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Home My WebLink About0121 PERCIVAL DRIVE No. 3LOR HASTINGS,MN TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION100, Map Parcel 10 001 0 2 Permit# 7 TOWN �i: IJ�,1;�;STABLE lth Division S 6 Date Issued �' OC T�d®3 on ea servation Division nD L@� OLT24 Pry 2' 014 Application Fee Tax Collector Permit Fee Treasurer M_ �^ Ll l Y 141 U N 6EPT11G SYSTEM r iUS 1 �u ffi3STA!IE®IN C0MPL9At4C Planning Dept. WE TITLE 5 Date Definitive Plan Approved by Planning Board ' o�I'A iOXMENTAL CODE X•% T��?J RECJi's.6��:'E.^ '_ Historic-OKH Preservation/Hyannis r po Project Street Address Q�('CkV4 (`1trQ Village W v5v 1J Owner J ftn!t? 4-30fAff ill L:: Address 41 q rCiVk �vQ Telephone Permit Request Y`IE1Z Square feet: 1 st floor: existing proposed 2nd floor: existingy_ 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 0/_ Two Family ❑ Multi-Family(#units) J Age of Existing Structure Historic House: ❑Yes MI o On Old King's Highway: ❑Yes ❑ No Basement Type: ❑Full ❑Crawl O'Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area sq.ft) � Number of Baths: Full: existingnew Half: existing � _g new Number of Bedrooms: existing \ new Total Room Count(not including baths): existingnew First Floor Room Count 3 Heat Type and Fuel: WGo" s ❑Oil ❑ Electric ❑Other Central Air: ❑Yes a4o, Fireplaces: Existing New Existing wood/coal stove: ❑Yes Detached garage:❑existing ❑new size Pool:Q'existing ❑new size IML) Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: AWCOOF VAIWL Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION j Name /+ Telephone Number ) J Address 0- C� License# 1 h--i 'Pn�L 1 h!Q h,,(A, OZ(i (a Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE (11 DATE 10 �— V FOR OFFICIAL USE ONLY PERMIT NO: DATE ISSUED 4, MAP/PARCEL NO. r ADDRESS - VILLAGE OWNER M r " DATE OF INSPECTION: - ol FOUNDATION fiVD aK NitAV A teo �� ` FRAME INSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING - .DATE CLOSED OUT :ASSOCIATION PLAN NO. i �r ��l ��e l��y�-F ��o�� - � i � �, . -�i�--- �cps6� �, �v� . .� � r I. The Commonwealth of Massachusetts Department of Industrial Accidents _ office offoraffladeffs _ 600 Washington Street _ -= Boston,Mass. 02111 Workers' Com ensation Insurance davit i name: �� •`-' �� erc�u Qn location. �a� • ci - �5� �t hone# 375=!) S I am a homeowner performing all work myself. ❑ I am a sole netor and have no one worlan in capacity I am an em 1 rounding workers' compensation for my employees.working on this job..............:. <;{ ��>�'?C'•2�::;':%rY:::�`< � ��`t'�'?��'''#� � `: d :??�� '� �?� �:::::::::::::::`•:::>;:�::;'::':'::'�>`::::s': ;:;:2::::: :::::::::i?:::;'f,;`::::?::::::::t:•r.:''::::�:::::�:::>'::�::::s:;:::;t:::>.::•..:�::::::::::::>;:•': :::;::::':":::c::R::>:::::>:•;{2:;;<::::::::::: .. ... ??}: ........ ..........:.n..:.....:.::n.........:...:::v::::::::it::::::nw:::.v::::::..::::.v:^::�::w::.v:::m:.::::::::r::?4:•? •.v::i>i::;::.::.r-?+:•?::::::::::"v:::::::::n 4:'trY?'??::{{:^}?:4v}:.:;:r•. .................. .,,....r........ ..,..........r........n................:-::•::.v.:v:::-:v:v:::::::;.:i'•::::»:::::•.v•:»:.v v:n......::.vw::vv:X;•;:•?i'..Y:-:::vx•.:JT.y::::::::••:;•>'++9::;.,^!.-:::::.::4'r'v'v:• ....:••:^.............................v:r•:.t•.........................n.:.:w:.............n................v..-.::.^.,...........r.:..:•^•.v:n......... , .....................v •>R .. .....t .......:.......... ..{.....:.........n...n...-r..{ .,.......................-...............:.................,.....•v..........w::r;::.v...v......n......{................-..:..v...r+}}}::v-„•::•.;w}•.:Y t' .x+\.'iLJ:{{v>+'LL?:J?i:4:..;{.;l^.-}Y:^•::»:m::^:y......... nr... ,...y::ny:..,............x:::::v:.t.:......v.....r::.v:::....:v.v.,vw:?::^v:.v.:::nv::».>.-?.;r,.;.........:..r...,..... .:.................. v:.v:::r:bY?Y:4??i?YY}Y}:;•::•:w:::.. ..m::v:::::::...... ............v........^v:-, t.v:.}v:•:':.v}:•}}Y:;4::?:?:•.. .........t.....r......................:..................n ..r.r..... .{..t ,:......... ...v.v::•:nvnv,.;+::^:}}w:+a:r;+..;..;•;•:::n.v.. i?'y;:i"i{;::!i:.+r....r....,:..:...n^......-.r..^..... ............:....l.....vv.............. v.....(-....:......x:w.vv:w.y:;;:..,. .r. - .....r...:...[t. ......:,....r..............w:.::^•....•:• ,.... .,Y.r.-:;t{.,;:......{. vvr v,.a. r:.::.:t •^•:m•^'::;J•{^.ti,v`:�'•{�::•:'%:IX"?. vv...+.v.......................................v.t..........r. .n .......................... .....+.....Y-::• ....:.....:•:i..........+•)r...::rw;•T•;:4:..{,;:h:?{r•}.•.}:•.}:}>:•>}:'•:a:;r:•Y•}C•. �•vM1' • b �:::n:v:::>:.v.::.?/.h;x•%v%G};.y;.�.:::�.}:�?.:::^•.:.i'nv:^:,:v:..{:......::}:::::::::::^;{:.v;v}:^•v.^:......•t.:.n•:............••v:........v r.^ :.. v, Js...;.;..,...n:;.•• ......... .::::::.::.v:;:;ry:::r:•?•:::r.r•>-.v.;::?hw.v.::::.v.}:\:^}...:^•.;i}h!{::,+'?iv>:?�::}:{:•Y,;•::•?>:• .adore .....:...,... . . ..... . .. .... ..... ...:.Y: . .... ........ . ?:•:r:;•T:;•}:;•:a:•:•i::??}:.v.,;:•i:•:•}?':4;.}}}YT^.,:.??i?i:•Y?:.;�:i::::::.:r};.}•:?::}:::..:......:....:r., :•:;4 � {} �� fii�siran ❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the followingworkers' co ensation ............ 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I do hereby c ' under p d penalties of perjury that the information provided above is trap and correct Date Signature Print name �I r 1 ►Cj O. Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office _ ❑Health Department contact person: phone#; []Other_ Urnud 9/95 PJa) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any coact 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. PP A licants Y; . Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and `+- supplying company names,4ddress and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Depa rtment of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and t date the affidavit. The affidavit or should be returned to the city or town that the application for the permit license is 11 . Accidents. Should you have any questions regarding the"law"or if you being requested, not the Department of Industrial are required to obtain a workers' compensatioa 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 peimitllicense number which will be used as a reference number. The affidavits may be retained to 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 Deparrsnent's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of lmlesugatlons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 . f ' ZHE T°�� Town of Barnstable Regulatory Services i BARNscABLE Thomas F.Geiler,Director 9`bA 16 a Building Division rED MA'S Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IM[PROVEIVIENT CONTRACTOR LAW SUPPLEMENT TO PERNIIT 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. p T e of Work: X V)b4 1 d J Estimated Cos -� YP Address of Work: V -1 "(tti Ncv� lyte& Owner's Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 Q]Bujding not owner-occupied Ljerwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IIVIPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor me Registration No. U Date Owner's Name QIorms:homeaffidav f ' Town of Barnstable CF'THE T Regulatory Services Thomas F.Geiiler,Director • s�srlsr�tE, � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 ice: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEDIpTION (� e� Please Print DATE: JOB LOCATION:. I� I ' ��' � V(�I. h/V I, V�/ ' IiJ //l� I°`MK/ U numbs 'street G village 1169 / Cjot6 - 7 name 'home pfiont#,/ \,worlipbone# CURRENT MAnZG ADDRESS: city/town state 'zip code The current exemption-for"homeowners"was extended to include owner-occupied dwellings of six units or less and. to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. . DEFINITION OF HOMEOWNER Persons)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 faro,structuies: 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 termit. (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 re ' ements. R � 'j _' • Si tun of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger.will be required to