway Historic_District Committee MASS. � 1639. ArED MA'S a . MEMORANDUM TO: Building Commissioner FROM: Beth B. Maples; Principal Division Assistant (862-4784) DATE: Xwe-H a/, a" SUBJECT: MODIFICATION TO PRIOR APPROVED PLAN A minor modification to a prior approved plan has been approved by the OKH Committee for the applicant(s) named below. The modification is briefly summarized and I have attached. backup material for your records. Applicant(s): �F<� l�yirryi✓ Address of Proposed Work: Assessor's Map & Parcel Number: -evs- eny Meeting Date Approved by OKH: aeno/ �3Y/q/(JG G' �30� Minor Modification: , 3 A0 Do othy E. tahley, Chair Date T wn of Barnstable Old King's Highway Historic District Committee f - _ The Commonwealth of Massachusetts Department of Industrial Accidents wee°//ase0189oos - 600 Washington Street Boston,Mass. 02111 ' Workers' Co/mnensation Insurance Affidavit name: °cation - ca07 8 _ 6.4 . . city -:5" e9IGfo6 K'vtq Q �� °hone# 3 '31 ❑ I am a homeowner performing all work myself. ❑ I am a sole etor and have no one worian in capacity //// ��%%Oi %//////////�O///////�i,/��/////''//////// O/D///O//O/�%////O///�///�'��'D////// I am an employer providing workers'.compensation for my employees worlang on this job. m anv name::::::::: ::::::<:: ............... ..:....:::: ::..::::.:: .:::: ::::.:.:.::::.:{:}:.:..;:.}:.}:.}:.:.::.:.........::.: ..::{.::::.......:::._._::::.. co o ............... ............................. 4:::.. ...............:. }i}i}!•}i}ii}:t}i:{{::• :i.�•- :::�;{... :•::L{•i}:a:?•}}:{{•}}:M:{:?{.}::::}}: '��. ... ........ :'. 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Fafbn a to secure coverage as required under Section 25A of MGL 152 can lead to the impasitlon of criminal penalties of a fine up to$1,940.00 and/or one years'imptisomnent as weR as civil penalif in the form of a STOP WORK ORDER and a fine of$100.00 a day against um I understand that a copy of this statement may be forwarded to the Oifiee of Investigations of the DIA for coverage verification. I do hereby certify under the pains penalties of perjury fiat the infonnation provided above iT trw and coated SignatureF Date ' zz Print name &L - � CiE UTA Phone a 10`� *-5>CLI ~ Cchedkff y do not write in this arm to be completed by city or town official peraftuceuse q OB�ding Department Micensing Board mediate response is required Osdedruensoffiee OHealthDepartment • phone#, — Oother *mud 9195 PIA) i Information and Instructions ' r Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any coatr..C-1 of hire, express or implied, oral or written. An employer is defined as an individual,partnership,-assoc=a `n,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 c: tnistee of an individual,partnership, association or other legal efitity, 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 ystate'or local licensing.agency shall withhold the issuance or renewai of a license or permit to operate a business or,'to constnut buildings in the'commonwealth for any"applicant who.has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its.political subdivisions shall enter into any co tt act'for the performance of public work until acceptable evidence`of compliance with the insurance requirements of this chapter have been presented to the contracting authority. , Applicants \ �- �� 1 3 �V'�,� Please fill in the workers' compensation affidavit completely, by-checking the box that applies to your situation and supplying company names, address.and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Departs-wt of:Iadustrial Accidents for confirmation of insurance coverage.- sign *ar�. cove a Also be sure to si and date the-affidavit..The affidavit should be returned to the city or town that the application for the permit or license is _being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the peimit/licrose member which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us,a call. r j The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of levesugadons 600 Washington street Boston'Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 i _'C1�t' � lq2 �l�C �. I.� _ - - ons�Tf�. � Commonwaalth Electric Company 2421 Crarberry Highway Wreham,'Massachusetts COMElectric eaephonE",508 291-0950 2571 t March 29, 1999 Jeffries Wyman 192 Meadow Lane Barnstable, MA 02668 Dear Mr. Jeffries, Please be advised that on March 26, 1999 the service and meters to your Some on 192 Meadow Lane, Barnstable were removed so that the house can be demolished. Sincerely, ' Karen Corriveau Customer Service Rep. r L 1 L ADV&NCEDENV1RGNMENTAL SERVICit:S 800/974/4300 (508)398/2400•*' FAX (508). 398/2441 March 25, 1999 Chief Jenkins, West Barnstable Fire Department P.O.Box 456 . West Barnstable, MA 02668. Dear Chief Jenkins, • I spoke with Mr. Jeff.Wyman of 192 Meadow•Lane,,West Barnstable,yesturday, and he said there was a.p6ssibility that the house to-be demolished may be used,for a burning exercise instead: Sounds like a great idea. Mr. Wyman requested that I notify you that the day, March 12, 1999, we were on site*for the removal.of the Undergi ound Propane Tank, we also were able to empty and remove the 275 gallon basement oil tank as well. So that should take care of any possible hazards that would need to be deilt with'before- burning can be conducted. Any questions'please contact us at our South Dennis office. Sincerely, Arthur McCormack President ' c Advanced Environmental Services f cc: Mr. Jeff Wyman F ON P.O. Box 472 •-South Dennis;srllA 026600472 } E.A. KELLEY COMPANIES 450 VETERANS MEMORIAL PARKWAY, STE. 501 EAST PROVIDENCE, RI 02914. NOTICE OF CANCELLATION Name& WYMAN, JEFFRIES Address 9 JEFFERSON AVE. of Insured: SHARON, MA 02067 Kind of Policy: SIMP GEN LIAB (OCCURENCE) Policy Number: L711825.1 CANCELLATION WILL TAKE EFFECT AT: 5/3/99 12:01a.m. Standard Time You are hereby notified in accordance with the terms and conditions of the above mentioned policy, and in accordance with law, that your insurance will cease at and from the hour and date mentioned above. If the premium has