HomeMy WebLinkAbout0155 PARKER ROAD j
i
UPC 12543
No.53LOR co
HASTINGS,MN
o
� 1.1 Town of Barnstable Building
r(UARMMAUL& ;J Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
Posted Until Final Inspection Has Been Made. Permit
363q• �0
'�Forea+° Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.
Permit NO. B-17-4211 Applicant Name: Armen Safaryan Approvals
Date Issued: 12/05/2017 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 06/05/2018 Foundation:
Location: 155 PARKER ROAD,WEST BARNSTABLE Map/Lot: 176-016-002 Zoning District: RF Sheathing:
Owner on Record: JONES, DIANE R Contractor Name: ARMEN SAFARYAN Framing: 1
Address: PO BOX 726 Contractor License: CSSL-106102 2
WEST BARNSTABLE, MA 02668 Est. Project Cost: $5,250.00 Chimney:
Description: Re-Roofing Permit Fee: $35.00
Insulation:
Project Review Req: Fee Paid: $35.00 Final:
Date: 12/5/2017
Plumbing/Gas
Rough Plumbing:
Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas:
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service:
Minimum of Five Call Inspections Required for All Construction Work: Rough:
1.Foundation or Footing
2.Sheathing Inspection Final:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Final:
7.Final Inspection before Occupancy
' Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A)., Fire Department
C.
Building plans are to be available on site Final:
CIO All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
2
yI
Town of Barnstable M
; RECEIPT '
e" An 200 Main Street, Hyannis MA 02601 508-862-4038
&63
9. Application for Building Permit
Application No: TB-17-4211 Date Recieved: 12/5/2017
Job Location: 155 PARKER ROAD,WEST BARNSTABLE
Permit For: Building-Siding/Windows/Roof/Doors
Contractor's Name: ARMEN SAFARYAN State Lic. No: CSSL-106102
Address: Hyannis, MA 02601 Applicant Phone: (508) 776-2900
(Home)Owner's Name: JONES, DIANE R Phone: (508)744-7378
(Home)Owner's Address: PO BOX 726, WEST BARNSTABLE, MA 02668
Work Description: Re-Roofing
d" Q
Total Value Of Work To Be Performed: $5,250.00 `� Q
Structure Size: 0.00 0.00 0.00"
Width Depth Total Area
o�
I hereby swear and attest that I will require proof ofworkers'compensation insurance for every contractor,subcontractor,or other worker before
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
1 understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to
accept coverage.
I hereby certify that I am the owner of the property which is the*subject'of this application or the authorized agent of the property owner and have
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate to the best ofmy knowledge and belief.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24
hours in advance.
Signed: Armen Safaryan 12/5/2017 (508)776-2900
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project Cost : $5,250.00 Date Paid Amount Paid Check 4 or CC# 1 Pay Type
Total Permit Fee: $35.00 12/5/2017 $35.00 }DOO{-?DOO{-JC)OD{- Credit Card
8664
......................................
_.................
_._...
_......
.............
........................._............ _....__._......_._....._...._................................................................_...._.._.._.-........
Total Permit Fee Paid: $35.00
77-7
a � THIS.IS NOT A�PERMIT `
..-...-.,......,..,_.,_.s-..o.��N��..v-.�«..�...._...�R...,....., .e...aLi....,� y�._...,..�+-�._w._.fiL..�.....s.»A3v.C�..`F.... .. w........w................m...,,..=...i
TOWN OF BARNSTABLE
CERTIFICATE OF OCCUPANCY
PARCEL ID176 016 002 GEOBASE ID 10439
ADDRESS 155 PARKER ROAD PHONE
W BARNSTABLE ZIP
LOT 3 ..- BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT WB
PERMIT 70326 DESCRIPTION CERTIFICATE OF OCCUPANCY
PERMIT TYPE B000 TITLE CERTIFICATE OF OCCUPANCY ,
CONTRACTORS: Department of
ARCHITECTS: h
Regulatory Services
TOTAL FEES: 4
BOND $:00 �tME
CONSTRUCTION COSTS $.00
9 J (O -=
* BARMABLE, •
1639. A1�
BUILj1TDIVI IO
BY
DATE ISSUED 07/23/2003 EXPIRATION DATE
TOWN OF BARNSTABLEgl
BUILDING PERMIT
PAR�EL`' ID 176 016 00.2 GEOBASE -ID 10439
ADDRESS 155 PARKER ROAD PHONE
•
W BARNSTABLE ZIP
LOTS . 3 BLOCK ?• LOT SIZE
DBA DEVELOPMEN1 -AISTRICT WB
PERMIT 64824 DESCRIPTION NEW HOME 2 BED 2 BATH 1372 SQ FT.
PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT
f.C Department of
ONTRACTORS: O'ROURKE BLDG. Co_
ARCHITECTS: Regulatory Services
TOTAL FEES: $513.31
BOND ` $.00 i 111E
CONSTRUCTION COSTS $131,712.00
101 `�, SINGLE FAM fPdb�CDETACHED ,_1 £PRIVATE
• BARNSTABLE, •
d �>
FD MA'S A'.
BUILDI 6 D ISION
BY
DATE ISSUED' 10/25/2002 EXPIRATION DATE L>
u7}
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
* FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE
1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR
2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU ELECTRICAL,PLUMBING AND MECH-
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS.
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
' 4.FINAL INSPECTION BEFORE OCCUPANCY.
POST THIS CARD 0 IT IS VISIBLE
BUILDING INSPECTION APPROVA S PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
' CHO S a 03 Q1< m 1 � 2 V'
� 1 RO�. Vl l 13 cJ.s�
,2
2f
%/- '.) Lt'
35aj 1� 1 HEATING INSPE ON APPROVALS ENGINEERING DEPARTMENT
2 OARD E
® -7lz10
49—
OTHER:sw ITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. TION.
d•+tS�
�It
. y
r
��> (,• .lei{ D'a a •/
it r�,� 1
fill
Town of Barnstable
�t"E'° Regulatory Services
" Thomas F.Geiler,Director
MAAWq- Building Division
9�• i679.
°rFn Mpl a Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Fax: 508-790-6230
Office: 508-862-4038
PERMIT# O a FEE: $ 2
1 -aao3
SHED REGISTRATION
~ 120 square feet or less
Location of shed(a dress) Village.
Property owner's name Telephone number
1 O x I .7 Lp o f (P 2—
Size of Shed Map/Parcel#
Iry
03
Signature
Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
Conservation Commission(signature required) 7 2 0-3
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN
Q-forms-shedreg
REV:121901
Application to
®Yb Ring'O �igbtlffP Regi.Onal �LqIf5t.Orfc Mijqrrict Committee
In the Town of Barnstable e
ca
CERTIFICATE OF APPROPRIATENESS N a
C�
lication is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Sfictiort-
Porr 470, Acts and Resolves of photographs accompanying this application r973, for proposed work as described,below and on�lan
v ngs
N coo
W '
ECK CATEGORIES THAT APPLY:
:xterior building construction: ❑ New ❑ Addition ❑ Alteration
ndicate type of building: .. ❑ House ❑ Garage ❑ Commercial '12 Other S
:xterior Painting: ❑
'igns or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign
structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other
2E OR PRINT LEGIBLY: DATE
)RESS OF PROPOSED WORK ?a r her- on CI ASSESSOR'S MAP NO.
NER In ne- :To o nC S
ASSESSOR'S LOT NO.
VIE ADDRESS N-} o, &i E TELEPHONE NO.
.L NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any
lic street or way. (Attach additional sheet if necessary.)
�`
' FI(3 ng,gz gn 1�2 LC44 k St CQe2f0 n N4 a in a
- a
41, /te-4 n /n ILI n G"S _ l 1. L%/_ �Q�•n c�{c��/ �!/} l� ( f2
_NTOR CONTRACTOR ,,, r� h In/;� �r1 TELEPHONE NO. 5 n07
CRESS
3CRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please
ide locations of proposed signs. CRP . C(ass.1 G
Signed - s
Owner-Cone actor-Agent
Committee Use Only
This Certificate is hereby Date rr D j
Approv 'ed
Committee Members' Signatu �rS�b
r -
f
•f �
Town of Barnstable
Old King's Highway Historic District Committee
SPEC SHEET
)UNDATION \r,a Il be— :�?l r eA
:DING TYPE COLOR n QA Luck I
iIMNEY TYPE - COLOR
)OF MATERIAL^ Snha1'f sl�inrltS COLOR +VueccKere�wo"c
ITCH I-/ �
INDOWS ;r a�_a�� COLOR c SIZE
RIM COLOR ;'1CL4U,-ckj
OORS IDl ne COLORS j•1C Urc,_
i
HUTTERS COLORS nC f-t,--k
:IITTERS -- COLORS
1ECKS MATERIALS _
:ARAGE DOORS — COLORS
SKYLIGHTS SIZE COLORS
SIGNS — COLORS
FENCE COLOR
NOTES: Fill out completely, including measurements and materials/colors to be used. Your 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.
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
/ d
MAp I7� Parcel Permit# 6 y� y
Health Division U c�z 7 Date Issued
Conservation Divisio 0. �043foa 5F3 3_S771?eY to �/�s/°� Application Fe���C!
Tax Collector �0 —3 '"oov `«�'� .S'flRl! Permit Fee
Treasurer
Planning Dept.
Date Definitive Plan A roved by Planning Boardo-tra -e 4e .
Historic-OKH 'Preservation/Hyannis
Project Street Address 5 s _PA 9-k6e 121►�'
Village w • 4 Q0 SPA,f3l.l�
Owner -D►AW E R• '310 N Address /3o 177-G W • 8Ae&� -
Telephone 60 w - 3(.Z - C/SIP
Permit Request 06W 'D[,cX�RL/&)6- _P12I Wt A Es c6'
-------------
Square feet: 1 st floor: existing proposed 6641 2nd floor: existing 0 proposed S-o t Total new 13 2--
.Zoning District Flood Plain Groundwater Overlay
Project Valuation I g0. . o00 ' Construction Type WocT>
Lot Size / - 78 ACeC Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family/6 Two Family ❑ Multi-Family(#units)
Age of Existing Structure IVCk) Historic House: ❑Yes X No On Old King's Highway: ❑Yes 22 No
Basement Type: 9 Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) o - Basement Unfinished Area(sq.ft) L
Number of Baths: Full: existing o new Z Half: existing o new D
Number of Bedrooms: existing new 2—
Total Room Count(not including baths): existing 0 new First Floor Room Count
Heat Type and Fuel: ❑Gas 'd Oil ❑ Electric ❑Other �N gY O(L -,
• nJ �.
Central Air: ❑Yes 01 No Fireplaces: Existing New Existing wood/coalcstove: ❑Yes No
Detached garage:❑existing ❑new size ►V v Pool:❑existing Cl new size N 0 Barn:❑existing ❑ngw sizes N D
Attached garage:❑existing ❑new sizeO Other: of
g g g _� Shed:❑existing Cl❑new size _
T-)
w
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ T c'
m
Commercial ❑Yes No If.yes, site plan review#
Current Use Proposed Use _?e1MA•Ie1' e AX 6r'
�gLoMA S O BUILDER INFORMATION
Name 0'A07)4-0� /13OC- C0 . Telephone Number \50S • IV-77- 3��
Address A6• 6&- /32 7 as ` License# C-S• D SS /7 3`
�M5U4F_ � Home Improvement Contractor# /000 3 2-
YNASbf A57-C- 1114 C-)Z(oS(9 Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO "r-/✓L' STA)e
9A)76512 6e/S F_ - 6 . F,4G�av
SIGNATURES DATE
FOR OFFICIAL USE ONLY `
PERMIT NO.
DATE=ISSUED ' �+
MAP/PARCEC NO.
ADDRESS f' c PILLAGE f '
OWNER
DATE OF INSPECTION:
FOUNDATION`, r
FRAME )
INSULATION CY s'"'����3 7R✓ v
FIREPLACE
ELECTRICAL:' ROUGH FINAL 1 %"i ✓,�
PLUMBING: ROUGH FINAL f `{ Lc
cl
GAS: ROUGH FINAL
>t
/ 7
FINAL BUILDINGor
DATE,CLOSED OUT . 1 ' ' ► �"'
ASSOCIATION PLAN NO. i
Li i..
✓ J
J .
pFtMEfp�� The Town of Barnstable "
BARNSTABLE. ' Department of Health Safety and Environmental Services
MASS. a
039 `0m
p�FC MPS Building Division
200 Main Street,Hyannis, MA 02601
Office: 508-862-4038
Fax: 508-790-6230
� 9s
Inspection Correction Notice
i
Type of Inspection �L PAS cn
Location rKe( Permit Number t/,
Owner Builder b 'Oyrk-lt
One notice to remain on job site, one notice on file in Building Department.
The following items need correcting: t
tn5ule, s (00et) vn3er C)f
J�IS47Z�S. . „
r
-bLw'C i`cv-'glcc P
07(0 T(oo�- C(c G SJOEc5 e S rns,\\
Mcide - OK . -�o 5)-Ce4- toc�<-
Please call: 508-862-403:8 for re-inspection.
Inspected by
Date 1q-03 4
Affidavit of Substantial Financial Interest
I, �" 6wt ASS of VW r�S �'� IM A , on oath
depose and state as follows:
1. 1 am an applicant for a building permit for the property locaed at Map Parcel
The address of the property is 155 io-AIE ' V940w
2. 1 have : 0 % legal or equitable interest in the real property which is the
subject of the.building permit application which is identified in paragraph 1 above.
3. Within in the last twelve months from today's date, which is 10 3 • Z , the
following individuals or entities have had a 1% or greater legal or equitable interest in
the real property which is the subject of the building permit application which is .
identified in paragraph 1 above:
Name Address.
I IJe_ O D NtS SO A Vo&) c._AJ . , `l�190lel- MA
4. Within the last twelve months, from today's date, which is. d • 3• Z. , 1 have had
a 1% or greater legal or equitable interest in the following properties which have been
the subject of a building permit application:
'Map/Parcel _ Address.
/1/O
tiL -
5. Within this calendar year, I have submitted building permit applications for
property in which I have a 1% or greater legal or equitable interest.
6. Within the last ten days, I have submitted O ' building permit applications for
property in which I have a 1% or greater legal or equitable interest.
7. -Within this month, I have submitted 0 building permit applications for property in:
which I have a 1% legal.or equitable interest.
8. Within this month, I have received 0 building permits for property in which I have
a 1% legal or equitable interest.
under the pains and penalties of perjury, t 's 3day o C� , 200Z
Signed p —
1
2001-0050/affin
Q/LOTTERY/AFFIDAVIT
. The commonwealth of Massachusetts
- ,Department of Industrial Accidents
� - -' - Office alln�estigations . «�
600 Washington Street
Boston,Mass. 02111
Workers' compensation Insurance Affidavit
rg
Oil
me:
r4-S O ' 7�6s� •. p �,E�,�rJletc.� f�3vl�D��6 cA '
�e-'G • . �'��,'�� •
ity
M4 Q�ito� phone#
c
❑ •I am a homeowner performing all work myself
❑ I am a sole r n or and have no one worlan in ca aci�y
sole /G% e1S w�o/%g%nthis �
/ com�7ensation for mp �+Y}Y a.
a.4.:.?<^•r.�<:'3:'i ?y;.{.»:i$;!<::}�>:>`3: '.Y >w:s:2' •: ::::;..'•'-
1 eI_ rOvlding,workers! r•, ;:[.•. •r4i::..:}•+..f.4:+{{}.:.;:..::-:!•:T.}•:.^tr:r.n^ ::c:.>::.:•:•:3•.tw:::•.,:....fF `n••: }r.:%y:'•v:?»:. >n?,.+.f
aIIe Op {.,}sax; ,.?.,.s:. ...t:^:r,. ..,t+'•aFa.: nf::.\r `sy.??•y`.j.,i: J4.{{sry%3,`d:'2a :6::;
I am ......::.....,:.•:..:.,,,,:>Y-::}::rr:4.:::; .r.:n,.,,,,:.:•4+n..:.! ..r. ,....,,.}T.y.�:...\
�.... ..f::... ...#„ ...2 r .:[�";:]}v;}.n%:.}•.SJY:yv; ,.4 n?.i.r.:..v{.,{TT'.v{-.:t34n..v:•{•... .?.}..,v• ^Y:..'?�:
.......n:.n+.... :+.•:4:h:v?::4f.:^?}+?�::r::n:.......v:�v[::,.v:::.3:. :v.v. ,LJ}\v+... ,iy!•:•:v.r:vi'}.:..,....::. ...}.n.•<:i['3}:h`]:;}..t....