comply with the State Budding Code Section 127.0 Construction ControL _ HOMEOWNER19 EXEMPTION .The Code states that: "Any homeowner perfomring 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 wbo use this exemption are unaware that they are assuring the responsibilities of a supervisor(see Appendix Q, Rues&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 helshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. Tom may care t amend and adopt suyb a form/certification for use in your community. r Application to Oftf Ring'.5 J�igbwap 349donal �)iaorilc M[.5tritt Zom H "VN CLERK &RNSTABLE, PvASS, In the Town of Bar -2 AN I 28 5 CERTIFICATE OF APP E , ATE NE-S_:._ Application is hereby made,with four complete sets, for the issuah J of_a,Cert�cate of Appropriaten Jss under Section 6 of Chapter 470, Acts and Resolves'of Massachusetts, 1973, forWIT—h d�work as°described-be wand on plans, drawings, or-photographs accompanying this application for: f to CHECK CATEGORIES THAT APPLY: I 1. Exterior building construction: ❑ New ❑ Addition Alteration Indicate type of building. ❑ House ❑ Garage ❑ Commercial ❑ Other t+NZt'i(:R5 PC 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 ADDRESS OF PROPOSED WORK D-1 Pp rcw(rdf- W-&W. ASSESSOR'S MAP NO. 110 OWNER T?IlAtr) 0 4- S9 J*q_qk� Q.L.L•: ASSESSOR'S LOT NO. 00 1-0 1-7 HOME ADDRESS QJ perc_XV6L�_ INIMZA15 )' W TELEPHONE NO. -3]�_-0T&97 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) AWic d" OFnIVA 5 L. - I _ �iYi�h� �. W_Ayf-/WS7M1 )4- P' tb AGENT OR CONTRACTOR TELEPHONE NO. ADDRESS DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs .mil d- RKO IU Pori, k sV'X� ' � IAI-1-4e. vSI� �ss��.�ov; e� tu r �c f10�- AleW Izei-el A) Iej V-A 4,Lt aignId. caner-Contractor-Agent. For Committee Use Only This Certificate is hereby A Date j( —t 3 d? -=- PPRf)\/FD 6 ed Commit ee Members' Signatures: AA i Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION. SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL jt 511 lfTW6 COLOR &Lfit • PITCH WINDOWS COLOR SIZE TRIM COLOR DOORS COLORS SHUTTERS COLORS GUTTERS COLORS DECKS X MATERIALS GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS SIGNS COLORS FENCE COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 11198 b . c1l ` O O � SEE DETAIL LOT 37 r �L LOT 36 LOT 35 37,285 + S.F. (0.86 ±AC.) x� 00 ti�9� O� 3AB CHIMMNEY LINE �x t�G 0 ffio'D�10� CD�s�g DETAIL:NOT TO SCALE CERTIFIED PLOT PLAN PREPARED FOR : LOCATION : ASES MAP 111 PAR 1-17 PERCIVAL DRIVE WEST BARNSTABLE SCALE : 1" = 50' REEF REALTY REFERENCE : LOT 36 PLAN BOOK 413 PAGE 99 I HEREBY CERTIFY THAT THE STRUCTURE �N O N SHOWN ON THIS PLAN IS LOCATED ON THE 'roZ �y GROUND AS SHOWN HEREON. DENIAREST,JR. No.36859. ig DEMAREST - McLELLAN ENGINEERING s 24 SCHOOL STREET P. O. BOX 463 WEST DENMS, MA 02670 MAY 14, 1996 (508) 398-7710 . DATE .4FE S OVAL LANDSqVOR JOB # 94-039-36 REVISED: JUNE 6, 1996 i The Town of Barnstable BARNSTABLL Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis,MA 02601 Ece: 508-8624038 Ix: 508.790-6230 PLAN REVIEW � Owner: T V/ Mrs b COG tP Map/Parcel: Project Address: /^*! PCRC�i' lot * Pip, Builder: OWA-*CR- GV The following items were noted on reviewing: (1 ®�. • �'vae wR�,v�c. �.eP�-�r 8 fl%�!' B�tor�/- GRAIL ��) R�9jT�R5 .c �loo� 3�•'sTs /c �a: c fx �Ar�,�� s��o /y�AyOc� A T coif l,'we G,-R r x e zow �5� ��T S�A�✓ sa Dcc,4� � � o �, fcR Cv# t��a:•z Reviewed by: Date: 1 OG r �04 r P`p,THEfp�� The Town of Barnstable O� BARVSTABLE.MA o Department of Health Safety and Environmental Services SS. 059 `0v °fEGMP�• Building Division 367 Main Street,Hyannis,MA 02601 )ffice: 508-8624038 Tax: 508-790-6230 PLAN REVIEW Owner: 3/DMZ's D COG a Map/Parcel: Ila ' 001 — 017 Project Address: /91 POC."IN ' Dk Builder: 0WAiCA- w. BARS! The following items were noted on reviewing: CJ� S6�• - "V a WA&Aloe. p vPrH RAfTcRs at flovp_ o•'srs /c �A C. fx AAIcg,d, s�► ,p #eg opeg A r goof [,'.ye �ro a G %Hr sisAfp �g s G,'R T ,BeLoad ? kker CP04 *04. m • � � 1V /Q/q, [S S AfAY et R, sfwc, �S) G,�,eT SSA•✓ e.v D�c� Q � ® r, �R Cp# Li��i� Reviewed by: Date: 1 OL r 2D4 gtuilding:forms:review 3, r� fog ;, / /.� _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map /0 Parcel 04/G 17 Permit# ��C!f� a / Health Div sion �I — �� - �� - Date Issued o � o 2 Conservat on Division Application Fee Tax Collector !:aoo n {C — �.- �a l�l Permit Fee fat P 00 �, "- :�7 r-hoT LIU. Treasurer (2 N) I_R (0 0 o'Z ,%i. Planning Dept. C01257LIAIX Date Definitive Plan Approved by Planning Board��':u :� 1: TL COOT ANE ToL'i^,0i P EOIJL TI'�:�G Historic-OKH Preservation/Hyannis Project Street Address Village Owner 0 1, Address arc[V4 Telephone �-� (v Permit RequestAil Pvto) a, 00 i Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation A�PT-0.(//) Construction Type U10d .Lot Size 6 mi-e- Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family �wo Family ❑ Multi-Family(#units) Age of Existing Structure istoric House: ❑Yes On Old King's Highway: ❑Yes O No Basement Type: ull ❑Crawl alkout O Other II��,yy Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Ll PU Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing /S new Total Room Count(not including baths): existing new First Floor Room Count 5 Heat Type and Fuel: alias ❑Oil ❑Electric ❑Other Central Air: 0 Yes Cia Fireplaces: Existing _� New Existing wood/coal stove: ❑Yes �` Detached garage:❑e/xi�ting ❑new size Pool:O existing ❑new size Barn:O existing ❑new size A garage:[existing ❑new size Shed:O existing ❑new size Other: �1eU 9 Zoning Board of Appeals Authorization O Appeal# Recorded O Commercial 0 Yes O No If yes,site plan review# tr Current Use Proposed Use BUILDER INFORMATION Name Telephone Number ��b` �?S=D �'i I Address 12.1 &(c.tA cam P1Ve License# �V ► -1�7 � ti l f�` j(� Home Improvements Contractor# .7, Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO I)"A I iuIr L�N6� G C SIGNATURE DATE s , y FOR OFFICIAL USE ONLY PERMIT NO. a DATE ISSUED 7 . i ` MAP/PARCEL NO. ` b ADDRESS% VILLAGE OWNER DATE OF INSPECTION: r FOUNDATION FRAME INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL- y FINAL BUILDING t t DATE CLOSED OUT ASSOCIATION PLAN NO. ' L oEVE ro Town of Barnstable ~°^ Regulatory Services BAMSTAB nsass. Thomas F.Geiler,Director r�AIED 39. I& Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one-but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. �" p� Type of Work:A4� 1 Y1ti1'��5 A(wA Estimated Cost �V. Address of Work: 4 VC''M &1V l V b iOwner'sName:TftV,At� Date of Application: �— I hereby certify that: I Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. I I Date Owner's Name Q:forms:homeaffidav The CoMmonwealth of Massachusetts -- ..... ,Department of Industrial Accidents _- - Office o!/n�estigations . : - 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insuranpe Affidavit location: 6�C1J t�- (` Ve _ ci I am a homeowner performing all work myself. 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As quoted from the"law", an employee is:defined as every person in the service of another under any contract .of hire,'express or implied, oral or written. , association, corporation or other legal entity, or any two or more of An employer is defined as an individual, Partnership, . the foregoing engaged in a Joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employmg employees. However the owner.of a .... dwelling house having not more thanthree 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 onthe grounds or building appwtenant thereto shall not because of such employment be deemed to be an employer, MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit.to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence*of compliance with the insurance coverage required. Additionally,neither the• commonwealth'nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. ZZ Applicants Please fill in our the workers' compensation affidavit completely,by checking the box aanppe t as allYaffidavits may b6 SUpplying company names, address and phone numbers along with a certificate submitted to the DepaztrneS t -f 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`haw".of�if..yQu s ber•listed below:. ate requiredto ob{ain.a workers' cDmpensatioapolioy,please calk`tlie Depaitirierit atthe num _ - City or.Towns .. complete and printed legibly. The Department has provided a space at the bottom one Please be sure that the affidavit is affidavit for you to fill out in event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill iiithe•Petaut"tltcense numbei wl'uch wM e'used as a reference number. The:a davits raay lie'r Ate•,. the Departmeiittiy'mail or FAXunless othei azraiigerrnents.havebeeaaiade: The Office of Investigations would like to thank you in advance for you cooperation and should you have,anygiiestions, . ,.S. - please do not hesitate to give us a call. gr / The Department's address,telephone and fax number: : - ;•M ThCCommonwealth Of Massachusetts ._Department of Industrial Accidents Me oI InYesilgatlons 600 Washington Street , Boston,Ma. 02111 fax ff: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 i e. SEE DETAIL o d LOT 37 k k 9�� 15�3/ G� jr 9r / ) �7� c% 6' \x LOT 36 LOT 35 37,285 + S.F. 39 (0.86 ± AC.) x� o�. 