been paid, premium adjustment will be made; as soon as practicable after cancellation becomes effective. If the premium has not been paid, a bill for the premium earned to the time of cancellation will be forwarded in due course. REASON FOR CANCELLATION: UNDERWRITING REAS(jNS MORTGAGEE: NONE DATE OF MAILING: 4/2/99 Issued through office of East Providence, RI Auth rized Representative 1 APR-20-1999 13;32 COL GAS MARKETING P.01 GVe 127 Cod ion 127 COLON Wlurea PVh� G A 8 C O N P A w r South Yarmouth,MA 02664 SU8-39.f-9851 Far 508-394-256I April20, 1999 Mr. Paul Pacella Maine Post&Beam Builders fax 308-833-3110 re: 192 Meadow Lane;West Barnstable, MA To Whom It May Concern, This letter is to confirm that there are no underground natural gas facHties to the above referenced property. This was confirmed by our representative on April 20, 1,999. There is, however, a propane meter on the house. Any underground propane facility issues must be addressed with the propane company. Sincerely, Bonnie Figueroa Distribution Del fitment ORIGINAL SIGNED 04120l99 • z "MoAmme _rj ■ 11 1 1 11�/ ' 1 � 1.1• 1 11 1 1 11 ' ■ 11 1 1 1. � / 1, 1 1 1 1 I - • 1 ... 1 1 1 ✓.11 ' . 11 1 all 1 / '-1 . / 1 1 ' 1 I'1 IIU 1 1 / 1 1 11 :11111 1 11.. 1 11 1 11 11 ; a� no Rim"AMOCIMPA 1 II I I I 6' •3%f ■ 11 1 1 1 1 1 ' :11 1 1 I 1 1 1 11 1 I I I 1 I �1 1 •1 1 1 1 1 1 1 / 1 . ----------------------- 1 1 1 ' 1 "1 1, :I •/ 11 1' 1 1 1 1 1 1 aY F,--a�Sf�r.4Y ON %r%.r�?j�iarc/.�%i•/��r�r�i���aaoo/����%��������//���i������//%�%/%/%�%/%%�// ////%%%//%%%/%%/%//%%%%/;/%�%/%%/%//%/%/%//%/:•i!!%/„/%//:'/% f' . I II I I • it 17 Y) I .I. i, 1 n . Mi / ' II M nBwmfne Depwbmmt ■ 0011 Application to 999 04 .0 ion''"✓`• " ! Old Kings•Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE FOR DEMOLITION OR REMOVAL Application is hereby made. in triplicate, for the issuance of a Permit for Demolition or Removal of a building or a structure or part thereof, 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. TYPE OR PRINT LEGIBLY DATE V ADDRESS OF PROPOSED WORK � Pl � � W-6-ASSESSORS MAP NO. 4B OWNER ASSESSORS LOT NO. _ HOME ADDRESS TEL NO ' 60 I U� NAMES AND ADDRESSES OF ABUTTING OWNERS: Include names of adjacent property owners across any public street or way' (Attach additional sheet, if necessary). zg D AGENT OR CONTRACTOR iC TELNO. ADDRESS �' v�tJ-7 DESCRIPTION OF PROPOSED WORK: If building is to be removed, give new location. Snap shots showing all views of building must accompany application. (Attach additional sheet, if necessary). . 0� �U5v_ Tod- +kuvt Note: If approval is granted for relocation, a separate Certificate of Appropriateness is required for new location if within the Old King's High AA— WA gjo >�or ict. D` � 1 SIGNED Space below line for COmmittet use. «-convector•Apnt Received by N.D.C. The Certificate is heiaby _Date 3 f D 1 Date Time&n.i_21! WA8y - Appioved ❑ IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ I -+ s ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS The four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a separate form). 1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a building to be erected or altered including windows, doors, siding, roof, light etc., that will be visible from any public street, way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition — show existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground. 2. EXTERIOR PAINTING. An application is required for any portion of a building, structure or sign to be painted that is visible from a public street, way or public place. Color samples must be attached to these applications. An application is not required when repainting existing colors, changing to white, or using colors approved by the Town Historic District Committee. 3. SIGNS OR BILLBOARDS: An application is required for any sign or billboard to be erected within the District, with the following exceptions: a. Existing signs or billboards on November•27, 1974 shall have until November 27, 1977 to secure an approved Certificate of Appropriateness. b. Temporary signs for use in connection with any official celebration or parade or any'charitable drive as long as they are removed within three days.of the event. Certain other temporary signs that the Committee feels does not detract from the Act may be allowed with the prior permission of the Committee. c. .Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on'which they are erected or displayed. d. A single sign of not more than 1 square foot in area showing the name, occupation or address of the occupant of the premises on which they are erected or displayed in a residential zone. 4. STRUCTURE: An application is required to build or alter any structure within the District which is defined by the Act as a combination of materials other than a building, sign or billboard, but including stone walls, flagpoles, hedges, gates, fences, etc- GENERAL REQUIREMENTS S. 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. i 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. s. 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. MAINE POST & BEA O F C A P E C O D BAY COLONY SYSTEMS, INC. 78 Route 6A•P.O. Box 1907 •Sandwich,Massachusetts 02563 Phone: 508-833-3111 Fax: 508-833-3110 Do .7 . I�Yt n i 5 f lam- O.;�-bo) $z �,. 0. 2 oo 1 1, s-r��- -1 i ��✓ � AL .. rr r r �' 1 • // 11 11• ','nS "Ytta'iT, •a7•,wEn• 2�(q,n,%+•t�Jr. r§.• a"a+. Dix ym 1. .r. .q ,'@G&'Ufi al ✓ » ;1�'.t:ad"1� •z ,c. r 'ro" .° m,"'" €f91m?C✓7 a.31 i al+dy t .:i;,p C"fYY, .a .' •gyp I,S 1:e'r, a � n�: .t.. ..r, �.! ���n 5de..+s.��Sga.?e�'.�va.3serr`z~v...LY,��,t::c�.,?..,�._.,�;.4ni�,z2� csi•'X�J!uca'aan.�.fl,;.+�Y....•'�.aF3�.t.tir.tsaf.IFKt.��.P�..;t'�}h':ir.7....�•:F.F,:c°�:;4:i1�.�.ti"7�. rs.S':I,;>~SlM3'.tf$.:GuiRan' 'r`i'S.��,w�;�.°."N'".•<ta.��?i`�6>� �i&'�JRt d:k`F7�v°�'��+s � �>t ZME iJEFFERSON —,—,®® I'1�. 1/•1` I I I 11 �IIWY ICI IHARON,MA 02067 I' 11 I I 1 1 I I ��a �•�,�u,%x����r�''�x2�t�tar �'6'dg a' rta�''�d�'ua'�IF �,��"•e,=;��;'��� �"�,. �'ca?3�v.,.,,�l,y:ll..�+L.a,.i r�„��.s.���,.y.,.