.... .r.n• .... .nv:.. .r..::rn ...... :..:::. •:n:::.:::: ..:-:... .,. ••K:• .::: ^::C S..rR:::ri." #}'4+r>:.;...:Yi,<.;r' :n?.:r.L•3::+:.v.v?:x?n;:.�J::$.j•},.!9.C:+$., O.:•.;:.,`i{
...r.:..,.....:}........,>:...,.n:.::, .; .).:?�•::•J..... :.: •:•h�f .. :r ...:•`r �r•y',:i#:�: ".•'•'::`<•ys!3i•:,:•s:::;n•.r....v...r.....:::+:.,
, .,•., .R... ........ ..,r x. .. .. ....... .v....:•�..r.. " ,•:.:,:{.:v?.y:4•:%;r{�•,?}:•.'•:•�•::::3{++-::};f#i:::<j%s$i:`
.r:..)•:r..........:• .. :a :::�.a; ...r.:.:.: ,•.,•.}:•,
�'�y.• :33f:••. ::r:fl}:}Tr}:xt;}�F`•?:}h:•<:r}•;.:,:;?.}•:,:.,:.:s}•:!:}:2-.nc:..:Sbr.••:::•..'.••, r��X�::,\.;ti
r r... ...}:,• .. h�►. r:n.,,,;.w:[r:r?t;}rx.v4:}••:::?.
.. ::• ..:•:.v:•.,•.v.v::::+trrr'•}>:a•;`.'?iFiCS•}}:;;:;i;•w;+b3i3:::i.v.:... ...t••{.Fin•;.,>: :.f•.};r}.u{:.>}i.•:;:+yt•{,r.r,:{•:+:-::4}}•{.F?i}.•i::>:..{:},}{::i.}•.y:gn\y24't�t}:.<.:.;...
8I1 :::3:•c}+•}:;t`•.3:y:'-::5:;}�:,-:?3:+•Y:fCi#•}:c•::+{.)-r.y.:?r{:.+.:•>r:}:,:o-:!`:::.n:• s••<r::a..:.}x,rQT{!:•.ir?}:,.}
....... .. ..:..:..rrn r?:.:....:.:.r:..... r.r,,... .....::-:,.r..,v.}\,,..v)..,} .v:.., r.•.::... n•. v.r:+ ,.:.,...;..
........ ... ::... .>..... ... .,......r.. .. ,2... :.t.. ..... r.. ..... ...•?..,..fT:.-^:•:•..%;:.:'•r:-.:..#'•:.,..vrr>,}]:,+:.v.,;?n• ,
........ ........ :...:.. ..r,........ ......... 4 ....,. `?t:..... ..,........ ..,.,.. :.r..., ..... .,.....0. .ff+•;.:,. :?`.4+v}i:. �;},'?fl;it :7::•.'•':' 3•;#;7Y,::�ktt:?r:+::
n :Y:.},... .,r .. ... .:..} .. .r ,.r.... v... .......,r. ..:+•:•.:+,..,ry•.;..;.?::..• r:<;}:r:1. ..!;.:.::•r.:... r.:,y•::::T-..::, ..;c.,,.is};::.?•?'T 3F:..;n..•:#:.{;.
>,{. .{,:...S:..n.. ;.f .s:•. , };.}?.. .:c.;r...v.C..:....:.•:}:.+:.-::!v:•.,-}.::::;?:.:.,}.<:•::..>:..::..•i: :+`•`?>::tv%;?,a,`;2:.'•a':`•'::,'r:2:?;•`.t?}::';f?
..r.;;»••}}:+!3.3`.+::•'•.`•:•:;,?•::: :,....:..•: r� y ":•}`.••.!•}:` + .:';3Fr;.}?;{...:....;... :•>:F.•:.v:h}:•).:..
.. .. ::r::.... .. ... ..:•::•:r:•::.?�}•?n?:i] :},,-::•:xr.:•?c::.v.. tC•::'$::i..:::•:::::.�:�?:?.:.>.......:.....:..t..t•}:.'•.r: }c,
.. ..,.. ....... .. ...:. ... .. i' .,.....:.:.........,•""�!.•. r .........:::.v::.: Y':::>'Tr:>.t}3:Yir?i+v':;:;:•i.}:}:is}i::LCj:;><?:.:.:.:••��
v:? .4rv:.•......,v}... :.v.••:., ... .. �. .....nv..:.}.::..:........... ......... ...............::::r:::::::.::v::.Yi.4„•.•. :?i::v'}:i;.,.f+. >:•?{3: :rr•r x•O',•.. r}:2•wFj?rj:•'.�T:
v:::.;; ..:: :;. \n;;y.•..L,ri!{,. {•.. `!...,r. 1",• {•.t,�:}:•. v:\.r•,...+}}.... •'..: vr�Y:...::.::•}r:.nv.v::,.,.,.,.�ry ...........•;..... .n::ri•'i<.:.......{.v::..vi'r}'3:5.:.:•:r5}:t•T.,.{ri{::.!:!y`.•+::•:r,{...:.:.:f}:+. �-'J:::,;n:?• :?: .✓.•. •.}.
.qt F09S... .... ......................,..\:..,..:f...4n•::t•...n .........r::.:•:3:};}:3r}:t??t$.,:.;::;a;::?•y+t.;...s;.?::rr3:oL••}::•:rr}:••r..:?:3%••h..
...........:::::.:... ....r ., ..... ... ......r. i....r.,+•:•.:+:.:...,. ....:.v:::::.:tt•}:+r•.,•;:`•::•::•:n.:.}:>.{.)+.;r.r:{-:.}.,..v,.. .. t-::r•;:':y; .. : :i++.'<'?:�: ;;:'•?<:'•,• ?:�:
............:::::.....:.,•.:•.....::::. ::r..:f..4.,r?•::::•... ..:r:::::..:....�.;:F:.....:,••::f.:..:...;:.r5.... ....,.::•}:+ •}..,::•:n•,t•.,r.•n:.,n.a-., :`.,•:••.
s., :[• f. •Y:t�4!.•�,,.:3.,:•?i.Y:
?:yr:{+r+ttt•:t•:....;::....,�:.,....rt::t+•:• '' ..f...:::...::::.... ,:...3 n..:{.: }:;.i?a:,::.J+i�?>.4•?4•• sr.
•{::J
.... .......:....... ..... .... ... h ... ........,.............:.... .s• :%::?3?•fr+}T�:r:n:t3:•:n}.:<•..,•:•::.}t't+•::•}?i333f;. r.; ... ...;r.n,r.•.,., ^tti\n
,,.........:........ F.......x.;.,.::A:»::.-::;:r ..., :::,?-:r:-:nv w...:.•.v.:.vr.:....
f...?•.i.. .::...... - .......... .. .......v'•+i>r:.v.}-{{.};•}:•}:•];+,?•}}:isft•:r+:;?:Cr^.?`F•:$�$$::3'::::+3;., :?;:f??�:<�•:
..•v:Y:.;•:.:!:?}i:t?f3F:!?f+::+••:v:Y:?,•:r,w::..•.:i<•1.?•'.:?•:•. .r?_W}:'•.5}ai v?+.:v.!,�•4:<?.C:•;v:nr.
?y333f;:;}:ii3:^r i%`:{�:'Jtij:i::}}; •:?�.;.,y>f,...4: .:4:}•;.4{..x:'4.f.5gti'::.
.....::...:.:.. .. ..:.vv,vrn••r;::-i:{•;:{::w»•....r:v;..<.v;}}%?v':•••C:»::::r:v.•.:•.:v.:n:r].v:;;}}?:?::ti•f3}�?:r..:;3{n:,:'\?v:r`: y
r ........ ... n.n.r. ..r. .r........ .}......Y.....,.!t•:a•.:r... .... {. \3.!r,.v..::n:••v{•.!..
..... .r... ,.n. r.n.: +}}.r. ....{ ... .,...v.. %.}}:•}:;•-..... 4rn.....v.�..}?3i5'•S •.: ' €
....... :....n.• ..»..., .t....r ..... ..!•..r. ,...., i. .. ...r...r .......n. \.+.t• .nr. ... •. v'.<•.
,.......:::::•... • .,.. :::f.•:f:.'+Mh.;rv:h.:]r.v..v:......:::::{:?•:•... ...r.. n.•, ...., .....{..
........ ...:...................... .. .... ... .. ...t. ...n....r.r....n...r.....,r.....,•-:n.,. ....::.w::::::•vxil•.v::;n•:?.: ....�:h•
..r. ,..nix` ....... ......r.. ...Y.... ..... >.........v, .....r..r. ....�:+ ::..�]in,;..;:...... i}.'•r;. •.r:::? •Y: + ..£•�:` }i %} }•;}.:
...,r?3.,.•...:::::....:,:.v.. ..:..r.%✓•...f.. .:•}.?•:ar......r3.::•.,?.....,•.:•::...,...:u+...r.. ..n-::.. rYr:.v:.... t> Q
...:......,... ...::r:.. ....:.. .... '•:;4::;:}:•.....,...•:nv...v:;}:»??:?:??Yiinv::?iY}::::Y Y •
....vv.v:w::.v:.}:'•F::w:rra:#a:;•:nv:4::!:;.•::.r::::••:•:;/.+3i}::.vh}:?C?::••:;;, �L4:�::}F•:n:..Fi:4>.):.::::.......,,.. '::i}:•.........:...
❑WOMMEMMOP I a sole proprietor, eneral contractor, or homeowner(circle One) and have hired the contractors listed below who _
have �,•_ ......... .. -- -. . .. -------------------- - - - - --- - - - --- -
tion�7Ol1CeS: a .>:Ci...
r:;:;.,
enSa :•<•}:^:tr.?^r•r: } ::F:: .ay#:}:;"`i :`:`r':•' ::'+v~ r;yr}." h f r. i
Orlcers COm F.. »:•}> ^v;•,:xa}}}v:;,??•:)':k:;,;.-.: y?3T:4:•:.ti•:::•o.v?•..[r}3::3.•33T•4:.Y#' .} 71ya<:":'}}:yn}::+y
the following w P ..;4::4:4•:$•rv\:.::#??;^•.�;+F•: ,:L.MEN
]r::v,w}• T#r•. .3'...;z,.\L:..: : n?•.. ,.{•}::.{:...
th a4:•: :•;v" ..?.u .. :rr.•.: ;.t. rot: :r,•.3 {r f}, .Y:.
.a[,. r:•:....u•r,.•n•:.••>•?LLx`r,%!;i+:?R'�'::., .F3?}•+.}:;>?.Y;?:.;$.}:?•}:a:•>#$:::?a:L:?:?3:.. 4:ti.•, ., ,r• ,4•.
..... ...r:..r.� .r.v •.: .?......... ..rh9;•}:•:::,r. :::,Y.`•^r^'{.:. .. ,•.-.:T:;;•.?•:;•':: ::•';•%• ::t•.•: Z :s.vn... .: .............:.:.......<4::::{... .}•: ?:-:}>::}:3:;.Y:•:.r....:•:n•:,•:::::.,•:..{:.};:F>::.,.. }....,,,..n.;}s :m4;4}:•r.'<`
::•:{.an........,;. .v.i}n......w: :.,+.{.....,1.•::•:.v5 •.\•Y{•.,
}n.•.v•n••:a::!•»•?F:2•::n?•::::];:.v:•v:r•:•....:...... .:+:•:::•:,:?•L•TT::v::•.•• v..v::::::::r....:v.v.v•<:+•; ....
......f. .........:r.....:r..nn: ..r..,.T...,..n..n...n...:::f.r.•:::::..v... ... :v,.,.:...{..:: •:.4::,:v.v^,....,..
.,.... .. ...... ..... ....,.. ..:...... ...:...r ..r..., .}....... .....:.. .::•. ... .. .. ...,. ...:y.}, r}.:.:,:r.,•.¢�;::::::F::"��Si:?::3>Y:.;•.;,,.;..'�•'}::S't}})}}L.:}.i, .�.tJ�•'.r.:;,}•:.,.n;r•}}:;.
,>.. u•:. :{a:::.r...;{•.:•:•.....•,.•.r:..:::!:•:{3<. .:.fl•::? ,.C,..,,b.{:••.:.!a5}}:y;.vr:: ::#::::[... . .r:n•.v:.,.,I...[..:.:^rr+'3.'-'•..
•?{;•:;•}., ,.i::L•iY::!:•?.•`?4`.•?:Yry.}r:J... .,f.;;•.;`.:•}>Y•}•-^:.r::. ,.:r !::. r,..>..:::n,!+.•:+•{+{::+»T}..... `+`�..r;...»v.....r ..........{n.....}J..v. }••}'Y•:.......,v. :......:.... 4.,v:.�.�:•:1�..}}:1:w.,{•:},:.:}:;:r.}
•:3;yY.....:.w, ..;h•-.:v.: ..},{.{;•.•:•.:.:.:•n•.v:.vr...,,r• r.}...•n.}.,.:,:kS.}::m:.. ::.{yy. ..\v, ..p-a�}}>T:•:C•}%
..:.r... ...... ...:?}:C::r+.'•:•. ,.,...vA::?%4:3:titi33?'?:•. .....r..:•.v•• .}:...C:•.n{::4..v.:.,..2.}i}}'3:.....,.,.}:,.:::r.}:... y
r..r.....n....:...:....;n•r.,r...:+::?C.... ....:::. ......v.v:,•.•{......v,n.r:: :,.;t.. ..
.... ...,:. ...,. :y.n.... ....... .... ... ..... .+,}T:•}.}•r:ir?:4';i>:<?iY}`:`3::f.}•;,;.:..:;"• ')i:J}TT+:'"�'�
•....n...., , ♦v:...:rr}nv.. .. ,4•.............. .v..: r::,.}v...,v;:i3};{a',�is<•5}+r:i^•i:.
:
.. .:+.,,.v......:?„J.t...vnn 4: •. .. r ... .....v• :•.v;:-nT)Y:}}:3}:;•:t`4'?�:::.. .vn•$n Y.r•;.{,v;,r!.•?C+v:4`i.rc{:>}}vy,?.{;ti:?`Mv'n`:?.}'v y<..+y�,•fvt•?vA}*:3. y.?H•''f :;C}~`.
alr2�`.rn. :,:o. :3+ v<f.at-:} ;Tr .;.!.;::::^•..�•>? #i!t .r:y:r a:f<••. >:xr{<{:.r.n3r.:3•�c:n }:rl t�r`;�•`.:4::!.. J
an.!•n 4.t.n...., •.>t;:455}}:•<:?.: .••3r,..::.;. ,•.�::.}:Ff}:?. .T.y^!r:.. .:..{.:. ..2.2
•�3 rig .T}asFr• •.,•r:.•..••f,... .).�.n .]^e*•::-F•t?Y.^.>.•::::n.}.:3F<�,-:riu':•:::f. . . ",y',:
............... ... .:,..:.r..,..•.. ......,.:i... ..r.. :....n3 .:. r.t.......r,..r..... .`o.. :,...:..r..., .n......v.».%;•}••]}}:}{•.R Y`2•y.• r`:i`{::{•Kr�:''Y},??%•b;•::k.:�3 .r.�. ?{.':y#r,,,ixldt2:}Tp.Y
•.,:.....•.:...r...v.........::?:•..r.. .::^ :...... .....::•....:... .... s..,..•:•:.•.,.:r,..:.:.. .:r.... ,..:.. ...:.v. v.• 4";#}:•?:3.`}t`.•Y}}:3n}•Y<?•u.;;,?.;,c r;,.;..;��?;:};+;.}; .y;.+}.,,{.r:r.••xx.Ff
. ,.:::.?....,.;Y:n•......•:•:.,.... :aiL•r::f....•:.%.:,•:.......u•:r] ...:.:•:.,..r....:?•r:..... y:v,.}.,r. ... :\<•:Y•LR..... :..,?].J T}
:::,.. .f:3w:.i:r,..Y..r.}..:• }:}:: ..a. :::z..,wr..4?[��.C.:.:.....::::........,.;u•.... .;{.}.... ..::5•:?•r.r...,.+.•:.,•:: .rf y.<.}.,.,..,•:+:,.....sv:r.•:?•..:S..n..;{:.;:••;}:•.....v:•.r.,o...:::n\.;r.:. ..t...:{.✓,.,{
..,..:::?.......:::.....F::fa.r...r.:.if>. r.,..t....,-.a•:......,,;{.,.;;;: ...i..v]t:•.,.....::?•......... ..:...r..}.::n>:•}}:- r.,y.nr.:..... ...,�•:•::::ut �.:!r.::4:::::::•,..vr..vn•}:•xct•rt<...n\,+{...:.::::
.;n•}.•.....v:.,.}::...,:�:•:::..:+,•:::•r::...t.,t?•.v:r::?•.,:...:}:::•::.....:•.a•:•:r...:..{..:::.r...:•::.v:<•:+•- ,•r.v:::•.......v:?...:,•.r..}r..::•r::>;•....,....:..:5::::...... ..............
