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HomeMy WebLinkAbout0160 PERCIVAL DRIVE i 10% a �9� ���.., a�-s' �� ��� �� �� � ;� �� ��� a i of r Town of Barnstable 35 - T� Expires 6 months from issue date Regulatory Services Feed r s • BARNSTABLE. v� MASS.039. Richard V.Scali,Interim Director ♦0 �f0 MAr A Building Division G Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Map/parcel Number -1 h ,�^ t /�Not Valid without Red X-Press imprint F! �V 1. o Property Address residential Value of Work$ � Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 21 y Contractor's Nam 7jh, 609,q—, ' Telephone Number 4��2 Home Improvement Contractor License#(if applicable)J 9�v O k,. Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance ��� � �� �� Check one: ❑ I am a sole proprietor ❑ I am the Homeowner FEB 112015 ❑ I have Worker's Compensation Insurance Insurance Company Name TOWN OF BARNSTABLE Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) 2 Re-roof(hurricane nailed)(stripping old Vingles) All construction debris will be taken to ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. copy of the Homer1rve>I ense&Construction Supervisors License is r ui SIGNATURE: I AKEVIN_D\Building Changes\EXPRESS PERMIT�EXPRESS.doc Revised 061313 The Commonwealth ofMassachusetts Deparbnent of IndiistridAccidents Office of Invesfigations kv 600 Washington Street Boston,MA 02111 www mass govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aolalicant Inf6rmation Please Print Legibly Name(Business/Organization/Individual): Z—o it.,,of r Address: City/State/Zip: ' le hone#• O� �p Are you an employer?Check the appropria*� ; 1.❑ I am a employer with 4. lam a general contractor and I Type of project(required): employees(full and/or part-time).* ave hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.i 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11'. Plumb' myself ❑ �repair's or additions y [No workers comp. right of exemption per MGL 12 Roof insurance required.]t c. 152,§1(4),and we have no repairs employees.[No workers' 3.❑Other *Any applicant that checks box#I comp.insurance required.] . must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such eContractors that check this box must attached an additional sheet showing the name of the sub contractors and state whether or not those entities have employees If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: `Cr✓ l��yl f' 6vG e 6>� Policy#or Self-ins.Lic.#:_ Expiration Date: Job Site Address: City/StateJZ' lip Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).Failure to secure cA*-- overage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage v cation. I do hereby certi aims oL A e informadon provided 7veisa coned Si afore: Date: �� Phone#: O �� Official use only. Do not write in this area,to be conrleted by city or town offwial City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person- Phone#: Sep 21 12 11:16a Bob 2012-09-18 14: 8 5089955798 p.2 5089955798 P 212 2We ComrnotsweaJth ofMassacr usdts Deparhne►st of Xndustrid Accidents Office ofAveseigations 600 Washington Street Bvston,MA 02111 Wwx;mamgov/din Work rs' Compeloi R001k InsuiranCe Affidavit:BuilderslContractors/E1ect�ricia�ns/piumbers A GIG Informatlion Please Print L b Name,(Bu Ms 0rg=ationft&vwal): ,4 L! yc Address: L' d u i— 67- . City/StatI. ,loym A p�171/SPhoncX. 5�- 9�9g.0 Are you aulayer. Check the appropriaeL❑ Iartsa with_ 4. 4Vageneral contractor and I -Type of pi-oject(required):. lcfn'land�orpaR-time).' have hired ttie sub cotl�actors 6• O New construction . Z• I am a's Ie t?ropIIetor or partner- listed oa the•attached sheet 7_ Rawdeliog Ship amd have no employees These sub-contr cbm have worldJ08 for ME iu.any capacity. employees and have worlm, 8• �Deneolition [NOwo s comp.ms•,aance cow.instuaace?