�.r"�:�_.�'. .In..+�,,... .z�,� , •, � I; c t Twc 1a/ Soo Land CW rer.prop. UP FYOO Lift Estate IDL I LOT , 11 y, 1. n..p;:., >,r7- R•,:5 'f�. £C �?'i..! 1:..�7fi :}21/ -// ��f`a c ,C,•.rb�..�IY .d , .,{,.,c -�'i 1✓1e x .[ ':te „".. ,ff` -a�u `ul'',1�?eca. 4Yo i.. a°' A�L�:O aY'i+tl ie4 avf!•�'� t+ s 4,"a a .i ar 6 'E5`'� _ Atf. a'>df�,�dY o it dk?I.1:..;g.,s.. y�:s: « f; v •:S'St'>?,5 :,'S.•;Il tir.r..o.>.y"'`wzS^. °?:7, ':a7lTt ..t:T:..a".a;i°?fi.�K.Lf as rl.;u::..i°�e3 ` 'K�'ir•,.:u«54:L3 .?`l i "nR 'tiEKaE{k''Aa.d.2.^..:: -_�.,r•4/Si� •{erg.• t ;4 �l,�■�/T/� r, r, 1 I�• 1 1 I I 1 I iYiYW - ue mmwzi ;, "•'r`m-z ".'r1'`,f7H''ry r�,r.� ry q°� t,nri r«•°y'^`Y �,'�,°1 t'k' "`[��"•Ya:`,j r' .•SdyF1Y (d�rC x�ei{lh ,4• °'r''a+•`°•�Ys&4 r. ( „ "knowledges r visir 11 avara / ? d� �rvs� � �'2� �eL � tJs4� w ?�F &: n .,� >,atauT n4:• +� w .sins, u� W s�1a� �-"g::;F� - iea tit xa = Appraised Bldg. 1 111,100 Appraised / ValueI' tll Appraised • : 1 I I r J'7 f - r. Appraised 1 1 / q�-IKE+,}+�Y✓ i ,Roo ,i t.' Special;/(m',r1 f '�•i'�fr 51d� �w°`"a'�`��s �z ��,'g�'�;' ! { I I fr.' F ^E.xl ,t T.. F.. r..1. 5•tJu� ...�w.t'A L T-".vY"T^ ar3#YSx��&`TM.f3"M6S�, 5e�i.L3 11 Value 0 Total AppraisedCard Value Total AppraisedParcel Value 174,400 ValuationMethod: CosttMarket Valuation t Total Appraised Parcel ;'alue ryr''�' 'Ti. ';x. t�. i! t "" "+LaK+'f^• iia`N- `a+ % •9/�I>Y9'P°'p'd?" 'Ci 1•F 'F„J'&+?!!1 '2.73' i, .A. .' ^+3 1; yWin INME ulad@�1f1� v G°�' ^v.'F: ."ps. 7 MAR 'i, M. ' ��' e A• • t8 e i aac-..:nfl.: �.. ,1 ,i �. �o�11®LS�3��I�L'd�T.'. .7� �rr�i���.rr,�nnr•.� n 4 1 1 • I I III I I I I I I I I ^r-7t�f.U)?�ri� • I III 11 I I I I 1010 _I Fam1 • ,II II II II I 1 II7,440.01 11 a 1010 'Ingle Fam 400.0,I 1 1 •—r_. 01"wJU: 138/ UU,/ UU4/'/ Other ID: Bldg#r 1 Card 1 of 1 Print Date:01/14/1999 emen 01, LA Description omme a emen , M e pe ncli blementDescription 52 odel 1 esidengal ea e e a Type tones Story K PTO ccupancy 0 it g/Wall 5. 9 15 15 0o s/Prtas xteriot Wall 1 4 Wood Shingle /o mmon Wall - 2 at Height oof Structure 3 able/Hip oof Cover 3 sph/F Gls/Cmp BAS 20 Interior-Wall l 8 Typical e n es p on ac or 2 o terior Floor 1 0 Typical ex .34 2. to Adj ni Location 8 Heating Fuel 2 it s'`" Heating Type- 9. Typical ber of Units - C Type None bet of Levels /o ership pp Bedrooms 3 3 Bedrooms 1�P 18 Bathrooms Bathrooms 0 Full n �. ase Kate N.UU Y Total Rooms 6 Rooms ize Adj.Factor .01455 > Bath Type a(Q)Index .18 Kitchen S le dj.Base Rate 7.46 FGR tY !d .Value New 19,459 7 17 e Built 949 ff ear Built 975 Physel Dep 2 un Obslnc Obslnc peril.Cond.Code a e } \ escr on ercen a pedl Cond% 5 ingle ram iuu call%Cond. 3 eptec.Bldg Value 11,100 o Description n s unit rrce Yound Apr.v value. irep ace , SPL1 ool-loground L 52 9.0 78 100 3,80 SHED bed L 41 4.0 70 1 100 10(.. SHED hed L 561 4.00 60 1 100 140 o Description ng rea os rea rea n os prey a ue: rs oor FEP %ch,Enclosed,Finished �16 �11 40.0 6,49 . FGR ttached Garage 37 13 20.1 7,52. PTO ati0 22 2 5.8 1,32 WDK ood Deck 63 64 5.7 . 3,67 YL Toss MvlLease Area 1,74li J,10 Z,U79 w i MAINE POST & BEA-A4-1`t* O F C A P E C O D BAY COLONY SYSTEMS, INC. 73 Route 6A • P.O. Box 1907 • Sandwich. Massachusetts 02563 Phone: 508-833-3111 Fax: 50S-833-3110 •r' ,�,�,pr sr•.��2 "7.� y '�`¢� „ -.if7� �,ti�T1'.� .m� r� �Y�J►. tt ` �- A- jyY3� ._ ti srt.a. jf � I I CAINE POSE' & BEA O F C A P E C O D BAY COLONY SYSTE AS, INC. 78 Route 6A • P.O. Box 1907 • Sandwich, Massachusetts 02563 Phone: 508-833-3111 Fax: 508-833-3110 k OF } y • w:K+ �,.t.+ —•.. .."„ t'.h i .X��,�*'��'.. 1 Y 'PS`1w x +t s.'"+,a:� rr„ . , t ��} w fi mow• .X`i ��`.it d '- � «V+'i"ka..,��,:�. w AINE POST &. BEA OF CAPE C O D ml - BAY COLONY SYSTEMS, INC. 78 Route 6A • P.O. Box 1907 • Sandwich. vlassachusetts 02563 Phone: 508-833-3111 Fax: 508-833-3110 Auk•�i. ' . K t M. • T� ,�`T7 M,+ -+ �' L 'µ' _..1iY r 'ill rrC +M~', t►'{`' �• . a� TA J � t - a.~,�.�+LR, r."T � `,r� I � is y i;�,t• '1 N '� . AA ma's+ v�`"tr. l v—il ii r 7- { I F f 1 �` - - - , C��f� � �� ��� i �� ��� � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1�� Parcel — Permit# Uo Health Division 4�g or"'a -fA/ Date Issued Z Conservation Division o g ,\ot '(Z Fee Tax Collector SEPTIC SYSTEM krJUST®E INSTALLED IN COMPLIANCE Treasure ) _ ENVIRONMENTAL WITH TITLE 5 Cq, AND Planning Dept. _ Tom,,, , , Date Definitive Plan Approved by Planning Board ✓v lt6 Historic-OKH Preservation/Hyannis Project Street Address I -l� ftAPd1J ( Afi9-, Village �7-- Owner d f' GEt> IX Address Telephone LO p 6 Permit Request Ll kICZ D E5 Square feet: 1 st floor: existing a��o_ proposed 2nd floor: existing proposed Total new Estimated Project Cost 444w. Zoning District 9 r Flood Plain (fi Groundwater Overlay Construction Type RE 540EO AL Lot Size �J S Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family f/ Two Family ❑ Multi-Family(#units) Age of Existing Structure ? 4S Historic House: ❑Yes 2 No On Old King's Highway: O Yes ❑No Basement Type: �Fctull i�Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) D Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths):existing 7 new First Floor Room Count Heat Type and Fuel: ❑Gas ®Oil ❑ Electric ❑Other Central Air: ❑Yes Gd No Fireplaces: Existing _� New Existing wood/coal stove: ❑Yes l/No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:dexisting ❑new sizel Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 12fNo If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION / Name r e elephone Number ��� �L`< Address -� License# Home Improvement Contractor# Worker's Compensation# we zl ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO AC 72I5 A� C0 A1W O ( SIGNATURE DATE _ Za • ?9 FOR OFFICIAL USE ONLY PERMIT NO. 6 DATE ISSUED - MAP/PARCEL NO. A ADDRESS VILLAGE ' s OWNER DATE OF INSPECTIO FOUNDATION FRAME INSULATION FIREPLACE t ny ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL ` GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Century Homes Box 2072 Dennis,Mass.02638 398-0387 Town of Barnstable Building Department re: 192 Meadow Ln. W.Barnstable,Mass i To Whom it may