....:.•:........:.....r...::;.:....,..n^r::........?:•:+.::.....r.,...::.r....,:.::,:,...n,...L•:::.......:.0 ry\.....:?:v.v>:..r....!..r..:.. ...... :.
A:L:..::::n• ....... ...A...• .n ... ..r..r:. r... .. .r.:..... '`4.Fi....... )
: .. ..... ....... r...{.,. ...,.... ..... ....:.. .. .r,?taLC.y:.:u.•+:!.v3k}c:}:3:2}iC•:�.:F{;r¢�{`rT:3FF::�.}};;:.:,.?oi:"i.;;:';!�::i:k'}X,v'riy:.
.... ..:v.... r..:,... :...,,....... .... .:•.:::.:.�YT}:;;•{!.>:?a:s:+:`:F;;}.}:?'•:?:3't:;;:k?'^;??,v+•:.,!•rF'•^•:•.:•.•: a:•a;f{•}f+::.fit:+.3t;R++i't{ :.<•- .;} 'fi3 a?!k.;^f...3•.rr,��}� ..•.......... ....::.�:...:?•}r.:>::::�:}i3>}:4:•iT;•?:;...�, ... .[......w.fl•:.-<?:.;:{.,. f f. •:•:S••!!)3:;:;..f:#3##::•:.)::S+ .;}r.Y..4. •�, .�..{F,f'<:«.«:)
.lI.QL�:e.45 ...2...;... •ny} .{«{. :rAa;{.:}.., .,!}. ,;•4�:.:•?Y��:•'•Sti{r.f;.Iy ?.i•'3,?4.;,.tr:..,<:;}>'•,'2}�•>aY�v�r,..?`:3
{.>:•y.}••.: •.;f•{.?3:::.:...... •Rr,::.i:.,.. ..}.s:Tx`.`.. :3 r.:),. m.:.,:�) -;r.{s:?{.Yr.::3s;::. pp.vr < �t44,,''2} .;;4+,:• : ;?:i
::+4?3i:f'- .v. r.•S:+,x?;;it}:3?::f:Jn n h:+.t•.+?{:r n J\3...?n !:v >vl.., {;4}{?+ tt+.-».},r E
...A:a'.?!.`t}::f••;:ri3:!:...;,.}n.S:3Y..,•:•rr++:•.: ...rr..
.......:...,•::r:::::tf:+�r:•}T-:r: .... :.r:.. ..... -:!...r. Yy<'•}•r,`•?.'....... fi;?;r:, .{..+:,•:r.,•::k•:.�•. ,.{..
......:...... ......r....:,.....rr,./.", .yr....r.......:. .....:.........Q+r........L... .s F,. .... .rJ?;::;...}:::::•:.., .,� .:::J •:!�yax ^d••3•-F};{.;.
.. .....:..:. ... .,. ...:... :..,•., .. ......r .......... ........ .,...:..4 .,.k:Rt. ...........: r» ,T.>;•y.. •.:. '.v:v }{.y3};;':.yh�:ti'•:S:?t�'t.:.<- .
..Y:.,............. ......... .... i..........n,...:. .,....i... ........ ...t.....r......:...:...:..,. ....:.:.. ..r. ... 4. :.?{•:'•'.' :<3F�`::y i:i'f y:<>. :. .i.•r..:. :.G:.::4.:.r..r'• .,
..;;,...:...;}:..:•..t r•::,:..~.:•}•:.•.r.•........ ,>:,•..t.r:•:•»:::r,..:::•.:a}:.u..:•r::::..... r:,.,, ,.....:. .ofl:;,..,::Y
. ........ ..,r...r..�....... r ....:.... •}:•}:...r... ..r...... ,.......::.....r...:.r.;T.s r.,..:'rF::.vF;•:::{:•.:,t?,C;>Y.,...y!.{.;;ry{?:'
ri....}....:.................. .a.nv.r.... ...............:..r./:•.:..,....r. ............ .r... :.:\:?•:4:.:.r..:.:. w.y��+/,r{•......:.:�;.h,�,r?.:•?:.i:+.v'?-r:.::.:. :..�. }..'f:}.v t-4:;?w:'•
. ...:..]:.......,;•:.....,.::T\L,....n Cw::?•. ........4.ri., ..::<v....•}:::::h:;:,vw::v.,%...•;•:hti•!.: .:{:,:;•:3:..,. ...v:::::;.h.x'.rtio'111:�,}.;.;..y,.. .: •.. ,++�r` tii;A:.3;;e
r,?•:::r...:....,+...::.v•...,...•:Y:::.....:.•.v:n?•::.. ...,..r?:...:..:::. ......:•::....r...:..:.,a...,....3YL:...a..•:•:::.:,}..... ........ ..............:::�:.:• };;:}Y•^•::Oi:,: .)..rr ..i'.:
,..n•n:a;•n.r..}f.. .:.•:.•:r. JW{•:n$fy�;......:.{•::r..n..:::::+n n}::.v.....:::.v:. :.;..::......... .. .... ...r:::.:r...r:?•n!•n•A...,, ;;;}?} T,v^3ii::}i:>"i::?... r:7h r •ir.t;¢;-.;.
�.r•:v....W.•n••r.:4.2•:TT•..•vnt+•f.•h, w::::•:4:r.v..:....n..n...3..#4.L:...:)..:}•;:r.. ..<. •; .......:..:h\.,::?n..w:}.rr-v4r. F..,
.. ..r........,.v.:.....:.r•.a....,.. f,r. .......::.}ruv,+•,:•?. :....... ..... ...... ...... :.%r••}:<'.5.v•.:}:••......., 4:?:• , `;r`•')}fl•;3ft,.,.r
r,�y .r:.:F.::......:::.v.n.• ::.:•TJ..»T..,:M:::::.... .. ......... ....::::n...».•v•.+:'::t';2::'!':.»..,.$..;). ...,4::.v::Y:?!...:•:. 4{L�i3J':.'.2:3'5.+,]�?:3ti:<r.?;r•{n}ix,.
r ..:.;•:i}.v,:rn•..:::.....:?l.. .. .. .:::::•::•,vn,,,, v...;.v::•}:yr+!f.•::r^.r..:.$}. , {. ..r.✓.+,v;•:.v. f b;•:}+i��``?C
. •,•,..........• .•::r..:,.,..• ...r.,..•:••::h••}+••-»-:•.,. ..,..•: f..•.J. :.r::?•+ZGs•t.x:??•,•v:n?3;?•:.:{.,r•5%f:•v:... 3 ^yv.4}t+.,v.^•.:•:;!:..Y:?vY:h,y,{ }$. ^:. �e•�S`^:S}, ;>';i•'.;:: +
.(ry .. :..:•+,'•:•y%v......x::::!:. ,••:::.••..;;;.,r,^.v.: ...,w::r. v:,4. 4. : Y,.'?{•:::JS{.v:n+.,.f...v:.; ..{:,„h.\L.,y<fl.r:v.r:f..r:Y.:ry•.G.•. r ..? , �}
......... :::::::•:r•:.>}i>:v-:•Y:•:'3...,•r.r...,...::::... :f:•.S> C...r:.}....:......:,.;3.:. ..r�.?v..,«;3:f)>`::•}}ri:•t f:,:..... ..i4.:,v, '?:f'!+4}:t!•.v.•;n,•r.. ..:f<....:.....:#;v< sy?•.,�:
t•r..•..• ::}.?..:....:•w.v:•:. ,.},•::::.• :.r n}• ...3^•.:::`:.,1.. s>.f... .;,:.,.T fi•..r.u:.v: .:vy.,:�•,.. Jr}•. i3�}"): `?G,•j;� }
.,...n,.:.:.::... .... .:...y• ..,..r.::::::333`:-:•:4;,+..;::{•v:•:r:�-T.. :v::;4:• ;,'.t,..:... .,'+'?;�: .,�.r>:Y[+.G::: :r.:f 4j'•�3:i}�3?•:?]..>:it-.:...:.3,�4 ..s...,..:}n•�.{^:+;
rF.:::? .. ..�'+;•::•::}}r}+..:.::r:+Y.:.::.:3.:.v:nr.::.?..,..,Y::•:•n•..::...$.,yr ..r.3?•:: ..l°rt•:.. :.,i.;.}�+,,; �] .r.i•S.r:.,{.;{•:t•>Y>...s:,...+...,c
a:yv �•n, ..Ff..y}+.n•f•n:»{3•:Y•?{•::•£{.}::^;••?,+{.}:».vf�:.i r !,irlf:>.:v}T vk:?:':3i}}{.v•: .3�F:'i,:4}}!L?:•,3,iJ}i 73s#'v':r..
+••<`3:?�;}:•:};r;N•:+iv::,:•A iF'{:�3.v:'?}:::..f•• ..�,+nr.J: r it { }:Yr»}.:?':':! .,
R4:i:l3>3:+i?3,..:::::. r}�?,Y?'}ii?{F�# ;:3:!•>::�v:333�::F�`�i3:4$3i:v::•.:<v33•..'•y?r.:,.:..T.iL}n•r:0.^i::ip:{+:
n
:^}::,Yti3::;:r�{.i�:;i:+;.v.?ri::•3}Yh:v'.,::. ...... MVII ".�
+1n�zlL81l�'•QircQ,:: #'. '�l.i.$l:::L'Svi::Yf'•`:.}`'Ari?.v:a:t+L•.;!}f
:n%.:>'rf•]}i:•}:?23 F7:y:??:;:'if:%`i•:�33p?`'::3}:��i'{}:F'+-`.'•i.L 3?rr y. :� `..fi(y•?t;xr,;:•}'+C?:v:;+
••:t::::?•]::;:{:$+ ..:L<2,.<.;}•f3:..:}i,:?.;y,.:!.:::f•'.•'•T.<:•i::+':>:: u•,•:3+`' ?>: \+.•::r+.•rt:::..,
}T]i:3?,... ...<:fi'•:%+`•:•:::`::••:c:.':•:;:`••T:•T••:3•t••.-. >,.•Y,�o. .n} r ..a.::{.?:F"3:..nvG:iy.?.i S ....h.-:.;r•.}{>'F
2c?%:?'i u..:.J•L•:{.}• :•S.r..vrr:.•:u•r.•.:.:•:s.•::. .:^•.'?!•:•• 3.'.•{?:.. ..i r,.�..:r+:?.:i<.r��..h,.T
........ .. ..:...•::r...... ...........::::+.-::•:rr:F:•r::Yo}]•::<:s• ,..:>...r.... n•.}:•:'.s3`••{•}:{.f.v.:... ..,::••. .Y..».rr!.:....}S:f<?'};$}•iF....
..V11711 .... ...n. ...:. J rr:.v.x• ..n.r. ....v.... .J.... r<..v.-::.vnm.w•:}.-•.r::X:S S...t•r�:::^..,•.•:3'?v• ..... «
...n. ....,. r ...1. .. :
.... ... .. J.. .. ..r .. ... v:. .3 n..• v`nv...r.:..::::v..{... .t::•Tn•:r?f.....: '{.. ,..:.`.v;s.•n.r,.`G:!•>:;.:�'-Y.v;;}?-.yr:f<"<l r{4;ij::?:J':+.
........Y.:.....v.::•.:..nav:.. n•r:.!n..x.,.{•:::... ..r..w.......r.v:., ,.::v:.t•.., •,•,; ...{....?:.....n.
...,..r. .. ..,..... .7:.. ...r....r. rf.... .r.,.. .h:::.. ......t. �....n, ,....vn}!.::-:r:v•rn:Y'•:?v•.v•y....^ ...
; ......., .r.^..r...:. ..:.\..{n J..... ........v.. n..i......:...,r..r............v....t....r .:: r.....,:.,:.3.::.:
.. ...r::t .. .. ,...».. .... ... .... .....:. ..:...... ... .. .... .r. .n•,.�r�r:::•:{•:.�:^i}}:<••.h.,r.:n+.... .•rr.... `.••.;:!i4Y:3 •:+k?'t•?:}Fg�;:.:2�:5;hi?:;!h•tciv:+:.}.:n.t?•:c4`.•.F?�t::s:3.: ??:
3::{.;.+,:+::}•:.:v.L{:}:•...,;..;:•r:.;). :n,+:•:rr,u..r,.c?:flY.v.,•n!-:r:.v,.v..•,:F•::::..-,.:...v,•.:+:F•....:.::•t,...:•:::]•::t•,..,h:^:::::s.••?.r{..;.n.:?,•}>:::. 'CM...
::r..:.,r.,.::Y:... .Cp:.....f.,.; ..4?•..:!•::.r::::.: ...:..v:T.•.....,•::::•..:......n•:•::..,y... •.: ...,:• ....,:3r::.:: .....:??•.^•.r.r.....:........:!•::::.};.},:..,..:.`•...
..:•u•u•,.....,.,•:::...:.::y...rx�:::•:.,.......::tk•..•........:.•:....t r...::w•:..,,<,.,,;..:..,.44.ra...r i.{.........n....<....;:..:{.r....•.r}.....,.}........:.....v..}....n:.{..,...n,re.a%..,.:•....:...S.hy.r..:{..3•.......:.?...«.:.•......v�.n...,:..,....-...n.r.........:.:.r..l..,r........v.r?.........t r..>,.{...3•v.•?:...:.}v:.,.r:;...a....•......,.....:.:.A+A.....n2.,.?.......:>v..:..r,;.•...:.:fr.!:,....u.-..,...]...;......:•.;.:...?Jr..::.n...r5.{...n...r.n...,...v....r.:...yv..•...,..:f-.,rr n,:...r.•Y 3.../.{...:...:i..rr.:.:..{...!..:....:...}:Y..:.n3:.:.•:.r},.....}..r}r.....•:..}.•e.....;..}......:,;.•.L..}.•.r:.•:...:•..r:....:.?.?..:..:.?.•....::•.!......{v..•...i..r....f:.•..r:..n.:.,...+....'•..t.t.•..:.•:..t..:.:..:.:`...r.L...,....r...!.•:...-....+.r>fr....?r.•J...l,.:,...i+.....•....:•.•n{..:.:...•.t.v..:....:..:.:...::...::..:,.:n•.:,.....::.....•...}...•...:..Y...•:.:..•..:..n..•,.:..:..,.,•.:.:.....r..:0.n•..••.r:....,..::........:..}::......v%......!..••:.:..•:.!..:.::.:.:.•...u::.:..::?:..».•.!;...?:•...3.L s:.•.n.:...t...x..^3..:...'.,.•,...>..:',..:...r.•.:...t:::..r.t..t.,.•..v•.,...•:,.n
....:.:,•..v<.:
•....::....•..r..{,;...••{}...,r..;::.•r.::::::.•:`.•.:..•.,.}r..
.:,.:�v.::`}r..:,.a.:.{•:.+.r.v..;.v..:.n.:.•::..n:%..v.)..•y:r:v:,r:4y':{r:,{{•:}.;:•.;:?.a},::..}.;..,;.r.r•;;.;::..v:...,.::.;v..:..}.•..:..n;..}:r..
