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0111 PERCIVAL DRIVE
f 1 . o 1 IIII �L UPC 12543 No. 53LOR HASTINGS, MN 3 Spy . 40 r , -"TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map` //D �-- _ Parcel CO ®l g r,��ermit# Health Division l /a a��3 4—a 3 ^, �.. Date Issued 0! V_/.` d` nservation Division ly ld101 ri Application Fee Ta Collector - Permit Fee Treasurer SIlPTIC SYSTEM MUST BE Planning Dept. I.RSTALLED IN COMPLIANCE E►M TITLE b Date Definitive Plan Approved by Planning Board E;;1j1%O.-161f IENTAL CODE ANSI Historic-OKH Preservation/Hyannis TOE`„N RECUV�TION 3 Project Street Address 6111A L, 2i u c-, Village �j(�P/�� AMA /%yVk_ Owner G �� �/��'d� ��G11/7'+)��(� Address Telephone �b P J IY",n Permit Request lrJ Eb r 1 , c U eb r L� _ain 0 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) 2 Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full Cl Crawl ❑Walkout ❑Other 2 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILD R INFORMATION p ] WTelephone Name � "�'t � d`�Ir- �I�SIJ� �G Number Address License# Home Improvement Contractor Worker's Compensation# h ALL CONSTRUCTIO LIBRII�REIULr FROM THIS PROJECT WILL BETAKEN TO SIGNATURE �'�� DATE tti f� 0� FOR OFFICIAL USE'ONLY PERMIT NO. < t DATE ISSUED MAP/PARCEL'NO. 'r ADDRESS �� VILLAGE 1 OWNER DATE OF,INSPECTION: u FOUNDATION FRAME Q• A r - INSULATION s FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r • GAS: ROUGH FINAL FINAL BUILDING ®A/ ® Y ' y DATE CLOSED OUT i f �' ASSOCIATION PLAN NO. .r: Cy iME TpNh The Town of Barnstable 9Ai185TABLL Department of Health Safety and Environmental Services •,o;, •�'� Building Division 367 Main Street,Hyannis,MA 02601 rice: 508-862.4038 x: 508-790-6230 PLAN REVIEW -- Owner: �'�el ?via ���27&e Map/Parcel: ��� — yd/-— © / 8 Project Address: // PeRe Yet N;tle- Builder: �o�e�� 67 :/7 e eleR.T-eR ��.. The following items were noted on reviewing: �/v ./-OU�i,t��Ti4�t/ l 02 . • �'Toa� �fov�v�s���o�i/ •,S�O��1/ ��� . 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'F}1�:x.}}:��'ar1,4.S3:::yTr.:�vfi�l,.rn..:.n.. gfrj;'2fi:y�.<�t•++da•;i:4x:�!3f.•%r .:.i•p.,ryf.twnYj• ';.y v s:r:y,•.:. .r:. .'.:.;^;x..+,..irt3� :r,,.ax.tr`\r;4•q::.y,.{.4•.�,,,x. .3, ha 6 i tWATArrCE=:Cl1'?•F:%:G;tu✓,3'C•::a,J„'a?`YK3TKrr,�2c>}i,}:F};.R?•:4}:,•}:bi.•:.:.o:x4•X.Kt:,.r+•;R.�•:ii::�%•,.t l� Faitrzre to ercmc cov as requited under Section 25A of MGL 15Z can lead to the imposition of criminal penalties of a 8ne up to S1,500.00 aadlor one yam civil penalties in the form of a STOP WORK ORDER and a tine of 3100.00 a day against me: I mcderatand that a copy of this statem be for"atded to the Office of Investigations of the DIA for coverage verinc adom I do hereby certi the pains d n of perjury that the information provided above is tru,and arre Date IV 16. Signature Phone# print name do not write in this area to be completed by city or town official official us a 077 perudt/licwe# ❑Buading Depart tent city or town: ❑Licensing Board response is required ❑Selectmen':Office ❑Cl1GClCif immediate rop q. _ OHealth Department contact person: phone#I; ❑Other (rANd 9195 PIA) i . a °F114E, Town of Barnstable Regulatory Services BAMSTABL& Thomas F.Geiler,Director MAM 9�A059. ,��� Building Division �Eo Nlny . Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME Il1'IPROVENIENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: f, Pbf�F cz Estimated Cost Address of Work: ��`'` i V Q i✓ 01ZA ul` , Owner's Name: r� �� �) 2�m 0 (6 Date of Application: I hereby certify that: Registration is not required for the following reasou(s): OWork excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM,OR GUARANTY FUND UNDER MGL c.142A. S NED UNDER PENALTIES OF PERJURY I hereb ap ly for a permit as a agent of the owner: Date Contractor Name Regis ation No. OR Date Owner's Name Qlorms:homeaffidav C . °F rowti Town of Barnstable Regulatory Services " MAM Thomas F.Geiler,Director prf6 ;�►`° Building Division _ Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 I Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder �/� as...Owner..of the.sub'ect ro p e I V' ' � __.__................._..., 1 P p mil._ .-......_._... .- her by uthorize �C U"J-�• f f L �' d-h'� to act on my.behalf,. in all matters relative to work authorized.by this building.p etrait-application!for: (Address of Job) ; Signs e of Owner Date _ ro-'.oy' M. i G►� 1� �� Print Name 0:F0RMS:0VR'T PERMISSION ' N O v N v = 1 I If l j UL -VE I ,IHI iiii it ' ! •� I! j! I i' ,III iI1 1 IRA • I �I•III � I,I � � !!� I• �;jl� II��� . I I �I( j _ I.I.011jI ,I j i I ii lj � I I L i 5 c • � 0 I c o 1 � Q R 33 IM o I c n S L 2 S I �p v � A Y � �'• 8 . c� ftil 72�- 4 pp v, p • a�� _1�9 ��: e z a 3z ice@off g— �s LTI �/ee �oix�nzatue BUIL a a� aaQar/u�oead- "i BOARD OF DING REGULATIONS I 'Licenser CONSTRUCTION,SUPERVISOR' " Number-', � 051404 Birthda 1 , All es�05/21.2005 Tr.no- 10 v R ,.00 : ROBERT G. MCCARTER 15 EVERGREEN DR`� MARSTONS MILLS; MA�02648` ' i Administrator , � r Tk �anvrraa�z�veall/ a�./�aaaac/u�aell gBoard of Building Regulations and Standards luHOME IMPROVEMENT CONTRACTOR Regis xpiratlon: 5/12/2005 Type:•DBA CONSTRUCTION SERVICES. _ ROBERT MCCARTER= _._=' " 15 EVERGREEN MARSTONS MILLS,MA 02648 Administrator J r '- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel � _V� TO`01, OF SMNSTABLE Permit# Health Division 1/� Date Issued Conservation Division (� G� 8 PM 2: 38 Application Fee Tax Collector Permit Feef k Treasurer 01 VISION SEPTIC SYSTEM MUST BF Planning Dept. INSTALLED I1\1 COMPLIANCE " °'ail'" PITLE 5 Date Definitive Plan Approved by PI��njng Board ENVIRONMENTAL CODE AND Historic-OKH �/ss�' 4Prese/rdat(n/Hyannis TOWN REGULATIONS Project Street Address flORCIOAl ORILR Village (ZrJS�AL LP Owner A- '506'I', /2�`✓w�` Address _SAA- e Telephone fZ5'",36� (0 r Permit Request de e.X Af &f99r,, dT �)6u_ Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes O No If yes, attach supporting documentation. ' Dwelling Type: Single Family(W Two Family O Multi-Family(#units) Age of Existing Structure�UParti Historic House: O Yes AEMo On Old King's Highway: tiles ❑ No Basement Type: 0 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: O Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:O existing ❑new size Pool:O existing ❑new size Barn:O existing ❑new size Attached garage:O existing O new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION -7 2 � Name I Wi�( Telephone Number I Address License# sf*W�,'AAVP (A(0 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ! /J SIGNATURE DATE FOR OFFICIAL USE ONLY L i i - l PERMIT NO. g DATE z,5SUED n MAP/PARCEL NO. ADDRESS y VILLAGE OWNER DATE OF INSPECTION: FOUNDATION .4 ' . FRAME I3 �'��? t� sl �'� �® �i�0) INSULATION- FIREPLACE ELECTRICAL: ROUGH FINAL !ri ' PLUMBING: ROUGA� FINAL GAS: ROUGii r FINAL FINAL BUILDINGA!S. S`�� �-- 60 DATE CLOSED OUT �= N k` fro ASSOCIATION PLAN NO. husMsc #The Comriinvealth of s . Department of IndustrialAeeidents 6U0r Washington Street Boston,Mass.. 02111 Workers''.Com ensation..nsnrance Affidavit-General Businesses &MOM22 ame: _ •^ \ address • , .r � h1 =Z�SYJj' `( state zip:Ua 6 vhone# work site locatirni full address ! ✓B4 -0-L IZ-1 SU.4b I am.a sole proprietor and have no ono ' ${Isiness J`ypet []Retail[]RestaurantBai/EaYing Establishment Pyvorking in any capacity. ,' • Office Sales(mcluding al Estate,Antos etc.) ❑I am an es to with . etn to ees(full 8c art time}. ther ' a m �I aril au employer providing vi prkers' compensation for my eployees working on this job.. `... r yr; ...t:; • - ,. ;..;• is-.