concern January 12, 2001 Property located at 192 Meadow Ln.West Barnstable is supplied by no town water supply. As you know any property west of Route 132 and Route 6a has no town water supply and dwellings are supplied by well water. sincerely rian Smith G� Century Homes Box 2072 Dennis,Mass. 02638 (508) 398-0387 274-7700 (c) 1 . � � � � , � i '� � � � � � � �� CF THE Tp� Town of Barnst Regulatory Ser saMSTAsr e, y MASS. �a Thomas F.Geiler, �pIFD MA'S� Building Divisi Peter F.DiMatteo,Buildin 200 Main Street, Hyanni Office: 5087-862-4038 Building Permit Procedure for Residential Addition Or Rela 1. Determine map and parcel number and enter it on obtained from the Engineering or Building Dept.) 2. Plot plan or mortgage survey required for any additiol 3. Historic District Commission,200 Main Street, appro construction/demolition for any properties located in a • Old Kings Highway Historic District(north • Hyannis Main Street Waterfront Historic Di • Historic Preservation(if applicable). 4. 4 sets of house plans measuring 11"x 1711,scaled 1/4, are required. Plans must include a foundation, cross se� &floor plan showing location of smoke-detectors (locat stamped sets will be returned w/Building Permit for disl &the job site. 5. Approvals from the following departments are required }� �. �� ;� �� ;s, -� _ :. � �; t�k� .'�t,f� j ».. 1�� �'--' f Barnstable a y Services. - Her, Director ivision _ ing Coinmissioner annis MA.02601 , `... ; Fax: ` 508-790,623 EXEMPTION - village y hone# work phone# ' state zip code clude owner-occupied dwellings of six units or e who does not possess a license,provided that DOWNER , es'or intends to reside,on which there is,or is ri hops acce QUERY PERMITS: QUERY END QUERY PERMITS r :r PENTAMATION----------------------------------------------------------- 05/23/02 PERMIT NUMBER 43247 PARCEL ID 158 005 192 MEADOW LANE PERMIT TYPE BELECNB WIRING PERMIT-NEW BLDG DESCRIPTION WIRE NEW HOUSE W/200A UNDERGROUND SERVICE CONTRACTOR PERMIT FEE 60 .00 VARIANCE STATUS C COMPLETED CONSTRUCTION TYPE 753 GROUP TYPE APPLICATION 12/27/1999 EXPIRATION VALUATION 0 .00 DATE ISSUED 12/27/1999 COMPLETED 12/27/1999 DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N)EXT/ (P)REVIOUS/ (C)ONTRACTORS/ PR(0) PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F)EES/ (A)RCHITECTS/ (V) IOLATION/ (E)XIT QUERY PERMITS: QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 05/23/02 PERMIT NUMBER 43247 PARCEL ID 158 005 PERMIT TYPE BELECNB WIRING PERMIT-NEW BLDG DESCRIPTION WIRE NEW HOUSE W/200A UNDERGROUND SERVICE MASTER PERMIT INSPECTION REQUIRED REQUESTED SCHEDULED INSPECTED RESULT INSPECTOR BEFIN BEREIN BEROU 12/27/1999 SC ADOH BESER 03/29/2000 03/29/2000 A DPRO PRESS ESCAPE TO END DISPLAY I QUERY PERMITS: QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 05/23/02 PERMIT NUMBER 51188 PARCEL ID 158 005 192 MEADOW LANE PERMIT TYPE BELECNB WIRING PERMIT-NEW BLDG DESCRIPTION FINISH HOME ATARTED BY J.BURKE CHECK # 6733 CONTRACTOR PERMIT FEE 60 .00 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 753 GROUP TYPE APPLICATION 01/22/2001 EXPIRATION VALUATION 0 .00 DATE ISSUED 01/22/2001 COMPLETED O1/25/2001 DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N)EXT/ (P)REVIOUS/ (C)ONTRACTORS/ PR(0) PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F)EES/ (A)RCHITECTS/ (V) IOLATION/ (E)XIT QUERY PERMITS: QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 05/23/02 PERMIT NUMBER 51188 PARCEL ID 158 005 PERMIT TYPE BELECNB WIRING PERMIT-NEW BLDG DESCRIPTION FINISH HOME ATARTED BY J.BURKE CHECK # 6733 MASTER PERMIT INSPECTION REQUIRED REQUESTED SCHEDULED INSPECTED RESULT INSPECTOR BEFIN O1/22/2001 01/25/2001 A ADOH BEREIN BEROU BESER PRESS ESCAPE TO END DISPLAY QUERY PERMITS: QUERY END QUERY PERMITS ` PENTAMATION----------------------------------------------------------- 05/23/02 PERMIT NUMBER 55735 PARCEL ID 158 005 192 MEADOW LANE PERMIT TYPE BEADALTR WIRING-RES. ADD/ALTER DESCRIPTION INSTALL HH AND DUCT FROM POLE ON ST CK#5636 CONTRACTOR I I PERMIT FEE 60 .00 VARIANCE STATUS C COMPLETED CONSTRUCTION TYPE 753 GROUP TYPE APPLICATION 09/11/2001 EXPIRATION VALUATION 0.00 DATE ISSUED 09/11/2001 COMPLETED 09/13/2001 DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N)EXT/ (P)REVIOUS/ (C)ONTRACTORS/ PR(0) PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F)EES/ (A)RCHITECTS/ (V) IOLATION/ (E)XIT QUERY PERMITS: QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 05/23/02 PERMIT NUMBER °55735 PARCEL ID 158 005 PERMIT TYPE BEADALTR WIRING-RES. ADD/ALTER DESCRIPTION INSTALL HH AND DUCT FROM POLE ON ST CK#5636 MASTER PERMIT INSPECTION REQUIRED REQUESTED SCHEDULED INSPECTED RESULT INSPECTOR BEFIN BEROU BESER 09/13/2001 A ADOH PRESS ESCAPE TO END DISPLAY Wide � e &lslaflds la Obituaries B-5 a Senior Journal 8-6 Sunday, May 9, i 999 Demolition job Bt.pnin dovvm"l gives fire department practiceE 0 Adam%, By LORI A.NOLIN 4 i e ho"Oe STAFF WRITER EST BARNSTABLE —The West Barnsta- ble Fire Department } started five fires yes- terday,eventually! destroying one �� +�+�..�.. ' ._���.. � ' home. f ",;� "� � �� , c The owners were o' pleased. James and Mar- garet Wyman of 152 Meadow Lane in y . West Barnstable pur- " "• �, 11 chased the home last summer from the Halomeyer family. The Wymans had planned to } y s demolish the house to make way for a new one with a view of a nearby salt marsh. "Anytime that we find out some- body has a building that is no longer needed we attempt to bum it for fire gaining,"said Fire Chief John Jenk- ins. "Live fire training is invaluable. '" 1 We have better building codes and fire prevention.There just aren't a lot of big fires anymore.,, West Barnstable only gets the - opportunity for live training about every three years. A group of 24 men from the West iy .y Barnstable Department gathered around the ranch-style home while - _ some of their wives and curious neighbors looked on.Jenkins called in four Sandwich firemen to tackle anything that came up in West Barn- r stable while its department fought the staged fire. James Wyman