:,}.^tt:.4:.,L•.r:>3•:.';<•..:xtcM,
r+f.r\:L.•:n T::.:.r}
:.r.>:+,•r!:,•<.;$:•::}.:3,•.{:.?tqv.::}.�.:,}y.;;.{',Y•:.::�'.•,.y•y3;:?[:.f+:i•rf.?•:.•.•..}4}:,Tn..-•}4?>fi..•}$:rvr:.`::•}rC:;?s-'..,<:;3.}}yX:oi,'.:4:}?.i.}f:<:..]c:!!f!%`4•f34.t�:3:;?"":3:;A:•.�:n,'}:4!i-•"`•.:•:v..[:.)Y..';:T.;;••}r:<?..••;w�.y:»:3•r':�#S:..•;
?}'�:q,r'^t'::':�nr+n,c`':.%•rl'd'••,.,r:i".i•?,{•+:t.4:.`,:k;�•-]
.:•:;?:fr:��ry,€`:.'a�•?`
ioCa
r�nr?%r}:=Y
C ImE }:::,.F•+4 3
3 3 :
v f
......{ - ..... +......
#•}u
t4. TF
!.Y• fl . nm,{!:3<:a, w v•
•i:••`},Yr3..;.::?%.V.
.?f
.,»..;{:::nf•+-:::: ..t.fr..q.;}n.}vv:.v^}?:.< 4•.
.... .. d.. n ..... :....... ...:•:: ...r.r.,.... r.. ,+ ;,.,r{.3}::�•`.y#?3:`3:p:3
...r... ..... .:nn•• ...... n ..n,..r. ...^..... .n....• ..r....... ....r n.:... ..:.v:.v.,. ,.v:,t•>,.... .. .::...
. ..r}...... ...... .....y r. ........:. ....r.A..• .+.E...... ...:....... r...n..• ..r. ,.:::. ...,:t:?•:•.,••:{.,,•r rn•:::rn•:]::.vr.....t ri?::•::}.:?y>:�'�':�?3'{::M1+?4i
•.,r.[...:... ...v... .r.•:. : .n n n..•:.. r.n.n+.....:}i}. .r::,[•}r::?...::•;.+s}>:{.-:•}.•:ny}xr•5::•y+:Y}i
.......... ......... ... ...... ......1r.v....),......-<. .,r..y.....r.t.. .,•::.. ,,.n,..:;n{;^ .:•.?.?: ;. r'.:`.. Yn<:i::Fi:.TYC�>
.r.:..... ..... ... .}:.,.r... ,........ .,,.:.,. .:. .... .} .r:.,:...;4..,...{. ..........:•:>:•}:F:?>.•:::,-:::::...:?::i.� O�Iesi .:.}>:}.L'r.•r...:�•:::::•:h;}....$:;+:•::++:•k•:.
........:3....:.`:?..a`...:?.....r..r.,!?vu.....flu•:.... ...:.:. .:.... ..n•.. .... ......... .. . ....... ...� .v;. -r'<.:'...
.i r.:.....t.r.......:. ,..[........... }....+.r..r.. ......rr:,..............{ ..^.:•,:,:: ,}:•;Y �r.r}}}}r:,r3^}•:•.:r':•%ti!.::3rvfu.r.}:}.Y.;};:$•�vF-.''
r r.... ...n..... n...•,......r.:.. ... ,..... .....r.../ r.,...!{.....r... .v,•::::...}v,.f.r,J4}�.r.+n3:;}'f.•r?.41?...:.�{.:3{f:•\•...r:{.::r v+ir.'iY..r .:..J+3:•}v}::{.v:n
.t•:•:4...vkv;:n.[•nt:v.......,:••::Ttr, rw:+•}y}.. ..+}.:::....Y.v::::?�:r:u....:....n.....n..... .....::•Yr:i vn:n• 4%':>'ln..::t•!'.».r..v..r.::::::•v. .::f?v. Y.i::•
?f q.,:?• .....::::.......:::n•. ..r..n,...•»..n..,.,.1.. .»n:v:�..,.;.,Y•:^.:...A.,,.•:?.,..Sn{4.f,.r?
.n... ...,....r. ....J...r......... .....->:::.• ...n W n.,.:. t..... r:...Y}}•:}??:•}'v'Y{v»•:}:•. +}iQ::•:•T,}r:•y;:;Yj
.. ..,•.:..}..n-n•...........• ......;......::v:r::.•r....: `.O'•vr::w5.....nA..n........r.n.........,»..!.:Y.:�:?•:?t3:•:::•:•vv:.v..:f..::.;;•.J.?r.
.•.•Y..........- ...........:..:::....r......::. ....../,•:?v.,,x. ,....r....n.-::.........,..;.n•:r•::•:•:{::..r.i•., .:•..... :.:CCv;.:}l`Y}]•:?`??+}:'}n:•'3{R`^.ih,:•.F 4:`i.
;..T--... :.:>.,.....r......,•:,t...,..:.r:,..::: ].r:}vy:;<4:t•}%•?S:it;l r{4•}::•::f}y., r 4:{.f r...,.u•+a::•r`t•�^�}F,AL#3•Q..
.. ... ..,....r, ...: ...a..... ..... ......... ........,. .:.-:::•}...`...n.;.;.•n--:.. ..;..::•.v:rr:{.:;.y.V:r}.;;.r.>T..}F;:}:..,v.::5:,.,,..:...:v:n;y.::•::.,•::rn••.•:b'x.•,;•:.f,•.; ..i:,.::- ..i}..yT.•'r"f+Sr
r..}. ..{,•:n,•.......n}.,{.......r•r::...:... rfx:..?3.,.,+.::::•:.. t.},; .4:cu•r.., ,.,C,:• t•>k}y?}:]• .:....r..::f.•::
•r::r.,:•r:n•:.:c•}+:+!{{:•:;},:'••}::,+.'•:a::••:w•r:!r.rr:.,•r:u?+<at•;•r.;,.... .:r.....:<.........,.>.:........ ,?• ....
... ....x..,.• ....r.... .. n , ......4........::. ...r... .....:.......::.... r .�. �v:•:::Y'•{•:f.•r.v:..,4}�?:t';.i;L.}•.;••r. r.{.{:},.. $- ,.v=•4•`3ti•:Y;.;K:
.v...nv.,.r ........ ....n..• :..». .fin:•$.........•• ..,..{}r... ..4.< ... .. rv.r.i. n.r,.<rn,.......t.. ...v.. :. :..r:' f$Y.:...n.•.{•r..?<:C?�:'•}'1.4i•F:::-:•n,:?�.:Jill,:::....:y'h}'{'F >'v }:rr}:v{••.V:Cvr..;i.:n•::.....
........;5;}+,.::::n}a;•?.::•:::r;>?..vv:rF,}iv•::•:.v;:•L<?r: ^r•:mt{.4:::ff•.y}'.ryn{r.{.:n^.}4.r:w•:•- a .w:x]:...S:n...... ...............;..,n
':::{?.}:::{.:.v{a:a'^ ii,j::nv..•:n•.•:y•yr:`•n�..n.,<?.,y.4}:{:}•.}$3n•}:;3, ?.}},•.}. vn$!,;3:{{.;:?` .f":-:r.C•: r,:n•{.y.ywr:t:•}•r'.y?.}
G?{.>-::.s>}:^.^tr::!.>£,r•}{?tf:;vA<:.,;:;•.N... CafY....t3:•:t?:!i+<•::•..a...........:::r..,{.;.>}5.:...x:•....n4:3v<i:::>:.':?:x:u..n.:..:
n...:...y. n ..: M
:izisnraaOe>:co«:{!.>.:•`.}}::•o?-::}'fr<:ri:}S:i}1..;:,.::.::f}riF3ffF:}:R:$3Fr;},:::La:Y.:n:n••.:v::::.::...
genre to secure eoverate at required1 er 5ection2SA of MGL 1S2 can"RGL to pen the imposition of criminalpenaltles of a Sue up to 51,500.00 and/or
one years'imprisonment weIl as dyn penalties 1n the form of a STOP wORK ORD$ d R an a One of$100.00 a day against me. I mtders{and flint a'
copy of this statementmay be forwarded to the Offi f Investigations of the DU for coverage veriIIcation.
--ereb �erti , cans p - perjury-that-the-information-provided.abna!e_issu&ar d-corr-ecf
Idoh Y % ®_.,?j� .
Date Signature ' c ;• ' Ph ne# '-6!�U$ c4
print name , f
offJCW us a only do not write in this area to be completed by dty or town oMdal
„ permitllicense# • (3BuUdingI)epaitnent
city or town: ❑Licensing Board
08dectznen's Office
❑checkif immediate response is required ❑nealfhDepartment
phone#; ❑Other
contact person:
r..•i..A 9195 ern)
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employee As°'quoted .o�nt3e`•;law", an employee is.defined as everypersoa in the service of another under any cornract
lie oral or written. :�
.of hire,•express or imp d,
°� association, corporation o It'other legal entity;o'r any,
An �s•defned:as;�aa individual
two ar more of
employer p artners�p,, , • .�.
the foregoing engaged in a]off enterprise,-and including t1ie.Iegal representatives of a,deceased employer, or the'receiver or
trustee of an individual,partnership, association or other legal entity, employing employees. However'.- e,owner.
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
appurtenant thereto•shall not because of,such employment be deemed to be an employer:
building pp ,
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance br renewal
of a license or permit-to operate a business or to construct buildings in the commonwealth•for any�appliaant who has
not produced acceptably evide'nce•of compliance with the insurance coverage required. Additionally, neither the
commonwealth.nor any-ofits political subdivisions shall enter into any contraot•for the performaiice=.of piqblic,work until
acceptable evidence of compliance with,the insurance requirements of this chapter have been presented`to,the contracting
authority.
Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and
pplying company names, address and su
phone numbers along with a certificate of insurance as all affidavits may be
artment
submitted the Dep of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and �A
affidavit Should returned to the city or town that the application for the pemnit or license is
date the affidavit. The
being requested, not the Department of Industrial Accidents. Should you have any questions regarding the`haw"o �if yQu
s.
-air.required,to obtain.a workers' c,ompensatioapolicy,Please calLthe Depaitmeat atthe number listed below.:
City or.Towns `
complete and printed legibly. The Department has provided a space at the bottom of
Please be sure that the affidavit is 16 affidavit for you to fill out inthe event the Office of Investigations has to contact you regarding the applicant. Please.
..—M.Tn .N..-..��' ..ay 1^. h• Y �•
be sure to fill iritha.pe�utflicense number which w�ll.be'used as a reference num�ier. TFie a c avits 1 •� b'r tq•,:
' ' "mail of FAX unless othei arraiigemenis have been made:'
the Department bY.;:,.,.. . .. . ..,�,,.. . .
Investigations would like to thank you in advance for you cooperation and should you have an estions, .
The Office of Investig• ,.�.. y y
please do not hesitate to give us a call. "
e andfaxnumber: -
The Department's address,telephon
The•Commonwealth Of Massachusetts
_Department of Industrial Accidents
Me 01 lnvestigatlons
600 Washington Street , :=
Boston,Ma. 02111
fax ff: (617) 727-7749
phone #: (617) 727-4900 eat. 406, 409 or 375
i
RESIDENTIAL BUILDING PERAUT FEES
APPLICATION FEE
New Buildings,Additions $50.00 � 4 D
Alterations/Renovations $25.00
Building Permit Amendment $25.00 -
FEE VALUE WORKSHEET
NEW LIVING SPACE
(3 7 2 square feet x$96/sq.foot= 131 _17- •W x.0031= 0$ • 3 3
plus from below(if applicable)
ALTERATIONSIRENOVATIONS OF EXISTING SPACE
0 square feet x$64/sq.foot= x.0031= b
plus from below(if applicable)
ACCESSORY STRUCTURE>12.0 sq.f�
>120 sf-500 sf S 35.00
>500 sf-750 sf 50.00
>150 sf- 1000 sf 75.00 -
>1000 sf- 1500 sf .100.00
>1500 sf-Same as new building permit: 0
square feet x$961sq.foot= x.0031=
STAND ALONE PERMITS
Open Porch x$30.00=
(der)
Deck x$30.00
(number)
Fireplace/Chimney j x$25.00=
(number)
Inground Swimming Pool .$60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00 ✓
(plus above if applicable) 3 ,3
permit Fee
pmjcost
J.
,7 Al
LOCUS PLAN
Stole=1 2007.
S Assessors Map176 .
Parcel 16.2
'o Zoning R F
`) '
74,100!Sf(up-6) F s�1 c3�'
9'' +ta y �+a.)° / r\w•.. ' � r. ,. Side 15'
/ Rear IS'
`MILL_• / \ / / �.\ � i �
MAA
ofts
1 � � '�,�° -T��^►~mow%�!• � � � �' . .
TLH t// / / I P6Sf qve/.r16A
NCTAL M9Q 9c-
7-
C64f.Mbllfrk .
O i 1 \ nn, DaMAgf�
M 1 \
N 10'3232" W 1 / 24561
� 94
(
-`� ---- --- /o0,
99
r'
DETAIL
'7 ;,••,• r Sealed"=20'
V
03
-
y �L,L� N/FMicnaelJ.Af-liznbamn."
O'Neil
PRfPARF-0 FOR:
No t es/Re vision:
JA M ES.; R 'lf rbed it"no wltAln the%wh limit to be planted with nwRD gr�»es.
IV drive to be mlibed sreim
+.
100 SUMMERS RUN
ANNAPOLIS, MD `
120 1 F1e1d' RRL RJM Ora!(:
Application to
®rbr Ring'$ igTjbO�p REgi' nal -3biotoric giotr5 tEE
In the Town of Barnstable ,IST,�,E�Lc' MMI.
16
CERTIFICATE OF APPROPRIATE ' A
Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Section
6 of Chapter 470, Acts and Resolves of Massachusetts,'1973, for proposed work as described below and on plans,
drawings, or photographs accompanying this application for:
CHECK CATEGORIES THAT APPLY:
1. Exterior building construction: ❑ New ❑ Addition ❑ Alteration �es�tr1.��v�Srov1 a�
Indicate type of building: ❑ House ❑ Garage ❑ Commercial Other
2. Exterior Painting: ❑
3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign
4. Structure: ❑ Fence 0 Wall ❑ Flagpole ❑ Other
TYPE OR PRINT LEGIBLY: DATE 1.2S•07-
ADDRESS OF PROPOSED WORK 1, l�vlco,�-` � ASSESSOR'S MAP NO. 111 J-7& y« -002
OWNER ASSESSOR'S LOT NO.
HOME ADDRESS IT W Ar*&kaj TELEPHONE NO. 'f - 7ZZ�
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any
public street or way. ,(Attach additional sheet if necessary.)
AGENT OR CONTRACTOR *Wvt ((in TELEPHONE NO. 42-2 V'Sao
I
ADDRESS pO&q yZ8 Ge(U0/71C 'AM .
DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please
include locations of proposed signs. tfttdeac
te�►Se 1 �lar1
fipprlo 'n
Signed V E D&
Owner-Con ractor Agent
For Committee Use Only
This Certificate is hereb Date 3-a —o2--
FEB 2S 2W ackS-'
Committee Members' Si
r �
Q
r
(� r
(` (�
Town of Barnstable 2
Old King's Highway Historic District Committee
SPEC SHEET
FOUNDATION ja%ckd4-e_
SIDING TYPE nlagb(h8a u COLOR
CHIMNEY TYPE brj i COLOR IrC4
I
ROOF MATERIAL a )[aU BIL,4414JL COLOR bA=Lm /yk[nLM
PITCH 1•4�10
WINDOWS COLOR e SIZE
TRIM COLOR k c L,�f
s
DOORS i_LQ� tL,aAba COLORS A-x3Uyxp
SHUTTER COLORS
1
GUTTERS kV&P COLORS
DECKS 14V10 MATERIALS -Po,%d)(LLn f-EQ51-pd
GARAGE DOORS COLORS
SKYLIGHTS l SIZE NPA it Z COLORS &lux"
SIGN5 — AppDnitmLORS
FEB 2,5 2002 a
FENCE C.IYa?XV. COLOR -Y)ol-u aU
NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this
form are required for submittal of an application, along with Four copies of the plot plan, landscape
plan and elevation plans, when applicable.