• 9. 0 Building addition rcq. 1 5. We ar,a t otpomtion ztnd its 10.0-Electrical crpain or additions 3. 1 am a meowaer doing all work officers have exexeased their mYse� o workers'co r 1I.[�Pbutn ' repairs orstddii:ioas comp. fight oEcxeon per 1rtGL - uss required.]t c.152,§I(4),and we hsNe no 1 oof repass employces,[No workers' 13.❑Other - - comp.oosuraace regiuredJ . by applicant tlta clzeela ben Al amtt ako fill ant the aeetiea below showing tTt<jr workers'wtnpaisatiat polity iflfattration. I. t Fiorrteowners rovh submit this sawavit' Acftmaetor.drat ch this Sox rmeri a "are doing all work and then Aire outside contractors tnttst Subntit a new of 4aw tistdicatcig ate3. arVloyeea. Xf dte b.�„ a°° � �.ft�t ft aamo orthe sub caruractom sue staff whuhv or trot those entities have � �a P1 1,theymostPmide1heir wemkM)comp,policy number. Iam as cm fo ia�ormakoa y Cr tYtai isproviWAr WOrtilJS'eompeRsahbR inset mce for Ply emptoyeer12 Betew is rlke polley sad jnb sire Insurance Co any Naute: L!L t Policy#or Self ins. Lic.#: Expiration Date: Job Site Addre. : _ City/State(Tp: qpf Attack a copy 0the workers'comgen8ation polia7 declaration a c' shows itte shore to recur cov p g ( icy Aatnber and expiration date). as regaired under Section MA ofMCjL c. 152 can kad to the unposhim of eritniyal pet s of a fine up tb$1,5 .00 ax&oj o�.yea imprisonment,as well as civil pedaloes;ot rite form of a STOP WORD ORDER and a a of up to MOM a day against the violator. Be advised t6iat a Isvesti a ons the MIA fox instuance covers a veriflcatiaz SAY of this statesnasit may be Ibrw+arded to the Office of I do lsereby d rMe and pmailiks of perjwy th at the enforma*n provided above is trw cad corr+et S' start: Date: - P6ane fecigl use o ba tmt write fn thid area.ro be eompleled by till►or toNm.oj/rtxal City or Tovcoo PerWVLiceuse# issaiag Ateth sty(circle one): J.Board of H a!t!x 2.Building Department 3.CRY/Town Clerk •4.EletxricA>� � p� 6.Other peetor 5.1?ltuaxbi IM or Contact Pers a: phone#: I • y� r%�rr,�i���rrairtrrn�(�r/nl/rlinr�nlr//j �-trR, ffice of Consumer Affairs&Business RegulationLicense or registration valid for iadividul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: gistration: 148688 Type: Office of Consumer Affairs and Business Regulation Expiration: 10/18/2015 10 Park Plaza-Suite 5170 LOWE'S HOMES CENTERS INC Supplement".ard Boston,MA 02116 ROBERT ABBOTT 136 TURNPIKE RD.SUITE 100 SOUTHBOROUGH,MA 01772 Undersecretary Not vali w2outsigna!tur0e _-__ it i i i F Massachusetts -Department of Public Safety Board of Buildin .Re ulatio. g g ns and Standards Con%tructiun Supercixnr License:-CS-094688 r, ROBERT W CHAJ& 110 CONDUIT S'C• = ML NEW BEDFORDIWA 02.14fy E7 d..• " "� ` Expiration i Commissioner 1013112015 tea, /- rriJ/ir�Ir:r•/�' OtYice of Consumer Affairs&Business Regulation License or registration valid for individui use only f� E IMPROVEMENT CONTRACTOR before the expiration date, litound return to: _ 9istration: 184094 d ;* Expiration• g/31/3p15 DeA Type: Office of Consumer Affairs and Business Regulation • 10 Park Piara-Suite 5170 A-LINE HOME IMPROVEMENTS Boston,MA 02116 ROBERT CHASE 110 CONDtJIY ST ' V NEWBEDFORD, �--MA 02745 Undersecretary Not valid without signature^ i Lowes-2376-instatis Office 2424 Cranberry Hwy.Suite 100 Wareham,Ma 02571 r l� �hov? ,f 1,4 UVI How-"-, -Tm pro V-e--MeA C on 4-Ya_.Uj 0 v Z..4(,v-CS e r a s 9�RUWgrABM ` ,0� Town of Barnstable . 