snapped photos of e the inferno and,although the outside ` of the home appeared to be in great 'condition,he said, "By the time we bought it,it was pretty much a discs- ter inside. Firemen waiting to fight the fire "•+ ;p �'' :a tT" r ' Staff Photo by STEVE HEASUP ■ A West Barnstable firefighter hoses down the front of a fire engine as a training fire at a house slated for demoli- Live fire training is invaluable. We have better ton bums behind him. building codes and fire prevention. There just aren't fighters shouted into the basement. a lot of bigfires anymore. No,it turned out. Using a hose spraying air rather Fire Chief John Jenkins than water,men in the basement forced the smoke out the bulkhead stood down the road where they ins noted. so they could fight the fire. could not see the fire being set. From outside,black smoke bil- "A fire in the basement is the Groups of firefighters tackled sepa- lowed from the chimney,an indica- worst,Elliot said, "because you have rate fires set in the kitchen,family fion that there is fire down below, to go down into the heat and smoke room and garage.The fire chief set near the home's heat source,Jenk- and then fight when you get there." nos.four and five simultaneously in ins said. Covered in ashes, the firefighters a bedroom and the basement. Firefighters ran to the back of the left the building and prepared for the Crews came in three minutes home to pull up the bulkhead door, big show—really burning down the apart,which simulated the standard, the only way to the blaze. house. arrival time.At the back of the home, "They're going to take a beating Smoke began puffing through the smoke began to creep through the from the smoke,heat and flames,"• shingles and eves and soon the fire eves,and the firemen cut a hole into said Sean Elliot,a call firefighter for blazed full throttle through the roof. the roof to allow smoke to escape. West Barnstable. Spectators watched the fire in awe Quickly tackling the bedroom,fire- As the men entered,a"pass as embers rained down inside the fighters inside suddenly realized device"fastened to the lead man's structure and fire crawled through the their feet were getting hot suit went off to alert the others he home finally engulfing the building.It "They're just now discovering had not moved for 30 seconds. took less than half an hour to destroy there's fire in the basement,"Jenk- "Dove have an emergency?"fire- the home. T MT, , ! i OUR TOWNS ,� BARNSTABLE BREWSfER Administrators,wanted a way let property owner. About $294,0, students know they are listening to. will be raised by 'the tax, viti1, ` New plan for casino ship Voters OK$19 million them, even if the students don't another $147,000 in matching if l b feel comfortable talking to adults. funds from the state and $75,00t 1 Hyannis draws Ire town, schooudgets. Three students came up with the appropriated by the town. "7 The Legislature's top authority. Brewster voters managed to wrap idea for the mailbox, in which stu- Voters would have to approve the "on gambling said he may revive a up the annual town meeting last dents could drop notes about purchase at a special town meet- bill to ban casino cruise boats, week in two nights, approving threats or frightening situations ing. 'after learning about a new plan for more than$19 million in town and they have seen or heard. moo 'a'bettiug ship in Hyannis. school budgets and other money Casey Babineau; Megan Murphy The Eastham 350th Anniversary Leisure Casino Cruises of .articles. and Katie Sugermeyer. suggested, Committee will host k brainstorm- ; "Gloucester — which operates the That will • mean "a tax rate the mailbox be a receptacle for ing session at 7 p.m.Wednesday at Vegas Express,the states only cur- increase of about 12 cents per anonymous messages to the prin- town hall for ideas in fundraising, rent casino cruise—hopes to oper- $1,000 valuation, from $13.20 to cipal. These dangerous situations "ate another gambling ship in Hyan- $13.32, a percentage Bike.of nine- or threats include talk 'about recording history, celebration ,`pis Harbor.. tenths of 1 percent. weapons, bullying behavior or a events and something to commem- ii ru,Casino cruises operate free of The increase will generate a tax planned fight orate the event estate regulations and don't share bill of$1,998 for a home valued at Parents were recently told about Those interested can contact t'any revenues.with the state. The $150;000.That's$18 more than the the a Principal's Mailbox in a Harold oematt at 32 for -boats sail three miles off the state current tax bill. newsletter,and asked to encourage more information or just ust come to coast into. international waters, But town officials said that pro- their children-to use it- the meeting. which are immune from state laws jected increase may not develop, —MC.MYERS -DOUG ERASER tagainst casinos. because the estimated new growth p =o Rep. Daniel Bosley, House chair- revenue figures being used may be E EA'THAM 0 FALMOUTH n man of Government Regulations, lower than actual amounts, which .. s. itwhich oversees gambling bills,last will help lower the tax increase. Lack,of quorum delays March of Dimes gears year authored a bill that sought to Among the zoning a�ticles u for walk in. Falmouth ex ban the gambling cruises from approved at the town meeti> g was end of town meeting P cl The March of Dimes is looking ,Massachusetts ports. The House one that, indirectly at le ' may The second night of the annual do � for walkers to help raise money to i passed the bill, but it died in the give town officials more control town meeting last week fell 31 vot- fight birth defects.The six-mile Fal- ,Senate; where it was crushed by over the types of new businesses, ers short of a quorum and was 10 mouth Walk America By the Sea !pro-gambling state senators. The including adult entertainment,that postponed until late June. Only 10 challenge will be held May 16 at 11 bill may soon be reintroduced. may want to locate in town. articles were remaining,but select a.m.from the Casino'By