3AB CHIMMNEY LINE `�G ��cL 00 DETAIL:NOT TO SCALE CERTIFIED PL 0 T PLAN PREPARED FOR : LOCATION : ASES MAP 111 PAR 1-17 PERCIVAL DRIVE WEST BARNSTABLE SCALE : 1" = 5v REEF REALTY REFERENCE : LOT 36 PLAN BOOK 413 PAGE 99 1 HEREBY CERTIFY THAT THE STRUCTURE -�\AOFlyq SHOWN ON TFffS PLAN IS LOCATED ON THE o� 7. Ss�y GROUND AS SHOWN HEREON. DEMAREST,JR. r�s 0 No.36859 y DEMAREST - McLELLAN ENGINEERINGps 24 SCHOOL STREET P. 0. BOX 463 WEST DENMS, M4 02670 MAY 14, 1996 (508) 398-7710 DATE FE S OVAL LANDS V YOR LJOB # 94-039-36 REVISED: JUNE 6, 1996 l The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: Ia U JOB LOCATION: I-C number I street village "HOMEOWNER": 30-Mn �— `� �tg—37s=0$69 SD P 3b-7- 3b 7 name home phone# work phone# CURRENT MA -ING ADDRESS: QS V15 l� d city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more.than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said p ced es eats. Si ature o Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be requiied to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner perfonrring work for which a building pemvt 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. L. Application to ®�� ITIg'� Ig�LUap egional �)isstbric ]Digtrirt 0 i Vtll _EPK BARNSTABLE,. MASS. In the Town of Barnstable 20 DEC -2 API 10: 2 8 CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four complete sets, for the issuance of a Certiflicate 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 f) Indicate type of building: ❑ House El Garage ❑ Commercial El _Other i ik=i2S .f0 Affa lL 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_`J.,'7-0 perciv ADDRESS OF PROPOSED WORK l�� rr�_Or_ ASSESSOR'S MAP NO. t� i OWNER �I�l�'��'� �} `J '�� -l� ASSESSOR'S LOT NO. 001-0l HOME ADDRESS Q,1Pef-C_W61 - O(^_ LNG INR �yj)�(' TELEPHONE NO.9NV-3)] -0 &17 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 TELEPHONE NO. ADDRESS DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. o . -Al� n u l s. le re lik (�V X� � �� Ar-os� lun, Let- CAYAL nV(,&r r r-16" !Uew �4��-� Ji IA I�j f�"1 t �,� signed caner-Contractor-Agent For Committee Use Only This Certificate is hereby PPWDate-A [Ir"f'" 1r711 pprovedfD ied Comm'tte tubers' Signatures: Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL O S ! COLOR �L►9ti� • PITCH WINDOWS COLOR SIZE TRIM COLOR DOORS COLORS SHUTTERS COLORS GUTTERS COLORS DECKS MATERIALS 1 . 1t 11L) Mil- GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS SIGNS COLORS FENCE COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 11/98 i O SEE DETAIL o • d LOT 37 �L 1503'`i �� f% 966k� �X i LOT 36 LOT 35 37,285 + S.F. 39 (0.86 - AC.) x� O� 3A8 CHIMMNEY LINE Ok K� ��G lIO� CD�s�� DETAIL:NOT TO SCALE CERTIFIED PLOT PLAN PREPARED FOR LOCATION : ASES MAP.III PAR 1-17 PERCIVAL DRIVE WEST BARNSTABLE SCALE : 1" = 50' REEF REALTY REFERENCE : LOT 36 PLAN BOOK 413 PACE 99 1 HEREBY CERTIFY THAT THE STRUCTURE OF�ygss9 SHOWN ON THIS PLAN IS LOCATED ON THE ?� JOZN Oyu GROUND AS SHOWN HERFON. DEMAREST,JR. ra No.36859 Z DEMAREST - McLELLAN ENGINEERING su 24 SCHOOL STREET P. 0. BOX 463 WEST DENMS, .MA 02670 MAY 14, 1996 (508) 398-7710 DATE .4FE S OVAL LANDS V YOR JOB # 94-039-36 REVISED: JUNE 6, 1996 �cT ° Se e- 5 " LADD`/L ,To ,fie �)reP- sv�Rov.�D�v 8y A bWAR '•eR ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Q - 1 Map r Parce&Aff=F Permit# b �--� Y 55- ��g ��23_b2 �}� B�;R STABLE Health.Division_ Date Issued lig6 0 Conservation Division �I Zj U2 Pk 2002 OCT 15 PPS 3: 51 Application F e Tax Collector Permit Fee � �. a d Treasurer �. �v Gi i!I 110N� SEPTIC SYSTEM MUST DE Planning Dept. INSTALLED IN COMPLIANCE WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AN[ Historic-OKH Preservation/Hyannis TOM RE L.A,'. NS Project Street QJ PFVe.� Vt$ _ &LT--VIt Village WEST (�60L/VsTy -RLt-" Owner Tffr w-� 'Q - 00It Address __Ia-1 Pere Vet Q6`lk Telephone Permit Request 1VV wvvx4 0 U L %J �rcrtct►3 + w1-I Klvrl.:1 j- eck c9d X t/a Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District I Flood Plain Groundwater Overlay Project Valuation /7. 57't/ Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure I Historic House: ❑Yes CWo' On Old King's Highway: Ir es ❑No Basement Type: ❑Full ❑Crawl 1 alkout ❑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 pp�� Total Room Count(not including baths): existing l7 new First Floor Room Count Heat Type and Fuel: 2-Gas ❑Oil ❑Electric ❑Other Central Air: 0 Yes 3 No Fireplaces: Existing �_ New Existing wood/coal stove: ❑Yes Sft — Detached garage:Oexisting ❑new size Pool:Clexisting Erne'w_ size I W'x Barn:Elexisting ❑new size ttached garage:El"existing O new size Shed:O existing El new size Other: trI 4A Zoning Board of Appeals Authorization O Appeal# Recorded O Commercial O Yes O No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name J �-�t�� IJ l 1 '� Telephone Number W $- 3 7S— U F6 Address 311 Pe rc(v , License# I AL j�4"5 tii' 8 L t�; ►9- d Ili Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE r DATE D _ b v ti FOR OFFICIAL USE ONLY PERMIY NO. DATE ISSUED !i f i i MAP/PARCEL NO. ADDRESS 'J VILLAGE OWNER •l \ r Jj a l DATE OF'INSPECTION: �. FOUNDATION FRAME INSULATION r � r � FIREPLACE f -r ELECTRICAL: ROUGH FINAL PLUMBING: ROUG,p5! cI FINAL GAS: ROUGH R FINAL FINAL BUILDING- _ a a� y sso--i DATE CLOSED OUTj ASSOCIATION PLAN NOi C 3 �-- t,J �/ ) I The Commonwealth of Massachusetts . r Department of Industrial Accidents o ce 01108SM98 19S 600 Washington Street - - Boston,Mass. 02111 Workers' Compensation Insurance Affidavit i name: •��' L 1„l Co t location r� �T r ci W6 A 5_)_ft L 4 phone# I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one workin in capacity 'din workers' co ensation for my employees working on this job: to ............... n g .S 'dre 11 :> z o :::«<;Y>::•?:.Y:•Y?:»:::isb>?Y :•?:•;?:?<::<:»<:•:;.?:;.;?;:•YY;:>:>.:>:<:>:::.;;.......... ....... :oY:;•???:;•??:::>:<:>;::?:::.;:.?:.;;?:.Y:•Y:?::<::::G:?•::Y:;;•?:.? ❑ I am a sole proprietor,general contractor, homeown (circle one)and have hired the contractors listed below who have ' o ensatilices: e followm workers on o mp ........P............::::::::::.::::::.:�::.:YY:.::::::::::::.::::::::.?:.::::::::::::.:::::.::.?:.?::...::::::::::::::::::. '4 ......::::::::. ............... >: ::::.:::::::.::::.:::::.::: Y:?YY:... : A,... :%:ttiii}is�Y::iii::isv:i':ii'ii:;:::i'i:::v:iii:5;:i{;;?:;gii•Y:;:S;?i:ii}:�::;::C'8'•?':::{:::.:�::::Yii:}A C:•:':{:y:.:n;::x.}w•; now .. . ...:.><.:::..:. .. ... :::.:::... ::........ citvx ` . .......... •�::.: Y ::::>:>::::>:<:<:Y::<:::>:>;: ....::::::............... ' sin ..................:..::::.:::::::.Y::•i::::...Y'::':.`.Y:•:.;:Y�::....::::::.:::::::..;;•;;•:•Y':.i•...:.::.;.,r.:::`:':�•::•:�?: ::>Y>: >:;::<:s<:.<.>:::z::;:>�;>;;:;;:: .. - : .............::...... `h dtte s ti ................. ::3i::;�•�.�L��i::<;rj:. ��•�:.::ii::.iyti+`.:��riv��:: �i:>:y::G>:�::ii::::::?;v}i:?�:??