•'' • '`t: •}'.S; Y�;.F. ':•aapr:•::','t�>; 't'♦ .1'. !� ..'_:;�;:`lf: '.ti•. ;f:.•:. �. .(::.'.'':.mot' "::t•`."v., _t fe S• •(••1'` •,.'r•::�,Ilt' r'j•`�:•• 1 ,�,{,�• � �4• •i••, •i•1 �• •" COTtJ•9II •eD1E: .•r•',','•g. .S•• i,. •� Y:':+'�}:+!'i:., r3„t=�L ,::s':•it' .;,�• .•;•.'•S s.�:N. 'y• 2i f�:.:S'�i:;:. '�Sy.. �(r.:. . :�� ... •. , �., ,• •p,• �.'' :,T�,f' ,f .N,•4 v•+1.::. _ •rl.. ':�'�•4:' :Ir. j.,,V{:1i�N.�'.lri:- rt•:.Y--•.:!7�'�'7'\::� t. .. 1,y` ry, ..�. .. .,:�It,•i% :5 ' l:li;.:�i� _ i+'.::�J:..... •: I.y I+'K:_ ::: $8are'ss s ' r r¢�.a�1;:S C,. ••' '!. �,•,'•?. �. •'•z •,4,•• }bite.• '''�� •° •t!. ilar• �`"';�. ltf'. 1 i. - :,;.:. :r t�•1f t��-•� '•t A •'1!!'.is' '' t :..1' .!•.. 5�' ', .,•:.�:5 ,•. •1 '4 i:,t•. `+' N: ,wt~ 'r �• ;, '!• :'Z.: -i: •I,:a•':k.'... OIC. .#'l �' •.r.•%K: irisurs ce.c0d : FT am a sole proprietor and'hsve hired the independent contractors listed below•who have the following workers' compensation polices: 4 Ii cow 9II 2raII�Gt. :e. ,,, •{it+' •:�•iih•\'r •'•s' '1•;::. , :ti.'..•{P.r. iY�,:•;+. •J,. .r.l•r a":•' .. '' r ��i•: :;:• .r ?i +. , .;. 'r s'-.:•t,,ty.;.;.: t , . ;.13 ' `_ ,f %e!i• �':i;vaki,}�!-: { "• r •i 1 "_ ''�:•. :/� .'i. '.-. .. :,• ... address � _ '�� ,•t,.:.�:.. • •�' . • • '•,• ., . :: : ••:,.•'•�` ..,�:•.. =•r:.. t ;� .S.:•�' .. •*•'S• of ( •r<-�tol:l'� •';/•� iS•• r', - :i, a ,. ,t. .,S.o,:.' - `p 'r•'`:.i, C Cr•r:, •.Y,i• .:i;•' ' •r:'':,�li•i,.�::r:"i�• _ ••t• rilone`#:. �'.: . •,. �r�. .! �' ., •, .;• .•. •.:.•r r•. •c •:ti:._yy y • .Y) 1: •'••h'rS•r.,' �r' lc '•ti�,:, :i:q1�^':'' •S-Z•i1•t='''i�'y•:�••'Y.:�:{:,•'�i.,?� :i•"• =#, .r..+l;2 y;,•:t':,Z:':♦ ar���/��/O//f. r iasin•ance•c0.•.:.` .i:'••rtiti�yl,•�J,'ia:•'S':rY• v..C..' •t-'.•�':•! '' ,".a: : / .. -• ,' -:liti ' '1' ::+1►- '1 1 •,•tic,:r �,,'i:t �• :��5•�.•;' rt_ t: ,;g•r.S% ::f•y:�•,. ••(.: .tl;.1.•' .ti• -'t•(.•.�...,,p�.,•'};.?. (`w +,y..tii:'j,,:7:u:�ti:•`• ' �'k•�• �•'.C. ..,.. ri..:SY`', `C:% ','l'':•f' �i�.•�,C :,: •..yi•.S.Y'•:ti:a: .t. ', • coin" S�C:•sar •.,;...:i• .;�.: Cl'•J• : .•, •��•�a•:•' ..,,:r- •'i�';':.. :irk, `•' \: •:�• s.1 •1�. 'i' l: y_• .ti, .r; ;; ;'::�•j' ��• s'�. w rt;, , :p„ :.t".• •'t:•' :; t s... : •:t'•,'` .ill =• rtira.!.::_' - ':T' 'i't ,�•' `i•I. •.f°, '1;•"t`:'•• ':p�.' :•`'t+•r:-.i+�: l:�i 1•`S�•;u,'_%.a ..OZ1C. :tri insu"RR3CCU!rC nd-at v/: / Failuquired under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or well as ctvilpenalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that it one years'imprisonment as copy of this statement maybe forwarded to the Office of Investigations of the DIAfor coverage verification. ; I do he certi un e p ins a penalties of perjury that the information provided above is true and correct Date Signature t �•' � '' � � Phone# � f u v •+ ��Q �. . Print name Official we only do not write in this area to be completed by city or town official permit/license# ❑Building Department city or town: ❑Licensing Board ❑Selectmen's Office D-check if immediate response is required ❑$eahb.Department , phone#; []Other coatactperson: _ (revised Sept 20(3) - Informatf on and Instructions' Massachusetts General L'aws.ch�Ater 152 section 2-5requires all employers to providd workers' compensation for their. toy ; As quoted-from the `law', an employee is.defined.as every person in the service of another under any contract ernpof hire; express or implied; oral or.written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or mare of the foregoing engaged-in ajoint enferpr se, and including the legal representatives of a deceased,employer, or the-receiver or trustee of an individual,pa i nership,�association or other legal entity, employing employees. 'However.the owner of a dwelling house ha�ing'not'fnore than three apartments and-who resides therein, or the,occupantbf the.dwelling house bf- dwellianother who•employsPe.sbns to do maintenance, construction or repair work on such dwelling house 6r on the grounds or b g gp�urtenant thereto sha. riot because of such employment.be deemed'to be ari employer. : ; MGL chapter.152 section 25 also-states that every• state or lbcal licensing-agency shall withhold the issuance dr renewal of a license or permit to operate a business or to construct buildings in the.commonwealth for any applicant who has not produced acceptable•evidence•of'compliance with the insurance coverage requirred.• Additionally;neither,t:he' ' commonwealth nor.anY.of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with to insiu ance requirements of this chapter have been presented to the contracting.. authority: Applicants Please ffie workers''eor ensaliorr affidavit completely,by checking the box that applies to your situation..Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department-Of Tndustrial Accidents•for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being art rent of Accidents. Should you have any questions regardm�the�"law"or if you are requested, not the Dep required to obtain a.workers'•compensation pplicy,please call the Depar trnent at the number listed below. City or Towns . Please be sure that the affidavit is complete andprinted legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in-the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill mthe perrrnt/lrcense number.which will be used as a reference nun be . .The.affidavits may be_retmued tQ. t or FAX unless other arrangements have been made. ' the Departrn by. The Office of Investigations would like to thank ybu is advance for you cooperation and should you have any questions, please do not hesitate to give us a'call.