the Sea in w ,Leisure Casino hopes to have the Voters approved a change that men felt they could be incorporat Falmouth Heights. I boat in operation this summer. gives the 1 board authority ed within a special town meeting t p g planning �' Last month a similar walk in m; . —MARK MERCHANT to issue or deny a special.permit on.an open space land purchase Hyannis raised more than$26,000.' for any change-in-use of an existing' they tentatively scheduled for June "The money we raise goes t■ BOURNE -business,with exemptions for sev- 29• towards research, community ser- de era)traditional operations such as Most of the major articles were as vice, advocacy;. and education to ;Town meetin be •ns antiques, liquor; food and hard- passed, including an$11.5 million ter • g ware. ` town budget, up nearly 3 percent help save babies, said Arlene Co 'tomorrow night y Reinhold, director of the Cape and -�JOHN LE G from last ear. m t A 17-article special town meeting ; Voters also said yes to a town- Islands Division of the March of . I [ Dimes in Hyannis. ne {begins at 7:30 p.m. tomorrow at CHATHAM wide smoking ban that will take She said,many individuals and ,Bourne HighthJ , followed by the :6& effect Jan. 1,2000.Smoking is pro- several teams have alreadycom- article wmtpl town meeting. Voters to face 32 articles hibited in all publ,o places,includ- Tri witted to the walk with a goal of _ Voters will be asked to approve a ing restaurants and bars and any Pe 1$30 million town budget— a $2.4 at annual town meeting other enclosed area used by the rarsing$31,000. de Registration sponsor forms are Imillion increase from last year — Town meeting opens at 7 p.m. public or employees. th ,plus an added $5 million in enter- tomorrow at Chatham High School Business owners can apply for available at the Falmouth Coopers- s five Bank,all Falmouth branches of ta ,prise projects. Budget changes for with 32 articles to consider. variances for any enclosed area Co the Cape Cod Bank and Must, and Co +next fiscal year include the addi- Two of the articles were submit that meets ventilation standards. , ► . the Falmouth McDonald s.Walkers ttion of four firefighter/paramedic ted by petition and ask voters to Voters also passed'amendments may also sign up at the registration ha tdic ,positions,a new ambulance for the direct selectmen to fire town coun- to a town wetlands protection table, which opens at 10 a.m. the tSagamore fire station and two addi- sel Bruce Gilmore, as well as seek bylaw, including one-that required day of the walk.-For more informa- tional police officers. ' damages of $18 million from him that dock materials for new and M The special warrant is dominated for the court judgment against the rebuilt docks be non-toxic, and lion, call the March of Dimes at sh 800-255-6332. /;by landfill issues, including a town in the Chatham Bars Inn golf that the applicant first try to share ue series of equipment-purchases, course matter. a dock with another party. —PAULA PETERS th !costs for architecture and engi- Two other articles seek to add mom HARWICH peering and construction. of -the flexibility to the town's current ban in y negoti- iproject's second phase.The region- on smoking .in restaurants and Voters OK land transfer 'I sting with several landowners to Ial landfill will grow from a$1.4 mil- 'bars. 4 buy their property using land bank Pon operation this,year to a $4.4 Voters will also be asked to hire a for elderlyhousing pillion next year, said selectmen full-time conservation agent,which money,state matching funds and 'Chairman Roland'Dupont. the selectmen support The finance the town's own funds. The land The town will soon have 65 more r bank tax adds 3 percent to the total elderly residents now that town t Voters will be asked to consider committee has not yet made its . anarticle that would amend cur- recommendation. town ,an tax paid by each meeting voters approved transfer- �ent B-3 zoning at the CanalSide The town is looking at a$20 mil- Commons site beside the Bourne lion operating budget, which is !Rotary. The change would allow $1.3 million higher than last year. multi-family dwellings as long as• The school budget stands at $5.5 In May, Mahe the Move to e development also includes million. � commercial uses also the —ROBIN LORD Complete Family Dentistry! majority of the site. Currently, the — — — — — — — — site near the Bourne Rotary is not ■ DENNIS I.." }I I , FREE Toned for residences. ;[< %«Because the high school parking ' Students'suggestion I _. I I Exam &Necessary I L.... i lot fits only 500 vehicles,residents I ::I I X-rays with w leads to mailbox Ian `><• R} are encouraged to arrive early. ]f h I » Regular Cleaning The Aril 20 massacre at ±'` I I •`'`'« 02 the lot fills,shuttle buses will deliv- p Just$48 adult/$35 kids erresidents from the nearby James. Columbine High School in Col- y Teeth F Peebles and Waldorf .schools orado prompted the creation of a WHITENING through the duration of town meet locked mailbox that will be kept near-the office. of the Nathaniel 1100 Off I I I I Just I —KEVIN DENNEHY .Wixon Middle School: I Our Best I I ;: I I $179 I DENTURE Re I ' .f -0: :.»:. g :. «; Need Help'? Un 4 a L - -(u/I) - - JL — ' . ;;;><>::<:::;:. — JL - - - - - J C d Way N' •� INFO-LINE � of Capepe Cod,Inc. •VVi/h coupon,one time only,one per jumily,exclusive njorher discounts,through 5/31/99.CT CALL 775-0464 ,• We Mahe It Easy for You! v; A Sign of Excellence A QUALITY INTERIOR Comprehensive services Major credit cards/major dental plans s c€ ;�. • Cosmetic dentistry Payment plans available No appointment necessary We'll meet any advertised price & EXTERIOR PAINTING z£ lb%senior citizen's discount We'll honor any dental coupon £ On-site denture lab—5 distinctive styles from just$299 u/1PAINTING + v !