«<::vi'Yi::+<v;:y::.:::::::nYYY:;4:YY:::•:;iii'r;i}Y:;::;::ii'�i:'iiii:JYi?Yii:i:�Y?' : ralil2E:COL:>:zi::>:;z•Y:�;;::,;:;«;;:.;;;;:;;;.;.;.::•<:::o:;:;:::;::::::;. ::.;:;:.,.:.,,.;;:::<_:.:.�:............. or Banure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penaltie+of a 9ne to 51,500.00 and/ one yam,imprisonment as weii as civil penalties in the form of a STOP WORK ORDER and a 5ne of SI00.00 a day agahut me. I mudetstand that a copy of this statement may be forwarded to the Office of Invesugadons of the DIA for coverage verification. I do hereby c fy th penalties of perjury that the information provided above is trip and correct �rNl Date g a�� Signature _ Print name Cophone# official use only do not write in this area to be completed by city or town official permit/Ucense# ❑Bunftg Department❑ en city or town: Licsing Board i9 aired ❑Selectmen's Office ❑checkif immediate response required ❑Health Department contact person; phone#; .__ ❑Other (�evi.ea 9ros Pry + Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to.operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until I 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 pernut/license number which will be used as a reference number. The affidavits may be whZE d to 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 oince of Investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 i RESIDENTIAL: SHEDS -POOLS—DECKS-OPEN PORCHES- GAZEBOS DETACHED GARAGES FEE VALUE WORKS ET ACCESSORY STRUCTURES >120 sq.ft.(Sheds,detached garages,gazebos,etc.) . >120 sf-500 sf $35.00 $ >500 sf-750 sf 50.00 $ >750 sf- 1000 sf 75.00 $ >1000 sf- 1500 sf 100.00 $ >1500 sf—USE NEW BUILDING PERMIT APPLICATION � gq DECKS �_x$30.00= $ J OeoO (Number) PORCHES x$30.00= $ (Number) IN GROUND SWIMMING POOL $60.00 $ ABOVE GROUND SWE14MING POOL $25.00 RELOCATION/MOVING $150.00 $ (Plus above fee if applicable) PERMIT FEE $ Q:forms:dkcost eff:082301 �OEVE rof, Town of Barnstable Regulatory Services '* asaWss. Thomas F.Geiler,Director v g' Ep39.�a`0 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations, renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. ann O T L Estimated Cost ^], Type of Work: ( �1'0V U�(j >JC AddressofWork^ �� iJQrC�Jo�K i�l�l - 1l" e5�' 'l`i�(L)ySI ,q g t Owner's Name: �I ftm rz�, \D Date of Application: '�t-d a I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied (.Owner pulling own permit Notice is hereby given that: ` OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. g=a,3^a omej, f)4 Date Owner's Name Q:forms:homeaffidav n1t2J/2d02 03:29 17813318136011-----8 KEhNETHLl1TZ111N.E.L.A. 7 PAGE 01 Eavtern Gewtta4 325 Donald J. Lynch Boulevard.Marlborough, Massachusetts 01752-4729 (NCCI Carrier 16942). WORKERS'COMPENSATION AND EMPLOYERS'LIABILITY INSURANCE POLICY INFORMATION PAGE Policy Number. WCV2000713 Bureau File#: 2WO36Y Federal ID#. 043073246 1. Named InsureWalling ss:Addre Sunshine Pools,Inc. Legal Entity: Individual DBA Kayak Pools Of N.E. 29 East Brook Dedham, MA 02026 Insunedt3�tioi�,�fd'n�$iye's. " See attached Schedule of Named Insureds and Locations 2. PotkfPeiCdd`' The policy period is from 08/28/2001 TO W28/2002 12:01 A.M. Standard Time, at the Insureds mailing address. •��. '{.�,,� _ '.• . .. ,.. R_/'w<<.F1'J.1•;�o.•�Kil�.!�K7/�-w•ll:Ca:�t�'r:, `� t! �' IA- ;.Compenw _i_4 ;L _•_ �.:.^ 1:ar�ie •-=�:Y ....`. _.,r.'! fir. J^x _fir'—'_. .... .•.' :C'..;''+'v��:�,��.. __ — ,+�'�� B. Employers' Liability Insurance: Part Two of the policy applies to work in each state listed in item 3A. The limits of our liability under Part Two are: Bodily Injury by Accident 100,000 each accident Bodily Injury by Disease 500,000 policy limit Bodily Injury by Disease 100,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: • See endorsement WC200306 D. This policy includes these endorsements and schedules: Refer to Attached Schedule Total Estimated Annual Premium: $1,249.00 Countersigned: Atlas Insurance Agency, Inc P.O. Box 322 Acord Station Hingham, MA 02018 Gate: 03n2/2000 By *orfzed representative) PR o SEE DETAIL o d LOT 37 . •g1' 1y��k� G� 96�k� ' • , 1a. �� , s o LOT 36 LOT 35 37,285 + S.F. 99 x� 318 \ CHIMMNEY LINE 10 Gg� DETAIL:NOT TO SCALE CERTIFIED PLOT PLAN PREPARED FOR LOCATION : ASES MAP 111 PAR 1-17 PERCIVAL DRIVE WEST BARNSTABLE SCALE : 1" = 50, REEF REALTY REFERENCE : LOT 36 PLAN BOOK 413 PACE 99 I HEREBY CERTIFY THAT THE STRUCTURE OFN SHOWN ON THIS PLAN IS LOCATED ON ThE o� '%N cy�n GROUND AS SHOWN HERFON. DEMAREST,JR. r�r v No.36859 Z DEMAREST - McLELLAN ENGINEERING 24 SCHOOL STREET P. O. BOX 463 WEST DENNIS, M4 02670 MAY 14, 1996 (508) 398-7710 DATE FE S OVAL LANDS V YOR JOB # 94-039-36 REVISED: JUNE 6, 1996 -0� -o sr'�cI�1G C P1C� L 414 dLuµllJuM Sc6E cod4af-4 'Z I 4 ry 32•0 ..00T POOL WdLL To WILL) J _► q-10 3 lr1(P JZ� . MOTE 2�14 5•rteSECURE STEEL STttnPS7�'PIC'L TKO SASE CPAWQ L �(1) 1p BOLT vWIWISw_(LEE cloTuvf(TYP(tol.) z - i li -3sg ALOAAIUUH .IerZTlcsL SUrroar 0 I r • -� 3.2 c- I ' C7Y?J FoH �vwa eLOM11Jd,,, JLMooEL rd Bell • Architect 542.51 - -- L PL6 IJ AT Btis . . ..... . .. _._....._. .. (�32- 3 3_o II 2 LIrrJ4E5 i - 1�TSwM. I IflAoi _3. sa1L (ISIOE). CAAC4 *LS b �I�GoS t �oST LorluFrL 3a51L pnaMe • esnME scMel.y -4SsrMac 1�/ i Iplum jrce.0os Vcj5 %p.tz.. . fa IT - 104064 (1YP r? r scrl jReaD 41 cLu.H.c�leuuEL r S�RrNGet2y Q j CoRu E rL P i � t�•14•e dFRT � IGa� P°nT I+ 1H4 rzu' 3a is Pnjro BxfE- ' t,9a i T�!ATE'21VAU'CO/YTQULTb�.� _APA C°PT'° ��) ba—Tsm RAT60 .4uoczP..1 ..EKT�Wo2 waH Pol�{SA��1¢+O'E"'pliQJol.ic IL[irN . —p2;'Ap�tCOVF:OZ�>'iU[VLl6rJ'(,pp.�J.).ECS •FA"L"(�bQy'-L:icacfNeTE'`n'OA3 :. cic'rN �cr<$"Lu'cTF7 npnfy AI-CO.uERE_ t L6oye2 DFT6f 3 -•cxz AppRA,-e-o Fc?v-L• ?c-jeLc To Dl 4 _Rc...tus;nu.Ev �rTN Fats 4¢Alu_ IJLUI"ruuM %5E ��.conuev�pn..crctT �t'z�('t aLuM. 3�T(PtC�L IL15rpe catz"g Z. 3 coauen. Posj p� 4 Atom-comiam—�cr f 14.4c4a21n4e socr4 •.. - •r,• s. F t'b ggo6(Post To +) E CGTLOcJUD O111N11{�UN1 6GL e.lr JL. 7coaOm PostpeT,siL ward Bell Architect e.r. s•12S.y . DEjniLS .. fAial EIOUQoS tIoDoF_R I� ccM17UQ&TED F(5C(L4L755 ELf. GLoSI�JG LdjCrl i•�sT Gaps Pa ucLS JA Pd r � r Favouyy- A?'p.- �9 _Qd_. P4 S �VP1Y/ I k x SS 6 JAi.:..__ c 6A5E GNoaJ►!EL JF't 6LUA4. c ot VEr1TICAL Sv pp-RTS 2o's 8 Pa N EL5 2-0 - I to•o z-D lz 4 PoclELs 2 0.g-o Z-b"[< o'a __..�.0 'P/,0EL5 LD ?-O � -20 O 4-0< 2o'c rafb&JE1.59),2•O=I?-O Zoc II 2•014 14 P.d IF 6 2.0 - ?8-0 I ' rl F2oE.1T E.L.Ey�sTco �J , L1 �i�E I: Lr- yA rio►J 04 4 n 4- . _Tz_Eafl._5LIev4TIOIJ OrFD4'TE NAND WIN .5vu-DECv- Elio -opro51TE NaND LSDO*CrL OMITTED E couTr4uou5 �ISEa4L455 PHNE1.5. ' I , � i i I j I YMC:�1.&Vf�ScrrUr2'IP4 'GorZ +.b I ` rHowa.rd Bell • Architect a.�•'srraq 4LUAAJO1M F04 dledF'� H CoQ2U4o E D F15trzGLh-i1 F-JELS I�G o 6LVM �o5T5 N .ALUMII.IVIA N A* p ' CW,oAJWE = CbM6CR 8on5 -tJOEO�i(,LJµi�1uN tv Oi '✓nnie5 C� 14-0 v/10r+ -9 OALY ��1'�L�L 1GI pLCIG .V.aRIfS f'�• k P pJCL �_ Linn.(oP flail 1A - I 1 f I 1 I � p 1REArf 4fm 6 tR EOT CC 1 Wo CO MO P D mor,1 Car�f1 i C2 3) bon. 2-3 I-II� i-II 4 `t ". v�Lt(L LIut2 �vaTEtLlunlL — ` 'l I IZ+1 Z sd 1 v i i 1 eLuM. "OrZjs 77. VfaT�cAL 5d(;b2 g ' • CZ °= 1rXl2.Yt2 'coucrzFr" PATIO = dLuM pCArETo�w ' 2'SAs1v.:. .. -sL4xj :.FuuAlL gEvneb-.ao ��acs�a�+r•Tas 4� D ALwnI�JUM EASE / -W0LS7.u296D Z SAa1 GI041�EL ' 1 xo��cro 4rtwvc cQ pcs� -. + 1:j — _— +------ --+ -z 4EcTro1J d ScIU DEG1L , I PIGCL fosY 56CTI04 I•I_o �3 KAY�SK.M._!SUUFdGTURiF1G GOf1P _. • I°`-89a6. GROU{JO 6LUM11.0M.POOL WDIG4TSS....SC7LEZV'.:_- ••• (O.S•$9 . Howard Bell Architect a•••6_!