•• The Department's address,telephone�Rnd'fax number: . , The Commonwealth Of Massachusetts Department of Industrial Accidents BMW of havestigmns 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 i I Town of Barnstable 'Pyop•SHe roky • . , a o� Regulatory Services -� Thomas F.Geiler,Director a sr�tn, Building Division 9 i639, 1� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 O{$ce: 508-862-4038 permit no pate ' AFFIDAVIT jjOyM LOTROVEMENT CONTRACTOR LA SUPPLEMENT TO PERMIT APPLICATIONW ction of an additionto any pre-existing owl?er-occupied MGL c.142A requires that the"rec ons onstru alterations,renovation,repair,modernization,conversion, •improvement,removal,demolition, units four dwelling c6b, are bu0diag containbig at least one but not moreerms ontractozs with ertain ex ptions,alo g with other nt to such residence or building be done by regls requirements. Esti=ted Cost 'Type of Work C Q 2a(o&e Address of Wo �� re nC _ rk: V� Owner's Nam licition: Date of App I hereby certify that: Registration is not required for the following reason($): []Work excluded by law C]Iob Under S1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNEES PULLING THMT.R OWN JI- OMOIMPROVEMENT WORK DO NOT HAVE CONTRACTORS y0R APPLICABLE R ACCESS TO THE ARBITRATION PRO GRAM OR GUARANTY k'[TND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERNRy Ihereby apply foi apermit as the agent of the owner: Contractor Name Registrationl�Io. Date OR �' r C1 Owner's Name Town of Barnstable CF IME Tp� "o Regulatory Services snxtvsTnac a Thomas F.Geiler,Director y Mnss. g 1639• .0 Building Division TFo Ntnr Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 4 6 �/O � JOB LOCATION: /6// _fe rZC-( 'V,A l . 1/yes number �, street ?'2 village , "HOMEOWNER,: ` 3 2 /D�)�Vw V 37Y JJ 95/0 name / home phone# work phone# /` �CURRENT MAILING ADDRESS: / f�kC_( ✓Q 1 ��^ W. ���Sfi �� MA city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as su ep rvisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requ. ments. Signa re of o eowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section.127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt V r Application.to ®'( ' ►i1Y�'� t$�h ap. E IIOlYAY i�tflr[t iotritt �Eommittee In the Town of Barnstable GE . ICATE.:OF APPROPRIATENESS ,ation is hereby made; with four complete sets, for the'issuance of a Certificate of Appropriateness under Section W ;ha' ter 470, Acts:and:Resolves: of Massach.usetts,:1973, for proposed work as described below and on plans, > � igs, or photographs accompanying this application for. w U) CK CATEGORIES,THAT.APPLY:. tenor building construction: ❑ New ❑ Addition .Alter,ation iicate type of building: House .'Garage 0 Commercial Other o tenor Painting: Ins or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign _' -ucture: - ❑ Fence El Wall ❑ Flagpole . ❑ Other / Ze OR PRINT LEGIBLY., DATE r fJ/ t" fA. i ZESS OF PROPOSED WORK 11I N`P/raVA (�t��. 6 MjkJkw ASSESSOR'S MAP NO. 116-O C ) ER LA6 ASSESSOR'S LOT NO. y E ADDRESS TELEPHONE NO. ��y Flo c� P" ,NAMES AND ADDRESSES OF ABUTTING OWNERS; including those of adjacent property owners across any ` street or way. (Attach additional sheet if necessary.) t J V 9 qT OR CONTRACTOR _ . °C r TELEPHONE NO. RESS / iIN V. ,RIPTION OF:PROPOSED WORK: Give particulars of w k to be done, includi g materials to be use Please le locations of.proposed'signs: fl�P c,�c l�. .: . r� VL. Signed . Owner-Contractor-Agent ------------- ,ommittee Use , nly' This Certificate is hereby fiPMVED Date Approved/ d L Committee Members' Si at Town of Barnstable ' Old Kings Highway Historic District Committee SPEC. SHEET )AT I ON 1G TYPE 1EY TYPE;. L MATERIAL !,!of.��^^ Q :.COLOR ;.. C. ✓ h !o U "`"0'` ': 1 a-1. z' )WS COLOR SIZE S VIS COLOR �� L t-- - .TL�t�.�V�� C G4 elt W[Ad 1,i1 Avo � COLORS l `j(�IIJ� 0/— L� ti�110Dre, �1 Y k"o vi ), PERS l 1i COLORSIj 3 R S fi ' COLORS C/PY Te MATERIALS • (/✓� 3E DOORS /1 Cti :COLORS CGET SIZE COLORS h J G✓..:. COLORS Fill out. completely, -including measurements and:material a/colors to be used. 'Four copies of this form are recriired for submittal.of an application, along with Four copies of the plot plan, landsgapa plan and'el'evition plena, when applicable. w ap �. OM Y � � of . .� t �'`•. q �. L�140.99 c m R "8Q.79 Ni_l3A�Id Jb 3003 s oa�e N O cfdAN x Coke eG CPO L=25.35' R=35.58 OPEN SPACE 0 168IN'S �y CP W ss s:, q (� rn rn CONC. MAY "' 2 R2 FOUND. � M _.._._..___. TF=51.34' 62.1't J RP;,Y^3!.E C0'dSERNlATION fps tr . w ^��• G cy LOT 37 iN, Area = 35,212' sq.ft 0.81 Acres 31a•9� LOT 36 JOB # 99-036 CER TIFIED PL 0 T PLAN LOCATION 111 PERCIVAL DRIVE WEST BARNSTABLE, MA SCALE 1" = 50' DATE JULY 1, 1999 PREPARED FOR: REFERENCE LOT 37 PB 413 PC 99 CAR Y TRIMBLE I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE �H OF GROUND AS SHOWN HEREON. ��� Mf AR E y off SOE-382-4541 •� G tox fi08 382—seeo LA y down cape engineering, ino. 9FC CIVIL ENGINEERS l!!. I psi 1 TER �J LAND SURVEYORS — 1 ------ — ------ 'aAf lAfl� 339 main sL yarmouth, ma 02675' DATE REG. LAND S Q ➢ f � li It \4 • 3ARY TRIMBLE i )ECK- )755 3D View mt c 1 GARY TRIMBLE DECK 9755 Materials for Deck: ------------ -----'_------ f F .,Ct i s} 1,13'• ''EA_ 4.557285 `, Baluster : 2X2-421N.`NO.1:SINGL'E POINT-BALUSTER '4 EA' 255618 Beam° 2X8-10#1 SYP .25 ACQ/CA 6 EA 255523 Beam 2X8-8#1 SYP .25 ACQ/CA 2 EA 255676 Beam 2X8-12#1 SYP .25 ACQ/CA 1 EA 638152 Decking 5/4X6-8 VERANDA DECK TXTD BUFF CEDAR 67 EA 638816 Decking 5/4X6-12 VERANDA TXTD BUFF CEDAR 10 EA 261124 H Top Rail 5/4X6-8 PREM PRESERVE PLUS 1 EA 255376 Joist 2X6-10#1 SYP .25 ACQ/CA 10 EA 255278 Joist 2X6-8#1 SYP .25 ACQ/CA 5 EA 255411 Joist 2X6-12#1 SYP .25 ACQ/CA 12 EA 255457 Joist 2X6-16#1 SYP .25 ACQ/CA 1 EA 255278 Ledger 2X6-8#1 SYP .25 ACQ/CA 2 EA 255411 Ledger 2X6-12#1 SYP .25 ACQ/CA 4 EA 257974 Post 4X4-10#2 ACQ/CA 1 EA 256276 Post 4X4-8#2 ACQ/CA 13 EA 256276 Railing Post 4X4-8#2 ACQ/CA 1 EA 255974 Stair Stringer 2X12-8#2 ACQ/CA 3 EA 255988 Stair Stringer 2X12-10#2 ACQ/CA 6 EA 261415 Tread 5/4X6-12 PREM PRESERVE PLUS 10 EA 254258 V Top Rail 2X4-8#1 SYP .25 ACQ/CA 20 EA 865827 2x6 Joist Hanger ZMAX 2X6 JOIST HANGER 9 EA 294329 4x4 Post Cap Brkt POST CAP 4X Z-MAX 1 EA 735002 BalusterScrewGreen GREEN 5LB 2 1/21N DECKMATE DECK SCRW 18 EA 169765. Concln-Ground Foot 80LB. CONCRETE MIX 4 EA 735003 Deck Screws3inGreen GREEN 5LB 31N DECKMATE DECK SCRW 2 PK 462810 Hanger Nails 2x6 10D JOIST HANGER NAILS 1 EA 454141 Joist Framing Nails 16D 3-1/2" HOT GALV BOX 5 LB 20 EA 538892 Lag Bolt Washer HEX NUT GALV 1/2 20 EA 928607 Ledger-Bolt LAG SCREW GALV 1/2 X 6 50 EA 544208 Rail Post-Bolt CARRIAGE BOLT-GALV. 1/2 X 8 50 EA 538892 Rail Post-Nut HEX NUT GALV 1/2 50 EA 538981 Rail Post-Washer FLAT CUT WASHER GALV 1/2 1 EA 735002 Step Screw Green GREEN 5LB 2 1/21N DECKMATE DECK SCRW The total cost of in stock materials is$2551.32 plus tax. This estimate was created on 4/1/2004 and is valid for 3 business days. Parameters from UBC.cod parameter file. Parameters used for Deck 1: 60 psf live load, 48 inch footing depth. WARNING: THIS IS NOT A FINAL DESIGN PLAN.VARIATIONS IN BUILDING CODES, SPECIFIC ARCHITECTURAL CONSIDERATIONS, OR SITE CONDITIONS MAY REQUIRE CHANGES TO THIS DESIGN. YOU ARE RESPONSIBLE FOR THE FINAL STRUCTURE, CODE VERIFICATION, MATERIAL USAGE, AND STRUCTURAL SAFETY OF THIS DESIGN. BE SURE TO CHECK AND VERIFY THE DESIGN WITH YOUR LOCAL ARCHITECT AND BUILDING INSPECTOR. THE COMPANY ASSUMES ABSOLUTELY NO RESPONSIBILITY FOR THE CORRECT USE OF THIS PROGRAM. t 3ARY TRIMBLE DECK a755 Deck Layout �.E V `s - .