'O�En Mop°i Regulatory Services Richard V.Scali,Interim Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 tY ProP er Owner Must Complete and Sign This Section If Using A Builder rr I, ca k P" , as Owner of the subject property hereby authorize -r 6 to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) �igAature of Owr/er Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. T:\KEVIN_D\Building Changes\EXPRESS PERMIT\EXPRESS.doc Revised 061313 - N \ 6g �0• LOT 51 o� IX/ � ti �o. �x 00 . M LOT 49 LOT 50 35,004 + S.F. (0.80 ± AC.) NX 9 s�. JOB # 97-052 CERTIFIED PLOT PLAN PREPARED FOR LOCATION : ASES MAP 110 PAR 1-27 PERCIVAL DRIVE WEST BARNSTABLE REEF REALTY. SCALE : I" = 50' REFERENCE : LOT 50 PLAN BOOK 413 PAGE 99 �`�JOHNAss9�ti o Z. N I HEREBY CERTIFY THAT THE-STRUCTURE 0EMAREST,JR. rs� SHOWN ON THIS PLAN IS LOCATED ON THE o N0.36859 GROUND AS SHOWN HEREON. v DEMAREST-McLELLAN ENGINEERING 24 SCHOOL STREET P.O. BOX 463 JULY 22, 1997 WEST DENNIS, MA. 02670-0463 (508) 398-7710 DATE P OFE IONAL.LAN AS RVEYOR j ASSESSORS MAP, no TH—s ate, TEST HOLE LOCS NOTES: -; �• /I- PARCEL: 1-27_ N aLLv 20 TI s NOS LOdlf 1.VERTICAL DATUM: ASSUdIED PROH QUAD(NCVD+/-) J CURRENT ZONING: RF to tm'R�/d a/b ENGINEER:PETER BRYANTON 2.NUNICAPAL WATER IS NOT AVAILABLE. BUILDING SETBACKS: D HORI N WITNESS: GERRY DUNNING 8 SCHEDULE 40-4 PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. LOAMY$�9 SAND hi4Q_S. w R:i sr R7rR J/b DATE: 4-16-97 4.ALL PRECAST UNITS TO CONFORM WITH AASXTO H-10 dT Re ClNORlgiON PERCOLATION RATE: <5 MIN/IN LOADING SPECIFICATIONS. 3 FLOOD ZONE:�— gW IOra s �D Sob TH-1 _ TH-Z S.PIPE PITCH- 1/9'A'1/4' PER FOOT,(UNLESS NOTED OTHERWISE). B.FIRST P OF PIPE OUT OF D-BOX TO BB'SET LEVEL 0� MEDIUM SAND A HORIZON aar A HORIZON l" 7.THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE Al- LOR/B as \ IDYR 6/4 SANDY AY WW W USE OF A GARBAGE DISPOSAL .per 1ffi 783 12 WTR 411 8T6 7 !A I J ` a ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE e HORIZON S HORIZON LOCATION MAP ` LOAMY AND IDAOY AND STATE OF MASS.ENVIRONMENTAL CODE(TITLE FIVE)AND LOCAL 'O l .Sp Tara a�e ggb HEALTH REGULATIONS LOT . 3 `` of B: at a HORIZON HORIZON 9.CONTRACMR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR SSO04 t. n S-F. �4 .,` 1 �a LOAMY SAND IDAMY SAND To CONSTRUCTION. (OBO f AC.) Sj Q ` fOi? Mrs 5/3 azz aW WYR b/d 0 93 CZ HORIZON Cl HORIZON f0.GROUND COVER OVER ALft SEPTIC SYSTEM COMPONENTS NOT TO MZD-MARSE SAND MED-COARSS SAND EXCEED SD'. Imo• fora 6/6 FOYR 0/8 ff.PROPOSED WELL AND SE !C SYSTEM LOCATIONS ARE IN ACCORDANCE y ar fa 7Rd Ise 1 1TSZ WITH MASTER PLAN ON RECORD AT THE TOWN OF BARNSTABLE HEALTH PROPOSED WELL DEPARTMENT. as r'f ` f� , NO CROUNDWArZR ENCOUNTERED O1'lLDT � SEPTIC SYSTEM DESIGN , 1 ,b• � ClU9TER I 9 I r'' ` `` ` EJ 84 TA-0� _ .,:Sag•`` �� `�DE PLOW ESTIMATE: �•'- ad ; t' r I ��rA�`, J-BEDROOMS AT IIQ_GAL/DAY/BEDROOM-A9.m SAL/DAY I I I r R1 SEPTIC TANK: rU DECK f f Oo AYSILGAL/DAY z 2 DAYS s BBO CAL - 1 USE fSQQ-CALLON SEPTIC TANK ° 9 Ba WND /P . ` 98 f/ `- zo DWELUNC fe `` , .` ` as LEACHING AREA: W fe USE 3 INFILTRATORS(MAXIMIZER CHAMBERS) u �. ` ` •0e� ` ee WITH B OF STONE ALL AROUND (30'z 1r z Z DEEP) PROPOSED DWELLING A SIDE AREA:(30+1f)2 s Y 164 SF(?4)=121 CAL/DAY e w y0 BOTTOM AREA: 30'z n m 330 SF (.74)=244 CAL/DAY �` CAPACITY=365 CAL/DAY �, ___ 4 SEPTIC SYSTEM SECTION �G . ` yp, 6y Zr PEASTONE LOVERS,WITHIN IY OF 85 88.5 Of ar INSP6ICT/ON COrRR $/�-1 1/P^ TOP OF FOUNDATION war ►ITAIN d-or GRADE) WASHED STONE IT 78.9 r/o'.PEq P► ELEV-B49 L=L 1 PEq �``�� ____ -� PRO➢OSED TELL BdBf _� /-'R ff Tor a ELEV. . 