�_89 1 3' ♦8 67 5 4cE5 CP. 4-o Z¢-o1112, 3 Cy0 � oz �A To V/ALL O I � � O G � "6'8 L�1e11�.lEL v/000 5p4GER. 13Locr5 LV'A. i, TR4ME ourRi44C2„e$SEMBUES 32-o SfEEC L6�'�1f3ER S�rzs SP oL(5 W1Lac/L W45NcrZ i OUT�r(P tir :4ca ENO) 32 8a �IZ./sm10 G FLA 3ELOW DECK. a KhX pG7URii14. i• i — e �o_G. i r3:IZ1AUi7 --.::_: Aadve G;aavmo eLuMiuUM Pool _IL e.er — I .t 16r32 MODEL Howard Bell ' A r.c*h i t e c t ,•�•�az;eq Application to s.i:ng'5 3�igbbjap Regional 3bi5taric 72li5tr%ct Committee In the Town of Barnstable -CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness+-under&pction 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below;.d o�lans, drawings, or photographs accompanying this application for: C=) z.0 CHECK CATEGORIES THAT APPLY: _ IT,r- 1. Exterior building construction: ElNew ❑ Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other a 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repaiain1iing Existing Sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole TYPE OR PRINT LEGIBLY: DATE ' ' i C ADDRESS OF PROPOSED WORK ASSESSOR'S MAP NO. ((f ' OWNER J v_ r-Aet o- '0 t e- ASSESSOR'S LOT NO. HOME ADDRESS 1�� 1'C'�'�1U�C �`•J�" �'� - ��!1 '>1`►}Qi(= TELEPHONE NO. M - 375=j'�d)� FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) 61 ti Fs'"'IwC. 7 It L:)w•V-q ).5•7 l"1 s � � {-('�V'yi� f�v'� ills �r�°��:•,i i. !�.;�-� 1�.c� .z �c;`��I t�.^r �'� �`y� i'rdUti i 111`i LC �� 1,1v' . fL��i r ;�L 2= y 1�r' '►�y /"� AGENT OR CONTRACTOR TELEPHONE NO. ADDRESS ---- DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. �L � Gi��' �.' d�'.{'l� . L�Zl1 (,�,'!� ��C K--'y�i: �rj��L �{�- ��►'t"C)- / )f�/�--1 1,�;�• .� � t`J,l V1k1 111 V'A'1) Signed Owner-Contractor-Agent For Committee Use Only Q This Certificate is hereby Date l-�'Q 2— A roved/ eni Com ' ee Members' Signatures: i i Town of Barnstable ` Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH WINDOWS COLOR SIZE TRIM COLOR I ' DOORS COLORS SHUTTERS COLORS GUTTERS COLORS DECKS MATERIALS GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS SIGNS COLORS •ec.7�,L" �N)�i, , Vi. _`IjrVj i1 6t COLOR FENCE_ L l,l '/t �-��I . 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 r 0 SEE DETAIL o LOT 37 1y03x� o� 966x� . . • cp �x s 0 OT 36 LOT 35 37,285 + S.F. �9 •(0.86 ± AC.) 00 Xi Og `L 3�a CHIMMNEY LINE c'r �I 1� G liE3 ID R110 GD�S DETAIL:NOT TO SCALE CERTIFIED PLOT PLAN LOCATION : ASES MAP 111 PAR 1-17 PERCIVAL DRIVE PREPARED FOR WEST BARNSTABLE SCALE : 1" = 50, REEF REALTY REFERENCE : LOT 36 PLAN BOOK 413 PAGE 99 ��N OF 1 HEREBY CERTIFY THAT THE STRUCTURE o=y� JOZN cy ' SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HERFON. Z DEMAREST,JR. No.36859. DM '� PQ . DEMAREST - McLELLAN ENGINEERING <9ry0SuFr� l� 24 SCHOOL STREET P. O. 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'£ kn.��`s4i.;!7C �{ .`53"t"+S+S� �' f�,� t •��'+-'�-k W.�•:��}�.� �-a,L',r ,C�t�.f<��(y„ �-:"'i�i`�4.ir2crP�+r�ti,,.,,� 's �'J- J L.sB d� 6 rrY'y" f''f b•-0'47.od" .,t .fr. •1^"' / ® ` k jA Kayak Pool w altm ,fog yo,�j c•-i`•tS�ti r t " rf t K. TTp7.� ia' x 3 � 'J 'Tk'`.v '`.€ r 'S,-rf= ••' " d -rare' Y i„ ,".'7 r�'r!d � .r'�as�.i't h t sJff.""r> +.'" l w rfc3'• ydt�e `"^^r' gip`,a`#'he-1 T,X�. ydt'y?�;t+ 'y -s'E-uX 4 '��'�''� �`s"+ -f`11.y.X` 4 i"SC - ' ,y ye,-pia .dc.-K}F N.� G ;�sr�, � � �-4-tA- ,r•• i r� ;,�� F,' y� �244.>/+:k.fy� 1 a..;t rhad'.-rr fis„� I p. a:*z+'`fin � .+jy� t�'7r -31 s •�,'x F M?�7 C�.> �i•.x 'U„jr,.y y rfi' 4%�S.ffcx.�s.. r a 1 � � J '1 1 ,11 --� � � � �, �.�S -e � � � �S�/ �� o � � �� 1 :," , i C Z 1 w r O i C � ril e- �wvL e-Y w,K l e, ! {.&j e -o I , 5 0 � d LOT 37 k �, 96�x, �x LOT 36 9 37,285 + S.F. (0.86 ± AC.) g5� 00 03x/ Off. LOT 35 B9 ' JOB # 94-039-36 CERTIFIED PLOT PLAN PREPARED FOR LOCATION : ASES MAP 111 PAR 1-17 PERCIVAL DRIVE WEST BARNSTABLE REEF REALTY SCALE 50, REFERENCE : LOT 36 PLAN BOOK 413 PAGE 99 �NOFAM JOHN cy I HEREBY CERTIFY THAT THE STRUCTURE = L GN SHOWN ON THIS PLAN IS LOCATED ON THE pE�pggEST,JR• GROUND AS SHOWN HEREON. 5 No.36859 DM � P sua��z � DEMREST — McLELLAN ENGINEERING 24 SCHOOL STREET P. 0. ' BOX 463 MAY 14, 1996 WEST DENNIS, MA 02670 (508) 398-7710 DATE �OFE&ONAL LAND VEYOR TOWN OF BARNSTABLE i CERTIFICATE OF OCCUPANCY PARCEL ID 110 001 017 GEOBASE ID 36852 ADDRESS 121 PERCIVAL DRIVE . PHONE W. Barnstable � `� ZIP 02668- LOT 36 BLOCK LOT SIZE ( DBA' DEVELOPMENT DISTRICT WB PERMIT 16830 DESCRIPTION SINGLE FAMILY DWELLING (PMT.014361) PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANC I. CONTRACTORS: Department of Health, Safety ARCHITECTS: - and Environmental Services ,, TOTAL FEES: . BOND $.00 OxtHE CONSTRUCTION COSTS $.00 • � � Qi► I 756 CERTIFICATE OF OCCUPANCY `* * BARMABLE, MASS. OWNER COLE, JAMES D. i639. ADDRESS 60 GUILDFORD ROADEDMf� HARWICH, MA BUIL G DIVI 0 1 III BY � I DATE ISSUED 07/25/1996 EXPIRATION DATE 7 - t 'J 1,; ..!t,_... YT .'i"..'. L�i 'a...!! ��:'i♦'1��i:Vr.i_ '.i� �'�.1..-f'. i• ':''�L .0 :! a..i.'r)t;_•.1:. .r:11 T__. - ��t_l,r;'!.i`:+.:. .�,{Y'i �� .LJ'—Cil.r"� . l.�i{. J .. 1,ta: 1!ial.�.a ,'i.♦s. t Department of Health, Safet3 and Environmental Services l:i'�1 iARNSTABI'E+ � :.'.. _ _;'i'_'l,'.!:.. '� :ll.}hi,} 1.iS:.'t'.t 1i...,,. i G' ! ;'i��t `'' t ..• v-� � 16,1 BUILDING DIVISION i THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION 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. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 �.� _q 1 oa-cells s19INr/y,99 2 !� 6q3q,6 2 V 2 I� 3 1 HEATING INSPECTION APPR VALS ENGINEERING DEPARTMENT g6� 0 T13 7( G i fT 2 BOARD OF TH OTHER: SITErP VIE A b0ara -1�1• WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDIC! lF INSPECTOR HAS APPROVED THE STRUCTION WORK,IS:NOT STARTED WITHIN SI1' -CARD CAN BE ARR< ')US STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUF- 'ELEPHONE OR WP NOTED ABOVE. ")N. :._. ' i .fk r ( � Vid � . i I V �� !, 4 a . W` � � �� 1 � 2l � . � �� 3 � - _�_��_� _____ 061 -- Parcel Permit# N 3 I Conservation Office(4th floor)(8:30-9:30/1:00-2:00)'--4 Date Issued �� b Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) 9SC ��7 �� 41�'�?b / y Engineering Dept. (3rd floor) House# / �t►�,q, Planning Dept. (1st floor/School Admin. Bldg.) ?� �; Definitive Plan Approved by PI nning Board �#f L k 13 19 Cr SEPTIC$Y BE r►,, STALLED N CE C e TOWN OF.BARNS WHIMSMAL�; pE AND _ Building Permit Application TOWN REGUL.AT10:18 Project treet s Z --WC Village Owner Address (c,C)C4 PsQ� �rcC, M14 Telephone 50a-4:3 6 --2--7q y Permit Request C- c,A, y -. � First Floors square feet $ Second Floor K x y sr- square feet Estimated Project Cost $ Qp '7 0 a ya Zoning District RE Flood Plain Cl- Water Protection Lot Size 3,7,Z S-(;,T- Grandfathered ? N v Zoning Board of Appeals Authorization � Recorded Current Use V a Ca-,� �d t Proposed Use Construction Type ik�)noA Commercial Residential Dwelling Type: Single Family Lll� Two Family Multi-Family Age of Existing Structure iv /fa- Basement Type: Finished Historic House Unfinished '✓ Old King's Highway 3I 2 G Number of Baths 1 , 5 No.of Bedrooms Total Room Count(not including baths) Co First Floor Heat Type and Fuel -14ftJ Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached r 1 ue� 'c�-e,- Barn None Sheds Other 4 Builder Information Name �v�2 -t- W . �jpy t rL. Telephone Number 3 C)q o Address License# a S P1[g I`'� ©2!�-� Home Improvement Contractor# Worker's Compensation# 6 Qo-C-Z,*S`]L0 S1 CAA NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. 1 , ALL CONSTRUCTI D BRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ZcU-"'t�-� SIGNATURE ( dyll,t -2Z LDATE `f a- (o BUILDING PERMIT DENIED FOR THE FOL WING REASON(S) FOR OFFICIAL USE ONLY k-3 P IT NO. i D ISSUED 0 IAP/.PARCEL NO. - t AADRESS VILLAGE OWNER DATE.OF INSPECTION: A, r FOUNDATION ' FRAME ,II t`� f 6 )'��/�/ /'� _ (' r ` INSULATION FIREPLACE �: � �© `� iti7� ' ELECTRICAL: ROUGH 1 FINAL } co -to on 0) �' PLUMBING: ROU014" "' FINAL GAS: RO FINAL FINAL BUILDING � v v a DATE CLOSED OUT ASSOCIATION PLAN NOS i V MEMORANDUM I I TO: Building Commissioner FROM: Gwendolyn Brown, OKH Secretary DATE: June 27, 1996 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) Horsefoot Holdings of Cape Cod Address of Work proposed Lo0 36 Percival Drive" ,West Barnstable Meeting Date Approved by OKH Minor Modification to change the exterior colors as follows: Clapboards: Maison Blanche Trim: Maison Blanche Shutters:. Loggia House Door: Autumn Dusk Garage Door: Maison Blanche Chairman If you should have any questions, please do not hesitate to contact me at ext . 