$� - '� � � 3s'�I r .t'F' .� '� i.+wt - t•,���Ei t�+.�'� '1'3}� 'd. '�;'}'�. �'.`�X,h;.#�;!`'�' �i��{•+t q -t e�.�,�. T • �'p k:.�.��i ±�a�}c is R1�•.. �;��:<�'. ..�1e�,?,; `"; e.`:i` �. _ . � • • , GARY I KIMBLE DECK a755 'ost Layout for Deck 1 ' R • ' y K `aa ]t M�Flr �{'i, .L'. +_.�,� *#* E�t .�'�,qt ,: �` � �� �rx�.�, t" �n��`�i �� �rif m•{:�� r� :'r Y:�- ,�' �`? k ;�:��5��Y"��^�� '-'`�i :$: �, `:: � �'��ry ��...,�2�� �.i.:4. �.�'��:� ���..Y �S?�-'�4���t�. r a h�1�� e�,'. led��}'��.�'�S..�a k;t�,..� � w 7�"^sl�:��� #',� fn•t'.�•:t.�,�°'��._ v�,�. rl N r-i 61 - Q0 N 16 16' 8' 8' 5' 3" 1 ' 31 1' 3" N � N .._. :.......... ........................................................... _..- _._..._... ....................... _.- _._._._......._._._._......._._._....._. _.- .............. BasePoint! - - r+ CO -z3l � t SARY TRIMBLE DECK i 3755 a deck Dimensions for Deck 1 ; ER�1, �Y' �F�1Mi � •-••-,^exn3 �*''�^ ¢ :.d`�oJ� .{'� c�'.'.} wYtt�f v. ,'�6.,'.3•Fy•" X x �R�a-trs`.:� .,.'�Y}1 c :` ,_`��,. • �7 .r�,,�( ��L.,��'i�� `�..•� ��_ �,e:�ar°e+f �,{�` b�}'F.yr.�; �"�- i5.�.1�• ,�, ��": � %. � r y•��.Lf _a t e c I i I i i i i i i i 26' N N r•i r-I M ri .—I Deck 1 .6' 4" 10' 16' 10' 16' 26' i i ist Spacing = 16 in: o.c. luster Spacing = 3 3/4" e Spacing '= 3 3/4" iling Height = 36" GARY TRIMBLE DECK 9755 Construction Specifications deck 1:.. Construction Method =Beam on Top of Post' Footing-Type= In-Ground Live Load=60 I Dead Load = 10 Decking Spacing =0 1/8" Joist Spacing = 16" Beam Spacing =84" Post Spacing=96" Decking=5/4X6 Fiberon Cedar Composite Decking Beams =2X8 .25 ACQ Southern Pine No. 1 Joists =2X6 .25 ACQ Southern Pine No. 1 Posts =4X4 ACQ Southern Pine No. 2 Deck Height= 18" Diagonal Bracing =No Deck Skirt=No Joist Overhang= 12" Beam Overhang = 12" Decking Deflection Factor=360 Joist Deflection Factor=360 Beam Deflection Factor=360 Pref Decking Size= Pref Joist Size=NONE Pref Beam Size=NONE Pref Post Size=NONE Railing 7: Railing Height=36" Baluster Spacing=3 3/4" Stair 1: Step Width =72" Step Height= 18" Step Rise=5 9/16" Step Run = 11" Stringers =2X12 ACQ Southern Pine No. 2 Risers =5/4X6 Treated Premium Southern Pine Standard Treads =5/4X6 Treated Premium Southern Pine Standard Railing 9: Railing Height=36" Baluster Spacing=3 3/4" Railing 10: Railing Height=36" Baluster Spacing =3 3/4" Railing 11: Railing Height=36" Baluster Spacing = 3 3/4" Railing 8: Stair 3: Step Width = 72" Step Height= 18" Step Rise=5 9/16" Step Run = 11" Stringers =2X12 ACQ Southern Pine No. 2 d h "Risers=5/4X6 Treated`Premium Southern Pine Standard x '° "' �°'"" �+ ^("F t �TMU Treads =5,/4;X6 Treated Premium Southerne Pine Standard - ..k# ?7 r R6iling'�2: Railing Height=36" Baluster Spacing=3 3/4" Railing 3: Railing Height=36" Baluster Spacing =3 3/4" Railing 4: Railing Height=36" Baluster Spacing=3 3/4" Railing 1: Railing Height=36" Baluster Spacing =3 3/4" Railing 5: Railing Height=36" Baluster Spacing =3 3/4" Railing 6: Railing Height=36" Baluster Spacing =3 3/4" "y . CLUSTER 0• N OPEN SPAC 103 m a 79' ` 211 �, EY 1- r100' CAj WE amCAu1i .y�^ 60 0 4,59-•1' N OV1441- E 02 m 26 1 11�.Y3 m 6.1 �• . .� ,J m % } y /Q m 7 - "p. `r - • rn : 6 - 56 8 i a) rm PROP. °1 n p' z --•-- --- DWELL o o -n DECK 8 —�It CID w 5 TOP FNDN J . �I Z 55 : -62 T w ¢ 3eoo U Z 1 0 53 70 10' A ' IMAK ML 1V 104 +20 E LOT 37 m Area = 35,212 sq.ft ®218 0.81 Acres m EX=NG a m WELL '� 3�e•g'1 245 - 2 - LOT 36 ` I I 1 Percival Drive West Barnstable, MA 02668 I, Gary S. Trimble, attest that I witnessed the construction of the 5' x 10' stoop at the front entrance of my home at the above address. I can affirm that the pad poured is 4' below grade and is secured to the foundation and supported with a re-bar .The pad extends beyond the area of the stoop. There are also 2 columns 5' long of stacked cinderblock extending from the lip on the footing of the basement foundation to beneath the pad. The interior volume of the outer skin of rock and bluestone consists of hollow concrete block which in turn was also filled with cement. IIFA44 lT (SS�ignatqeDate Commonwealth of Massachusetts Barnstable S . S . June 17 , 2004 The above named Gary S . Trimble personally appeared before me and acknowledged this to be his free act and deed . MY COMMISSION EXPIRES JANUARY 07, 2011 M1 y+ a y I . Application to ® ZIIYg'fli 'bigbtvap 3kegional �Iqiotorir �Diotritt Committee ca In the Town of Barnstable > o CERTIFICATE OF APPROPRIATENESS Dlication is hereby made, with four complete sets, for the issuance of a Certifcate of Appropriateness under Section co w if Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, r— wings, or photographs accompanying this application for. M CD .J i, IECK CATEGORIES THAT APPLY: Exterior building construction: ❑ New ❑ Addition Alteration Indicate type of building: P3 House ❑ Garage• ❑ Commercial 0 Other t' Exterior Painting: Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other C) ZE rPE OR PRINT LEGIBLY: DATE a�rvyf-� r1)DRESS OF PROPOSED WORK lIl i0• h��G► ld ASSESSOR'S MAP NO. 116 NNER_ yall ASSESSOR'S LOT NO. 37 )ME ADDRESS I,I)��c'11/�P �'1� w�aY� ,L/I/Ur/i1'7N�-P ./U�► TELEPHONE NO. 1LL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any iblic street or way:.