7B.B >r`` 85.1E 7500 CAL D-BOX B4.41 H �� BELEV. ELEV. SEPTIC TANK 8458 W OF ELEV. 4' (G OF STONE UNDER OR ELEV. STONE 317—'� RaxeaMARa Ar _ ELEV. MECHANICALLY COMPACTED) UNDER) 3 INFILTRATORS(MAXIMIZER CHAMBERS) CONCBOUND 6e•` `B1 TEE SIZES: 8438 WITH d'OF STONE ALL AROUND _• SLOT,790 INLET:6'UP.13•DOWN LET T9Z ELEV. (30's fT z E DEEP) i 78.0 OUTLET:8-UP,14-DOWN , KEY: 0.f SITE AND SEWAGE PLAN APPROVED BY: DATE: ' EXISTING coNTODR: ———— UTILITY CLUSTER • PROPOSED CONTOUR: ........... LOCATrUN. EXISTING SPOT ELEVATION: 2ss LOT 50 PERCI VAL DRIVE PROPOSED SPOT ELEVATION:25 TEST HOLE:* WF:.C'I' RA RN.STAR E MA. UTILITY POLE:-0- PREPARED B71R FENCE LINE: HYDRANT.b REEF RFA LI TY RETAINING WALL: TREE. DEMARE"T M.LZLLAN ENGINEERING SCALE: ry 90' DATE 5-9-97 1` L/ dA SCA001 STREET➢O.BOX AB9 i DM; D10F91) WEST DENNIS.MASSACHUSB"S OEWVO THOLAS MGLELLAN,PA:. lOHN Z.DEMAREST JR.P.L.S. PLAN RAUK tf9 PACE Rp ., 1 r____�� . ' �+ � � � � 5� s �� � 4 �.G� I G� ✓' � - � y 11�� ool o2-7 .:6 Parcel 7. Permit# "7F5 3 Conservation Office(4th floor)(8:30-9:30/1:00- 2:00) ��� Date Issued & - Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) q 7 30/ e��66 Fee 7"3T- Engineering Dept. (3rd floor) House# 1 (0 ej) ts �-Lot-SO ve C'css�e &' 3 3 ?jt Planning Dept.(1st floor/School Admin. Bldg.) • BARNSTABLE• Definitive Plan Approved by Planning Board 3 v 19 F� e 9. peg ED MAy A TOWN OF BARNSTABLE SEPTIC sys EM MUST BE INSTALLED IN COMPLIANCE Building Permit Application WITH'I"M S Project Street Address ��c_: �� 1 r' C t�i DSO ENVIRONMENTAL CODE AND TOWN REGULATIONS Village �G..�c--�.S Owner ��c �� C� '� F1 ce v��Q� A ress -VI-elk w4" )A-,CIXIV\:S Telephone ' aeool _ I Permit Request ca- ('w First Floor square feet Second Floor square feet —/02 X Estimated Project Cost $ N' ' C , pop. zip Zoning District Flood Plain C--1 Water Protection Lot Size �j�j, QO�{ S '--vV Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use �GC.rxu� \p Proposed Use Construction Type �c, a_ Commercial Residential Dwelling Type: Single Family vl/ Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway QJ�-3 1 r Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Oc)cLS \—\\L3 Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached �� Barn None Sheds Other �o Builder Information Name� Telephone Number �tU �U Address O \rgLn License# d O� Home Improvement Contractor# 6 01 I g0 Worker's Compensation# QC(-9c..cat( ?;?(0SJc 4V- NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE /I DATE BUILDING MIT DENIED F4RLLOWING REASON(S) I FOR OFFICIAL USE ONLY PERMIT NO. 2- 3 -7 DATE ISSUED M /PARCEL NO. RESS VILLAGE . OWNER .. a ._ DATE OF INSPECTION: , r FOUNDATIONEx r , FRAME, — r INSULATION — ` FIREPLACE O ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - .: ray a ti • ,. GAS: ROUGH N ' ,_ FINAL i FINAL BUILDING nleZE m ' IM- a f { DATE CLOSED OUT 1 Ir t ASSOCIATION PLAN NO. N :3 on ' m r , f ------- - - --- _ -- - ---- - TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY iPARCEL ID 110 001 027 GEOBASE ID 36862 ' ADDRESS 16 PERCIVAL DRIVE 'PHONE. (508) 'W BARNSTABLE ZIP 02668- I ( LOT 50 BLOCK LOT SIZE ( DBA DEVELOPMENT DISTRICT. WB I PERMIT �' 26198 DESCRIPTION SINGLE FAMILY DWELLING (PMT-#23783) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department.of Health, Safety I ARCHITECTS: and Environmental Services TOTAL FEES: j BOND $.00 Ox ( CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY * BARN3r'ABLFti ** i MA83. OWNER FRANCIS, STEVEN & KAREN s639. A� ADDRESS ED IN/►� l 160 PERCIVAL DRIVE BUILDIV,I•�ON WEST. BARNSTABLE, MA BY. DATE ISSUED 10/08/.1997 EXPIRATION DATE 1]_0 001 027 GEOBASE ID 36862z .I R,ESS 1_(y0 .pERCIVAL DRIVE ;.+�� ` ,rv� • PHONE W. Barnstable ZIP hl� BLOCK . `. •• ''LU' 'SIZE PAT " .. yg. DEVELOPMENT r DISTRICT WB "'MIT 23188 DESCRIPTION NEW SINGLE F ILY RESIDENCE 63 °I*,.M1T 'rYi?F BUILD TITLE NEW RESIDENT AL BLDG :PMT !'RAGTOR BOY , EVER. '.' �a. JR. Department of Health, S ► ' ITECZ'S and Environmental Servic .� . FEES. $434.00 $.00 r TRUCT ION COSTS $1.40,000-00 - � Qi► �+�r 101 SI14GLE FAM HOME DETACHED ': 1. • :PRIVATE P : BARN3PA8 LE, w 163 ER FRP:NCIS, STEVEN&KAAHN- r . . ;:�: Ep Mlr►I� . 