28.5 . MEMOBc I _ ® EEF yy =q REAUOR' ML S j JUN 2 1996 EALTY 4 fl. T,oS,..t RLTD. ,9 REALTORS-BUILDERS TOWN OF BA-F NS IASLE 0LID K!"NG'S H GHWAY June 12, 1996 Old Kings Highway Historic Committee Town of Barnstable 367 Main Street Hyannis, MA 02670 RE: Lot 36 Percival Drive, West Barnstable Dear Committee Members, We are requesting approval for a minor change to the previously approved application of Horsefoot Holdings of Cape Cod, Inc. for the above property. We would like to change the exterior colors as follows: CLAPBOARDS: Maison Blanche TRIM: Maison Blanche .SHUTTERS: Loggia HOUSE DOOR: Autumn Dusk GARAGE DOOR: Maison Blanche See attached paint color chips. Please allow us to be heard on your next available agenda for this minor modification. Should you have any questions or requests, please contact me at 394-3090. Thank you very much. Si ce ely, re W. Boy, Jr. resident, Reef Realty, Lt 24 School Street P.O. Box 186 West Dennis, Massachusetts 02670 (508)394-3090 PLA.1-1 R 4•R. per-r Rlr�i" 21 2119,. ere..ss p�u..♦,�: r FIF E _ 1XL fNKEi`10JW'VLI fir M' __ __—, _ 'JU __ -- __ _ —_li,�Gm.f-�.Pev sic+-�4 t�•.�-y EKP�,U FP_ LIO"rYrM.I H El — FFor�r ELEv6rlonl WF f if 1- vo I�f -- - --- _ ►-SFr El-15v,-nDO i •� -1. iN Till IT Tit. ' � �.� p.r,uo.c�-x _ •� II Its�I(I�:'• -� —'�.j�� - _... f `,\ —_ — .>L• — ,�,L P-'N C.Wn,N.C.G. Ft1CikT ELEyPT,'I 11 Errr. 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Fe�v 21e119L ' I I ..P•r.fLYuo.Nlr+l H.c I ( t� J PrtzM c�,FI•., - 'tx'�7nN N,'aiy oN A�R4�f Y. � 0•"Rc�ER R'R 4-F.H',RTmPn1. I $8�f.C.�iYP7Jr1 GNP.U•usi I ® I I 4M O .2x4 p I,% I I I= JI �twa eev PPN; Ierl Ie'x9'PU,.FIIK.cx(ui.y� I —I _ O 1 / \ o nww.-.dF- � PLY l.lP 1i I I Pt. Imps o..,,F I S warF.6 I 1 1 � .pULI Nv.(�T�'^ry .♦�- '11GU: tip I I-1 p'R _I � 3 dal I -I -- -- - - - - - - - - - - - - -� All � I ' I 4� �olwryhTl qN fv4L�ls 14/,y.le. YR: ' wnw woi _r.. ;A Application to " 199 Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a C.ERTI FICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: New Building ❑ Addition ❑ Alteration Indicate type of building:�HOuse ❑ Garage ❑ Commercial ❑ Other 2. Exterior PaintinAs - 3. Signs or Billboar 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 ' �L��`L� w• �'teASSESSORS MAP NO. OWNER �00'5z6i_ 11 tn1 S o2 CQ��, - LfAc- ASSESSORS LOT NO. 3� HOME ADDRESS b ox 18(o p�� TEL NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). �tr�S�Pher P �{��eeyt P*14ln -1 : 4er�cwr� �.o b sl wt ssoc_ �o .&x 5PC), I�l�s 5 � OZ�`i"� AGENT OR CONTRACTOR ��^P-"I"� w ��U V � eQ y TEL NO. 4 U ADDRESS�y' o �� .W . ' -�Vl✓115, dZ a� 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). x Z t.., .« ��d r�dw� Ca j o yt 10.•( a Jfie.. v _w c{we-1 1^1 w ►"^ ovt-e - c,,,r d r►v-e., uvd--(A— Ia.r-� , 10'x l 4 c,J ooc� 2c -_ .�U r tc� ""4-P Qc-Z r___N P,no Signed Owner-Cont cior-Agent Space below line for Committee use. Received by H.D.:C. I-Dot ,-a i, The icate is he Y Date �D hr T li LBy Approved ❑ IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved 7 ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS The four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a separate form). 1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a building to be erected or altered including windows, doors, siding, roof, light etc., that will be visible from any public street, way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition — show existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground.. 2. EXTERIOR PAINTING: An application is required for any portion of a building, structure or sign to be painted that is visible from a public street, way or public place. Color samples must be attached to these applications. An application is not required when repainting existing colors, changing to white, or using colors approved by the Town Historic District Committee. 3. SIGNS OR BILLBOARDS: An application is required for any sign or billboard to be erected within the District, with the following exceptions: a. Existing signs or billboards on November 27, 1974 shall have until November 27, 1977 to secure an approved Certificate of Appropriateness. b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they are removed within three days of the event. Certain other temporary signs that the Committee feels does not detract from the Act may be allowed with the prior permission of the Committee. c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they are erected or displayed. d. A single sign of not more than 1 square foot in area showing the name, occupation or address of the occupant of the premises on which they are erected or displayed in a residential zone. 4. STRUCTURE: An application is required to build or alter any structure within the District which is defined by the Act as a combination of materials other than a building, sign or billboard, but.including stone walls, flagpoles, hedges, gates, fences, etc. GENERAL REQUIREMENTS 5. Work on projects requiring approval shall not be started until the Certificate of Appropriateness has been filed with the Town Clerk by the Committee. Approval is subject to the 10 day appeal period provided in the Act. 6. No changes shall be made from the original approved specifications without advance approval of the Commission on an amended application filed with the Committee. 7. A separate application must be filed with each project requiring a Certificate of Appropriateness. 8. Under heading of "Detailed Description of Proposed Work" give detailed data on such architectural features as: foundation, chimney, siding, roofing, roof pitch, sash and doors, window and door frames, trim, gutters —leaders, roofing and paint color. 9. Unless application is complete and legible and all material required is supplied, application will not be accepted or acted upon. Copies of the Act establishing the Regional Historic District may be obtained at the Town Hall. i ;;� � . ,� i Town of Barnstable �? - ;tl Old King's Highway Historic District Comrr: ys r;" SPEC SHEET FOUNDATION QD SIDING TYPE �� Ciec�l,rr Sh�y�, ( COLOR CHIMNEY TYPE (y�L, COLOR ROOF MATERIAL COLOR PITCH WINDOW S A— Mo r-o V6,k, k4 rAl.eS SIZE INIJ TRIM COLOR DOORS COLOR L�S Gam_ SHUTTERS GUTTERS uyYJ<V ,( _VV' DECK GARAGE DOORS Qun-e," �✓ti► COLOR (cl__4) NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, , along with three copies each of the plot plan, landscape plan and elevation plans, when applicable. Plot plan need not be "Certified", .. but should show all structures on the lot to scale. /%/ a�. /al . uc* = 4n PF FLOOD ZONE: C 4 ' 8 � \,9 5 ell V C PROPOSED WELL 83 8\2 (157' TO LEACH PIT) ` \ 81 ___ ._.__ 24' UTILITY CLUSTER 86 / T } 9 84„ �80 79 82 /81 156' 80 NO C 86/ BENCHMARK AT WOODEN STAKE 79 78 77 84 /76 83 81 �� 74 / tr s� 7k rE 80 / p r �.,••atf , 73 79 7 '8 � 14 / s�as a �r/•rs°4�i�1.' ° �F•k j+'� / - ,72 71 / / / 70 i ' .. .. { Via:.` r•!a ' .! li ' , .. .. J'. .....,l... ,CD ... _ _ ., �_,1 n '7 rl ! y. r - *( .i.is �I •'! r, S CD r f � ' co �,' � .. .� ' ! fit ,• ,. . OC d' .0 ►— O A :p C, Co CL. Co. a .� cn c.] �� I d�• 4-3. c" O N - m ►. .moo I - o cu o v� 1 V \ .wa ►� x N .. cc co yap rf 1:'10 cis h• a - c`-, !' !' `` C.� at9 ewe* -GpC ate+ .'g i m m r,, oLj ca c'_• t` ' � x,oe.�►- W ,�•OC ti++ii�TT _ a, ccp ,. ra m :s p6l a. •¢. F. rn y • t '""' ••` Tlie Coninnoml-calth of Atassachusctts Department of Industrial Accidents �? ;.;• 6!/0 ri axitinguin Street `••� Bomron.Minx 02111 �• Workers' Compensation Insurance-AMdavit Please!'RiIV`i'le ily77 _ .A�nlican reformation _... ..... .--.—�.��_ location- phone# 1 am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity 1 ant an employer providing workers' compensation for my employees working on this job. m ge' .-address: �� . hex i� ' Clt AnCS illy '�y T rn—% , 7 nhnne#.- 1 am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who ha the following workers' compensation polices: n address• ... . city: phone#r — "Oiler!l L:�J...:ii:= ••--�:.-• --... rep�-s..•saw�-•Q*"„�'"�T•�•^�e+';F'r•= - '�7,RFiO�eS�t*l�:�C%?"•. s��,e�,�"��'Z�'�.