(Attach additional sheet if necessary.) �. J rLMN14 key 4 ,el IJi � Y7 ;ENT OR CONTRACTOR: z6b" CLL C � TELEPHONE N0. )DRESS 1 G� a4 1 �/' "— /1/ �jmJ Milli IN 1 ESCRIPTION OF PROPOSED WORK: Give particulars of w k to be done, includi g materials to be use Please dude locations of proposed signs. p`�r c,�c tW�1.1., -�n v.,. Ur M aw r A-�r� � G-Q i9-. fW• � (Ka �pjo, ON l y" A-u- As �b � w\AJ JWJ J -'(I,;� Owner-Contractor-Agent _ 1 13r Committee Use 6nly This Certificate is hereb ED Date Z• (� 'v y Approved/Devi Committee Members' Sign Town of Barnstable .' Old King's Highway Historic District Committee "SPEC SHEET TNDATION )ING TYPE J'�,� COLOR :MNEY TYPE G� COLOR F� LA YN MATERIAL Cyr `�\,Akef b !)A&.f � COLOR L J h G CCH .mows PC l COLOR SIZE 0/�`k" LM COLOR l�J� (Xk t*' ` dl'LAVU- C G✓ 6,v-� WlAd 11 J1 )RS 1 COLORS 7TTERS C COI;ORS ( CTERS AA fi COLORS :KS lV t/J/122, MATERIALS. '�t aca bJ_ _ a'd ovi RAGE DOORS `�`t,f�. ;COLORS PLIGHTS 1 a' SIZE COLORS 3NS COLORS IJCE h�! / COLOR Bss 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. CLUSTER 0• OPEN SPAC 103 79' 211 WE 1009 op Ou f oM orladr r 02 26 1 � J =� , _ -.-� Me 56 PROP. DWEi.L t CD DECK TOP FNDI 4 XOD 55 ... 7 . - ; h M.W. emu• tag 104 120 LOT 37 21.8 Area = 35,212 sq.ft - 0.81 Acres EXtS"t1NG WELL ' 31e 245 - r' Application to 1 • Old Kin is Highway Regional Historic-District Committee in the Town of Barnstable for a 1999 229 CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973. for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1..Exterior Building Construction: ❑ New Building ❑ Addition Eff 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 (Please read other side for explanation and requirements). c� TYPE OR PRINT LEGIBLY DATE ` ADDRESS OF PROPOSWORK Z& ??eBc�y� ASSESSORS MAP NO. b 00 61,f OWNER f?'y Alkh6 /P ASSESSORS LOT NO. HOME ADDRESS' �1�( tJ ��S •TEL. NO.-- FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of.adjacent property'owneAacross any public,. street or way. (Attach additional sheet if necessary). E.? T.' W 1 W AGENT OR CONTRACTOR C^+ TEL.NO. 9g_3 Ma ADDRESS DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No. 8,other side),including materials to be used, if specifications do not accompany plans. In the case'of signs,give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). l� Go Signe Owner-Contractor-Agent Space below line for Committee use. Received by H.D.C. T ' 'e Cer ate is hereby �GwL Date Q 04 T imee 4- TOWN OF BARNST BL PORTAN If Certificate Is appr ed,approval is.subject to the 10 day appeal period provided in the Act. Disapproved 0 ' An,Fs CAL-1c1-1PPpc A%1, 0.- , )°►anrYAk1e AN T/hoh - IN VRCl uglDn A04MS C/1gQA'i P_le - Ia 1p oytisi�, A4,.��/ ��e /'l� 6b C)OhAIJ M. -recL-&4 - 3.1 Tieekv/deXR`A,4AnA1slgb le. MCI Aloe 3� ti 1 � z . TOWN-OF BARNSTABLE I CERTIFICATE OF OCCUPANCY I PARCEL ID 110 001 018 GEOBASE ID 36853 ADDRESS 111 PERCIVAL DRIVE PHONE W BARNSTABLE ZIP - LOT 37 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 43878 DESCRIPTION PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health;Safety ARCHITECTS: and Environmental Services TOTAL FEES: . BOND THE CONSTRUCTION COSTS $.00 I 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P --Ems.-_ • * BARN3TABLE. MASS. 1639. • ED Mlr►I BUILD ,C DIV ` N BY DATE ISSUED 01/28/2000 EXPIRATION DATE - --� . . LTOWN OF BARNSTABLE •, 't''�;,. BU DINC..PERMIT PARCEL TD___10 001 018 ! CEOBASR ID :3685:3 ADDRESS 111. PERCIV'AL DRI'VE1 , PHONE W BARNSTA`BLE ZIP - LOT 37 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT SIB PERMIT 38228 DESCRIPTION 30'K42'COL./W/A"TT-2CAR/3BR/2.5BA(SEUT#99--232) PERMIT TYPE BUILD TITLE NEW RESIDENTIAL .BLDC P14T � CONTRACTORS, R.IDCEWOOD CUSTOM HOMIES Department ®f Health, safety ARCHITECTS: and Environmental Services eOTA.L .FEES: $485..60 IME BOND $.00 CONSTRUCTION COSTS $150,000.00 1.01 SINGLE rAM HOME DETACHED PRIVATE PR eisNslABLF, yss.039. o� �6 Odle� BUILDIN.0�I)IVISION -r BY � � • DATE ISSUED 05/06/1.999 EXPIRATION DATE 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 MFOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. ECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 9q 2 �,v 5 i 2 2 3 1 HEATIN S ECTION APPROVALS ENGINEERING DE'ARTMENT 2 27 - BOARD OM OTHER:� ST/� CIS, _ SITE PL REVIEW APPROVAL zr WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND.VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS'APPROVEDTHE 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. �' { !F J �iII • V j - ,; { Fl . , �. . . _. �. � . .. � - �� . . �. �. -� , rt�...� . . �. ' i � '� ` i t,; •t �� a. _ _TOW ° ° o 0 ° T. e = A18 ° a ° Mt n ound i i , F ° rmi n ° ° fi:.-P to, ° ° P a , ,°`° ,p °° ,a 9 v° v- .1 -e-oar M�d' 0 ° 9 a Nam ALW ° , ° , e 8 ° v 0gs , N ° ° o o e ° v , , a , ° ° ° ° 4t 3W?S � v TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Mtip D. Parcel U/0 ��= 6 ;SYoo Permit# Health Division `�'�'-2 � STA�L�®/N =�-e `,r � ,. 3 N1:5� �H V Cop413Ll�Dat'Issued v�, Conservation Division ?t !s�✓o /' rYku. � SQ-rlL 5 Fee Tax Collect Q(_ 3 / Y Treasure - - Planning Dept. /eLyf �l 9 pM Date Definitive Plan Approved by Planning Board ���U M Historic-OKH Preservation/Hyannis Project Street Address Pz5en lYAL Village Owner l�A � J/''1�L-� Lj��� ��y�'' dress �`/� ZL�// 25 5ifX")iG'�l�fi4 2�z5'3 7 Telephone 5'D d �-�76( Permit Request 'IO Square feet: 1 st floor: existing proposed 13�2 2nd floor:existing _ proposed /Z6© Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size -3 Sa 212 Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 11 9- Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: 11 ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) /1 J��' Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new 2 o 5 Half:existing new Number of Bedrooms: existing_ new Total'Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric Cl Other Central Air: ❑Yes �ko Fireplaces: Existing n New 1_ Existing wood/coal stove: ❑Yes Flo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing W4new size 7_Z'x2-Z' Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# L,'q Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use ieh`�l IQ Ai- - BUILDER INFORMATION Name RjCA�21 IL�� C OS-Mt-�, t- CS Telephone Number — Address �>n License# Home Improvement Contractor AZ ©Zs�aZ Worker's Compensation`��C -Ss- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE t a FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO.-.