SPECSHT
Revised 11/98
h
Application to
10,'UI CLfmg'oigYjWap Regional igtoric �trict Co>~rtgi �v
_Rh
BARN STABLE boAS O. In the Town of Barnstable
1 }? J N 16 AM 9: 1$CERTIFICATE OF APPROPRIATENESS
2002 010
Application is hereby made, with four complete sets, for the issuance or a Certificate of Appropriateness under Section
6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans,
drawings, or photographs accompanying this application for:
CHECK CATEGORIES THAT APPLY:
1. Exterior building construction: New ❑ Addition ❑ Alteration
Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other
2. Exterior Painting: ❑
3. Signs or Billboards: ❑ New Sign ❑ Existing Sign . ❑ Repainting Existing Sign
4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other \
TYPE OR PRINT LEGIBLY: DATE �c
ADDRESS Or PROPOSED WORK 155�i caQ�czIL�1, l�c�, '(3autrn• ASSESSOR'S MAP NO. \ -7(o
OWNER ASSESSOR'S LOT NO. 1(o-2
HOME ADDRESS Po \Zqo MI&= M\A . TELEPHONE NO. q�Z �Zi8
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any
public street or way. (Attach additional sheet if necessary.)
rn��v,c.Aa o u\.;eQ uWq `tamer 1. 2�4
CTeeayA IuM.-0. Tctint k5o TA9422
AGENT OR CONTRACTOR TELEPHONE NO. 42g• 95-00
ADDRESS 1�1C 4Zq C)EsF+ ,tije� 1.1�R � '
H
DESCRIPTION OF PROPOSED WORK: Give particulars of work.to be done, including materials to be used. Please
include locations of proposed signs.
CAv)�ewcx i oY1 0•� g�Q"�e �eun� �1.,Qyy�Q
Signed
APPROX MI
ontr ctor-Agent
ForCommittee Use.Only .
This Certificate is hereby Date - L—v Z
Approved/ enied
DEC 1 Z 2001
Committee Members' Signatures:
r
I : 2002 01
' Town of Barnstable
Old King's Highway Historic District Committee
SPEC SHEET
FOUNDATION
SIDING TYPE QLR,� I0e_Aa. COLOR
CHIMNEY TYPE none -COLOR--
ROOF MATERIAL 20 o �p COLOR
PITCH 10/1 Z
Ar4emm
WINDOWS SBu,,0" ZA=k COLOR W k jty SIZE 2414(o
TRIM COLOR
DOORS f�etC►+. - -
'>I��1� -� --=:�� COLORS -{o b2 cl�tecrmrted,��1�i.kr s0.udpu>
SHUTTERS COLORS
GUTTERS —COLORS-
DECKS 144TERIALS
GARAGE DOORS COLORS
SKYLIGHTS ~40g jest- SIZE 316Y.4Z COLORS
SIGNS COLORS
A PPI
RMILE' '
FENCE � 1 o�S p� !! : j COLOR n ewXy1ZQ
c.v �311 8�10�
NOTES: "Pill out completely, including measurements and materials/colors to be used. Four copies of this
form are required for submittal of an application, along with Four copies of the plot plan, landscape
plan and elevation plans, when applicable.
SPECSHT
Revised 11/98
UU/UU/UL L1:J! rAA JUOyJUILzi nl Vn vi
Sk 14893 P9101 t205O5
i 03-05-2002 a 02=47v
CONFIRMATORY QUITCLAIM DEED
James F. Barry and Sheila Barry, of Chestertown, Maryland, for consideration paid of One
Hundred Seventeen Thousand and 00/100 Dollars ($1 17,000.00) grant to Diane R. Jones,
of P.O. Box 1185, Mashpee, Massachusetts 02649, with Quitclaim Covenants,
The land situated in Barnstable (West) Barnstable County, Massachusetts, bounded and
described as follows:
Lot 3 as shown on plan entitled: "Revised Plan of Land in West Barnstable, MA. for James
0 F. Barry, at ux', Dated: November 15. 1983, revised December 12, 1983, drawn by C. R.
Short, Inc. which said plan is recorded in the Barnstable County Registry of Deeds in Plan
n Book 378, Page 48. Said lot contains 1 .78 acres more or less according to said plan.
C
Also hereby conveying as appurtenant to said Lot 3 the rights reserved over Lot 4 on Plan
Book 378, Page 48, as specifically set forth in deed dated December 14, 1983, recorded
• in Book 3965 Page 92.
3 This deed is given to confirm deed dated December 27, 2001, recorded in Book 14655,
Page 216, which inadvertently omitted the reference to the reserved right of way.
For title see deed recorded in Book 2062, Page 334.
Executed as a scaled instrument this �` day of March 2002.
d
�.1
1..
J e F. Barry
LIP
S eila Barry
State of Mary/and
County of RF&q'
I On this /61 day of March, 2002, before me personally appeared James F_ Barry
and Sheila Barry and acknowledged that they executed the foregoing instrument as their
free act and deed.
Notary Public
My commission expires:
z
: �.,.:.,::
ill
BARNSTABLE REGISTRY OF DEEDS
l
tot
�ji ♦v o a r 040.
I�A
5i, I i o
gyp,' •�- � � ° .'8 '�+ Q r s � ro &
-00
J inat
-
� r
2S t1 o �r Kof0 .a
I 2 I
Q W �� I
2 ° b .J J B 1
oai� aC 11 d !l �� to
_ ► \ _ 4 s a
LO—d a� s 5 Zo
' 10
a 2 42 2 M 1 < w
10 �i<' tit
aL = ► '' = o
o � !!
� Q r
i
4� o fro
A alAt
0.lava I I 'h y. s +26r �
J� �
A r
i
18/20/02 12:59 IM508 790 1414 DRYDEN SULLIVAN 10001
acoRD,. CERTIFICATE OF LIABILITY INSURANCE R OPID DaTE(MM/DDm)
OUR-z 08/20/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Bryden & Sullivan Ins Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
88 Falmouth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Hyannis MA 02601 INSURERS AFFORDING COVERAGE
Phona:508-775-6060 Fax:508-790-1414
INSURED INSURER A: The $art f ord -
INSURER B: ,
Thomtas J. O'Rourke INSURER C:
P.O. BOX 1�27 INSURERD:
IWarstons Mills MA 02648 INSURERE:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED70 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. _ ,
P PIRAT
LI ECT1V LIMITS
LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDlYY DATE faNMMlDDlYY
GENERAL LIABILITY EACH OCCURRENCE S
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one Ills) S
CLAIMS MADE OCCUR MED EXP(Any one Person) S
PERSONAL 6 ADV INJURY S
GENERAL AGGREGATE 5
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGG S
POLICY jECOT. El LOG
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S
(Ea eaiOenD
ANY AUTO
ALL OWNED AUTOS BODILY INJURY S
(Per person)
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY 5
(Par aoo0enq
NON-OWNED AUTOS
PROPERTY DAMAGE 5
(Par accidem)
AUTO ONLY-EA ACCIDENT S
GARAGE LIABILITY
ANY AUTO OT14ER THAN EA ACC S
AUTO ONLY: AGG S
EACH OCCURRENCE S
EXCESS LIABILITY
OCCUR CLAIMS MADE AGGREGATE 5
$
5
DEDUCTIBLE
s
RETENTION S
WORKERS COMPENSATION AND x TV LIMITS ER
A EMPLOYERS'LIABILITY 82ax729701 12/27/01 12/27/02 E.L.EACH ACCIDENT 8100000
E.L.DISEASE-EA EMPLOYEE S 100000
E.L.DISEASE-POLICY LIMIT S 500000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLEVERCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Carpentry
CERTIFICATE HOLDER N I ADDITIONAL INSURED;INSURER LETTER:^ CANCELLATION
BAMSTA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOAETHE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL -1D—_DAYS WRrTTEN
NOTICE TO THE CERTIFICATE HOLOER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,RS AGENTS OR
Town of Barnstable REPRESENTATIVES,
367 Main street HORIZED ERE NTATIVE 1J
Hyannis MA 02601 �� "r/l�r�
a
j ACORD 25-S(7197) — ®ACORD CORPORATION 1988
08/15/02 10:43 V508 790 1414 BRYDEN SULLIVAN IQ001
i
,aCOR- CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MMIDD/1 Y)
ROUR-2 08/15/02
PROWLER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Bryden 6r Sullivan Ing Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
88 Falmouth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Hyannis MA 02601
Phone: 508-775-6060 Fas:508-790-1414 INSURERS AFFORDING COVERAGE
INSURED INSURER A: National Grange Mutual
INSURER B:
Thmeas J. O'Rourke INSURER0;
P.O. Box 1327 INSURERD:
Marston Mills MA 02648
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR TYPE OF INSURANCE POLICY NUMBER PATE MMID Y DATE MMIDONY N LIMITS
GENERAL LIABILITY EACH OCCURRENCE $500000
A X COMMERCIAL GENERAL LIABILITY MPS09984 05/13/02 05/13/03 FIRE OAMACE(Any one fire) $500000
CLAIMS MADE a OCCUR MED EXP(Any one peson) S 10000
PERSONAL AOV INJURY S 500000
GENERALAGGRECJATE $1000000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG 5 1000000
POLICY PRO- LO C.
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT S
ANY AUTO (Ea eeddem)
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Par person)
HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS - (Per=6dent)
PROPERTY DAMAGE S
(Par=Idenl)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S
ANY AUTO
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS UABILITY EACH OCCURRENCE S
OCCUR 0 CLAIMS MADE AGGREGATE $
S
DEDUCTIBLE
S
RETENTION S $
WORKERS COMPENSATION AND TORY UMRS ER
EMPLOYERS'UABILITY
E•L.EACH ACC DENT S
E.L.DISEASE-EA EMPLOYEE $
E.L.DISEASE-POLICY LIMIT S
OTHER
DESCRIP710N OF OPERATIDNSILOCATIONShEHI LESrEXCLUSIONS ADDED BY ENDORSEMENTfSPECIAL PROVISIONS
ICARPBNTRY RESXI)PJMXAL
CERTIFICATE HOLDER IN I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION
BARNBTA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL -19--DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Town Of Barnstable IMPOSE NO OBLIGATION OR UABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS DR
367 Main Street REPRESENTATIVES.
$raanis MA 02630 U ORREDRE pf�p T1VE
ACORD 25-S(7197) (DACORO CORPORATION 1988
I
780 CMR Appendix J
Manual Trade-Off Worksheet
Permit#
Builder Name I-'No MAS O' P-6UP_IGL-- Date ?-Z/7•2
Builder Address R -MEASu126 I-u • 'Mk5RPEE M A Checked By
Site Address 1 SS PA12L'EQ. PD. w• r3AQ►JS•rPtG 9_Zone q�12 013 ❑14
Submitted By —THoW�AS a' ROueK : Phone 5b8- '-I'1�!- 3500 Date
-O• • e
Ceilings Skylights and Floors Over Outside Air
Required
Insulation x Net U-Value
Description R-Value U-Value Area = UA (Table 6.2.2h) x Area = UA
Ceiling z
(Table J6.2.2a) 30 • ft 3.34, • O Z6 9'7& Z5.4
Floor Over Outside Air ft
(Table J6.2.2a)
SKgL1f6WT I IS ftz 6 • 2
ftz
Total Area C I(, ftz
Walls, Windows, and Doors
Insulation x Net Required
Description R-Value U-Value Area = UA U-Value x Area = UA
Walls 13 . 082. Ib3b•' Z 134.2 . 13 I'j�l� 1 ,730 -9
(Table J6.2.2b,c,d)
Windows 6 q IOG•6ftz �1
(NFRC or Table J1.5.3a) ,3`1• Z
Doors 44
NFRC or Table J1.5.3b) 1 ZL!•2 --' Z. 8
Sliding Glass Doors — 3 3 18S.ft 4, '
(NFRC or Table J1.5.3a)
ftz
ftz
Total Area 19%ft2
Floors and Foundations
Insulation Insulation x Area or Required
Description Depth R-Value, U-Value Perimeter = UA U-Value x Area = UA
Floor Over Unconditioned (Table ,041 8/13 ftz I I.O •0� 87 3 ,1`i'3 '1
I
Space J6.2.2e) A4
Basement Wall (Table ftz
J6.2.2f)
Unheated Slab ft
(Table J6.2.2g) in.
Heated Slab ft
(Table J6.2.2g) in.
ftz
ftz
Total Proposed UA must be less Total Total
than or equal to Total(or Adjusted)Required UA Proposed UA OR Required UA 3� '
Statement of Compliance:The proposed building design represented in �—. Adjusted
these documents is consiste with the building plans, specifications,
and other calculations su mi d with the permit application. Required UA
BuilderlDesi er Company Name Date
53
c
BOISE CASCADE - BC CALCT11 2001a DESIGN REPORT - US Friday, September27,200210:39
File
Double - 1 3/4" x 18" V-L SP 2900 Name: Jones_B1.BCC
Job Name - Jones Residence Customer - O'Rourke Building Company
Address - 155 Parker Road Specifier -
Designer - Joe Madera
City,State,Zip - Barnstable,MA Company: - Shepley Wood Products
Code Reports - ICBO 5512, BOCA 98-52,SBCCI 9852 Misc: - B1
Ridge 1-1 0
12
Standard Load-25 PSF 11.5 PSF Tributary 12-00-00
BO B1
3075 Ibs LL 3075 Ibs LL
20 7 Ibs DL 2027 Ibs DL
Total Horizontal Length-20-06-00
General Data Load Summary
Version: US Imperial ID Description Load Type Ref. Start End Live Dead Trib. Dur.
S Standard Unf.Area Load Left 00-00-00 20-06-00 25 PSF 15 PSF 12-00-00 115
Member Type: - Roof Beam
Number of Spans - 1 Controls Summary
Left Cantilever - No Control Type Value %Allowable Duration Loadcase Span Location
Right Cantilever - No Moment 26146 ft-Ibs 52.1% @ 115% 2 1 -Internal
End Shear 4355 Ibs 31.1% @ 115% 2 1 -Left
Slope 0/12 Total Deflection U423(0.581") 42.5% 2 1
Tributary 12-00-00 Live Deflection U702(0.35") 34.2% 2 1
Repetitive n/a Max. Defl. 0.581"(Limit: 1") 58.1% 2 1
Construction Type n/a Span/Depth 13.7 1
Live Load 25 PSF
Dead Load 15 PSF
Part Load 0 PSF NOTES:
Duration 115 Design meets Code minimum(U180)Total load deflection criteria.
Design meets Code minimum(U240)Live load deflection criteria.
Disclosure Design meets arbitrary(1")Maximum load deflection criteria.
The completeness and accuracy of Minimum bearing length for BO is 1-3/4".
the input must be verified by anyone Minimum bearing length for B1 is 1-3/4".
who would rely on the output as Member Slope=0,consider drainage.
evidence of suitability for a
particular application. The output
above is based upon building
code-accepted design properties
and analysis methods. Installation
of Boise Cascade engineered wood
products must be in accordance
with the current Installation Guide
and the applicable building codes.
To obtain an Installation Guide or if
you have any questions, please call
(800)232-0788 before beginning
product installation.
Page 1 of 1 BCIG and Versa-Lam®are registered trademarks of Boise Cascade Corp.
r - -
BOISE CASCADE - BC CALCTm 2001a DESIGN REPORT - US Friday,September 27,2002 10:43
File
Triple - 1 3/4" x 9 1/4" V-L SP 2900 Name: Jones_B2.BCC
Job Name - Jones Residence Customer O'Rourke Building Company
Address - 155 Parker Road Specifier -
Designer - Joe Madera
City,State,Zip - Barnstable, MA Company: - Shepley Wood Products
Code Reports - ICBO 5512, BOCA 98-52,SBCCI 9852 Misc: B2
Beam Supporting Ridge in 2nd Floor Ceiling
n
Standard Load-40 PSF 110 PSF Tributary 01-00-00
Ah
BO B1
13 8 Ibs LL 2177 Ibs LL
867 Ibs DL 1420 Ibs DL
Total Horizontal Length-11-00-00
General Data Load Summary
Version: US Imperial ID Description Load Type Ref. Start End Live Dead Trib. Dur.