� m-Mnv e• nddre city phone#r insur•tnce to polity# :Attach additiooai•shectiftiee R1 '-•*:: ••* : -:`�' �"`°'r*—'--`:•: :•"~' " • r' Failure to secure coverage as required under Section ZSA of h1GL 152 can lad to the imposition of erimiaal penalties of a fine up to 51500.00 and/or oneyears'imprisonment as welt as civil penalties in the form of a STOP WORE:ORDER and aline of SI00.00 a day against me. 1 uoderstaad that n copy of this statement may be forwarded to the Otfice of Investigations of the DIA for coverage vecif cation. I do herebt•cenifj•u t e pains an enalties of • ?that the injonnation provided abovr is true correct ' Sit_!nature `"� su c� ,f Print name re one# �q'i - official use only do not write is this area to be completed by city or town official pe rmitAietmse N rnffuilding Department cit, or town: Ot.lccasing Board cheek if immediate response is required OSeleetloWs Omce O1lalib Department contact person: phone ll; �Other�_. -Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their emplo}•ces. As quoted from the"law", an emplgree is defined as every person in the service of anotheAh r under any contract of hire, express or implied, oral or written. An enrplityer is defined as an individual, partnership, association. corporation or other :,gal entity, or any two or more the fooing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling hou or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer MGL chapter 1'52 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in tlic commomvealth 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 h: been presented to the contracting authority. `:• •!�!.T!�• - , :a::•a. ... "f .. `4 i.•'. :.�-. �It•r' ':µ•w��•!•+s:W t.,>ti �v.:;• _ 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 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 afiida�•it. 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. .--y+.w...�..saA7s.!+a�.Rq.....••a•„ew..e.��. _ ..s.:� — _ : .,7 :.:_ .. ..+.r- •j':r..��`'�7.'.'.'^',,•Y;S:, . ... -._ ' t • bf. .... •. !Y: yp.• rns.=.i`�.•M(.:.+;7 N•.y.�.aN..•' •".•� 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. Plec be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned t the Department by mail or FAX unless other arrangements have been made. 'Me Office of Investigations would like to thank you in advance for you cooperation and should you have any question please do not hesitate to give us a call. '+wMwr!•w.r.!-7!�?!!!RR^. �.......�-� - �i a_�!...�:..r.ram..« Jr•.« .+i.A:.�ti....•.i�f�isi.:..•}'�%ri.. ..:t•-:rr.:_, The Department's address, telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 •. phone M (617) 7274900 cat. 406, 409 or 375 Tom McLellan 398-7710 The chimney was not shown on the proposed plot plan. If the chimney is included in setback calculations,there is an encroachment(if not included, setback ok). Mr. McLellan says he can find nothing in the Ordinance including the chimney and that chimneys are exempt under 508.3 of the State Building Code. Please advise. i i i b CZ 9 9 0 0 0 d LOT 37 +k cp d v6, �x LOT 36 �9 37,285 ± S.F. (0.86 ± AC.) g5� x� o� LOT 35 JOB # 94-039-36 CERTIFIED PLOT PLAN PREPARED FOR LOCATION : ASES MAP 111 PAR 1-17'PERCIVAL DRIVE WEST BARNSTABLE REEL, REALTY SCALE : I" = 50' REFERENCE : LOT 36 PLAN BOOK 413 PAGE 99 OOFMA ya JOHPf cy I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON TfffS PLAN IS LOCATED ON THE pEMgREST,JR. GROUND AS SHOWN B REON. No.36859 v P DEMAREST - McLELLAN ENGINEERING 24 SCHOOL STREET P. O. BOX 463 MAY 14, 1996 WEST DENNIS, MA 02670 (508) 398-7710 DATE �OFE&ONAL LAND VEYOR Overall length 34' 2"x8" ledger board seared to building w/same size rcof rafters. 18' O.C. U 2"x6" ledger 6oa-d seared to ep Q0 Kiser height and tread width to 'i 6ui►dinq w/flashinci drip edge on ui Propo5ed Farmer!5' Porch mate existinq steps,Kail UN to the top side. L- N 6e similar to proposed porch aid meet code requlremerts, Kai6rq(apical) Mahogony deckinq seared with stainless steel sa-ews, '� 5ee franinq detail �v fop of proposed parch rolfllne to I N be(6") below bottom trim of 41 YO11 concrete ,fl second flow windows 5 pport 610ck on Proposed roof pitch to be .I t fl constructed according to code Porch Eand finished with asphalt roof � Ox&') Primedpinetrimboard Cro5!5 5ect' Ion � s ` 2"xl0" Pressure treated joist E shingle to match existlmq 6uildirq l secured to ledge-with joist hanger and nailed with galvanized nails, Kim joist nailed to eack M1{ l }i joist.(typical). Top of proposed porch deck i I t7ou6le 2"xl O" pressure to finished ceilirq height to ♦ `t' i treated header]I U be approximately T 6", : ! f 4"x6" Pressure treated post — — ! M 0 Kailirq(typical) see detail,for N N jdimertslor5 6 metal plate i. x 12'concrete sonotube - O O I (2x10") Pressure treated rim � footing, Pressure treated postOb CC) joist covered with(IxIO") , i to 6e secured to faotimq with O O O I primed pare trim lockinq plate, Plate to be \E'N \g\ Odd !1 W tyl o r-E secured with 10''0/4" @) s 10' 4"x6" pressure treated post Sp h a � �'. 5ee header detail (minimum) gAvaMzed bolt. to ung beietainlrgwall, 5ee D =1 I-=1 1=1 1=1 I I 1=1 I I I 1=1 11=1 I M I M I 1=1 I MFootiql � — — Header beta i II I I=1 11=1 11 ► 111 11=1 I I ; ► I=111 ;��I-► I I-1 11-1 11=1 11-1 11=1 11=1 See�o�tir�netail - 1=1 1 1=1 1 1-1 1 1= 1 1=1—I I I 1=1 I I I 1=1 11=1 I I-1 ( 1=1 I I—i I I—III.— I f=1�xistirq rock retaining wall 1 1=1 11--I �- I I III—III III—III III-1 I I III—III I 1 I—III III--III III— 211011 ledger board seared N Ezistlrtq c�ade �I 1 I with lag screws 18" O,C, UN 11- flashing to be used under aistirq N 11=11 clap6oa-d5. All posts to 6e 411x411 pressure 2110"m4uncprq top and 1 I IT treated southern yellow pirm bottom rails(41CA) ill 11 I II III I 1 , 1=1 I I^i Kalinq heicK�6" (typical) �hst to u o r0 �wrapped in I xl m _ ixb" premed pine trim. ahogany spindleO.C. 7 0 LU =1 I I—III— 2 0 floor joistt,01"O , 0 1iTi-ITi__ITi 1 1811 header Set 6c'�k(5ee z detail) P\ai.linq- retailFloor peta l I I 8' Overall len*34' 2''x8" ledger board secured to " bulldinq w/same size roof �t ~ rafters, 16'' O.C. 5 2"x6" ledger board secured to Propo5od Farmer!5 Porch Plser height and tread width to 2110" header bulldlnq w/flashing drip edge on � a match exlstinq steps.Pallirq to the top side. O be similar to proposed porch andOZS y 5CA l III I meet code requirements. - hailing(41cal) Mahogony decking secured with stainless steel screws, 1E See framing detail fop of proposed porch ro7fline to LF be C 6") below bottom trim of ❑ [ILI . 4 xl0. concrete N second floor windows %�t bock on Proposed roof pitch to be 5ection constructedaccc-ding I to code oreh eroJG,JC, o and finished with asphalt roof —� (Ixb ) Primed pare trim board 2"x10" Pressure treated joist � shingle to match existirg bulldirq seared to ledger with joist 9L hanger and nailed with galvailzed nails• Rim joist nailed to each El �IE joist•(tLplcal) fop of proposed porch deck Rouble 2"xl0" pressure i - to finished ceding height to treated hem 411x6" Pressure treated post be approximately TO' � N N p ding C typical) see detail for 6" metal plate Q 0 dimensions, s:^ 48"x 12'' concrete 5orvW6- N N �•(2x10' ) Pressure treated rim footing, Pressure treated post CID D JO joist covered with C Ix10 ) � to be secured to footlrq with O Co premed pine trim locking plate• Plate to be � � \ secured with 10"x3/4" Qj __iE 10' 4"x6" pressure treated post / 5ee header detail (minimum) galvanized bit• to footlnq below retalnirq wall. — ..,� 5ee footinq decal I IIC.El. —I 11=1 I I 1=1 1 � �r I 11=1 I ' - po I n Nea r 1��a I .e 5ee Pootin PetalI I I_= I — I I I=1 I I : I I=1II ;�IEI I El I I—Existing rock retalmrq wall = = I , I I III I I I I I I I III I I I I I -1 III I 111 I I I I I III I I I �I I I III I 111 i l l l III I I I I I I I I I 2"x8" ledger board secured III=I I I- o Existing grade _III with lag screws I6'--' O,C, g III= fll�boa ds be used under-existing 7S N I-11 All posts to be 4"x4" pressure 2"x4"'1m4,a ory tap and treated southern yellow pine, bottom rails(tLpiczi) ;III=1 I I=1 I I I= I M t alllrq heiciht 56" (tuplci) Each post to be wrapped in ► x1 mahogony splydes 4 0•C.I"x6" p"Imes pine brim, 2"x8 o O „a floc-joists I6" O,C, V � 18" healer set back(see detail) fail in b�-fail qFramincl Floor V 8' Overall length 34' 2"x8" ledger board secured to 6ulldinq w/same 51ze roof rafters, 18" O.C. V 2"x6" ledger board seared to P p Pi5er height and tread width to 6uildinq w/flashing drip edge onro o!5 d Farmer5 I orch machexiAlr 5p5,P,ailigo hp side,p . be similar to proposed porch andCz 9- 0 C/ /�I G i I meet code requirements, � 5CA,I P,aI i q(tlpIcal) Mahociom decking 5eaaed with a . stainless steel screws, See framing detail cv Top of proposed porch rooflire to 2 be(6.11) below bottom trim of UH . 