- ADDRESS VILLAGE OWNER , DATE OF INSPECTION: FOUNDATION�! FRAME INSULATION "y FIREPLACE-- ELECTRICAL: ROUGH FINAL r PLUMBING: - ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING I �e DATE CLOSED OUT ASSOCIATION PLAN NO. • I N L=25.35' R=35.58 OPEN SPACE tr 16g IN Yr w W ss 6�6 A CONC.NM FOUND. �1s J � ~ TF=51.34' 62.1'f 0. � LOT 37 ;aH, Area = 35,212 sq.ft 0.81 Acres 3�8'91 LOT 36 JOB # 99-036 CER TIFIED PL 0 T PLAN LOCATION 11 > PERCIVAL DRIVE WEST BARNSTABLE, MA SCALE : 1" = 50' DATE ': JULY 1, 1999 PREPARED FOR: REFERENCE LOT 37 PB 413 PG 99 CAR Y TRIMBLE I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE `1H OF V GROUND AS SHOWN HEREON. ARNE �y off 508-382-4541 . aoe aex-eseo 3 H•f _ I CA down cape engineering, inc. oe CIVIL ENGINEERS — l / ( �/�ECISIERE� QJ'`a LAND SURVEYORS 1 ------ ----------- '�'ArlANU 939 DATE REG. LAND S main sL yarmouth, ma 02675 MAScheck COMPLIANCE REPORT I �� Massachusetts Energy Code I Permit ## MAS he6k Software Version 2.0 I Checked by/Date CITY: Hyannis I STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 4-28-1999 i DATE OF PLANS: 3/99 TITLE: Mr and Mrs Gary Trimble PROJECT INFORMATION: 111 Percival Drive West Barnstable MA COMPANY INFORMATION: Ridegewood .Custom Homes 508-833-8865 COMPLIANCE: PASSES Required UA = 566 Your Home = 460 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1470 30.0 010 52 WALLS: Wood Frame, 16" O.C. 3243 19.0 0.0 195 GLAZING: Windows or Doors 278 0,400 ill GLAZING: Windows or Doors 54 0.400 224 DOORS 30 0.350 10 FLOORS: Over Unconditioned Space 1470 1910 �70 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code: The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. Builder/Designer / �� ✓�� Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.0 Mr �nd 'Mrs Gary Trimble DATE: 4-28-1999 Bldg.. I Dept. l Use CEILINGS: [ ] I 1. R-30 Comments/Location I WALLS: [ J I 1. Wood Frame, 16" O.C. , R-19 Comments/Location I WINDOWS AND GLASS DOORS: [ ] ( 1. U-value: 0.40 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location [ ] I 2. U-value: 0.40 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location DOORS: [ ] ( 1. U-value: 0.35 Comments/Location FLOORS: [ ] I 1 . Over Unconditioned Space, R-19 Comments/Location I I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed I lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. , DUCT INSULATION: [ ] I Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. I .DUCT CONSTRUCTION: [ ] I All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts.. The HVAC system must provide a means for balancing air and water systems. or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I HVAC EQUIPMENT SIZING: [ ] . J -• Rated output capacity of the heating/cooling system is I not greater than 1250 of the design load as specified in sections 780CMR 1310 and J4.4. I MISC REQUIREMENTS: [ ] I Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only)------------------------- I I I The Commonwealth of Massachusetts Department oJ'Industrial Accidents Office afinyestionfans 600 Washington Street ....... : � � Boston,Mass. 02111 rance Affidavit �ni i //./: ////%/ %%� satl � Y'Y%%/%��%%%/////////////������%%%�///////�%���/%/G„<..... rn�icant-�rurnua�'.:�����//��/�%%�r /i// � r������ron r� � � /•�� � .. name: U I I 1 Gt M L J C e location: "�p rc\lja P-- city l0 . \ ) a IQ Shone tl �'3 3 ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any ca acity am an employer providing workers' compensation for my employees working on this job. comnnnv name address: city: P,l`�t (Z ©z51o2 vhone# 6OS— insurance co. pong# C �Oa/�Giaoii��iarirDi�raii�iiia�i7i/ii�irO�iiri0aiiirr/aioiiiairriiiai/aioaiaGiiiaiai/%//////�r�ii// ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workcrs' compensation polices: company name• address- sty phone#• t.nsarnnce cn. ... ......:..: comnany name- ;. ::.:::.:..... address. nt<- phone imurance co. --------------- Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to 51.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DU for coverage verification. 1 do herebv terrify'under the pains and penalties of perjury that the information provided above is tru,-and correct Sifatature Date _ Print name Phone# official use only do not write in this area to be completed by city or town official pdtv or town: ernut/license tt ❑Building Department OLicensing Board ❑ check if immediate response is required ❑Selectmen's OMce ❑health Department contact person: phone q; ❑Other (Mvoto W95 PJAI Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any corm- of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receive: trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renews of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who.has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/Ecense number which will be used as a reference number. The affidavits may be mtniied io the Department by mail or FAX unless other arrangements have been made. The'Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investleatlons 600 Washington Street Boston; Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 2-11—.1999 9:30AM FROM RIDGEWOOD C H 1 508 833 886' y P. 2 l Application to . Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, id triplicate, for the issuance of a Certificate bf Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachtaetts. 1973. for proposed work as described below and on plans. drawings Or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1- Exterior Building Construction: *New Building' ❑ Addition 0 Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other t Exterior Painting: ❑ 3 Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY } DATE__! ADDRESS OF PROPOSED WORK ' Pe RC1 "' 1)p W.(��N�I "MA O�%SESSORS MAP NO., I OWNER _ J ►^q ASSESSORS LOT NO. J 7 l / HO MME ADDRESS f- �` 1/4Il �� S"dW�c.l-. A Q227 TEL NO. —11708"8PL , FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property OMM'aorosi any putilix: street or way. (Attach additional sheet if necessary').:,p I MMQ 7AVhPS (.nip i�oS�-�P�C f,'0.����," �N, 1�1?C�hblP 1 s T l goo - g e k C-l U,41 Dn - le R An1�cs P R y P RC t V4 /)n KIU fh le- (q,4- C),168 AGENT OR CONTRACTOR ^` �S AbR�U�S 1 ADDRESS S� n1oae etc S(� DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No.a other sided including materials to be used. if specifications do not accompany plains. In the case of signs,give locations of existing igns and p►opd locations of new signs. ( ttach additional sheet.if necessary). I �,olon iA� 1�i �ir�c�� led �NqAy . fie, a}�Ac�e s �� eef FPO y Signed4 li(�Oi Owner trecta-Agent line for conMlittet O- . :� 9 .- Date Certificate is hereby paw MAR — 4 Imal. 1�wcfLA ' .�. Time OF BARNSTABLE Approved 13 IMPORTA T, If Certificate is approved.approval Is subject to the 10 da appeal period — � i—�-Jtz�tzl �1= :SIJAM f-kUM kiDGEWOOD C H 1 S08 833 8866 p. 2 Application to Old Kings Highway Regional Historic Dismal Comminm in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made. iri triplicate. for the issuance of a Certificate bf Appropriateness under Section 6 of Chapter 470. Acts and Resolves of Massachusetts. 