S Standard Unf.Area Load Left 00-00-00 11-00-00 40 PSF 10 PSF 01-00-00 100
Member Type: Floor Beam 1 Ridge Conc.Pt. Load Left 07-00-00 07-00-00 3075 Ibs 2027 Ibs n/a 115
Number of Spans - 1
Left Cantilever - No Controls Summary
Right Cantilever - No Control Type Value %Allowable Duration Loadcase Span Location
Moment 13876 ft-Ibs 64.8% @ 115% 3 1 -Internal
Slope 0/12 End Shear 3548 Ibs 32.9% @ 115% 3 1 -Right
Tributary 01-00-00 Total Deflection U377(0.35") 63.6% 3 1
Repetitive n/a Live Deflection U624(0.211") 57.7% 3 1
Construction Type n/a Max. Defl. 0.35"(Limit: 1") 35.0% 3 1
Span/Depth 14.3 1
Live Load 40 PSF
Dead Load 10 PSF
Part Load 0 PSF
Duration 100 NOTES:
Design meets Code minimum(U240)Total load deflection criteria.
Disclosure Design meets Code minimum(U360)Live load deflection criteria.
The completeness and accuracy of Design meets arbitrary(1")Maximum load deflection criteria.
the input must be verified by anyone Minimum bearing length for BO is 1-1/2".
who would rely on the output as Minimum bearing length for B1 is 1-1/2".
evidence of suitability for a
particular application. The output
above is based upon building
code-accepted design properties
and analysis methods. Installation
of Boise Cascade engineered wood
products must be in accordance
with the current Installation Guide
and the applicable building codes.
To obtain an Installation Guide or if
you have any questions,please call
(800)232-0788 before beginning
product installation.
Page 1 of 1 BCI®and Versa-Lam®are registered trademarks of Boise Cascade Corp.
BOISE CASCADE - BC CALCTm 2001a DESIGN REPORT - US Friday,September 27,200210:54
File
Double - 1 3/4" x 14" V-L SP 2900 Name: Jones_B3.BCC
Job Name - Jones Residence Customer O'Rourke Building Company
Address - 155 Parker Road Specifier -
Designer - Joe Madera
City, State,Zip - Barnstable, MA Company: - Shepley Wood Products
Code Reports - ICBO 5512, BOCA 98-52,SBCCI 9852 Misc: - B3
Second Floor Balcony
I I I I I I I I I ! I ! I 1 1 1 1 1 1 1 1 1 1 1 1 1 .1 1 1 1 1 1 1 i I i I ! I I I 1 1 71777
Standard Load-40 PSF 110 PSF Tributary 05-06-00
BO 61
1870 Ibs LL 1870 Ibs LL
75 Ibs DL 755 Ibs DL
Total Horizontal Length-17-00-00
General Data Load Summary
Version: US Imperial ID Description Load Type Ref. Start End Live Dead Trib. Dur.
S Standard Unf.Area Load Left 00-00-00 17-00-00 40 PSF 10 PSF 05-06-00 100
Member Type: - Floor Beam 1 half wall Unf.Lin. Load Left 00-00-00 17-00-00 0 PLF 20 PLF n/a 100
Number of Spans - 1
Left Cantilever - No Controls Summary
Right Cantilever - No Control Type Value %Allowable Duration Loadcase Span Location
Moment 11155 ft-Ibs 41.1% @ 100% 2 1 -Internal
Slope 0/12 End Shear 2264 Ibs 23.9% @ 100% 2 1 -Left
Tributary 05-06-00 Total Deflection U562(0.363") 42.6% 2 1
Repetitive n/a Live Deflection U789(0.258") 45.6% 2 1
Construction Type n/a Max. Defl. 0.363"(Limit: 1") 36.3% 2 1
Span/Depth 14.6 1
Live Load 40 PSF
Dead Load 10 PSF
Part Load 0 PSF
Duration 100 NOTES:
Design meets Code minimum(U240)Total load deflection criteria.
Disclosure Design meets Code minimum(U360)Live load deflection criteria.
The completeness and accuracy of Design meets arbitrary(1")Maximum load deflection criteria.
the input must be verified by anyone Minimum bearing length for BO is 1-112".
who would rely on the output as Minimum bearing length for B1 is 1-1/2".
evidence of suitability for a
particular application. The output
above is based upon building
code-accepted design properties
and analysis methods. Installation
of Boise Cascade engineered wood
products must be in accordance
with the current Installation Guide
and the applicable building codes.
To obtain an Installation Guide or if
you have any questions,please call
(800)232-0788 before beginning
product installation.
Page 1 of 1 BCI®and Versa-Lam®are registered trademarks of Boise Cascade Corp.
BOISE CASCADE - BC CALCT"" 2001a DESIGN REPORT - US Friday, September27,200211:01
Single - 1 3/4" x 9 1/4" V-L SP 2900 Name:
Jones_64.BCC
Job Name Jones Residence Customer O'Rourke Building Company
Address - 155 Parker Road Specifier
Designer Joe Madera
City,State,Zip - Barnstable, MA Company: Shepley Wood Products
Code Reports - ICBO 5512, BOCA 98-52,SBCCI 9852 Misc: B4 Required Minimum Height
Slider Header
n
Standard Load-40 PSF 11.0 PSF Tributary 01-00-00
BO B1
15 6 Ibs LL 474 Ibs LL
840 Ibs DL 387 Ibs DL
Total Horizontal Length-05-00-00
General Data Load Summary
Version: US Imperial ID Description Load Type Ref. Start End Live Dead Trib. Dur.
S Standard Unf.Area Load Left. 00-00-00 05-00-00 40 PSF 10 PSF 01-00-00 100
Member Type: Floor Beam 1 Balcony Beam Conc.Pt. Load Left 01-00-00 01-00-00 1870 Ibs 755 Ibs n/a 100
Number of Spans - 1 2 ext wall Unf.Lin. Load Left 00-00-00 05-00-00 0 PLF 80 PLF n/a 100
Left Cantilever - No
Right Cantilever - No Controls Summary
Control Type Value %,Allowable Duration Loadcase Span Location
Slope 0/12 Moment 2365 ft-Ibs 38.1% @ 100% 2 1 -Internal
Tributary 01-00-00 End Shear 2333 lbs 74.5% @ 100% 2 1 -Left
Repetitive n/a Total Deflection U1591 (0.038") 15.1% 2 1
Construction Type n/a Live Deflection U2554(0.023") 14.1% 2 1
Max. Defl. 0.038"(Limit: 1") 3.8% 2 1
Live Load 40 PSF Span/Depth 6.5 1
Dead Load 10 PSF
Part Load 0 PSF
Duration 100
NOTES:
Disclosure Design meets Code minimum(U240)Total load deflection criteria.
The completeness and accuracy of Design meets Code minimum(U360)Live load deflection criteria.
the input must be verified by anyone Design meets arbitrary(1")Maximum load deflection criteria.
who would rely on the output as Minimum bearing length for BO is 1-5/8".
evidence of suitability for a Minimum bearing length for B1 is 1-1/2".
particular application. The output
above is based upon building
code-accepted design properties
and analysis methods. Installation
of Boise Cascade engineered wood
products must be in accordance
with the current Installation Guide
and the applicable building codes.
To obtain an Installation Guide or if
you have any questions,please call
(800)232-0788 before beginning
product installation.
Page 1 of 1 BCI®and Versa-Lam®are registered trademarks of Boise Cascade Corp.
I
fie Uanzrrco�ncuea�i a�✓f/`aaaaclucael7a
BOARD OF BUILDING REGULATIONS
_icense: CONSTRUCTION SUPERVISOR
Number: CS 055178
Expires: 06/02/2004 Tr. no: 25938
Restricted: 1 G
THOMAS J OROURKE
PO BOX 1327
MARSTONS MILLS, MA 02648 Administrator
._
��- ��e �anuriza7cureull� a`�i�aQacfaccJe(�6
- i--
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 100032
Expiration: 6/8/2004
Type: DBA
O'ROURKE BUILDING CO.
Thomas O'Rourke
9 TREASURE LANE
MASHPEE, MA 02649 Administrator
05/30/2000 11: 53 5084283115 SLLLLIVarj ENG Irx _ PaGE 02
BK 1 '--SG4 PG?OS 1 31 3G
neF�sat of F�1 Prv2tiruan 0 3- 0 3—2 0 0 l� O 3 G 5
DEP RIe Itvmhef
Bmau of Rasoums Proterban—Wt=ds
, .
WpA Form 5 - Order of Conditions ,oroP V ;a
Massachusetts wLvands Protection Act M.G.L C. 131, §40
Applicant IrjM=aUon •.&ND Tow14 OF BARNSTABLE.ORDINANCES
ARTICLE XXVII
Florid Tha Nat'ra at Idiom to OAS pm*='&=died on'
Barnstable -October 29 , 1999
Cw rWr CAM-MW aw
..ea
ram..
far. The pub►wutg was rinred oQ
SE3-3587 February 8, 2000
rwc a+
T¢
T14 tnd Diu of fvW P=and DMa DoC ma=
Tames F. b Sheila Barry-
,,wM� . Site Plan dated January 31 , 2000
7949 maker Neck Road by Peter Sullivan, RPE
UWk#V A�
Chestertown,
c+Xrr
MA 21620-4712
aiw Io cow ---
Representative:
Tlupro?@=zUiskx=dat Charles M. Sabact, Esquire
155 Parker Rd , W. Barnstable 25 Mid-Tech Drive, Suite C
. Carr... •
W. Yarmouth, MA 02673
176 16-2
Assessors Map Parcel
R-mytnd Use pm"M is ramntad zt Vu Rtgtsay of Deeds tar cog
Barnstable 2062 334
C 00 da. ?w
GorcK fr nv�a�
Flndingx
FvM'jr-m Uds Cortutt=iOn ttersby ttrds trot UA P10 ft .is
Rndt=ptat=to tta FA=chmm Wetiuvfs prOP°ua.trz
Prumcaon Act: (rhack mm of the IaUa*vv b=U)
Fallowing ttie rrview of TA tbmv i ftmnctd Notlra of IrrtIM Apprmd rubktt to
and trat I m mt Ir:bortttauart prm%W to tint sapdCOMn md
m=n d tt mt P&IC Boring.VU r�rrtttdtslort N==the w to 4 t rt cordon!mdzrwIdd nerxh h tuy.bt twin attca
en in wttldt mck Is prop="is tt gMfiam to tut IoUvw+np rrfZTt tTe Dtrtvrrr�rCa mozurdt tat fotVl h1 tha rrstta�s
bmr'ixa of UU Wdands Probrnm Ad(check a!1=appty): rrgU=a _to prt7tar i ttrasa trTtmtfs[lradmd abo+n. This
C=rcolm man=tp Ate tram dull be ptrt=wd In
Pubfic Yltatsr Stay mcccr=rce rdm me Nance of tram I I,I -I abcm Va
Pit m Yf=r Sappty toaawuiq ssrxrai Camc=cM usd trry=w W ecsd
-6totznd mitt bu�pty wnCnorn tmuhmd W Uds Urov.To ma ems brit Um
twaw tf7 oortMkro tnoMy or ditr from the ptarra.
LindCaxtx SheittLsh rpecftanarts-or other prvpasdis to mdt±ad YdIN me Not"
patm rut of Irmt these emadorrs dtnlr cardoL
ern Darnpa f'rtimuxn
�.Prfrt Of Poucszlact arrTtla 27 f]�1lCt ❑ ltgricultnraas an
vPttaceCJlart of wuamt hUbf l p' AQas.aaitor. ❑ x.azo•t1aaa
pnbllc Trost )Lights ❑ IIistaric
U5/30/2000 1 1 : 5 3 508a283115 lrai: Pa,E Os
Missaehusatts Department of fnvlronmental Protcction
Bureau of Resource Protection — Wetlands
WPA Form 5 - Order of Conditions
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
findings (coot.)
debris, Including but not limited to lumber, bricks_planter.
Denied because- wire,lath,paper,cardboard,pipe.tires. ashes.refrigerators.
motor vehJGes.Or Paris Of any of the foregoing.
(he proposed work cannot be conditioned to meet the
Performance standards set forth In the wetlands regulations 7. This Order does not become final until all administrative
to protect those interests checked above. Therefore,work appeal periods from this Order have elapsed, or it such an
on this project may not go forward unless and until a new appeal has been taken,until an proceedings before the
Nonce of Intent is Submtned which provides measures Department have been completed,
which are adequate to protect these Interests.and a final
Order of Conditions Is Issued. 8. No work stalk be undertaken until the Order has become
final and then has been recorded in the Registry of Deeds or
the inlormallon suomitteo by the applicant is not sufficient the Land Court for the district in which the land is located.
to describe the site, the work.or Lie etlect of the work on whhkn the chain of Title of the affected property. In the case
the interests identified in The Wetlands Protection Act. of recorded land,the Final Order shall also be noted in the
Therefore, work on this project may riot go forward unless Registry's Grantor Index under the name of the owner of tie
and until a revised Notice of Intent Is submitted which land upon which the proposed work Is to be done. In the
provides sufficient Information and includes measures case of registered land,the Final Order shall also be noted 5
which are adequate to protect the Act's Interests,and a final on the Land Court Certificate of Title of the owner of the
Order of Conditions is Issued A description of the specific land upon which the proposed work Is done. The recording }:
Information which Is lacking and why ft Is necessary Is information shall be submitted to this Conservation
attached to this Order as per 310 CMR 10 05(b)(c) Commission on the form at the end of this Order,which
lorm must be stamped by the Registry of Deeds.prior to the
General Conditions commencement of the word.
1. Failure to comply with all conditions stated herein, and with 9. A sign shall be displayed at the site not less than two square i tttt
all related statutes and other regulatory measures. shall be feet or more than three square feet In site bearing the u'
deemed cause to revoke or modify this Order words,
'Massachusetts Department of Environmental Protection'
2, The Order does not grant any property rights or any (or, 'AAA DEP')'File Number
exclusive privileges:it does not authorize any injury to I
private properly or invasion of private rights. SE3-35$1 '
Prmr7 Far nsnov
3. This Order does not relieve the permiltee or any other
person of the necessity of complying with all other
I
applicable federal. state. or local statutes. ordinances. 10 Where the Department of Environmental Protection Is "
bylaws. Or regulations. requested to issue a Superseding Order,the Conservation
Commission shall be a party to all agency proceedings and i
4. The work authorized hereunder shall bo completed within hearings before the Department. i
Three years Irom the date of this Order unless either of the
following apply: E
t t.Upon completion of the work described herein,trio aporrcarr
(a)the work is a maintenance dredging project as provided shall submit a Request for Certificate of Compliance(WPA
for in the Act,or Form 8A)to the Conservation Commission
(b)the time for completion has been extended to a
specified date more than three years. but less than live 12' The work shall conform to the following attached plans and
years.from the date of issuance. It this Order is Intended special conditions-
to be valid for more than three years.the extention dale
and the special circumstances warranting The extended Final Approved Plans (attach additional plan references as
time period are set forth as a special condition in Inis needed) .
Order.
Site Plan
5. This Order may be extended by the issuing authority for
one Or more periods.of up to three years each upon January 31 , 2000
application to the issuing authority at least 30 days prior to
p!'ro
the expiration date of the Order.. . Pecer Sullivan, RPE
6. Any till used In conn!ction with this project shall be clean s-,+r:r-:s:r*rr::r
fill. Any fill shall contain no trash,refuse.rubbish.or Barnstable Conservation
P,r. . ..
Rev In/Ox. .
I
i
05/30/2000 11 : 53 5084283115 SULLLIVnri DA-1 try' RaGE 04
^----c uuao,u ucNarunerrl or LnyiruivTrenceri rrotecrlon
Surm of Resource Protection — Wetlands
WPA Form 5 - order of Conditions
Massachusetts Wetlands Protectlon Act M.G.L. c. 131, §40
13 Findings (coot.)
13.Arty changes to the plans tdantificd In Condlbon 112 above Fiadlop at to maa cipti Lim,bylaw,or ordhsaoce
shalt require the appliant to inquire of the Con&arvxiion
Urn nt&sion In writing whether the chsMs Is&Ws ficant Furttxryhore,the
enough to require the filing of a new Notice of Intent.