+ Residential & Commercial Convenient. Gentle. Affordable. •• Dr. Bosselait&Associates NOrthEas h HOUSE dental N1 276 Barnstable Road,HYANNIS WASHING , •Fully Insured Just off the Airport Rotary Pointing the way a; • in quality dental health cure Free Estimates 771-0rJ00 rA)M r~ r 3p0p�C0E ' $ NGa r � 43 ..ChoosetobeBetter' Geeskotetct IN�P see Qe1at\s. I Afs f Sit Ups...Spin Classes...Diets? Sol es all VIP BALTIC SLEFI� � And getti bi ng gger)As the f.TVAN est Englander dealer on• F ET I SET$ v woou ci�m ALI �S rz 4 , ,tJ�-T--r— '�uJzq` L FI a U V-`, tjIN p z.rtr X Zt�b `p} -- - S 00 Nov 2. 2 SCALE: APPROVED BY DRAWN BY DATE: REVISED DPAWING NUMBER a L c E00%. °,� •�` Sia R,n h S��E �o���n�� Tot sl- Woe TV O t;,L—L p . TZJ lc� i � � �'XJ —41 i , _-� J10* l-Mi� �[3t a y4 ag 2 1` _` _ (1 E `Z Z. ►39W t I AIL lam- J i ue? F4 t 7S T�R�f SCALE. 4; Ct„ AA DT: DRAWN BY EJM ._..i..... —._.-.—_ _ DATE: REVISED "ER DRAWING NUM - -- PROP. HOUSE _ SEPTIC PROFILE TEST HOLE LOGS T.O.F. AT EL. 18.50' • ACCESS COVER TO WITHIN 6" OF FIN. GRADE ('40T 70 SCALE) - -- NIOT ALLOWED -- SEPTIC DESIGN: (GARBAGE DISPOSER IS� ) - � � ACCESS COVER (WATERTIGHT) TO A.H. OJALA, PE ENGINEER; 1 CC p RROPOSED SPOT ELEVATION _ 550 17.0' MINIMUM ,75' OF COVER OVER PRECAST wITH'N 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 1�.0' J. DUNNING 5 . 1 10 Gf D - GPD WITNESS: � DESIGN FLOW; __ BEDROOMS ( ) USE A 550 GPD DESIGN FLOW RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE DATE: 1;.J/20/9H �- 100x0 EXISTING SPOT ELEVATION HousE _ K: 550 GPD 2 �' FOR FIRST 2 SEPTIC TAN (_^) 1 100 15.5 PROPOSED 1500 3' MAX. PERC. RATE _ 2 MIN/INCH IT,00 PROPOSED CONTOUR USE A 1500 GALLON SEPTIC TANK GALLON SEPTIC 14.91 ' - � Vo°�5 14.0' CLASS I SOILS P# 100 EXISTING CONTOUR TANK (H- 10 ) cAs ' LEACHING: AA REQUIRED FLOW/0.75 . . ,. 15.16 /1 BAFFLE 13.76' ""�" 13.5�� �- 734 SO. FT. = 550 / 0.75 9 HIGH CAPACITY 4' SIDES !{ TREE � 2 % SLOPE) `_-___6" CRUSHED STONE OR MECHANICAL INFILTRATORS ` (56.25 + 4 + 1 ) x (.3 + 4 + 4 + 1) 735 SF ( COMPACTION. (15.221 [2)) $ 0.91' ELEV. ELEV. �` 0 12.36' E Q TOTAL: 735 S F 551 _GPD DEPTH of flow = 4 ( 1 % SLOPE) 0" 20.29' p" 18.84' f TEE slzEs: 3/4" TO 1 1/2" DOUBLE WASHED STONE AP VI 'USE 9 HIGH CAPACITY INFILTRATORS WITH 4' OF INLET DEPTH = 10 Ap MnP STONE AT SIDES AND 2' AT ENDS (NONE UNDER) OUTLET DEPTH = 14" LS LS 5.12' 10 YR 3/4 10YR 4/4 LOCATION MAP SCALE 1" _ �,1�F 8" LEACHING 12 FOUNDATION- 17' SEPTIC TANK 115' - D' BOX 32' BW FACILITY gw LS ASSESSORS MAP 158 PARCEL 5-4 FS - ZONING „ 10YR .6/8 �n 10YR 5/f3 . DISTRICT: RF F30ARr' OF HEALTH 34 17.46' .... 1 6..54 ; YARD SETBACKS: i MA APPROVED DATE EXIST. COTTAGE ADJ. WATER' C5 7.24' FRONT = 30, T.O.F. AT EL. 23.37'_ : C SIDE 15' 71 C REAR = 15' FS PLAN REF. - �- 21 •0' MINIMUM .75' OF COVER OVER PRECAST FS WELL: SDW 252 FLOOD ZONE: A5 EL 11 AND C ZONE: A 2.5Y 7/6 2.5Y 5/3 (HOUSE RESIDES IN FLOODZONE C) �a goo° 19.5 PROPosEa 1500 ADJ.: 1 .4' GALLON SEPTIC 19.25' TANK (H- 10 ) GAS 156" obs. water 5.84' C BAFFLE w 2.5% SLOPE) \_6" CRUSHED STONE OR MECHANICAL ( COMPACTION. (15.221 [21) 120" 10.29• 168" 4.84' DO AUGER HOLE RESULTS (UNWITNESSED, PERFORMED 4/21/98)� S.F, r-- Q i - NOTES: 0 3" 0 & A 3 - 12" Bwi FINE SAND 2.5Y 5/4 NGVD AUGER HOLE 1 . DATUM IS 0 O 12" - 33" Bw2 FINE SAND 2.sY 6/6 ' (4/21/98) T NOT AVAILABLE 2. MUNICIPAL WATER IS 10, 33" sor c1 FINE SAND 2.5Y s/s 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. R 60" - 122" C2 FINE SAND 2.5Y 6/4 FSF 4, DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H-1( WATER ENCOUNTERED AT 113" (EL. 7.14') 5. PIPE JOINTS TO BE MADE WATERTIGHT. \ \ rH2 \ ADusr►�ENr o.i': 6. CONSTRUCTION DETAILS TO BE 1N ACCORDANCE WITH SASS. ,$ 4� # ZONE: A ENVIRONMENTAL CODE TITLE' V. 1 2 c r PLAN IS FOR .PROPOSED WORK ONLY AND �'; , 2 \ `\ 00 v.Eu: Sow �52 7. THIS T„ O E- r SIN STAKING �9 .o���fi \ PROPOSED DWELLING FOOTPRINT - -- T.F. �+ 18.50' �sc..�.,.un..,.-+.' "_,..' ... ,.' ..,v, �,.•... :" .;.Ten .. +',n, ., ...^ ' _ _ -.- unLrn v -�'�--_ CP _, -. . - - :�. C:'� �?,1 ��1 ,yi�T !0 IiF` c rti���rIII1 (1 n> r`(1NH7Ai ; POLEH� c P �p r' ,r_�� _ INSPEL iiCV 8Y BOARD OF HEALTH Ai�D PE-fiM'SSi•�N Off. I FROM BOARD OF HEALTH. P . s 64,9 S 6s• /� 10. CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE b.- CHER ES LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIC` I/ -� I PROP. WELL , v. s � � �� � o� ,. 70 COMMENCEMENT OF WORK. � 1 BR ' -� EXISTING COTTAGE TO �BE COTTAGE I 86' TF-23.37' RENOVATED I #~ - EXISTING Q ' 4 UTILITY _ _ DWELLING �., SITE AND SEWAGE PLAN � POLE (- � FOOTPRINT ��,�' ,� 192 MEADOW LANE � X - AND- IN - J TO BE FILLED EXISTING POOL C , \ 1 IN THE TOWN OF: O��x \ \X � w\ i , _�; GARDEN TO B PLANTED IN ITS PLACE 6I �� \ ` �` (WEST) S BLE -. _ _ - Q BARN TA 4 \ O o F \ \ \ VJ Pool � ' , ,j PREPARED FOR: JEFFRIES WYMAN r_.. LOT l Ei \ 3.8 ACRESt \ �o? #6 Area = 165,501 sq,ft TOTAA �' tia 40 - -0 40 80 120 UPI-AND SHED (TO ~ BE REMOVED) �qs � f # j 009 sq,ftt v Area 3.053Acres PROP. SCALE: 1" = 40' DATE: NOVEMBER 9, 1998 wETLAN D s ��9 Area = 32,492 sq.ftf 0.75 Acres OF , N 0f Mq, NOTE: ALL WORK IS GREATER THAN 400' TO SMITH CREEK ���• �� ���'� ARNE Jay #15 ,�� , "� CIVIL H. c f'a CESSPOOLS ARE TO BE PUMPED AND FILLED WITH CLEAN SAND OR R`m0 Fj'' f O.IALA ao ( 1 o.30782 26348 i NO COASTAL BANK EXISTS, EITHER STATE DEFINITION OR TOV%,N OF 13-M :ASTABLE (DEFINITION, ON SITE - {;i --- r'apt r�Hu�J _ / ------ #14 ,. >#% w AR p_ ('JALA,� . ; '. S. DATE I - #12 FLO.ODZONE ELEV. 11 .0 WAS STAKED IN THE FIELD AND LOCATED HEREON #13 #10 EXISTING DWELLING TO BE DEMOLISHED AND FOUNDATION REMOVED WITH #1 1 ALL MATERIALS DISPOSED AT AN APPROVED SITE. R s � roa VISTA PRUNING PLANNED UNDER DIRECTION OF CONSERVATION s S0. ADMINISTRATOR � I I F ELEVATION 11 .0' WAS STAKED IN THE FIELD WITH HAND-LEVEL l 169.56 CAMP �_. �. - i Tf AtJSECTS PERFORMED ABOVE AND BELOW THIS ELEVATION. NO 8N 817'16* E LINE `.LOPES MEASURED GREATER THAN 18% (TOWN REGULATION) AND NO s s :SLOPES MEASURED GREATER THAN 10% (STATE REGULATION). I s.;'• ''o0 s04 F 1 off 508-362-4541 I fox 508 362-9880 down cape engineering, inc. i CIVIL ENGINEERS LAND SURVEYORS - in 939 ma s- ---- - � t. yarnlouth, ma 02675 PROP. HOUSE. SEPTIC PROFILE I LEGENC� T.o.F. :AT EL. 18.50 TEST HOLE LOGS 1O 0.O , - /- ACCESS COVER V R T 0 WITH IN 6 0F FIN , GRADE AD E (NIT T 0 SCALE)LE ) SEPTIC DES GN (GARBAGE DISPOSER is NOT ALLOWED PROPOSEDSP T ELEVATION ACCL COVER W ATERTI HT T 0 ENGIN EER:R. A.H. OJA LA PE DESIGN FLOW 5- BEDROOMS G D 17.OMINI UM .75, OFCOVEROVERPRECAST WITH 6. OFFIN. GRADE OVERSYSTEM IR E% P R U ED 0J. DUNNING 2 . SLOPE ED IN s OG 1 .0 j WITN SS, 550 N FLOW E 10 x U A GPD DESIGN LO 0 0 EXISTING SPOT` VA USE E S G S 0 ELEVATION _ _ H OU S E R1� PIPE LE VEL 2 DOUBLE WASHED PEA TON E DA TE. E. 1 0 20 98 100 SEPTIC TANK: 5�0 GPD 1100 POSED CONTOUR _ 15. PROPOSED F(2-FIRST2 G 2 MIN/INCH I: N C H USE A 1500 GALLON ON SEPTIC TANK 3 MAX. . PERC. RATE - _I -v b 4-. GALLON SEPTIC EXISTING CONTOUR LEACHING. 