1973. for proposed work as described below and on plans. drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1_ Exterior Building Construction: ❑ New Building ❑ Addition Alteration Indicate type of building: ❑ House ❑ Garage D Commercial ❑ Other 2. Exterior Painting: ❑ .3 Signs or Billboards: Q New sign ❑ Existing sign ❑ Repainting existing sign 4. Stricture. ❑ Fence ❑ Wait ❑ Flagpole [;] Other (Please read other side for explanation and requi►ernmtt). TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK ASSESSORS MAP NO. OWNER ASSESSORS LOT NO. HOME ADDRESS TEL NO. FULL.NAMES.AND ADDRESSES OF ABUTTING OWNERS. Include name of adiaoent propwty'ow.ners,aoross'any public _strget.or way. (Attach additional sheet if necessaryl. Rep) C AID 041, - .e 1 . . - :�u�s 1 de DA1 ./U A_akj�UlAb le enhs�de�ie -r�. 6 rQA fiAL1,, og AGENT OR CONTRACTOR TEL NO. ADDRESS DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work w be done(see No.B.other side).including materials to be used. if specifications do not accompany plans. In the case of signs,give locations of existing signs and proposed locations of new signs. (Attach additional sheet. if necessaryl. Signed N►�JL^� U Owner�ontrector-Agent below fine for Committee use. i D rtificate is hereby Date gyTOWN E HIGHWAY Approved ❑ MOORTANT: If Certificate Is approved.approval Is subject to the 10 day appeal perlod Chao I'--.je ov�s�` ,���, 4 �� DoV7Ald (Yl, 4 3.l Teo�side�ie -W�,� n�s.�g� l�,. 41V } 2-11-1999 9:31AM FROM RIDGEWOOD C H 1 SOS 833 8866 P. 4 0 Town of Barnstable NW Old King's Highway Historic District Committee SPEC SHEET I FOWDATIOffi Ri Rl C'� 22 1e L A30-iM PN 1�a' Q _OR Ceela�C IaP�ends. �n � e� usu Re -_ loop, SIDING TYPE �)��{'e C'P�A1R��I„�a�e.�•��c�s�ckcoLOR — h fR�L11�� 6, CW30n Y TYPE /J COLOR ROOF MATERIAL `r� Ns, S 12 A 5111*`COLOR b I� PITCH /L 1fl�ClSP ArA C�fa(Z.f% �. (s � men l eue 1 WImPows A eA et, COLOR (, srz$ TRIM COLOR h �- K .A pook-so[A 6 �O�Ne �� 4 s� F ,� rs G'�, e�.- �i� Iktl%�LAP,A US DOOM — Ne Ass OLORS '} SRUTTERB pj6AJ , COLORS GMTBRS�I_�>M i ✓►0 Vn COLORS 1 DECKS 1-y1 (Z f-A& MATERIALS GARAGE DOORS - WOO d COLORS LJ 1'` I SKYLIGHTS V10h SIZE COLORS SIGIQs h 0 6Q, COLORS FSNCZ ICI0 COLOR NOT": will out coi pietely, including naasurn—ts_ and matarials/colors to be used. sour copies of this torn are requlrea for anknittal of an application. along Nita pear copiae of the plot plan. landscape play and aleeati— plans. Nheo applicable. SP8C3HT Revise 11/98 LOT 31 Areo = 35r2J-2=sgIft in . �0?8�1�Ac re s A A . 31' ' E' 58' J • PROP. DR ,- - V_ NOTE: VERIFY SUITABLE_ SOIL CONDITIONS IN AREA OF PROPOSED 0 SEPTIC SYSTEM PRIOR TO ANY ssr• CONSTRUCTION (HOUSE, SEPTIC 50.0' kill SYSTEM, OR WELL) ON THIS LOT ___ PROP. j DWELL. (� DECK TF- 51.5' v 62 r 0 15' 41' 0 �� C) 1 S2' 111111111110PROP WE TP -p 152' (VACANT) EXIS G 2 TP-er w 46— �9 • j az LOT 36 . 4 T� 2 Q G� 99-036 x / TOWN OF BARNSTABLE . MASS r1-111-be ASSESSORS MAPS TABLE, 1 ESSORS MA 7�� � � •� M-111-60 M-111-61 .. s 1-20 SOAr— �• _ -`\ ,Ro~Sr0 •��A Ira�'ERCIVAL a ae PC-RCIVAL I-19 / 3 / 1 -53 6oAC / \ ;t 1 67,A �P /• -LL 3.19 A1;- JIL '� \ I m .8 4,AC- OPEN w- ep \ s4S X i r 80AC 1 130 Ic Olt \ 'I "•� �, \� i� ro ° 81AC -28 \ \ �'o * 6 81AC 1-27 5 n•ev.r•t •• ro I \S J I- 7 '86 .� \ f � •�f' .. ; .•, 4 1-14 s ^ OPEN SPACE •80AC v on. 14 .. 1S.Z9 AC- I ^ 25-10 o ee @ZqC r 23 _9 n .77 AG 69AG 9 \� �y /• i 94, t e�: ` Ch.r r 2Q n.81.1_t 6 69 7 .85Ac 2' s �1- 9a to J' �-. o / •i 25-IL a`f 7ZAC •_ .\ J• 7OAc gt.rl. �;: 'M -46Vp / V�j�I .�(iL'%�1q�1•��LGL^T.�' BABN]TASLL, : OFFICE` OLANM46AND DEVELOPMENT ■Ai! / 9. 367 Main Street \ (617)775-1120 Hyannis, Mass.02601 Ext. 160& 190 January 29, 1986 Mr. Francis A. Lahtie ne Town Clerk Town of Barnstable Town Hall 367 Main Street Hyannis, Mass. 02601 Re: Subdivision # 585 Nabil Boghos "Weekes Crossing" West Barnstable Dear Mr. Lahteine: At a meeting of the Barnstable Planning Board held on January 27, 1986 it was voted to approve the above subdivision plan subject to -subdivision rules and regulations, and conditions of the Board of Health. A special permit runnier Section T of the Town of Barnstable Zoning bylaw was granted subject to the mutually approved of and agreed upon accompanying docurents. 150' setback from wetland to be indicated at lots 39 & 40 for septic system, which is constant with the rest of the plan. Plan is entitled: "Weekes' Crossing" Open Space Development Plan Subdivision Plan of Land in Barnstable, Mass. for Nabil Boghus Scale 1" = 100' December 9, 1985 Drawn by Doyle Engineering Associates, Inc. 47 Morin Avenue Falmouth, Mass. Yours very truly, J th J ench j nstable Planning Board JJF:bdl cc: "Weekes Crossing" - Nabil Boghus Doyle Engineering Associates, Inc. {L' Is w ®1n.1 IiW TZ Yam, _ o 0 P• 1 1 , •l � T U 1". JA Y dTM Town of Barnstable-Planning Department Old King's Highway Historic District Committee MEMORANDUM TO: Building Commissioner FROM: Gwendolyn Brown, OKH Secretary DATE : May 13, 1999 SUBJ: Modification to Prior Approved Plan A minor modification has been approved by the OKH Committee to a prior approved plan for the applicant (s) named below. The modification is briefly summarized and I have attached u backup material for your records. Applicant (s) David & Adelma Van Kleeck I Address of proposed Work 50 Crocker Lane Barnstable, MA Assessor' s Map & Parcel# 279-020 Meeting Date Approved by OKH May 12, 1999 Minor Modification Reshingling the roof: changing design from a three tab shingle and replacing to a higher grade architect design. Chairman 9 -- 1.11 , 99 Date If you should have, any questions, please do not hesitate to contact me at ext . 862-4684 . MEMOBc I ,r From: David and Adelma Van Kleeck P.O.Box 252 Barnstable, MA 02630-0252 Tel.# 508-362-3508 To: Old King's Highway Commission 230 South Street Hyannis, MA 02601 Tel.# 508-862-4684 April 23, 1999 To whom it may concern, We are in desperate need of a new roof at our residence, 50 Crocker Lane, Barnstable, MA. Your office informed us that we need to file for a minor moderation change for 1 the sign off on the building permit. Our roof color will remain the same, as will the material (asphalt). The only difference is a change in shingle design. The existing 35 year old shingles are 3-tab design and we would like to replace them with a higher grade architect design. Thank you for your time,.