Barp6 tab It
14.The Agent or members of the Coruarvatlon Commission CA—
and DepuUnent of Eryviron nwyul hmc bon shall hurve the heretry tints(chteck one fiat&Dphes):
NM to entsr and inspect the uva&ub)ect to this Order at
rssonabte hours to"Uzi co Vbnce wtth the amdl- Vat the proposed work rxnnot be condttloned to meet the
Lions staled in Mm Order,and may nquirt tits;subm=of standards set forth in a municipal law,ordinance,or bylaw
any data deemed necessary by the ConservZbW Comma- '
&ion or Department for that evaivatian-
15.Thts Order of CorWUons shall toptY to any successor In „a,,,,&, W&OA a—tv'vK h.r,,.,,,may
tntettst or cuccassvr in control of me property tub)gct to Therefor,work on tills project may not go forward unless
this Order and to any contrzdar or other per&on perfortrr and until a rtvued Notts of Intent Is eubmhtsd which
Ing work conditioned by this Order. provides mauum whkh art adoqu;de to meet these
16.Prior to the J►'>ul of woriL and)f the project Involves work standards,and a 1W1 Order of Conditions Is issued.
adjacent to a Bordertng Vegetated Wattsnd.the boundary of
Me wetland In the vicinity of the proposal work tray&full � that the following addttibrytl conditions an necessary to i
be ntartud try wooden Ste)=or flagging. Once In piste, �mvb with i mlrntt3Dsi lzvr,bytsw.or Otdirunct,cpett6
the wsUand boundary markara stall serve as the Urnt[of
wvrtc(unless another Umft of work tine hu been noted to Article 21 of Town Ordinances
Me plans of rtcord)and be maimained until a Gertiturte of �raa�a sm.h+M.a �oa.
Ccmplianct has been issued by the Conservation Corn=-
$:Ion' The Comrrd&ston orders the all the work stall be perform
17. Ali sedimentation barriers stall be maiStLined In good to accorturtcs wttn the gild additional conditions and with
repair until all disturbed arcs have b"n tutty MbUlud ttro Notice of Intent rtttr&nced thm. To me aaant that t
wtth vegetation or other means. Al no brae Shull sediments following conditions modtfy or differ trvm the plans,
be deposited in t wettartd or weer body. During consVuc- tpecitiabtms,or other propoWs submtUid wtth the Not
tton,the appticant or hIVher designee shall Inspect ten of Intent.the conditions shall control.
erosion controls on a Wy basis and shad remove
=-umuiattd sediments as nettled. The applicant shall
immediabty control any erosion problems that occur is the Addriorul conditlons retabng to muniapal law,bytarr.or
the and stall also Immgdtalely noUty tiro ConstrvzDon ordlruna:
Commission,whin reserves the right to require tdditional See attached
erosion and/or Umaos prevention contrDts h may deam
nectsmy.
Spacial Conditions(Use additional paper ff necessary)
see attached
I .
i
a. Page J
,,. ror9t
05/30/2000 1 1 : 53 508a zu 11 I 512LL v+ rl c�++� r"Ut- t»
SE3-3587 Barry
Approved Plan: January 31, 2000 Site Plan by Peter Sullivan, RPE
Special Conditions:
I.. General Conditions 1-12 on the precetding page arc binding, and demand both your
attention and compliance.
2. Within one month of receipt of this Order of Conditions and prior to the commencement
of any work approved herein, General Condition number 8 (preceding page) shall be
complied with.
3. The ipplicant shall pay for their legal advertisement as invoiced.
4. This permit is valid for 3 years from the date of issuance, unless extended at the request
of the applicant.
5. The work limit shown on the approved plan shall be strictly observed.
6. The work limit line shown on the approved plan shall be staked in the field by the project
surveyot/engineer prior to the start of.work.
7. Prior to the start of work, staked strawbales backed by trenched-in siltation fencing shall
be set along the approved work limit line. Effective sediment controls shall remain until
the site is stabilized with vegetation.
8. There shall be no disturbance of the site, including cutting of vegetation, beyond the
work limit. This condition shall continue over time.
9. Prior to construction, a sequ
ence of 35 m.m color photographs showing the undisturbed
buffer zone shall be submitted to the Conservation Commission. At the time of the
request for a Certificate of Compliance, another updated sequence shall be submitted.
10. The Conservation Commission shall receive 1 week advance notice of the start of work
(our phone number is 508-862-4093)
it. Upon completion of the foundation(s) for the house, the project surveyor or engineer
shalt provide in writing to the Commission verification of the approved siting of the
foundation(s), and of the approved location and condition of the sediment controls
(strawbales)dcployed at the site. Croce the foundation(s) are laid, no further work on the
project shall occur until the verification is signed off in writing by the Conservation
Commission.
12. All areas disturbed during construction shall be revegctated immediately following
completion of work at the site. No areas shall be Icft unvegctated or unmulched for
more than 30 days.
05/30/2000 11 : 53 5bauzU.1a 17 t-L.L•��, 1
13. All proposed lawn areas shill be underlain with a minimum of 6 inches of organic loam.
14. Drywells or gravelled trenches along the drip lines shall be irmull6d to accommodate
roof runoff.
15. The driveway shall be constructed of pervious material.
16. Work limit markers (wood stakes) shall remain until a Certificate of Compliance is
issued for this project.
17. All presently disturbed areas beyond the work limit shall be allowed to grow back
unimpeded.
18. The applicant shall emplace a split rail fence along the work limit. The fence shall be
maintained there over time.
19. It is the responsibility of the applicant, the owner and/or successor(s) and the project
contractors to ensure that all conditions of this Order arc complied with. The applicant
shall provide copies of the Order of Conditions and approved plans (and any approved
revisions thereof) to project contractors prior to the start of work.
20. The Conservation Commission, its employees, and its agents shall have a right of entry to
inspect for compliance with the provisions of this Order of Conditions.
21. At the completion of work, or by the expiration of the present permit, the applicant shall
request in writing a Certificate of Compliance for the work herein permitted. Where a
project has been completed in accordance with plans stamped by a registered
professional engineer, architect; landscape architect or land surveyor, a written statement
by such a professional person certifying substantial compliance with the plans and setting
forth what deviation, if any, exists with the record plans approved in the Order shall
accompany the request for a Certificate of Compliance.
IzrI 1t0'7
. r
tea `
IT-
SPOKE DETECTORS 9.K.
Lr
AJ
-7-�
T BARNSTABLE BUILDING DEPT.
IT-
-�j M os. gi
I -
I cGT Ei.EVlrn Owl FCOw1T ELE✓A-T'!l/J
I
RSA!_ ELPVfK1ON RIGtFT FLEyhT)owI
I
/Avc <3w_
0
VL' II 11
0�
aEF
IF
gpST TH 0 F.
SkLr a-P/r'a IS'L ftwH
SLIDER Dp, ii ai
L L.RrD PR'rn
Q V46
D
V
6� O
�3
�O di
® avvG (8 Y4G '�T® p�vva p a44G
fiaat scone OrhN- SCA-cf�v"_.'-.,.
0/a E d oc u
W.Lin
Q av3/a ® Y3lo U avalo dY'AD �}�r3.o
vr—
Adj.
v el vc 1_
w�x eeN
I
i
I
. � � Nn y/nna P�•N SGa•a/v' i n^
I
I
jHIS 3 0E y
I
D1l LE 60M T//E G •s
�) os
O d
0
3x L
1 oa
F¢L, 3-axla G•2T
r
a•ax 10 P.T• Cox "/O.^..CORK..wAL.Ly w//G'x8• v
YxI P.T PoyTJ LONT. F�7Zi. REINFoxiEa
/YTDP lo' SD.VA T16 E99 lJ eTEEL 7-8•N/OHr-
4'M/N��WW GR.fly�
)I�l P OAM OR-PROOFUP PER:CaOE a O
DA'N lb-F1.OW 6R�DE
(9YP
Tn/iNvo-nnN PLAN- sc aLE%a=io
EzWc .A5p"A Y 20OF
..15 yELT OVE/LA"LDY••PLY.
R106Fr CON.T_sOFF/T!/E.vT
!x8 1x3 RAKE -
4L GUTI•E2S is Po uTf
o LVL 21 D6E rN uVI J6 e-OOM
A30 SEE £N6/NEE 25 yPEGs�-
°'I'' dJC1d R.I D 6 F OT}/£RL E.JD
�O RA'FTE2f. h/ /JoT`ED
��� INyVL A77o,J R3o CGc+
R 13 WALL,t R 1g P4o—z
-� IULSlDa4Lt_�C7.�lLia.Z„DOOQ,_Ufu9Uts •1 y SK SlD/NG
.Nvq,/SEl>,_— RO.`____ _G.L-7S___ c/TE •f —. w L ,'v{ilN4 LE5 S"TTW7_ AlL '
VEK• OV6l- "GDX.P,Y '
13 v 1X5lxa GDD5
L �43] ...... .... ' a/V T+G Suo FC. bl E�NAIL P..3D /+LY TQ•M /,cS-Do�
/x8 FPIT
i a4 Dlo o
/x HS FR/tZE -
'f' y o-dx7 A4L TdP PLATE/ ...�
ff *� *max toy B/d•OL.PS 9'•N•.V dxVy G/G'OC.
lxe PT DEG�c.wX lit 89Iv'.u.0 L� 7-Y" :3'LC
.L ____ i /o°SOMA rVgEy
• 4'Hl./.BE Wl �o�XY SHOE
-v (PRIDE,VSY
1y RED Pr
�.�X/O BOX �R/M .7DLyT,
PDT} . l�• � pub FC. /'•L
' 1X axa P.T. flu /V/SeAL_
ANCIb2 Bo L. PER COOL
3�a•C.O L. co h /D"Low. l.•M'L.4S W//L^x8^ .
LONT.Plbf. .LE1NFOR CE-D
- 4//STEEL
DAN PRcny HScow
C o1'1L�. A-Dy
1
PAGe U„r_9 T
SA. l I
_ - b
1 I .
VL C
o
O
?o
1.0
L
�?4ct /l
400,
VL
6
l�vo O i
P •�2 i �' o L. I:: f
� a
N ;
L 9 ` 1'
1 '
$.Z.7..vuANp �
O 1,sl.wrT ^-
L.73^c
k r•,
•oa N
1 � .
I •
19 i
- ad
� 59 A2 05
Q a' REFERENCES:
i �g2529g J Assessors Map: 176
Parcel: 16-2
N Plan Book: 378/48
w ZONE:RF
89
Setbacks:
\ Front:30'm in
Side: 15'min
W Rear: 15'min
_ I certify.that the foundation
shown hereon conforms to the
N setback requirements of the
Zoning Bylaws of the town
o of Barnstable.
!'' m
i� 155 Parker Road
'j Parcel 176016002
i/
77,238±SF c
24,1aDtSF(upland) p
3
OF MgSS
RICHARD v'R,
Wetland Resource Line /"/ n LHEUREUX v'
as Flagged / ° 0 1194312
\ \\ z co y �FE$S��
\\ `� V
N
'ems I
®.
ha
` d
\
\ \` New
Concrete
\ \ 30 6 Foundation
.
` \ N
` o 1 (3to
� `✓
V
PLOT PLAN
\
IN
BARNSTABLE
4ss�a�9ha MASS.
NOTES: DATE: 041FEB12003 SCALE: 1"=50'
0 25 50 75 100 FEET
1.) The foundation shown was located on the. ground
by conventional survey methods on 31/JAN/03.
PREPARED FOR:
2.) The property information shown hereon was Dianne R. Jones
compiled from available record information and PO Box 1185
does not represent an actual on the ground survey. Moshpee MA 02649
3.) This plan is not for recording and is not PREPARED BY:
to be used for construction layout or deed CapeSury
description purposes. 7 Parker Road
Osterville MA 02655
DWG #: C376_1pp1 FIELD BY. MDH/WHK (508) 42073994 / 420-3995fox
. q°• . wEu
95f
gip' _s Q.i [r'gCN AT
30¢G Jr
CEKT/F/ED �'�r PL��✓
ZOCAT/oN — WEST Qq,PVSJ798L ASS.
o.t!
Bov/�G .23�0• r�'. 22.7&9a'rvsTA2� .
04r
r ,t` 6'+Jig ZC T/Fy 711,97,
iF S//owN a✓ 7't/1S Ay-;9
;fin 00 Qom/ T we-
4
'tom 7J� Zoti/�v(G'G9uis of J7y�
Tow,v- a,C f�genis�.gBG .,.
A /,g F
EL/ZigBETf� �JAa� - �C?7T�/D�t/ ECG. �A�D Sum:✓ o
/ c,, memanc&
CORPORATION
I
123 ELM STREET
SOUTH DEERFIELD, MASSACHUSETTS 01373
1. (413) 665-3563
I
December 3rd, 1976
Mr. Joseph Daluz
Building Inspector
397 Main St.
Hyannis , MA 02601
j Dear Mr. Daluz :
I i
In reference to our telephone conversation of this
afternoon, enclosed please find an affidavit from
the manager of Lumbertown, Inc. , certifying that the
framing material for the floor system of Lydia McIntire ' s
American Barn house was eastern white spruce, grade #2
or better.
I hope this will clarify any doubt as to the
acceptability of the material. Further proof from
Lumbertown in terms of sales invoices fromstheiree,r:
suppliers can be made available upon request-'.- Should
you find this necessary, please contact me:
Sincerely,
Alan R. Oates
Architectural Engineer
i .
I ) Enc.
ARO/vbj
I l
I
I
I
i I
Date : 'December 3rd,. 1976
This is to certify that the 2x8 framing
material purchased from Lumbertown, Inc,..
100 Elm Street, South Deerfield, Massachusetts ,
by American Barn . Corpotation was- 'eastern: white
spruce, -grade .#2 or better.
tiara Ci r
-__.X14,ssor's map and lot number .../.xb...A"vA0 06t2 . J _1-1_7
a
SEPTIC SYSTEM MUST BED
Sewage Permit number ...... ........
.......y3�` ...................... INSTALLED IN COMPLIANCE
...........
V,"TH A"TICLE II STATE
TOWN OF BARNST�A'_ ;�� E AND TOWN
�FTMETD
v �
i 33"NSTdDLE; i
0 a`
•G INSPECTOR
M BUILDIH
APPLICATION FOR PERMIT TO ..WIr' ..l..lZr.. . L . .. . 8 .......................................
Y h
TYPEOF CONSTRUCTION ............` Cl. . ..1. !•!•i .......................................................................................
v ................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned* hereby applies for a permit according to the following information:
Location ........ , n....tP,d...... & t.....11�.U/.l�a. ��...............................................................................................
Proposed Use .........z57f6.k . (.b�t/•C.LU•��.....
Zoning District .....R.F..............................................:.........Fire District ....6k/.K.?faIble........................
.....
Name of Owner 00&1A.AqQZj)hre........................Address ..pf�J.�u�(./(!�/.Y.K�...��ll••../•���
Nameof Builder .....615.efl......................................................Address ....;Sfmi..................................................................
.
Name of Architect ....... . .. . ..................................................Address ..... ......emaltz..,...........................................
Number of Rooms .......//......................................................Foundation .Gll?s �l �... !In ................................
Exterior ......Roofing ...... I.OUG.....................................................
/il/.•`�....................................................Interior ....../............................................................
Floors q •••••••••••••••
/,j�y�
Heating ......F—Y- T'...............................................................Plumbing ........... .........................
Fireplace ..... ................................Approximate Cost ............ Q
Definitive Plan Approved by Planning Board -----------____---------------19________. Area ......
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
afnfn -7,I _-7�
luoda*,) -7-/G �76
V�
I hereby agree to conform to all -the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ... ....... .
r� 'tire; Elizabeth
No %18676: Permit for .. 1/2 story, J
single family. dwelling
........................................................................
Location Parker Road r
........................ ............ �� G .�
West Barnstable
........... .............................................................. J �-
r—
Owner Elizabeth MclntiTe .
E.1.i.zab.e.t.h..M.c.1.nt.ir.e............... 7.r' �'
Type of Construction .....frame.....................................
........................................................................... y
`Plot .......... Lot •-� .r .. J,
.................. ................................
September 1.7: 76
Permit Granted _ -_* -19 G r�
J
Date of Inspection 1.....1:.... ...... '..:-'- -9 F
Date Completed /. .:.:: �19 , Y
PERMIT REFUSED _
................................................ f 19
,,t• t t
�lEL`tiQnCflEO•.