1:1 ❑ 411x10" concrete support block on n second floor windows grade Proposed roof pitch to be N constructed acccrdirq to code Porch Cro55 5ection N o and finished with asphalt roof ^� (lxb ) Primed pine trim ctia-d ZYO'' Pressure treated jol5t shingle to match existlnq building 9C secured to ledger with joist hanger and nailed with galvanized nai15, IZim jol5t nailed to each joist.(tLipical) t of r osed arch deck Double 2 xl0 pressue ,'xb" Pressure treated post � p W p to finished telling height to treated header be approximatd4�'6", kA N N Pailinq C hpical) See detail for 6" metal plate 3 -" dimenslor� 56"x 12" concrete 5onotubeEN I i0b I ! (2x10") Pressure treated rim footirq, Pre55ure treated post, cQ a-joist covered with(WO' ) .'� to"6e secured to footirq with CC)o O Co primed pine trim lockinq plate. Plate to be secured with 0,0/4" 1L 10' 4"x6" pressure treated post 5ee header detail (minimum) galvanized bolt, to foctirq below retainlnq wall,- 5ee footirq detail —_=1 I-1 I I-1 I I-f�U I 11=I I I I I`III-1 I i-1 I I-=1 5ee�ootl netallFootinci/ N r be-�ai t _ _ _I I 1-1 1 1-1 1 11 I M I 1=1 I I =1 I I I=1 I I-1 1 1=1 1 1=I I I-1 I I { ; , _ M I El 1 1� �I 1 1= 1 1=1 I I= III—I 1 -111-1 11=111=111l1 I I-1 11-111- 1 M1 Exi5tinq rock retainlnq wall 1 I I I,I III III—III i I I—III 1 I!—I I f III—III ! I i—III I I 1 2''x8" ledger board Secured N III—III with lag screws 18" O,C, 6 O Existinq grade flashi q to be used urn existing • III-- clapboards, - � All posts to be 4"x4" pre55ure 2"x4"mahonopry top and _ f— -- treated Southern yellow pine, bottom rails(t.Lpical) O III=1 I I=1 I I I-1I11—I ballinq height�6" (twical) h&h po5t to be wrapped In " it _III-111=1 I : ; I I M111; p p 1 x1 mahogony 5pind1e5 4 O.C. v s _ I"xb" rimed inetrim, 2"x8" floor joist518" O.C. � I=1 I I—III I—III J- i 18'' header Set 6ock- (5ee O detail) z F\,ai,li11qretail Floor Framinq Petail 8' Overall length 54' ; 2"x8" ledger board secured to budding w/same size roof rafters. 18" O,C, V CO 2"x6" ledger board seared to filer height and tread width to buildinq w/flashinq&p ed�on z Prbpo5eJ Farmor5 Poreh match existing steps.pding to the top side, � o be similar to proposed porch and oz meet code requlremenFa. L p ding C typlc�) Mahogony decking secured with stainless steel screws, EllSee framinq detail N Top of proposed parch raufl�re toID L[j 4"d0" concrete O 6 be C 6") Wow bottom trim of cv N second floor windows L sine t block on Proposed roof pitch to be n constructed accardvq to code Porch Cro55 5ection . and finished with asphalt roof —♦ <Ixb ) Primed plre trim board shingle to match existinq building securedl'to ledger 6i treated d�o�st hanger and nailed with galvanized nails, Pim Joist nailed to each El IE Joist,C typk�) fop of proposed porch deck Vouble 2"dO" pressure to finished ceilirq heft to treated header 4"x6" Pressure treated post be approximately I'6', N N t?ailinq C typical) see detail for 6" metal plate —5 Q o dimeisI" ,6,"x 12" concrete sonowbe EM IC 2xl O") Pressure treated rim ='� footing. Pressure treated post C13N N �-- CID Jo15t covered wo C I d 0") + to be secured to fcotarq with o O 0 primed pine trim locking plate. Plate to b: v secured with 10"x-5/4'' 10' 4"x6" pre5%re treated post 5ee header detail (minimum) galvanrced bolt, E to footing below retaininq wall.5ee foot�inq detail III_—III_—I I �_—IIIII I_—IIIII I_—IIIIII 1 A, I I—_III=I I I 1 I b'.e I—_III=I I IIII=II IIII=II I—III=II 5ee�o otq 7eta�lroobnq/ Hj e J o r Petail xisting rock retainirq wal I—III=1 I I I � �I I I— I I—III—I �—III—I I �.III—III—III=III—III—III—III—� I I—I� III--III— --I I III III III—III 11 1--I I I t I I—III 11 I III III--III III 2"x8" ledger board secured N _ 'with laq screws-18" O-C,, f xistinq grade III flashinq to be used under existinq III= clapboards, `— =1 I ony to I — —III- All posts to be 4"x4" pressure 2"x4" mahaigp and 1 M b. treated yelp plrie, bottom rails C typal) _ 0 i III—I I (=II I=III=I Pailinq heig4t 36" (typical) each to be wrapped in _ C —) I I=III=) I i III—III- I"x6" primed pine trim, I xl mahogany spindles 4 O.C. 211x8" floor Jo isth l6';vQ,C,� • V 18" header 5A back(see z detail) fail in b��ail � Floor Frarninol V ota i ASSESSORS-MAP:. _111---------__ ---------- -----.___ _ -_ . q / PARCEL- f II TEST HOLE LOGS NOTES. 1. VERTICAL DATUM. A sUMFn FROMUAD (AGED CURRENT ZONING:. RF ENGINEER: DOYLE ENGINEERING 2. MUNICAPAL WATER IS NOT AVAILABLE. BUILDING SETBACKS: WITNESS: THOMAS McKEAN, R.S. 3. SCHEDULE 40 - 4" PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. F:-3c S:15 R: 15' DATE:_10-8-86 4. ALL PRECAST UNITS TO CONFORM WITH AASHTO H-10 & H-20 PERCOLATION RATE: < 2 MIN/IN LOADING SPECIFICATIONS. FLOOD ZONE: C °s T;l-1 TH-2 5. PIPE PITCH = 114" PER FOOT,(UNLESS NOTED OTHERWISE). 85 Lill _ 69.4 6. FIRST 2' OF PIPE OUT OF D-BOX TO BE LAID LEVEL. .o Lows � 83 TOP & ELaV 7. THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE PROPOSED WELL 82 SUl1SOIL USE OF A GARBAGE DISPOSAL. 1 . (f57' TO LEACH PIT) \ • ` ` 24" 67.4 8. ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE LOCATION MAP 86 ` eoo UTILITY CLUSTER DUE STATE OF MASS. ENVIRONMENTAL CODE (TITLE FIVE) AND LOCAL N HEALTH REGULATIONS. LOT 36 // ��' i �^9 84" 62.4 9. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR 37,285 + S.F. - TO CONSTRUCTION. (0.86 + AC.) _ o MEDIUM 10. PROPOSED SEPTIC SYSTEM AND WELL LOCATION IS IN ACCORDANCE WITH '80 79 SA1fD MASTER PLAN ON FILE WITH BARNSTABLE HEALTH DEPT. 82 Ise11. D-BOX TO BE WATER TESTED TO ENSURE LEVELNESS AND EQUAL FLOW. 80 NO GRO1711'DWATER ENCOUNTERED 86 AT WOODEN BENCHMARK SEPTIC SYSTEM DESIGN ZZ".- 82.9 i - ,78 FLOW ESTIMATE: A_ ;BEDROOMS AT 110 GAL/DAY/BEDROOM = 330 GAL/DAY 77 ' � - - - p �� •' •••� ' � GARAGE UNDER 84 SEPTIC TANK. DECS r� 0r � y ''' ' 76 �d M GAL/DAY * 1.5 DAYS = 495 GAL - . ,' ,' , USE 1500 GALLON SEPTIC TANK �� PROPOSED ' ' • . ' :O i 75 3 BEDROOM 28• 8z dux ' � a ' ,' LEACHING AREA: DDaLLINc ' USE TWO LEACH PITS (6' x 69 WITH 2' OF STONE 34• 74 _(10' EFFECTIVE DIAMETER x 6' DEEP) 80.1 ' , 73 PROPOSED DWELLING SIDE AREA: f0 x 6 x PI = 188 SF (2.0) = 376 GAL/DAY qg . ' • ,' . BOTTOM AREA: 5 x 5 x PI = 78 SF (.83) = 65 GAL/DAY TOTAL CAPACITY = 441 GAL/DAY 78- s� !gyp ,7z, . 2 PITS x 441 G/D = 882 GAL/DAY SEPTIC SYSTEM SECTION 2" PEASTONE 71 76' ' ' ' ' ' ' i ' ' COVERS WITHIN 12" ' OF 3/4" - 1 1/2" 85.0 OF FINISHED GRADE WASHED STONE qj 1 7s ' ' ' ' ' ' ' 70 TOP O 0 A N 74 ' 1\,75.5 0 73 , - - j 75.75 1500 CAL ELEV. :BOX\�3.83 0 #f = 67S TH-1 # ; -68 _� ELEV. SEPTIC TANK .0 ELEV. #1 = 73.5 9 to .—, ELEV. S ELEV. 72 ' - ' . ' , ' -67 176.0 TEE SIZES: 2 = 72 2' 2' 166 ELEV. INLET: 6" UP, 10" DOWN ELEV. •-- 10' 71' ' , ' ' ' / ' ' ' ' -65 OUTLET: 6" UP, 19" DOWN TWO LEACH PITS (6' x 6') WITH ol ' , , ' 2' OF STONE (10' EFF. DIAM. x 6' DEEP) (H-20) ' . / / , . , , .s4 BREAKOUT CALC_ (72S - 71) / 43 x 150 = 5' 70- , , 163 KEY: se' , ' 62 EXISTING CONTOUR' SITE AND SEWAGE PLAN ss 67 � ', � . � . � , ' .161 PROPOSED CONTOUR: .............................. 66 , ' , ss , ' , 1 EXISTING SPOT ELEVATION: 25.5 1 65 64 62 61 PROPOSED SPOT ELEVATION: 25 c TEST HOLE:- LOCATION.' UTILITY POLE: -0- "�OF LOT 36 PERCIV AL DRIVE o FENCE LINE: _ �� 4��c� �,HOFM4 Tpomfs HYDRANT: -b- Mv' a y; r z� �++N 9�tt WEST BARNSTABLE, MA RETAINING WALL. PREPARED FOR- 0 No.36859 U, baffi . f REEF REALTY SCALE: 1" = 30' DATE: 2-27-95 89. 14' DEYAREST—YcLELLAN ENGINEERING ,� i ~"� 24 SCHOOL STREET P.O. BOX 463 WEST DENNIS, MASSACHUSETTS 02670 REFERENCE: PLAN BOOK 413 PAGE 99 REV: 2-29-96 DM # 94-I39-36 (DfIF21) THOMAS McLELLAN, P.E. JOH Z. DiMAREST J ., P..L.S.