-,., -� David and Adelma Van Kleeck Q APR 2 61999 TOWN OF BARNSTABLE 7 r d^� Town of Barnstable- Planning Department F Old King's Highway Historic District Committee wed MEMORANDUM TO: Building Commissioner FROM: Gwendolyn Brown, OKH Secretary DATE: May 27, 1999 SUBJ: Modification to Prior Approved Plan A minor modification has been approved by the OKH . Committee to a prior approved plan for the applicant (s) named below. The modification is briefly summarized and I have attached backup material for your records . Applicant (s) Gary & Joan Trimble Address of proposed Work 111 Pefcival' Drive W. Barnstable, MA 02668 Assessor' s Map & Parcel# 110-.037. Meeting Date Approved by OKH 03724-99 Minor Modification '/ j V, + Chairman Date 'If you should have any questions, please do not hesitate to contact me at ext . 862-4684 . rEMosc Town of Barnstable-Planning Department Old King's Highway Historic District Committee MEMORANDUM TO: Building Commissioner FROM: Gwendolyn Brown, OKH Secretary DATE: May 27, 1999 SUBJ: Modification to Prior Approved Plan t rRinorlodiTicMation has been approved by the 'OKH Committee to a prior approved plan for the applicant (s) named below. The modification is briefly summarized and I have attached backup material for your records . Applicant (s) Robert. Metafora Address of proposed Work 18 Keveney Lane Cummaquid Assessor' s Map & Parcel# 351-028 Meeting Date Approved by OKH February 17, 1999 Minor Modification &AA Chairman Date If you should have any questions, please do not hesitate to contact me at ext . 862-4684 . MEMOBC Sent By: Canadian Fish. Exporters; 617 926 9222; May-18-99 15:06; Page 1/1 Robert Metafora 19 Charming Road Brookline,MA 02445 617-277-8803 • Fax 617-566-1501 To: Gwen Brown,Old Kings Fax: 508-790-6288 Highway Commission From: Robert Metafora Date: 05/19/99 Re: 18 Keveney Lane,Cummaquid Pages: 1 0 L%wd ❑For Review 0 121eM CannWA ❑ftmo Rom► la Pleese Recycle • k uest the following minor modification for our house at 18 Keveney 0 Main Street)in'Cummaquid. ' W ilCe to change the color of the clapboards from the present white to Cliffside .n enjamin Moore paint color. We would also like to change the shutters from the present black to white.The trim will remain white,and the door will remain red. Our builder, Steve Mellor, will be at your office Wednesday with photographs of the house as it is now and a color chip of the Cliffside Grey color. Thank you for your help in this matter. Kind regards, Robert Metafora � 9 � ETOWNOF BARNSTAg� 1 AY . . . . . . . . . . . . . . . . . . . . . . . T.O.F. AT EL. 51 .5' SEPTIC PROFILE TEST HOLE LOGS — ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) / ACCESS COVER (WATERTIGHT) TO ENGINEER: DOYLE ENGINEERING 9 49,0 MINIMUM .75. OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 46.0' WITNESS: THOMAS McKEAN, RS — � J Q I. RUN PIPE LEVEL �, 2" DOUBLE WASHED PEASTONE DATE: 1 /6/�7 o j !48.0: ' FOR FIRST 2' T PROPOSED 1500 i 3' MAX. PERC. RATE = < 2 MIN/INCH W� GALLON SEPTIC 48 $ / v 47.05' TANK (H— 10 ) GAS 43.0' CLASS I SOILS P# 6262 id BAFFLE 43.17' , Q 4 �_ Y ( 10 % SLOPE) 6" CRUSHED STONE OR MECHANICAL 5 3 ® SIDES �+ �r COMPACTION. (15.221 (21) DEPTH OF FLOW 4 (5 $ SLOPE) Z' - - - 0„ ELEV. 011 43.0' 1.0 TEE SIZES — __ g � 14" INLET DEPTH - 10" A `�' TUP &INLET DEPTH - 10' � 40.5' OUTLET DEPTH a 14 3/4" TO 1 1/2" DOUBLE WASHED S`-ONE � TOP & 6" 42.8' SUBSOIL SUBSOIL LOCATION MAP SCALE 1" 3 " j FOUNDATION— 10' SEPTIC TANK 62' D' BOX5' LEACHIN 42 39.5' FACILITY ASSESSORS MAP 1 10 PARCEL 1 -18 9.5' ZONING DISTRICT: RF YARD SETBACKS: FINE FRONT = 30' f#1 FINE SIDE = 1 5' MFD , EDUE OF ISOLATED VEGETATED WETLAND 31 .01 MED REAR = 15' � ✓ SAND PLAN REF. — 413,/99 �\ UTILITY SAND FLOOD ZONE: C F" - OPEN SPACE CLUSTER W �+a - ' - -F-- - - -- - #2 � -�> REFERENCE SEPTIC PLAN #3 70' �; � EXISTING ORWEEKES CROSS N� i 52l WELL 79 52 `�/ I �L BENCHMARK: CATCH PROP. SILT FENCE ALONG a9 r PORTION OF PROPERTY LINE--\ 1Gfl' U' U' r (-) BASIN AT EL. 49.0' 144" 33 8' 144" 31 .0' �h �� LOT 37 50� C NOTES: �` I`J0 WATER ENC,3UNTERED = Area 35,212 Sq.ft Cl ;.: .. .. �! ` c`. ,tJ: (CARBAGE. DISPOSER i`, NOT ALLOWED 1 . DATUM I, . ASSUMED s a-�ra G2�►a.o . . Acres s AREAS wliH OLDER \�\ _ - _ - - - -� / � - - I'�SI N —FL0W: �4 BEDROGMS ( 1 10 GPD) - 440 r;P�, ? MU ICIP�IL WATER iS NiJi AVAILABLE EXCAVATION EVIDENCE - ^'� / USE A 4.10 GPD DESIGN FLOW - 3. MIN I'AUM PIPE PITCH TO BE 1/8" PER FOOT GAR �� PB 1-� `:,EPTIC TANK. 440 G P D ( 2 ) = 680 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H--_'O Dw ( -- ` 1 5G0 —~� 5. PIP=. ,,JOINTS TO BE MADE WATERTIGHT. N LI E A -----_ CALLOtq SEPTIC TANK, 6. COIJSI RUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. LEACHING _ ENVIRONMENTAL CODE TITLE V. a' SIDES ?(9 t 43.5) ('74) 7. THIS, PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE _ PROP O � 1 f ! + DWELL. col OTIOM: 9 x 43.5 (.74) _ egg USED FOR LOT LINE STAKING. I PECK 8. PIPE_ FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. TOP FNDN -' II l TOTAL: 601 S.F. 445 GPD 9. CO4PONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT l)SE 6 HIGH CAPACITY INFILTRATORS WITH 3' OF INS''ECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH, 62' STORE ALL AROUND AND 14" UNDER �, -- 10. WELL PERMIT REQUIRED PRIOR TO CONSTRUCTION AND TEST RESULTS / 10 REOUIRED TO BE SUBMITTED TO TOWN ., 53' ° LEGEND SITE AND SEWAGE PLAN _ ��� 152 PROP Eu I Io �� w 100.0� PROPOSED SPOT ELEVATION OF TP "A" 152' # 1 1 1 PERCIVAL DRIVE (VACANT) 10Ux0 EXISTING SPOT ELEVATION �— IN THE TOWN OF: Tp EXISTING 100 PROPOSED CONTOUR (WEST) BARNSTABLE WELL _— 100 EXISTING CONTOUR 46 .- PREPARED FOR: GARY & JOAN TRIMBLE 318 1' Dw Q PROP. 2 x 2' DRYWELL WITH 2' STONE ALL AROUND 30 0 30 60 90 Feet 7 \ A@UTT HSE. BOARD OF HEALTH - APPROVED DATE , MA E: 1" = 30' DATE: MARCH 8, 1999 ' LOT 36 " fax 508T362-9WO LOCATION OF TEST PITS A AND "8" PER MAR 1 6- RECORD TEST HOLE LOGS (!!�O EVIDENCE OF EXCAVATION) ( .�►�.` NOTE: VERIFY SUITABLE solL down cape engineering, inc. BARNSTABLL "`'j'`' ''� �� ;►� c}r ;��, � �y,`�``H �f CONDITIONS IN AREA OF PROPOSED 4 A%E �' `� ARNE t SEPTIC SYSTEM PRIOR TO ANY CIVIL ENGINEERS 3 OJALA K 3 0,kALA CONSTRUCTION (HOUSE, SEPTIC •� Ij ; alw �i li i� Yy w« Pau 26948 �,J� 'CIVIL N SYSTEM, OR WELL) ON THIS LOT LAND SURVEYORSfir , , 0 s CI ED 939 main st. yarmouth, ma 2675 l�, -- a -____ • �`��'; -- --_-- — _._.._ _.... . t /_!! ... _ _. .. _ 1.._...pll ...._ ..-- -- __. . _.._ _ Gil! ., _ C.711 _ 11 LY ! �, n) _._ .. l_ • I 1 • r a I 1 Ftl \\I/ TI _o L_Mi Y tnL/�I`� h� � �$5 Fv�oi'�PI�OM _ G r L— re r p MIL M o P P-1 rc/S F&!ST MU wH M ^� Q _ Ica oc" _ _. _ - C 1, ___. ,_ ,1 __ �_.. =o - _ 2 acl- i 1 , b • _ �I.�...� �"of�• C��>�� 11 I I 11 p U rt t + f 11 II 11 u 1 II 1 (I I II 1 11 I 11 (allvl �j - I - 09 40 or �1-671 ' ol 2 z '—'y11o. 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