181 WHITEHALL WAY{YANNI BUILD ' DIVIS N :g'y ' `. LATE ISSUEI' 06/16J1957... -,EXPIRATI6N .DATE IS PER N GHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMAN CMIT ACH EAT ON BLI ROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.S LEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUAN DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. INIMUM OF FOUR CALL INSPECTIONS REQUIRED OR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SE FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS. ARE REQUIRE t ' 1 $2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE L OT BE ELECTRICAL,PLUMBING AN M (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. .. r�.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN.MADE. •! 1.4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPR i SY I F P'C S set/W e4 7� �• �•V- aP, i r ' ��s- .ems 1 HRATINO INSPECTION APPROVALS• ENGINEERING DEPARTMENT °t Y � �` p -t BOARD O HE TH SITE PLAN REVIEW VAL L HER: 3 F F . . 03 WOR HALL. QT eJaOCEED UNTIL. PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED 0 1 i!I •s ' •STRUCT STA LN SIX_ 6AN BE. CF6iR 4IIONTH$f PERMI EC"AS- EPI�ONE '' _ f NOTED _ _ N; • :4•) EID PPRSV pBI-E - WN OF BA®NT W�R�NG a TKO-G,pS G =BVILD�NG' i •� p�UMB�N 1 J�= The Town of Barnstable URNSTABLL Department of Health Safety and Environmental Services e Building Division 367 Main Street,Hyannis,MA U2601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner i Inspection Correction Notice Type of Inspection .t r� Location - ,� r., � Permit Number �3 Owner B-ilder t' One notice to remain on jobsite, �`ne notice on f' a in Building Department. The following,items need correcting r , t; \ lce:�' Please call: 508-790-6227 for re-inspection. a; Inspected by Date -.�r rr....� .. ---'+`• _ l^• -.�* F .,,;..' _.;� ;. . -. '+'. j '•.-r-''' ---� e.,,t.. J' ..ti:*�r' ,�,•�. Y7..,,r.... w. `oF,►aE'° The Town of Barnstable o� BARNSTABLE. • Department of Health Safety and Environmental Services _ MASS. i ��Eo► •'0� Building Division 367 Main Street,Hyannis,MA 02601 X Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice I Type of Inspection Prl Location �C d 1'0�r w Y-{__ Permit Number �3 Owner Builder ��-�— One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: r �p 1 f/� — /F4-�� e Y A IC'& Please call: '508-790-6227 for re-inspection. Inspected bye- � ,lY�-�. Date (6Y-4 - 4 7-- - ,y s A , r • '+'''� Tile Conintoll"'callli ( Atassadiuscttt _ r,;E Department of Industrial Accidents _ -=1 E Olnceo/lm��lgalloas ' 7 _ ; ;• i';a' 600 ff"h ngton Sired �f; ;s+• Binion.Mass. 02111 Workers' Compensation Insurance.ARdavit ARQlicant nformation - Pleas'e IsRi1VT le I�LY �� -- Inantion- city Anne>Y Cl I am a homeowner performing all work myself. (IC3 I am a sole proprietor and have no one working in any capacity ❑T 1 am an employer providing workers' compensation for my employees working on this lob. comma name Lim r) phone fi- ct policy# Ott C,o7 ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who ha- the following workers' compensation polices: address: ,.. cih nhone#! --- -�;;---- •' antler# . • .•. ... L,"�"•:= ..---�::-•- -- :.. .sn•r •c:..•as+�"n-.'�'�-'.=�"te'r'�n';�'r_.= - �vF�a�eSi4°1��%?"•.1�'S��,"�r..,!"''�•_ cominav e• address: city: nhone#r --- insstsance co ttelier# - _ Atiach additional•sheet if gee 7;7, : � '�-- t"'•'rr'"-rf►'— -.