14.9 1 14.0 CLASS SOILS PAA REOUIREb FLOW 0.75 15.16 TANKH_ 10 GAS ,h�5 13.5 _ oo r 00 7 4 FT 5.,0 0 5 BAFFLE _3 S BA LE O _ 1 7 - TREE 3. 6 EE o HIGH CAPACITY Q 9 a ® SIDES 2 ' , + '4 + 1 x + 4 + 4 1 735 SF . SLOPE) " ti 56 25 3 ( ) 6 CRUSHED STONE R M CHANICAL CUSEOS0E0 E N A FI TR TOR 8 . L S . . V COMPACTION. ELEV..CO C N 15 2 1 2 0 2 ELEV. 0. 1 9 o 1 .36 2 o � 7 55 1 4 8 2 35 _ A F. G PD TOTAL: S. �i DEPTH F P F LOW 1 18.84 _ . SLOPE 0 20:29 S� TEE SIZES: 0 4 T 1 1 2 DOUBLE WASHED` STONE -'w 3 0 INFILTRATORS ITH 4 F USE 9 HIGH CAPACITY 0 A P � - 1 0 A INLETvil DEPTH ASIDES_ AN, AT ENDS NON UNDER P It`" T D 2 E STONE �- LS DE PTH 14 LS OUTLET D 0 AT L C I N 0 MAP A 1 .. SCA LE 1 YR 4 4 0 3 C t 8 1 YR 5.1 2 1 2 ., 0 4 4 `1 , ., LEACHING 7 _ FOUNDATION- _ U DATION S PTI E C TA TANK 11 5 D BOX 32 w F B FAC ILITY L17Y ... B w ' AS - SESSOR 1 S MAP 5 5 4 8 PARCEL LS FS A CE L BOARD 0 HEALTH : F ZONING DISTRICT: RF 10YR ,, 6 8 1 Y 3 0 0 R 5 8 16. 4 34 17.46 3 YARD T D SETBACKS: . MA S , DATE � w, _ ; APPROVED X I T. COTTAGE EXIST. CO GE FRONT - A WATER 0 30 DJ. W 7: 4 F ' AT 3.37 E ® 2 T.O. EL._2 I SIDE C C -15 RE AR 15 ,. 21 .0' F PLAN REF. - MINI 7 S E MUM . 5 OF COVER E OVE R PRECAST r C ST F S W W F • A WELL: SD 252 FLOOD N 5 E 1 1 _ZONE: L AN 0 0 D C g a . Y ZONE. A 2 5 5 3-sue Y 2.5 7 6 '' HOUSE R o° / RESIDES IN F 0 N 19.5 �o ozo E c J PROPOSED 1500 ADJ.: 1 .4 GALLON SEPTIC 19.0 TANK H- 10 A 19.25 G S 5:84 obs: water BAFFLE l56 ate 2.5 % SLOP E) R MECHANICAL ( ) 6" CRUSHED STONE 0 E C E ,1 0. 4 29 . 4 ' 15.221 2 1 1 8 8 COMPACTION. 20 6 ( ll ` O <J Y C , AUGER � UG H0 RESULTS W E LE ESUI S (UN WITNESSED, P U ESSED PERFORMED 4 1 EO 2 8 9 r , ( S f. Y _ `" NOTES: h 0 3 0 do A c O .. w IN G 3 1 1 F 2 B E SAND 2.5Y 4 AUGER 5 UG HOLE / 6 E LE N V 4 1 8 G D 2 9 1 . A : 6 " DATUM S 12 33 Bw2 FINE ND Y SA 2.5 6 6 'r 1 a 2 MUNICIPAL WATER _I NOT! AVAIL ABLE 3 60" C 1 FIN Y E S 3 E SAND 5 F 2 6 6 S 3: MINIMUM PIP E P E PITCH T F 0 _ 1 BE : PE R R ,F E O T, F 0 6 1 IN N 0 22 C2 ESA Y a D 25 6 10 4: DESIGN _LOADING FO R OR A P - .ALL PRECAST T E S UNITS T O BE AA H A R N , S 0 H . WATER ENCOUNTERED T R AT 1 TH2 E E 0 E ED 13 EL 7.14 5 PIP JOINTS E 0 T T S 0 BE `MA A 0. DE WATERTIGHT. T -_A USTM N 1 0 E 0 . � 6. CONSTRUCTION C DETAILS `T ;I A 0 B N AC CORDANCE C C 0 AN 0 D CE WITH MAS S. N A ZONE: 2 ENVIRONMENTAL C T� ODE. TI LE V. '_- 0 . r a_, __ T D � o n:nn, C I � fti _ i- i. _' .. ._:>....-__ __.. _ ._,.fin _. ..._ _ v_ v.>w rr r1 rrt w ih FG0 R x - v'v I MI Eu D cLL v 5 � - , I C C r>p n T T _ L I r _ E S..A�SJ:.1G , 7 T.F. 1 .50 _. 4 8 UTILITY J 8 PIP F E R PT Y 0 SEPTIC SYSTEM T PO LE , , S EM 0 SCH. 4 0 4 PV C. 1 C P `� z H C P O _ 9. COMPONENTS NOT T 0 BE BACKFI L R '. L E D. 0_. CONCEALED C w� E L D_WITHO UT 0 O , INSPECTION BY AR sBO D OF H A LTH A D`P RM N E rSSION OBTAINED sB N D w E _ g f 6 S s , FRO M A a BO RD F H a 0 HEALTH. _ e L G � 2 S 0 J ,, 6 S G 6 6 3 . o ?CH ER C E E 1 0 CONTRACTOR , A `� SH LL BE RESP oONSI F BLE OR V RIF E VERI FYING G THE E i f c eR LOCATION_ OF A N PROP. wELLLL U DERGRO' N F � U D & OV ERHEAD RH sE A v- D UTILITIES E T LI ES PRIOR O _ � � R COTTAGE _ � COTTAGE TO 'BE 0 _EXISTING , i . T _ 0 COMMENCEMENT'1'�� F WORK. TF 3.37 r � 2 RENOVATED 86, v J � XI TING N 1 E S 4 unuTY ' � P _ DWELLING � OLE F. � FOOTPRINT G 00 Q , - S/TE AN D , SEW AG EP LA _ F N c , F _ 5 x � _ 0 1 T FILLED IN AN 192 MEADOW EXISTING POOL (5 BE LLED D �^ II ^^ x A l L�1 N E IN T P TE TS GARDEN 0 B PLANTED PLACE S �5 . Q I-, � O _ 6 X , S L o - IN THE : E TOWN F� 0 . Q _ 9• � O A � m Q' , W T� ES AR' F � , B N STA BLE 0 PO OL (� r . PREPARED FOR:E ED T 1 � 0 LOT B J FFRI F , E ES WYMAN A R t 3 8 C ES O O 6 � - _ F, 1 1 .ft IOTA Area 6� 50 s L , . q C� O 40 80 0 120 i 4 0 T SHED 0 ( , UPLAND REMOVED) 7 BE E Are 133 009 s .ftt . s , ; Area , q 0 3. re c, OS Acres PROP. 0 . 1 _ 4 0 NOV EMBER EMBER 9 1 S 998 SCALE: DA TE:T .E , s _ WETLAND _ ,. y Area 4 s :ftt e 32 92 q 8 O " O i 9 0:75 Acres 0 a F v 0 i `o N OF O SS J 'O w „ 1 N Of NOTE: A W� 0E ALL 0. K I RAT S GREATER R THAN E 400 TO SMITH R c'�' �15 CREEK �H. �. b s � O ARtVE ti a c , L H. u P �I S CESSPOOLS ARE T 0 BE PUMPED AND` Fi _FILLED WITH A.CLEAN SAND OR REMOVED)V 3 E; 0 ED oaAu ( ) 30492 26348 e o E � C r, NO A S T E 0 COAST BANKEXISTS,L B TAT S E OR T WN F J 0 0 ' , s 1 4 c s B RNSTABLE D INITI N N E 0 0 SITE _ - 9 A . OJ -cA - ALA . S. _ DATE 1 2 , F L00 ON V 1 D E ELEV. 1 . W Z 0 AS STAKED IN T S ED H FIE LD ELD AND AT_ LOCATED HEREON 1 k �3 , t , r 1 X g E I TING DWELLING T S D N ELL 0 B H A G E DEMOLISHED S N F ,E L ED D FOUNDATION REMOVED V WITH . . �>� E 0 ED . TH 11 } S A AT ,.. o L MATERIALS DISPOSED L E LS D S OSED AT AN APPROVED s 0 ED SITE.9• VISTA S PRUNING PLANNED :ED UNDER DIRECTION , . DE D C ON F N E 0 CONSERVATION N s 0 , . ` F , A Mlh. T V S RAT R F D 0 I~ ELEVATION 1 WA c x ,r 1 0 S STAK ED N H FIELD ED T WITH H J E ELD AN -L EVEL , I 6 CO MP LE EL .5 0 169 C . .. TRANS CT PERFORMED , E SA V A ABOVE N W - H ,E AND 0 THIS VA L S ELEVATION. N 0 , i , " i Q LIN E . . k 1 Q 7 16 E 88'1 �i NMEASURED.SLOPES A �TH N 18 o TOWN R T s EGULA ION AND N0 3 S P SLO E MEASURED R .S G T R EA E THAN ' 1 � TA s 0 o (STATE REGULATION s oF o . qq k a� a Ns. F vA of( _ -4 308 362 541 fox -508 362 9880 down cape en in eerin Inc. - P � �' CIVIL I IL ENGINE ERS _ I SURVEYORS:LAND R EYO RS 939 mat st'.n a rmout _ h a 0 7 Y m 26 5 98- 142