-gsFMF,'yrl�oa� � ,- r't"� � � ' ,�•
.................................. ....................................
............................................................................
i ............................................................. ............... vs • ' '�
Approved
............ .......................................................... o• `
..................... ......................................................... '
I '
i +a�wr'.'C,r�+sa +, !`"H.' ier•.�e.•�.d•' ,� ^a"' ""'i.�"qet�.r.' ...n,r`•r' ,r� ,) ,.+,a`�n"w'•+'cri+«� -r._�..`+Xayy�74 ,�" (...�gaars+'.h'u.' ".�`.'.;^ `u•9diss<^'tL••ay"'" }.dc.iP�+s:xi.y�y ,,,...'W
,r< Assessor s, tap. and lot.number /�,r f : �, f'r �? l � ��G G , C" 7
s*� � f1ti��; � ., �' %� �� fir- �- , •
Sewage'Permit umber . {. 1 .
�FTHETO
�y• ¢, M ti TOWNS OFBARNSTABLE
-
y MA86 0� 3
ob'Ya,O� Y� DU1L.D-1NG INSPECT-OR
r
�'�,`l. • 'y" Y C �. i' . lam, s �y,.
44
APPLICATION FOR .PERMIT•TOF..
TYPE OF CONSTRUCTION , t....i�..... C„ ....
.... .......... 19... ..;
...�.
•TO_THE 'INSPECTOR`OF'BUILDINGS
The under'si`necl hereb a lies for a permit according t i
F of the following,informati'on: ' • r '" F
+� `60cation / r7.^�, Kr ..".:. 1p. � ( l,/Jl� �id�h!,�l ....: R....
DIY', //s F (�v /.. //ip j i/1 .. ......... :. .
+• Proposed Use �"t". l _(
a Zoning District- Fire District A.)6's'f.. r /]Yis;l P, .....................
�; Nam r ' Addresse of Owner. ............
Mme`of JBuilder `�->Q�f.. .... ........ *............ .Address ... `'4 .r. ....4.. .............. ...
` Name of Architect .:..... •
•''Number of:Rooms ....'.........................................`
� "� ........ .....:...Foundation :��.�.ry✓.?�.��� �YI1.h4-. .... .. ..
Ex1enor nF'� !�.. a` .r? ?f// ..` '..../...� J�. �1tr�ir , ......Roofing ' 99 /; �r'" .............................. ....... �.:
{{
y,. C•t '.. r, w
4 a Floors t' 9I� ,a�*, Interior ,� L '
`- `. ..... ..... .. .. ... ........ .. ..... i...
.. HeatingP Plumbing 1 """"' ��.
wr �✓
` )Fireplace 1.��.: h llo G l'! .........................:....Approximate Cost .. .... .`' : . `..... y r
Definitive'Plan A• pp roved by Planning Board --- ------ .---------------19 - . Area . .� .`
1 , Diagram of Cot dnd.'Bvilding�vvith Dimensions e
In
- ,
SUBJECT'TO APPROVAL, OF .BOARD-OF HEALTH .
f
)Wfih
6k)
�d d, ,
•$pia � - * e g � �, '� -. . .ss C °,,•�it � � . �•./ v •'+ _ i. A .""+,
�rj�' � " +r.� s F - _ -- _ s• k_ .. . _.> _-u 'n 4,.�- sa - t - ,� -�- _�
�,�. }._J!� ,±� �-- 3_., -A'..4 = .�n=s-- t .at-.- a�-k fim ..a 5?'- � r r •`�' r
4 n.
- tax r.c+r ,h n' e` "' i � _ 3 , , .• h �.. a
e
'. I -hereby;agree•to,conform to all the. Rules and Regulations of the Town of Barnstable regarding`the above a,
construction: ,.
iT Name .. ! 4.! .. �'o J,r t a . .
McIntire, Elizabwth. A=176-ka-
'18676 1 1/4 story,
r.
No ................. Permit for ......................................
sing-le family dwelling
.............................................;.................................
arker Road
oc ......................................................
.........ett Barnstab...........................
W
Owner .......xxx xx Elizabeth McIntire
...........................................................
Type of Construction ...i.........frame.....................
.........................................I ......................................
Plot ............................ Lot ........
Septe ber 17 76
Permit,Granted .... ..................19
Date of Inspection .........I...........................19
Date Completed .. ...........
.........................19
PERMIT FUSED
.......... . ......... .... ......... ....... 19
.... . .... ... .. . .. .. . ... ..... .. . . .... .................
......... ........................ C....... .............................
............................................ . .......
...................................... ........14..
Approved ....... ........ #3 ..................... 19
F
........................................ .....................................
........................................................... ...................
A-4
-7�
N/F Pasquale 9 Margaret R Ak ,
Russo. 6%4B ae
S 023245..
E
N 417.07'
LOCUS PLAN
Q Scale C=2000'-
'� Assessors MOP 176
"r 77,238tSF [ / \ �� �1S Parcel16-2
Zoning R F
24,10015F (upland) \i !y Setback's
Front!30'
-'.�"��- \ .+`'t`� / -s, v'^'� �• ar Side•15'
Rear: 15'
P �
a
CL—
J J
Gr �e
pTOTAI 4419 OF
(f PUMP
N / Z4• /
z ' 4 � CNA MbrR /
to O ` M•, PR,MARy
1t10'32'32" W I �1 // 245.61 1p �7, I _• \ - �;\ -
r 192,E 0" l �Z9a-^ -� -o r
74,
N //� /" �- -----;---- -- - 7
OW Old V / - {-'----'\ Grovel Rood--------- ---- -
Our, try - - , ___-- - _ - - --- - - °�
Q -- r - _ =r-- ---- - 10 s
y —99 — \
—b" _ ate—\ \\ \\ G
221.02' °
N 10'32'32'" W __
DETAI L
203:63' t ._�j. �R�S2 / � � �Vi
R 21.37" N/F Huldoh Unger, S6 `SO• -. "• "�► Scrole 1' 20'
L = 33.15"
S 10'32"32"' E v a
PLAN VIEW
Scale I 30'
Revialon Add Conservation Commission Comments Vale:Feb I1,204DO
Add Fast Septic Syftem �? N/F Michael J.9 Elhoheth A.
Modify bouse footprint
O'Neil
PREPARED BY. f Notes Revision:
1 PREPARED FOR:
Tt/e: -
s c� e(- JA M ES, BAR-�_�*! " 1 An disturbed areas within fhe Work Uodt to bei planted with rough Kr asses
SITE PLAN Sullivan Engineering, I Lp�DNeddfi'ebwe crushed stotm
rt
165 PARKER ROAD PO Box 659 "�o c 100 SUMMERS RUN
_ W. BARNSTABLE ,MASS 091°l,�le. MA 0?655 Hyannis MA 016C AN NAPOLIS a MD FEBR6
tsoe)ue-ins ba "t' (soeJ►so-►eot:.(soeJ , D �.s
rsvnPewn.c.n fw•• 20
VED � OZ
J0 0 15 30 60 !0 Fle1d: RRL RJM Draft:
tN '
Dote: Scale: _ Comp.: Review: 'K1
March 22, 1999
_ - -- -_-- F.G.103.3 •
- - -- n nF.G.104.0
Revised Plan Submittal .
k SE3-3587
101.3 100.3
=toidl
` Top EI. 101.0 Applicant's Name: Diane Jones(forrrlerapplicant Barry)
101.1 \100.9 Bot.El. 99.8
r- •; 100.7 100.5 6.5 W Barnstable
Project Location: 155 Parker Road.
'Bedding as
Viper Title 5 Corrected Ground Water El.93.3
This project has already been issued an Order of Conditions X
DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM OR cue,'
Not to Scale -
i Order of Conditions not vet issued I
This plan will be wredered on: I
Pere Teat P-9451 00% y3pryg DESIGN DATA
T,H.-i F G. t c 2.5'• v , Wine. P.Suivan B of Health Donna Marandi NOTES
Single Family-2- Bedroom
With no Garbage Grinder. twoters�r �rTfesLotaPrivateweli. .
o l j,ySUicyg y 72V A Remnants from previous Pere test
With
Flow=110 e 2 i 2e . 2 Lateran of UtilitieSupply
s Lot i on This Plan weAre Approx.
A �oe s'AP_O�Jr to 3YS i W-1 e• o Pine Needles S Leaf Matter 10YRy2 Daily g po At Least 72 Hours Prior to Any Excavation ForThis
t3 � .EL. 99,$ toMOr 1t;2o• A LoamyFne/Med.Sand,someroots il,YR4J3 SepticTahl•..220gpdx200 /o=440gpd pro led The ContractorSholl Make The Required !
Use a 1500 Gallon Septic Tank.
20'-3o' B P Notrficotionto Dig Safe(1-800-322-4844)
CYST 1=t li Med.Sand some Loam toYR)5 M The Contractor is Required to Secure Appropriate
r
�.•- � � � 3o'�i• C1 Med.Sand No Mottling 1 OYR7/6LEACHING AREA w
Permits From Torn Agencies For Construction •arc•-12s• CZ clay-u`�rable iaYRan 220 gpd/0.74= 298 s.f.Required DefiinedbyThi=Pia,•
12tr-152•*/- C3 Med.Sand il,YR615 Use Bottorri Area Only. 4 Install RismasRequiredtaWthin 12 of
�� Water eneointeredQ12s• 1 Leaching Bed as Shwn=300 s.f.Provided. i Finished Grade.
t9 Pere 40' Pre Soak t5 Minutes 2a GaIIons { 5.All Structures Bdried FoMr Fret orMae or Subject*
X' Drop tz--g- zninuteatoseo«,ds LEACHING BED DESIGN toVehicularTraffiiclobey-2oLoadiny -
1 lr-W 3 minutes 4o seconds S Septic System to be Installed in Accordance wit%
craaa1AfelsrfalL.e"2mirxrbs Ail Pipes lobe Schedule 40 PVC Perforated 310 C MR 15.00 Lot tst Revision And The Town of
EL..95.5' ' USGS KVh Grou d Water Cakilatian PM'ircfi " - Barnstable Board of Health Regulations
' � 1 - ? With Ends'Capped.Use3 -4 0 Distribution
•��r -aEMO\/E A_L O�CL.%.Y L--- - I Cape Commission T°dr'ieai&ib4r+92.001 _ i - - T.All Lobe Seh.4O PYC.
Tr 11ACKFtt-L WITH GtCAN t 1 � Lines in a Double Washed Stone Bed as Shown. mow.
Tow
sutTaD== M:,Ts�t<L tndexwel SOW-252 ( a'd• FE Rarrrante*am pravlax Pere teat
C2 WA-MP =_L.43.3 ! Zone A j it-13• O Pine Needea 3 Leaf Manor iUYR312 I - — „ - -- '- - - -- --
i Date .iune.1499 13-tar' A Loamy Fine/Med.Sand.someroots 10YR4I3 9lMln. Finish Grade
Mon4ily Reading kdex Wet � tb-2Ir B Med Sand some Loam tt� 3 Mo '
r L.9L.0 GRCt1Np - Water LevelAdlustrnwt 1.5 - 2r-W et Med.Sand No Molding 10ma , Compacted Fill�-•-- Filter 4`�0 Perforated
wtiT-��-o8seawo observed Water W-12r CZ. clay.Vcsi;tabk toyer j - � Fabric PVC Pipe
C- CorreetsdGroindVhft U3 12tr-t9r.� C.3 matt send 1oYRels ; 2`�Min. I/8"-1/2••3 Water&mu tared 12r
x�To r n Q Pea Stone
T
i
3/4'-11/2`�
in Double Washed
Stone
i :A-
2'- 2 3" 2`-3„ 2 O„
- i NOTE:Contractor to rnstall Additional
S �� I 8 -6., Stone on Top of Bed to Maintain
02e52 45 E 3`Maz.fiu.
—S 3ECTlr%N OF LEACH IN'G BED
¢�7 , Not to Scale
39'8/48 '.
1��27 \\ vwF-3o 60-
77,238fSF Total
\ 24,100-+SF (upland)
Ile
42
14
100, 49
i 0.e
Ile
/ \ cb�
• so �/
cbq
ems\ �^ �b�o�ti-fi�Q / // / . • �� / / j � / ',.
fu
�YiRF-15 , t / �.���,Fj - / //
Cil
tv
tK
,
\ / of
c�
yr-,4
gU F t= J A7 \ 30o SF ER e O V
am \ \ 3y,1, a
\
/ I /'
100 t
OCt
O \ \ \\
( I�VWF-t2' / / - ST oA
LL
/ 1 / N 10'32'32" W
0 52.91In
/ 7BM t1=100.0' (Assumed) ----
�-„ l / Top of CB/DH ____-- - .
Grave: Rood -------- ------ ----------- '
------- ---- --l way -- ---------- 1 _ --
----- ( CoUn aryd
aces Required
ate 5: ------
01 Ro,5 2,1"A�'):::fiztim:tm S--*.back Distance from property line \ -------- ---- 100 \ \ \
uv .tar ta rr, TP
-.feet required.2 feet provided. An RLS will survey the properly lone prior to installation of the
;rem. Minimum Setback Distances from cellar wall 20 feet required 10 feet provided. An — — — — —— — — — 99 — ———-— — — — —
permeable barrier will be provided along the outside of the cellar wall. `- r - — —
lwn of Barnstable ''. -
rt VIIl:On Site Disposal Regulations Section 1.00.The 100-Foot Regul:.*.ib�n:
98 VWF—A7 V�F—A8 \ \�
tback provided is 72.5'to expansion and 75.8'to the primary. i '� ` \
tback provided is 51'to septic tank and 66,to the d-box
rase note that the proposed system is designed for a 2-bedroom capacity
id will be deed restricted. •'' \ \ '` \ \
\ � _ •-- •� J \\ 08 i3 O2l�
/ / oard of Health Comments 08/19/02
VWF-A\4 - - - -- - _VWF=A6- ----
\ F—A 5 _` Add notes,modify footprint to add deck,>reaum c System Re-Design �06I2i56�2
e note that the ground water on this site fluctuates and is est'imted at 6 to 8 feet �` 1 /� ec desin tHflF+l PLAN V I VIEW
1b two bedroom and lofF
v the existing grade and the soils on this site are not free draining. Sullivan �� icy'% „ ModifyHouse Footprint&add RS miter OW6102
st�..t IWI m RICtiAfi0 err+ S•--a 1e: 1 = 10 Add Conservation Commission Comments 2111M
leering Inc. does not recommend a full basement for it will never be completely dry. M.2g��� � � R �\3 Add fast system
ever if a basement is proposed for storage it must be above estimated high 1<:ir �' LfiEugc-i�x �' 1 ModifyHaase footprint
ft343 i 2 Conservation Commission work Limits Oti/iv99
idwater and footing drains and a sump pump should be provided to minimize the ��of Health Comments
As of a fluctuating ground water table and the r soil conditions. The owner must � i revision. Board of Health Comments&New Pert Test itilate:7/1fit99
e that there will always be potential for water ikon in the basement. i 't Results
Trt/e: - PREPARED BY PREPARED FOR. Notes/Revision:
Revised Site Plan _ O C-n e 7f LAll disturbed areas within the work limit too be planned with rough firma
Sullivan (Engineering, Inc. C( pA � � Ms. Dian Jones 2-Proposed drive to be crashed stony
155 Parker Road Po Box 659 Pone,
�T *�, erOle, MA 02655 Osterville VA 02555 Pr ��g 7 � There are wetlands within 100 feet of the proposed leschtng f*Mlty.
Z T a Barnstable, MASS (508)428-3344 (508)428-3175 fax (508)420=3994 (508)420-:S95 fax There are no private potable wells within 150 feet of the proposed septic
system.
PSullPECool.com capesur,�vpes:odnet � ai"�ats' ]t�e� s3sca -There are variances requested or needed.
Mass, 'The design of the system Is based on bottom area only.
Alternate layout for dwelling and SeFtl;c system ------ --- --- -
Remove all unsuitable material for 5 feet all around proposed system.
10 0 5 10 20 40 Field.- Draft:,nq.3.n -
Date: Scale Conn
P.: Review:
_ April_16 ._2.002 AS 'SHOWN
--