�... :r. r ,;,,�, nou' re to secure coverage as required under Section SA of 51GL 152 can lad to the imposition of criminal penalties of a fine up to S1.500.00 and/at one years'imprisonment as well as civil penalties in the form of a STOP NvORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the ORice of investigations of the D1A for coverage veriBndon. l do hereby certij• ndcr t alas and allies ojpedurp that the information pnvrided above is true and corraz Signatureate /e7,e-2 Print name phone# V �V-, 0 9c) official use only do not•write in this area to be completed by city or town olQcial permitilicense d rnBuilding Department city or town: C3Llcensing Board check if immediate response is required Cseleetmea's Once 1311aith Department contact person: phone#; nOther�_ -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 empinr�ce is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An emp1(►rcr is defined as an individual. partnership,association. corporation or other :--gal entity, or any two or more the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the recciver 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 tite commonn-calth 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 evidence of compliance with the insurance requirements of this chapter liz performance of public work until acceptable been presented to the contracting authority. .�—w�...�.—.....+rw i.ra. tl i ': y..w 1_. a♦ I";1 .. D�•l:�w:tM:r�i���� 7��'.:r; L' :r 1.— .L .- 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 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. .�►Rgw.u•.a•.•ew�RJ�� ..`,�::�'r' rye:�....:i�.i+:j.�Y.li....._�y K•y-�..yam+�'+ ,)l�f`.�'ir-..•�RuRS''\iRj�il., ,,�.. .. .. '. .- '.di/':' ..... •. ..�. !Y' ;• :A.�..:L•':'r„::�::hr.. _. (Iv.:. .W1.. •T i'Qj� n.P• 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. Plea 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. The Office of lnvestications 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. _ M� �_� :..�.. .r...« i.....« .••i�•a...yi..r• f .�.^,. :t•-vr.." 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 #: (617) 7274900 ext. 406, 409 or 375 I � r . 7. .j y 1 a7 .mow [ • _• . 'G y' O DO yL-..---• a eta 1--1 q NIaT;.il�l i S I I , RQtiL-C:-_tL>a/A� ION LEFT S 1 DE �L�ufAT(ot�l - R�GrH f SIDE E L E-Y&I or.! F':::`: REAR . i ' � : .. :-t•cC Sa R2itCM1JGI:.oP�:-W.auRnY?A•r.+.0 �.nA - _I alp•p� � T6 ■ ` � .� TJEY.K�- - •. - xiz 10 nA"wpm I u ioio.25 i EON— Jmmd op d.4 L�•4� 4•G' s � x �' 0 � e ?t ` 211d __ moo• s t . �'P6s+cNgl-M. 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SIl10fY.Fifa.SlLL:.i2l. - �2X10 B IL•O.G.'.! �• '.jl>'to m I G"c.G. --re ._ - — --- I_ 'Y_"_F-mlpsUI-. 9k1,><IZ6r1R"(_.__-"_" I— .I . C1W C-.�RivICJv\�'1 IC .FETI•W.•• <WC .' -. _ lb ... -t0'lo• IC�uR 34 co•�c•steOPlR. -riOeY.' oQr• lb .cwc,:Ptotir-Y . I - I ;? .13UILbt1-,1G~SEGTI:ON I am✓-='- -=-r•L x 9'.�q• rx=�.m o�a...Hw.+h• 'Y�. � � �. `�� ���. _ r Z of•5l'e Ct4:ssc6lfl�Y�' ARF 1141 +C t•G x �i.$' 9[0000 v06.M>N4 e/s - a..."_:_..:.:..::... R:Aso CJ��ttM.::'-.. ►IGgk!WIVM of[el.. wcTon Yc R��Wwooy �� 1NR11". DooRS 4V.ila ..'... FRdJT. 121 20 <Z,&-- aX''s ame loze t•F.` Noce �/•z X v'•1 h wr.vrm,-* aH�Tdau c u• .05 .. L,.to x!i'•Idly acr.-rL.9 w-m L Per•1eti.. rt•� 4"5 $O (a86 _ -.WMA.C55E.(HIJ{.-4Wg222349. - a ZUG(.rt¢c' ---2'•BYi X V-bye _. zo►imu-M MIL).pl¢E ccev- li•I T _ Tc7fAl.. 20B IOO 225G -u+.. '.. v 2GG6'. Z'•D' x L'•g'la' INr• Sw1wr.•voo¢- __Eb"Nfi3TRC�f1oIJ' I'4:G.x p IS, �.tG� L'•r.Y>t x o'•dl.• urr. sww.ct� yl•Vh'x 4'-9'li mrT. blpxo R�2 i I to b� ' I'dk x C• ,' 'Tr. of P Cl o vecr� .. H .Lf� ... -.9.2 x G•al: INT.P2s►ztl • ,7 LoGD+t,-- . ..".. d.o x L`• p1.a7et•G.oa TRQxNw.-.ua02 . -G•;Io _ per. .. .•. K •b x.. �. JMC?Ocx£T A'�Cit:.::.. + .'.y_ Gt�''''�'(���•� �LtJC 5C oLi.. 'W. Application to •'' Old Kings Highway Regional Historic =ITIMIttee in the Town of Barnstable for a ftq7 100 CERTIFICATE OF APPROPRIATENESS Application is hereby made, ld triplicate,.for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470. Acts and Resolves of Massachusetts, 19.73, 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 Q Alteration Indicate type of building: House arage ❑ Commercial ❑ Other 2 Exterior Painting: 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). " TYPE OR+PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK r - ASSESSORS MAP N0. OWNER � - �n �r o`h ASSESSORS LOT NO. HOME ADDRESS �ti �hh�S .� `WA O—Q-Q o l 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). AGENT OR CONTRACTOR TEL. NO. '12q-3020 ADDRESS V a h Ua 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 n signs. Attach additional sheet, if necessary). \ —�` �� sUo EY1 C�O� � moo ��ck °h L � .c Signed':�L 31 ( 64 r- yonamor-Agent I Space below line for Comm se. Received by H.D.C. "' Ir{) Date The tificate is hereby Date Time By Approved ❑ IMPORTANT: If Certificate is approved, approval is subject to the'10 day appeal period provided in the Act. I 1 h hG W - : ,.. ..+.._... .,.�. _.. � ....._.>.<..,..a: � .,�........._.,..la'.... ...........o....eu�....iet..s...'sic.�.endris`,�lv�.uwn•::.y.c..:.a::..i::..a.:..•uu3.�-aliun.�w:�.::.:s;r...v a�es,.ltra¢K aUy:u�..vy�.:.�..:.:_:_._�...�.,..::. _4 OTown of Barnstable Old King's Highway Historic > ». Q SPEC SHEET FOUNDATION Ou e�� CnhGe�yP SIDING TYPE q 104)ZOLOR CHIMNEY TYPE ��,; cL�, tUcLoA COLOR ROOF MATERIAL �5��c�\� ��cuh��� COLOR PITCH , 2 `Z �0 `l Iz c 0o e\1 co �,;�: WINDOW V �21 Z SIZE Quay TRIM COLOR DOORS �p`� S \�p.1r�2 COLOR SHUTTERS by COLOR 0 GUTTERS �� �;� G�\��(\ C_e\ iz, DE GARAGE DOORS aL\ � COLOR S a SIGNS �fJ) COLORS FENCE 44.91S111 COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan, landscape plan and elevation plans, when applicable. Plot plan need not be "Certified" except for new homes, but should show all structures on the lot to scale. SPECSHT 1 TOWN OF BARNSTABLE OLD KING'S HIGHWAY HISTORIC COMMITTEE LOCATION: Lot 50 House #160 Percival Drive West Barnstable M110 P1-27 OWNER: Steven C. and karen A. Francis 181 Whitehall Way Hyannis, MA 02601 ABUTTERS: M110 P1-28 Michael Looney 5223 Fairgreene Way Ijamsville, MD 21754 M110 P1-26 Joseph C. & Caroline Lacroix 13 Corey Drive Yarmouthport, MA 02675 M110 P1-13 Horsefoot Holdings 24 School Street West Dennis, MA 02670 M110 P1-12 Thomas O'Hearn P.O. Box 1299 Forestdale,. MA 02644 M110 P1-14 David & Patricia Boulay P.O. Box 355 W. Barnstable, MA 02668 Milo P 1-11 Randall & Jacqueline Hebditch 173 Percival Drive West Barnstable, MA 02668 -\Coo •;' x �C�;�� �o Low �s-�c�� a- CnhS-�e�-��o LOT 51 o� ' •xq,.,l'Y i�T-��a' i��n,. Oi �Y"YY��2�'a'L�'• °e Z "Alm r IN yCVLOT 49 M. gv'er{r�.�•. ` �. �. *,^k�,1T `+„fit F_ ^5' yi.d �• •Y,."6r+��..rk '•�4. �. E S a- air t. A��'3�" �.�1z��54,(.•t. �� tw.d�-9•'y`���0 t 2tV'�t+.��0;'�`� i�g`` go�'<yyF'y�f�� N�•1.'4"u �.µtyT�kr. ,�4�` {�l"i`��'�k�''�.:x��,�}�L'��w..'. • R-J kCM1�F at�'et i�•^4� F'x��rs� d,�'rlb� 3:�'•�t>•o3 5�r;✓ to .... sp ` IN 6g e0. LOT 51 o� z�y �x G� LOT 49 CZ�' sago, fix. LOT 50 35,004 + S.F. (0.80 ±AC.) 6 JOB # 97-052 SKETCH PLAN PREPARED FOR LOCATION : ASES MAP 110 PAR 1-27 REEF REALTY PERCIVAL DRIVE WEST BARNSTABLE SCALE : 1 = 50' � L REFERENCE : LOT 50 PLAN BOOK 413 PAGE 99 ''�' NO►WM 4 DEMAREST—McLELLAN ENGINEERING 24 SCHOOL STREET P.O. BOX 463 MAY 8, 1997 WEST DENNIS, MA. 02670-0463 (508) 398-7710 DATE P FE NAL LAND SUR OR ASSESSORS MAP: 110 TH-3 PARCEL: 1-27 N TEST HOLE LOGS NOTES: 88.3 A HORIZON ELEV SANDY 1. VERTICAL DATUM: ASSUMED FROM QUAD (NGVD +/ & `�T CURRENT ZONING: RF so' fOYR 4/2 875 ENGINEER: PETER BRYANTON 2. MUNICAPAL WATER IS NOT AVAILABLE. BUILDING SETBACKS: B HORIZON WITNESS: GERRY DUNNING LOAMY SAND 3. SCHEDULE 40 - 4" PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. 8f k F: 30' S: 15' R: 15' 32 1oYR 518 DATE: 4-16-97 85B 4. ALL PRECAST UNITS TO CONFORM WITH AASHTO H-10 Cl HORIZON PERCOLATION RATE: < 5 MIN/IN LOADING SPECIFICATIONS. FLOOD ZONE: C 96, lOY�j�D BOB TH-1 TH-2 5. PIPE PITCH = 1/8" & 11 4" PER FOOT, (UNLESS NOTED OTHERWISE). - ' C2 HORIZON 90S 91.0 6. FIRST 2 OF PIPE OUT OF D-BOX TO BE SET LEVEL. \0 MEDIUM SAND A HORIZON ELEV A HORIZON ELEV 7. THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE Locus B9 , ,1.,\ 1oYR 6/8 1rR 413 �" 89s 1r fo R 13 90D USE OF A GARBAGE DISPOSAL. 'tt \ 120" 783 B HORIZON B HORIZON B. ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE � LOCATION MAP LOAMY SAND LOAMY SAND STATE OF MASS. ENVIRONMENTAL CODE (TITLE FIVE) AND LOCAL 88 36" fOYR 5/8 f 8•s so- 10YR 5/8 88s HEALTH REGULATIONS. LOT 50 ` s1 �,� s2 Cl HORIZON Cl HORIZON 9. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR 35,004 + S.F. is \ ��• LOAMY SAND I LOAMY SAND (0.80 ± AC.) 4ti� 100- fOYR 5/3 822 80- fOYR 5/3 84 3 TO CONSTRUCTION. w 93 C2 HORIZON ! C2 HORIZON 10. GROUND COVER OVER ALL SEPTIC SYSTEM COMPONENTS NOT TO MED-COARSE SAND MED-COARSE SAND EXCEED 3.0. �O \, 94 1OYR 6/6 fOYR 6/8 11. PROPOSED WELL AND SEPTIC SYSTEM LOCATIONS ARE IN ACCORDANCE yti 87 1 / 148" 782 13r 79.7 WITH MASTER PLAN ON RECORD AT THE TOWN OF BARNSTABLE HEALTH PROPOSED WELL �� �' \ TH_2 1 ► i \, I DEPARTMENT. 86, 1 \ NO GROUNDWATER ENCOUNTERED b i , \ ` \ ♦ ` 94 -- UTILITY 85 �'Z,� ' _ , SEPTIC SYSTEM DESIGN j CLUSTER 93 84 i i i TH-3 ♦ . ♦ ♦♦ ` 3 ,, , "' , - ::;<::. RES. ` 92 FLOW ESTIMATE: CRSA 3BEDROOMS A T 110 GAL DAY BEDROOM = 330 GAL DAY8z TH-1♦, 91 80,E ,' SEPTIC TANK. 70. DECK 79 - , , '\ ,. - - so IM CAL/DAY x 2 DAYS = 660 GAL ♦ , �� G�' n PROPOSED 12' t�q, USE 1500 GALLON SEPTIC TANK s 3 BEDROOM 78 ♦ ♦ ♦ _ GF' 2, DUELLING 1P /�� . _ , ` LEACHING AREA: � \� ,\ ♦ `` /`/\9 � ` , ` , \ USE 3 INFILTRATORS (MAXIMIZER CHAMBERS) 24' 34' .o ♦ \ /C �oA����o�, ` 88 1 WITH 4' OF STONE ALL AROUND (30' x 11' x 2' DEEP) \ fir$d `" ♦ �� �� PROPOSED DWELLING I \ \♦ ` \ ♦ ♦♦ o�, �� - ' ♦ ��. ���' SIDE AREA: (30 + 102 x 2 = 164 SF (.74) = 121 GAL/DAY 77. 8 . ` , ♦ `, ' ♦ ♦ ! BOTTOM AREA: 30' x 11' = 330 SF (74) = 244 GAL/DAY ♦ ♦ 6d a v� _ CIT = /DAY ♦ , - - -- -- CAPA Y 365 GAL —- \7. \, 877 ♦ , ' \ _ _ _ - 86 Q� SEPTIC SYSTEM SECTION �'0G► • ; ?moo ` ` \ \ ` \ ♦ ` q,`�' 2" PEASTONE \♦ ` _ _ _ \ \ COVERS WITHIN 1r OF �� ` - ♦ _ _ _ _ - - FINISHED GRADE " ♦ ♦ , � ` \ � - - 8s } 88.5 3/4 - 1 1/2" ` INSPECTION TOP OF FOUNDATION TO BE COVER GE) WASHED STONE 7 ♦ ` \ — — — — -84 76. 9 pRR pA, � 7s. s ♦ � � �\ � /ma's'?' �/e" R ELEV: 84.9 ` ♦ ` \ ♦ PROPOSED WELLZE I 84'� RPT \ \ LOT 49 ELEV. ty _ - - - - -82 LE o o 77 . ♦ 85.16 1500 GAL D-BOX\84.4182.38 76. 8 ♦ ELEV. " E� E4 > ELEV. ♦ _ _ SEPTIC TANK 84.58 (6 OF ELEV. 4 4 . ` . , ` -+- (6" OF STONE UNDER OR ELEV. STONE 30' BENCHMARK AT ♦ \ _ ` ELEV. MECHANICALLY COMPACTED) UNDER) \ 84.38 3 INFILTRATORS (MAXIMIZER CHAMBERS) CONC.BOUND. ♦ S�• 81 TEE SIZES: GASFLE WITH 4' OF STONEALL AROUND ELEv= 79.6' ` INLET: 6" UP, 13" DOWN AT TEE ELEV. (30' x 11' x 2' DEEP) 78. 0 ` ♦ I OUTLET: 6" UP, 14" DOWN 79 'ft``*+ .EY: 8°• 1 SITE AND SEWAGE PLAN EXISTING CONTOUR: UTILITY CLUSTER APPROVED BY: DATE: PROPOSED CONTOUR: ........................••••• LOCATION LOT 50 PERCI VAL DRIVE EXISTING SPOT ELEVATION: 25.5 PROPOSED SPOT ELEVATION: 25 TEST HOLE: j r�KMAS t : ` �` WEST BARNSTABL� MA. UVIL UTILITY POLE: -p- ` _ ^ �r.;,. : FENCE LINE: F PREPARED FOR.' HYDRANT: -� � ��sT�` _4`• ``�'':x-< RETAINING WALL: I x REEF REALITY TREE: DEMAREST-McLELLAN ENGINEERING �r r' i c� '� SCALE: 1"= 30' DATE 5-9-97 24 SCHOOL STREET P.O. BOX 463 # �� � ) WEST DENNIS, MASSACHUSETTS 02670 REFERENCE: PLAN BOOK 413 PAGE 99 V D10F31 [THOMAS MCLELLAN, P.E. JOHN Z. DEMAREST JR., P.L.S. I I I